ALBANY MED HEALTH SYSTEM: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ALBANY MED HEALTH SYSTEM (EIN 14-1338413)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-06
- IRS object ID
- 202013119349300201
- Schema version
- 2019v5.1
- 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 | 2020-11-06T05:31:37-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 122072974 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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) |
|---|---|---|
| In Care Of | % CRAIG LETOURNEAU ASST CONTR | InCareOfNm |
| 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 | 2020-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD P TERESCO | PreparerPersonNm |
| PTIN | P00247720 | PTIN |
| Phone | 5184274600 | PhoneNum |
| Preparation | 2020-11-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 127.0.0.1 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 14012520203115000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-06 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BBF6AE60514399E48E4A64985DC4D7C1F93E21A9 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F1DF768A24FE5D3C8E4F7E089FC1B21030E7552C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $365,858,954 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | 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 | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2904 | TotalEmployeeCnt |
| Total Volunteers | 247 | TotalVolunteersCnt |
| Total Gross UBI | $2,935,180 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,033,487 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,875,463 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $311,160,004 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $326,668,033 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,941,835 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,664,436 | CYInvestmentIncomeAmt |
| PY Other Revenue | $38,107,987 | PYOtherRevenueAmt |
| CY Other Revenue | $5,581,749 | CYOtherRevenueAmt |
| PY Total Revenue | $368,243,313 | PYTotalRevenueAmt |
| CY Total Revenue | $347,789,681 | 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 | $183,382,186 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $179,481,366 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $383,975 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $173,171,915 | PYOtherExpensesAmt |
| CY Other Expenses | $171,691,638 | CYOtherExpensesAmt |
| PY Total Expenses | $356,566,101 | PYTotalExpensesAmt |
| CY Total Expenses | $351,185,004 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,677,212 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,395,323 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $271,762,967 | TotalAssetsBOYAmt |
| Total Assets EOY | $265,741,933 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $167,848,197 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $159,704,948 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $103,914,770 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $106,036,985 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $273,972,762 | ExpenseAmt |
| Grant | $12,000 | GrantAmt |
| Revenue | $330,313,333 | RevenueAmt |
| Desc | Glens Falls Hospital provides a comprehensive health care system that stretches across 3,000 square miles in upstate NY. 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 2019, we had 49,260 patient days and 11,882 discharges. The Emergency Care Center provided care to 45,335 patients. Our Mental Health department provided 54,803 outpatient treatments and 4,918 inpatient days. Our Surgery Center performed 10,932 procedures. | Desc |
| Total Program Service Expenses | $273,972,762 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 220 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2904 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| 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 | CRAIG LETOURNEAU ASST CONTR | PersonNm |
| 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 (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN P STOUTENBURG M | |||||||||
| ONCOLOGY PHYSICIAN | 40.0 | 0.0 | Yes (X) | $634,305 | $0 | $18,150 | |||
| ADAM BROD MD | |||||||||
| ORTHOPEDIC PHYSICIAN | 40.0 | 0.0 | Yes (X) | $630,146 | $0 | $18,150 | |||
| DIANNE SHUGRUE | |||||||||
| PRESIDENT/CEO | 40.0 | 0.0 | $628,556 | $0 | $12,104 | Yes (X) | |||
| ANDRE JOHNSON MD | |||||||||
| ORTHOPEDIC PHYSICIAN | 40.0 | 0.0 | Yes (X) | $622,246 | $0 | $15,705 | |||
| SCOTT MUNRO MD | |||||||||
| CARDIAC PHYSICIAN | 40.0 | 0.0 | Yes (X) | $612,862 | $0 | $18,150 | |||
| MICHAEL LAYDEN MD | |||||||||
| CARDIAC PHYSICIAN | 40.0 | 0.0 | Yes (X) | $610,516 | $0 | $18,150 | |||
| SEAN BAIN MD | |||||||||
| DIRECTOR | 40.0 | 0.0 | $383,905 | $0 | $15,541 | Yes (X) | |||
| PAUL SCIMECA | |||||||||
| SR VP & COO | 40.0 | 0.0 | $377,781 | $0 | $15,993 | Yes (X) | |||
| MITCH AMADO | |||||||||
| SR VP & CFO | 40.0 | 0.0 | $351,243 | $0 | $15,993 | Yes (X) | |||
| HOWARD FRITZ | |||||||||
| CMO & VP MEDICAL AFFAIRS | 40.0 | 0.0 | $306,404 | $0 | $12,064 | Yes (X) | |||
| PATTI HAMMOND | |||||||||
| VP PHYSICIAN PRACTICE MGT | 40.0 | 0.0 | $275,082 | $0 | $15,833 | Yes (X) | |||
| DONNA KIRKER | |||||||||
