NATHAN LITTAUER HOSPITAL ASSOCIATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: NATHAN LITTAUER HOSPITAL ASSOCIATION (EIN 14-1338465)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201603209349305300
Schema version: 2015v2.1
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T13:50:13-07:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338465	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	120781203	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mike Ostrander	PersonNm
Person Title	Vice President of Finance & CFO	PersonTitleTxt
Phone	5187735480	PhoneNum
Signature	2016-11-14	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Laurence E Kelly	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$109,559,383	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nlh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1894	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Nathan Littauer Hospital and Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1110	TotalEmployeeCnt
Total Volunteers	188	TotalVolunteersCnt
Total Gross UBI	$733,681	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$707,909	PYContributionsGrantsAmt
CY Contributions Grants	$675,983	CYContributionsGrantsAmt
PY Program Service Revenue	$90,374,183	PYProgramServiceRevenueAmt
CY Program Service Revenue	$92,454,910	CYProgramServiceRevenueAmt
PY Investment Income	$1,499,411	PYInvestmentIncomeAmt
CY Investment Income	$2,418,669	CYInvestmentIncomeAmt
PY Other Revenue	$4,362,182	PYOtherRevenueAmt
CY Other Revenue	$2,744,492	CYOtherRevenueAmt
PY Total Revenue	$96,943,685	PYTotalRevenueAmt
CY Total Revenue	$98,294,054	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$59,108,719	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$61,063,848	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$265,680	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,118,606	PYOtherExpensesAmt
CY Other Expenses	$33,211,911	CYOtherExpensesAmt
PY Total Expenses	$91,227,325	PYTotalExpensesAmt
CY Total Expenses	$94,275,759	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,716,360	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,018,295	CYRevenuesLessExpensesAmt
Total Assets BOY	$79,486,276	TotalAssetsBOYAmt
Total Assets EOY	$79,407,255	TotalAssetsEOYAmt
Total Liabilities BOY	$31,184,175	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,445,376	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$48,302,101	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$51,961,879	NetAssetsOrFundBalancesEOYAmt
Mission	Nathan Littauer Hospital and Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$51,304,821	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$68,716,209	RevenueAmt
Desc	74 bed general medical surgical hospital providing inpatient and outpatient services with the following service statistics for 2015; 9,571 inpatient days, 1,164 observation visits, 829 new born days, 2,584 adult and pediatric admissions, 359 nursery admissions, 22,909 emergency room visits, 95,488 outpatient visits and 5,100 day surgery visits.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$25,927,287	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$16,581,011	RevenueAmt
Desc	The Nathan Littauer Primary and Specialty Care Centers provide care for the whole family. Our nine conveniently located centers offer a range of services and specialties that include urology, obstetrics, gynecology, podiatry, pulmonology, gastroenterology, pediatrics and neurology along with direct access to state-of-the-art technology available at Nathan Littauer Hospital. Several Centers are located in remote rural parts of our service area. The Centers employ 34 physicians and over 30 other healthcare professionals. During 2015 the Centers collectively incurred 122,518 patient visits.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,876,686	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,969,114	RevenueAmt
Desc	The Nathan Littauer Nursing Home located on the Nathan Littauer Hospital campus is a short and long term residential healthcare facility that provides a wide range of medical services with 84 beds. In 2015 the facility had a total of 30,195 patient days.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$582,633	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,906,561	RevenueAmt
