NATHAN LITTAUER HOSPITAL ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: NATHAN LITTAUER HOSPITAL ASSOCIATION (EIN 14-1338465)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202123199349330807
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T07:13:25-07:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338465	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NATHAN LITTAUER HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NATH	BusinessNameControlTxt
Phone	5187258621	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mike Ostrander	PersonNm
Person Title	Vice President of Finance & CFO	PersonTitleTxt
Phone	5187735480	PhoneNum
Signature	2021-11-08	SignatureDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	1	TrustedCustomerCd
OOB Security Verification	11	OOBSecurityVerificationCd
Last Submission Rqr OOB	0	LastSubmissionRqrOOBCd
Authentication Assurance Level	AAL2	AuthenticationAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Hospital and Nursing Home	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Sean Fadale	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$211,268,893	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nlh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1894	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Nathan Littauer Hospital & Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1148	TotalEmployeeCnt
Total Volunteers	125	TotalVolunteersCnt
Total Gross UBI	$614,821	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$759,790	PYContributionsGrantsAmt
CY Contributions Grants	$965,693	CYContributionsGrantsAmt
PY Program Service Revenue	$104,632,435	PYProgramServiceRevenueAmt
CY Program Service Revenue	$93,985,382	CYProgramServiceRevenueAmt
PY Investment Income	$1,644,282	PYInvestmentIncomeAmt
CY Investment Income	$229,630	CYInvestmentIncomeAmt
PY Other Revenue	$7,409,366	PYOtherRevenueAmt
CY Other Revenue	$16,949,461	CYOtherRevenueAmt
PY Total Revenue	$114,445,873	PYTotalRevenueAmt
CY Total Revenue	$112,130,166	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$70,135,369	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,836,073	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$312,283	CYTotalFundraisingExpenseAmt
PY Other Expenses	$39,831,799	PYOtherExpensesAmt
CY Other Expenses	$40,256,837	CYOtherExpensesAmt
PY Total Expenses	$109,967,168	PYTotalExpensesAmt
CY Total Expenses	$110,092,910	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,478,705	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,037,256	CYRevenuesLessExpensesAmt
Total Assets BOY	$123,734,190	TotalAssetsBOYAmt
Total Assets EOY	$137,432,154	TotalAssetsEOYAmt
Total Liabilities BOY	$29,916,791	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$34,212,596	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$93,817,399	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$103,219,558	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Nathan Littauer Hospital & Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$53,656,653	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$69,311,472	RevenueAmt
Desc	74 bed general medical surgical hospital providing inpatient and outpatient services with the following service statistics for 2020; 7,250 inpatient days, 657 observation visits, 625 new born days, 1,961 admissions, 336 nursery admissions, 16,596 emergency room visits, 85,407 outpatient visits and 3,640 day surgery visits. In January 2020, the Secretary of the U.S. Department of Health and Human Services (HHS) declared a national public health emergency due to a novel strain of coronavirus (COVID-19) and in March 2020 the World Health Organization declared the spread of the virus to be a pandemic. In early March 2020, the Governor of New York also declared a state of emergency which provided various orders by the State, Department of Health, and other state agencies to respond to COVID-19. Among such orders, all hospitals were required to cancel non-essential elective procedures and non-urgent procedures effective March 25, 2020 in order to protect patients and the healthcare workforce, conserve resources including personal protective equipment, and increase available beds to service COVID-19 cases. In coordination with State health authorities, the Hospital initiated emergency measures to prevent avoidable transmission of the illness, including canceling non-urgent elective surgeries, procedures, and clinic visits. The Hospital also implemented significant new safety measures, expanded critical care bed capacity, acquired personal protective equipment, expanded testing capabilities, and redeployed clinical and nonclinical staff to work in areas where the need was most urgent and transition to telemedicine visits to continue to provide primary clinic services in a touchless environment. The cancelation of elective procedures and non-urgent ambulatory visits resulted in a significant reduction in patient volumes. In addition to the lost revenue that accompanied the lower patient volumes, the Hospital experienced a significant increase in operating expenses associated with the purchase of personal protective equipment, certain pharmaceuticals, COVID-19 testing supplies, and other overhead and patient specific costs. In response to COVID-19, the federal government took various actions intended to assist healthcare providers and in March 2020 the Coronavirus Aid, Relief, and Economic Security (CARES) Act became law. The CARES Act included Provider Relief Funds (PRF), which are not subject to repayment if certain terms and conditions provided by HHS are met. Generally, those terms and conditions require PRF payments will only be used to prevent, prepare for, and respond to coronavirus and shall only reimburse the recipients for health care-related expenses or lost revenues that are attributable to coronavirus, so long as such expenses and lost revenues have not been reimbursed by other sources. During 2020, the Hospital received $9.6 million of PRF payments which were recognized in other operating revenue in the statement of operations.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$37,718,868	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$17,146,092	RevenueAmt
Desc	The Nathan Littauer Hospital and Specialty Care Centers provide care for the whole family. Our eleven conveniently located centers offer a range of services and specialties that include urology, obstetrics, gynecology, podiatry, pulmonology, gastroenterology, pediatrics, and neurology along with direct access to state-of-the-art technology available at Nathan Littauer Hospital. Several Centers are located in remote rural parts of our service area. The Centers employ 38 physicians and over 27 other healthcare professionals. During 2020, the Centers collectively incurred 129,105 patient visits.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,264,059	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,366,357	RevenueAmt
Desc	The Nathan Littauer Nursing Home located on the Nathan Littauer Hospital campus is a short and long-term residential healthcare facility that provides a wide range of medical services with 84 beds. In 2020, the facility had a total of 25,430 patient days.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$518,959	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$16,612,684	RevenueAmt