| VP PATIENT SERVICES & CNO | 40.0 | 0.0 | $252,523 | $0 | $10,659 | Yes (X) | |||
| GLENDA KELMAN RN | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| MARK BEHAN | |||||||||
| VICE CHAIRMAN | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JOHN C BIENIEK | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| TENEE' CASACCIO | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JAMES E CULLUM | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| KATHIE L DUNCAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| GEORGE FERONE | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| KEVIN J HERLIHY MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| GARY R HICKS | |||||||||
| SECRETARY | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| WILLIAM H REYNOLDS M | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DAVID WESTFALL MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM HART | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM POWERS | |||||||||
| CHAIRMAN | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| CARL CEDRONE | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| GREGORY CHAMPION | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,685,569 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $186,492 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 220 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | 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 | $5,123,571 |
| KAUFMAN HALL ASSOCIATES | |||||
| 8610 SOLUTION CENTER | CHICAGO | IL | 60677 | CONSULTANTS | $2,350,965 |
| REVMD PARTNERS | |||||
| 1111 PASQINELLI DR SUITE 400 | WESTMONT | IL | 60559 | COLLECTION SERVICES | $2,078,784 |
| GRANT THORNTON LLP | |||||
| 33562 TREASURY CENTER | CHICAGO | IL | 60694 | CONSULTANTS | $1,935,892 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | TEMP EMPLOYEES | $1,202,525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,899,114 | RelatedOrganizationsAmt |
| Government Grants | $7,839,485 | GovernmentGrantsAmt |
| All Other Contributions | $136,864 | AllOtherContributionsAmt |
| Total Contributions | $9,875,463 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $318,239,387 | $318,239,387 | |
| HOSPITAL LAB SERVICES | 621500 | $2,187,126 | $2,187,126 | |
| CENTER FOR OCCUPATIONAL HEALTH | 621340 | $112,963 | $112,963 | |
| OUTPATIENT PHARMACY | 446110 | $2,900,806 | $2,900,806 | |
| MEDICAL HOME PROJECT | 621110 | $750,666 | $750,666 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,477,085 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,229,049 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $248,036 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $326,668,033 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,992,583 | TotalRevenueColumnAmt |
| Exclusion | $1,992,583 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,686,718 | SecuritiesAmt |
| Other | $54,408 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,060,177 | SecuritiesAmt |
| Other | $9,096 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,626,541 | SecuritiesAmt |
| Other | $45,312 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,671,853 | TotalRevenueColumnAmt |
| Exclusion | $3,671,853 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 |
| 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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| INVESTMENT IN YANKEE ALLIANCE | 900099 | $3,564,960 | $3,064,942 | $500,018 |
| INVESTMENT IN ISNENY | 621990 | $494,598 | $494,598 | |
| INVESTMENT IN NORTH COUNTRY EYE CENTER | 621990 | $260,375 | $260,375 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,261,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$174,615 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,436,431 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,581,749 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $347,789,681 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $327,878,171 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,935,180 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,100,867 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,000 | TotalAmt |
| Program Services | $12,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,584,112 | TotalAmt |
| Management And General | $2,584,112 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,201 | TotalAmt |
| Program Services | $24,201 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,870,936 | TotalAmt |
| Program Services | $125,096,756 | ProgramServicesAmt |
| Management And General | $25,554,595 | ManagementAndGeneralAmt |
| Fundraising | $219,585 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,493,472 | TotalAmt |
| Program Services | $4,481,357 | ProgramServicesAmt |
| Management And General | $1,004,250 | ManagementAndGeneralAmt |
| Fundraising | $7,865 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,446,869 | TotalAmt |
| Program Services | $7,770,566 | ProgramServicesAmt |
| Management And General | $2,662,666 | ManagementAndGeneralAmt |
| Fundraising | $13,637 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,061,776 | TotalAmt |
| Program Services | $8,207,998 | ProgramServicesAmt |
| Management And General | $1,839,373 | ManagementAndGeneralAmt |