Desc	HealthLink is Nathan Littauer Hospital's Wellness Education Center located in downtown Johnstown. HealthLink's role is to promote wellness by increasing community awareness and providing resources for those wishing to make positive, healthy lifestyle changes. Since its launch in 1989, HealthLink has served 196,217 area residents with 7,893 free or low-cost education programs and health screenings. Our wide variety of programs are chosen based on the interests and needs of the community. Program categories include Health & Wellness, Mind & Body, Childbirth & Parenting, Health Screenings, Support Groups, Special Events, and Vitality Plus (ViP)...especially for adults 50+. We also offer Worksite Wellness programs, including health screenings and wellness education programs, to promote health & wellness on the job. Speakers are available for presentations to schools, churches, community groups, organizations, etc., on a variety of topics. HealthLink's resources include numerous brochures on a wide variety of health & wellness related topics available at no cost, as well as an array of health magazines, books and DVD's for loan. The Hospital also offers a Lifeline Program. Lifeline is a personal emergency response system which connects subscribers to an emergency response center through a telephone based communication system. A total of 450 subscribers are members of NLHs Lifeline Program. Other community services include community health fairs, speakers bureau, organ donation program and New Visions Program for high school students. Health Insurance Counseling: Nathan Littauer Hospital was awarded and continues to be the Lead Agency for the new grant entitled: "Consumer Assistant for the NYS of Health Benefit Exchange" covering Fulton and Montgomery County. During the year of 2015 Nathan Littauer Hospital as Lead Agency for both the previous and current grant program's was able to enroll a total of 3,123 individuals with the following breakdown: Children's Medicaid - 753, Child Health Plus Program - 361, Adult Medicaid - 1,589, Quality Health plan - 420. Also included here is the Meaningful Use Funds received (EHR) of $154,253 and other operating revenue of $2,752,308.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$582,633	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$2,906,561	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$87,691,427	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	37	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1110	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	120781203	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Brian Hanaburgh
Chair	0.5	0.25	Yes (X)	$0	$0	$0
Gregory Truckenmiller Phd
Vice Chair	0.5	0.25	Yes (X)	$0	$0	$0
Susan Johnson Esq
Treasurer	0.5	0.25	Yes (X)	$0	$0	$0
Holly Chamberlin Esq
Secretary	0.5	0	Yes (X)	$0	$0	$0
Anita Ashelman
Member	0.5	0	Yes (X)	$0	$0	$0
Michael Bowker
Member	0.5	0	Yes (X)	$0	$0	$0
Paul Connelie
Member	0.5	0.25	Yes (X)	$0	$0	$0
John Fox DDS
Member	0.5	0.25	Yes (X)	$0	$0	$0
Lawrence Horowitz MD
Member/Employed Physician	40	0.25	Yes (X)	$203,207	$0	$10,600
Neil McGovern
Member	0.5	0.25	Yes (X)	$0	$0	$0
Najmus Saqib
Member	0.5	0.25	Yes (X)	$0	$0	$0
David Seward Esq
Member	0.5	0.25	Yes (X)	$0	$0	$0
Shriraj Shah MD
Member	0.5	0	Yes (X)	$25,000	$0	$0
Stephen Tomlinson
Member	0.5	0.25	Yes (X)	$0	$0	$0
Laurence E Kelly
President & CEO & Member	40	0.25	Yes (X)	$432,846	$0	$156,233	Yes (X)
Mike Ostrander
Vice President of Finance & CFO	40	0		$224,034	$0	$8,973	Yes (X)
Luz Alvarez MD
Physician	40	0		$540,906	$0	$13,986		Yes (X)
Paul Husson MD
Physician	40	0		$420,270	$0	$26,212		Yes (X)
Paul Moberg MD
Physician	40	0		$401,290	$0	$26,212		Yes (X)
Susan Behar MD
Physician	40	0		$392,069	$0	$22,485		Yes (X)
Patricia Nguyen MD
Physician	40	0		$359,121	$0	$23,805		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,998,743	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$288,506	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	71	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Sodexho Operations
PO Box 905374	Charlotte	NC	28290	Dietary Services	$1,945,750
Alliance Healthcare Services
PO Box 96485	Chicago	IL	60693	MRI Imaging Servies	$1,275,852
Gloversville Physician Medicine PC
PO Box 82368	Lafayette	LA	70598	Physician Services	$1,201,001
Quest Diagnostics
1 Malcolm Avenue	Teterboro	NJ	07608	Laboratory Services	$622,137
AOW Associates
30 Essex	Albany	NY	12206	Construction Services	$414,303

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$200,000	RelatedOrganizationsAmt
Government Grants	$469,708	GovernmentGrantsAmt
All Other Contributions	$6,275	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$675,983	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Inpatient and Outpatient Services	622110	$68,716,209	$68,530,328	$185,881	$0
Primary Care Centers	621400	$16,581,011	$16,581,011	$0	$0
Nursing Home	623000	$6,969,114	$6,969,114	$0	$0
Lifeline	621990	$181,464	$181,464	$0	$0
Healthlink	611710	$7,112	$7,112	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$92,454,910	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$700,118	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$700,118	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,972,255	SecuritiesAmt
Other	$11,625	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$11,265,329	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,706,926	SecuritiesAmt
Other	$11,625	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,718,551	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,718,551	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Retail Pharmacy	446110	$546,082	$0	$546,082	$0
