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Nonprofiteer
← COMMUNITY MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by COMMUNITY MEMORIAL HOSPITAL INC.

Totals

Total revenue
$61,589,632
Total expenses
$62,725,072
Contributions and grants received
$3,171,973
Grants paid
$0
Program service revenue
$57,612,419
Investment income
$149,686
Other revenue
$655,554
Total assets, end of year
$35,595,283
Total liabilities, end of year
$15,531,104
Net assets or fund balances, end of year
$20,064,179
Program services expenses (Part IX)
$54,942,504
Management and general expenses
$7,782,568
Fundraising expenses
$0
Program service expenses (Part III)
$54,942,504

Program services were 87.6% 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)

    $3,143,079

  • 1f · All other contributions, gifts and grants

    $28,894

  • 2a · Program service revenue: REFERRED AMBULATORY

    total $24,083,187 · related or exempt $24,083,187

  • 2b · Program service revenue: INPATIENT

    total $12,547,512 · related or exempt $12,547,512

  • 2c · Program service revenue: AMBULATORY SURGERY

    total $10,316,791 · related or exempt $10,316,791

  • 2d · Program service revenue: CLINIC

    total $8,485,317 · related or exempt $8,485,317

  • 2e · Program service revenue: 340B REVENUE

    total $2,179,612 · related or exempt $2,179,612

  • 3 · Investment income

    total $261,743 · excluded $261,743

  • 6a · Gross rents

    real property $65,229

  • 6b · Less rental expenses

    real property $16,534

  • 6c · Rental income or loss

    real property $48,695

  • 6d · Net rental income or loss

    total $48,695 · excluded $48,695

  • 7a · Gross sales of assets other than inventory

    securities $51,322

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

    securities $46,557 · other assets $116,822

  • 7c · Gain or loss

    securities $4,765 · other assets -$116,822

  • 7d · Net gain or loss

    total -$112,057 · excluded -$112,057

  • 11a · Other revenue: CAFETERIA SALES

    total $33,688 · excluded $33,688

  • 11d · All other revenue

    total $573,171 · excluded $573,171

  • 11e · Other revenue, total

    $606,859

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,171,030 · program services $630,111 · management and general $540,919

  • 7 · Other salaries and wages

    total $25,453,365 · program services $23,157,597 · management and general $2,295,768

  • 8 · Pension plan contributions

    total $1,179,944 · program services $1,057,552 · management and general $122,392

  • 9 · Other employee benefits

    total $3,519,887 · program services $3,202,411 · management and general $317,476

  • 10 · Payroll taxes

    total $1,766,141 · program services $1,581,380 · management and general $184,761

  • 11b · Fees: legal

    total $282,525 · management and general $282,525

  • 11c · Fees: accounting

    total $247,313 · management and general $247,313

  • 11d · Fees: lobbying

    total $15,065 · management and general $15,065

  • 11f · Fees: investment management

    total $10,036 · management and general $10,036

  • 11g · Fees: other

    total $11,682,067 · program services $10,008,979 · management and general $1,673,088

  • 12 · Advertising and promotion

    total $433,880 · program services $25,399 · management and general $408,481

  • 13 · Office expenses

    total $615,665 · program services $93,910 · management and general $521,755

  • 14 · Information technology

    total $1,568,553 · program services $684,019 · management and general $884,534

  • 16 · Occupancy

    total $675,681 · program services $659,492 · management and general $16,189

  • 19 · Conferences, conventions and meetings

    total $49,458 · program services $21,646 · management and general $27,812

  • 20 · Interest

    total $59,529 · program services $59,529

  • 22 · Depreciation, depletion and amortization

    total $2,671,888 · program services $2,534,266 · management and general $137,622

  • 23 · Insurance

    total $722,561 · program services $722,561

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $8,851,839 · program services $8,851,839

  • 24b · Other expenses: PROVISION FOR BAD DEBTS

    total $1,150,645 · program services $1,150,645

  • 24c · Other expenses: NYS ASSESSMENT

    total $184,184 · program services $184,184

  • 24e · All other expenses

    total $413,816 · program services $316,984 · management and general $96,832

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $8,820,111 · end of year $7,952,364