| Fundraising | $14,405 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,213,194 | TotalAmt |
| Program Services | $1,120,964 | ProgramServicesAmt |
| Management And General | $5,088,480 | ManagementAndGeneralAmt |
| Fundraising | $3,750 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,011,019 | TotalAmt |
| Management And General | $1,011,019 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,920 | TotalAmt |
| Management And General | $212,695 | ManagementAndGeneralAmt |
| Fundraising | $9,225 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,098 | TotalAmt |
| Management And General | $37,098 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,384,778 | TotalAmt |
| Program Services | $17,359,646 | ProgramServicesAmt |
| Management And General | $13,991,052 | ManagementAndGeneralAmt |
| Fundraising | $34,080 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,476 | TotalAmt |
| Management And General | $566,476 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,330,177 | TotalAmt |
| Program Services | $88,131,083 | ProgramServicesAmt |
| Management And General | $6,181,717 | ManagementAndGeneralAmt |
| Fundraising | $17,377 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,133,410 | TotalAmt |
| Program Services | $163,999 | ProgramServicesAmt |
| Management And General | $6,969,411 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,591,798 | TotalAmt |
| Program Services | $899,224 | ProgramServicesAmt |
| Management And General | $2,692,574 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,428 | TotalAmt |
| Program Services | $162,390 | ProgramServicesAmt |
| Management And General | $79,501 | ManagementAndGeneralAmt |
| Fundraising | $3,537 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,245 | TotalAmt |
| Program Services | $204,449 | ProgramServicesAmt |
| Management And General | $82,022 | ManagementAndGeneralAmt |
| Fundraising | $1,774 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,429,177 | TotalAmt |
| Program Services | $1,985,104 | ProgramServicesAmt |
| Management And General | $444,073 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,656,849 | TotalAmt |
| Program Services | $14,429,036 | ProgramServicesAmt |
| Management And General | $3,227,813 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,834,868 | TotalAmt |
| Program Services | $3,195,414 | ProgramServicesAmt |
| Management And General | $639,454 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| NYS ASSESSMENT | $1,390,086 | $1,390,086 | ||
| RECRUITMENT FEES | $127,886 | $127,363 | $523 | |
| DONATED FUNDS EXPENSE | $259,311 | $31,960 | $168,985 | $58,366 |
| LICENSE AND TAXES | $324,627 | $9,624 | $315,003 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,291 | TotalAmt |
| Program Services | $244,064 | ProgramServicesAmt |
| Management And General | $400,853 | ManagementAndGeneralAmt |
| Fundraising | $374 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,185,004 | TotalAmt |
| Program Services | $273,972,762 | ProgramServicesAmt |
| Management And General | $76,828,267 | ManagementAndGeneralAmt |
| Fundraising | $383,975 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,405,413 | BOYAmt |
| EOY | $12,464,353 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,896,664 | BOYAmt |
| EOY | $12,780,819 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,759,695 | BOYAmt |
| EOY | $32,588,007 | 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 | $161,820 | BOYAmt |
| EOY | $133,432 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,235,014 | BOYAmt |
| EOY | $4,453,968 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,369,304 | BOYAmt |
| EOY | $3,921,101 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $372,119,479 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $253,992,026 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,953,050 | BOYAmt |
| EOY | $118,127,453 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,760,064 | BOYAmt |
| EOY | $71,730,843 | 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 | $7,221,943 | BOYAmt |
| EOY | $9,541,957 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,762,967 | BOYAmt |
| EOY | $265,741,933 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,723,899 | BOYAmt |
| EOY | $55,457,255 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,751,418 | BOYAmt |
| EOY | $49,461,136 | 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 | $15,973,012 | BOYAmt |
| EOY | $13,233,166 | 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 | $44,399,868 | BOYAmt |
| EOY | $41,553,391 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,848,197 | BOYAmt |
| EOY | $159,704,948 | 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 | $97,266,671 | BOYAmt |
| EOY | $98,206,366 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,648,099 | BOYAmt |
| EOY | $7,830,619 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,914,770 | BOYAmt |
| EOY | $106,036,985 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,762,967 | BOYAmt |
| EOY | $265,741,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,395,323 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,842,165 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $675,373 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $37,098 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $37,098 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IIB, Line 1I | FormAndLineReferenceDesc |
