ALBANY MED HEALTH SYSTEM: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ALBANY MED HEALTH SYSTEM (EIN 14-1338413)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-13
- IRS object ID
- 201913179349304331
- Schema version
- 2018v3.1
- 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 | 2019-11-13T12:38:39-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | 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 | % WILLIAM WALBRIDGECONTROLLER | InCareOfNm |
| Business Name Control | GLEN | BusinessNameControlTxt |
| Phone | 5189265005 | 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 | 5189265005 | PhoneNum |
| Signature | 2019-11-13 | 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 | 2019-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.102.5 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 14012520193175000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-13 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 61534EC9BCA1C3D89F6EB9A5054E4B493C585575 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7B5190DACD7950FB62E11B317DAE60956DD6A6E7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | 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 | $399,578,488 | 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3157 | TotalEmployeeCnt |
| Total Volunteers | 269 | TotalVolunteersCnt |
| Total Gross UBI | $2,423,168 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,454,267 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,033,487 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $299,073,123 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $311,160,004 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,713,069 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,941,835 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,244,274 | PYOtherRevenueAmt |
| CY Other Revenue | $38,107,987 | CYOtherRevenueAmt |
| PY Total Revenue | $315,484,733 | PYTotalRevenueAmt |
| CY Total Revenue | $368,243,313 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,900 | 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 | $182,143,932 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $183,382,186 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $459,039 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $167,515,549 | PYOtherExpensesAmt |
| CY Other Expenses | $173,171,915 | CYOtherExpensesAmt |
| PY Total Expenses | $349,672,381 | PYTotalExpensesAmt |
| CY Total Expenses | $356,566,101 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$34,187,648 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,677,212 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $301,638,017 | TotalAssetsBOYAmt |
| Total Assets EOY | $271,762,967 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $195,951,954 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $167,848,197 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $105,686,063 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $103,914,770 | 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 | $269,097,073 | ExpenseAmt |
| Grant | $12,000 | GrantAmt |
| Revenue | $347,320,662 | 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 406 bed facility with more than 225 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 2018, we had 58,360 patient days and 13,303 discharges. The Emergency Care Center provided care to 47,919 patients. Our Mental Health department provided 56,625 outpatient treatments and 4,905 inpatient days. Our Surgery Center performed 10,492 procedures. | Desc |
| Total Program Service Expenses | $269,097,073 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 238 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3157 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | 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 | WILLIAM WALBRIDGECONTROLLER | PersonNm |
| Phone | 5189265005 | 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 (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| GLENDA KELMAN RN | |||||||||
| CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH F RACCUIA | |||||||||
| DIRECTOR (THRU 05/18/18) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK BEHAN | |||||||||
| VICE CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN C BIENIEK | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TENEE' CASACCIO | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES E CULLUM | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KATHIE L DUNCAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE FERONE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN J HERLIHY MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GARY R HICKS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM H REYNOLDS MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID WESTFALL MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM HART | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM POWERS | |||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARL CEDRONE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY CHAMPION | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DIANNE SHUGRUE | |||||||||
| PRESIDENT/CEO | 40.0 | 0.0 | Yes (X) | $670,846 | $0 | $11,988 | |||
