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Nonprofiteer
← ELIZABETHTOWN COMMUNITY HOSPITAL

Form 990 for tax year 2022

Filed by ELIZABETHTOWN COMMUNITY HOSPITAL.

Totals

Total revenue
$66,517,289
Total expenses
$60,774,568
Contributions and grants received
$147,098
Grants paid
$0
Program service revenue
$65,854,798
Investment income
-$558,052
Other revenue
$1,073,445
Total assets, end of year
$82,871,692
Total liabilities, end of year
$27,327,904
Net assets or fund balances, end of year
$55,543,788
Program services expenses (Part IX)
$47,991,664
Management and general expenses
$12,782,904
Fundraising expenses
$0
Program service expenses (Part III)
$47,991,664

Program services were 79.0% 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)

    $100,468

  • 1f · All other contributions, gifts and grants

    $46,630

  • 2a · Program service revenue: CRITICAL ACCESS HOSPITAL

    total $62,098,253 · related or exempt $62,098,253

  • 2b · Program service revenue: 340B REVENUE

    total $2,380,631 · related or exempt $2,380,631

  • 2c · Program service revenue: MEANINGFUL USE INCOME

    total $1,375,914 · related or exempt $1,375,914

  • 3 · Investment income

    total $470,196 · excluded $470,196

  • 6a · Gross rents

    real property $159,368

  • 6b · Less rental expenses

    real property $353,352

  • 6c · Rental income or loss

    real property -$193,984

  • 6d · Net rental income or loss

    total -$193,984 · unrelated business -$219,952 · excluded $25,968

  • 7a · Gross sales of assets other than inventory

    securities $4,715,170

  • 7b · Less cost or other basis and sales expenses

    securities $5,743,418

  • 7c · Gain or loss

    securities -$1,028,248

  • 7d · Net gain or loss

    total -$1,028,248 · excluded -$1,028,248

  • 8a · Fundraising events: gross income

    $20,245

  • 8b · Fundraising events: direct expenses

    $7,491

  • 8c · Net income from fundraising events

    total $12,754 · excluded $12,754

  • 11d · All other revenue

    total $1,254,675 · related or exempt $1,254,675

  • 11e · Other revenue, total

    $1,254,675

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,692,955 · management and general $1,692,955

  • 7 · Other salaries and wages

    total $28,850,416 · program services $25,556,439 · management and general $3,293,977

  • 8 · Pension plan contributions

    total $1,028,019 · program services $868,469 · management and general $159,550

  • 9 · Other employee benefits

    total $3,695,503 · program services $2,959,737 · management and general $735,766

  • 10 · Payroll taxes

    total $1,798,065 · program services $1,489,438 · management and general $308,627

  • 11b · Fees: legal

    total $166,682 · management and general $166,682

  • 11c · Fees: accounting

    total $209,072 · management and general $209,072

  • 11f · Fees: investment management

    total $18,300 · management and general $18,300

  • 11g · Fees: other

    total $5,538,413 · program services $1,799,029 · management and general $3,739,384

  • 13 · Office expenses

    total $7,905,983 · program services $7,438,375 · management and general $467,608

  • 16 · Occupancy

    total $935,290 · program services $206,053 · management and general $729,237

  • 17 · Travel

    total $311,619 · program services $222,318 · management and general $89,301

  • 19 · Conferences, conventions and meetings

    total $10,055 · program services $10,055

  • 20 · Interest

    total $398,379 · program services $322,492 · management and general $75,887

  • 22 · Depreciation, depletion and amortization

    total $3,511,330 · program services $2,844,177 · management and general $667,153

  • 23 · Insurance

    total $506,824 · program services $506,824

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $3,275,498 · program services $3,275,498

  • 24b · Other expenses: OTHER EXPENSES

    total $578,288 · program services $202,084 · management and general $376,204

  • 24c · Other expenses: PROVIDER TAX

    total $192,156 · program services $192,156

  • 24d · Other expenses: BOOK, DUES, AND SUBSCRI

    total $151,700 · program services $98,499 · management and general $53,201

  • 24e · All other expenses

    total $21 · program services $21

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,452,384 · end of year $5,759,122

  • 2 · Savings and temporary cash investments

    beginning of year $20,820,018 · end of year $7,233,096

  • 3 · Pledges and grants receivable

    beginning of year $1,750

  • 4 · Accounts receivable

    beginning of year $9,754,409 · end of year $10,958,047

  • 8 · Inventories for sale or use

    beginning of year $850,159 · end of year $952,295

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,092,615 · end of year $925,010