Desc	HealthLink is Nathan Littauer Hospital's Wellness Education Center located in downtown Johnstown. HealthLink's role is to promote wellness by promoting prevention and providing resources to promote healthy lifestyle choices. Since its launch in 1989, HealthLink has served over 285,000 area residents with over 9,000 free or low-cost education programs and health screenings. Our wide varieties of programs are chosen based on the interests and the health needs of the community. Program categories: include Health & Wellness, Mind & Body, Childbirth & Parenting, Health Screenings, Support Groups, Chronic Disease Self-Management Workshops, and Fitness Classes. Programs and presentations on a variety of topics are offered throughout our service area at places such as local businesses, schools, churches and other organizations in order to better serve this rural community. HealthLink's resources include: fair and festival activities, trained employees and contracted staff, numerous brochures on a wide variety of health & wellness related topics available at no cost, as well as an array of health magazines, books and DVDs for loan. The Hospital also offers a Lifeline Program. Lifeline is a personal emergency response system providing immediate assistance 24 hours a day 7 days a week. A total of 430 subscribers are members of NLHs Lifeline Program. Other community services include community health fairs, speakers bureau, organ donation program and New Visions Program for high school students. Health Insurance Counseling: Nathan Littauer Hospital was awarded and continues to be the Lead Agency for the grant entitled: "Consumer Assistant for the NYS of Health Benefit Exchange" covering Fulton and Montgomery County. During the year of 2020 Nathan Littauer Hospital as Lead Agency the program's was able to enroll a total of 1,856 individuals with the following breakdown: Children's Medicaid - 419, Child Health Plus Program - 173, Adult Medicaid - 891, Adult Quality Health Plan - 99, Essential Plans - 274. Also included here is other operating revenue of $16,484,538.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$518,959	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$16,612,684	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$101,158,539	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	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	30	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1148	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Michael Redcross	PersonNm
Phone	5187735481	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Laurence E Kelly
President and CEO	40	0.25	Yes (X)	Yes (X)	$2,904,456	$0	$76,600
Kamini Ramani MD
Member/Employed Physician	40	0	Yes (X)		$733,132	$0	$35,897
Verma Shri MD
Physician	40	0			$673,750	$0	$37,144	Yes (X)
Paul Husson MD
Member/Employed Physician	40	0.25	Yes (X)		$540,000	$0	$37,144
Robert Wasiczko MD
Physician	40	0			$435,418	$0	$35,897	Yes (X)
Bradley H Paddock MD
Physician	40	0			$452,577	$0	$11,400	Yes (X)
Stephen Little MD
Physician	40	0			$405,663	$0	$31,815	Yes (X)
Jerome Rosenstein MD
Physician	40	0			$400,000	$0	$35,897	Yes (X)
Mike Ostrander
Vice President of Finance and CFO	40	0.25		Yes (X)	$311,427	$0	$23,857
Sean Fadale
President and CEO	40	0.25	Yes (X)	Yes (X)	$99,313	$0	$8,510
Shriraj Shah MD
Member/Employed Physician MD	12.00	0	Yes (X)		$81,816	$0	$14,324
Gregory Truckenmiller PhD
Chair	0.5	0.25	Yes (X)		$0	$0	$0
Stephen Tomlinson
Vice Chair	0.5	0.25	Yes (X)		$0	$0	$0
Susan Johnson Esq
Treasurer	0.5	0.25	Yes (X)		$0	$0	$0
Holly Chamberlin Esq
Secrerary	0.5	0.25	Yes (X)		$0	$0	$0
Thomas Ciaccio
Member	0.5	0.25	Yes (X)		$0	$0	$0
Paul Connelie
Member	0.5	0.25	Yes (X)		$0	$0	$0
John Fox DDS
Member	0.5	0.25	Yes (X)		$0	$0	$0
Tobin Cash
Member	0.5	0.25	Yes (X)		$0	$0	$0
Amy Pedrick
Member	0.5	0	Yes (X)		$0	$0	$0
G Jeremiah Ryan PhD
Member	0.5	0.25	Yes (X)		$0	$0	$0
David Seward Esq
Member	0.5	0.25	Yes (X)		$0	$0	$0
Diana Marshall
Member	0.5	0.25	Yes (X)		$0	$0	$0
Jennifer Wojeski Esq
Member	0.5	0.25	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,037,552	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$348,485	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	117	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MLB Construction Services LLC
1 Stone Break Road	Malta	NY	12020	Construction Services	$2,203,724
Sodexo Operations
PO Box 905374	Charlotte	NC	28290	Dietary Services	$2,161,148
Alliance Healthcare Services
PO Box 964485	Chicago	IL	60693	MRI Imaging	$1,184,573
Gloversville Physician Medicine PC
PO Box 82368	Lafayette	LA	70598	Physician Services	$1,564,071
Quest Diagnostics
1 Malcolm Avenue	Teterboro	NJ	07608	Diagnostic Services	$953,469

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$200,000	RelatedOrganizationsAmt
Government Grants	$729,453	GovernmentGrantsAmt
All Other Contributions	$36,240	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$965,693	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Inpatient and Outpatient Services	622110	$69,311,472	$69,170,164	$141,308	$0
Primary Care Centers	621400	$17,146,092	$17,146,092	$0	$0
Nursing Home	623000	$7,366,357	$7,366,357	$0	$0
Lifeline	621990	$159,572	$159,572	$0	$0
Healthlink	611710	$1,889	$1,889	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$93,985,382	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,315,817	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,590	UnrelatedBusinessRevenueAmt
Exclusion	$1,307,227	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$98,054,966	SecuritiesAmt
Other	-$2,426	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$99,138,727	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,083,761	SecuritiesAmt
Other	-$2,426	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,086,187	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$1,086,187	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Retail Pharmacy	446110	$464,923	$0	$464,923	$0
340b Pharmacy	900099	$3,907,052	$3,907,052	$0	$0
Cafeteria Sales	722212	$342,807	$342,807	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,234,679	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,201,364	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$33,315	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$16,949,461	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,130,166	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110,295,297	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$614,821	UnrelatedBusinessRevenueAmt
Exclusion	$254,355	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,315,196	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,315,196	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$51,920,723	TotalAmt
Program Services	$50,047,706	ProgramServicesAmt
Management And General	$1,628,096	ManagementAndGeneralAmt
Fundraising	$244,921	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,370,703	TotalAmt
Program Services	$3,223,832	ProgramServicesAmt
Management And General	$137,074	ManagementAndGeneralAmt
Fundraising	$9,797	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,514,891	TotalAmt
Program Services	$7,265,922	ProgramServicesAmt
Management And General	$215,610	ManagementAndGeneralAmt
Fundraising	$33,359	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,714,560	TotalAmt
Program Services	$3,590,011	ProgramServicesAmt
Management And General	$105,813	ManagementAndGeneralAmt
Fundraising	$18,736	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$594,026	TotalAmt
