NATHAN LITTAUER HOSPITAL ASSOCIATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NATHAN LITTAUER HOSPITAL ASSOCIATION (EIN 14-1338465)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-03
- IRS object ID
- 202213089349302471
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-03T08:22:43-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141338465 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATHAN LITTAUER HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATH | BusinessNameControlTxt |
| Phone | 5187258621 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 99 East State Street | AddressLine1Txt |
| City | Gloversville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12078 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mike Ostrander | PersonNm |
| Person Title | Vice President of Finance & CFO | PersonTitleTxt |
| Phone | 5187735480 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 1 | TrustedCustomerCd |
| OOB Security Verification | 11 | OOBSecurityVerificationCd |
| Last Submission Rqr OOB | 0 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nathan Littauer Hospital and Nursing Home | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Sean Fadale | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 99 East State Street | AddressLine1Txt |
| City | Gloversville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12078 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $167,937,666 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nlh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1894 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | Nathan Littauer Hospital & Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1185 | TotalEmployeeCnt |
| Total Volunteers | 105 | TotalVolunteersCnt |
| Total Gross UBI | $604,667 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $965,693 | PYContributionsGrantsAmt |
| CY Contributions Grants | $794,593 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $93,985,382 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $102,690,435 | CYProgramServiceRevenueAmt |
| PY Investment Income | $229,630 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,823,580 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,949,461 | PYOtherRevenueAmt |
| CY Other Revenue | $7,981,316 | CYOtherRevenueAmt |
| PY Total Revenue | $112,130,166 | PYTotalRevenueAmt |
| CY Total Revenue | $116,289,924 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $69,836,073 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $73,509,899 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $320,241 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,256,837 | PYOtherExpensesAmt |
| CY Other Expenses | $45,449,584 | CYOtherExpensesAmt |
| PY Total Expenses | $110,092,910 | PYTotalExpensesAmt |
| CY Total Expenses | $118,959,483 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,037,256 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,669,559 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $137,432,154 | TotalAssetsBOYAmt |
| Total Assets EOY | $141,997,544 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,212,596 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,001,853 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $103,219,558 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $105,995,691 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Nathan Littauer Hospital & Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $57,909,034 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $79,741,136 | RevenueAmt |
| Desc | 74 bed general medical surgical hospital providing inpatient and outpatient services with the following service statistics for 2021; 8,158 inpatient days, 666 observation visits, 704 new born days, 2,126 admissions, 359 nursery admissions, 16,530 emergency room visits, 97,318 outpatient visits and 4,455 day surgery visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $41,595,264 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $15,951,840 | RevenueAmt |
| Desc | The Nathan Littauer Hospital and Specialty Care Centers provide care for the whole family. Our eleven conveniently located centers offer a range of services and specialties that include urology, obstetrics, gynecology, podiatry, pulmonology, gastroenterology, pediatrics, and neurology along with direct access to state-of-the-art technology available at Nathan Littauer Hospital. Several Centers are located in remote rural parts of our service area. The Centers employ 36 physicians and over 34 other healthcare professionals. During 2021, the Centers collectively incurred 128,140 patient visits. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,524,130 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,852,602 | RevenueAmt |
| Desc | The Nathan Littauer Nursing Home located on the Nathan Littauer Hospital campus is a short and long-term residential healthcare facility that provides a wide range of medical services with 84 beds. In 2021, the facility had a total of 23,055 patient days. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $499,254 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,690,169 | RevenueAmt |
| Desc | HealthLink is Nathan Littauer Hospital's Wellness Education Center located in downtown Johnstown. HealthLink's role is to promote wellness by promoting prevention and providing resources to promote healthy lifestyle choices. Since its launch in 1989, HealthLink has served over 285,000 area residents with over 9,000 free or low-cost education programs and health screenings. Our wide varieties of programs are chosen based on the interests and the health needs of the community. Program categories: include Health & Wellness, Mind & Body, Childbirth & Parenting, Health Screenings, Support Groups, Chronic Disease Self-Management Workshops, and Fitness Classes. Programs and presentations on a variety of topics are offered throughout our service area at places such as local businesses, schools, churches and other organizations in order to better serve this rural community. HealthLink's resources include: fair and festival activities, trained employees and contracted staff, numerous brochures on a wide variety of health & wellness related topics available at no cost, as well as an array of health magazines, books and DVDs for loan. The Hospital also offers a Lifeline Program. Lifeline is a personal emergency response system providing immediate assistance 24 hours a day 7 days a week. A total of 420 subscribers are members of NLHs Lifeline Program. Other community services include community health fairs, speakers bureau, organ donation program and New Visions Program for high school students. Health Insurance Counseling: Nathan Littauer Hospital was awarded and continues to be the Lead Agency for the grant entitled: "Consumer Assistant for the NYS of Health Benefit Exchange" covering Fulton and Montgomery County. During the year of 2021 Nathan Littauer Hospital as Lead Agency the program's was able to enroll a total of 1,096 individuals with the following breakdown: Children's Medicaid - 181, Child Health Plus Program - 78, Adult Medicaid - 461, Adult Quality Health Plan - 261, Essential Plans - 115. Also included here is other operating revenue of $7,690,169. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $499,254 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $7,690,169 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $109,527,682 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1185 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Redcross | PersonNm |