| Explanation | IN 2019, 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 THE ALLIANCE. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,506,672 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $602,863 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,200 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $586,663 | AdministrativeExpensesAmt |
| End Year Balance | $1,506,672 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,062,525 | OtherCostOrOtherBasisAmt |
| Book Value | $10,062,525 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $193,496,649 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,069,615 | DepreciationAmt |
| Book Value | $69,427,034 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $168,560,305 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,922,411 | DepreciationAmt |
| Book Value | $38,637,894 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $118,127,453 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMP PAYABLE | $10,014,062 |
| SELF INSURED LIABILITY RESERVE | $10,876,259 |
| ASSET RETIREMENT OBLIGATION | $403,890 |
| LONG TERM PAYABLE | $20,259,180 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $41,553,391 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $353,295,219 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $4,842,165 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $679,680 | OtherRevenueAmt |
| Revenue Not Reported | $5,521,845 | RevenueNotReportedAmt |
| Revenue Subtotal | $347,773,374 | RevenueSubtotalAmt |
| Other Revenues Not Included | $16,307 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $16,307 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $347,789,681 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $351,173,004 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$12,000 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$12,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $351,185,004 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $351,185,004 | 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 Gen. Operating Expenses 169,975 Health Education 134,485 Total 1,506,672 |
| Part X, Line 2 | The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The Hospital did not recognize the effect of any uncertain tax positions in either 2019 or 2018. |
| PART XI, LINE 2D | Change in interest in net assets of GFH Foundation 679,680 |
| PART XI, LINE 4B | OTHER GRANTS PAID 12,000 RECEIPTS OF FOUNDATION FUNDS TO BALANCE SHEET ACCOUNTS 4,307 ---------------- Total 16,307 |
| PART XII, LINE 4B | OTHER GRANTS PAID (12,000) |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 130. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 330. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,972,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,055,841 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$83,123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,459,018 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,293,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,165,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,431,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,349,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,082,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04320 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,948,150 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,444,186 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $503,964 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $736,783 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $736,783 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,432,558 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,771,763 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,660,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00760 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $136,626 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,287 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,456 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,291,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,267,236 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,024,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,723,309 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,616,729 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,106,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05460 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $132,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $92,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $209,097 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $169,097 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $69,721,878 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $88,656,005 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,934,127 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| Imaging Svc of NENY | |||
| Diagnostic Radiology | 0.5 | 0.5 | 0.5 |
| N Country Eye Ctr | |||
| Eye center | 0.3 | 0.3 | 0.3 |