Program Services	$594,026	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$259,065	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$259,065	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$181,586	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$181,586	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$31,406	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$31,406	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,723,515	TotalAmt
Program Services	$3,324,626	ProgramServicesAmt
Management And General	$398,889	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$206,112	TotalAmt
Program Services	$37,667	ProgramServicesAmt
Management And General	$168,445	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,631,754	TotalAmt
Program Services	$5,048,383	ProgramServicesAmt
Management And General	$583,371	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$864,608	TotalAmt
Program Services	$783,645	ProgramServicesAmt
Management And General	$80,963	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,192,517	TotalAmt
Program Services	$1,190,605	ProgramServicesAmt
Management And General	$1,912	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$165,965	TotalAmt
Program Services	$157,675	ProgramServicesAmt
Management And General	$8,290	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$217,286	TotalAmt
Program Services	$217,286	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,078,864	TotalAmt
Program Services	$3,918,434	ProgramServicesAmt
Management And General	$160,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,744,868	TotalAmt
Program Services	$1,744,868	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$10,899,323	$10,899,296	$27	$0
Non-Medical Expenses	$1,287,132	$1,278,303	$8,829	$0
Purchased Services	$6,387,903	$5,660,700	$727,203	$0
Food	$807,444	$807,444	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,983,463	TotalAmt
Program Services	$1,368,110	ProgramServicesAmt
Management And General	$609,883	ManagementAndGeneralAmt
Fundraising	$5,470	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$110,092,910	TotalAmt
Program Services	$101,158,539	ProgramServicesAmt
Management And General	$8,622,088	ManagementAndGeneralAmt
Fundraising	$312,283	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,108,017	BOYAmt
EOY	$7,081,069	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,796,673	BOYAmt
EOY	$1,822,514	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,855,254	BOYAmt
EOY	$1,158,065	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,905,262	BOYAmt
EOY	$9,366,879	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$618,286	BOYAmt
EOY	$1,463,379	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,102,056	BOYAmt
EOY	$1,941,841	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$111,786,115	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$75,137,944	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$30,092,300	BOYAmt
EOY	$36,648,171	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$65,123,108	BOYAmt
EOY	$74,232,015	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,133,234	BOYAmt
EOY	$3,718,221	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$123,734,190	BOYAmt
EOY	$137,432,154	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,064,207	BOYAmt
EOY	$11,099,045	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$664,385	BOYAmt
EOY	$638,876	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,188,199	BOYAmt
EOY	$22,474,675	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,916,791	BOYAmt
EOY	$34,212,596	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	$88,380,980	BOYAmt
EOY	$98,202,197	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,436,419	BOYAmt
EOY	$5,017,361	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,817,399	BOYAmt
EOY	$103,219,558	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$123,734,190	BOYAmt
EOY	$137,432,154	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,037,256	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,938,383	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$3,426,520	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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	0	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$31,406	OtherActivitiesAmt
Total Lobbying Expenditures	$31,406	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	A portion of the organizations dues for the American Hospital Association, Healthcare Association of New York State and the Iroquois Healthcare Consortium is used for Lobbying purposes. Also the organization engaged a law firm to seek an extension of the Medicare Dependent Hospital Designation as part of a group effort with other rural Hospitals.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$481,594	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$79,449	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$946	AdministrativeExpensesAmt
End Year Balance	$560,097	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$395,103	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$87,589	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,098	AdministrativeExpensesAmt
End Year Balance	$481,594	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$438,438	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$42,336	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$999	AdministrativeExpensesAmt
End Year Balance	$395,103	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$374,009	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$66,039	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,610	AdministrativeExpensesAmt
End Year Balance	$438,438	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$328,971	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$46,558	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,520	AdministrativeExpensesAmt
End Year Balance	$374,009	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$853,543	OtherCostOrOtherBasisAmt
Book Value	$853,543	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$53,732,952	OtherCostOrOtherBasisAmt
Depreciation	$32,614,368	DepreciationAmt
Book Value	$21,118,584	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,106,131	OtherCostOrOtherBasisAmt
Depreciation	$1,626,363	DepreciationAmt
Book Value	$479,768	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$47,210,499	OtherCostOrOtherBasisAmt
Depreciation	$38,406,896	DepreciationAmt
Book Value	$8,803,603	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$7,882,990	OtherCostOrOtherBasisAmt
Depreciation	$2,490,317	DepreciationAmt
Book Value	$5,392,673	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$36,648,171	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Due to Third Parties	$4,981,959
Asset Retirement Obligation	$401,291
Long-Term Pension Obligation	$6,541,786
Section 457 Plans	$2,698,602
EHR Reserve	$449,714
Promissory Notes	$6,747,063
Amsterdam Property	$654,260

Field	Value	IRS element (for citing)
Total Liability	$22,474,675	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$119,495,069	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,938,383	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$3,426,520	OtherRevenueAmt
Revenue Not Reported	$7,364,903	RevenueNotReportedAmt
Revenue Subtotal	$112,130,166	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$112,130,166	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$110,092,910	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$110,092,910	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$110,092,910	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	The principle donation is permanently restricted, income generated by the fund can be used toward operations of the hospital.