| Phone | 5187735481 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 99 East State Street | AddressLine1Txt |
| City | Gloversville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12078 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Kamini Ramani MD | ||||||||
| Member/Employed Physician | 40 | 0 | Yes (X) | $766,797 | $0 | $38,040 | ||
| Verma Shri MD | ||||||||
| Physician | 40 | 0 | $696,060 | $0 | $39,286 | Yes (X) | ||
| Paul Husson MD | ||||||||
| Employed Physician | 40 | 0.25 | $598,536 | $0 | $39,170 | Yes (X) | ||
| Sean Fadale | ||||||||
| President and CEO | 40 | 0.25 | Yes (X) | $462,150 | $0 | $78,554 | Yes (X) | |
| Stephen Little MD | ||||||||
| Physician | 40 | 0 | $482,808 | $0 | $40,762 | Yes (X) | ||
| Bradley H Paddock MD | ||||||||
| Physician | 40 | 0 | $484,230 | $0 | $11,400 | Yes (X) | ||
| Robert Wasiczko MD | ||||||||
| Physician | 40 | 0 | $448,845 | $0 | $38,040 | Yes (X) | ||
| Mike Ostrander | ||||||||
| Vice President of Finance and CFO | 40 | 0.25 | $331,377 | $0 | $24,627 | Yes (X) | ||
| Gregory Truckenmiller PhD | ||||||||
| Chair | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Stephen Tomlinson | ||||||||
| Vice Chair | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Susan Johnson Esq | ||||||||
| Treasurer | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Holly Chamberlin Esq | ||||||||
| Secrerary | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Ciaccio | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Paul Connelie | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| John Fox DDS | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Tobin Cash | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Amy Pedrick | ||||||||
| Member | 0.5 | 0 | Yes (X) | $0 | $0 | $0 | ||
| G Jeremiah Ryan PhD | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| David Seward Esq | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Diana Marshall | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Jennifer Wojeski Esq | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| John Mastrangelo MD | ||||||||
| Member | 0.5 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,270,803 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $309,879 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 150 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Navin Haffety & Associates | |||||
| 1900 W Park Dr Suite 180 | Westborough | MA | 01581 | Information Technology Services | $3,347,394 |
| Sodexo Operations | |||||
| PO Box 905374 | Charlotte | NC | 28290 | Dietary Services | $1,874,780 |
| MLB Construction Services LLC | |||||
| 1 Stone Break Road | Malta | NY | 12020 | Construction Services | $1,329,433 |
| Gloversville Physician Medicine PC | |||||
| PO Box 82368 | Lafayette | LA | 70598 | Physician Services | $1,062,799 |
| Alliance Healthcare Services | |||||
| PO Box 964485 | Chicago | IL | 60693 | MRI Imaging | $1,053,388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $200,000 | RelatedOrganizationsAmt |
| Government Grants | $489,375 | GovernmentGrantsAmt |
| All Other Contributions | $105,218 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $794,593 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Inpatient and Outpatient Services | 622110 | $79,741,136 | $79,574,605 | $166,531 | $0 |
| Primary Care Centers | 621400 | $15,951,840 | $15,951,840 | $0 | $0 |
| Nursing Home | 623000 | $6,852,602 | $6,852,602 | $0 | $0 |
| Lifeline | 621990 | $142,790 | $142,790 | $0 | $0 |
| Healthlink | 611710 | $2,067 | $2,067 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $102,690,435 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,309,891 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,132 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,307,759 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $55,148,408 | SecuritiesAmt |
| Other | $13,023 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,647,742 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,500,666 | SecuritiesAmt |
| Other | $13,023 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,513,689 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,513,689 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Retail Pharmacy | 446110 | $436,004 | $0 | $436,004 | $0 |
| 340b Pharmacy | 900099 | $2,077,377 | $2,077,377 | $0 | $0 |
| Cafeteria Sales | 722212 | $340,125 | $340,125 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,127,810 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,127,810 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,981,316 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,289,924 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $110,069,216 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $604,667 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,821,448 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,560,324 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,560,324 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,220,477 | TotalAmt |
| Program Services | $53,478,049 | ProgramServicesAmt |
| Management And General | $3,496,326 | ManagementAndGeneralAmt |
| Fundraising | $246,102 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,212,702 | TotalAmt |
| Program Services | $3,115,941 | ProgramServicesAmt |
| Management And General | $86,917 | ManagementAndGeneralAmt |
| Fundraising | $9,844 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,497,078 | TotalAmt |
| Program Services | $6,981,940 | ProgramServicesAmt |
| Management And General | $483,715 | ManagementAndGeneralAmt |
| Fundraising | $31,423 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,019,318 | TotalAmt |
| Program Services | $3,693,083 | ProgramServicesAmt |
| Management And General | $307,408 | ManagementAndGeneralAmt |
| Fundraising | $18,827 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,670 | TotalAmt |