  • 10a · Land, buildings and equipment: cost or other basis

    $59,068,657

  • 10b · Land, buildings and equipment: accumulated depreciation

    $28,772,712

  • 10c · Land, buildings and equipment, net

    beginning of year $33,639,909 · end of year $30,295,945

  • 11 · Investments: publicly traded securities

    end of year $25,436,001

  • 12 · Investments: other securities

    beginning of year $3,965,295

  • 15 · Other assets

    beginning of year $1,915,888 · end of year $1,312,176

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,303,829 · end of year $5,394,247

  • 19 · Deferred revenue

    beginning of year $47,421 · end of year $31,343

  • 23 · Secured mortgages and notes payable

    beginning of year $13,240,005 · end of year $12,412,204

  • 25 · Other liabilities

    beginning of year $10,760,819 · end of year $9,490,110

  • 27 · Net assets without donor restrictions

    beginning of year $47,108,782 · end of year $54,363,351

  • 28 · Net assets with donor restrictions

    beginning of year $1,031,571 · end of year $1,180,437

Mission and programs · 2022

Mission

THE MISSION OF ECH IS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY AND TO PROVIDE QUALITY HEALTHCARE WITH SKILL, COMPASSION AND DIGNITY. IN CREATING OUR COMMUNITY BENEFITS PLAN WE KEEP THIS MISSION IN MIND, CONTINUALLY LOOKING FOR WAYS TO MEET COMMUNITY HEALTH NEEDS AND TO BE A GOOD NEIGHBOR. ECH IS DRIVEN BY PEOPLE WHO LIVE IN THE SERVICE AREA AND WHO WANT TO SEE THEIR FRIENDS AND NEIGHBORS GET THE CARE AND SERVICES THEY NEED.

Activities or mission (Part I)

MISSION: TO PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE BY PROVIDING QUALITY HEALTHCARE WITH SKILL, COMPASSION AND DIGNITY.

  • INPATIENT ACUTE UNIT AND SUBACUTE REHABILITATIVE (SWING BED) INPATIENT PROGRAM:A 25-BED NURSING UNIT PROVIDING ACUTE AND SUB ACUTE (SWING BED)CARE. THE SMALLER ATMOSPHERE CREATES A CLOSER BOND BETWEEN THE PATIENT AND PROFESSIONALS ENCOURAGING OPTIMAL HEALING AND COMPASSIONATE CARE. THE SUB-ACUTE PROGRAM IS VITAL TO AREA RESIDENTS BECAUSE FOLLOWING A HIP-REPLACEMENT, KNEE-SURGERY OR CARDIAC OPERATION, RECUPERATION AND THERAPY CAN BE DONE AT ELIZABETHTOWN COMMUNITY HOSPITAL, SAVING THE FAMILY THE TIME AND EXPENSE OF TRAVEL. THE PROGRAM PROVIDES ONE-ON-ONE THERAPEUTIC CARE.

    Expenses $9,712,635 · Revenue $6,785,918

  • CLINIC SERVICES:ECH OPERATES THE ELIZABETHTOWN COMMUNITY HEALTH CENTER, WESTPORT HEALTH CENTER LOCATED IN WESTPORT,NY, THE HIGH PEAKS HEALTH CENTER LOCATED IN WILMINGTON, NY, THE SMITH HOUSE HEALTH CENTER LOCATED IN WILLSBORO, NY, THE AU SABLE FORKS HEALTH CENTER, LOCATED IN AU SABLE FORKS, NY, AND CROWN POINT HEALTH CENTER, LOCATED IN CROWN POINT, NY. ECH OPERATES AN OUTPATIENT CHEMOTHERAPY PROGRAM, WHICH INCLUDES UPDATED INFUSION EQUIPMENT MAKING IT POSSIBLE TO PROVIDE SAFE AND EFFICIENT METHODS FOR CHEMOTHERAPY AND BLOOD-RELATED INFUSIONS. IN ADDITION, THE NEW SPECIALIZED VENTILATING HOOD ENABLES THE PREPARATION OF CHEMOTHERAPY SOLUTIONS ON-SITE. THIS IS A GREAT CONVENIENCE FOR CANCER PATIENTS, SAVING THEM THE 90-MINUTE ROUND-TRIP DRIVE TO THE CLOSEST CHEMOTHERAPY FACILITY.

