Civic Intelligence

Tri Town Regional Healthcare

990 • Fiscal year 2013 • EIN 26-0169584

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

43 Pearl Street13838

(607) 563-7080

Siviq Scores

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

Liabilities / Assets

75th percentile

0.54x

Higher debt load relative to assets than 75% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Liabilities / Revenue

52nd percentile

0.21x

Higher debt load relative to revenue than 52% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Net Margin

44th percentile

1.1%

Higher net margin than 44% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Top Officer Pay

93rd percentile

$456,694

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 4.8% of source-year revenue.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Asset Growth

58th percentile

5.0%

Faster asset growth than 58% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M 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

Assets

Up

$3,683,672

Up $174,015 (+5.0%) from 2012

Net Assets

Up

$1,704,880

Up $78,468 (+4.8%) from 2012

Liabilities

Up

$1,978,792

Up $95,547 (+5.1%) from 2012

Revenue

$9,597,714

No earlier filing loaded for comparison.

Expenses

Up

$9,496,264

Up $1,409,567 (+17%) from 2012

Net Income

$101,450

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2012: $3,509,657Liabilities 2012: $1,883,245Net Assets 2012: $1,626,4122012Assets 2013: $3,683,672Liabilities 2013: $1,978,792Net Assets 2013: $1,704,8802013Assets 2014: $5,243,020Liabilities 2014: $1,752,908Net Assets 2014: $3,490,1122014Assets 2015: $5,417,761Liabilities 2015: $885,720Net Assets 2015: $4,532,0412015Assets 2016: $5,996,900Liabilities 2016: $1,005,261Net Assets 2016: $4,991,6392016Assets 2017: $5,853,472Liabilities 2017: $1,659,778Net Assets 2017: $4,193,6942017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2013

Assets$3,683,672
Liabilities$1,978,792
Net Assets$1,704,880

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2012: $8,086,6972012Revenue 2013: $9,597,714Expenses 2013: $9,496,264Net Income 2013: $101,4502013Revenue 2014: $12,331,775Expenses 2014: $10,539,091Net Income 2014: $1,792,6842014Revenue 2015: $11,843,306Expenses 2015: $10,788,170Net Income 2015: $1,055,1362015Revenue 2016: $11,701,430Expenses 2016: $11,242,311Net Income 2016: $459,1192016Revenue 2017: $9,815,568Expenses 2017: $10,602,751Net Income 2017: -$787,1832017Revenue 2018: -$1,654,973Expenses 2018: $284,940Net Income 2018: -$1,939,9132018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020

Highlighted filing

2013

Revenue$9,597,714
Expenses$9,496,264
Net Income$101,450
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 8, 2014
Return Version
2013v3.1
Gross Receipts
$9,597,714
Mission and Program Overview

Mission

Tri town regional hospital exists to serve the tri town area by providing high quality, patient focused emergency and clinical support services in partnership with bassett medical center. In addition to emergency care, they offer radiology, clinical lab services, and some specialty care services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,490,099$1,527,316▲ $37,217
Accounts Receivable$700,063$870,719▲ $170,656
Cash and Non-Interest-Bearing Accounts$395,077$557,086▲ $162,009
Savings and Temporary Cash Investments$653,296$454,259▼ $199,037
Pledges and Grants Receivable$142,822$94,069▼ $48,753
Inventories for Sale or Use$42,987$90,656▲ $47,669
Prepaid Expenses and Deferred Charges$24,073$25,569▲ $1,496
Total Assets$3,509,657$3,683,672▲ $174,015
Other Assets Total$61,240$63,998▲ $2,758
Liabilities
Accounts Payable and Accrued Expenses$645,082$1,157,524▲ $512,442
Unsecured Notes Loans Payable$1,178,251$789,420▼ $388,831
Deferred Revenue$43,699$29,132▼ $14,567
Other Liabilities$16,213$2,716▼ $13,497
Total Liabilities$1,883,245$1,978,792▲ $95,547
Net Assets / Fund Balance
Unrestricted Net Assets$1,414,818$1,655,764▲ $240,946
Temporarily Rstr Net Assets$211,594$49,116▼ $162,478
Total Net Assets Fund Balance$1,626,412$1,704,880▲ $78,468
Total Liabilities and Net Assets / Fund Balance$3,509,657$3,683,672▲ $174,015