| Program Services | $525,670 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,861 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $215,861 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,465 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $160,465 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,850 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $32,850 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,228,692 | TotalAmt |
| Program Services | $5,874,648 | ProgramServicesAmt |
| Management And General | $354,044 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,472 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $169,472 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,725,066 | TotalAmt |
| Program Services | $5,103,086 | ProgramServicesAmt |
| Management And General | $621,980 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,239,746 | TotalAmt |
| Program Services | $1,238,017 | ProgramServicesAmt |
| Management And General | $1,729 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,108 | TotalAmt |
| Program Services | $140,209 | ProgramServicesAmt |
| Management And General | $15,899 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,793 | TotalAmt |
| Program Services | $275,793 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,265,141 | TotalAmt |
| Program Services | $6,025,824 | ProgramServicesAmt |
| Management And General | $239,317 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,594,207 | TotalAmt |
| Program Services | $1,594,207 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $12,281,826 | $12,281,518 | $308 | $0 |
| Non-Medical Supplies | $1,421,637 | $1,379,277 | $42,360 | $0 |
| Purchased Services | $6,667,560 | $5,943,127 | $724,433 | $0 |
| Food | $687,825 | $687,825 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,801,665 | TotalAmt |
| Program Services | $1,189,468 | ProgramServicesAmt |
| Management And General | $598,152 | ManagementAndGeneralAmt |
| Fundraising | $14,045 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,959,483 | TotalAmt |
| Program Services | $109,527,682 | ProgramServicesAmt |
| Management And General | $9,111,560 | ManagementAndGeneralAmt |
| Fundraising | $320,241 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,081,069 | BOYAmt |
| EOY | $4,803,211 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,822,514 | BOYAmt |
| EOY | $2,053,881 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,158,065 | BOYAmt |
| EOY | $992,388 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,366,879 | BOYAmt |
| EOY | $13,513,162 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,463,379 | BOYAmt |
| EOY | $1,223,240 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,941,841 | BOYAmt |
| EOY | $1,425,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $122,641,327 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,147,808 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,648,171 | BOYAmt |
| EOY | $42,493,519 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,232,015 | BOYAmt |
| EOY | $68,271,155 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,718,221 | BOYAmt |
| EOY | $7,221,791 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,432,154 | BOYAmt |
| EOY | $141,997,544 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,099,045 | BOYAmt |
| EOY | $12,232,898 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $638,876 | BOYAmt |
| EOY | $582,771 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,474,675 | BOYAmt |
| EOY | $23,186,184 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,212,596 | BOYAmt |
| EOY | $36,001,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,202,197 | BOYAmt |
| EOY | $101,137,008 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,017,361 | BOYAmt |
| EOY | $4,858,683 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,219,558 | BOYAmt |
| EOY | $105,995,691 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,432,154 | BOYAmt |
| EOY | $141,997,544 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,669,559 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,747,516 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $3,698,176 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $32,850 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,850 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | A portion of the organizations dues for the American Hospital Association, Healthcare Association of New York State and the Iroquois Healthcare Consortium is used for Lobbying purposes. Also the organization engaged a law firm to seek an extension of the Medicare Dependent Hospital Designation as part of a group effort with other rural Hospitals. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $560,097 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $96,200 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $1,216 | AdministrativeExpensesAmt |
| End Year Balance | $655,081 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $481,594 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $79,449 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $946 | AdministrativeExpensesAmt |
| End Year Balance | $560,097 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $395,103 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $87,589 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $1,098 | AdministrativeExpensesAmt |
| End Year Balance | $481,594 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $438,438 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | -$42,336 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $999 | AdministrativeExpensesAmt |
| End Year Balance | $395,103 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $374,009 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $66,039 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $1,610 | AdministrativeExpensesAmt |
| End Year Balance | $438,438 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,103,543 | OtherCostOrOtherBasisAmt |
| Book Value | $1,103,543 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $58,112,484 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,430,880 | DepreciationAmt |
| Book Value | $23,681,604 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,106,131 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,684,995 | DepreciationAmt |
| Book Value | $421,136 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $57,813,025 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,425,292 | DepreciationAmt |
| Book Value | $16,387,733 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,506,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,606,641 | DepreciationAmt |
