1 location registered under this record — data as of November 5, 2026
Critical access hospital · STAR LAKE, NY
CLIFTON-FINE HOSPITAL
Taking partNoTermination date filedOctober 1, 2025Last certifiedAugust 21, 2024
- 1Registered locations
- 1Associated locations
- 1Contract pharmacies
- 0With no end date
- August 9, 2010In 340B since
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended November 11, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,139,878 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $1,631,406 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,508,472 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,413,466 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$2,904,994 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $7,020 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $8,882 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $191,801 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $251,013 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $259,895 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 20 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 1.3087 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 331307 for January 1, 2024 to November 11, 2024, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by CLIFTON-FINE HEALTH CARE CORPORATION (employer identification number 900909506) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $0 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $0 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $0 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $0 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202403179349301700. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by CLIFTON-FINE HEALTH CARE CORPORATION (employer identification number 900909506) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALLEN DITCH | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| BRITTANI BICKEL | PHYSICIAN ASSISTANT | Highest-compensated employee | $159,645 | $0 | $6,803 |
| CHELSEA SNYDER-DENNIS | NURSE ADMINISTRATOR | Highest-compensated employee | $113,982 | $0 | $5,388 |
| CHUCK HOOVEN | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| DAVID DAUT | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| DAVID I MICHAELSON | DOCTOR | Highest-compensated employee | $250,349 | $0 | $10,481 |
| DIERDRA SORRELL | CEO/EX-OFFICIO | Trustee/director, Officer | $0 | $184,995 | $40,881 |
| HALSEY BAGG | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| JACQUELINE C SNYDER | PHYSICIAN ASSISTANT | Highest-compensated employee | $171,799 | $0 | $5,423 |
| JOHN BURNS | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| JOHN WHEELER | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| LEEANN SHORT | VICE-CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| MAJONICA DRAKE | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| MATTHEW ZEGIL | NURSE PRACTITIONER | Highest-compensated employee | $226,816 | $0 | $14,350 |
| MAXINE BRIGGS | CFO/TREASURER | Trustee/director, Officer | $0 | $544,695 | $48,174 |
| SADIE HALL | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| THOMAS CARMAN | BOARD MEMBER | Trustee/director | $0 | $1,043,591 | $59,072 |
| THOMAS SAUTER | CHAIRPERSON | Trustee/director, Officer | $0 | $0 | $0 |
E-file object id 202403179349301700. The IRS archive it was read from.
The full report for CLIFTON-FINE HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in New York beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- August 9, 2010
- Termination date
- October 1, 2025
- Termination reason
- Hospital Outpatient facility no longer eligible
- Certification date
- August 21, 2024
- Record last edited
- October 1, 2025
Identifiers
- 340B ID
- CAH331307-00
- Entity type as filed
- CAH
- CMS certification number
- 331307
- Rural
- Yes
1014 OSWEGATCHIE TRAIL, STAR LAKE NY 13690
Locations registered under this record
Browse all of them as a list →
| CAH331307-01 | CLIFTON-FINE CLINIC | CAH | STAR LAKE, NY | No |
Associated locations
| CLIFTON-FINE HOSPITAL | 1014 OSWEGATCHIE TRAIL | STAR LAKE NY 13690 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed1
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ADIRONDACK PHARMACY INC | STAR LAKE, NY | September 1, 2010 | October 1, 2025 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_172420.xlsx, stamped by its publisher November 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_172420.xlsx, read November 5, 2026.