Civic Intelligence

North Star Health Alliance Inc.

990 • Fiscal year 2013 • EIN 16-1449491

Jan 01, 2013 to Dec 31, 2013 • Filed on Sep 08, 2014

Organization ProfileN/A
214 King Street13669

(315) 393-3600

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

12th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

97th percentile

$404,753

Higher top officer pay than 97% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Asset Growth

42nd percentile

0.0%

Faster asset growth than 42% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets12th percentile

Assets

Flat

$2,050,000

Flat from 2012

Net Assets

Flat

$2,050,000

Flat from 2012

Liabilities

Flat

$0

Flat from 2012

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

$0

No earlier filing loaded for comparison.

Expenses

Flat

$0

Flat from 2012

Net Income

$0

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth42nd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2010: $2,050,000Liabilities 2010: $0Net Assets 2010: $2,050,0002010Assets 2011: $2,050,000Liabilities 2011: $0Net Assets 2011: $2,050,0002011Assets 2012: $2,050,000Liabilities 2012: $0Net Assets 2012: $2,050,0002012Assets 2013: $2,050,000Liabilities 2013: $0Net Assets 2013: $2,050,0002013Assets 2014: $2,050,000Liabilities 2014: $0Net Assets 2014: $2,050,0002014Assets 2015: $2,050,000Liabilities 2015: $0Net Assets 2015: $2,050,0002015Assets 2016: $2,050,000Liabilities 2016: $0Net Assets 2016: $2,050,0002016Assets 2017: $2,050,000Liabilities 2017: $0Net Assets 2017: $2,050,0002017Assets 2018: $2,050,000Liabilities 2018: $0Net Assets 2018: $2,050,0002018Assets 2019: $2,050,000Liabilities 2019: $0Net Assets 2019: $2,050,0002019Assets 2020: $2,050,000Liabilities 2020: $0Net Assets 2020: $2,050,0002020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023Assets 2024: $0Liabilities 2024: $0Net Assets 2024: $02024

Highlighted filing

2013

Assets$2,050,000
Liabilities$0
Net Assets$2,050,000
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$0Expenses 2010: $02010Expenses 2011: $02011Expenses 2012: $02012Revenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2013

Revenue$0
Expenses$0
Net Income$0
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Sep 8, 2014
Return Version
2013v3.0
Gross Receipts
$0
Mission and Program Overview

Mission

The corporation is organized and shall be operated exclusively for the benefit of its members, which comprise: claxton-hepburn medical center, claxton-hepburn medical center foundation, and carthage area hospital. The corporation monitors mission objectives, activities, and resources of its members, and advises in respect to the monitored matters to further the purpose of promoting efficient, effective, and economical health care services in rural areas of northern new york.

The corporation is organized and shall be operated exclusively for the benefit of claxton- hepburn medical center and claxton-hepburn medical center foundation, inc. By reviewing and monitoring their missions, objectives, activities and resources and advising them with respect to the same, including, but not limited to, the coordination of their missions, objectives, activities and resources with those of other health care providers, health care agencies and related organizations operating in northern new york state, all in furtherance of the purposes of promoting efficient, effective, and economical health care services in the service area of claxton-hepburn medical center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$2,050,000$2,050,000→ $0
Total Assets$2,050,000$2,050,000→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$2,050,000$2,050,000→ $0
Total Net Assets Fund Balance$2,050,000$2,050,000→ $0
Total Liabilities and Net Assets / Fund Balance$2,050,000$2,050,000→ $0

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$2,050,000--
Compensation and Service Providers
Top Officer Pay97th percentile

Board Members and Trustees

NameTitle
Philip CosmoChairperson
Mark WebsterPresident
Linda FayVice Chairperson
Allison ChadwickDirector
Joseph TracyDirector
Kring Lawrence MdDirector
Maureen MissertDirector
Michael Seidman MdDirector
Peter Dargie MdDirector
Rev Thomas PattersonDirector
Sherin CunninghamDirector
William FlynnDirector
Kelley TiernanCFO
Patricia Mahoney DmdSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“The form 990 was provided to claxton hepburn health system's board for review.”

Form 990, Part VI, Section B, Line 12C

“On an annual basis, board members are sent a conflict of interest form, at which time they can declare an "actual or reasonably foreseeable conflict(s) of interest to disclose".”