| Book Value | $899,503 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,493,519 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| AWUIL by Board Designation | $744,788 |
| Agency Funds | $52,462 |
| Other Assets | $359,290 |
| Software License | $3,311,195 |
| Deferred Finance Costs | $15,106 |
| Deferred Assets - 457 plans | $2,738,950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,221,791 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Third Parties | $4,814,079 |
| Long-Term Pension Obligation | $3,028,459 |
| Section 457 Plans | $2,926,054 |
| EHR Reserve | $449,711 |
| Promissory Notes | $11,967,881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,186,184 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $121,735,616 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,747,516 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $3,698,176 | OtherRevenueAmt |
| Revenue Not Reported | $5,445,692 | RevenueNotReportedAmt |
| Revenue Subtotal | $116,289,924 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $116,289,924 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $118,959,483 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $118,959,483 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $118,959,483 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | The principle donation is permanently restricted, income generated by the fund can be used toward operations of the hospital. |
| Schedule D, Part X, Line 2 | The Hospital is a not-for-profit organization, as described in Section 501c 3 of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501 (a) of the Code. The Hospital recognizes income tax positions when its more-likely than not that position will be sustainable based on the merits of the position. Recognized tax liabilities are not material to the financial statements as of December 31, 2021 or 2020. |
| Schedule D, Part XI, Line 2d | Changes include increases of $3,605,319 for pension related changes other than net periodic pension cost, distributions of $159,496 from interest in the net assets from Nathan Littauer Hospital Foundation, capital grant awards receipts of $92,039 increase of $6,999 for changes in net assets for capital grant awards and a decrease of $165,677 for changes in net assets of the Nathan Littauer Hospital Foundation. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 777 | PersonsServedCnt |
| Total Community Benefit Expns | $138,407 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,231 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $127,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 60721 | PersonsServedCnt |
| Total Community Benefit Expns | $24,280,787 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,035,420 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,245,367 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0777 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 61498 | PersonsServedCnt |
| Total Community Benefit Expns | $24,419,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,046,651 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,372,543 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0788 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 2472 | PersonsServedCnt |
| Total Community Benefit Expns | $540,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $347,422 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $193,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0016 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 295 | PersonsServedCnt |
| Total Community Benefit Expns | $10,315 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,313 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 122590 | PersonsServedCnt |
| Total Community Benefit Expns | $26,708,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,247,313 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,460,744 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1132 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 200 | PersonsServedCnt |
| Total Community Benefit Expns | $8,545 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 125557 | PersonsServedCnt |
| Total Community Benefit Expns | $27,267,668 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,601,048 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,666,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1149 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 187055 | PersonsServedCnt |
| Total Community Benefit Expns | $51,686,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,647,699 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,039,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1937 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,021,391 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,000,422 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,979,031 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nathan Littauer Hospital Association | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 99 East State Street | AddressLine1Txt |
| City | Gloversville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12078 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.nlh.org | WebsiteAddressTxt |
| State License | 1701000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nathan Littauer Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.nlh.org/wp-content/uploads/2020/01/2019-2021-Community-Health-Needs-Assessment.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.nlh.org/wp-content/uploads/2020/01/2019-Implementation-Strategy.pdf | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.nlh.org/wp-content/uploads/2020/01/2020_Financial_Assistance_Policy-website.pdf | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.nlh.org/wp-content/uploads/2020/01/2020_Financial_Assistance_Application.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.nlh.org/wp-content/uploads/2020/01/2020_Financial_Assistance_Summary.pdf | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Nathan Littauer Hospital Association | The Ad Hoc Data Sub-Committee of the Adirondack Rural Health Network (ARHN) drafted a survey to obtain input from the community. ARHN surveyed key informants in the seven county service area, to provide the CHA Committee with input on regional health care needs and priorities. The survey was developed using Survey Monkey; it included 14 community health questions, as well as several demographic questions. The CHA Committee provided a list of health care, social service, education, government, and service providers by county to survey. The collected distribution list totaled 807 key informants. In early January 2019, the CHA Committee partners sent an email to community stakeholders to introduce the survey and provide a web-based link. ARHN staff sent a second email approximately two weeks later after the initial reach out. CHA Committee members received the names of all non-respondents for additional follow up, at partner discretion. The survey requested that key informants identify the top two New York State Prevention Agenda priority areas from a list of five. Key informants also gave insight on what they felt were the top health concerns and what contributing factors were most influential for those specific health concerns. Chosen priority areas were analyzed by totaling the responses by county. The priority area that received the most responses is the First Choice, followed by the second most responses listed as Second Choice. Fulton County informants identified Promote Well-Being and Prevent Mental and Substance Use Disorders as their top priority and Prevent Chronic Disease as their second choice. |
