Totals
- Total revenue
- $89,156,213
- Total expenses
- $90,055,340
- Contributions and grants received
- $1,896,016
- Grants paid
- $0
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- Program services expenses (Part IX)
- $81,961,165
- Management and general expenses
- $8,072,744
- Fundraising expenses
- $21,431
- Program service expenses (Part III)
- $81,961,165
Program services were 91.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
GARY ROWE
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
DALE KLOCK
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
TIM STURICK
TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
LAWRENCE HASSELER
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
DR MIRZA ASHRAF
DIRECTOR
- Total calculated
- $378,278
- From this org
- $373,910
- From related orgs
- $0
- Other
- $4,368
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- $373,910
- Bonus
- $0
- Other
- $0
- Deferred
- $4,368
- Nontaxable benefits
- $0
- Filer's total
- $378,278
-
DR KENNETH FISH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
ADAM FULLER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
ANNE ROHR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
PATTIE EARL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JENNIFER PREMO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
RICHARD DUVALL
CHIEF EXECUTIVE OFFICER
- Total calculated
- $686,723
- From this org
- $0
- From related orgs
- $649,370
- Other
- $37,353
- Hours/week
- 20 + 22 related
Schedule J breakdown matched by us
- Base
- $0 + $649,370 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $9,900 related
- Nontaxable benefits
- $0 + $27,453 related
- Filer's total
- $0 + $686,723 related
-
MICHAEL GORDON
CHIEF MEDICAL OFFICER
- Total calculated
- $1,219,791
- From this org
- $1,196,014
- From related orgs
- $0
- Other
- $23,777
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,196,014
- Bonus
- $0
- Other
- $0
- Deferred
- $11,250
- Nontaxable benefits
- $12,527
- Filer's total
- $1,219,791
-
ERIC BURCH
CHIEF OPERATING OFFICER
- Total calculated
- $259,784
- From this org
- $257,476
- From related orgs
- $0
- Other
- $2,308
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $257,476
- Bonus
- $0
- Other
- $0
- Deferred
- $2,308
- Nontaxable benefits
- $0
- Filer's total
- $259,784
-
MORGAN PIERCE
DIRECTOR OF FINANCE
- Total calculated
- $203,819
- From this org
- $203,819
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $203,819
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $203,819
-
HARDIK PATEL
MEDICAL STAFF PRESIDENT
- Total calculated
- $376,677
- From this org
- $352,900
- From related orgs
- $0
- Other
- $23,777
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $352,900
- Bonus
- $0
- Other
- $0
- Deferred
- $11,250
- Nontaxable benefits
- $12,527
- Filer's total
- $376,677
-
NATA PARNES
PHYSICIAN
- Total calculated
- $1,418,266
- From this org
- $1,394,489
- From related orgs
- $0
- Other
- $23,777
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,394,489
- Bonus
- $0
- Other
- $0
- Deferred
- $11,250
- Nontaxable benefits
- $12,527
- Filer's total
- $1,418,266
-
PETER VANEENENAAM
PHYSICIAN
- Total calculated
- $837,117
- From this org
- $812,225
- From related orgs
- $0
- Other
- $24,892
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $812,225
- Bonus
- $0
- Other
- $0
- Deferred
- $11,250
- Nontaxable benefits
- $13,642
- Filer's total
- $837,117
-
STEVEN FISH
PHYSICIAN
- Total calculated
- $825,438
- From this org
- $801,661
- From related orgs
- $0
- Other
- $23,777
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $801,661
- Bonus
- $0
- Other
- $0
- Deferred
- $11,250
- Nontaxable benefits
- $12,527
- Filer's total
- $825,438
-
BRUCE BAIRD
PHYSICIAN
- Total calculated
- $838,072
- From this org
- $814,295
- From related orgs
- $0
- Other
- $23,777
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $814,295
- Bonus
- $0
- Other
- $0
- Deferred
- $11,250
- Nontaxable benefits
- $12,527
- Filer's total
- $838,072
-
HOWARD HUANG
PHYSICIAN
- Total calculated
- $757,944
- From this org
- $737,528
- From related orgs
- $0
- Other
- $20,416
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $737,528
- Bonus
- $0
- Other
- $0
- Deferred
- $11,250
- Nontaxable benefits
- $9,166
- Filer's total
- $757,944
-
ROB BLOOM
FORMER CHIEF FINANCIAL OFFICER
- Total calculated
- $101,520
- From this org
- $101,370
- From related orgs
- $0
- Other
- $150
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $101,370
- Bonus
- $0
- Other
- $0
- Deferred
- $150
- Nontaxable benefits
- $0
- Filer's total
- $101,520
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
None.
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
- THE BOARD OF DIRECTORS OF CLAXTON-HEPBURN MEDICAL CENTER CONTRACTS WITH AN INDEPENDENT SALARY COMPENSATION SPECIALIST TO ADVISE ITS EXECUTIVE COMMITTEE ON SETTING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER.
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.
-
CARTHAGE AREA HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · NY · controlled entity
Directly controlled by CARTHAGE AREA HOSPITAL
-
501(C)(3) · ASSISTED LIVING · NY · controlled entity
Directly controlled by CARTHAGE AREA HOSPITAL
-
NORTH STAR HEALTH ALLIANCE INC
501(C)(3) · HOLDING COMPANY · NY
-
CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION INC
501(C)(3) · FUNDRAISING · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
-
501(C)(3) · SPECIALTY HEALTHCARE SERVICES · NY
Directly controlled by CLAXTON-HEPBURN MEDICAL CENTER
-
CLAXTON-HEPBURN MEDICAL CENTER
501(C)(3) · HEALTHCARE SERVICES · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
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.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
COMPREHENSIVE WOMENS' HEALTH SERVICES PLLC
OBSTETRICS AND GYNECOLOGY · NY · income $852,913 · assets $466,158
Directly controlled by CARTHAGE AREA HOSPITAL
-
NORTH COUNTRY ORTHOPAEDIC GROUP PC
ORTHOPEDICS AND PAIN MANAGEMENT · NY · income $7,179,925 · assets $1,125,971
Directly controlled by CARTHAGE AREA HOSPITAL
-
LEASING PROPERTY · NY · income $165,424 · assets $5,965,028
Directly controlled by CARTHAGE AREA HOSPITAL
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
NORTH COUNTRY ORTHOPAEDIC AMBULATORY SURGERY CENTER LLC
RELATED · SURGICAL SERVICES · NY · 5% owned · share of income -$55,090 · share of assets $2,914,777 · general or managing partner
Directly controlled by CARTHAGE AREA HOSPITAL
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202443209349318134
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