Totals
- Total revenue
- $4,822,939
- Total expenses
- $15,861,484
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $4,758,461
- Investment income
- $0
- Other revenue
- $64,478
- Total assets, end of year
- $520,261
- Total liabilities, end of year
- $65,391,717
- Net assets or fund balances, end of year
- -$64,871,456
- Program services expenses (Part IX)
- $14,635,247
- Management and general expenses
- $1,226,237
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $14,635,247
Program services were 92.3% 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.
-
2a · Program service revenue: PATIENT SERVICES
total $4,758,461 · related or exempt $4,758,461
-
11a · Other revenue: OTHER REVENUE
total $64,478 · related or exempt $64,478
-
11e · Other revenue, total
$64,478
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $9,237,138 · program services $8,485,425 · management and general $751,713
-
9 · Other employee benefits
total $1,930,387 · program services $1,773,293 · management and general $157,094
-
12 · Advertising and promotion
total $8,065 · management and general $8,065
-
13 · Office expenses
total $7,355 · program services $2,761 · management and general $4,594
-
16 · Occupancy
total $73,210 · program services $2,995 · management and general $70,215
-
17 · Travel
total $15,490 · program services $10,854 · management and general $4,636
-
23 · Insurance
total $455,532 · program services $441,552 · management and general $13,980
-
24a · Other expenses: PURCHASED SERVICES
total $3,502,604 · program services $3,479,296 · management and general $23,308
-
24b · Other expenses: SUPPLIES
total $409,133 · program services $394,177 · management and general $14,956
-
24c · Other expenses: OTHER EXPENSES
total $117,411 · program services $11,067 · management and general $106,344
-
24d · Other expenses: TRAINING
total $79,887 · program services $25,019 · management and general $54,868
-
24e · All other expenses
total $25,272 · program services $8,808 · management and general $16,464
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $231,125 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $1,510,706 · end of year $513,710
-
9 · Prepaid expenses and deferred charges
beginning of year $16,439 · end of year $6,451
-
12 · Investments: other securities
beginning of year $100 · end of year $100
-
17 · Accounts payable and accrued expenses
beginning of year $118,437 · end of year $236,930
-
25 · Other liabilities
beginning of year $55,472,844 · end of year $65,154,787
-
27 · Net assets without donor restrictions
beginning of year -$53,832,911 · end of year -$64,871,456
Mission and programs · 2022
Mission
THE PURPOSES FOR WHICH CLAXTON MEDICAL, PC IS FORMED ARE TO ENGAGE IN THE PRACTICE OF MEDICINE AND TO OTHERWISE PROVIDE THOSE PROFESSIONAL SERVICES THAT A PHYSICIAN, DULY LICENSED AND REGISTERED UNDER THE LAWS OF THE STATE OF NEW YORK IS AUTHORIZED TO RENDER. IN ADDITION, CLAXTON MEDICAL, PC SHALL PROMOTE AND SUPPORT THE CHARITABLE PURPOSES OF CLAXTON-HEPBURN MEDICAL CENTER, WHICH INCLUDES PROVIDING SERVICES DESIGNED TO IMPROVE THE OVERALL HEALTH OF, AND TO OTHERWISE MEET THE MEDICAL CARE NEEDS OF, THE COMMUNITY. CLAXTON MEDICAL, PC SHALL PURSUE SUCH PURPOSES, IN PART, BY INCLUDING AMONG ITS PATIENTS, MEDICARE AND MEDICAID PATIENTS AND THOSE WHO ARE UNDER- OR UNINSURED.
-
SURGICAL GROUP HAS TWO FULL-TIME PHYSICIANS, ONE FULL-TIME PHYSICIAN'S ASSISTANT, AND THREE FULL-TIME MEDICAL ASSISTANTS. DURING 2022, SURGICAL GROUP HAD 4,164 OFFICE VISITS.
Expenses $3,666,636 · Revenue $2,171,862
-
PEDIATRICS HAS ONE FULL-TIME PHYSICIAN, TWO FULL-TIME NURSE PRACTITIONERS, TWO FULL-TIME LPNS, AND ONE FULL-TIME RECEPTIONIST. DURING 2022, PEDIATRICS HAD 3,997 VISITS.
Expenses $1,498,128 · Revenue $487,647
-
INTERNAL MEDICINE HAS ONE FULL-TIME PHYSICIAN, ONE 60% PHYSICIAN, ONE FULL-TIME PHYSICIAN ASSISTANT, TWO FULL-TIME NURSE PRACTITIONERS, THREE FULL-TIME MEDICAL ASSISTANTS/LPNS, AND 1.5 FTE RECEPTIONISTS. DURING 2022, INTERNAL MEDICINE HAD 8,429 OFFICE VISITS.
Expenses $1,458,810 · Revenue $864,368
-
Expenses $8,011,673
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Richard A DuvallRICHARD A DUVALL
SECRETARY
- Total calculated
- $690,760
- From this org
- $0
- From related orgs
- $653,946
- Other
- $36,814
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $653,146 related
- Bonus
- $0
- Other
- $0 + $800 related
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0 + $27,664 related
- Filer's total
- $0 + $690,760 related
-
Michael S SeidmanMICHAEL S SEIDMAN
PRESIDENT
- Total calculated
- $539,048
- From this org
- $0
- From related orgs
- $529,898
- Other
- $9,150
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $529,898 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $539,048 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
- 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
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.
-
CLAXTON-HEPBURN MEDICAL CENTER
501(C)(3) · NOT FOR PROFIT HOSPITAL · NY · controlled entity
-
CLAXTON HEPBURN MEDICAL CENTER FOUNDATION INC
501(C)(3) · PROVIDE FINANCIAL SUPPORT TO CLAXTON HEPBURN MEDICAL CENTER · NY
-
501(C)(3) · PARENT HOLDING COMPANY · NY
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323179349302572
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