| Schedule H, Part V, Section B, Line 6a-Nathan Littauer Hospital Association | The Community Health Assessment Committee is comprised of representatives from hospitals; Adirondack Health, Glens Falls Hospital, University of Vermont Health Network- Alice Hyde Medical Center, University of Vermont Health Network - Champlain Valley Physicians Hospital, and University of Vermont Health Network- Elizabethtown Community Hospital. |
| Schedule H, Part V, Section B, Line 6b-Nathan Littauer Hospital Association | The Community Health Assessment Committee is comprised of representatives from organizations other than hospital facilities including; Clinton County Health Department, Essex County Public Health, Franklin County Public Health, Fulton County Public Health, Hamilton County Public Health, Warren County Health Service and Washington County Health Services. |
| Schedule H, Part V, Section B, Line 11-Nathan Littauer Hospital Association | After reviewing the survey results and determining the ability to affect the focus areas, Nathan Littauer Hospital and Fulton County Public Health Department selected the following priorities; #1-Prevent Chronic Disease with a focus area of Preventive Care and Management and #2-Prevent Communicable Diseases with a focus area of Antimicrobial Resistance and Healthcare-Associated Infections for our 2019-2021 service plan. To address the Prevention of chronic disease priority, Nathan Littaer Hospital offers evidence-based self-management programs. Data shows the programs increase self-efficacy in managing one's health, are effective in increasing or maintaining independence, positive health behavior and or mobility. Reduction in disability (fewer falls, later onset or fewer years of disability, etc.) along with pain reduction are other outcomes. Mental health (including delays in loss of cognitive function and positive effects on depressive symptoms) and over-all quality of life are also improved. Rural residents have limited access to care due to fewer options for public transportation, socioeconomic conditions, access to mass media and emerging technologies, built environment, and some physical barriers. It is our goal to improve self-management skills for individuals with chronic disease, including asthma, arthritis, cardiovascular disease, diabetes, prediabetes and obesity. The benefits of utilizing evidence-based programs carry over from the community members to Community-Based and Health Care Organizations. Efficient use of available resources occur as it facilitates partnerships and clinical linkages, which lead to greater opportunity for varied funding sources. Fewer hospital and doctor visits, lower health care costs, better health outcomes and a more positive health care experiences. Nathan Littauer Hospital has staff trained to facilitate the following evidence-based programs; Chronic Disease Self-Management Program (CDSMP), Diabetes Self-Management Program (DSMP), National Diabetes Prevention Program (NDPP), Chronic Pain Self-Management Program (CPSMP), The Butt Stops Here (TBSH), Active Living Every Day (ALED), Healthy Eating Every Day (HEED), and Tai Chi for Arthritis and Fall Prevention. We plan to expand access to evidence-based self-management interventions for individuals with arthritis, asthma, cardiovascular disease, and diabetes We will measure the results by looking at; the number of workshops delivered, the number of participants who complete 4 out of 6 sessions, and the number of sites and or counties where workshops are held. Concerning Priority #2 the Prevention of Communicable Diseases, The CDC has identified certain disparities increase the risk of antibiotic-resistance. These include; increased age, people residing in a health care setting, living in a rural area and lower socioeconomic status. The data suggests that Fulton County would be at an increased risk. The population of people 65 years of age and older is higher than that in other areas of New York State, and the household income is much lower, with more people living below the Federal Poverty Level. Nathan Littauer Hospital & Nursing Home plans to build a team of clinicians and support personal that will collaborate with Fulton County Public Health to decide on educational material to disseminate into the community. Visiting nursing agencies and local pharmacies asked to collaborate with us on developing a cohesive messaging plan. Our hospital's marketing team, including our graphic designers will consult with our team to develop the final material. We will utilize our in-house print shop to produce the materials. The identified priority not chosen by Nathan Littauer Hospital was Promote Well-Being and Prevent Mental and Substance Use Disorders. Stakeholders identified this priority as the second largest need in our area. Due to limitations, Nathan Littauer Hospital & Nursing Home did not choose to focus on this priority. Our organization does not have the clinical infrastructure to address mental health issues at the hospital level for on-going treatment. We do refer to appropriate providers and hospitals in the area and our trained clinicians can meet the needs of a patient with a mental health issue in a medical setting. We have cooperative relationships with the Family Counseling Center, even offering them office space in exchange for quick mental health referrals for our patients in crisis. We refer to a neighboring hospital's mental health treatment facilities available. On the Primary Care level, we are able to provide situational mental health assistance; providing medication as indicated and/or referral to appropriate local and regional resources. The ARHN CHA voted unanimously to address this as our regional priority. Nathan Littauer Hospital & Nursing Home will work in conjunction with ARNH to implement meaningful NY Prevention Agenda interventions to the best of our abilities. Additionally we will work with Fulton County Department of Public Health as members of the Mohawk Valley Population Health Improvement Program (MVPHIP) identified behavioral health as a priority and has a workgroup to address stigma and provide mental health resources to the region. |
