Form 990 for tax year 2022
Filed by CLAXTON-HEPBURN MEDICAL CENTER.
Totals
- Total revenue
- $123,942,382
- Total expenses
- $123,865,648
- Contributions and grants received
- $12,765,611
- Grants paid
- $0
- Program service revenue
- $107,614,599
- Investment income
- -$84,144
- Other revenue
- $3,646,316
- Total assets, end of year
- $140,540,897
- Total liabilities, end of year
- $66,049,455
- Net assets or fund balances, end of year
- $74,491,442
- Program services expenses (Part IX)
- $93,747,036
- Management and general expenses
- $30,034,852
- Fundraising expenses
- $83,760
- Program service expenses (Part III)
- $93,747,036
Program services were 75.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$12,699,054
-
1f · All other contributions, gifts and grants
$66,557
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $106,068,702 · related or exempt $106,068,702
-
2b · Program service revenue: 340B REVENUE
total $1,545,897 · related or exempt $1,545,897
-
3 · Investment income
total $95,709 · excluded $95,709
-
7a · Gross sales of assets other than inventory
securities $6,227,452
-
7b · Less cost or other basis and sales expenses
securities $6,407,305
-
7c · Gain or loss
securities -$179,853
-
7d · Net gain or loss
total -$179,853 · excluded -$179,853
-
11a · Other revenue: ALL OTHER REVENUE
total $3,109,494 · related or exempt $3,109,494
-
11b · Other revenue: AUXILIARY
total $339,582 · related or exempt $339,582
-
11c · Other revenue: CAFETERIA
total $197,240 · related or exempt $197,240
-
11e · Other revenue, total
$3,646,316
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $972,758 · management and general $972,758
-
7 · Other salaries and wages
total $43,585,831 · program services $36,610,983 · management and general $6,891,105 · fundraising $83,743
-
8 · Pension plan contributions
total $1,947,634 · program services $1,656,990 · management and general $290,644
-
9 · Other employee benefits
total $5,889,351 · program services $4,990,216 · management and general $899,135
-
10 · Payroll taxes
total $3,395,138 · program services $2,862,961 · management and general $532,177
-
11b · Fees: legal
total $345,158 · program services $8,300 · management and general $336,858
-
11c · Fees: accounting
total $308,018 · management and general $308,018
-
12 · Advertising and promotion
total $194,190 · program services $11,546 · management and general $182,644
-
13 · Office expenses
total $342,198 · program services $316,350 · management and general $25,848
-
16 · Occupancy
total $1,133,014 · program services $209,896 · management and general $923,118
-
17 · Travel
total $127,268 · program services $84,468 · management and general $42,800
-
20 · Interest
total $229,918 · program services $203,326 · management and general $26,592
-
22 · Depreciation, depletion and amortization
total $4,371,028 · program services $3,726,356 · management and general $644,672
-
23 · Insurance
total $823,362 · program services $86,017 · management and general $737,345
-
24a · Other expenses: MEDICAL SUPPLIES
total $23,447,311 · program services $21,676,211 · management and general $1,771,100
-
24b · Other expenses: PURCHASED SERVICES
total $18,660,852 · program services $8,440,358 · management and general $10,220,494
-
24c · Other expenses: RENTALS AND LEASES
total $7,940,338 · program services $5,141,318 · management and general $2,799,020
-
24d · Other expenses: PHYSICIAN FEES
total $6,599,948 · program services $6,599,948
-
24e · All other expenses
total $3,552,333 · program services $1,121,792 · management and general $2,430,524 · fundraising $17
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $3,322,605 · end of year $3,049,217
-
2 · Savings and temporary cash investments
beginning of year $4,021,994 · end of year $1,902,417
-
4 · Accounts receivable
beginning of year $19,669,115 · end of year $14,999,320
-
7 · Other notes and loans receivable
beginning of year $1,739,869 · end of year $1,787,589
-
8 · Inventories for sale or use
beginning of year $2,002,124 · end of year $1,791,255
-
9 · Prepaid expenses and deferred charges
beginning of year $948,541 · end of year $1,012,627
-
10a · Land, buildings and equipment: cost or other basis
$134,576,268
-
10b · Land, buildings and equipment: accumulated depreciation
$103,232,968
-
10c · Land, buildings and equipment, net
beginning of year $37,966,780 · end of year $31,343,300
-
15 · Other assets
beginning of year $80,124,536 · end of year $84,655,172
-
17 · Accounts payable and accrued expenses
beginning of year $23,191,037 · end of year $33,519,755
-
19 · Deferred revenue
end of year $4,247,366
-
23 · Secured mortgages and notes payable
beginning of year $9,933,988 · end of year $3,091,329
-
24 · Unsecured notes and loans payable
beginning of year $1,671,138 · end of year $4,367,662
-
25 · Other liabilities
beginning of year $38,641,813 · end of year $20,823,343
-
27 · Net assets without donor restrictions
beginning of year $73,148,157 · end of year $71,367,048
-
28 · Net assets with donor restrictions
beginning of year $3,209,431 · end of year $3,124,394
Mission and programs · 2022
Mission
TO MEET OUR REGION'S HEALTHCARE NEEDS WITH COMPASSION AND EXCELLENCE. SIGNIFICANT ACTIVITIES: INPATIENT, OUTPATIENT, AND EMERGENCY CARE.
