Civic Intelligence

Claxton Medical PC

990 • Fiscal year 2015 • EIN 26-4009395

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 11, 2016

Organization ProfileN/A
214 King StreetOgdensburg, NY 13669

(315) 393-8880

Siviq Scores

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

Liabilities / Assets

100th percentile

20.86x

Higher debt load relative to assets than 100% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Liabilities / Revenue

92nd percentile

2.88x

Higher debt load relative to revenue than 92% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Net Margin

2nd percentile

-70%

Higher net margin than 2% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Top Officer Pay

59th percentile

$328,760

Higher top officer pay than 59% of similar nonprofits.

Top officer pay equals 6.0% of source-year revenue.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Asset Growth

97th percentile

55%

Faster asset growth than 97% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2014 to 2015

Revenue Growth

85th percentile

23%

Faster revenue growth than 85% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets100th percentile

Assets

Up

$755,278

Up $267,489 (+55%) from 2014

Net Assets

Down

-$14,997,739

Down $3,847,101 (-35%) from 2014

Liabilities

Up

$15,753,017

Up $4,114,590 (+35%) from 2014

Revenue And Expenses
Liabilities / Revenue92nd percentileNet Margin2nd percentile

Revenue

Up

$5,476,453

Up $1,006,578 (+23%) from 2014

Expenses

Up

$9,323,555

Up $1,833,164 (+24%) from 2014

Net Income

Down

-$3,847,102

Down $826,586 (-27%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth97th percentile

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

$100M$50M$0-$50M-$100MAssets 2013: $425,969Liabilities 2013: $8,556,091Net Assets 2013: -$8,130,1222013Assets 2014: $487,789Liabilities 2014: $11,638,427Net Assets 2014: -$11,150,6382014Assets 2015: $755,278Liabilities 2015: $15,753,017Net Assets 2015: -$14,997,7392015Assets 2016: $978,518Liabilities 2016: $21,488,541Net Assets 2016: -$20,510,0232016Assets 2017: $1,813,893Liabilities 2017: $27,873,723Net Assets 2017: -$26,059,8302017Assets 2018: $1,086,536Liabilities 2018: $33,206,698Net Assets 2018: -$32,120,1622018Assets 2019: $1,293,421Liabilities 2019: $39,527,290Net Assets 2019: -$38,233,8692019Assets 2020: $1,253,235Liabilities 2020: $46,852,545Net Assets 2020: -$45,599,3102020Assets 2021: $1,758,370Liabilities 2021: $55,591,281Net Assets 2021: -$53,832,9112021Assets 2022: $520,261Liabilities 2022: $65,391,717Net Assets 2022: -$64,871,4562022Assets 2023: $331,991Liabilities 2023: $76,008,402Net Assets 2023: -$75,676,4112023Assets 2024: $139,541Liabilities 2024: $84,305,032Net Assets 2024: -$84,165,4912024

Highlighted filing

2015

Assets$755,278
Liabilities$15,753,017
Net Assets-$14,997,739
Open 2015 Filing

Operations Trend

Revenue Growth85th percentile

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

$20M$10M$0-$10M-$20MRevenue 2013: $3,939,328Expenses 2013: $6,137,512Net Income 2013: -$2,198,1842013Revenue 2014: $4,469,875Expenses 2014: $7,490,391Net Income 2014: -$3,020,5162014Revenue 2015: $5,476,453Expenses 2015: $9,323,555Net Income 2015: -$3,847,1022015Revenue 2016: $7,163,232Expenses 2016: $12,675,516Net Income 2016: -$5,512,2842016Revenue 2017: $7,240,187Expenses 2017: $12,789,994Net Income 2017: -$5,549,8072017Revenue 2018: $8,733,951Expenses 2018: $14,794,283Net Income 2018: -$6,060,3322018Revenue 2019: $9,997,412Expenses 2019: $16,111,119Net Income 2019: -$6,113,7072019Revenue 2020: $7,765,045Expenses 2020: $15,130,486Net Income 2020: -$7,365,4412020Revenue 2021: $8,760,975Expenses 2021: $16,994,576Net Income 2021: -$8,233,6012021Revenue 2022: $4,822,939Expenses 2022: $15,861,484Net Income 2022: -$11,038,5452022Revenue 2023: $4,309,942Expenses 2023: $15,114,897Net Income 2023: -$10,804,9552023Revenue 2024: $3,622,565Expenses 2024: $12,117,909Net Income 2024: -$8,495,3442024

Highlighted filing

2015

Revenue$5,476,453
Expenses$9,323,555
Net Income-$3,847,102
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$5,476,453
Mission and Program Overview