340b Program	900099	$914,693	$914,693	$0	$0
Cafeteria Sales	722212	$398,741	$398,741	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$884,976	TotalRevenueColumnAmt
Related Or Exempt Func Income	$856,751	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,718	UnrelatedBusinessRevenueAmt
Exclusion	$26,507	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,744,492	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,294,054	TotalRevenueColumnAmt
Related Or Exempt Func Income	$94,439,214	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$733,681	UnrelatedBusinessRevenueAmt
Exclusion	$2,445,176	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$654,822	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$654,822	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$47,287,752	TotalAmt
Program Services	$44,744,288	ProgramServicesAmt
Management And General	$2,349,982	ManagementAndGeneralAmt
Fundraising	$193,482	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,202,583	TotalAmt
Program Services	$2,961,384	ProgramServicesAmt
Management And General	$233,460	ManagementAndGeneralAmt
Fundraising	$7,739	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,695,810	TotalAmt
Program Services	$6,349,031	ProgramServicesAmt
Management And General	$319,710	ManagementAndGeneralAmt
Fundraising	$27,069	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,222,881	TotalAmt
Program Services	$3,043,107	ProgramServicesAmt
Management And General	$164,972	ManagementAndGeneralAmt
Fundraising	$14,802	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$481,681	TotalAmt
Program Services	$481,681	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$311,967	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$311,967	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$98,115	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$98,115	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$31,834	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$31,834	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,631,189	TotalAmt
Program Services	$1,378,991	ProgramServicesAmt
Management And General	$252,198	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$250,102	TotalAmt
Program Services	$20	ProgramServicesAmt
Management And General	$250,082	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,671,766	TotalAmt
Program Services	$3,286,085	ProgramServicesAmt
Management And General	$385,681	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$471,218	TotalAmt
Program Services	$436,436	ProgramServicesAmt
Management And General	$34,782	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,187,283	TotalAmt
Program Services	$1,185,980	ProgramServicesAmt
Management And General	$1,303	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$273,637	TotalAmt
Program Services	$246,095	ProgramServicesAmt
Management And General	$27,542	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$410,315	TotalAmt
Program Services	$410,315	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,787,490	TotalAmt
Program Services	$3,623,330	ProgramServicesAmt
Management And General	$164,160	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,301,454	TotalAmt
Program Services	$1,301,454	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$10,118,347	$10,118,347	$0	$0
Non-Medical Supplies	$1,192,969	$1,186,704	$6,265	$0
Purchased Services	$5,193,231	$4,652,109	$541,122	$0
Food	$1,111,763	$1,111,763	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,687,550	TotalAmt
Program Services	$1,174,307	ProgramServicesAmt
Management And General	$490,655	ManagementAndGeneralAmt
Fundraising	$22,588	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$94,275,759	TotalAmt
Program Services	$87,691,427	ProgramServicesAmt
Management And General	$6,318,652	ManagementAndGeneralAmt
Fundraising	$265,680	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,454,511	BOYAmt
EOY	$4,704,686	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,300,586	BOYAmt
EOY	$2,105,152	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$311,937	BOYAmt
EOY	$218,040	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,308,844	BOYAmt
EOY	$10,067,053	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$739,932	BOYAmt
EOY	$978,236	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$791,660	BOYAmt
EOY	$1,016,152	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$81,720,616	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$58,548,458	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$23,812,324	BOYAmt
EOY	$23,172,158	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$27,462,700	BOYAmt
EOY	$31,110,459	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	$6,303,782	BOYAmt
EOY	$6,035,319	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$79,486,276	BOYAmt