| Schedule H, Part V, Section B, Line 20d-Nathan Littauer Hospital Association | The Hospital does not have adequate resources to accurately predict those who would qualify for its Financial Assistance Program |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Nathan Littauer Hospital Nursing Home | ||||
| 99 East State Street | Gloverville | NY | 12078 | 84 Bed Nursing Home. |
| Nathan Littauer Hospital Primary Care | ||||
| 99 East State Street | Gloversville | NY | 12078 | Primary/Specialty Care Center (Clinic) |
| Perth Primary Care Center | ||||
| 4100 State Highway 30 | Amsterdam | NY | 12110 | Primary/Specialty Care Center (Clinic). |
| Johnstown Primary Care Center | ||||
| 23 South Perry Street | Johnstown | NY | 12095 | Primary/Specialty Care Center (Clinic). |
| Mayfield Primary Care Center | ||||
| 2497 State Highway 30 | Mayfield | NY | 12117 | Primary/Specialty Care Center (Clinic). |
| Kingsboro GI Center | ||||
| 434 South Kingsboro Ave Extension | Johnstown | NY | 12095 | Primary/Specialty Care Center (Clinic). |
| Decker Drive Primary Care Center | ||||
| 9 Decker Drive | Johnstown | NY | 12095 | Primary/Specialty Care Center (Clinic). |
| Steele Avenue Primary Care Center | ||||
| 182 Steele Avenue | Gloversville | NY | 12078 | Primary/Specialty Care Center (Clinic). |
| Speculator Primary Care Center | ||||
| Route 8 | Speculator | NY | 12164 | Primary/Specialty Care Center (Clinic). |
| Caroga Lake Primary Care Center | ||||
| 1840 State Highway 10 | Caroga Lake | NY | 12032 | Primary/Specialty Care Center (Clinic). |
| Fonda Primary Care Center | ||||
| 46 East Main Street | Fonda | NY | 12068 | Primary/Specialty Care Center (Clinic). |
| Broadalbin Primary Care Center | ||||
| 103 County Highway 138 | Broadalbin | NY | 12025 | Primary/Specialty Care Center (Clinic) |
| Amsterdam Primary & Urgent Care Center | ||||
| 375 Golf Course Road | Amsterdam | NY | 12010 | Amsterdam Primary/Urgent Care Center: |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | The costing methodology used to calculate the amounts reported in the Table for Line 7 is the ratio of patient cost to patient charges. |
| Schedule H, Part I, Line 7, Column f | Bad Debt Expense was not included in Form 990, Part IX line 25, Column (A) and not subtracted for the purpose of calculating the percentage in Schedule H Part 1, Line 7 column (f). |
| Schedule H, Part I, Line 7g | Subsidized health services reported included details from the Primary/Specialty Care Centers and licensed clinics. The Centers operate despite financial losses to the Organization for at least the last fifteen years. The Hospital is committed to operate the Clinics as a benefit to the community in order to address an identified need and to improve access to healthcare, including our remote communities. |
| Schedule H, Part III, Section A, Line 2 | Due to the adoption of ASU No. 2014-09- Revenue from contracts with Customers (Topic 606) bad debt expense is no longer reported on the audited financial statements. Rather, it is treated as a price concession. Revenue from Contracts with Customers (Topic 606), which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most current revenue recognition guidance, including industry specific guidance, and requires significantly expanded disclosures about revenue recognition. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. |
| Schedule H, Part III, Section A, Line 3 | Due to the adoption of ASU No. 2014-09- Revenue from contracts with Customers (Topic 606) bad debt expense is no longer reported on the audited financial statements. Rather, it is treated as a price concession. Revenue from Contracts with Customers (Topic 606), which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most current revenue recognition guidance, including industry specific guidance, and requires significantly expanded disclosures about revenue recognition. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. |
| Schedule H, Part III, Section A, Line 4 | The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. Those records include the amount of charges for services and supplies furnished to patients at no charge. The level of charity care, measured on the basis of cost, is approximately $157,000 and $204,000 for 2021 and 2020, respectively. The cost of charity care provided was determined based on the application of the ratio of the Hospital's overall cost to patient charges. Included in net patient service revenue for 2021 and 2020 is approximately $0 and $112,000, respectively in net uncompensated care distributions received from New York State to support the cost of charity care. |
| Schedule H, Part III, Section B, Line 8 | Medicare allowable costs were calculated using a cost to charge ratio based upon the cost finding methodology in the Medicare 2252-10 Cost Report. Community Benefit rationale: The Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patient, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though costs exceed reimbursements by $1,979,031. Tax exempt hospital are expected to participate in the Medicare program. For many of the medical services provided by the Hospital, Medicare does not provide sufficient reimbursement to cover the cost of providing care to our patients, forcing the Hospital to use other funds to cover the deficit. Medicare Cost Reports that hospitals are required to file do not include the costs required to treat all Medicare patients. Therefore, the amount reflected on the Medicare Cost Report differs from actual losses. In 2021 the Hospital realized an additional shortfall of $4,436,508 resulting from Medicare Advantage and non-PPS Medicare patients. The total shortfall for all types of Medicare patients was $6,415,539. |
| Schedule H, Part III, Section C, Line 9b | Requests for Financial Assistance may be made at any point before, during or after the provision of care. Anyone seeking Financial Assistance will be given an application. Financial Assistance requests may be proposed by sources other than the patient, such as patient's physician, family members, social services or hospital personnel. Pending final eligibility determination, Nathan Littauer Hospital will not initiate collection efforts or requests for deposits provided that the responsible party is cooperative with Nathan Littauer Hospital's efforts to get payment from other sources. If initial screening does not disqualify someone for Financial Assistance they will be given an application, which includes instructions on how to apply. |
