ALBANY MED HEALTH SYSTEM: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ALBANY MED HEALTH SYSTEM (EIN 14-1338413)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202103199349321725
- Schema version
- 2020v4.1
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T16:12:59-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 BROADWAY 4TH FLOOR | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141338413 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLENS FALLS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GLEN | BusinessNameControlTxt |
| Phone | 5189265013 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK STREET | AddressLine1Txt |
| City | GLENS FALLS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANNE SHUGRUE | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 5189265013 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DIANNE | PersonFirstNm |
| Person Last | SHUGRUE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD P TERESCO | PreparerPersonNm |
| PTIN | P00247720 | PTIN |
| Phone | 5184274600 | PhoneNum |
| Preparation | 2021-11-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DIANNE SHUGRUE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK STREET | AddressLine1Txt |
| City | GLENS FALLS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $360,629,359 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 5980 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GLENSFALLSHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1897 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2752 | TotalEmployeeCnt |
| Total Volunteers | 206 | TotalVolunteersCnt |
| Total Gross UBI | $3,743,761 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,875,463 | PYContributionsGrantsAmt |
| CY Contributions Grants | $32,681,969 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $326,668,033 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $309,285,653 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,664,436 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,381,698 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,581,749 | PYOtherRevenueAmt |
| CY Other Revenue | $3,102,350 | CYOtherRevenueAmt |
| PY Total Revenue | $347,789,681 | PYTotalRevenueAmt |
| CY Total Revenue | $346,451,670 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $179,481,366 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $173,372,095 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $329,888 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $171,691,638 | PYOtherExpensesAmt |
| CY Other Expenses | $173,943,773 | CYOtherExpensesAmt |
| PY Total Expenses | $351,185,004 | PYTotalExpensesAmt |
| CY Total Expenses | $347,327,868 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,395,323 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$876,198 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $265,741,933 | TotalAssetsBOYAmt |
| Total Assets EOY | $356,058,419 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $159,704,948 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $206,102,158 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $106,036,985 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $149,956,261 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $265,815,100 | ExpenseAmt |
| Grant | $12,000 | GrantAmt |
| Revenue | $310,547,977 | RevenueAmt |
| Desc | GLENS FALLS HOSPITAL PROVIDES A COMPREHENSIVE HEALTH CARE SYSTEM THAT STRETCHES ACROSS 6,000 SQUARE MILES ACROSS 5 DIVERSE COUNTIES. WE PROVIDE HIGH QUALITY CARE TO PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. WE ARE A 391 BED FACILITY WITH MORE THAN 380 CERTIFIED PHYSICIANS IN OVER 25 SPECIALTIES. OUR SERVICES INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY CARE, SURGICAL SERVICES, MENTAL HEALTH, CANCER CARE, PRIMARY CARE, AND PREVENTATIVE HEALTH EDUCATION. IN 2020, WE HAD 46,180 PATIENT DAYS AND 11,043 DISCHARGES. THE EMERGENCY CARE CENTER PROVIDED CARE TO 38,579 PATIENTS. OUR MENTAL HEALTH DEPARTMENT PROVIDED 39,846 OUTPATIENT TREATMENTS AND 6,617 INPATIENT DAYS. OUR SURGERY CENTER PERFORMED 9,149 PROCEDURES. SEE CONTINUATION ON SCHEDULE O. THROUGHOUT THE COVID-19 PANDEMIC, GLENS FALLS HOSPITAL HAS DEMONSTRATED THE ESSENTIAL NATURE OF OUR SERVICES FOR THE REGION AND HAS CONTINUED TO BE THE SAFETY NET HOSPITAL FOR OUR SURROUNDING COMMUNITIES. AT THE HOSPITAL, A COVID COMMAND CENTER WAS IMMEDIATELY ESTABLISHED AT THE ONSET OF THE PANDEMIC TO MANAGE COMMUNITY-BASED TESTING, SUPPLIES (ACQUISITION AND DEPLOYMENT), EQUIPMENT NEEDS, STAFFING, NEW DIRECTIVES AND LOCAL AND STATE-WIDE RESPONSES, INCLUDING DATA REQUESTS. IT WAS OPEN 7 DAYS PER WEEK FROM 7AM TO 7PM TO COVER ALL SHIFTS OF THE HOSPITAL UNTIL IT WAS SCALED BACK IN MAY 2020. IT WAS STAFFED BY AT LEAST TWO SENIOR LEADERS AT ALL TIMES, AS WELL AS A SUPPORT PERSON WHO ASSISTED WITH ANSWERING CALLS, SECURING SUPPLIES AND COORDINATING WITH OTHERS THROUGHOUT THE HOSPITAL. DESPITE SIGNIFICANT DECLINES IN VOLUMES AT THE ONSET OF THE PANDEMIC, THE HOSPITAL SECURED AND RETAINED AGENCY CONTRACTED LABOR AT PREMIUMS DURING THIS TIME TO MAINTAIN STAFF FOR THE NYS SURGE PLAN AND REQUIRED PREPAREDNESS MEASURES, AS WELL AS SECURED APPROPRIATE PHYSICIAN COVERAGE. THE HOSPITAL ALSO SET UP EMERGENCY TESTING TENT SITES IN OUR EMERGENCY DEPARTMENT PARKING LOT TO ADDRESS THE COMMUNITY TESTING NEED EARLY IN THE PANDEMIC. ADDITIONAL SIGNIFICANT COSTS WERE INCURRED TO: INCREASE PPE AVAILABILITY, SECURE CAPITAL NEEDED TO EXECUTE A SURGE PLAN, IMPLEMENT ADDITIONAL CLEANING PROCESSES AND PROCEDURES, IMPLEMENT TELEHEALTH, MAINTAIN OVERHEAD STRUCTURE, AND EXECUTE TESTING (AMONG OTHER ITEMS). EXAMPLES OF CAPITAL ITEMS PURCHASED INCLUDE IV PUMPS, A TELEMETRY SYSTEM, A UV MASK REPROCESSING ROOM, AIR PURIFYING EQUIPMENT, VACCINE FREEZERS, AND IPADS/EQUIPMENT FOR TELEHEALTH AND PATIENT/FAMILY COMMUNICATION. ADDITIONAL SUPPLY EXPENSES INCLUDE PATIENT SEPARATION BARRIERS FOR SOCIAL DISTANCING, N95 MASKS, HAND SANITIZER AND DISINFECTANTS, AND REFERENCE LAB COSTS RELATED TO THE PROCESSING OF COVID-19 TESTING RELATED TO IP, OBSERVATION, AND ED VISITS. FACILITY RELATED EXPENSES INCLUDE LEASED TENTS/TRAILERS SET UP OUTSIDE FOR COVID TESTING AND SCREENING. WE ALSO ADJUSTED OUR HVAC SYSTEMS TO CREATE NEGATIVE PRESSURE CARE ROOMS FOR COVID PATIENTS. THE HOSPITAL ALSO INVESTED MONEY IN ADVERTISING AND COMMUNITY EDUCATION TO PRODUCE COVID-RELATED EDUCATIONAL MATERIALS, BROCHURES, AND VIDEOS TO HELP THE COMMUNITY BETTER UNDERSTAND COVID AND THE SAFETY MEASURES IN PLACE AT GFH FOR THEMSELVES AND THEIR FAMILY MEMBERS. THE HOSPITAL ALSO RAPIDLY, EFFICIENTLY AND EFFECTIVELY SET UP A MASS VACCINATION CLINIC IN DECEMBER AS VACCINES BECAME AVAILABLE. THE HOSPITAL NOT ONLY SERVICED HOSPITAL-EMPLOYEES IN GETTING THEIR VACCINE ADMINISTRATION, BUT ALL ADMINISTERED TO COMMUNITY AGENCIES AND OTHER FIRST-RESPONDERS, THEREBY ENSURING THAT THESE GROUPS IN THE COMMUNITY WERE ABLE TO ALSO BE VACCINATED IN AN EFFICIENT MANNER. | Desc |
| Total Program Service Expenses | $265,815,100 | 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 | Yes (1) | 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 | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | 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 | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 173 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2752 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRAIG LETOURNEAU | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5189265013 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK STREET | AddressLine1Txt |
| City | GLENS FALLS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DIANNE SHUGRUE | ||||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $3,797,476 | $0 | $13,529 | |||