EOY	$79,407,255	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,491,793	BOYAmt
EOY	$7,628,539	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	$16,000	BOYAmt
EOY	$20,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,275,723	BOYAmt
EOY	$2,779,743	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	$4,115,572	BOYAmt
EOY	$2,938,990	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	$17,285,087	BOYAmt
EOY	$14,078,104	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,184,175	BOYAmt
EOY	$27,445,376	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$47,707,664	BOYAmt
EOY	$51,461,339	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$311,937	BOYAmt
EOY	$218,040	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$282,500	BOYAmt
EOY	$282,500	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$48,302,101	BOYAmt
EOY	$51,961,879	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$79,486,276	BOYAmt
EOY	$79,407,255	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,018,295	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,184,848	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$1,826,331	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$31,834	OtherActivitiesAmt
Total Lobbying Expenditures	$31,834	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$347,080	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$16,633	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,476	AdministrativeExpensesAmt
End Year Balance	$328,971	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$416,864	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$31,838	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$100,000	OtherExpendituresAmt
Administrative Expenses	$1,622	AdministrativeExpensesAmt
End Year Balance	$347,080	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$318,595	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$99,793	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,524	AdministrativeExpensesAmt
End Year Balance	$416,864	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$265,320	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$54,663	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,388	AdministrativeExpensesAmt
End Year Balance	$318,595	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$303,299	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$36,431	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,548	AdministrativeExpensesAmt
End Year Balance	$265,320	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$404,197	OtherCostOrOtherBasisAmt
Book Value	$404,197	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$37,838,315	OtherCostOrOtherBasisAmt
Depreciation	$25,400,255	DepreciationAmt
Book Value	$12,438,060	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,884,230	OtherCostOrOtherBasisAmt
Depreciation	$1,249,541	DepreciationAmt
Book Value	$634,689	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$37,098,250	OtherCostOrOtherBasisAmt
Depreciation	$28,192,238	DepreciationAmt
Book Value	$8,906,012	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,495,624	OtherCostOrOtherBasisAmt
Depreciation	$3,706,424	DepreciationAmt
Book Value	$789,200	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,172,158	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
AWUIL by Debt & Lease Agreement	$1,266,198
AWUIL by Board Designation	$404,479
Agency Funds	$55,141
Miscellaneous Receivable	$306,663
Other Assets	$372,802
Software License	$521,899
Deferred Financing	$130,742
Deferred Assets - 1199	$686,217
Deferred Asset - 457 Plans	$2,291,178

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,035,319	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Due To Third Parties	$3,651,765
Assest Retirement Obligation	$86,448
Long-Term Pension Obligation	$6,642,012
Section 457 Plans	$2,291,178
Due to 1199	$686,217
EHR Reserve	$159,242
Promissory Note	$561,242

Field	Value	IRS element (for citing)
Total Liability	$14,078,104	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$97,935,537	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,184,848	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$1,826,331	OtherRevenueAmt
Revenue Not Reported	-$358,517	RevenueNotReportedAmt
Revenue Subtotal	$98,294,054	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$98,294,054	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$94,275,759	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$94,275,759	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$94,275,759	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	The principle donation is permanently restricted, income generated by the fund can be used toward operations of the hospital.
Schedule D, Part X, Line 2	The Hospital is a not-for-profit organization, as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Hospital recognizes income tax positions when it is more-likely than not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded as of December 31, 2015 or 2014.
