Totals
- Total revenue
- $4,309,942
- Total expenses
- $15,114,897
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $4,128,385
- Investment income
- $0
- Other revenue
- $181,557
- Total assets, end of year
- $331,991
- Total liabilities, end of year
- $76,008,402
- Net assets or fund balances, end of year
- -$75,676,411
- Program services expenses (Part IX)
- $13,287,102
- Management and general expenses
- $1,827,795
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $13,287,102
Program services were 87.9% 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 $4,128,385 · related or exempt $4,128,385
-
11a · Other revenue: OTHER REVENUE
total $181,557 · related or exempt $181,557
-
11e · Other revenue, total
$181,557
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $7,454,845 · program services $6,593,696 · management and general $861,149
-
9 · Other employee benefits
total $1,641,734 · program services $1,452,089 · management and general $189,645
-
11g · Fees: other
total $4,898,984 · program services $4,228,884 · management and general $670,100
-
13 · Office expenses
total $5,854 · management and general $5,854
-
16 · Occupancy
total $62,609 · program services $3,025 · management and general $59,584
-
17 · Travel
total $23,648 · program services $7,667 · management and general $15,981
-
23 · Insurance
total $459,179 · program services $459,179
-
24a · Other expenses: SUPPLIES
total $518,406 · program services $501,868 · management and general $16,538
-
24b · Other expenses: OTHER EXPENSES
total $49,638 · program services $40,694 · management and general $8,944
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $0 · end of year $220,014
-
4 · Accounts receivable
beginning of year $513,710 · end of year $111,074
-
9 · Prepaid expenses and deferred charges
beginning of year $6,451 · end of year $803
-
12 · Investments: other securities
beginning of year $100 · end of year $100
-
17 · Accounts payable and accrued expenses
beginning of year $236,930 · end of year $41,693
-
25 · Other liabilities
beginning of year $65,154,787 · end of year $75,966,709
-
27 · Net assets without donor restrictions
beginning of year -$64,871,456 · end of year -$75,676,411
Mission and programs · 2023
Mission
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, TO 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. THE CORPORATION SHALL PURSUE SUCH PURPOSES, IN PART, BY INCLUDING AMONG ITS PATIENTS, MEDICARE AND MEDICAID PATIENTS AND THOSE WHO ARE UNDER- OR UNINSURED.
-
THE SURGICAL GROUP HAS TWO FULL-TIME PHYSICIANS, ONE FULL-TIME PHYSICIAN'S ASSISTANT, AND THREE FULL-TIME MEDICAL ASSISTANTS. DURING 2023, THE SURGICAL GROUP HAD 1,498 OFFICE VISITS.
Expenses $3,027,391 · Revenue $1,160,370
-
THE PEDIATRICS GROUP HAS ONE FULL-TIME PHYSICIAN AND TWO FULL-TIME NURSE PRACTITIONERS. DURING 2023, THE PEDIATRICS GROUP HAD 5,672 VISITS.
Expenses $1,711,179 · Revenue $577,839
-
THE INTERNAL MEDICINE GROUP HAS TWO FULL-TIME PHYSICIANS AND TWO FULL-TIME NURSE PRACTITIONERS. DURING 2023, THE INTERNAL MEDICINE GROUP HAD 8,288 OFFICE VISITS.
Expenses $1,300,830 · Revenue $805,222
-
OTHER SPECIALTY MEDICAL SERVICES INCLUDING UROLOGY, PODIATRY, FAMILY MEDICINE, ENT, OBSTETRICS & GYNECOLOGY, CARDIOLOGY, NEPHROLOGY, PAIN MANAGEMENT, PULMONOLOGY, AND BARIATRICS.
Expenses $7,247,702 · Revenue $1,766,511
As filed on the 2023 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
- $686,723
- From this org
- $0
- From related orgs
- $649,370
- Other
- $37,353
- Hours/week
- 1 + 41 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 S SeidmanMICHAEL S SEIDMAN
PRESIDENT
- Total calculated
- $553,336
- From this org
- $0
- From related orgs
- $543,436
- Other
- $9,900
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $543,436 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $9,900 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $553,336 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
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.
-
CLAXTON-HEPBURN MEDICAL CENTER
501(C)(3) · HEALTHCARE SERVICES · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
-
CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION INC
501(C)(3) · FUNDRAISING · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
-
NORTH STAR HEALTH ALLIANCE INC
501(C)(3) · HOLDING COMPANY · NY
-
501(C)(3) · HEALTHCARE SERVICES · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
-
CARTHAGE AREA HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · NY
Directly controlled by CARTHAGE AREA HOSPITAL
-
MEADOWBROOK TERRACE INC
501(C)(3) · ASSISTED LIVING · NY
Directly controlled by CARTHAGE AREA HOSPITAL
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 partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
NORTH COUNTRY ORTHOPEDIC AMBULATORY SURGERY CENTER LLC
SURGICAL SERVICES · NY
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423209349315672
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