| STEVEN FRISCH MD | ||||||||||
| BOARD MEMBER | 1.00 | 57.00 | Yes (X) | $0 | $1,217,996 | $118,555 | ||||
| SEAN BAIN MD | ||||||||||
| BOARD MEMBER | 40.00 | 0.00 | Yes (X) | $401,783 | $0 | $16,418 | ||||
| GEOFFREY SERFILIPPI MD | ||||||||||
| BOARD MEMBER | 40.00 | 0.00 | Yes (X) | $161,574 | $0 | $480 | ||||
| MARK L BEHAN | ||||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TENEE' CASACCIO | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARL CEDRONE | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY CHAMPION | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHIE L DUNCAN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE FERONE | ||||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARGARET GILLIS | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS GUAY | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM HART | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| COURTNEY HASKINS | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY R HICKS | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM G POWERS JR | ||||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KATE HERLIHY SCHWENKER | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID WESTFALL MD | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL SCIMECA | ||||||||||
| COO | 40.00 | 1.00 | $382,676 | $0 | $17,237 | Yes (X) | ||||
| MITCH AMADO | ||||||||||
| CFO | 40.00 | 1.00 | $370,840 | $0 | $16,906 | Yes (X) | ||||
| HOWARD FRITZ MD | ||||||||||
| CMO | 40.00 | 1.00 | $371,110 | $0 | $12,120 | Yes (X) | ||||
| DONNA KIRKER | ||||||||||
| CNO | 40.00 | 1.00 | $278,458 | $0 | $11,415 | Yes (X) | ||||
| ADAM BROD MD | ||||||||||
| ORTHOPEDIC PHYSICIAN | 40.00 | 0.00 | $732,566 | $0 | $19,270 | Yes (X) | ||||
| JOHN STOUTENBURG MD | ||||||||||
| ONCOLOGY PHYSICIAN | 40.00 | 1.00 | $619,386 | $0 | $19,270 | Yes (X) | ||||
| MATTHEW DICKSON | ||||||||||
| ENT PHYSICIAN | 40.00 | 1.00 | $609,661 | $0 | $16,997 | Yes (X) | ||||
| ANDRE JOHNSON MD | ||||||||||
| ORTHOPEDIC PHYSICIAN | 40.00 | 0.00 | $607,465 | $0 | $16,997 | Yes (X) | ||||
| MICHAEL LIEBERTH MD | ||||||||||
| SURGICAL PHYSICIAN | 40.00 | 0.00 | $594,443 | $0 | $19,270 | Yes (X) | ||||
| PATTI HAMMOND | ||||||||||
| VP PHYSICIAN PRACTICES | 40.00 | 0.00 | $291,017 | $0 | $16,363 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,218,455 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,217,996 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $314,827 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 253 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| HUDSON HEADWATERS HEALTH NETWORK | |||||
| 9 CAREY RD | QUEENSBURY | NY | 12804 | MEDICAL SERVICES | $6,058,229 |
| KAUFMAN HALL & ASSOCIATES | |||||
| 8610 SOLUTION CENTER | CHICAGO | IL | 60677 | CONSULTANTS | $2,326,439 |
| MEDICAL ANESTHESIA SPECIALISTS OF NY PC | |||||
| PO BOX 744883 | ATLANTA | GA | 30374 | ANESTHESIA SERVICES | $1,847,614 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | CONTRACT LABOR | $1,568,237 |
| REVMD PARTNERS | |||||
| 1111 PASQINELLI DR SUITE 400 | WESTMONT | IL | 60559 | COLLECTION SERVICES | $1,088,502 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,131,813 | RelatedOrganizationsAmt |
| Government Grants | $31,301,792 | GovernmentGrantsAmt |
| All Other Contributions | $248,364 | AllOtherContributionsAmt |
| Total Contributions | $32,681,969 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $297,854,308 | $297,854,308 | |
| OUTPATIENT PHARMACY | 446110 | $4,855,420 | $4,855,420 | |
| HOSPITAL LAB SERVICES | 621500 | $3,052,207 | $3,052,207 | |
| MEDICAL HOME PROJECT | 621110 | $676,383 | $676,383 | |
| PHARMACY REBATES | 900099 | $551,367 | $551,367 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,295,968 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,072,695 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $223,273 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $309,285,653 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,336,087 | TotalRevenueColumnAmt |
| Exclusion | $1,336,087 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,858,206 | SecuritiesAmt |
| Other | $365,094 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,711,629 | SecuritiesAmt |
| Other | $466,060 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $146,577 | SecuritiesAmt |
| Other | -$100,966 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,611 | TotalRevenueColumnAmt |
| Exclusion | $45,611 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| INVESTMENT IN YANKEE ALLIANCE | 900099 | $1,531,502 | $1,063,221 | $468,281 | |
| CAFETERIA VENDING REVENUE | 900099 | $861,598 | $861,598 | ||
| INVESTMENT IN NORTH COUNTRY EYE C | 621990 | $199,103 | $199,103 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $510,147 | TotalRevenueColumnAmt |
| Exclusion | $510,147 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,102,350 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $346,451,670 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $307,272,497 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,743,761 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,753,443 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,000 | TotalAmt |
| Program Services | $12,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,852,022 | TotalAmt |
| Management And General | $5,852,022 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,167 | TotalAmt |
| Program Services | $2,167 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,682,494 | TotalAmt |
| Program Services | $114,656,193 | ProgramServicesAmt |
| Management And General | $26,843,242 | ManagementAndGeneralAmt |
| Fundraising | $183,059 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,868,044 | TotalAmt |
| Program Services | $3,785,468 | ProgramServicesAmt |
| Management And General | $1,076,532 | ManagementAndGeneralAmt |
| Fundraising | $6,044 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,349,296 | TotalAmt |
| Program Services | $8,893,905 | ProgramServicesAmt |
| Management And General | $2,441,191 | ManagementAndGeneralAmt |
| Fundraising | $14,200 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,618,072 | TotalAmt |
| Program Services | $7,479,166 | ProgramServicesAmt |
| Management And General | $2,126,965 | ManagementAndGeneralAmt |
| Fundraising | $11,941 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,378,612 | TotalAmt |
| Program Services | $972,074 | ProgramServicesAmt |
| Management And General | $2,402,788 | ManagementAndGeneralAmt |
| Fundraising | $3,750 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,002 | TotalAmt |
| Management And General | $599,002 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,916 | TotalAmt |
| Management And General | $182,401 | ManagementAndGeneralAmt |
| Fundraising | $9,515 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,493 | TotalAmt |
| Management And General | $33,493 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,575,684 | TotalAmt |
| Program Services | $27,041,253 | ProgramServicesAmt |
| Management And General | $14,482,977 | ManagementAndGeneralAmt |
| Fundraising | $51,454 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $776,298 | TotalAmt |
| Program Services | $2,464 | ProgramServicesAmt |
| Management And General | $773,834 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,175,400 | TotalAmt |
| Program Services | $82,307,263 | ProgramServicesAmt |
| Management And General | $6,857,374 | ManagementAndGeneralAmt |
| Fundraising | $10,763 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,877,604 | TotalAmt |
| Program Services | $133,379 | ProgramServicesAmt |