Schedule D, Part XI, Line 2d	Pension related changes other than net periodic pension cost $1,882,354. Distributions from Nathan Littauer Foundation $72,680. Change in interest in net assets of Nathan Littauer Foundation $-93,897. Change in net unrealized gains and losses on available-for-sale investments $-35,284. Contribution of capital asset $478.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1405	PersonsServedCnt
Total Community Benefit Expns	$398,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,844	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$342,206	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	9107	PersonsServedCnt
Total Community Benefit Expns	$20,282,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,728,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,554,421	NetCommunityBenefitExpnsAmt
Total Expense	0.0907	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	10512	PersonsServedCnt
Total Community Benefit Expns	$20,680,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,783,999	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,896,627	NetCommunityBenefitExpnsAmt
Total Expense	0.0943	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	13070	PersonsServedCnt
Total Community Benefit Expns	$741,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$428,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$313,229	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	39	PersonsServedCnt
Total Community Benefit Expns	$116,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,454	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	122518	PersonsServedCnt
Total Community Benefit Expns	$18,243,633	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,589,533	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,654,100	NetCommunityBenefitExpnsAmt
Total Expense	0.0706	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$16,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,855	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	135727	PersonsServedCnt
Total Community Benefit Expns	$19,118,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,017,603	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,100,638	NetCommunityBenefitExpnsAmt
Total Expense	0.0753	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	146239	PersonsServedCnt
Total Community Benefit Expns	$39,798,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,801,602	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,997,265	NetCommunityBenefitExpnsAmt
Total Expense	0.1696	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,005,458	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,780,448	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$15,558,512	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,778,064	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.nlh.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.nlh.org	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.nlh.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.nlh.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.nlh.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Nathan Littauer Hospital Association	The process of identifying the important healthcare needs of the residents of Fulton County involved both data analysis and consultation with key members of the community. The data was collected from multiple sources including publicly available health indicator data and data collected from a survey conducted by the Adirondack Rural Health Network. The health indicator data is collected and published by New York State and contains over 300 different health indicators. Since 2003, The Adirondack Rural Health Network has been compiling this data for the region and producing reports to inform healthcare planning on a regional basis. ARHN undertook a project to systemize this data into a relational database to provide improved access and analysis. The results of this analysis provide a statistical assessment of the health status for the region and each county therein. In December 2012 and January 2013, the Adirondack Regional Health Network (ARHN) conducted a survey of selected stakeholders representing health care and service providing agencies within the eight county region. The results of the survey 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. Using the results of the indicator analysis and the surveys, a local stakeholder meeting was convened in May 2013 to review the data and to identify and prioritize the current healthcare challenges for the residents of Fulton County. The Community Health Assessment Team (CHAT) was convened in July 2013 to analyze the results of the data and information gained from the stakeholder meeting. Utilizing the dot method of prioritization the CHAT selected the Prevention Agenda priorities and focus areas to be addressed in our Community Health Improvement Plan (CHIP). The CHAT consisted of representatives from Nathan Littauer Hospital and Fulton County Public Health. STAKEHOLDER GROUP:Vicky Wheaton Saracini AHI and ARHN, Robert Martiniano Center for Health and Workforce Studies, Margaret Luck NLH Lifeline, Kim Conboy Montgomery County Public Health, Deborah Skivington Family Counseling Center, Michael Countryman Family Counseling Center, Dale Woods Fulton County Public Health, Christina Akey Fulton County Public Health, Don Van Patten NYSDOH, Denise C. Frederick Fulton County Public Health, Sue Fraiser Mountain Valley Hospice, Don Diefenbacher Mountain Valley Hospice, Heidi Parisi Nathan Littauer Hospital, Rachel Truckenmiller ASAPP's Promise, Ann Rhodes HFM Prevention, Dom Baggetta ASAPP's Promise, Denise Benton Catholic Charities, Michael Redcross Nathan Littauer Hospital, Fabrizia Rodriguez Centro Civico, Andrea Fettinger Fulton County Aging and Youth, Danielle Temp Community Health Center, Cheryl McGratten Nathan Littauer Hospital, Barbara Vickery CDCCCC, Sue Cridland Nathan Littauer, Anne Solar Futon County DSS.
Schedule H, Part V, Section B, Line 6a-Nathan Littauer Hospital Association	Nathan Littauer Hospital Association - Nathan Littauer Hospital prepared the survey in conjunction with Adirondack Rural Health Network of whom the following hospitals are members: Adirondack Health, Alice Hyde Medical Center, CVPH Medical Center, Elizabeth Community Hospital, Glens Falls Hospital and Saratoga Hospital.