Schedule D, Part X, Line 2	The Hospital is a not-for-profit organization, as described in Section 501c 3 of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501 (a) of the Code. The Hospital recognizes income tax positions when its more-likely than not that position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded as of December 31, 2020 or 2019.
Schedule D, Part XI, Line 2d	Changes include increases of $3,576,796 from contributions from Estate Grants; Capital Grant awards of $604,995; distributions of $1,735,008 from interest in net assets from Nathan Littauer Foundation; and decreases of $793,090 for pension related changes other than net periodic pension cost and $1,697,189 for changes in net assets from Foundation.
Schedule D, Part XI, Line 4b	Distributions of $1,735,008 from Nathan Littauer Hospital Foundation; Distribution of $2,903,660 capital grant award.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1093	PersonsServedCnt
Total Community Benefit Expns	$204,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,900	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$159,100	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	61953	PersonsServedCnt
Total Community Benefit Expns	$23,582,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,786,012	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,796,365	NetCommunityBenefitExpnsAmt
Total Expense	0.0617	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	63046	PersonsServedCnt
Total Community Benefit Expns	$23,786,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,830,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,955,465	NetCommunityBenefitExpnsAmt
Total Expense	0.0631	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	4307	PersonsServedCnt
Total Community Benefit Expns	$577,698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$440,358	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$137,340	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	125576	PersonsServedCnt
Total Community Benefit Expns	$27,188,611	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,281,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,906,931	NetCommunityBenefitExpnsAmt
Total Expense	0.1263	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	75	PersonsServedCnt
Total Community Benefit Expns	$6,812	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,812	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	129958	PersonsServedCnt
Total Community Benefit Expns	$27,773,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,722,038	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,051,083	NetCommunityBenefitExpnsAmt
Total Expense	0.1276	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	193004	PersonsServedCnt
Total Community Benefit Expns	$51,559,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,552,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,006,548	NetCommunityBenefitExpnsAmt
Total Expense	0.1907	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,264,819	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,170,137	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,905,318	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Hospital Association	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.nlh.org	WebsiteAddressTxt
State License	1701000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Hospital Association	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.nlh.org/wp-content/uploads/2020/01/2019-2021-Community-Health-Needs-Assessment.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.nlh.org/wp-content/uploads/2020/01/2019-Implementation-Strategy.pdf	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.nlh.org/wp-content/uploads/2020/01/2020_Financial_Assistance_Policy-website.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.nlh.org/wp-content/uploads/2020/01/2020_Financial_Assistance_Application.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.nlh.org/wp-content/uploads/2020/01/2020_Financial_Assistance_Summary.pdf	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Nathan Littauer Hospital Association	The Ad Hoc Data Sub-Committee of the Adirondack Rural Health Network (ARHN) drafted a survey to obtain input from the community. ARHN surveyed key informants in the seven county service area, to provide the CHA Committee with input on regional health care needs and priorities. The survey was developed using Survey Monkey; it included 14 community health questions, as well as several demographic questions. The CHA Committee provided a list of health care, social service, education, government, and service providers by county to survey. The collected distribution list totaled 807 key informants. In early January 2019, the CHA Committee partners sent an email to community stakeholders to introduce the survey and provide a web-based link. ARHN staff sent a second email approximately two weeks later after the initial reach out. CHA Committee members received the names of all non-respondents for additional follow up, at partner discretion. The survey requested that key informants identify the top two New York State Prevention Agenda priority areas from a list of five. Key informants also gave insight on what they felt were the top health concerns and what contributing factors were most influential for those specific health concerns. Chosen priority areas were analyzed by totaling the responses by county. The priority area that received the most responses is the First Choice, followed by the second most responses listed as Second Choice. Fulton County informants identified Promote Well-Being and Prevent Mental and Substance Use Disorders as their top priority and Prevent Chronic Disease as their second choice.