| Schedule H, Part VI, Line 2 | The Mohawk Valley Population Health Improvement Program (MVPHIP) partnered with Fulton County Public Health Department and Nathan Littauer Hospital & Nursing Home to complete their 2019-2021 Community Health Needs Assessment utilizing key informant survey data compiled by Adirondack Rural Health Network. The key informants represent a broad range of sectors, community interests, and includes organizations that represent the medically underserved, low-income, and minority populations. In addition to the key informant responses, the assessment includes quantitative data sources collected and published by New York State, as well as health indicators included on the MVPHIP website compiled by Healthy Communities Institute. The site includes a comprehensive dashboard of community indicators covering over 20 topics in the areas of health, social determinants of health, and quality of life from public secondary data sources. Fulton County Public Health Department and Nathan Littauer Hospital & Nursing Home also collected a small sample of community members' views on the health of the community. |
| Schedule H, Part VI, Line 3 | NLH educates our patient population for our Financial Assistance policy in the following ways: NLH has provided a "Frequently Asked Question" section on our website (www.nlh.org) to answer questions our patients may have. We have posted the complete Charity/Financial assistance policy on our website (www.nlh.org). NLH posts in their registration areas the availability of Financial Assistance and the appropriate contact information to obtain and complete the application process. NLH also provides pamphlets in all of our inpatient and outpatient registration areas literature providing information on insurances and again, providing information on our Financial Assistance program and contact information. NLH has four facilitated enrollers available to assist patients with their application for Medicaid, Quality Health Plan and Child Health Plus. They will also assist patients in completing our charity care application. Our staff has been trained in assisting our patients with obtaining application and providing direction and contact information for the completion of same. Our in-patient statements and our billing agency provides information advising patients to contact our offices to request the application and assistance in its completion. |
| Schedule H, Part VI, Line 4 | Nathan Littauer Hospital and Nursing Home is located in a rural area in Upstate New York. Our primary service area is Fulton County with additional services in neighboring Hamilton and Montgomery counties. Within our main service area, Fulton County, 2017 data shows a population of 53,877 a 3.0% decrease since 2010. Of those reporting one race, 95.3% of those residents identified themselves as white. 50.2% of our population are women. Over 19.1% of the population has median age of 65 or older. The median household income in Fulton County is $46,090. Our county has 15.0% of its residents living below the poverty level. 86.7% of the population has a high school degree or higher. The leading industries remain: Educational services, health care and social assistance employing 26% of the workforce followed by manufacturing employing 15%. Unemployment rates for 2017 are about 6%. Major health issues for our region remain, respiratory diseases/childhood asthma, cancers of the lung and colon, lack of physical fitness and nutrition, unintentional injuries, tobacco use, lead poisoning and chronic diseases of the lung and the heart. Of particular note is our aging population and poverty levels, which are much higher than the state average. Our mission is in keeping with the community need as we strive to provide care that is effective, clinically astute, safe and accessible. |
| Schedule H, Part VI, Line 5 | The Board of Directors of Nathan Littauer Hospital and Nursing Home is made up of medical and business professionals, all of whom reside in our primary service area. These volunteers give countless hours to the organization in their oversight role. They are involved in the community needs assessment process, in fundraising and in general stewardship. Littauer utilizes excess funds to reinvest in our technology, computerization and facilities to keep our organization safe, efficient and accessible as well as to ensure quality patient care. For example, we used excess funds to support free and low cost education programs offered by Healthlink Littauer. We added a new Primary Care Center in Amsterdam NY and added new Capital Equipment acquisitions and projects in 2021. |
| Schedule H, Part VI, Line 7 | New York State |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sean Fadale | ||||||||||||||
| President and CEO | $461,460 | $0 | $0 | $0 | $690 | $0 | $49,192 | $0 | $29,362 | $0 | $540,704 | $0 | $0 | $0 |
| Mike Ostrander | ||||||||||||||
| Vice President of Finance and CFO | $330,687 | $0 | $0 | $0 | $690 | $0 | $24,627 | $0 | $0 | $0 | $356,004 | $0 | $0 | $0 |
| Kamini Ramani MD | ||||||||||||||
| Member/Employed Physician | $763,022 | $0 | $0 | $0 | $3,775 | $0 | $11,400 | $0 | $26,640 | $0 | $804,837 | $0 | $0 | $0 |
| Verma Shri MD | ||||||||||||||
| Physician | $692,250 | $0 | $0 | $0 | $3,810 | $0 | $11,400 | $0 | $27,886 | $0 | $735,346 | $0 | $0 | $0 |
| Paul Husson MD | ||||||||||||||
| Member/Employed Physician | $598,236 | $0 | $0 | $0 | $300 | $0 | $11,400 | $0 | $27,770 | $0 | $637,706 | $0 | $0 | $0 |
| Stephen Little MD | ||||||||||||||
| Physician | $482,538 | $0 | $0 | $0 | $270 | $0 | $11,400 | $0 | $29,362 | $0 | $523,570 | $0 | $0 | $0 |
| Bradley H Paddock MD | ||||||||||||||
| Physician | $478,050 | $0 | $0 | $0 | $6,180 | $0 | $11,400 | $0 | $0 | $0 | $495,630 | $0 | $0 | $0 |
| Robert Wasiczko MD | ||||||||||||||
| Physician | $446,865 | $0 | $0 | $0 | $1,980 | $0 | $11,400 | $0 | $26,640 | $0 | $486,885 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 4 | FormAndLineReferenceDesc |