| Management And General | $7,744,225 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,671,574 | TotalAmt |
| Program Services | $991,033 | ProgramServicesAmt |
| Management And General | $2,680,541 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,616 | TotalAmt |
| Program Services | $56,555 | ProgramServicesAmt |
| Management And General | $62,061 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,600 | TotalAmt |
| Program Services | $148,214 | ProgramServicesAmt |
| Management And General | $28,116 | ManagementAndGeneralAmt |
| Fundraising | $270 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,214,930 | TotalAmt |
| Program Services | $1,725,115 | ProgramServicesAmt |
| Management And General | $489,815 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,691,908 | TotalAmt |
| Program Services | $14,558,331 | ProgramServicesAmt |
| Management And General | $4,133,577 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,237,918 | TotalAmt |
| Program Services | $2,466,837 | ProgramServicesAmt |
| Management And General | $771,081 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| ASSESSMENT | $1,155,066 | $1,155,066 | ||
| LICENSE AND TAXES | $301,782 | $19,634 | $282,148 | |
| RERUITEMENT FEES | $216,964 | $216,964 | ||
| DONATED FUNDS EXPENSE | $173,694 | $28,721 | $106,407 | $38,566 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,712 | TotalAmt |
| Program Services | $195,128 | ProgramServicesAmt |
| Management And General | $181,258 | ManagementAndGeneralAmt |
| Fundraising | $326 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,327,868 | TotalAmt |
| Program Services | $265,815,100 | ProgramServicesAmt |
| Management And General | $81,182,880 | ManagementAndGeneralAmt |
| Fundraising | $329,888 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,464,353 | BOYAmt |
| EOY | $52,795,776 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,780,819 | BOYAmt |
| EOY | $11,015,446 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,588,007 | BOYAmt |
| EOY | $28,626,471 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,432 | BOYAmt |
| EOY | $110,127 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,453,968 | BOYAmt |
| EOY | $6,272,680 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,921,101 | BOYAmt |
| EOY | $2,807,816 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $421,333,935 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $269,244,560 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,127,453 | BOYAmt |
| EOY | $152,089,375 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,730,843 | BOYAmt |
| EOY | $81,664,766 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,541,957 | BOYAmt |
| EOY | $20,675,962 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,741,933 | BOYAmt |
| EOY | $356,058,419 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,457,255 | BOYAmt |
| EOY | $95,675,319 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,461,136 | BOYAmt |
| EOY | $46,900,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,233,166 | BOYAmt |
| EOY | $25,853,656 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,553,391 | BOYAmt |
| EOY | $37,673,183 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,704,948 | BOYAmt |
| EOY | $206,102,158 | 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 | $98,206,366 | BOYAmt |
| EOY | $140,572,385 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,830,619 | BOYAmt |
| EOY | $9,383,876 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,036,985 | BOYAmt |
| EOY | $149,956,261 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,741,933 | BOYAmt |
| EOY | $356,058,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$876,198 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,632,323 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $40,163,151 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $33,493 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $33,493 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | IN 2020, GLENS FALLS HOSPITAL PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE HOSPITAL ASSOCIATION OF NEW YORK AND IROQUOIS HEALTHCARE ALLIANCE, A PORTION OF WHICH WENT TOWARDS LOBBYING EXPENSES AS DETERMINED BY THE ASSOCIATIONS AND ALLIANCE. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,506,672 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $53,846 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $41,846 | AdministrativeExpensesAmt |
| End Year Balance | $1,506,672 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,506,672 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $423,632 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $411,632 | AdministrativeExpensesAmt |
| End Year Balance | $1,506,672 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,506,672 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $218,087 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $206,087 | AdministrativeExpensesAmt |
| End Year Balance | $1,506,672 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,506,672 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $154,101 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,900 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $141,201 | AdministrativeExpensesAmt |
| End Year Balance | $1,506,672 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,506,672 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $393,967 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,300 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $378,667 | AdministrativeExpensesAmt |
| End Year Balance | $1,506,672 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,397,305 | OtherCostOrOtherBasisAmt |
| Book Value | $15,397,305 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $226,053,843 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,099,422 | DepreciationAmt |
| Book Value | $97,954,421 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,412,390 | OtherCostOrOtherBasisAmt |
| Depreciation | $535,666 | DepreciationAmt |
| Book Value | $3,876,724 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $175,470,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $140,609,472 | DepreciationAmt |
| Book Value | $34,860,925 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $152,089,375 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN ISNENY | -$284,970 |
| INVESTMENT IN YANKEE ALLIANCE | $828,093 |
| INVESTMENT IN YASCS | $3,359,170 |
| PROF. LIABILITY REC. | $460,000 |
| RIGHT OF USE ASSETS | $10,848,841 |
| INTEREST IN NET ASSETS OF FDTN | $5,464,828 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $20,675,962 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMP PAYABLE | $9,449,836 |
| SELF INSURED LIABILITY RESERVE | $10,245,259 |
| ASSET RETIREMENT OBLIGATION | $403,890 |
| LONG TERM PAYABLE | $17,574,198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $37,673,183 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $391,235,144 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $4,632,323 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $40,167,450 | OtherRevenueAmt |
| Revenue Not Reported | $44,799,773 | RevenueNotReportedAmt |
| Revenue Subtotal | $346,435,371 | RevenueSubtotalAmt |
| Other Revenues Not Included | $16,299 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $16,299 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $346,451,670 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $347,315,868 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $347,315,868 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $12,000 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $12,000 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $347,327,868 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PERMANENTLY RESTRICTED NET ASSETS ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT THE FOLLOWING: DENTAL CARE - $1,053,285 INDIGENT CARE - $148,927 GENERAL OPERATING EXPENSES - $169,975 HEALTH EDUCATION - $134,485 TOTAL - $1,506,672 |