Schedule H, Part V, Section B, Line 6a-Nathan Littauer Hospital Association	The Community Health Assessment Committee is comprised of representatives from hospitals; Adirondack Health, Glens Falls Hospital, University of Vermont Health Network- Alice Hyde Medical Center, University of Vermont Health Network - Champlain Valley Physicians Hospital, and University of Vermont Health Network- Elizabethtown Community Hospital.
Schedule H, Part V, Section B, Line 6b-Nathan Littauer Hospital Association	The Community Health Assessment Committee is comprised of representatives from organizations other than hospital facilities including; Clinton County Health Department, Essex County Public Health, Franklin County Public Health, Fulton County Public Health, Hamilton County Public Health, Warren County Health Service and Washington County Health Services.
Schedule H, Part V, Section B, Line 11-Nathan Littauer Hospital Association	After reviewing the survey results and determining the ability to affect the focus areas, Nathan Littauer Hospital and Fulton County Public Health Department selected the following priorities; #1-Prevent Chronic Disease with a focus area of Preventive Care and Management and #2-Prevent Communicable Diseases with a focus area of Antimicrobial Resistance and Healthcare-Associated Infections for our 2019-2021 service plan. To address the Prevention of chronic disease priority, Nathan Littaer Hospital offers evidence-based self-management programs. Data shows the programs increase self-efficacy in managing one's health, are effective in increasing or maintaining independence, positive health behavior and or mobility. Reduction in disability (fewer falls, later onset or fewer years of disability, etc.) along with pain reduction are other outcomes. Mental health (including delays in loss of cognitive function and positive effects on depressive symptoms) and over-all quality of life are also improved. Rural residents have limited access to care due to fewer options for public transportation, socioeconomic conditions, access to mass media and emerging technologies, built environment, and some physical barriers. It is our goal to improve self-management skills for individuals with chronic disease, including asthma, arthritis, cardiovascular disease, diabetes, prediabetes and obesity. The benefits of utilizing evidence-based programs carry over from the community members to Community-Based and Health Care Organizations. Efficient use of available resources occur as it facilitates partnerships and clinical linkages, which lead to greater opportunity for varied funding sources. Fewer hospital and doctor visits, lower health care costs, better health outcomes and a more positive health care experiences. Nathan Littauer Hospital has staff trained to facilitate the following evidence-based programs; Chronic Disease Self-Management Program (CDSMP), Diabetes Self-Management Program (DSMP), National Diabetes Prevention Program (NDPP), Chronic Pain Self-Management Program (CPSMP), The Butt Stops Here (TBSH), Active Living Every Day (ALED), Healthy Eating Every Day (HEED), and Tai Chi for Arthritis and Fall Prevention. We plan to expand access to evidence-based self-management interventions for individuals with arthritis, asthma, cardiovascular disease, and diabetes We will measure the results by looking at; the number of workshops delivered, the number of participants who complete 4 out of 6 sessions, and the number of sites and or counties where workshops are held. Concerning Priority #2 the Prevention of Communicable Diseases, The CDC has identified certain disparities increase the risk of antibiotic-resistance. These include; increased age, people residing in a health care setting, living in a rural area and lower socioeconomic status. The data suggests that Fulton County would be at an increased risk. The population of people 65 years of age and older is higher than that in other areas of New York State, and the household income is much lower, with more people living below the Federal Poverty Level. Nathan Littauer Hospital & Nursing Home plans to build a team of clinicians and support personal that will collaborate with Fulton County Public Health to decide on educational material to disseminate into the community. Visiting nursing agencies and local pharmacies asked to collaborate with us on developing a cohesive messaging plan. Our hospital's marketing team, including our graphic designers will consult with our team to develop the final material. We will utilize our in-house print shop to produce the materials. The identified priority not chosen by Nathan Littauer Hospital was Promote Well-Being and Prevent Mental and Substance Use Disorders. Stakeholders identified this priority as the second largest need in our area. Due to limitations, Nathan Littauer Hospital & Nursing Home did not choose to focus on this priority. Our organization does not have the clinical infrastructure to address mental health issues at the hospital level for on-going treatment. We do refer to appropriate providers and hospitals in the area and our trained clinicians can meet the needs of a patient with a mental health issue in a medical setting. We have cooperative relationships with the Family Counseling Center, even offering them office space in exchange for quick mental health referrals for our patients in crisis. We refer to a neighboring hospital's mental health treatment facilities available. On the Primary Care level, we are able to provide situational mental health assistance; providing medication as indicated and/or referral to appropriate local and regional resources. The ARHN CHA voted unanimously to address this as our regional priority. Nathan Littauer Hospital & Nursing Home will work in conjunction with ARNH to implement meaningful NY Prevention Agenda interventions to the best of our abilities. Additionally we will work with Fulton County Department of Public Health as members of the Mohawk Valley Population Health Improvement Program (MVPHIP) identified behavioral health as a priority and has a workgroup to address stigma and provide mental health resources to the region.