Mission

The purposes for which the claxton medical, pc is formed are 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, the claxton medical, pc shall 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 claxton medical, pc shall pursue such purposes, in part, by including among its patients, medicare and medicaid patients and those who are under or uninsured.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$387,778$644,045▲ $256,267
Cash and Non-Interest-Bearing Accounts$63,030$71,253▲ $8,223
Prepaid Expenses and Deferred Charges$36,881$39,880▲ $2,999
Investments Other Securities$100$100→ $0
Total Assets$487,789$755,278▲ $267,489
Liabilities
Other Liabilities$11,638,427$15,753,017▲ $4,114,590
Total Liabilities$11,638,427$15,753,017▲ $4,114,590
Net Assets / Fund Balance
Unrestricted Net Assets$-11,150,638$-14,997,739▼ $3,847,101
Total Net Assets Fund Balance$-11,150,638$-14,997,739▼ $3,847,101
Total Liabilities and Net Assets / Fund Balance$487,789$755,278▲ $267,489
Compensation and Service Providers
Top Officer Pay59th percentile

Board Members and Trustees

NameTitle
Gary Hart MdPresident
Kelley TiernanCFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,476,453
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-3,847,102
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,807,964
Other Expenses$3,515,591
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,265,592--$5,265,592
Other Employee Benefits$324,661--$324,661
All Other Expenses$313,405--$313,405
Payroll Taxes$217,711--$217,711
Other Expenses$60,041--$60,041
Insurance$34,008--$34,008
Office Expenses$33,401--$33,401
Total Functional Expenses$9,323,555$0$0$9,323,555
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affilate$15,753,017
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
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
No
Audited financial statements prepared
Yes
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 medical, p.c.'s board to review.”

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 medical p.c.'s 990 is available upon written request.”

Form 990, Part VI, Section C, Line 19

“Claxton medical p.c.'s governing documents, financial statement and conflict of interest policy are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Claxton Medical Pc
EIN
26-4009395
Phone
3153938880
Address
214 KING STREET, OGDENSBURG, NY 13669

Signing Officer

Name
Kelley Tiernan
Title
CFO
Phone
3153938880
Signed
2016-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Tiernan
Formed
2008
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Fust Charles Chambers Llp
Address
5784 WIDEWATERS PARKWAY, SYRACUSE, NY 13214
Preparer
Joseph J Schlegel
Phone
3154463600
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“The process has not changed from prior year.”

Financial Statement Notes

PART X, LINE 2:

“The hospital qualifies as a tax-exempt, not-for-profit organization under section 501(c)(3) of the internal revenue code. As of december 31, 2015 and 2014, the hospital did not have any unrecognized tax benefits or any related accrued interest or penalties. The tax years open to examination by federal and new york state taxing authorities are 2012 through 2015. The hospital does not anticipate that the total unrecognized tax benefits will change in the next twelve months.”