| MITCH AMADO | |||||||||
| CFO | 40.0 | 0.0 | $391,137 | $0 | $19,440 | Yes (X) | |||
| PAUL SCIMECA | |||||||||
| SR VP OPERATIONS | 40.0 | 0.0 | $408,463 | $0 | $19,515 | Yes (X) | |||
| DONNA KIRKER | |||||||||
| VP PATIENT SERVICES | 40.0 | 0.0 | $283,567 | $0 | $11,844 | Yes (X) | |||
| PATTI HAMMOND | |||||||||
| VP PHYSICIAN PRACTICE MGT | 40.0 | 0.0 | $293,646 | $0 | $17,293 | Yes (X) | |||
| JOHN P STOUTENBURG MD | |||||||||
| ONCOLOGY PHYSICIAN | 40.0 | 0.0 | $708,131 | $0 | $22,244 | Yes (X) | |||
| IQBAL BASHIR MD | |||||||||
| CARDIAC PHYSICIAN | 40.0 | 0.0 | $657,956 | $0 | $22,244 | Yes (X) | |||
| AQUEEL A GILLANI MD | |||||||||
| ONCOLOGY PHYSICIAN | 40.0 | 0.0 | $706,647 | $0 | $19,260 | Yes (X) | |||
| CHARLES YUN MD | |||||||||
| ONCOLOGY PHYSICIAN | 40.0 | 0.0 | $713,337 | $0 | $12,832 | Yes (X) | |||
| MICHAEL LAYDEN MD | |||||||||
| CARDIAC PHYSICIAN | 40.0 | 0.0 | $632,070 | $0 | $22,244 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,465,800 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $178,904 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 204 | 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 | $4,533,479 |
| GRANT THORNTON LLP | |||||
| 33562 TREASURY CENTER | CHICAGO | IL | 60694 | CONSULTANTS | $2,252,556 |
| REVMD PARTNERS | |||||
| 1111 PASQINELLI DR SUITE 400 | WESTMONT | IL | 60559 | COLLECTION SERVICES | $2,100,454 |
| BERKELEY RESEARCH GROUP LLC | |||||
| 200 Powell St Suite 1200 | EMERYVILLE | CA | 94608 | CONSULTANTS | $1,030,168 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | TEMP EMPLOYEES | $890,792 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,793,284 | RelatedOrganizationsAmt |
| Government Grants | $9,086,815 | GovernmentGrantsAmt |
| All Other Contributions | $153,388 | AllOtherContributionsAmt |
| Total Contributions | $11,033,487 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $301,811,830 | $301,811,830 | |
| HOSPITAL LAB SERVICES | 621500 | $2,177,754 | $2,177,754 | |
| CENTER FOR OCCUPATIONAL HEALTH | 621340 | $831,930 | $831,930 | |
| OUTPATIENT PHARMACY | 446110 | $3,005,519 | $3,005,519 | |
| MEDICAL HOME PROJECT | 621110 | $881,610 | $881,610 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,451,361 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,442,508 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,853 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $311,160,004 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,535,705 | TotalRevenueColumnAmt |
| Exclusion | $1,535,705 | 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 | $34,586,904 | SecuritiesAmt |
| Other | $3,154,401 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,813,426 | SecuritiesAmt |
| Other | $1,521,749 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,773,478 | SecuritiesAmt |
| Other | $1,632,652 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,406,130 | TotalRevenueColumnAmt |
| Exclusion | $6,406,130 | 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 |
|---|---|---|---|---|
| SALE OF RENAL SERVICE LINE | 900099 | $24,939,300 | $24,939,300 | |
| PROCEEDS FROM LEGAL SETTLEMENT | 900099 | $8,804,752 | $8,804,752 | |
| INVESTMENT IN YANKEE ALLIANCE | 900099 | $2,135,095 | $1,774,336 | $360,759 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,228,840 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $642,270 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$124,198 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,710,768 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $38,107,987 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $368,243,313 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $345,134,055 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,423,168 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,652,603 | 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 | $2,127,739 | TotalAmt |
| Management And General | $2,127,739 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,508 | TotalAmt |
| Program Services | $25,508 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,007,437 | TotalAmt |
| Program Services | $126,774,044 | ProgramServicesAmt |
| Management And General | $29,017,358 | ManagementAndGeneralAmt |
| Fundraising | $216,035 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,973,028 | TotalAmt |
| Program Services | $3,991,051 | ProgramServicesAmt |
| Management And General | $975,177 | ManagementAndGeneralAmt |
| Fundraising | $6,800 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,648,890 | TotalAmt |
| Program Services | $7,478,279 | ProgramServicesAmt |
| Management And General | $2,157,870 | ManagementAndGeneralAmt |
| Fundraising | $12,741 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,599,584 | TotalAmt |
| Program Services | $8,506,584 | ProgramServicesAmt |
| Management And General | $2,078,507 | ManagementAndGeneralAmt |
| Fundraising | $14,493 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,705,607 | TotalAmt |
| Program Services | $1,720,909 | ProgramServicesAmt |
| Management And General | $5,933,961 | ManagementAndGeneralAmt |