Schedule H, Part V, Section B, Line 20d-Nathan Littauer Hospital Association	The Hospital does not have adequate resources to accurately predict those who would qualify for its Financial Assistance Program.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Nathan Littauer Hospital Nursing Home
99 East State Street	Gloverville	NY	12078	84 Bed Nursing Home.
Nathan Littauer Hospital Primary Care
99 East State Street	Gloversville	NY	12078	Primary/Specialty Care Center (Clinic)
Perth Primary Care Center
4100 State Highway 30	Amsterdam	NY	12110	Primary/Specialty Care Center (Clinic).
Johnstown Primary Care Center
23 South Perry Street	Johnstown	NY	12095	Primary/Specialty Care Center (Clinic).
Mayfield Primary Care Center
2497 State Highway 30	Mayfield	NY	12117	Primary/Specialty Care Center (Clinic).
Kingsboro GI Center
434 South Kingsboro Ave Extension	Johnstown	NY	12095	Primary/Specialty Care Center (Clinic).
Decker Drive Primary Care Center
9 Decker Drive	Johnstown	NY	12095	Primary/Specialty Care Center (Clinic).
Steele Avenue Primary Care Center
182 Steele Avenue	Gloversville	NY	12078	Primary/Specialty Care Center (Clinic).
Speculator Primary Care Center
Route 8	Speculator	NY	12164	Primary/Specialty Care Center (Clinic).
Caroga Lake Primary Care Center
1840 State Highway 10	Caroga Lake	NY	12032	Primary/Specialty Care Center (Clinic).
Fonda Primary Care Center
46 East Main Street	Fonda	NY	12068	Primary/Specialty Care Center (Clinic).
Broadalbin Primary Care Center
103 County Highway 138	Broadalbin	NY	12025	Primary/Specialty Care Center (Clinic)

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	The costing methodology used to calculate the amounts reported in the Table for Line 7 is the ratio of patient cost to patient charges.
Schedule H, Part I, Line 7, Column f	Bad Debt Expense was not included in Form 990, Part IX, line 25, Column (A), and not subtracted for purpose of calculating the percentage in Schedule H Part I, Line 7 column (f).
Schedule H, Part I, Line 7g	Subsidized health services reported included details from the Primary/Specialty Care Centers and licensed clinics. The Centers operate despite financial losses to the Organization for at least the last fifteen years. The Hospital is committed to operate the Clinics as a benefit to the community in order address an identified need and to improve access to healthcare, including our remote rural communities.
Schedule H, Part III, Section A, Line 2	Due to the adoption of ASU No. 2014-09- Revenue from contracts with Customers (Topic 606) bad debt expense is no longer reported on the audited financial statements. Rather, it is treated as a price concession. Revenue from Contracts with Customers (Topic 606), which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most current revenue recognition guidance, including industry-specific guidance, and requires significantly expanded disclosures about revenue recognition. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.
Schedule H, Part III, Section A, Line 3	Due to the adoption of ASU No. 2014-09- Revenue from contracts with Customers (Topic 606) bad debt expense is no longer reported on the audited financial statements. Rather, it is treated as a price concession. Revenue from Contracts with Customers (Topic 606), which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most current revenue recognition guidance, including industry-specific guidance, and requires significantly expanded disclosures about revenue recognition. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.
Schedule H, Part III, Section A, Line 4	The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. Those records include the amount of charges for services and supplies furnished to patients at no charge. The level of charity care, measured on the basis of cost, is approximately $204,000 and $247,000 for 2020 and 2019, respectively. The cost of charity care provided was determined based on the application of the ratio of the Hospital's overall cost to patient charges. Included in net patient service revenue for 2020 and 2019 is approximately $112,000 and $52,000, respectively in net uncompensated care distributions received from New York State to support the cost of charity care. The Hospital annually conducts a comprehensive assessment of the community and charitable benefits it provides. A copy of the Nathan Littauer Hospital Community Service Report is available on the Hospital's website.
Schedule H, Part III, Section B, Line 8	Medicare allowable costs were calculated using a cost to charge ratio based upon the cost finding methodology in the Medicare 2252-10 Cost Report. Community Benefit rationale: The Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patient, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though costs exceed reimbursements by $2,905,318. Tax exempt hospital are expected to participate in the Medicare program. For many of the medical services provided by the Hospital, Medicare does not provide sufficient reimbursement to cover the cost of providing care to our patients, forcing the Hospital to use other funds to cover the deficit. Medicare Cost Reports that hospitals are required to file do not include the costs required to treat all Medicare patients. Therefore, the amount reflected on the Medicare Cost Report differs from actual losses. In 2020 the Hospital realized an additional shortfall of $6,716,580 resulting from Medicare Advantage and non-PPS Medicare patients. The total shortfall for all types of Medicare patients was $9,621,898.
Schedule H, Part III, Section C, Line 9b	Requests for Financial Assistance may be made at any point before, during or after the provision of care. Anyone seeking Financial Assistance will be given an application. Financial Assistance requests may be proposed by sources other than the patient, such as patient's physician, family members, social services or hospital personnel. Pending final eligibility determination, Nathan Littauer Hospital will not initiate collection efforts or requests for deposits provided that the responsible party is cooperative with Nathan Littauer Hospital's efforts to get payment from other sources. If initial screening does not disqualify someone for Financial Assistance they will be given an application, which includes instructions on how to apply.
Schedule H, Part VI, Line 2	The Mohawk Valley Population Health Improvement Program (MVPHIP) partnered with Fulton County Public Health Department and Nathan Littauer Hospital & Nursing Home to complete their 2019-2021 Community Health Needs Assessment utilizing key informant survey data compiled by Adirondack Rural Health Network. The key informants represent a broad range of sectors, community interests, and includes organizations that represent the medically underserved, low-income, and minority populations. In addition to the key informant responses, the assessment includes quantitative data sources collected and published by New York State, as well as health indicators included on the MVPHIP website compiled by Healthy Communities Institute. The site includes a comprehensive dashboard of community indicators covering over 20 topics in the areas of health, social determinants of health, and quality of life from public secondary data sources. Fulton County Public Health Department and Nathan Littauer Hospital & Nursing Home also collected a small sample of community members' views on the health of the community.
