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Nonprofiteer
← UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION

Form 990 for tax year 2022

Filed by UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION.

Totals

Total revenue
$37,307,307
Total expenses
$31,378,936
Contributions and grants received
$477,868
Grants paid
$249,399
Program service revenue
$35,980,776
Investment income
$740,186
Other revenue
$108,477
Total assets, end of year
$41,887,833
Total liabilities, end of year
$6,581,227
Net assets or fund balances, end of year
$35,306,606
Program services expenses (Part IX)
$23,696,997
Management and general expenses
$7,681,939
Fundraising expenses
$0
Program service expenses (Part III)
$23,696,997

Program services were 75.5% 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)

    $457,080

  • 1f · All other contributions, gifts and grants

    $20,788

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $35,588,698 · related or exempt $35,588,698

  • 2b · Program service revenue: CONTRACTED SERVICE REVENUE

    total $299,083 · related or exempt $299,083

  • 2c · Program service revenue: CAFETERIA REVENUE

    total $88,518 · excluded $88,518

  • 2d · Program service revenue: PHARMACY REVENUE

    total $2,996 · related or exempt $2,996

  • 2f · All other program service revenue

    total $1,481 · related or exempt $1,481

  • 3 · Investment income

    total $53,562 · excluded $53,562

  • 6a · Gross rents

    real property $108,477

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $108,477

  • 6d · Net rental income or loss

    total $108,477 · excluded $108,477

  • 7a · Gross sales of assets other than inventory

    securities $686,624

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

    securities $0

  • 7c · Gain or loss

    securities $686,624

  • 7d · Net gain or loss

    total $686,624 · excluded $686,624

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $249,399 · program services $249,399

  • 5 · Compensation of officers, directors and key employees

    total $684,059 · program services $347,772 · management and general $336,287

  • 7 · Other salaries and wages

    total $8,475,239 · program services $7,748,247 · management and general $726,992

  • 8 · Pension plan contributions

    total $146,757 · program services $131,040 · management and general $15,717

  • 9 · Other employee benefits

    total $2,098,114 · program services $1,880,492 · management and general $217,622

  • 10 · Payroll taxes

    total $683,053 · program services $609,903 · management and general $73,150

  • 11b · Fees: legal

    total $99,283 · program services $5,413 · management and general $93,870

  • 11d · Fees: lobbying

    total $5,612 · management and general $5,612

  • 11g · Fees: other

    total $4,370,328 · program services $4,160,457 · management and general $209,871

  • 12 · Advertising and promotion

    total $146,188 · program services $129,869 · management and general $16,319

  • 13 · Office expenses

    total $132,110 · program services $37,566 · management and general $94,544

  • 14 · Information technology

    total $1,365,840 · program services $1,293,868 · management and general $71,972

  • 16 · Occupancy

    total $1,522,603 · program services $1,381,525 · management and general $141,078

  • 17 · Travel

    total $248,316 · program services $239,642 · management and general $8,674

  • 19 · Conferences, conventions and meetings

    total $5,039 · program services $5,039

  • 20 · Interest

    total $995 · program services $830 · management and general $165

  • 22 · Depreciation, depletion and amortization

    total $2,046,607 · program services $1,707,741 · management and general $338,866

  • 23 · Insurance

    total $297,093 · program services $297,093

  • 24a · Other expenses: ENHANCEMENT TAX

    total $2,858,214 · management and general $2,858,214

  • 24b · Other expenses: INTERCOMPANY ALLOCATION

    total $2,491,078 · program services $251,440 · management and general $2,239,638

  • 24c · Other expenses: PHARMACEUTICAL EXPENSE

    total $1,430,540 · program services $1,430,540

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $786,217 · program services $786,217

  • 24e · All other expenses

    total $1,236,252 · program services $1,002,904 · management and general $233,348

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,146,241 · end of year $835

  • 2 · Savings and temporary cash investments

    beginning of year $4,653,666 · end of year $2,119,340

  • 4 · Accounts receivable

    beginning of year $2,444,717 · end of year $3,322,628

  • 8 · Inventories for sale or use

    beginning of year $349,994 · end of year $269,311

  • 9 · Prepaid expenses and deferred charges

    beginning of year $251,470 · end of year $455,200

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

    $32,879,194

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

    $15,540,239

  • 10c · Land, buildings and equipment, net

    beginning of year $15,056,740 · end of year $17,338,955

  • 11 · Investments: publicly traded securities

    beginning of year $15,608,358 · end of year $17,113,896

  • 15 · Other assets

    beginning of year $793,205 · end of year $1,267,668

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,479,140 · end of year $4,592,707

  • 19 · Deferred revenue

    beginning of year $282,848 · end of year $71,927

  • 24 · Unsecured notes and loans payable

    beginning of year $316,401 · end of year $292,329

  • 25 · Other liabilities

    beginning of year $9,458,605 · end of year $1,624,264

  • 27 · Net assets without donor restrictions

    beginning of year $28,477,452 · end of year $34,985,711

  • 28 · Net assets with donor restrictions

    beginning of year $289,945 · end of year $320,895

Mission and programs · 2022

Mission

UPPER CONNECTICUT VALLEY HOSPITAL STRIVES TO IMPROVE THE WELL-BEING OF THE RURAL COMMUNITIES IT SERVES BY PROMOTING HEALTH AND ASSURING ACCESS TO QUALITY CARE.