Form 990, Part VI, Section B, Line 15

“The chmc board contracts with yaffe and company, an independent salary compensation specialist to advise on the executive salary process and philosophy. Yaffe works with the executive committee to assist the committee in setting annual salaries and benefits for senior leadership.”

Form 990, Part VI, Section C, Line 18

“Claxton hepburn health system's 990 is available upon written request.”

Form 990, Part VI, Section C, Line 19

“Claxton hepburn health system's governing documents, financial statement and conflict of interest policy are available to the public upon request.”

Filing and Contact Details

Filer

EIN
16-1449491
Phone
3153933600

Signing Officer

Name
Kelley Tiernan
Title
CFO
Phone
3153933600
Signed
2014-09-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Tiernan
Formed
1993
Legal Domicile
Ny
Voting Board Members
10
Independent Board Members
8
Employees
0
Volunteers
0

Preparer

Preparer
Joseph J Schlegel
Phone
3154463600
Raw XML AppendixShowing 400 of 466 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF CLAXTON- HEPBURN MEDICAL CENTER AND CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION, INC. BY REVIEWING AND MONITORING THEIR MISSIONS, OBJECTIVES, ACTIVITIES AND RESOURCES AND ADVISING THEM WITH RESPECT TO THE SAME, INCLUDING, BUT NOT LIMITED TO, THE COORDINATION OF THEIR MISSIONS, OBJECTIVES, ACTIVITIES AND RESOURCES WITH THOSE OF OTHER HEALTH CARE PROVIDERS, HEALTH CARE AGENCIES AND RELATED ORGANIZATIONS OPERATING IN NORTHERN NEW YORK STATE, ALL IN FURTHERANCE OF THE PURPOSES OF PROMOTING EFFICIENT, EFFECTIVE, AND ECONOMICAL HEALTH CARE SERVICES IN THE SERVICE AREA OF CLAXTON-HEPBURN MEDICAL CENTER.
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IRS990/Desc0CLAXTON-HEPBURN HEALTH SYSTEM, INC. (HEREINAFTER REFERRED TO AS "CHHS") HAS BEEN FORMED TO ACT AS THE PARENT HOLDING COMPANY FOR CLAXTON-HEPBURN MEDICAL CENTER (HEREINAFTER REFERRED TO AS "MEDICAL CENTER"), CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION, INC. (HEREINAFTER REFERRED TO AS "FOUNDATION"), AND ANY OTHER NOT-FOR-PROFIT, TAX-EXEMPT CORPORATE AFFILIATE OF THE MEDICAL CENTER AND FOUNDATION WHICH MAY BE CREATED IN THE FUTURE. THE MEDICAL CENTER IS LICENSED AS AN ACUTE CARE INPATIENT FACILITY BY THE NEW YORK STATE DEPARTMENT OF HEALTH AND QUALIFIES AS TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND AS A NONPRIVATE FOUNDATION UNDER SECTION 170(B)(1)(A)(III) AND 509(A)(1). THE FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES IN SUPPORT OF THE MEDICAL CENTER AND ITS AFFILIATES AND QUALIFIES FOR EXEMPTION UNDER SECTION 501(C)(3) OF THE CODE AND AS A NONPRIVATE FOUNDATION DESCRIBED IN SECTION 509(A)(3). STRUCTURALLY, THE PARENT HOLDING COMPANY ROLE OF CHHS WITH RESPECT TO THE MEDICAL CENTER, THE FOUNDATION AND ANY OTHER NOT-FOR-PROFIT TAX-EXEMPT AFFILIATE ADDED IN THE FUTURE WILL BE IMPLEMENTED THROUGH THEIR RESPECTIVE BYLAWS. SPECIFICALLY, THE CERTIFICATE OF INCORPORATION AND BYLAWS OF EACH AFFILIATE WILL PROVIDE OR BE AMENDED TO PROVIDE THAT CHHS IS ITS SOLE MEMBER. IN THAT CAPACITY, CHHS WILL BE EMPOWERED UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW TO APPOINT THE BOARD OF DIRECTORS OF EACH AFFILIATE, TO AMEND ITS CERTIFICATE OF INCORPORATION AND BYLAWS, AND TO APPROVE CERTAIN EXTRAORDINARY TRANSACTIONS SUCH AS MERGERS, DISSOLUTION AND LIQUIDATION. OPERATIONALLY, THE PURPOSE OF CHHS WILL BE TO REVIEW, MONITOR, COORDINATE, AND GUIDE THE MEDICAL CENTER, THE FOUNDATION AND ANY OTHER TAX-EXEMPT AFFILIATES IT MAY FORM IN THE FURTHERANCE OF THEIR TAX-EXEMPT OBJECTIVES IN ORDER TO PROMOTE THE PROVISION OF HIGH QUALITY HEALTH CARE SERVICES TO THE COMMUNITY THROUGH THE MOST EFFICIENT, EFFECTIVE, AND ECONOMICAL SYSTEM POSSIBLE.THE MEDICAL CENTER IS FACING AN INCREASINGLY REGULATED, COMPETITIVE AND COST-CONSCIOUS ENVIRONMENT WITH DECREASING FINANCIAL ASSETS AND OTHER RESOURCES, CREATING A NEED TO DIVERSIFY AND IMPROVE THE QUALITY OF SERVICES WHILE PROMOTING EFFICIENCY AND ECONOMICS OF SCALE.CHHS AND THE RESULTING HOLDING COMPANY STRUCTURE WILL FOSTER THE SEPARATION