Schedule H, Part VI, Line 3	NLH educates our patient population for our Financial Assistance policy in the following ways: NLH has provided a "Frequently Asked Question" section on our website (www.nlh.org) to answer questions our patients may have. We have posted the complete Charity/Financial assistance policy on our website (www.nlh.org). NLH posts in their registration areas the availability of Financial Assistance and the appropriate contact information to obtain and complete the application process. NLH also provides pamphlets in all of our inpatient and outpatient registration areas literature providing information on insurances and again, providing information on our Financial Assistance program and contact information. NLH has four facilitated enrollers available to assist patients with their application for Medicaid, Quality Health Plan and Child Health Plus. They will also assist patients in completing our charity care application. Our staff has been trained in assisting our patients with obtaining application and providing direction and contact information for the completion of same. Our in-patient statements and our billing agency provides information advising patients to contact our offices to request the application and assistance in its completion.
Schedule H, Part VI, Line 4	Nathan Littauer Hospital and Nursing Home is located in a rural area in Upstate New York. Our primary service area is Fulton County with additional services in neighboring Hamilton and Montgomery counties. Within our main service area, Fulton County, 2017 data shows a population of 53,877 a 3.0% decrease since 2010. Of those reporting one race, 95.3% of those residents identified themselves as white. 50.2% of our population are women. Over 19.1% of the population has median age of 65 or older. The median household income in Fulton County is $46,090. Our county has 15.0% of its residents living below the poverty level. 86.7% of the population has a high school degree or higher. The leading industries remain: Educational services, health care and social assistance employing 26% of the workforce followed by manufacturing employing 15%. Unemployment rates for 2017 are about 6%. Major health issues for our region remain, respiratory diseases/childhood asthma, cancers of the lung and colon, lack of physical fitness and nutrition, unintentional injuries, tobacco use, lead poisoning and chronic diseases of the lung and the heart. Of particular note is our aging population and poverty levels, which are much higher than the state average. Our mission is in keeping with the community need as we strive to provide care that is effective, clinically astute, safe and accessible.
Schedule H, Part VI, Line 5	The Board of Directors of Nathan Littauer Hospital and Nursing Home is made up of medical and business professionals, all of whom reside in our primary service area. These volunteers give countless hours to the organization in their oversight role. They are involved in the community needs assessment process, in fundraising and in general stewardship. Littauer utilizes excess funds to reinvest in our technology, computerization and facilities to keep our organization safe, efficient and accessible as well as to ensure quality patient care. For example, we used excess funds to support free and low cost education programs offered by Healthlink Littauer. Built a new a Primary Care Center Gloversville NY and added new capital equipment acquisitions and projects in 2020. Most of the funds needed for these projects and purchases were made with operational gains.
Schedule H, Part VI, Line 7	New York State

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
Laurence E Kelly
President and CEO	$2,904,456	$0	$0	$0	$0	$0	$53,917	$0	$22,683	$0	$2,981,056	$0	$1,944,247	$0
Mike Ostrander
Vice President of Finance and CFO	$311,427	$0	$0	$0	$0	$0	$23,857	$0	$0	$0	$335,284	$0	$0	$0
Kamini Ramani MD
Member/Employed Physician	$733,132	$0	$0	$0	$0	$0	$11,400	$0	$24,497	$0	$769,029	$0	$0	$0
Verma Shri MD
Physician	$673,750	$0	$0	$0	$0	$0	$11,400	$0	$25,744	$0	$710,894	$0	$0	$0
Paul Husson MD
Member/Employed Physician	$540,000	$0	$0	$0	$0	$0	$11,400	$0	$25,744	$0	$577,144	$0	$0	$0
Bradley H Paddock MD
Physician	$452,577	$0	$0	$0	$0	$0	$11,400	$0	$0	$0	$463,977	$0	$0	$0
Robert Wasiczko MD
Physician	$435,418	$0	$0	$0	$0	$0	$11,400	$0	$24,497	$0	$471,315	$0	$0	$0
Stephen Little MD
Physician	$405,663	$0	$0	$0	$0	$0	$11,400	$0	$20,415	$0	$437,478	$0	$0	$0
Jerome Rosenstein MD
Physician	$400,000	$0	$0	$0	$0	$0	$11,400	$0	$24,497	$0	$435,897	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4	FormAndLineReferenceDesc
Explanation	Payments of $42,517 were made on behalf of the CEO, Laurence E Kelly to a 457(f) plan in 2020. Additionally, in 2020 the CEO received a distribution from the plan in the amount of $2,139,724.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6	Total Volunteers hours for 2020 were 3,118 based on the annual report of the Nathan Littauer Hospital Auxiliary. This included Auxilians, Candy Stripers and Junior Volunteers.