Activities or mission (Part I)
CLAXTON-HEPBURN MEDICAL CENTER (HOSPITAL) OPERATES ACUTE CARE AND PSYCHIATRIC FACILITIES IN OGDENSBURG, NY SERVICING PATIENTS PRIMARILY FROM ST. LAWRENCE COUNTY.
-
CLAXTON-HEPBURN MEDICAL CENTER IS LOCATED IN OGDENSBURG, NY AND IS A NOT-FOR-PROFIT HOSPITAL. THE HOSPITAL PROVIDES ACUTE INPATIENT, PRIMARY CARE, MEDICAL SURGICAL, INTENSIVE CARE, OBSTETRICS, NURSERY MAINTAINS AN EMERGENCY DEPT, AMBULATORY SURGERY, HOME HEMODIALYSIS AND MENTAL HEALTH CENTER. MED SURG DAYS EXCLUDING SWING WERE 6,640, ICU PATIENT DAYS WERE 2,285, MENTAL HEALTH PATIENT DAYS WERE 8,477, AND ER PATIENT VISITS WERE 14,397.
Expenses $93,747,036 · Revenue $111,260,915
As filed on the 2022 return.
Listed in Part VII
-
Michael Oakley MDMICHAEL OAKLEY MD
DIRECTOR / PHYSICIAN
- Total calculated
- $679,481
- From this org
- $642,667
- From related orgs
- $0
- Other
- $36,814
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $642,667
- Bonus
- $0
- Other
- $0
- Deferred
- $9,150
- Nontaxable benefits
- $27,664
- Filer's total
- $679,481
-
Richard DuvallRICHARD DUVALL
PRESIDENT AND CEO
- Total calculated
- $690,760
- From this org
- $653,946
- From related orgs
- $0
- Other
- $36,814
- Hours/week
- 3
Schedule J breakdown matched by us
- Base
- $653,146
- Bonus
- $0
- Other
- $800
- Deferred
- $9,150
- Nontaxable benefits
- $27,664
- Filer's total
- $690,760
-
Philip CosmoPHILIP COSMO
DIRECTOR UNTIL MARCH 20221
- Total calculated
- $0
- Hours/week
- 3
-
Christopher BrandyCHRISTOPHER BRANDY
DIRECTOR
- Total calculated
- $1,258,992
- From this org
- $1,258,992
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
Schedule J breakdown matched by us
- Base
- $1,258,992
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $1,258,992
-
Dr Zvi SzafranDR ZVI SZAFRAN
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 3
-
Chet TruskowskiCHET TRUSKOWSKI
VICE-CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 3
-
Scott WilsonSCOTT WILSON
TREASURER UNTIL MAY 2022
- Total calculated
- $0
- Hours/week
- 3
-
Mark MashawMARK MASHAW
TREASURER EFFECTIVE AUGUST 2022
- Total calculated
- $0
- Hours/week
- 3
-
James CrowleyJAMES CROWLEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Rita CrowleyRITA CROWLEY
DIRECTOR / NURSE PRACTITIONER
- Total calculated
- $150,000
- From this org
- $120,176
- From related orgs
- $0
- Other
- $29,824
- Hours/week
- 40
-
Diane DaileyDIANE DAILEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Bryan FelittoBRYAN FELITTO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
David HornungDAVID HORNUNG
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Ted LawrenceTED LAWRENCE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Sandra LyonsSANDRA LYONS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Dawn MerzDAWN MERZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Maureen MissertMAUREEN MISSERT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Kome Oseghale MDKOME OSEGHALE MD
DIRECTOR / PHYSICIAN
- Total calculated
- $209,538
- From this org
- $192,406
- From related orgs
- $0
- Other
- $17,132
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $192,406
- Bonus
- $0
- Other
- $0
- Deferred
- $6,003
- Nontaxable benefits
- $11,129
- Filer's total
- $209,538
-