  • 4 · Accounts receivable

    beginning of year $5,543,256 · end of year $5,060,716

  • 8 · Inventories for sale or use

    beginning of year $629,481 · end of year $574,994

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,263,858 · end of year $1,552,086

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

    $56,929,396

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

    $37,447,571

  • 10c · Land, buildings and equipment, net

    beginning of year $19,923,006 · end of year $19,481,825

  • 15 · Other assets

    beginning of year $1,129,099 · end of year $973,298

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,654,455 · end of year $9,498,594

  • 23 · Secured mortgages and notes payable

    beginning of year $1,645,446 · end of year $1,100,543

  • 25 · Other liabilities

    beginning of year $6,507,878 · end of year $4,931,967

  • 27 · Net assets without donor restrictions

    beginning of year $20,751,032 · end of year $19,314,179

  • 28 · Net assets with donor restrictions

    beginning of year $750,000 · end of year $750,000

Mission and programs · 2023

Mission

COMMUNITY MEMORIAL HOSPITAL'S MISSION IS TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE FOR ALL.

  • OPERATION OF A CRITICAL ACCESS HOSPITALBEDS 25PATIENT DAYS OF CARE 6,506ADMISSIONS 1,430COMMUNITY MEMORIAL HOSPITAL HAS RECEIVED MANY AWARDS FOR OUTSTANDING CARE TO INCLUDE: 1) JUDGED AS AN OUTSTANDING LEADER IN PATIENT CARE AND PATIENT SAFETY BY BOTH STATE AND FEDERAL SURVEYORS. IT IS A 4-STAR RATED HOSPITAL FOR CMS PATIENT SATISFACTION RATING SYSTEM.2) HEALTHGRADES MULTI-YEAR 5 STAR RATING IN ORTHOPEDIC SURGERY FOR KNEE REPLACEMENTS. 3) EXCELLUS AWARD FOR COMBINED CLINICAL PROCESS AND SURGICAL CARE IMPROVEMENT.4) JOINT COMMISSION RECOGNITION AS TOP PERFORMER IN QUALITY MEASURES.COMMUNITY MEMORIAL HOSPITAL STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITY BY:1) PARTICIPATING IN LOCAL HEALTH FAIRS.2) IMPROVING ACCESS TO PRIMARY CARE.3) IMPROVING THE CARE OF CHRONIC ILLNESSES SUCH AS DIABETES.4) IMPROVING MENTAL HEALTH SERVICES THROUGH THE INTEGRATION OF BEHAVIORAL HEALTH SERVICES IN THE CLINICS.5) INCREASING ACCESS TO SPECIALTY SERVICES SUCH AS WOMEN'S HEALTH, ORTHOPEDICS, CARDIOLOGYAND PULMONOLOGY.6) COUNSELING ON THERAPEUTIC DIETS AND WEIGHT RELATED ISSUES.7) OFFERING A PRE-DIABETIC COACHING COURSE ON DIET, EXERCISE AND OTHER WAYS TO REDUCE RISK OF PATIENTS BECOMING TYPE II DIABETIC.8) PROMOTING HEALTH SCREENING SERVICES SUCH AS COLONOSCOPY'S FOR MEN'S HEALTH AND MAMMOGRAPHY IMAGIN FOR WOMEN'S HEALTH MONTH.9) CMH PROMOTES BACK TO SCHOOL AND SPORTS SCREENINGS TO THE COMMUNITY THROUGH EDUCATIONAL MAILINGS AND SOCIAL MEDIA REMINDERS FOR PARENTS.COMMUNITY MEMORIAL HOSPITAL HAS A CHARITY CARE PROGRAM FOR PATIENTS WHO CANNOT AFFORD TO PAY HOSPITAL BILLS AND FALL WITHIN THE NATIONAL POVERTY GUIDELINES, UP TO 375% OF THE POVERTY GUIDELINES. IN 2023 COMMUNITY MEMORIAL HOSPITAL PROVIDED CHARITY CARE IN THE AMOUNT OF $168,003 TO APPROXIMATELY 679 PATIENTS.)