Schedule H, Part V, Section B, Line 6b-Nathan Littauer Hospital Association	AHI and ARHN Center for Health and Workforce Studies, Montgomery County Public Health, Family Counseling Center, Fulton County Public Health, NYSDOH, Mountain Valley Hospice, ASAPP's Promise, HFM Prevention, Catholic Charities, Centro Civico, Fulton County Aging and Youth Community Health Center, CDCCCC and Futon County DSS.
Schedule H, Part V, Section B, Line 11-Nathan Littauer Hospital Association	Nathan Littauer Hospital and Nursing Home and its Family of Health Services is committed to providing safe, high-quality health and wellness services and improving the health of our communities in a caring, contemporary environment. Our mission is accomplished not only through the efforts of our own dedicated employees, services and programs, but in cooperation with countless community partners. Following a Community Health Needs Assessment (CHNA), completed in 2013 in coordination with our local health department and with input from local health and human service providers, a three year Community Service Plan (2013 - 2015) was developed. We were tasked by the New York State Department of Health (as were all NYS hospitals and local health departments) to cooperatively prioritize our community needs and identify focus areas to address over the next three years. Our Community Service Plan is our guide to the future and our compass. The priorities we identified for action over the next three years were to "increase access to high-quality chronic disease preventive care and management in clinical and community settings" and "increase the use of comprehensive well child care." As described under each priority you will see a summary of the area of focus and progress we have made, as well as the challenges we have encountered. Priority #1 - Increase access to high-quality chronic disease preventive care and management in clinical and community settings, specifically, to increase the percentage of adults 18 years and older who are tested for high blood sugar or diabetes. By improving diabetes awareness and screening more people, we will also be addressing an identified disparity: access to care. According to NYS DOH data, an estimated 8% Fulton County adults have been diagnosed with diabetes, this equates to more than 3,400 people. While determining an accurate number of undiagnosed persons is not possible, we know that diabetes is more common in the elderly and those with a BMI of > 35. Earlier identification and treatment of diabetes may actually increase our incidence rate, but will reduce the chance of developing harmful and costly complications. Activities associated with increasing screening rates will also bring attention to the potential complications of poor diabetes control and the need for careful diabetes management. Accomplishments -Littauer Primary Care Centers (PCC) are seeking out and identifying those at risk for developing diabetes within their patient populations, and encouraging them to be tested -HealthLink & Fulton County Public Health are: working to increase community awareness of risk factors and need for testing by targeted outreach (ex, to senior centers & clubs and large employers) and through social media. using the American Diabetes Association "Diabetes Risk Test" at outreach sites and community events as an awareness tool, and referring at risk persons for follow up -The Diabetes Resource Center at Littauer continues to provide an ADA recognized "Diabetes Self-Management Education" program and support -HealthLink continues to offer ongoing community health & wellness education and referral, including cholesterol, glucose, blood pressure and BMI screening -Registered dieticians provide outpatient nutrition counseling (as requested by provider) as well as nutrition specific community education programs Challenges include Not having dedicated staff time to plan, implement, evaluate and track activities Engaging target population.. to accept that this is a serious problem for our community and that each person has the ability to do something about it Little access to practical, research based interventions and monitoring/tracking /process strategies Priority #2 - Increase the use of comprehensive well child care, specifically increase the proportion of NYS children who receive lead screening (as a key recommended preventive health services) as part of routine well-child care. Fulton County has extremely high rates of child lead poisoning. Increasing screening rates will allow at risk children to be identified and treated, reducing the number of children diagnosed with lead poisoning and its life changing long term effects. Providing POC (point of care) testing will improve access, a disparity identified in our CHNA. Activities associated with increasing screening rates will also bring attention to older housing stock and other causes of lead poisoning. Accomplishments -Coordinated efforts with Fulton County Public Health (FCPH), which has identified lead poisoning as an agency priority and has received a grant to help address it -Established a baseline number of tests using DOH Lead Web data and monitored over time -Established a baseline level of awareness of lead poisoning risk and dangers by e-survey -Expanded POC lead testing in our pediatric primary care offices from two sites to four in 2014 -In coordination with FCPH carried out: Media campaign including: billboards, social media, postcards mailed to all new moms, infomercial for public access, web sites peds waiting rooms Targeted outreach education at events such as home shows, rabies clinics or car seat checks; and to WIC, Day Care Centers, and Head Start sites, Navigators. -Worked to establish a broad based community task force comprised of health care, local government and business stake holders. Challenges include -Difficulty engaging target population -Difficulty engaging community leaders -Little access to practical, research-based interventions and monitoring/tracking /process strategies.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

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

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	The costing methodology used to calculate the amounts reported in the Table for Line 7 is ratio of patient care cost to charges.
