Form 990 for tax year 2022
Filed by CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION.
Totals
- Total revenue
- $1,038,463
- Total expenses
- $4,996,901
- Contributions and grants received
- $425,960
- Grants paid
- $137,403
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- Program services expenses (Part IX)
- $4,793,487
- Management and general expenses
- $69,301
- Fundraising expenses
- $134,113
- Program service expenses (Part III)
- $4,793,487
Program services were 95.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
CATHY PICHE
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
WILLIAM A FLYNN
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
MARCIA L LEMAY ESQ
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
COURTNEY BLOODOUGH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
SHERIN C CUNNINGHAM
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MARY EDWARDS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
NICHOLE KENNEDY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DARLENE LISCUM
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
RICARDO LUNDI DPM
BOARD MEMBER
- Total calculated
- $149,921
- From this org
- $0
- From related orgs
- $133,069
- Other
- $16,852
- Hours/week
- 1
-
PATRICIA MAHONEY DMD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
JANE MCGRATH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MICHAEL OAKLEY
BOARD MEMBER
- Total calculated
- $679,481
- From this org
- $0
- From related orgs
- $642,667
- Other
- $36,814
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $642,667 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0 + $27,664 related
- Filer's total
- $0 + $679,481 related
-
ANDREA SMITH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
RICHARD TACCHINO
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DONALD TEBO
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
AMANDA A HITTERMAN
EXECUTIVE DIRECTOR
- Total calculated
- $139,803
- From this org
- $0
- From related orgs
- $114,770
- Other
- $25,033
- Hours/week
- 40
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE EXECUTIVE DIRECTOR OF THE FOUNDATION IS AN EMPLOYEE OF CLAXTON-HEPBURN MEDICAL CENTER. THE EXECUTIVE DIRECTOR'S COMPENSATION IS ESTABLISHED AS PART OF THE MEDICAL CENTER'S ANNUAL BUDGET PROCESS. THE COMPENSATION IS BASED ON COMPARABLE POSITIONS AT SIMILAR SIZE ORGANIZATIONS.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
CLAXTON-HEPBURN MEDICAL CENTER
$93,628
CHMC CAPITAL PROJECTS AND HOSPITAL IMPROVEMENTS
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
NORTH STAR HEALTH ALLIANCE INC
501(C)(3) · PARENT HOLDING COMPANY · NY
-
CLAXTON-HEPBURN MEDICAL CENTER
501(C)(3) · PROVIDES MEDICAL SERVICES TO THE PUBLIC · NY
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313189349314186
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