| PART X, LINE 2: | GLENS FALLS HOSPITAL IS CLASSIFIED FOR TAX PURPOSES AS AN ORGANIZATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND AS SUCH ARE GENERALLY EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(A) OF THE CODE. GLENS FALLS HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2020 AND 2019. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN NET ASSETS OF GFH FOUNDATION 1,112,063. EFFECT OF BUSINESS COMBINATION 39,055,387. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECEIPT OF FOUNDATION FUNDS TO BALANCE SHEET ACCOUNTS 4,299. OTHER GRANTS PAID 12,000. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | OTHER GRANTS PAID 12,000. |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 130.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 330.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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) |
|---|---|---|
| Total Community Benefit Expns | $4,395,382 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,557,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,147,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,432,469 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,714,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03370 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,542,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,989,811 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,714,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,332,503 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $383,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,948,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $996,681 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $996,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,138,673 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,230,582 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,908,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,485 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $70,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,620,407 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,685,207 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,935,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,162,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $87,675,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,649,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06230 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $131,747 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $104,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $75,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $207,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $179,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $60,418,569 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $101,868,166 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$41,449,597 | 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 | 0 | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 IMAGING SVCS OF NENY | |||
| DIAGNOSTIC RADIOLOGY | 0.50000 | 0.50000 | 0.50000 |
| 2 NORTH CTRY EYE | |||
| EYE CENTER | 0.30000 | 0.30000 | 0.30000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | GLENS FALLS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK STREET | AddressLine1Txt |
| City | GLENS FALLS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | GLENSFALLSHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 5601000H | 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 | GLENS FALLS HOSPITAL | 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 | SEE SECTION C | 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 | SEE SECTION C | StrategyWebsiteURLTxt |
| 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 | 130.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 330.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| 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 |
| 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 |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GLENS FALLS HOSPITAL | PART V, SECTION B, LINE 5: GFH CONDUCTED THE CHNA TO IDENTIFY AND PRIORITIZE THE COMMUNITY HEALTH NEEDS OF THE PATIENTS AND COMMUNITIES WITHIN THE GFH SERVICE AREA. THE FINDINGS IN THIS CHNA RESULT FROM A YEAR-LONG PROCESS OF COLLECTING AND ANALYZING DATA AND CONSULTING WITH STAKEHOLDERS THROUGHOUT THE COMMUNITY AND REGION. THE CHNA CAN BE USED AS A ROADMAP TO GUIDE SERVICE PROVIDERS, ESPECIALLY PUBLIC HEALTH, IN THEIR EFFORTS TO DEVELOP PROGRAMS AND SERVICES TARGETED TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF PEOPLE AND COMMUNITIES IN THE REGION.WORKING WITHIN THE FRAMEWORK PROVIDED BY NYS' PREVENTION AGENDA, GFH AND WARREN, WASHINGTON AND SARATOGA COUNTY PUBLIC HEALTH DEPTS. COLLABORATED IN THE DEVELOPMENT OF THE CHNA. ADDITIONALLY, GFH COORDINATED WITH FULTON, ESSEX, HAMILTON, FRANKLIN, AND CLINTON COUNTY PUBLIC HEALTH, AS WELL AS WITH SEVERAL OTHER HOSPITALS IN THE REGION, THROUGH THE REGIONAL HEALTH ASSESSMENT AND PLANNING EFFORTS COORDINATED BY THE ADIRONDACK RURAL HEALTH NETWORK (ARHN). SINCE 2002, ARHN HAS BEEN RECOGNIZED AS THE LEADING SPONSOR OF FORMAL COMMUNITY HEALTH PLANNING IN THE REGION. THE COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE, FACILITATED BY ARHN, IS MADE UP OF HOSPITALS AND COUNTY HEALTH DEPARTMENTS WORKING TOGETHER TO UTILIZE A SYSTEMATIC APPROACH TO COMMUNITY HEALTH PLANNING AND ASSESSMENT.A VARIETY OF DATA SOURCES WERE USED TO INFORM THE COUNTY AND HOSPITAL ASSESSMENTS. THE TWO MOST SIGNIFICANT RESOURCES USED WERE DEVELOPED AND PROVIDED BY ARHN COLLABORATION: 1) PUBLICLY AVAILABLE COUNTY HEALTH INDICATOR DATA AND 2) DATA COLLECTED FROM A REGIONAL COMMUNITY STAKEHOLDER SURVEY. EACH COUNTY PUBLIC HEALTH DEPARTMENT, AS WELL AS GFH, USED ADDITIONAL DATA SOURCES TO SUPPLEMENT THIS INFORMATION AND INFORM THE PROCESS BASED ON THEIR NEEDS. ADDITIONAL DATA SOURCES USED BY GFH INCLUDE THE NYS PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, THE NYS CANCER REGISTRY, THE GOVERNOR'S CANCER RESEARCH INITIATIVE WARREN COUNTY CANCER INCIDENCE REPORT, AND AN ATTITUDINAL TOBACCO ASSESSMENT CONDUCTED IN WARREN, WASHINGTON AND SARATOGA COUNTIES. |
| GLENS FALLS HOSPITAL | PART V, SECTION B, LINE 6A: HOSPITALS: ADIRONDACK HEALTH, NATHAN LITTAUER HOSPITAL, UVM HEALTH NETWORK-ALICE HYDE MEDICAL CENTER, UVM HEALTH NETWORK-CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, AND UVM HEALTH NETWORK-ELIZABETHTOWN COMMUNITY HOSPITAL. |
| GLENS FALLS HOSPITAL | PART V, SECTION B, LINE 6B: OTHER ORGS: PUBLIC HEALTH DEPTS. OF CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, WASHINGTON AND AHRN |