| Fundraising | $50,737 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,619 | TotalAmt |
| Management And General | $766,619 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,281 | TotalAmt |
| Management And General | $197,025 | ManagementAndGeneralAmt |
| Fundraising | $12,256 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,959 | TotalAmt |
| Management And General | $34,959 | 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 | $33,533,992 | TotalAmt |
| Program Services | $13,013,964 | ProgramServicesAmt |
| Management And General | $20,450,815 | ManagementAndGeneralAmt |
| Fundraising | $69,213 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,765 | TotalAmt |
| Program Services | $250 | ProgramServicesAmt |
| Management And General | $727,515 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,383,726 | TotalAmt |
| Program Services | $87,188,931 | ProgramServicesAmt |
| Management And General | $6,177,983 | ManagementAndGeneralAmt |
| Fundraising | $16,812 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,362,449 | TotalAmt |
| Program Services | $189,881 | ProgramServicesAmt |
| Management And General | $7,172,568 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,848,965 | TotalAmt |
| Program Services | $1,017,950 | ProgramServicesAmt |
| Management And General | $2,831,015 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,251 | TotalAmt |
| Program Services | $195,732 | ProgramServicesAmt |
| Management And General | $76,492 | ManagementAndGeneralAmt |
| Fundraising | $1,027 | 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 | $346,516 | TotalAmt |
| Program Services | $252,434 | ProgramServicesAmt |
| Management And General | $91,688 | ManagementAndGeneralAmt |
| Fundraising | $2,394 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,930,354 | TotalAmt |
| Program Services | $2,355,731 | ProgramServicesAmt |
| Management And General | $574,623 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,278,721 | TotalAmt |
| Program Services | $13,890,481 | ProgramServicesAmt |
| Management And General | $3,388,240 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,213,704 | TotalAmt |
| Program Services | $1,785,683 | ProgramServicesAmt |
| Management And General | $428,021 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| NYS ASSESSMENT | $1,240,868 | $1,240,868 | ||
| RECRUITMENT FEES | $191,980 | $190,487 | $1,493 | |
| DONATED FUNDS EXPENSE | $284,391 | $55,002 | $173,477 | $55,912 |
| LICENSE AND TAXES | $292,011 | $13,888 | $278,123 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,756 | TotalAmt |
| Program Services | $244,568 | ProgramServicesAmt |
| Management And General | $301,569 | ManagementAndGeneralAmt |
| Fundraising | $619 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,566,101 | TotalAmt |
| Program Services | $269,097,073 | ProgramServicesAmt |
| Management And General | $87,009,989 | ManagementAndGeneralAmt |
| Fundraising | $459,039 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,729,854 | BOYAmt |
| EOY | $7,405,413 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,514,883 | BOYAmt |
| EOY | $13,896,664 | 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 | $57,794,987 | BOYAmt |
| EOY | $37,759,695 | 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 | $98,083 | BOYAmt |
| EOY | $161,820 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,535,870 | BOYAmt |
| EOY | $5,235,014 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,388,298 | BOYAmt |
| EOY | $3,369,304 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $362,401,858 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $236,448,808 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,348,158 | BOYAmt |
| EOY | $125,953,050 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,185,775 | BOYAmt |
| EOY | $70,760,064 | 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 | $12,042,109 | BOYAmt |
| EOY | $7,221,943 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,638,017 | BOYAmt |
| EOY | $271,762,967 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,954,626 | BOYAmt |
| EOY | $54,723,899 | 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 | $56,041,699 | BOYAmt |
| EOY | $52,751,418 | 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 | $26,335,859 | BOYAmt |
| EOY | $15,973,012 | 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 | $25,619,770 | BOYAmt |
| EOY | $44,399,868 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,951,954 | BOYAmt |
| EOY | $167,848,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,880,485 | BOYAmt |
| EOY | $97,266,671 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,298,906 | BOYAmt |
| EOY | $5,141,427 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,506,672 | BOYAmt |
| EOY | $1,506,672 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,686,063 | BOYAmt |
| EOY | $103,914,770 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,638,017 | BOYAmt |