    Expenses $17,612,024 · Revenue $12,547,512

  • OPERATION OF EMERGENCY SERVICES AND OUTPATIENT REFERRED AMBULATORY TESTINGEMERGENCY ROOM VISITS 12,122REFERRED AMBULATORY VISITS 36,330

    Expenses $13,172,305 · Revenue $24,083,187

  • OPERATION OF PRIMARY CARE CLINICSTOTAL VISITS 43,192

    Expenses $14,000,026 · Revenue $10,664,929

  • OPERATION OF AN AMBULATORY SURGERY UNITTOTAL VISITS 2,805

    Expenses $10,158,149 · Revenue $10,316,791

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Richard Russell

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Mary Brundage

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Richard Cohen MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Hazel L Jack

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • William Getman

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Seth Kronenberg MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • David Rogers

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Jane Pinchin

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Robert Tyburski

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Sunny Nelson MD

    TRUSTEE

    Total calculated
    $229,225
    From this org
    $205,825
    From related orgs
    $0
    Other
    $23,400
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,435
    Bonus
    $29,285
    Other
    $105
    Deferred
    $4,826
    Nontaxable benefits
    $18,574
    Filer's total
    $229,225
  • Raymond Meeks MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Dave Rebuck

    PHYSICIAN

    Total calculated
    $400,886
    From this org
    $381,201
    From related orgs
    $0
    Other
    $19,685
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $379,851
    Bonus
    $1,350
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $19,685
    Filer's total
    $400,886
  • Anne Clauss

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Ellen P Kraly

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1
  • Bradford Wheler

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Michael Latreille

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Eve Ann Schwartz

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Samanthi Martinez

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Joann Borfitz

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1
  • Ellen Larson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Robert Tenney

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Jeffery Coakley

    PRESIDENT

    Total calculated
    $390,188
    From this org
    $376,634
    From related orgs
    $0
    Other
    $13,554
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $376,404
    Bonus
    $0
    Other
    $230
    Deferred
    $5,485
    Nontaxable benefits
    $8,069
    Filer's total
    $390,188
  • Jason Liebel

    VP FINANCE-DEPARTED 12/04/23

    Total calculated
    $150,732
    From this org
    $123,792
    From related orgs
    $0
    Other
    $26,940
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $123,722
    Bonus
    $0
    Other
    $70
    Deferred
    $1,823
    Nontaxable benefits
    $25,117
    Filer's total
    $150,732
  • Michael Walsh

    PHYSICIAN

    Total calculated
    $352,863
    From this org
    $325,352
    From related orgs
    $0
    Other
    $27,511
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $324,922
    Bonus
    $0
    Other
    $430
    Deferred
    $9,748
    Nontaxable benefits
    $17,763
    Filer's total
    $352,863
  • Matthew McKay

    PHYSICIAN

    Total calculated
    $322,856
    From this org
    $318,581
    From related orgs
    $0
    Other
    $4,275
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $287,603
    Bonus
    $30,817
    Other
    $161
    Deferred
    $4,275
    Nontaxable benefits
    $0
    Filer's total
    $322,856
  • Avneet Singh

    PHYSICIAN

    Total calculated
    $574,185
    From this org
    $544,669
    From related orgs
    $0
    Other
    $29,516
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $500,001
    Bonus
    $44,598
    Other
    $70
    Deferred
    $10,942
    Nontaxable benefits
    $18,574
    Filer's total
    $574,185
  • Richelle Takemoto MD

    PHYSICIAN

    Total calculated
    $557,735
    From this org
    $557,735
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $557,693
    Bonus
    $0
    Other
    $42
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $557,735
  • Gregory Ripich MD

    PHYSICIAN

    Total calculated
    $572,537
    From this org
    $546,267
    From related orgs
    $0
    Other
    $26,270
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $515,805
    Bonus
    $30,000
    Other
    $462
    Deferred
    $0
    Nontaxable benefits
    $26,270
    Filer's total
    $572,537

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 · Independent compensation consultant
  • 3 · Written employment contract
  • 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.

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202433199349315198

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