| 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 | LIC # 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 | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | 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 (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 130. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 330. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V Line 5 | Glens Falls Hospital (GFH) conducted the CHNA to identify and prioritize the community health needs of the patients and communities within the GFH service area (Warren, Washington and Saratoga counties). The findings in this CHNA result from a year-long process of collecting and analyzing data and consulting with stakeholders throughout the community and the 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 New York State's (NYS) Prevention Agenda, GFH and Warren, Washington and Saratoga County Public Health Departments 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 the 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. Part V Line 6a Hospitals - Adirondack Health, Nathan Littauer 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. Part V Line 6b Other Organizations - Clinton County Health Department, Essex County Public Health, Franklin County Public Health, Fulton County Public Health, Hamilton County Public Health, Warren County Health Service, Washington County Health Services, and Adirondack Rural Health Network. 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-ce nter |
| PART V 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 departments' assessment processes and 2) utilize the results of each of the county 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 Disease Focus Area 1 - Healthy Eating and Food Security Focus Area 2 - Physical Activity Focus Area 3 - Tobacco Prevention Focus 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 Diseases Focus Area 5 - Antibiotic Resistance and Healthcare-Associated Infections In 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. We are working with the Counties to identify potential partners who can 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 16a and 16b The Hospital's financial assistance policy and application form is posted on its website: www.glensfallshospital.org/patients-and-visitors/patients/patient-financia l-assistance |
| Part V, Line 20d | In 2019, the Hospital did not have a presumptive eligibility tool in place. We have selected a vendor to provide the software tool and will have it implemented in the near future. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 20 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Adirondack Cardiology | ||||
| 6 Hearts Way | Queensbury | NY | 12804 | Hosp. Extension Clinic - Cardiology and Cardiac Rehabilitation |
| The Rehab Center & Hearing Center | ||||
| 2 Country Club Rd | queensbury | NY | 12804 | Hosp. Extension Clinic - O/P PT, OT, Speech, Audiology |
| Cambridge Medical Center and Urgent Care | ||||
| 35 Gilbert St | cambridge | NY | 12816 | Hosp. Extension Clinic - Primary medical care, PT, O/P Radiology, Mental Health Svcs |
| The Rehab Center & Hearing Center | ||||
| 4 Irongate Ctr | Glens Falls | NY | 12801 | Hosp. Extension Clinic - O/P PT, OT, Speech, Audiology |
| Granville Medical Center | ||||
| 79 North St | Granville | NY | 12832 | Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, Lab, Rehab |
| Center for Recovery | ||||
| 101 Ridge St | Glens Falls | NY | 12801 | HOsp. Extension Clinic - Chemical dependence, O/P rehab |
| Greenwich Medical Center | ||||
| 1134 County Rt 29 | Greenwich | NY | 12834 | Hosp. Extension Clinic - Primary medical care, PT, O/P Radiology |
| Physical Therapy at Main Street | ||||
| 17 Main St | Glens Falls | NY | 12801 | Hosp. Extension Clinic - Physical therapy O/P |
| Surgical Specialists of Glens Falls Hosp | ||||
| 14 Hudson Ave | Glens Falls | NY | 12801 | Hosp. Extension Clinic - Surgical Services, Urology, Thoracic, Orthopedics |
| The Center for Recovery | ||||
| 340 Main St | Hudson Falls | NY | 12839 | Hosp. Extension Clinic - Chemical dependence, O/P Rehab |
| Behavioral Health ServicesRidge Commons | ||||
| 1 Lawrence St | Glens Falls | NY | 12801 | Hosp. Extension Clinic - O/P Mental health services |
| Whitehall Medical Center | ||||
| 65 Poultney St | Whitehall | NY | 12887 | Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, lab |
| Wilton Medical Center | ||||
| 135 North Rd | Gansevoort | NY | 12831 | Hosp. extension clinic - Primary medical care, O/P radiology, PT |
| Hudson Falls Medical Center | ||||
| 325 Main St | Hudson Falls | NY | 12839 | Hosp. Extension Clinic - Primary Medical Care |
| Evergreen Medical Center | ||||
| Evergreen Plaza 13 Palmer Ave | Corinth | NY | 12822 | Hosp. Extension Clinic - Primary Medical Care, PT, O/P radiology, Mental Health Svcs |
| Advanced Imaging at Baybrook | ||||
| 22 Willowbrook Rd | Queensbury | NY | 12804 | Hosp. Extension Clinic - diagnostic op radiology, CT Scanner |
| Glens Falls Broad St Medical Center | ||||
| 2 Broad St | Glens Falls | NY | 12801 | Hosp. Extension Clinic - Primary Medical Care, ENT services |
| Ft Edward Medical Center | ||||