| EOY | $271,762,967 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,677,212 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,225,502 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,223,003 | 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 | $34,959 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $34,959 | 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 2018, 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 | $218,087 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $206,087 | 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 | $154,101 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,900 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $141,201 | 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 | $393,967 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,300 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $378,667 | 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 | $602,863 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,200 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $586,663 | 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 |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $355,034 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $53,115 | OtherExpendituresAmt |
| Administrative Expenses | $285,919 | 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 | $9,917,434 | OtherCostOrOtherBasisAmt |
| Book Value | $9,917,434 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $185,980,563 | OtherCostOrOtherBasisAmt |
| Depreciation | $117,300,886 | DepreciationAmt |
| Book Value | $68,679,677 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $166,503,861 | OtherCostOrOtherBasisAmt |
| Depreciation | $119,147,922 | DepreciationAmt |
| Book Value | $47,355,939 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $125,953,050 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMP PAYABLE | $7,776,838 |
| SELF INSURED LIABILITY RESERVE | $8,789,466 |
| ASSET RETIREMENT OBLIGATION | $424,085 |
| LONG TERM PAYABLE | $27,409,479 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,399,868 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $354,782,808 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$9,225,502 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$4,219,976 | OtherRevenueAmt |
| Revenue Not Reported | -$13,445,478 | RevenueNotReportedAmt |
| Revenue Subtotal | $368,228,286 | RevenueSubtotalAmt |
| Other Revenues Not Included | $15,027 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $15,027 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $368,243,313 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $356,554,101 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$12,000 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$12,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $356,566,101 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $356,566,101 | 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 2018 or 2017. |
| PART XI, LINE 2D | Change in interest in net assets of GFH Foundation 86,914 Cumulative effect of Change in Accounting Principle (4,306,890) ---------------- Total (4,219,976) |
| PART XI, LINE 4B | OTHER GRANTS PAID 12,000 RECEIPTS OF FOUNDATION FUNDS TO BALANCE SHEET ACCOUNTS 3,027 ---------------- Total 15,027 |
| 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $3,634,633 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,195,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $438,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,688,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,676,486 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,011,905 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05610 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,323,024 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,872,458 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,450,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,056,988 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,493,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $563,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $717,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $717,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $128,531,084 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,606,636 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,924,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01940 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $140,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,247 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $110,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,338 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $131,488,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,129,395 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,358,931 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $189,811,350 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $161,001,853 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,809,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08070 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $132,598 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $171,928 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $304,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $261,526 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $72,293,384 