| GLENS FALLS HOSPITAL | PART V, SECTION B, LINE 11: AFTER CAREFUL CONSIDERATION AND EXTENSIVE INTERNAL AND EXTERNAL DISCUSSIONS, GFH DETERMINED THAT THE MOST EFFECTIVE STRATEGY WOULD BE TWOFOLD: 1) ENSURE THE HOSPITAL COORDINATED WITH AND/OR PARTICIPATED IN EACH OF THE PUBLIC HEALTH DEPARTMENT'S ASSESSMENT PROCESSES AND 2) UTILIZE THE RESULTS OF EACH OF THE COUNTIES ASSESSMENTS TO INFORM A COORDINATED AND COMPLEMENTARY REGIONAL CHNA FOR THE GFH SERVICE AREA.IN ADDITION TO EVALUATING THE PRIORITIES AND COUNTY LEVEL DATA INDICATORS FOR OUR LOCAL COUNTY HEALTH DEPARTMENTS, GFH CONSIDERED OUR EXPERTISE CAPACITY, FUNDING, AND POTENTIAL IMPACT. THE FOLLOWING HAVE BEEN IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE POPULATION SERVED BY GFH. THESE NEEDS WILL BE THE MAJOR FOCUS OF GFH'S COMMUNITY HEALTH STRATEGIES FOR 2019-2021.PRIORITY AREA: PREVENT CHRONIC DISEASEFOCUS AREA 1 - HEALTHY EATING AND FOOD SECURITYFOCUS AREA 2 - PHYSICAL ACTIVITYFOCUS AREA 3 - TOBACCO PREVENTIONFOCUS AREA 4 - CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT.GFH IS EXPANDING THE SCOPE OF WORK TO INCLUDE AN ADDITIONAL PRIORITY AREA.PRIORITY AREA: PREVENT COMMUNICABLE DISEASESFOCUS AREA 5 - ANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONSIN REGARDS TO REGIONAL PRIORITIES, AND IN ADDITION TO GFH CHOOSING THE FOUR FOCUS AREAS UNDER THE PREVENT CHRONIC DISEASES PRIORITY AREA, AS PART OF THE COMMUNITY HEALTH PLANNING AND ASSESSMENT PROCESS, THE CHA COMMITTEE IDENTIFIED AND SELECTED PREVENT CHRONIC DISEASES AS ONE OF THE REGIONAL PRIORITIES IN SUPPORT OF THE NYS PREVENTION AGENDA 2019-2024. THE CHA COMMITTEE ALSO SELECTED AN ADDITIONAL PRIORITY, PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.ADDITIONAL ANALYSIS REVEALED AN INCREASING DEMAND AND NEED FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THROUGHOUT THE THREE-COUNTY REGION. GFH RECOGNIZES THIS TREND AND THE NEED FOR QUALITY SERVICES AND PROGRAM, HOWEVER, HAS NOT HISTORICALLY FORMALIZED STRATEGIES INTO THE PLAN DUE TO LACK OF RESOURCES AND CAPACITY. CURRENTLY, GLENS FALLS HOSPITAL IS THE CONTRACTED BEHAVIORAL HEALTH PROVIDER FOR WARREN AND WASHINGTON COUNTIES. THE NEED WILL ONLY INCREASE, AND WE ARE WORKING TO PROACTIVELY ENSURE PATIENTS HAVE ACCESS TO THE CARE THEY NEED. MOST RECENTLY, GLENS FALLS HOSPITAL IS WORKING WITH WARREN AND WASHINGTON COUNTIES TO CONDUCT A THOUGHTFUL AND DELIBERATE PARTNERSHIP EXPLORATION PROCESS FOR OUTPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES. BEHAVIORAL HEALTH SERVICES NORTH HAS STEPPED IN TO TAKE OVER THE OUTPATIENT BEHAVIORAL HEALTH SERVICE TO HELP US BETTER SERVE PATIENTS, WITH A GOAL TO EXPAND ACCESS TO MUCH NEEDED SPECIALIZED BEHAVIORAL HEALTH SERVICES IN OUR COMMUNITY. SIMULTANEOUSLY, GFH WILL CONTINUE TO WORK THROUGH INITIATIVES SUCH AS HEALTH HOME AND DSRIP TO WORK WITH ALL PROVIDERS ON INTEGRATED CARE MODELS AND POPULATION HEALTH STRATEGIES. ADDITIONAL COMMUNITY HEALTH NEEDS, SUCH AS HOUSING, TRANSPORTATION, AND OTHER SOCIAL DETERMINANTS OF HEALTH, ARE NOT ADDRESSED IN THE ACTION PLAN DUE TO LACK OF RESOURCES, EXPERTISE AND/OR QUANTITATIVE DATA TO SUPPORT A PROPER ASSESSMENT AND PLAN. |
| PART V, LINE 7A AND 10A | THE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY IS POSTED ON ITS WEBSITE: WWW.GLENSFALLSHOSPITAL.ORG/SERVICES/COMMUNITY-SERVICES/HEALTH-PROMOTION-CENTERPART V, LINE 16A & 16B: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM IS POSTED ON ITS WEBSITE: WWW.GLENSFALLSHOSPITAL.ORG/PATIENTS-AND-VISITORS/PATIENTS/PATIENT-FINANCIAL-ASSISTANCE |
| PART V, LINE 20D | IN 2020, THE HOSPITAL DID NOT HAVE A PRESUMTIVE ELIGIBILITY TOOL IN PLACE. WE HAVE SELECTED A VENDOR TO PROVIDE THE SOFTWARE TOOL AND WILL HAVE IT IMPLEMENTED IN THE 3RD QUARTER OF 2021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ADIRONDACK CARDIOLOGY | ||||
| 6 HEARTS WAY | QUEENSBURY | NY | 12804 | HOSPITAL EXTENSION CLINIC - CARDIOLOGY AND CARDIAC REHABILITATION |
| 2 - SURGICAL SPECIALISTS OF GLENS FALLS | ||||
| 14 HUDSON AVE | GLENS FALLS | NY | 12801 | HOSPITAL EXTENSION CLINIC - SURGICAL SERVICES, UROLOGY, THORACIC, ORTHOPEDIC |
| 3 - THE REHAB CENTER & HEARING CENTER | ||||
| 2 COUNTRY CLUB RD | QUEENSBURY | NY | 12804 | HOSPITAL EXTENSION CLINIC - OUTPATIENT PT, OT, SPEECH, AUDIOLOGY |
| 4 - GLENS FALLS BROAD ST MEDICAL CENTER | ||||
| 2 BROAD ST | GLENS FALLS | NY | 12801 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, ENT |
| 5 - CAMBRIDGE MEDICAL CENTER AND URGENT CARE | ||||
| 35 GILBERT ST | CAMBRIDGE | NY | 12816 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, PT |
| 6 - GREENWICH MEDICAL CENTER | ||||
| 1134 COUNTY RT 29 | GREENWICH | NY | 12834 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, PT |
| 7 - THE REHAB CENTER & HEARING CENTER | ||||
| 4 IRONGATE CTR | GLENS FALLS | NY | 12801 | HOSPITAL EXTENSION CLINIC - O/P PT, OT, SPEECH, AUDIOLOGY |
| 8 - GRANVILLE MEDICAL CENTER | ||||
| 79 NORTH ST | GRANVILLE | NY | 12832 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, LAB, REHAB |
| 9 - PHYSICAL THERAPY AT MAIN ST | ||||
| 17 MAIN ST | GLENS FALLS | NY | 12801 | HOSPITAL EXTENSION CLINIC - O/P PHYSICAL THERAPY |
| 10 - MEDICAL IMAGING AND LAB | ||||
| 1299 RT 9 | GANSEVOORT | NY | 12831 | HOSPITAL EXTENSION CLINIC - MEDICAL IMAGING AND LAB |
| 11 - CENTER FOR RECOVERY | ||||
| 101 RIDGE ST | GLENS FALLS | NY | 12801 | HOSPITAL EXTENSION CLINIC - CHEMICAL DEPENDENCE, O/P REHAB |
| 12 - BEHAVIORAL HEALTH SERVICESRIDGE COMMONS | ||||
| 1 LAWRENCE ST | LAWRENCE ST | NY | 12801 | HOSPITAL EXTENSION CLINIC - O/P MENTAL HEALTH SERVICES |
| 13 - HUDSON FALLS MEDICAL CENTER | ||||
| 325 MAIN ST | HUDSON FALLS | NY | 12839 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE |
| 14 - EVERGREEN MEDICAL CENTER | ||||
| 13 PALMER AVE | CORINTH | NY | 12822 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, PT, MENTAL |
| 15 - THE CENTER FOR RECOVERY | ||||
| 340 MAIN ST | HUDSON FALLS | NY | 12839 | HOSPITAL EXTENSION CLINIC - CHEMICAL DEPENDENCE, O/P REHAB |
| 16 - ADVANCED IMAGING AT BAYBROOK | ||||
| 22 WILLOWBROOK RD | QUEENSBURY | NY | 12804 | HOSPITAL EXTENSION CLINIC - DIAGNOSTIC OP RADILOGY, CT SCANNER |
| 17 - WHITEHALL MEDICAL CENTER | ||||
| 65 POULTNEY ST | WHITEHALL | NY | 12887 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, LAB |
| 18 - SALEM MEDICAL CENTER | ||||
| 213 MAIN ST | SALEM | NY | 12865 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P PT |
| 19 - WILTON MEDICAL CENTER | ||||
| 135 NORTH RD | GANSEVOORT | NY | 12831 | HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, PT |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | GLENS FALLS HOSPITAL DEVELOPS AND PRODUCES THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY (IS) PER IRS GUIDELINES AND PUBLISHES THE REPORT ON THE WEBSITE. IN ADDITION, A COMMUNITY SERVICE PLAN IS PRODUCED PER NYS DEPT OF HEALTH GUIDELINES, AND ALSO MADE AVAILABLE ON THE WEBSITE. THESE REPORTS ALSO INCLUDE THE AMERICAN COLLEGE OF SURGEONS COMM. ON CANCER REQUIREMENTS FOR THE CR WOOD CANCER CENTER. PAPER COPIES ARE AVAILABLE FOR PICK UP IN PERSON OR BY MAIL BY REQUEST. IN ADDITION, GLENS FALLS HOSPITAL PRODUCES AN ANNUAL REPORT, WHICH IS MAILED TO APPROXIMATELY 60,000 HOUSEHOLDS, AND AVAILABLE AT MULTIPLE LOCATIONS THROUGHOUT THE HOSPITAL. A COMMUNITY NEWSLETTER IS ALSO DISTRIBUTED MULTIPLE TIMES PER YEAR. |