Schedule H, Part I, Line 7, Column f	Bad debt expense was not included in Form 990, Part IX, line 25, column (A), and not subtracted for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f).
Schedule H, Part I, Line 7g	Subsidized health services reported included details from the Primary/Specialty Care Centers, licensed clinics. The Centers operated despite financial losses to the organization for at least the past twelve years. The Hospital is committed to operate the Centers as a benefit to the community in order to address an identified community need and to improve access to healthcare, including our remote rural communities.
Schedule H, Part III, Section A, Line 2	In evaluating the collectability of patient accounts receivable, the Hospital analyzes its past collection history, business and economic conditions, trends in governmental and employee health care coverage and other collection indicators for each of its major categories of revenue by payor to estimate the appropriate allowance for estimated uncollectible accounts.
Schedule H, Part III, Section A, Line 4	Patient accounts receivable are reflected net of an allowance for estimated uncollectible accounts. In evaluating the collectability of patient accounts receivable, the Hospital analyzes its past collection history, business and economic conditions, trends in governmental and employee health care coverage and other collection indicators for each of its major categories of revenue by payor to estimate the appropriate allowance for estimated uncollectible accounts. Management regularly reviews data about these major categories of revenue in evaluating the sufficiency of the allowance for estimated uncollectible accounts. Throughout the year, the Hospital, after all reasonable collection efforts have been exhausted, will write-off the difference between the standard rates (or discounted rates if applicable) and the amounts actually collected against the allowance for estimated uncollectible accounts. In addition to the review of the categories of revenue, management monitors the write-offs against established allowances to determine the appropriateness of the underlying assumptions used in estimating the allowance for estimated uncollectible accounts.
Schedule H, Part III, Section B, Line 8	Medicare allowable costs were calculated using a cost to charge ratio based upon the cost finding methodology in the Medicare 2552-10 Cost Report. Community Benefit rationale: The Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patient, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though costs exceed reimbursements by $3,778,064. Tax exempt hospitals are expected to participate in the Medicare program. For many of the medical services provided by the Hospital, Medicare does not provide sufficient reimbursement to cover the cost of providing care to our patients, forcing the Hospital to use other funds to cover the deficit. Medicare Cost Reports that hospitals are required to file do not include the costs required to treat all Medicare patients. Therefore the amount reflected on the Medicare Cost Report differs from actual losses. In 2015 the Hospital realized an additional shortfall of $4,275,897 resulting from Medicare Advantage and non-PPS Medicare patients. The total shortfall for all types of Medicare patients was $8,053,961.
Schedule H, Part III, Section C, Line 9b	Requests for Financial Assistance may be made at any point before, during or after the provision of care. Anyone seeking Financial Assistance will be given an application. Financial Assistance requests may be proposed by sources other than the patient, such as the patient's physician, family members, social services, or hospital personnel. Pending final eligibility determination, Nathan Littauer Hospital will not initiate collection efforts or requests for deposits provided that the responsible party is cooperative with Nathan Littauer Hospital's efforts to get payment from other sources. If initial screening does not disqualify someone for Financial Assistance they will be given an application, which includes instructions on how to apply.