Form 990, Part III, Line 4d	HealthLink is Nathan Littauer Hospital's Wellness Education Center located in downtown Johnstown. HealthLink's role is to promote wellness by promoting prevention and providing resources to promote healthy lifestyle choices. Since its launch in 1989, HealthLink has served over 285,000 area residents with 9,000 free or low-cost education programs and health screenings. Our wide varieties of programs are chosen based on the interests and the health needs of the community. Program categories: include Health & Wellness, Mind & Body, Childbirth & Parenting, Health Screenings, Support Groups, Chronic Disease Self-Management Workshops, and Fitness Classes. Programs and presentations on a variety of topics are offered throughout our service area at places such as local businesses, schools, churches and other organizations in order to better serve this rural community. HealthLink's resources include: fair and festival activities, trained employees and contracted staff, numerous brochures on a wide variety of health & wellness related topics available at no cost, as well as an array of health magazines, books and DVDs for loan. . The Hospital also offers a Lifeline Program. Lifeline is a personal emergency response system providing immediate assistance 24 hours a day 7 days a week. A total of 430 subscribers are members of NLHs Lifeline Program. Other community services include community health fairs, speakers bureau, organ donation program and New Visions Program for high school students. Health Insurance Counseling: Nathan Littauer Hospital was awarded and continues to be the Lead Agency for the grant entitled: "Consumer Assistant for the NYS of Health Benefit Exchange" covering Fulton and Montgomery County. During the year of 2020 Nathan Littauer Hospital as Lead Agency the program's was able to enroll a total of 1,856 individuals with the following breakdown: Children's Medicaid - 419, Child Health Plus Program - 173, Adult Medicaid - 891 Quality Health plan - 99 and total of 274 into the Essential Plans. Also included here is other operating revenue of $16,612,684.
Form 990, Part VI, Section A, Line 6	The sole member of the Nathan Littauer Hospital Association is Colonial Healthcare Corp. which shall be represented at all meetings of the Association by the President of the Board of Directors of Colonial Healthcare Corp. or such person designated by the President in writing.
Form 990, Part VI, Section A, Line 7b	Colonial Healthcare Corp. the sole member of the Nathan Littauer Hospital Association must consent to any changes to the Hospital bylaws.
Form 990, Part VI, Section B, Line 11b	The form 990 was presented at a regular meeting of the Board of Directors on October 26, 2021 by Mike Ostrander, Vice President of Finance and CFO and Sean Fadale, President and CEO prior to the filing of the form.
Form 990, Part VI, Section B, Line 12c	The Hospital's Conflict of Interest policy requires the filing of an annual disclosure statement by covered persons. Covered persons are defined as "Any director, officer, member of a committee with governing board delegated powers, or any member of the Capital Acquisition Committee, Pharmacy & Therapeutics Committee". Value Analysis Committee and Hospital employees who have a position which involves the acquisition of equipment and supplies or who authorize payments for such material. The Board or Committee is informed annually of any possible conflicts. The covered person has a duty to disclose the possible conflict when a matter is brought before or the Board or Committee and Board or Committee makes the determination if a conflict actually exists. The conflicted party will not participate in the discussion of the matter at hand and will leave the meeting which a vote of the disinterested parties takes place. The Corporate Compliance Officer and the Chairman of the Board or Committee are responsible for compliance with policy.
Form 990, Part VI, Section B, Line 15	The Hospital's Compensation Committee is composed of the Chairman, Vice Chairman and immediate past Chairman of the Board of Directors. All members are independent directors. The Committee utilizes comparable compensation data in its determinations. The compensation of the President (CEO) of the hospital is in the form of a recommendation to the full Board of Directors in an Executive Session of the meeting. Only independent directors are present at the meeting. The Compensation committee also advises and assists the President (CEO) in determining the compensation for senior management of the Hospital using comparative compensation data.
Form 990, Part VI, Section C, Line 19	The Hospital publishes an annual report distributed by mail and made available for distribution through a number of public outlets such as civic and social organizations. The report includes condensed financial statements and various statistical data relative to services provided to the community including free clinics, education programs, health fairs, ect. The form 990 is available to the public upon request. The Hospital's governing documents, conflict of interest policy and internal financial statements are not available to the public.
Form 990, Part XI, Line 9	Changes include increases of $1,879,607 for interest in net assets of Nathan Littauer Hospital Foundation, $604,995 capital grants award, $1,735,008 distribution of net assets from Nathan Littauer Hospital Foundation, and decreases of $793,090 for pension related changes other net periodic pension cost.
Form 990, Part XII, Line 3b	The organization has not completed the OMB Circular A-133 audit due to the Federal Reporting Database not being available for the audit to be completed. The Federal deadline for the audit required for the activity has been extended and the organization will be compliant with that deadline.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Gloversville Extended Care & Nursing Home Co Inc
99 East State Street	Gloversville	NY	12078	237065255	Leasing a 84 bed Skilled Nursing Facility	NY	501(c)3	Schedule A Line 3	Nathan Littauer Hospital	Association	Yes (1)
NLH Realty Corp
99 East State Street	Gloversville	NY	12078	141641020	Realty Holding Company	NY	501(c)2		Nathan Littauer Foundation		0
Nathan Littauer Foundation
99 East State Street	Gloversville	NY	12078	141638991	Support the Hospital and promote healthcare	NY	501(c)3	Schedule A Line 7	Colonial Healthcare Corporation		0
Nathan Littauer Hospital Auxiliary
99 East State Street	Gloversville	NY	12078	146086641	Assisting Hospital in promoting healthcare	NY	501(c)3	Schedule A Line 12			0	N/A
Colonial Healthcare Corportation
PO Box 586	Gloversville	NY	12078	141670605	Support & Supplement the activities and goals	NY	501(c)3	Schedule A Line 7			0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	c	TransactionTypeTxt
Involved	$200,000	InvolvedAmt
Method Of Amount Determination	Payment to Hospital	MethodOfAmountDeterminationTxt