    Expenses $11,076,762 · Revenue $13,883,861

  • EMERGENCY ROOM SERVICES:ECH'S PRIOR YEARS EXPANSION OF THE EMERGENCY ROOM ADDED NEW STATE OF THE ART TRAUMA ROOMS, A TELEMENTRY SYSTEM FOR PATENT MONITORING, A REGISTRATION AREA DESIGNED FOR PATIENT PRIVACY AND CONFIDENTIALITY AND NEW WAITING AREAS FOR FAMILIES AND THEIR LOVED ONES.THE HOSPITAL OPERATES AN ALL-DIGITAL RADIOLOGY DEPARTMENT, ALLOWING TECHNOLOGISTS TO OBTAIN PATIENT IMAGES ANYWHERE IN THE HOSPITAL. IN THE EVENT OF A SIGNIFICANT EMERGENCY WITH MULTIPLE TRAUMAS, THE UNIT CAN BE USED ANYWHERE IN THE BUILDING. WHEN THE HOSPITAL IS FACED WITH AN UNUSUAL SURGE IN EMERGENCY ROOM TRAUMA CASES, HOSPITAL PROCEDURES ENABLE STAFF TO TRIAGE IN NONTRADITIONAL AREAS OF THE HOSPITAL.

    Expenses $14,735,004 · Revenue $24,466,256

  • Expenses $12,467,263 · Revenue $21,973,438

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Alan Jones

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • David Shelmidine

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.8
  • Evan George

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.8
  • Joseph Bogardus PhD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • Lynne Reale RN Ba

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • Megan Murphy

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • Roland J Allen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • Steve Cacchio

    TREASURER

    Total calculated
    $0
    Hours/week
    0.8
  • Susan Allott RN

    CHAIR

    Total calculated
    $0
    Hours/week
    0.8
  • Terri Morse

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • Walter Lender

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • William Tansey

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.8
  • II Chon

    CMO

    Total calculated
    $422,733
    From this org
    $393,746
    From related orgs
    $0
    Other
    $28,987
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $314,138
    Bonus
    $67,868
    Other
    $11,740
    Deferred
    $6,612
    Nontaxable benefits
    $22,375
    Filer's total
    $422,733
  • Julie Tromblee

    CNO

    Total calculated
    $286,263
    From this org
    $269,540
    From related orgs
    $0
    Other
    $16,723
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,892
    Bonus
    $27,683
    Other
    $52,965
    Deferred
    $11,872
    Nontaxable benefits
    $4,851
    Filer's total
    $286,263
  • Matthew Nolan

    COO

    Total calculated
    $305,638
    From this org
    $288,166
    From related orgs
    $0
    Other
    $17,472
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,422
    Bonus
    $29,992
    Other
    $26,752
    Deferred
    $12,900
    Nontaxable benefits
    $4,572
    Filer's total
    $305,638
  • Robert Ortmyer

    PRESIDENT

    Total calculated
    $388,312
    From this org
    $358,016
    From related orgs
    $0
    Other
    $30,296
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $296,556
    Bonus
    $50,753
    Other
    $10,707
    Deferred
    $18,618
    Nontaxable benefits
    $11,678
    Filer's total
    $388,312
  • Scott Comeau

    CFO

    Total calculated
    $276,062
    From this org
    $0
    From related orgs
    $237,564
    Other
    $38,498
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $199,220 related
    Bonus
    $0 + $15,444 related
    Other
    $0 + $22,900 related
    Deferred
    $0 + $7,382 related
    Nontaxable benefits
    $0 + $31,116 related
    Filer's total
    $0 + $276,062 related
  • David Markowitz

    ER PHYSICIAN

    Total calculated
    $388,926
    From this org
    $359,997
    From related orgs
    $0
    Other
    $28,929
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $359,997
    Bonus
    $0
    Other
    $0
    Deferred
    $18,300
    Nontaxable benefits
    $10,629
    Filer's total
    $388,926
  • James Rice

    ER PHYSICIAN

    Total calculated
    $394,335
    From this org
    $348,539
    From related orgs
    $0
    Other
    $45,796
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $348,539
    Bonus
    $0
    Other
    $0
    Deferred
    $18,300
    Nontaxable benefits
    $27,496
    Filer's total
    $394,335
  • Mary Halloran

    PHYSICIAN

    Total calculated
    $399,438
    From this org
    $352,874
    From related orgs
    $0
    Other
    $46,564
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $315,874
    Bonus
    $0
    Other
    $37,000
    Deferred
    $18,300
    Nontaxable benefits
    $28,264
    Filer's total
    $399,438
  • Pasqualino Caputo