| Explanation | Payments of $37,792 were made of behalf of the CEO, Sean Fadale to a 457(f) plan in 2021. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | HealthLink is Nathan Littauer Hospital's Wellness Education Center located in downtown Johnstown. HealthLink's role is to promote wellness by promoting prevention and providing resources to promote healthy lifestyle choices. Since its launch in 1989, HealthLink has served over 285,000 area residents with over 9,000 free or low-cost education programs and health screenings. Our wide varieties of programs are chosen based on the interests and the health needs of the community. Program categories: include Health & Wellness, Mind & Body, Childbirth & Parenting, Health Screenings, Support Groups, Chronic Disease Self-Management Workshops, and Fitness Classes. Programs and presentations on a variety of topics are offered throughout our service area at places such as local businesses, schools, churches and other organizations in order to better serve this rural community. HealthLink's resources include: fair and festival activities, trained employees and contracted staff, numerous brochures on a wide variety of health & wellness related topics available at no cost, as well as an array of health magazines, books and DVDs for loan. The Hospital also offers a Lifeline Program. Lifeline is a personal emergency response system providing immediate assistance 24 hours a day 7 days a week. A total of 420 subscribers are members of NLHs Lifeline Program. Other community services include community health fairs, speakers bureau, organ donation program and New Visions Program for high school students. Health Insurance Counseling: Nathan Littauer Hospital was awarded and continues to be the Lead Agency for the grant entitled: "Consumer Assistant for the NYS of Health Benefit Exchange" covering Fulton and Montgomery County. During the year of 2021 Nathan Littauer Hospital as Lead Agency the program's was able to enroll a total of 1,096 individuals with the following breakdown: Children's Medicaid - 181, Child Health Plus Program - 78, Adult Medicaid - 461, Adult Quality Health Plan - 261, Essential Plans - 115. Also included here is other operating revenue of $7,690,169. |
| Form 990, Part VI, Section A, Line 6 | The sole member of the Nathan Littauer Hospital Association is Colonial Healthcare Corp. which shall be represented at all meetings of the Association by the President of the Board of Directors of Colonial Healthcare Corp. or such person designated by the President in writing. |
| Form 990, Part VI, Section A, Line 7b | Colonial Healthcare Corp. the sole member of the Nathan Littauer Hospital Association must consent to any changes to the Hospital's bylaws. |
| Form 990, Part VI, Section B, Line 11b | The form 990 was presented at a regular meeting of the Board of Directors on October 25, 2022 by Mike Ostrander, Vice President of Finance and CFO and Sean Fadale, President and CEO prior to the filing of the form. A complete copy of the form is made available to all members |
| Form 990, Part VI, Section B, Line 12c | The Hospital's Conflict of Interest policy requires the filing of an annual disclosure statement by covered persons. Covered persons are defined as "Any director, officer, member of a committee with governing board delegated powers, or any member of the Capital Acquisition Committee, Pharmacy & Therapeutics Committee. Value Analysis Committee and Hospital employees who have a position which involves the acquisition of equipment and supplies or who authorize payments for such material. The Board or Committee is informed annually of any possible conflicts. The covered person has a duty to disclose the possible conflict when a matter is brought before or the Board or Committee and Board or Committee makes the determination if a conflict actually exists. The conflicted party will not participate in the discussion of the matter at hand and will leave the meeting which a vote of the disinterested parties takes place. The Corporate Compliance Officer and the Chairman of the Board or Committee are responsible for compliance with policy. |
| Form 990, Part VI, Section B, Line 15 | The Hospital's Compensation Committee is composed of the Chairman, Vice Chairman and immediate past Chairman of the Board of Directors. All members are independent directors. The Committee utilizes comparable compensation data in its determinations. The compensation of the President (CEO) of the hospital is in the form of a recommendation to the full Board of Directors in an Executive Session of the meeting. Only independent directors are present at the meeting. The Compensation committee also advises and assists the President (CEO) in determining the compensation for senior management of the Hospital using comparative compensation data. |
| Form 990, Part VI, Section C, Line 19 | The Hospital publishes an annual report distributed by mail and made available for distribution through a number of public outlets such as civic and social organizations. The report includes condensed financial statements and various statistical data relative to services provided to the community including free clinics, education programs, health fairs, ect. The form 990 is available to the public upon request. The Hospital's governing documents, conflict of interest policy and internal financial statements are not available to the public. |
| Form 990, Part XI, Line 9 | Changes include increases of $3,605,319 for pension related changes other than net periodic pension cost, distributions of $159,496 from interest in the net assets from Nathan Littauer Hospital Foundation, capital grant awards receipts of $92,039 increase of $6,999 for changes in net assets for capital grant awards and a decrease of $165,677 for changes in net assets of the Nathan Littauer Hospital Foundation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gloversville Extended Care & Nursing Home Co Inc | ||||||||||||
| 99 East State Street | Gloversville | NY | 12078 | 237065255 | Leasing a 84 bed Skilled Nursing Facility | NY | 501(c)3 | Schedule A Line 3 | Nathan Littauer Hospital | Association | Yes (1) | |
| NLH Realty Corp | ||||||||||||
| 99 East State Street | Gloversville | NY | 12078 | 141641020 | Realty Holding Company | NY | 501(c)2 | Nathan Littauer Foundation | 0 | |||
| Nathan Littauer Foundation | ||||||||||||
| 99 East State Street | Gloversville | NY | 12078 | 141638991 | Support the Hospital and promote healthcare | NY | 501(c)3 | Schedule A Line 7 | Colonial Healthcare Corporation | 0 | ||
| Nathan Littauer Hospital Auxiliary | ||||||||||||
| 99 East State Street | Gloversville | NY | 12078 | 146086641 | Assisting Hospital in promoting healthcare | NY | 501(c)3 | Schedule A Line 12 | 0 | N/A | ||
| Colonial Healthcare Corporation | ||||||||||||
| PO Box 586 | Gloversville | NY | 12078 | 141670605 | Support & Supplement the activities and goals | NY | 501(c)3 | Schedule A Line 7 | 0 | N/A | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nathan Littauer Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionTypeTxt |
| Involved | $200,000 | InvolvedAmt |
| Method Of Amount Determination | Payment to Hospital | MethodOfAmountDeterminationTxt |