John PinkertonJOHN PINKERTON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Dallas SuttonDALLAS SUTTON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
James ThewJAMES THEW
SECRETARY
- Total calculated
- $0
- Hours/week
- 3
-
Brandon BowlineBRANDON BOWLINE
COO
- Total calculated
- $281,999
- From this org
- $273,785
- From related orgs
- $0
- Other
- $8,214
- Hours/week
- 3
Schedule J breakdown matched by us
- Base
- $273,785
- Bonus
- $0
- Other
- $0
- Deferred
- $8,214
- Nontaxable benefits
- $0
- Filer's total
- $281,999
-
Thomas HerzogTHOMAS HERZOG
PHYSICIAN
- Total calculated
- $695,898
- From this org
- $674,601
- From related orgs
- $0
- Other
- $21,297
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $674,601
- Bonus
- $0
- Other
- $0
- Deferred
- $9,150
- Nontaxable benefits
- $12,147
- Filer's total
- $695,898
-
Michael SeidmanMICHAEL SEIDMAN
PHYSICIAN
- Total calculated
- $539,048
- From this org
- $529,898
- From related orgs
- $0
- Other
- $9,150
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $529,898
- Bonus
- $0
- Other
- $0
- Deferred
- $9,150
- Nontaxable benefits
- $0
- Filer's total
- $539,048
-
Noah ZukerNOAH ZUKER
PHYSICIAN
- Total calculated
- $675,519
- From this org
- $638,705
- From related orgs
- $0
- Other
- $36,814
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $638,705
- Bonus
- $0
- Other
- $0
- Deferred
- $9,150
- Nontaxable benefits
- $27,664
- Filer's total
- $675,519
-
Manasvi JaitlyMANASVI JAITLY
PHYSICIAN
- Total calculated
- $562,474
- From this org
- $525,660
- From related orgs
- $0
- Other
- $36,814
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $525,660
- Bonus
- $0
- Other
- $0
- Deferred
- $9,150
- Nontaxable benefits
- $27,664
- Filer's total
- $562,474
-
Francis LeeFRANCIS LEE
PHYSICIAN
- Total calculated
- $544,655
- From this org
- $507,841
- From related orgs
- $0
- Other
- $36,814
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $507,841
- Bonus
- $0
- Other
- $0
- Deferred
- $9,150
- Nontaxable benefits
- $27,664
- Filer's total
- $544,655
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
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
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
- TTHE CHMC BOARD CONTRACTS WITH YAFFE AND COMPANY, AN INDEPENDENT SALARY COMPENSATION SPECIALIST TO ADVISE THE EXECUTIVE COMMITTEE TO ASSIST THE COMMITTEE IN SETTING ANNUAL SALARIES AND BENEFITS FOR SENIOR LEADERSHIP. YAFFE AND COMPANY IS USED IN COMBINATION WITH PULLING MULTIPLE COMPARABLE HOSPITAL'S EXECUTIVE OFFICER COMPENSATIONS FROM 990S. ALL DATA IS PRESENTED TO THE BOARD BY THE CFO FOR DETERMINATION OF APPROPRIATE EXECUTIVE SALARIES.
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
No itemized grants to organizations on this return.
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 FOR CLAXTON-HEPBURN MEDICAL CENTER · NY
-
CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION INC
501(C)(3) · PROVIDE FINANCIAL SUPPORT FOR CLAXTON HEPBURN MEDICAL CENTER · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
-
501(C)(3) · ATTRACTING AND RETAINING SPECIALIZED MEDICAL PRACTICIONERS · NY · controlled entity
Directly controlled by CLAXTON-HEPBURN MEDICAL CENTER
-
501(C)(3) · HEALTHCARE SERVICES · NY
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343179349305789
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