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$1,073,895$720,216$1,794,111
Equipment$453,421$851,327$1,304,748
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Jeffrey J WoeppelVice Chairpe-$239,224$239,224
Sue E AndrewsAssistant TrPT$227,240$227,240
Joan WicksAssistant SePT$39,173$39,173

Board Members and Trustees

NameTitle
Scott McleanChairperson
Jeffrey J WoeppelVice Chairperson
Gail HoffmanDirector
John MirabitoDirector
Noel Godspeed 062013Director
Sue E AndrewsAssistant Treasurer
Daniel AyresCEO
James MenoSecretary
Nicholas J NicolettaTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
New York Emergency ServicesMd Services-$787,104
Revenue and Support

Revenue Composition

Contributions and Grants
$210,442
Program Service Revenue
$9,386,201
Investment Income
$1,071
Other Revenue
$0
Change in Net Assets
$101,450

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,597,714
Revenue Not Reported on Form 990
$-1,096,293
Total Revenue per Audited Statements
$8,501,421
Total Revenue per Form 990
$9,597,714
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$9,495,274
Grants and Similar Amounts Paid$990
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$4,582,894$1,918,099-$6,500,993
All Other Expenses$425,743$136,690-$562,433
Depreciation Depletion$212,372$90,854-$303,226
Occupancy$259,891$31,362-$291,253
Other Expenses$107,388$45,941-$153,329
Office Expenses$22,914$9,803-$32,717
Insurance$22,408$9,586-$31,994
Interest$7,822$3,347-$11,169
Fees for Services Lobbying-$2,547-$2,547
Grants to Domestic Orgs$990--$990
Total Functional Expenses$7,248,035$2,248,229$0$9,496,264

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$9,496,264
Expenses per Audited Statements$8,422,953
Total Expenses per Audited Statements$8,422,953
Expenses Not Reported on Financial Statements$1,073,311
Other Expense Adjustments$1,073,311
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Payable, 3rd Party Vendors$2,716
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
No
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, Page 6, Part VI, Line 11B

Each member of the board receives a draft copy of the 990; the treasurer of the board presents the 990 draft to the officers of the board prior to filing. Any member of the board who wishes to attend this presentation may. Any questions are raised and answered. Once approved, the 990 can be filed. A complete copy of the organization's final form 990, including all required schedules, as ultimately filed with the irs, is available to each member of the board before it's filing with the irs.

Form 990, Page 6, Part VI, Line 12C

The organization's conflict of interest policy applies to the board of directors, board members, officers, and key persons such as the chief executive officer. Each board member, officer, or key person of the hospital shall complete a conflict of interest questionnaire annually. All completed questionnaires are reviewed and all disclosures of potential conflicts will be brought to the chief executive officer. The ceo of his/her designee will take action to eliminate the potential conflict of interest. All disclosures of potential conflict of interest in completed questionnaires shall be compiled and reported by the assistant treasurer to the officers of the board to determine if the reported disclosure and resolution is satisfactory. If the actions taken are not considered satisfactory, the officers of the board shall determine further action as it deems appropriate.

Form 990, Page 6, Part VI, Line 15A

The chief executive officer's salary is paid by a related organization under a management services agreement. Tri town regional hospital reviews the formal process that is used to determine the base compensation of the ceo. The ceo work plan and accomplishments for the year are reviewed. Salary changes are based on market, work plan and accomplishments. The ceo's salary is submitted as part of the management services agreement, which is approved by the board.

Form 990, Page 6, Part VI, Line 19

Tri town regional hospital makes it governing documents, conflict of interest policy, and financial statements available to the public upon written request. Parties desiring to obtain copies of such must present themselves at the administrative offices of trh or by sending a self addressed stamped envelope and payment for copying requested material to trh administrative offices. The cost of copying shall be equal to the costs imposed by the irs for the copying of public documents.