Raw XML AppendixShowing 400 of 403 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsReceivableGrp/BOYAmt0387778
IRS990/AccountsReceivableGrp/EOYAmt0644045
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0THE PURPOSES FOR WHICH THE CLAXTON MEDICAL, PC IS FORMED ARE 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, THE CLAXTON MEDICAL, PC SHALL 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 CLAXTON MEDICAL, PC SHALL PURSUE SUCH PURPOSES, IN PART, BY INCLUDING AMONG ITS PATIENTS, MEDICARE AND MEDICAID PATIENTS AND THOSE WHO ARE UNDER OR UNINSURED.
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0313405
IRS990/AllOtherExpensesGrp/TotalAmt0313405
IRS990/AuditCommitteeInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0KELLEY TIERNAN CFO
IRS990/BooksInCareOfDetail/PhoneNum03153938880
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0214 KING STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0OGDENSBURG
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990/BooksInCareOfDetail/USAddress/ZIPCd0136691191
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt063030
IRS990/CashNonInterestBearingGrp/EOYAmt071253
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd01
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt03515591
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt05476453
IRS990/CYRevenuesLessExpensesAmt0-3847102
IRS990/CYSalariesCompEmpBnftPaidAmt05807964
IRS990/CYTotalExpensesAmt09323555
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt05476453
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0ORTHOPEDICS HAS TWO FULL-TIME PHYSICIANS, ONE PART-TIME PHYSICIAN AND A PHYSICIAN'S ASSISTANT. DURING 2015, THE ORTHOPEDICS DEPARTMENT HAD 4,906 OFFICE VISITS.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt01717086
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form1098CFiledInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form8899Filedind00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt040.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt141.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.50
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt030155
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt127162
IRS990/Form990PartVIISectionAGrp/PersonNm0GARY HART MD
IRS990/Form990PartVIISectionAGrp/PersonNm1KELLEY TIERNAN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0298605
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1208416
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1CFO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02008
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt05476453
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt01
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt034008
IRS990/InsuranceGrp/TotalAmt034008
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0100
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0100
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0NY
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE PURPOSES FOR WHICH THE CLAXTON MEDICAL, PC IS FORMED ARE 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, THE CLAXTON MEDICAL, PC SHALL 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 CLAXTON MEDICAL, PC SHALL PURSUE SUCH PURPOSES, IN PART, BY INCLUDING AMONG ITS PATIENTS, MEDICARE AND MEDICAID PATIENTS AND THOSE WHO ARE UNDER OR UNINSURED.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-11150638
IRS990/NetAssetsOrFundBalancesEOYAmt0-14997739
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt033401
IRS990/OfficeExpensesGrp/TotalAmt033401
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0324661
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0324661
IRS990/OtherExpensesGrp/Desc0PURCHASED SERVICES
IRS990/OtherExpensesGrp/Desc1MALPRACTICE INSURANCE
IRS990/OtherExpensesGrp/Desc2EDUCATION COSTS
IRS990/OtherExpensesGrp/Desc3BAD DEBT
IRS990/OtherExpensesGrp/ProgramServicesAmt02800405
IRS990/OtherExpensesGrp/ProgramServicesAmt1207020
IRS990/OtherExpensesGrp/ProgramServicesAmt267311
IRS990/OtherExpensesGrp/ProgramServicesAmt360041
IRS990/OtherExpensesGrp/TotalAmt02800405
IRS990/OtherExpensesGrp/TotalAmt1207020
IRS990/OtherExpensesGrp/TotalAmt267311
IRS990/OtherExpensesGrp/TotalAmt360041
IRS990/OtherLiabilitiesGrp/BOYAmt011638427
IRS990/OtherLiabilitiesGrp/EOYAmt015753017
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt05265592
IRS990/OtherSalariesAndWagesGrp/TotalAmt05265592
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0217711
IRS990/PayrollTaxesGrp/TotalAmt0217711
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt036881
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt039880
IRS990/PrincipalOfficerNm0KELLEY TIERNAN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621990
IRS990/ProgramServiceRevenueGrp/Desc0PATIENT SERVICES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt05476453
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt05476453
IRS990/ProgSrvcAccomActy2Grp/Desc0INTERNAL MEDICINE HAS ONE FULL-TIME PHYSICIAN, THREE PART-TIME PHYSICIANS, A PHYSICIAN'S ASSISTANT AND A NURSE PRACTITIONER. DURING 2015, INTERNAL MEDICINE HAD 9,429.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt01542976
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0988228
IRS990/ProgSrvcAccomActy3Grp/Desc0NEPHROLOGY HAS TWO FULL-TIME PHYSICIANS. DURING 2015, THE NEPHROLOGY DEPARTMENT HAD 5,439 OFFICE VISITS.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt01408024
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt01006630
IRS990/ProgSrvcAccomActyOtherGrp/Desc0THE OTHER REMAINING PROGRAM SERVICES OFFERED ARE WOMEN'S HEALTH, PEDIATRICS, NEUROLOGY, PAIN MANAGEMENT, CARDIOLOGY, MENTAL HEALTH SERVICES AND A CONVENIENT CARE CLINIC. IN TOTAL, THE OTHER PROGAM SERVICES HAVE 9 FULL-TIME PHYSICIANS, ONE PART-TIME PHYSICIAN, AND TWO NURSE PRACTITIONERS. IN ADDITION, THE OTHER PROGRAM SERVICES HAD 16,952 OFFICE VISITS.
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt04655469
IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt02475321
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt03022530
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt04469875
IRS990/PYRevenuesLessExpensesAmt0-3020516
IRS990/PYSalariesCompEmpBnftPaidAmt04467861
IRS990/PYTotalExpensesAmt07490391
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt04469875
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-3847102
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt01006274
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE RELATIONSHIP BETWEEN CLAXTON-HEPBURN MEDICAL CENTER AND CLAXTON MEDICAL, PC IS A CONTINUING RELATIONSHIP SINCE THE INCEPTION OF CLAXTON MEDICAL, PC IN 2008. THE PURPOSE OF CLAXTON MEDICAL, PC IS TO ENGAGE IN THE PRACTICE OF MEDICINE AND SERVE THE MEDICAL NEEDS OF THE COMMUMITY SERVED BY CLAXTON-HEPBURN MEDICAL CENTER, BY PROVIDING OFFICE BASED PRIMARY CARE AND SPECIALTY SERVICES.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION C, LINE 1:
IRS990ScheduleA/MajorityDirTrstSupportedOrgInd00
IRS990ScheduleA/OtherSupportSumAmt03847102
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0150559686
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt03847102
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0CLAXTON-HEPBURN MEDICAL CENTER
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt015753017
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILATE
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE HOSPITAL QUALIFIES AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2015 AND 2014, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2012 THROUGH 2015. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt015753017
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/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0298605
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1208416
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt013150
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt110421
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt017005
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt116741
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0GARY HART MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1KELLEY TIERNAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0328760
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1235578
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 WAS PROVIDED TO CLAXTON MEDICAL, P.C.'S BOARD TO REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 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/ExplanationTxt2CLAXTON MEDICAL P.C.'S 990 IS AVAILABLE UPON WRITTEN REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CLAXTON MEDICAL P.C.'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0CLAXTON-HEPBURN MEDICAL CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0150559686
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0NOT FOR PROFIT HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0214 KING ST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0OGDENSBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd013669
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd01
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0487789
IRS990/TotalAssetsEOYAmt0755278
IRS990/TotalAssetsGrp/BOYAmt0487789
IRS990/TotalAssetsGrp/EOYAmt0755278
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt09323555
IRS990/TotalFunctionalExpensesGrp/TotalAmt09323555
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt011638427
IRS990/TotalLiabilitiesEOYAmt015753017
IRS990/TotalLiabilitiesGrp/BOYAmt011638427
IRS990/TotalLiabilitiesGrp/EOYAmt015753017
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-11150638
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-14997739
IRS990/TotalOtherCompensationAmt057317
IRS990/TotalOtherProgSrvcExpenseAmt04655469
IRS990/TotalOtherProgSrvcRevenueAmt02475321
IRS990/TotalProgramServiceExpensesAmt09323555
IRS990/TotalProgramServiceRevenueAmt05476453
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt05476453
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt05476453
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0487789
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0755278
IRS990/TotReportableCompRltdOrgAmt0507021
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0-11150638
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-14997739
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0214 KING STREET
IRS990/USAddress/CityNm0OGDENSBURG
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd013669
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KELLEY TIERNAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum03153938880
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-11-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CLAXTON MEDICAL PC
ReturnHeader/Filer/BusinessNameControlTxt0CLAX
ReturnHeader/Filer/EIN0264009395
ReturnHeader/Filer/PhoneNum03153938880
ReturnHeader/Filer/USAddress/AddressLine1Txt0214 KING STREET
ReturnHeader/Filer/USAddress/CityNm0OGDENSBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd013669
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0161226221
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FUST CHARLES CHAMBERS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt05784 WIDEWATERS PARKWAY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SYRACUSE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd013214
ReturnHeader/PreparerPersonGrp/PhoneNum03154463600
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOSEPH J SCHLEGEL
ReturnHeader/ReturnTs02016-11-14T15:56:16-06:00
ReturnHeader/ReturnTypeCd0990