OF REGULATED FROM UNREGULATED ACTIVITIES AND TAXABLE FROM TAX-EXEMPT FUNCTIONS, WILL PROVIDE INSULATION AGAINST INTER- CORPORATE LEGAL LIABILITIES, WILL PROMOTE ORGANIZATIONAL EFFICIENCY BY SYSTEMIZING RELATIONSHIPS THROUGH STANDARDIZED MEMBERSHIP AND BOARD STRUCTURES, WILL HELP TO DEFINE THE PARTICULAR RESPONSIBILITIES OF THE AFFILIATES AND ALLOW THEM TO MORE PRECISELY FOCUS ON THEIR RESPECTIVE AREAS OF EXPERTISE, AND WILL PROVIDE THE FLEXIBILITY TO COPE WITH THIS ENVIRONMENT AND TO PLAN EFFECTIVELY FOR THE FUTURE BY PULLING TOGETHER THE AFFILIATES INTO A UNIFIED SYSTEM OF PLANNING, COORDINATION AND MANAGEMENT AND BY STUDYING AND FOSTERING THE DEVELOPMENT OF NEW ORGANIZATIONS TO MORE EFFECTIVELY RESPOND TO THE COMMUNITY'S NEEDS. IN ITS ROLE AS PARENT HOLDING COMPANY, IT IS NOT ANTICIPATED THE CHHS WILL ITSELF BECOME A PROVIDER OF HEALTH CARE OR OTHER SERVICES DIRECTED TO THE PUBLIC, BUT RATHER THAT IT WILL COORDINATE THE EFFORTS OF THE AUTONOMOUS PROVIDERS AND OTHER OPERATING ENTITIES WHICH ARE OR BECOME PART OF THE ORGANIZED CORPORATE STRUCTURE. INSTEAD OF FOCUSING ON THE NARROW, INSTITUTIONAL PLANS OF EACH INDIVIDUAL AFFILIATE, CHHS WILL TAKE A BROADER PERSPECTIVE AND BE RESPONSIBLE FOR DEVELOPING A LONG-RANGE STRATEGIC PLAN FOR THE OVERALL SYSTEM IN LIGHT OF EXTERNAL DEMANDS AND CONSTRAINTS.THAT IS, WHILE IT IS EXPECTED THAT THE BOARD OF DIRECTORS AND OFFICERS OF EACH AFFILIATE WILL CONTINUE TO PROVIDE THE SPECIALIZED EXPERTISE NECESSARY TO ADDRESS THE SPECIFIC AND UNIQUE PROBLEMS OF THAT PARTICULAR ORGANIZATION, THE TALENTS AND ENERGIES OF CHHS WILL FOCUS ON BROADER SYSTEM-WIDE ISSUES TO ENSURE THAT ALL COMPONENTS WORK TO
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IRS990/MissionDesc0THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF CLAXTON- HEPBURN MEDICAL CENTER AND CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION, INC. BY REVIEWING AND MONITORING THEIR MISSIONS, OBJECTIVES, ACTIVITIES AND RESOURCES AND ADVISING THEM WITH RESPECT TO THE SAME, INCLUDING, BUT NOT LIMITED TO, THE COORDINATION OF THEIR MISSIONS, OBJECTIVES, ACTIVITIES AND RESOURCES WITH THOSE OF OTHER HEALTH CARE PROVIDERS, HEALTH CARE AGENCIES AND RELATED ORGANIZATIONS OPERATING IN NORTHERN NEW YORK STATE, ALL IN FURTHERANCE OF THE PURPOSES OF PROMOTING EFFICIENT, EFFECTIVE, AND ECONOMICAL HEALTH CARE SERVICES IN THE SERVICE AREA OF CLAXTON-HEPBURN MEDICAL CENTER.
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IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0KELLEY TIERNAN
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt00
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt00
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt00
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt00
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt00
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
IRS990ScheduleA/ContributionFamilyInd00
IRS990ScheduleA/SupportedOrganizationsTotalCnt02
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0150559686
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1222488389
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc07
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc111A
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10CLAXTON-HEPBURN MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine11CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd11
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt02050000
IRS990ScheduleD/OtherSecuritiesGrp/Desc0OTHER SECURITIES- ST. LAWRENCE HEALTH ALLIANCE
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0C
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueSecuritiesAmt02050000
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/IndependentConsultantInd0X
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt236092
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt36440
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0267588
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1289460
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2340396
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3196621