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $104,594,031 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$32,300,647 | 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 | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | 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 | 16 | 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 | In conducting the CHNA, non-profit hospitals are required to take into account input from persons who represent the broad interests of the community served, including those with special knowledge of or expertise in public health. In addition, members, leaders or representatives of medically underserved, low-income, minority populations should be consulted. Glens Falls Hospital met this requirement through participation in regional health assessment and planning efforts facilitated by the Adirondack Rural Health Network (ARHN). GFH coordinated with Fulton, Essex, Hamilton, Franklin, Clinton, Warren and Washington County Public Health, in addition to Adirondack Health, Inter-Lakes Health and Moses Ludington Hosptial, Nathan Littauer Hospital & Nursing Home, UVM Health Network-Alice Hyde Medical Center, UVM Health Network-Champlain Valley Physicians Hospital and UVM Health Network-Elizabethtown Community Hospital, to conduct a survey of selected stakeholders representing health care and service-providing agencies within the region. Respondents to the survey indicated they represent a wide array of sectors including: day program services, education, employment, training, health care service prevention/wellness, healthy environment, housing/residential and social services. The results of the survey were incorporated into the CHNA as they are intended to provide an overview of regional needs and priorities, to inform future planning and the development of a regional health care agenda. The survey results were presented at both the county and regional levels. 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 | ALL OF THE COMMUNITY HEALTH ASSESSMENT NEEDS ARE LONG-TERM GOALS AND ARE ACTIVELY BEING WORKED ON IN SOME RESPECT. A THREE-YEAR ACTION PLAN WAS DEVELOPED AND INCLUDES INITIATIVES LED BY GFH TO ADDRESS THE PRIORITIZED COMMUNITY HEALTH NEEDS. IT INCLUDES INITIATIVES TO ADDRESS THE FOCUS AREAS UNDER THE PREVENT CHRONIC DISEASE PRIORITY AREA OF THE NYS PREVENTION AGENDA. MANY OF THE INITIATIVES IMPACT MORE THAN ONE FOCUS AREA AND SOME INFLUENCE ALL THREE FOCUS AREAS. EACH INITIATIVE INCLUDES A BRIEF DESCRIPTION, HEALTH DISPARITIES ADDRESSED, GOAL, SMART OBJECTIVE(S) AND CORRESPONDING PERFORMANCE MEASURE(S), AND KEY ACTIVITIES FOR THE IMPROVEMENT STRATEGY. GFH CONTINUES TO BE ACTIVELY INVOLVED IN THE COUNTIESOTHER PARTNER-LED INITIATIVES. ADDITIONAL ANALYSIS REVEALED AN INCREASING DEMAND AND NEED FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THROUGHOUT THE THREE COUNTY REGION. Glens Falls Hospital recognizes this trend and the need for quality services and programs, 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 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. 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 2018, the Hospital did not have a presumptive eligibility tool, but is actively researching and pursuing a software tool to be able to put one in place 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 |
| Behavioral Health ServicesRidge Commons | ||||
| 1 Lawrence Street | Glens Falls | NY | 12801 | Hosp. Extension Clinic - O/P Mental Health Services |
| The Rehab Center & Hearing Center | ||||
| 2 Country Club Road | 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 Heath Svcs |
| Granville Medical Center | ||||
| 79 North St | Granville | NY | 12832 | Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, Lab, Rehab |
| Greenwich Medical Center | ||||
| 1134 County Rt 29 | Greenwich | NY | 12834 | HOsp. Extension Clinic - Primary Medical Care, O/P Radiology, PT |
| Center for Recovery | ||||
| 101 Ridge St | Glens Falls | NY | 12801 | Hosp. Extension Clinic - Chemical Dependence, O/P Rehab |
| Physical Therapy at Irongate | ||||
| 4 Irongate Ctr | Glens Falls | NY | 12804 | Hosp. Extension Clinic - O/P PT, OT, Speech, Audiology |
| Wilton Medical Center | ||||
| 135 North Rd | Gansevoort | NY | 12831 | Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, PT |
| The Center for Recovery | ||||
| 340 Main St | Hudson Falls | NY | 12839 | Hosp. Extension Clinic - Chemical dependence, O/P Rehab |
| Physical Therapy at Main Street | ||||
| 17 Main St | Glens Falls | NY | 12801 | Hosp. Extension Clinic - Physical Therapy O/P |
| Whitehall Medical Center | ||||
| 65 Poultney St | Whitehall | NY | 12887 | Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, Rehab |
| Glens Falls Broad St Medical Center | ||||
| 2 Broad St | Glens Falls | NY | 12801 | Hosp. extension clinic - Primary medical care, ENT Services |
| Evergreen Medical Center | ||||
| Evergreen Plaza 13 Palmer Ave | Corinth | NY | 12822 | Hosp. Extension Clinic - Primary Medical Care, PT, O/P Radiology, Mental Health Svcs |
| Fort Edward Medical Center | ||||
| 327 Broadway | Fort Edward | NY | 12828 | Hosp. Extension Clinic - Primary Medical Care, O/P |