| PART I, LINE 7: | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS A COST-TO-CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | GLENS FALLS HOSPITAL REGULARLY ASSESSES THE MAKEUP OF THE REGION'S PHYSICIAN POPULATION, PAYING PARTICULAR ATTENTION TO PHYSICIANS WHO MAY BE APPROACHING RETIREMENT AGE AND SPECIALTIES THAT MAY HAVE A PHYSICIAN SHORTAGE DUE TO RETIREMENT OR RELOCATION. THE HOSPITAL EMPLOYS A FULL-TIME PHYSICIAN RECRUITER WHO FOCUSES ON THE RECRUITMENT AND RETENTION OF HIGH QUALITY PROVIDERS. THE POSITION ACTIVELY RECRUITS FOR VACANCIES AND SHORTAGES AMONG HOSPITAL EMPLOYED PHYSICIANS, AND PARTNERS WITH INDEPENDENT PRACTICES TO HELP THEM KEEP A FULL COMPLEMENT OF PHYSICIANS ACROSS SPECIALTIES.THE HOSPITAL ALSO MONITORS AND ACTIVELY ENGAGES IN PREVENTING THE SPREAD OF INFECTIOUS DISEASE THROUGH SCHOOL BASED HEALTH AND THE HOSPITAL'S INFECTION CONTROL PROGRAM. THIS INCLUDES VACCINATIONS FOR CHILDREN, AND ACCESS TO FLU VACCINES FOR THE RESIDENTS OF OUR SERVICE AREA, (FREE OR AT A SIGNIFICANTLY REDUCED COST), INCLUDING AN ANNUAL HPODS DRILL.THE HOSPITAL MEETS REGULARLY WITH COMMUNITY GROUPS IN PLANNING FOR EMERGENCY PREPAREDNESS. COORDINATING WITH POLICE DEPARTMENTS, FIRE DEPARTMENTS, EMS AND COUNTY OFFICIALS. EMERGENCY DRILLS ARE CARRIED OUT FOR SUCH THINGS AS NATURAL DISASTERS, TERRORISM, ACCIDENTS WITH MASS CASUALTIES AND BIO HAZARDS. COMMUNITY MEMBERS PLAY AN ACTIVE ROLL IN THESE DRILLS.THROUGHOUT THE CORONAVIRUS (COVID-19) PANDEMIC, GFH HAS DEMONSTRATED THE ESSENTIAL NATURE OF OUR SERVICES FOR THE REGION AND HIS CONTINUED TO BE THE SAFETY NET HOSPITAL FOR OUR SURROUNDING COMMUNITIES. THE COVID-19 PANDEMIC HAD A DEVASTATING AND MULTI-FACETED IMPACT ON THE UPSTATE NEW YORK AREA. THREE SIGNIFICANT CHALLENGES, PARTICULARLY AT THE ONSET OF THE PANDEMIC, INCLUDED: 1) COVID-19 INFECTIONS AND ASSOCIATED COST OF CARE, 2) PLANNING FOR UNKNOWN HEALTH CARE SYSTEM SURGE CAPACITY AS DIRECTED BY THE GOVERNOR OF NY, AND 3) EXTREME AND CATASTROPHIC REVENUE LOSS DUE TO SOCIAL DISTANCING AND NYS MANDATED DELAY OF ROUTINE AND ELECTIVE CARE/PROCEDURES. WITHIN THE COST OF CARE FOR COVID-19 INCLUDED THE ADDITIONAL EXPENSE AND COMPLEXITY OF RESOURCES REQUIRED FOR MASS TESTING AND VACCINATION EFFORTS, FOR BOTH EMPLOYEES AND THE COMMUNITY AT LARGE, AS WELL AS INTERNAL CONTACT TRACING FOR EXPOSURE OF OUR EMPLOYEE WORKFORCE AND PATIENTS. ALL FACTORS WERE HEIGHTENED BY THE UNKNOWNS REGARDING WHAT, IF ANY, FUNDING ASSISTANCE WAS GOING TO BE AVAILABLE TO HEALTHCARE PROVIDERS IN ADDITION TO THE EVER CHANGING LANDSCAPE OF REGULATORY REQUIREMENTS, EXECUTIVE ORDERS AND NYS MANDATES ON HOSPITALS.AT THE BEGINNING OF THE COVID-19 PANDEMIC IN MARCH 2020, PREDICTIVE MODELING INDICATED POTENTIAL CATASTROPHIC VOLUMES OF COVID-19 CASES AND HOSPITALIZATIONS IN NYS, NATIONALLY, AND GLOBALLY. IN THE FIRST WEEKS AND MONTHS OF COVID-19 EMERGENCE IN NYS, THERE WAS EXTREME UNCERTAINTY REGARDING GEOGRAPHICAL COVID-19 CLUSTERS/SURGES AND THE IMPACT ON THE HEALTHCARE (AND SUPPLY CHAIN) SYSTEMS. PROJECTIONS INDICATED THAT VOLUMES OF COVID-19 HOSPITALIZATIONS WOULD EXCEED HEALTHCARE SYSTEM BED AND WORKFORCE CAPACITY. CONSEQUENTLY, NYS HEAVILY CONTROLLED AND MANAGED THE COVID-19 RESPONSE. PER NYS GOVERNOR'S EXECUTIVE ORDERS, OFFICIALLY EFFECTIVE MARCH 22, 2020, ELECTIVE SURGERIES AND PROCEDURES WERE CANCELLED TO ENSURE THAT NYS WOULD BE PREPARED FOR THE PREDICTED SURGE LEVELS REGARDING BED CAPACITY, SUPPLIES AND LABOR. AS A RESULT, THE HOSPITAL INCURRED SIGNIFICANT DECLINES IN NET PATIENT SERVICE REVENUE, WHILE INCURRING COSTS TO SECURE A LABOR FORCE, PERSONAL PROTECTIVE EQUIPMENT (PPE), AND CAPITAL TO BE IN A STATE OF READINESS FOR A SURGE AND THE ACUITY OF PATIENTS SEEN IN THE PANDEMIC. AS RESTRICTIONS HAVE LOOSENED, MANY PATIENTS WHO HAVE DELAYED THEIR CARE OR HAD THEIR CARE RESTRICTED DURING THE PANDEMIC, ARE ONCE AGAIN SEEKING TREATMENT. THESE EXTREMELY VOLATILE DAILY VOLUMES AND CENSUS CONTINUE TO CREATE MAJOR CHALLENGES FOR WORKFORCE AND FINANCIAL PLANNING. |
| PART III, LINE 3: | PART III, SECTION A, LINE 2 AND 3 BAD DEBT EXPENSEDUE 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. PLEASE SEE THE FOLLOWING WHICH DESCRIBES THE PRONOUNCEMENT: UPON ADOPTION THE MAJORITY OF WHAT IS CURRENTLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSET IS TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE. DURING 2020 AND 2019, THE HOSPITAL INCURRED ($315,066) AND $564,057 IN PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS, RESPECTIVELY. |
| PART III, LINE 4: | FOOTNOTE 1G OF THE AUDITED FINANCIALS "CONSISTENT WITH THE HOSPITAL'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND WHO QUALIFY FOR CHARITY CARE UNDER ITS PATIENT FINANCIAL ASSISTANCE PROGRAM. CHARITY CARE IS DEFINED AS SERVICES FOR WHICH PATIENTS HAVE THE OBLIGATION AND WILLINGNESS TO PAY BUT DO NOT HAVE THE ABILITY TO DO SO. THE SYSTEM DOES NOT REPORT CHARITY CARE AS NET PATIENT SERVICE REVENUE. THE COST OF CHARITY CARE WAS ~1.892M AND $1.855M FOR 2020 AND 2019, RESPECTIVELY, AS DETERMINED BASED ON THE APPLICATION OF A RATIO OF OVERALL HOSPITAL COSTS TO PATIENT CHARGES. INCLUDED IN PATIENT SERVICE REVENUES FOR 2020 AND 2019 IS APPROXIMATELY $3.498M AND $2.709M, RESPECTIVELY, FROM UNCOMPENSATED CARE POOLS AND INCOME FROM RESTRICTED ENDOWMENTS. THE HOSPITAL ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF THE COMMUNITY BENEFITS IT PROVIDES. THE MOST RECENT ASSESSMENT WAS COMPLETED IN THE FALL OF 2020 AND CULMINATED WITH THE ISSUANCE OF THE GLENS FALLS HOSPITAL COMMUNITY SERVICE PLAN, A COPY OF WHICH IS AVAILABLE FROM MANAGEMENT UPON REQUEST. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, AS REFLECTED ON LINE 6, IS THE METHODOLOGY PRESCRIBED BY MEDICARE IN THE COMPLETION FOR FORM CMS-2552-96 AND CONFORMS TO THE REQUIREMENTS AND PRINCIPALS SET FORTH IN 42 CFR, PART 412, 42 CFR, PART 413 AND IN THE PROVIDER REIMBURSEMENT MANUAL, PART 1. GLENS FALLS HOSPITAL CONSIDERS 100% OF THE AMOUNT REPORTED IN PART III, LINE 7 A COMMUNITY BENEFIT. GFH IS THE ONLY COMPREHENSIVE ACUTE-CARE HOSPITAL SERVING A PREDOMINANTLY RURAL, 6,000 SQ. MILE AREA OF UPSTATE NEW YORK THAT ENCOMPASSES WARREN, WASHINGTON, HAMILTON, ESSEX, AND NORTHERN SARATOGA COUNTIES. IN A VERY REAL SENSE, IT IS THE SAFETY NET HOSPITAL FOR THE MEDICARE PATIENTS IN THESE COMMUNITIES. DESPITE THE FACT THAT THE PAYMENTS RECEIVED FROM MEDICARE FOR THE SERVICES PROVIDED ARE GENERALLY BELOW THE RATES THAT THE HOSPITAL RECEIVES FROM MANAGED CARE PAYERS AND PRIVATE INSURERS THE HOSPITAL REMAINS COMMITTED TO SERVING ELDERLY PATIENTS AND IMPROVING THE HEALTH STATUS OF THE ELDERLY. |
| PART III, LINE 9B: | IT IS GFH POLICY TO DELAY FINAL COLLECTION EFFORTS WHILE A PATIENT FINANCIAL ASSISTANCE APPLICATION IS IN PROCESS. A FINAL DETERMINATION IS REQUIRED BEFORE OUTSIDE COLLECTION EFFORTS ARE INITIATED. |
| PART III, SECTION B, LINES 5-7 | IN ADDITION TO THE AMOUNT INCLUDED IN THE MEDICARE COST REPORT AND REPORTED ON LINES 5, 6, & 7, THE HOSPITAL INCURRED LOSSES ON SERVICES PROVIDED TO MEDICARE PATIENTS AND PAID FOR UNDER THE PART B FEE SCHEDULE AND NOT REPORTABLE ON THE MEDICARE COST REPORT. |
| PART VI, LINE 2: | IN ADDITION TO COMPLETING A CHNA, HOSPITALS IN NYS ARE REQUIRED TO WORK TOGETHER WITH COUNTY PUBLIC HEALTH DEPARTMENTS TO COMPLETE A COMMUNITY SERVICE PLAN (CSP) THAT MIRRORS THE CHNA AND IMPLEMENTATION STRATEGY (IS) PER THE ACA. FURTHERMORE, ALL AMERICAN COLLEGE OF SURGEONS (ACOS) COMMISSION ON CANCER (COC) PROGRAMS ARE REQUIRED TO COMPLETE A COMMUNITY NEEDS ASSESSMENT AS WELL. TO ENSURE THE MOST EFFICIENT USE OF HOSPITAL RESOURCES AND SUPPORT A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT IN THE REGION, GFH CHOSE TO ALIGN AND COMBINE THE REQUIREMENTS OF THE THREE ENTITIES. WORKING WITHIN THE FRAMEWORK PROVIDED BY THE NYS PREVENTION AGENDA, GFH AND WARREN, WASHINGTON, AND SARATOGA COUNTY PUBLIC HEALTH COLLABORATED IN THE DEVELOPMENT OF THE CHNA IN A WAY THAT CAN MEET THE REQUIREMENTS FOR THE THREE ENTITIES. ADDITIONALLY, GFH COORDINATED WITH FULTON, ESSEX, HAMILTON, FRANKLIN AND CLINTON COUNTY PUBLIC HEALTH IN ADDITION TO SEVERAL OTHER HOSPITALS IN THE REGION, THROUGH THE REGIONAL HEALTH ASSESSMENT AND PLANNING EFFORTS COORDINATED BY ARHN. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE BROCHURES ARE GIVEN AT THE POINT OF SERVICE. ALL PATIENT'S STATEMENTS ADVERTISE CHARITY CARE PROGRAMS. CUSTOMER SERVICE REPS ARE TRAINED TO OUTLINE AND ENCOURAGE PARTICIPATION IN THE PROGRAM. VENDOR MEDICAID ELIGIBILITY PROCESS INCLUDES CHARITY CARE SCREENING STEP FOR ALL INPATIENT AND OUTPATIENT. WEBSITE CONTAINS INFORMATION ON CHARITY CARE PROGRAMS AND WEB PORTAL HAS AN APPLICATION FORM ONLINE THAT CAN BE PRINTED AND FILLED OUT. |