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$755,278
Liabilities
$15,753,017
Net assets
-$14,997,739
Revenue
$5,476,453
Expenses
$9,323,555
Net income
-$3,847,102
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.14$84.3$84.2$3.62$12.1$8.50
2023Detailed filing. Detailed filing data is available for this year.$0.33$76.0$75.7$4.31$15.1$10.8
2022Detailed filing. Detailed filing data is available for this year.$0.52$65.4$64.9$4.82$15.9$11.0
2021Detailed filing. Detailed filing data is available for this year.$1.76$55.6$53.8$8.76$17.0$8.23
2020Detailed filing. Detailed filing data is available for this year.$1.25$46.9$45.6$7.77$15.1$7.37
2019Detailed filing. Detailed filing data is available for this year.$1.29$39.5$38.2$10.00$16.1$6.11
2018Detailed filing. Detailed filing data is available for this year.$1.09$33.2$32.1$8.73$14.8$6.06
2017Detailed filing. Detailed filing data is available for this year.$1.81$27.9$26.1$7.24$12.8$5.55
2016Detailed filing. Detailed filing data is available for this year.$0.98$21.5$20.5$7.16$12.7$5.51
2015Detailed filing. Detailed filing data is available for this year.$0.76$15.8$15.0$5.48$9.32$3.85
2014Detailed filing. Detailed filing data is available for this year.$0.49$11.6$11.2$4.47$7.49$3.02
2013Detailed filing. Detailed filing data is available for this year.$0.43$8.56$8.13$3.94$6.14$2.20