| Advanced Imaging at Baybrook | ||||
| 22 Willowbrook Rd | Queensbury | NY | 12804 | Hosp. Extension Clinic - diagnostic op radiology, CT Scanner |
| Salem Medical Center | ||||
| 213 Main St | Salem | NY | 12865 | Hosp. Extension Clinic - Primary Medical Care, O/P PT |
| Hudson Falls Medical Center | ||||
| 325 Main St | Hudson Falls | NY | 12839 | Hosp. Extension Clinic - Primary Medical Care |
| GFH Sleep Lab | ||||
| 92 Broad St | GLENS FALLS | NY | 12801 | HOSP. EXTENSION CLINIC - Sleep Studies |
| Stuart M Townsend Middle School | ||||
| 27 Hyland Drive | Lake Luzerne | NY | 12846 | School-based hosp. ext. clinic Health education, immunology, screenings |
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 Department of Health guidelines, and also made available on the website. These reports also include the American College of Surgeons Commission on Cancer requirements for the C.R. 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 multiples 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 | 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 AUDITED FINANCIAL STATEMENT FOOTNOTE WHICH DESCRIBES THIS PROUNONCEMENT. Recent Accounting Pronouncements - footnote 1(n) (i) from the Audited Financial Statements (ii) Revenue from Contracts with Customers Adoption of ASU No. 2014-09 Revenue from Contracts with Customers (Topic 606). 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 assets is treated as a price concession that reduces the transaction price, which is reported as net patient service revenue. During 2018 and 2017, the Hospital incurred approximately $1,895,743 million and $8,453,828 million in provisions for uncollectable accounts, respectively. |
| Part III, Section A, Line 4 | Charity Care Footnote 1(g) from the Audited Financial Statements Consistent with the Hospitals 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 $8,125,000 and $7,900,000 for 2018 and 2017, respectively, as determined based on the application of a ratio of overall Hospital costs to patient charges. Included in patient service revenues for 2018 and 2017 is approximately $2,290,000 and $2,981,000, respectively, from uncompensated care pools and income from restricted endowments. The Hospital annually conducts a comprehensive assessment of the community and charitable benefits it provides. The most recent assessment was completed in fall 2018 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. A complete reconciliation of amounts reportable in Section B. Total revenues included on the Medicare Cost Report, reported on line 5 $72,293,384 Total revenues from Medicare Part B services, Not reported on line 5 $1,502,518 ------------- Total revenues for Medicare services $73,795,902 Total costs included on the Medicare Cost report, reported on line 6 $ 104,594,031 Total costs from Medicare Part B services, not reported on line 6 $ 1,924,789 ------------- Total costs for Medicare services $ 106,518,820 Total (shortfall) included on the Medicare Cost Report, reported on line 7 $(32,300,647) Total (shortfall) from Medicare Part B services, not reported on line 7 $(422,271) -------------- Total (Shortfall) for Medicare services $(32,722,918) |
| 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 of Form CMS-2552-96 and conforms to the requirements and principals set forth in 42 CFR, Part 412, 42 CFR, Part 413 and in the Provider Reimbursement manual, Part 1. GLENS FALLS HOSPITAL CONSIDERS 100% OF THE AMOUNT REPORTED IN PART III, LINE 7 A COMMUNITY BENEFIT. 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) Commission 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 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. Vendor Medicaid eligibility process includes a charity care screening step for all inpatient and outpatient. Website contains information on charity care programs and the 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 400,000 people. The population is largely white, non-Hispanic (93.7%). People over the age of 65 constitute 16.4% of the population; children under the age of 17 make up 19.6% of the population. The average household income is $69,553, lower than the NYS average of $85,736. Just over 1/4 of the population has obtained a Bachelor's degree or higher level of education (28.3%). Two age groups that will see the greatest growth are people aged 65 to 74 years and those over 75 years of age. |
| Part VI, Line 5 Promotion of Community Health | The governance of GFH is vested in the Board of Governors (the Board), which is compromised 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 commitee, 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) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| 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 (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|
| DIANNE SHUGRUE | |||||||
| PRESIDENT/CEO | $621,772 | $46,236 | $2,838 | $11,000 | $988 | $682,834 | $0 |
| MITCH AMADO | |||||||
| CFO | $348,560 | $39,739 | $2,838 | $10,926 | $8,514 | $410,577 | $0 |
| PAUL SCIMECA | |||||||
| SR VP OPERATIONS | $354,494 | $51,131 | $2,838 | $11,000 | $8,515 | $427,978 | $0 |
| DONNA KIRKER | |||||||