Filing and Contact Details

Filer

EIN
26-0169584
Phone
6075637080

Signing Officer

Name
Sue E Andrews
Title
Assistant Treasurer
Phone
6075637080
Signed
2014-11-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Daniel Ayres
Formed
2007
Legal Domicile
Ny
Voting Board Members
7
Independent Board Members
5
Employees
0
Volunteers
5

Preparer

Preparer
Mary-evelyn Antonetti
Phone
5184274600
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Tri town regional hospital exists to serve the tri town area by providing high quality, patient focused emergency and clinical support services in partnership with bassett medical center. In addition to emergency care, they offer radiology, clinical lab services, and some specialty care services.

Form 990, Part IX, Line 11G

Contract services 4,582,894 1,918,099 0

Form 990, Part XI, Line 9

Bad debt -990,344 charity care -82,967 change in interest of friends of bassett -22,982 bad debt 990,344 charity care 82,967

Form 990, Part XI, Line 9

Change in interest of friends of bassett, (22,982)

Financial Statement Notes

Schedule D, Page 3, Part X

The hospital is a not-for-profit corporation as described in section 501 (c)(3) of the internal revenue code (the code) and is exempt from federal income taxes pursuant to section 501(a) of the code. The hospital recognizes income tax positions when it is more-likely-than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded as of december 31, 2013 and 2012.

Schedule D, Page 4, Part XI, Line 2D

Bad debt -990,344 charity care -82,967 change in interest of friends of bassett -22,982

Schedule D, Page 4, Part XII, Line 4B

Bad debt 990,344 charity care 82,967

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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/MissionDesc0TRI TOWN REGIONAL HOSPITAL EXISTS TO SERVE THE TRI TOWN AREA BY PROVIDING HIGH QUALITY, PATIENT FOCUSED EMERGENCY AND CLINICAL SUPPORT SERVICES IN PARTNERSHIP WITH BASSETT MEDICAL CENTER. IN ADDITION TO EMERGENCY CARE, THEY OFFER RADIOLOGY, CLINICAL LAB SERVICES, AND SOME SPECIALTY CARE SERVICES.
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IRS990/ProgSrvcAccomActy2Grp/Desc0COMMUNITY INVOLVEMENT IS LINKED TO TRI TOWN REGIONAL HOSPITAL'S MISSION, VISION, AND VALUES. WE ARE WORKING WITH OUR COMMUNITY TO IMPROVE THE QUALITY OF LIFE FOR THE PEOPLE OF OUR REGION. OUR COMMUNITY SERVICES PROGRAMS PROVIDE FREE SERVICES TO PERSONS WHO CAN NOT AFFORD TO PAY, WHO DO NOT QUALIFY FOR MEDICAID, AND WHO FALL WITHIN THE ESTABLISHED INCOME GUIDELINES. IN 2013, WE PROVIDED 82,967 IN CHARITY CARE. OUR DOORS ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR. WE ARE PROUD TO PROVIDE THIS CARE TO OUR COMMUNITIES. NOT ONLY DID WE PROVIDE 82,967 IN CHARITY CARE, PATIENT ACCOUNTS IN THE AMOUNT OF 990,344 WERE RECORDED AS BAD DEBT IN 2013.
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0HANYS MEMBERSHIP DUES ALLOCATE 28.0% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2013 WAS 1,453.00 IROQUIOS HEALTHCARE ALLIANCE MEMBERSHIP DUES ALLOCATE 42.8% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2013 WAS 5,000.00
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE C, PART II-B, LINE 1
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2013 AND 2012.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1BAD DEBT -990,344 CHARITY CARE -82,967 CHANGE IN INTEREST OF FRIENDS OF BASSETT -22,982
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2BAD DEBT 990,344 CHARITY CARE 82,967
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE D, PAGE 4, PART XII, LINE 4B
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IRS990ScheduleH/HospitalFacilitiesGrp/OtherDesc0LABORATORY, RADIOLOGY SERVICES
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IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/State0NY
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