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt212750
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt310402
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt018441
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt142107
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt215515
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt315098
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MICHAEL SEIDMAN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1KRING LAWRENCE MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2MARK WEBSTER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3KELLEY TIERNAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0286029
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1331567
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2404753
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3228561
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 WAS PROVIDED TO CLAXTON HEPBURN HEALTH SYSTEM'S BOARD FOR REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ON AN ANNUAL BASIS, BOARD MEMBERS ARE SENT A CONFLICT OF INTEREST FORM, AT WHICH TIME THEY CAN DECLARE AN "ACTUAL OR REASONABLY FORESEEABLE CONFLICT(S) OF INTEREST TO DISCLOSE".
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CHMC BOARD CONTRACTS WITH YAFFE AND COMPANY, AN INDEPENDENT SALARY COMPENSATION SPECIALIST TO ADVISE ON THE EXECUTIVE SALARY PROCESS AND PHILOSOPHY. YAFFE WORKS WITH THE EXECUTIVE COMMITTEE TO ASSIST THE COMMITTEE IN SETTING ANNUAL SALARIES AND BENEFITS FOR SENIOR LEADERSHIP.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CLAXTON HEPBURN HEALTH SYSTEM'S 990 IS AVAILABLE UPON WRITTEN REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4CLAXTON HEPBURN HEALTH SYSTEM'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10CLAXTON HEPBURN MEDICAL CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11CLAXTON HEPBURN MEDICAL CENTER FOUNDATION INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0150559686
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1222488389
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0NOT FOR PROFIT HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1PROVIDE FINANCIAL SUPPORT TO CLAXTON HEPBURN MEDICAL CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0509(A)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1509(A)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine10214 KING STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine11503 MANSION AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0OGDENSBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City1OGDENSBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State1NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode013669
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode113669
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt02050000
IRS990/TotalAssetsEOYAmt02050000

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,050,000
Liabilities
$0
Net assets
$2,050,000
Revenue
$0
Expenses
$0
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00$0.00$0.00
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00$0.00$0.00
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.05$0.00$2.05$0.00$0.00$0.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.05$0.00$2.05$0.00$0.00$0.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.05$0.00$2.05$0.00$0.00$0.00
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.05$0.00$2.05$0.00$0.00$0.00
2016Summary only. Only limited summary data is available for this year.$2.05$0.00$2.05$0.00$0.00$0.00
2015Detailed filing. Detailed filing data is available for this year.$2.05$0.00$2.05$0.00$0.00$0.00
2014Detailed filing. Detailed filing data is available for this year.$2.05$0.00$2.05$0.00$0.00$0.00
2013Detailed filing. Detailed filing data is available for this year.$2.05$0.00$2.05$0.00$0.00$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.05$0.00$2.05$0.00
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.05$0.00$2.05$0.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.05$0.00$2.05$0.00