| PART VI, LINE 4: | THE GFH HEALTHCARE SYSTEM SERVICES A LARGE AREA OF UPSTATE NY THAT INCLUDES ALL OR PORTIONS OF THE FOLLOWING COUNTIES: WARREN, WASHINGTON, HAMILTON, ESSEX AND NORTHERN SARATOGA. THE SERVICE AREA COVERS APPROXIMATELY 350K PEOPLE. THE POPULATION IS LARGELY WHITE, NON-HISPANIC (95.9%). PEOPLE OVER THE AGE OF 65 CONSTITUTE 17.4% OF THE POPULATION; CHILDREN UNDER THE AGE OF 17 MAKE UP 20.2% OF THE POPULATION. THE AVERAGE HOUSEHOLD INCOME IS $79,547, LOWER THAN THE NYS AVERAGE OF $93,443. JUST OVER 1/4 OF THE POPULATION HAS OBTAINED A BACHELOR'S DEGREE OR HIGHER LEVEL OF EDUCATION (29.8%). THE AGE GROUP THAT WILL SEE THE GREATEST GROWTH ARE PEOPLE AGED 65 AND OLDER. |
| PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTHTHE GOVERNANCE OF GFH IS VESTED IN THE BOARD OF GOVERNORS (THE BOARD), WHICH IS COMPRISED OF DULY ELECTED COMMUNITY MEMBERS AND PHYSICIANS. THE BOARD CONSISTS OF NOT LESS THAN TWELVE AND NOT MORE THAN EIGHTEEN MEMBERS. ANY AND ALL PHYSICIANS LIVING IN THE SERVICE ARE WHO ARE QUALIFIED, AND WHO MEET REQUIREMENTS AS DOCUMENTED IN THE MEDICAL STAFF BYLAWS, ARE EXTENDED PRIVILEGES. FUNDS IN EXCESS OF EXPENSES ARE ALLOCATED FOR CAPITAL PROJECTS, MEDICAL RESEARCH AND CLINICAL TRIALS, PATIENT CARE IMPROVEMENTS AND SYSTEM IMPROVEMENTS. CAPITAL PROJECTS ARE PRIORITIZED BY AN INTERDISCIPLINARY COMMITTEE. |
| PART VI, LINE 7 | GFH FILES A COMMUNITY BENEFIT REPORT IN NEW YORK STATE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | NURSING SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 3 | RecipientCnt |
| Cash Grant | $12,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | EVERY GRANT THAT IS APPLIED FOR AND RECEIVED IS OVERSEEN BY A MANAGER OR DIRECTOR WITHIN THE ORGANIZATION. THESE INDIVIDUALS WORK CLOSELY WITH THE ACCOUNTING FUNCTION TO ENSURE ALL EXPENSES RELATED TO GRANTS ARE USED APPROPRIATELY AND TRACKED CORRECTLY. FINANCE MAINTAINS A TRACKING LOG OF GRANT FUNDS RECEIVED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIANNE SHUGRUE | ||||||||||||||
| PRESIDENT & CEO | $616,329 | $0 | $0 | $0 | $3,181,147 | $0 | $7,692 | $0 | $5,837 | $0 | $3,811,005 | $0 | $0 | $0 |
| STEVEN FRISCH MD | ||||||||||||||
| BOARD MEMBER | $0 | $824,345 | $0 | $279,144 | $0 | $114,507 | $0 | $95,504 | $0 | $23,051 | $0 | $1,336,551 | $0 | $65,476 |
| ADAM BROD MD | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $412,525 | $0 | $303,125 | $0 | $16,916 | $0 | $11,400 | $0 | $7,870 | $0 | $751,836 | $0 | $0 | $0 |
| JOHN STOUTENBURG MD | ||||||||||||||
| ONCOLOGY PHYSICIAN | $528,543 | $0 | $90,213 | $0 | $630 | $0 | $11,400 | $0 | $7,870 | $0 | $638,656 | $0 | $0 | $0 |
| MATTHEW DICKSON | ||||||||||||||
| ENT PHYSICIAN | $480,756 | $0 | $128,275 | $0 | $630 | $0 | $11,400 | $0 | $5,597 | $0 | $626,658 | $0 | $0 | $0 |
| ANDRE JOHNSON MD | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $412,787 | $0 | $194,258 | $0 | $420 | $0 | $11,400 | $0 | $5,597 | $0 | $624,462 | $0 | $0 | $0 |
| MICHAEL LIEBERTH MD | ||||||||||||||
| SURGICAL PHYSICIAN | $327,740 | $0 | $265,737 | $0 | $966 | $0 | $11,400 | $0 | $7,870 | $0 | $613,713 | $0 | $0 | $0 |
| SEAN BAIN MD | ||||||||||||||
| BOARD MEMBER | $280,173 | $0 | $120,644 | $0 | $966 | $0 | $11,400 | $0 | $5,018 | $0 | $418,201 | $0 | $0 | $0 |
| PAUL SCIMECA | ||||||||||||||
| COO | $360,480 | $0 | $0 | $0 | $22,196 | $0 | $11,400 | $0 | $5,837 | $0 | $399,913 | $0 | $0 | $0 |
| MITCH AMADO | ||||||||||||||
| CFO | $349,974 | $0 | $0 | $0 | $20,866 | $0 | $11,069 | $0 | $5,837 | $0 | $387,746 | $0 | $0 | $0 |
| HOWARD FRITZ MD | ||||||||||||||
| CMO | $351,610 | $0 | $0 | $0 | $19,500 | $0 | $11,400 | $0 | $720 | $0 | $383,230 | $0 | $0 | $0 |
| PATTI HAMMOND | ||||||||||||||
| VP PHYSICIAN PRACTICES | $274,873 | $0 | $0 | $0 | $16,144 | $0 | $11,074 | $0 | $5,289 | $0 | $307,380 | $0 | $0 | $0 |
| DONNA KIRKER | ||||||||||||||
| CNO | $264,579 | $0 | $0 | $0 | $13,879 | $0 | $10,635 | $0 | $780 | $0 | $289,873 | $0 | $0 | $0 |
| GEOFFREY SERFILIPPI MD | ||||||||||||||
| BOARD MEMBER | $143,802 | $0 | $15,000 | $0 | $2,772 | $0 | $0 | $0 | $480 | $0 | $162,054 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | PART 1, LINE 4A ON SEPTEMBER 23, 2020, MS. SHUGRUE TENDERED RESIGNATION FOR "GOOD REASON" UNDER TERMS OF HER EMPLOYMENT AGREEMENT, DATED 6/18/13, TRIGGERING SEVERANCE OF $956,250 AND A PRO RATA OF HER SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) OF $920,541, PER SCHEDULE A OF HER SERP AGREEMENT, DATED JANUARY 1, 2016. PART 1, LINE 4B EFFECTIVE JANUARY 1, 2016, A SERP WAS ESTABLISHED BETWEEN GLENS FALLS HOSPITAL AND DIANNE SHUGRUE. IN ACCORDANCE WITH SCHEDULE A OF MS. SHUGRUE'S SERP, SHE MET THE FOLLOWING VESTING REQUIREMENT IN 2020: "THE PARTICIPANT SHALL BE ENTITLED TO A FIXED BENEFIT EQUAL TO $1,300,000 IF THE PARTICIPANT REMAINS IN CONTINUOUS EMPLOYMENT AND HAS NOT INCURRED A SEPARATION FROM SERVICE, WITH THE EMPLOYER THROUGH THE DATE THE PARTICIPANT ATTAINS AGE 62, AT WHICH TIME THIS BENEFIT SHALL BECOME VESTED." |
| PART I, LINE 7 | PHYSICIANS ARE ELIGIBLE AND DID RECEIVE ADDITIONAL COMPENSATION THROUGH PARTICIPATION IN AN INCENTIVE PROGRAM THAT ADDRESSED QUALITY, PATIENT SATISFACTION AND THEIR PERSONAL PRODUCTIVITY. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLENS FALLS CIVIC DEVELOPMENT CORP-SERIES 2015 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 451673501 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2015-09-21 | BondIssuedDt |
| Issue Price | $67,000,000 | IssuePriceAmt |
| Purpose | REFUND 2003 BONDS, FINANCE CAPITAL PROJECTS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $20,100,000 | RetiredAmt |
| Total Proceeds | $67,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $360,205 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $17,520,856 | CapitalExpendituresAmt |
| Other Spent Proceeds | $49,118,939 | OtherSpentProceedsAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.01700 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.01700 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2 C: | FormAndLineReferenceDesc |
| Explanation | A THIRD-PARTY WAS USED TO PERFORM AN ARBITRAGE CALCULATION WHICH WAS COMPLETED ON NOVEMBER 20, 2020. IT WAS DETERMINED THAT THERE IS NO POSITIVE ARBITRAGE ASSOCIATED WITH THE ABOVE REFERENCED BOND ISSUE. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID WESTFALL MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $22,500 | TransactionAmt |
| Transaction | JV | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | DR. WESTFALL IS A DIRECTOR OF THE GLENS FALLS HOSPITAL BOARD, AND IS ALSO A MEMBER IN AN ENTITY INVOLVED IN A JOINT VENTURE WITH GFH FOR A PORTION OF 2020. GFH'S INVESTMENT IN THIS JOINT VENTURE, NEW YORK EYE SURGERY CENTER, LLC, EXCEEDS $10,000. IN 2020, GFH SOLD ITS INTEREST IN THE JOINT VENTURE TO NEW YORK EYE SURGERY CENTER, LLC.ALL OF GFH'S BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY TO ENSURE THAT THE HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. ACTIVITIES, ARRANGEMENTS AND SERVICES ARE THE RESULT OF ARM'S LENGTH BARGAINING REFLECTING REASONABLE PAYMENTS FOR GOODS AND SERVICES. BOARD BYLAWS STIPULATE THAT BOARD MEMBERS RECUSE THEMSELVES REGARDING ANY SUBJECT THAT PERTAINS TO A POTENTIAL CONFLICT OF INTEREST. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | ON JUNE 11, 2020, BEHAVIORAL HEALTH SERVICES NORTH (BHSN) RECEIVED ENDORSEMENT FROM GLENS FALLS HOSPITAL (GFH) AND WARREN/WASHINGTON COMMUNITY SERVICE BOARD TO MOVE FORWARD WITH BECOMING THE PROVIDER FOR OUTPAIENT SUBSTANCE ABUSE, MENTAL HEALTH TREATMENT AND CHILD AND FAMILY SERVICES FOR THE GLENS FALLS REGION. THESE SERVICES TRANSITIONED FROM GFH TO BHSN IN NOVEMBER 2020. |