    PHYSICIAN

    Total calculated
    $356,578
    From this org
    $314,909
    From related orgs
    $0
    Other
    $41,669
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $284,759
    Bonus
    $0
    Other
    $30,150
    Deferred
    $12,200
    Nontaxable benefits
    $29,469
    Filer's total
    $356,578
  • Rob Demuro MD

    PHYSICIAN

    Total calculated
    $446,984
    From this org
    $402,708
    From related orgs
    $0
    Other
    $44,276
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $364,108
    Bonus
    $0
    Other
    $38,600
    Deferred
    $18,121
    Nontaxable benefits
    $26,155
    Filer's total
    $446,984
  • Alan Chardavoyne

    FORMER CFO

    Total calculated
    $290,006
    From this org
    $274,835
    From related orgs
    $0
    Other
    $15,171
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $174,580
    Bonus
    $0
    Other
    $100,255
    Deferred
    $12,328
    Nontaxable benefits
    $2,843
    Filer's total
    $290,006
  • David Clauss

    FORMER MEDICAL DIRECTOR

    Total calculated
    $739,079
    From this org
    $0
    From related orgs
    $621,145
    Other
    $117,934
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $473,940 related
    Bonus
    $0 + $130,898 related
    Other
    $0 + $16,307 related
    Deferred
    $0 + $84,792 related
    Nontaxable benefits
    $0 + $33,142 related
    Filer's total
    $0 + $739,079 related
  • John Remillard

    FORMER PRESIDENT

    Total calculated
    $101,250
    From this org
    $0
    From related orgs
    $101,250
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $101,250 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $101,250 related

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

  • 1a · Personal services (maid, chauffeur, chef)
  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception
  • 9 · Followed the rebuttable-presumption procedure

Answered no

  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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

The filer's explanations (Part III)

PART I, LINE 1B
(1A) PERSONAL SERVICE COMPENSATION CERTAIN UVM MEDICAL CENTER OFFICERS, TRUSTEES, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES. WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING SUCH PAYMENTS, THE AMOUNT IS INCLUDED IN EACH INDIVIDUAL'S EMPLOYMENT CONTRACT, WHICH IS SUBJECT TO ANNUAL REVIEW (AS DISCUSSED IN SCHEDULE O). PERSONAL SERVICE COMPENSATION IS INCLUDED IN EACH INDIVIDUAL'S FORM W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN AND THE COMPENSATION IS OFFERED ON A TAXABLE BASIS. THEREFORE, SUBSTANTIATION OF EXPENSE IS NOT REQUIRED.
PART I, LINE 3
IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN PART I, ELIZABETHTOWN COMMUNITY HOSPITAL RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THAT GUIDANCE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 7
ELIZABETHTOWN COMMUNITY HOSPITAL PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (DIRECTORS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS.
PART I, LINE 8
SALARIES AND OTHER FIXED AMOUNTS PAYABLE TO EXECUTIVES SUCH AS OFFICERS AND CERTAIN KEY EMPLOYEES ARE SET BY CONTRACTS THAT ARE NEGOTIATED AND ENTERED INTO PRIOR TO THE COMMENCEMENT OF EACH EXECUTIVES' EMPLOYMENT. THE TERMS OF SUCH CONTRACTS ARE APPROVED IN ADVANCE BY THE APPROPRIATE COMPENSATION COMMITTEE OR OTHER BOARD-AUTHORIZED BODY, WHICH OBTAINS AND RELIES ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING SUCH OFFER, AND CONCURRENTLY DOCUMENTS ITS BASIS FOR DETERMINATION.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • UVMHN VENTURES INC

    C · HOLDING COMPANY · VT

    Directly controlled by UVMHN

  • UNIV OF VT MED HEALTH NETWORK CREDENTIALING & ENROLLMENT

    C · ADMIN SVC · VT

    Directly controlled by UVMHN VENTURES

  • CHARITABLE REMAINDER TRUST (6)

    T · SUPPORT · VT

    Directly controlled by UVMMCCVMC

  • PERPETUAL TRUST (10)

    T · SUPPORT · VT

    Directly controlled by UVMMC

  • CHARITABLE IRREVOCABLE TRUST (8)

    T · SUPPORT · VT

    Directly controlled by UVMMCCVMC

  • CHAMPLAIN VALLEY HEALTH NETWORK

    C · ADMIN SVC · NY

  • MEDIQUEST INC

    C · MED OFFICE LEASE · NY

  • YANKEE MEDICAL INC

    C · HOME MEDICAL EQUIPMENT · VT

    Directly controlled by UVMHN

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202402289349302030

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