  • UPPER CONNECTICUT VALLEY HOSPITAL PROVIDED HOSPITAL CARE AND INPATIENT AND OUTPATIENT SERVICES ON A REGION-WIDE BASIS. THE NET CHARITY CARE PROVIDED BY THE HOSPITAL FOR THE YEAR-ENDED SEPTEMBER 30, 2023 WAS $294,184.

    Expenses $23,696,997 · Grants $249,399 · Revenue $35,892,258

As filed on the 2022 return.

Listed in Part VII

  • EDWARD LAVERTY PA-C

    CHIEF MEDICAL OFFICER

    Total calculated
    $383,047
    From this org
    $337,261
    From related orgs
    $0
    Other
    $45,786
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $300,786
    Bonus
    $35,265
    Other
    $1,210
    Deferred
    $8,761
    Nontaxable benefits
    $37,025
    Filer's total
    $383,047

  • ROBERT DAWSON

    PRESIDENT OF MEDICAL STAFF

    Total calculated
    $23,256
    From this org
    $0
    From related orgs
    $23,256
    Other
    $0
    Hours/week
    1 + 39 related

  • LYNN BREWER

    CHAIR

    Total calculated
    $12,294
    From this org
    $12,294
    From related orgs
    $0
    Other
    $0
    Hours/week
    39 + 1 related

  • MORGAN WADE

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • JAMES WELLS

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • ERIC STOHL

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JEANNINE BURNS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • FR CRAIG CHENEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • E HARLAN CONNARY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHARON ELLINGWOOD WHITE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GAIL FISHER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MAGGIE FITZGERALD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LAURA MILLS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DAVID THATCHER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • THOMAS MEE

    SYSTEM CEO

    Total calculated
    $710,333
    From this org
    $0
    From related orgs
    $681,354
    Other
    $28,979
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $537,600 related
    Bonus
    $0 + $131,095 related
    Other
    $0 + $12,659 related
    Deferred
    $0 + $1,891 related
    Nontaxable benefits
    $0 + $27,088 related
    Filer's total
    $0 + $710,333 related

  • SCOTT COLBY

    PRESIDENT/CEO

    Total calculated
    $351,586
    From this org
    $325,861
    From related orgs
    $0
    Other
    $25,725
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,427
    Bonus
    $61,627
    Other
    $13,807
    Deferred
    $864
    Nontaxable benefits
    $24,861
    Filer's total
    $351,586

  • MATTHEW STREETER

    SYSTEM CFO

    Total calculated
    $311,729
    From this org
    $0
    From related orgs
    $300,812
    Other
    $10,917
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $276,715 related
    Bonus
    $0 + $23,655 related
    Other
    $0 + $442 related
    Deferred
    $0 + $2,631 related
    Nontaxable benefits
    $0 + $8,286 related
    Filer's total
    $0 + $311,729 related

  • THOMAS COCHRAN

    PHYSICIAN

    Total calculated
    $429,703
    From this org
    $383,566
    From related orgs
    $0
    Other
    $46,137
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $382,940
    Bonus
    $100
    Other
    $526
    Deferred
    $10,250
    Nontaxable benefits
    $35,887
    Filer's total
    $429,703

  • DARIN C BROWN

    ED SERVICES PROVIDER

    Total calculated
    $324,424
    From this org
    $307,529
    From related orgs
    $0
    Other
    $16,895
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $305,294
    Bonus
    $0
    Other
    $2,235
    Deferred
    $9,329
    Nontaxable benefits
    $7,566
    Filer's total
    $324,424

  • LINDSAY LEA

    CNO

    Total calculated
    $207,072
    From this org
    $190,107
    From related orgs
    $0
    Other
    $16,965
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,110
    Bonus
    $25,238
    Other
    $6,759
    Deferred
    $5,012
    Nontaxable benefits
    $11,953
    Filer's total
    $207,072

  • ARNOLD ALBERT

    DNP

    Total calculated
    $166,672
    From this org
    $156,108
    From related orgs
    $0
    Other
    $10,564
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,008
    Bonus
    $100
    Other
    $0
    Deferred
    $3,844
    Nontaxable benefits
    $6,720
    Filer's total
    $166,672

  • ALEXIS COCHRAN

    PHYSICIAN

    Total calculated
    $153,785
    From this org
    $153,785
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,685
    Bonus
    $100
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $153,785

  • CELESTE PITTS

    FORMER CFO

    Total calculated
    $195,254
    From this org
    $0
    From related orgs
    $175,540
    Other
    $19,714
    Hours/week
    16 + 24 related

    Schedule J breakdown matched by us

    Base
    $0 + $142,945 related
    Bonus
    $0 + $32,595 related
    Other
    $0
    Deferred
    $0 + $5,399 related
    Nontaxable benefits
    $0 + $14,315 related
    Filer's total
    $0 + $195,254 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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION: - COMPENSATION COMMITTEE - FORM 990 OF OTHER ORGANIZATIONS - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THOMAS MEE, SYSTEM CEO, PARTICIPATED IN A 457(F) PLAN ADMINISTERED BY NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION. THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS IN 2022.
PART I, LINE 7
PART OF THE COMPENSATION PROGRAM OVERSEEN BY THE COMPENSATION COMMITTEE AND APPROVED BY THE CORPORATION BOARD AND AFFILIATE BOARDS INCLUDES VARIABLE INCENTIVE COMPENSATION FOR EXECUTIVES. THIS VARIABLE COMPENSATION IS A WITHHOLD OF TOTAL COMPENSATION AND EARNED BACK BY EXECUTIVES BASED ON STRATEGIC GOAL PERFORMANCE.

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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 August 2024
IRS schema version
2022v5.0
Source object
202422289349302992

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