| 327 Broadway | FT Edward | NY | 12828 | Hosp. Extension Clinic - Primary Medical Care, O/P radiology |
| Salem Medical Center | ||||
| 213 Main St | Salem | NY | 12865 | HOSP. EXTENSION CLINIC - Primary medical care, O/P PT |
| GFH Sleep Lab | ||||
| 92 Broad St | Glens Falls | NY | 12801 | Hosp extension clinic - Sleep studies |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part 1, 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 1, 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-TOCHARGES. |
| 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. |
| Part III, Section A, Line 2 and 3 Bad Debt Expense | 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 statement. 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 and 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 2019 and 2018, the hospital incurred $564,057 and $1,895,743 in provisions for uncollectable account, respectively. |
| Part III, Section A, Line 4 Charity Care | 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 approximately $5,817,000 and $8,125,000 for 2019 and 2018, respectively, as determined based on the application of a ratio of overall Hospital costs to patient charges. Included in patient service revenues for 2019 and 2018 is approximately $2,709,000 and $2,290,000, 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 2019 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, Section B, Lines 5,6,7 | 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 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 report in Part III, Line 7 a community benefit. Glens Falls Hospital is the only comprehensive acute-care hospital serving a predominately rural, 3,000 square 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, Section C, Line 9b It is Glens Falls Hospital policy to delay final collections efforts while a patient financial assistance application is in process. A final determination is required before outside collection efforts are initiated. |
| Part VI, Line 2 Needs Assessment | 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) Commision on Cancer (CoC) cancer 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 of all 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 representatives are trained to outline and encourage participation in the program. Vender 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 Community Information | The Glens Falls Hospital healthcare system serves a large area of upstate New York that includes all or portions of the following counties, Warren, Washington, Hamilton, Essex, and Northern Saratoga. The service area covers approximately 350,000 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 over. |
| Part VI, Line 5 Promotion of Community Health | The 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 area 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, consisting of physicians from different specialties, as well as hospital management. |
| Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT | GLENS FALLS HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN NEW YORK STATE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | 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 | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | BASED ON DATA COLLECTED THROUGH THE APPLICATION PROCESS, GRANTS ARE MADE ONLY TO APPLICANTS MEETING CERTAIN SELECTION CRITERIA. | 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 | $624,200 | $0 | $0 | $0 | $4,356 | $0 | $11,200 | $0 | $904 | $0 | $640,660 | $0 | $0 | $0 |
| PAUL SCIMECA | ||||||||||||||
| SR VP & COO | $360,865 | $0 | $0 | $0 | $16,916 | $0 | $11,200 | $0 | $4,793 | $0 | $393,774 | $0 | $0 | $0 |
| MITCH AMADO | ||||||||||||||
| SR VP & CFO | $348,405 | $0 | $0 | $0 | $2,838 | $0 | $11,200 | $0 | $4,793 | $0 | $367,236 | $0 | $0 | $0 |
| PATTI HAMMOND | ||||||||||||||
| VP PHYSICIAN PRACTICE MGT | $272,502 | $0 | $0 | $0 | $2,580 | $0 | $10,821 | $0 | $5,012 | $0 | $290,915 | $0 | $0 | $0 |
| DONNA KIRKER | ||||||||||||||
| VP PATIENT SERVICES & CNO | $251,267 | $0 | $0 | $0 | $1,256 | $0 | $9,892 | $0 | $767 | $0 | $263,182 | $0 | $0 | $0 |
| HOWARD FRITZ | ||||||||||||||
| CMO & VP MEDICAL AFFAIRS | $302,886 | $0 | $0 | $0 | $3,518 | $0 | $11,200 | $0 | $864 | $0 | $318,468 | $0 | $0 | $0 |
| SEAN BAIN MD | ||||||||||||||
| DIRECTOR | $278,839 | $0 | $74,437 | $0 | $30,629 | $0 | $11,071 | $0 | $4,470 | $0 | $399,446 | $0 | $0 | $0 |
| JOHN P STOUTENBURG MD | ||||||||||||||
| ONCOLOGY PHYSICIAN | $559,867 | $0 | $73,808 | $0 | $630 | $0 | $11,200 | $0 | $6,950 | $0 | $652,455 | $0 | $0 | $0 |
| ADAM BROD MD | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $417,573 | $0 | $212,195 | $0 | $378 | $0 | $11,200 | $0 | $6,950 | $0 | $648,296 | $0 | $0 | $0 |
| ANDRE JOHNSON MD | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $419,436 | $0 | $202,390 | $0 | $420 | $0 | $11,200 | $0 | $4,505 | $0 | $637,951 | $0 | $0 | $0 |
| SCOTT MUNRO MD | ||||||||||||||
| CARDIAC PHYSICIAN | $437,582 | $0 | $157,006 | $0 | $18,274 | $0 | $11,200 | $0 | $6,950 | $0 | $631,012 | $0 | $0 | $0 |
| MICHAEL LAYDEN MD | ||||||||||||||
| CARDIAC PHYSICIAN | $438,120 | $0 | $162,776 | $0 | $9,620 | $0 | $11,200 | $0 | $6,950 | $0 | $628,666 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part 1, Line 7 | FormAndLineReferenceDesc |