| VP PATIENT SERVICES | $251,169 | $31,167 | $1,231 | $11,000 | $844 | $295,411 | $0 |
| JOHN P STOUTENBURG MD | |||||||
| ONCOLOGY PHYSICIAN | $650,257 | $57,454 | $420 | $11,000 | $11,244 | $730,375 | $0 |
| IQBAL BASHIR MD | |||||||
| CARDIAC PHYSICIAN | $437,972 | $176,084 | $43,900 | $11,000 | $11,244 | $680,200 | $0 |
| PATTI HAMMOND | |||||||
| VP PHYSICIAN PRACTICE MGT | $272,666 | $17,511 | $3,469 | $11,000 | $6,293 | $310,939 | $0 |
| AQUEEL A GILLANI MD | |||||||
| ONCOLOGY PHYSICIAN | $613,055 | $92,962 | $630 | $11,000 | $8,260 | $725,907 | $0 |
| CHARLES YUN MD | |||||||
| ONCOLOGY PHYSICIAN | $530,622 | $182,295 | $420 | $6,922 | $5,910 | $726,169 | $0 |
| MICHAEL LAYDEN MD | |||||||
| CARDIAC PHYSICIAN | $438,400 | $171,069 | $22,601 | $11,000 | $11,244 | $654,314 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 41 | PATTI HAMMOND RECEIVED A HOUSING ALLOWANCE OF $1,250, WHICH IS INCLUDED IN THE AMOUNT REPORTED IN PART II, COLUMN B(iii) AS OTHER REPORTABLE COMPENSATION. |
| Part 1, Line 7 | PHYSICIANS ARE ELIGIBLE AND DID RECEIVE ADDITIONAL COMPENSATION THROUGH PARTICIPATION IN AN INCENTIVE PROGRAM THAT ADDRESSED QUALITY, PATIENT SATISFACTION AND THEIR PERSONAL PRODUCTIVITY. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glens Falls Civic Development Corp Series 2015 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 451673501 | BondIssuerEIN |
| 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 | $13,400,000 | 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 | 0.01400 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.01400 | 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 | $25,508 | 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 HOSPITALS 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 2018. 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 (7 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 and Montreal. It serves 6 counties and operates 20 regional care facilities. We have more than 225 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 9 JOSEPH RACCUIA - 64 HEARTHSTONE DRIVE, WILTON NY 12831 |
| Part VI, Section A, Line 11 | An overview of the changes to the Form 990 was reviewed with the Audit and Compliance Committee in October, 2019. The Form 990 was reviewed by the CFO, Controller, Director of Finance, VP of Planning, and our Independent accountant, KPMG, to make sure it was filled out completely and accurately. A completed copy will be sent to the Audit and Compliance Committee along with the Board of Governors once it is filed. |
| 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) has read and understands the policy, c) has agreed to comply with the policy and d) understands that the corporation is a charitable organization and that in order to maintain its Federal exemption it must engage primarily in activities which accomplish one or more of its tax exempt purposes. To ensure that the corporation operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. Reviews shall include the following subjects: A) whether compensation arrangements and benefits are reasonable and are the result of arm's length bargaining. B) whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. 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 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 positioned in the 50th percentile of a national and regional peer group, annual incentive opportunities tied to performance goals established by the Board, benefits delivered in the 50th percentile of a national peer group and total compensation positioned at approximately the 50th percentile for expected performance, and somewhat above that for exceptional performance. Executive pay is reviewed annually by a third party consultant. This review includes 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 86,914 Cumulative effect of Change in Accounting Principle (4,306,890) Foundation transfers to BS Accounts (3,027) ---------------- Total (4,223,003) |
| Part I, Line 7a and 7b - Unrelated Business Income | Part 1, Line 7a includes only revenues reported on Part VIII, column C as unrelated business revenue. Glens Falls Hospital's unrelated taxable income for tax year 2018 included $82,324 in expenses incurred to maintain employee parking spaces. Under Internal Revenue Code Section 512(a)(7), such expenses are included in unrelated business taxable income as amounts paid for disallowed fringes and are therefore reflected in Part I, Line 7b. |
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 | $449,232 | $85,432 | false | $0 | false | 0.50000 |
| No Country Eye Ctr | ||||||||||||||
| 465B Maple Ave | Saratoga | NY | 128665531 | 453715451 | Eye Center | NY | NA | RELATED | $234,710 | $143,997 | 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 |
| Div Related Organization | false | DivRelatedOrganizationInd |
| 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 | $3,450,091 | cash basis |
| Glens Falls Medical PLLC | ||
| q | $900,000 | 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 2018 for $3,450,091. Glens Falls Medical PLLC reimbursed Glens Falls Hospital $900,000 for the leased expenses incurred. | ExplanationTxt |