| PART I, LINE 1 & PART III, LINE 1 | THE MISSION OF GFH IS TO IMPROVE THE HEALTH OF PEOPLE IN OUR REGION BY PROVIDING ACCESS TO EXCEPTIONAL, AFFORDABLE, AND PATIENT-CENTERED CARE IN EVERY SETTING. OUR CORE VALUES ARE CENTERED ON COLLABORATION, ACCOUNTABILITY, RESPECT, EXCELLENCE, AND SAFETY. GFH MAINTAINS A SERVICE AREA THAT SPANS 6,000 SQ. MILES ACROSS 5 COUNTIES. WE ALSO OPERATE 20 REGIONAL HEALTHCARE FACILITIES THROUGHOUT OUR SERVICE AREA. GFH HAS OVER 550 MEDICAL STAFF, INCLUDING OVER 170 EMPLOYED PHYSICIANS, PAS, AND NPS. |
| FORM 990, PART VI, SECTION A, LINE 4 | ON JULY 1, 2020 GLENS FALLS HOSPITAL BECAME AN AFFILIATE OF THE ALBANY MED HEALTH SYSTEM. AS PART OF THE AFFILIATION, THE GLENS FALLS HOSPITAL BY-LAWS WERE UPDATED TO INCLUDE ALBANY MED HEALTH SYSTEM AS ITS SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | AN OVERVIEW OF THE FORM 990 WAS PRESENTED TO THE FULL BOARD IN OCTOBER 2021. AN ELECTRONIC COPY OF THE 990 WAS POSTED ON THE BOARD PORTAL PRIOR TO FILING, THAT CAN BE ACCESSED BY THE BOARD FOR THEM TO REVIEW AND COMMENT ON. IN ADDITION, THE 990 WAS REVIEWED BY THE CFO, CONTROLLER, SR. DIRECTOR OF FINANCE, AND OUR INDEPENDENT ACCOUNTANT, KPMG, TO MAKE SURE IT WAS FILLED OUT COMPLETELY AND ACCURATELY. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON, A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. REVIEWS SHALL INCLUDE THE FOLLOWING SUBJECTS: A) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING, B) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT, AND C) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN THE INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. IN CONDUCTING REVIEWS, THE CORPORATION MAY USE OUTSIDE ADVISORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | GFH IS COMMITTED TO DEVELOPING AND MAINTAINING A TOTAL COMPENSATION PROGRAM THAT IS COMPETITIVE WITH PROGRAMS OFFERED BY OTHER HEALTH CARE ORGANIZATIONS THAT ARE COMPARABLE TO GFH IN REVENUE, STRUCTURE, MISSION AND SCOPE OF SERVICES. THE COMPENSATION PHILOSOPHY INCLUDES: BASE SALARY RANGES POSITIONED IN THE 50TH PERCENTILE OF A NATIONAL AND REGIONAL PEER GROUP, ANNUAL INCENTIVE OPPORTUNITIES TIED TO PERFORMANCE GOALS ESTABLISHED BY THE BOARD, BENEFITS DELIVERED IN THE 50TH PERCENTILE OF A NATIONAL PEER GROUP AND TOTAL COMPENSATION POSITIONED AT APPROXIMATELY THE 50TH PERCENTILE FOR EXPECTED PERFORMANCE, AND SOMEWHAT ABOVE THAT FOR EXCEPTIONAL PERFORMANCE. EXECUTIVE PAY IS REVIEWED ANNUALLY BY A THIRD PARTY CONSULTANT. THIS REVIEW INCLUDES A COMPARISON OF GFH EXECUTIVE PAY PRACTICES WITH NATIONAL AND REGIONAL BENCHMARK STUDIES AS APPROPRIATE. THE CONSULTANT IS ENGAGED DIRECTLY BY THE GFH BOARD OF GOVERNORS AND REPORTS THEIR FINDINGS TO BOARD PERSONNEL COMMITTEE FOR REVIEW AND ACTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,343,431. MANAGEMENT AND GENERAL EXPENSES 68,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,411,736. P/S STAFFING: PROGRAM SERVICE EXPENSES 8,556,681. MANAGEMENT AND GENERAL EXPENSES 4,823,446. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,380,127. P/S REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 2,546,322. MANAGEMENT AND GENERAL EXPENSES 5,582,926. FUNDRAISING EXPENSES 573. TOTAL EXPENSES 8,129,821. P/S COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,448,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,448,392. P/S TRANSCRIPTION AND MICROFILMING: PROGRAM SERVICE EXPENSES 159,098. MANAGEMENT AND GENERAL EXPENSES 85,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,694. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,136,483. MANAGEMENT AND GENERAL EXPENSES 2,474,312. FUNDRAISING EXPENSES 50,881. TOTAL EXPENSES 8,661,676. INFECTIOUS OUTBREAK MISC: PROGRAM SERVICE EXPENSES 4,299,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,299,238. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF GFH FOUNDATION 1,112,063. FOUNDATION TRANSFER TO BALANCE SHEET ACCOUNTS -4,299. EFFECT OF BUSINESS COMBINATION 39,055,387. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GLENS FALLS HOSPITAL FOUNDATION | |||||||||||
| 100 PARK ST | GLENS FALLS | NY | 12801 | 141790805 | SUPPORT | NY | 501(C)(3) | LINE 10 | N/A | 0 | |
| ADIRONDACK HEALTH SERVICES | |||||||||||
| 100 PARK ST | GLENS FALLS | NY | 12801 | 141667492 | PARENT | NY | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| GLENS FALLS MEDICAL PLLC | |||||||||||
| 100 PARK ST | GLENS FALLS | NY | 12801 | 823943636 | PHYSICIANS | NY | 501(C)(3) | LINE 10 | N/A | Yes (1) | |
| ALBANY MEDICAL CENTER FOUNDATION | |||||||||||
| 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 146023119 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | N/A | 0 | |
| ALBANY MEDICAL CENTER HOSPITAL | |||||||||||
| 43 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 141338307 | HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | N/A | 0 | |
| ALBANY MEDICAL CENTER KIDSKELLER | |||||||||||
| 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 222635792 | EDUCATION DAY PROGRAM | NY | 501(C)(3) | LINE 2 | Yes (1) | ALBANY MED HEALTH SYSTEM | |
| ALBANY MEDICAL COLLEGE | |||||||||||
| 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 141338310 | MEDICAL DEGREE PROGRAMS | NY | 501(C)(3) | LINE 2 | N/A | 0 | |
| BETTER HEALTH FOR NORTHEAST NY | |||||||||||
| 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 811861104 | DSRIP | NY | 501(C)(6) | Yes (1) | AMC HOSPITAL | ||
| CENTER FOR DONATION AND TRANSPLANT | |||||||||||
| 218 GREAT OAKS BLVD | ALBANY | NY | 12203 | 141820447 | ORGAN AND TISSUE BANK | NY | 501(C)(3) | LINE 12A, I | 0 | ALBANY MEDICAL COLLEGE | |
| COLUMBIA MEMORIAL HEALTH FOUNDATION | |||||||||||
| 71 PROSPECT AVE | HUDSON | NY | 12534 | 141761112 | FUNDRAISING | NY | 501(C)(3) | LINE 10 | Yes (1) | COLUMBIA MEMORIAL HOSPITAL | |
| COLUMBIA MEMORIAL HOSPITAL | |||||||||||
| 71 PROSPECT AVE | HUDSON | NY | 12534 | 141338373 | HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | N/A | 0 | |
| HEALTHCARE PARTNERS OF SARATOGA LTD | |||||||||||
| 211 CHURCH STREET | SARATOGA SPRINGS | NY | 12886 | 563303309 | EMERGENT CARE | NY | 501(C)(3) | LINE 3 | N/A | 0 | |
| KAATERSKILL COMMONC INC | |||||||||||
| 163 JEFFERSON HEIGHTS | CATSKILL | NY | 12414 | 205700964 | HOUSING | NY | 501(C)(3) | LINE 7 | Yes (1) | COLUMBIA MEMORIAL HOSPITAL | |
| SARATOGA HOSPITAL | |||||||||||
| 211 CHURCH STREET | SARATOGA SPRINGS | NY | 12886 | 141338547 | HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | N/A | 0 | |
| SARATOGA CARE INC | |||||||||||
| 211 CHURCH STREET | SARATOGA SPRINGS | NY | 12886 | 141775218 | PROMOTING HEALTH | NY | 501(C)(3) | LINE 12B, II | 0 | SARATOGA HOSPITAL | |
| SARATOGA REGIONAL MED PC | |||||||||||
| 211 CHURCH STREET | SARATOGA SPRINGS | NY | 12886 | 472468259 | HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 3 | Yes (1) | SARATOGA HOSPITAL | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IMAG SVC OF NENY | |||||||||||||
| 100 PARK STREET | GLENS FALLS | NY | 12801 | 141820955 | DIAG. RADIOLOGY | NY | N/A | RELATED | $347,871 | $62,901 | 0 | 0 | 0.50000 |
| NORTH COUNTRY EYE CENTER LLC | |||||||||||||
| 465B MAPLE AVE | SARATOGA | NY | 12866 | 453715451 | EYE CENTER | NY | N/A | RELATED | 0 | 0 | 0.30000 | ||
| 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 | 0 | 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 | Yes (1) | 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 | 0 | 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 | NORTH COUNTRY EYE CENTER LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | G | TransactionTypeTxt |
| Involved | $225,000 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DURING 2020, GLENS FALLS HOSPITAL SOLD ITS INTEREST IN NORTH COUNTRY EYE CENTER LLC (FEIN 45-3715451) TO THE PRIMARY PARTNER FOR $225,000. | ExplanationTxt |