| Explanation | PHYSICIANS ARE ELIGIBLE AND DID RECEIVE ADDITIONAL COMPENSATION THROUGH PARTICIPATION IN AN INCENTIVE PROGRAM THAT ADDRESSED QUALITY, PATIENT SATISFACTION AND THEIR PERSONAL PRODUCTIVITY. | ExplanationTxt |
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 | 000000000 | CUSIPNum |
| Bond Issued | 2015-09-21 | BondIssuedDt |
| Issue Price | $67,000,000 | IssuePriceAmt |
| Purpose | Refund '03 bonds, capital projects | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $16,750,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $67,000,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $360,205 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $17,520,856 | CapitalExpendituresAmt |
| Other Spent Proceeds | $49,118,939 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (true) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (true) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (true) | EngageBondCounselContractsInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.01500 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.01500 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| David Westfall MD | |||
| Director | $22,500 | Joint Venture | false |
| Joanne Detore | |||
| Relative of Director | $24,201 | Compensation | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L, PART V | 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 GLENS FALLS HOSPITAL. GLENS FALLS HOSPITAL'S INVESTMENT IN THIS JOINT VENTURE (NEW YORK EYE SURGERY CENTER, LLC) EXCEEDS $10,000. DR. WESTFALL IS A DIRECTOR OF THE GLENS FALLS HOSPITAL BOARD AND HAS A FAMILY MEMBER WHO IS AN EMPLOYEE OF GLENS FALLS HOSPITAL AND WAS PAID MORE THAN $10,000 IN 2019. All of Glens Falls Hospital 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 arms 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1 & Part III, Line 1 | Glens Falls Hospital is an acute care facility and is the largest hospital between Albany, NY and Montreal, Canada. It serves 6 counties and operates 19 regional care facilities. We have more than 380 affiliated board certified physicians ranging from primary care to surgical specialties. Glens Falls Hospital provides access to primary care and preventative health education and outreach activities, services offered to the community for free or reduced costs including patient financial assistance and charity care. The mission of Glens Falls Hospital is to improve the health of the people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting. Our fundamental values are C.A.R.E.S. Collaboration, Accountability, Respect, Excellence and Safety. Part VI, Section A, Line 4 In 2019, the bylaws were changed so that all board members had voting rights. Originally there were 15 voting members and bylaws were changed to allow for 17 voting board members. |
| Part VI, Section A, Line 11 | An overview of the Form 990 was presented to the full Board in October 2020. 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. |
| Part VI, Section B, Line 12b | 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) Had 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. 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. |
| Part VI, Section B, Line 15a & 15b | Glens Falls Hospital 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 position 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 the Board Personnel Committee for review and action. |
| Part IV, Section C, Line 19 | The organization makes its governing documents, conflicts of interest policy, and financial statements available TO THE PUBLIC upon request. |
| Part XI, Line 9 | Change in interest in net assets of GFH Foundation 679,680 Foundation transfers to BS Accounts (4,307) -------------- Total 675,373 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Glens Falls Hopital Foundation | ||||||||||
| 100 Park Street | Glens Falls | NY | 12801 | 141790805 | Support Org | NY | 501(c)(3) | 12,Type III | NA | false |
| Adirondack Health Services Inc | ||||||||||
| 100 Park Street | Glens Falls | NY | 12801 | 141667492 | PARENT ORG | NY | 501(c)(3) | 12, Type I | NA | false |
| Glens Falls Medical PLLC | ||||||||||
| 100 Park Street | Glens Falls | NY | 12801 | 823943636 | Physician Off | NY | 501(C)(3) | 12, Type I | NA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Imag Svc of NENY | ||||||||||||||
| 100 Park Street | Glens Falls | NY | 12801 | 141820955 | Diag. radiolo | NY | NA | Related | $494,598 | $90,030 | false | $0 | false | 0.50000 |
| No Country Eye Ctr | ||||||||||||||
| 465B Maple Ave | Saratoga | NY | 128665531 | 453715451 | Eye Center | NY | NA | Related | $178,449 | $204,346 | false | $0 | false | 0.30000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Glens Falls Medical PLLC | ||
| j | $2,359,714 | cash basis |
| Glens Falls Medical PLLC | ||
| q | $3,500,000 | cash basis |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Lines 1j & 1k | FormAndLineReferenceDesc |
| Explanation | Glens Falls Hospital provided leased services to Glens Falls Medical PLLC in 2019 for $2,359,714. Glens Falls Medical PLLC reimbursed Glens Falls Hospital $3,500,000 for the leased expenses incurred. | ExplanationTxt |