Schedule H, Part VI, Line 2	Assessment of Public Health Priorities With ARHN facilitating the process the Community Health Planning Committee (the Committee) was formed with representatives from all six of the hospitals and all six of the local health departments in the region. Members of the Committee participated in a collaborative approach to community health assessment and planning. Relying on regional information gathered and analyzed by ARHN as well as information specific to each hospital's service area, each ARHN hospital prepared a Community Service Plan in collaboration with the other participating hospitals and local health departments.
Schedule H, Part VI, Line 3	Nathan Littauer Hospital & Nursing Home educates our patient population for our Financial Assistance policy in the following ways: NLH has provided a "Frequently Asked Question" section on our website (www.nlh.org) to answer questions our patients may have. We have posted the complete Charity/Financial assistance policy on our website (www.NLH.org). NLH posts in their registration areas the availability of Financial Assistance and the appropriate contact information to obtain and complete the application process. NLH also provides pamphlets in all of our inpatient and outpatient registration areas literature providing information on insurances and, again, providing information on our Financial Assistance program and contact information. NLH has four facilitated enrollers available to assist patients with their application for Medicaid, Quality Health Plan and Child Health Plus. They will also assist patients in completing our charity care application. Our staff has been trained in assisting our patients with obtaining application and providing direction and contact information for the completion of same. Our in-patient statements and our billing agency provides information advising patients to contact our offices to request the application and assistance in its completion.
Schedule H, Part VI, Line 4	Nathan Littauer Hospital and Nursing Home is located in a rural area in Upstate New York. Our primary service area is Fulton County with additional services available in neighboring Hamilton and Montgomery Counties. Within our main service area, Fulton County, 2013 data shows a population of 54,586 a 1.7% decrease since 2010. Of those reporting one race, 95.7% of those residents identified themselves as white. 50.5% of our population are women. Over 17% of the population has a median age of 65 or older. The median household income in Fulton County is $45,333 (well below the national average of $56,951). Our county has 16.5% of its residents living below the poverty level. 83.4% of the population has a high school degree or higher. The leading industries remain: Educational services, health care and social assistance employing 26% of the workforce followed by manufacturing employing 15%. Unemployment rates for 2011 are at about 11%. Major health issues for our region remain, respiratory diseases/childhood asthma, cancers of the lung and colon, lack of physical fitness and nutrition, unintentional injuries, tobacco use, lead poisoning and chronic diseases of the lung and the heart. We have started a comprehensive community education effort with local stakeholders to address lead poisoning and diabetes awareness. The demographics and public health issues of our area clearly demonstrate why Nathan Littauer Hospital and Nursing Home and our eight Primary Care Centers are a vital resource in the communities we serve. Of particular note is our aging population and poverty levels, which are much higher than the state average. It is concluded that health issues affecting our population will continue to be addressed by our community hospital. Our mission is in keeping with the community need as we strive to provide care that is effective, clinically astute, safe and accessible.
Schedule H, Part VI, Line 5	The Board of Directors of Nathan Littauer Hospital and Nursing Home is made up of medical and business professionals, all of whom reside in our primary service area. These volunteers give countless hours to the organization in their oversight role. They are involved in the community needs assessment process, in fundraising and in general stewardship. Littauer utilizes excess funds to reinvest in our technology, computerization and facilities to keep our organization safe, efficient and accessible as well as to ensure quality patient care. For example we used excess funds to support free and low cost education programs offered by Littauer to our community. Renovated hospital ground floor corridor, completed construction on an MRI addition, opened a Gastroenterology Center in Johnstown, among other capital acquisitions and projects in 2015. Most of the funds needed for these projects and purchases were made with operational gains.
Schedule H, Part VI, Line 7	New York State

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Laurence E Kelly
President & CEO & Member	$431,238	$0	$0	$0	$1,608	$0	$138,227	$0	$18,006	$0	$589,079	$0	$0	$0
Mike Ostrander
Vice President of Finance & CFO	$223,584	$0	$0	$0	$450	$0	$8,973	$0	$0	$0	$233,007	$0	$0	$0
Lawrence Horowitz MD
Member/Employed Physician	$197,027	$0	$0	$0	$6,180	$0	$10,600	$0	$0	$0	$213,807	$0	$0	$0
Luz Alvarez MD
Physician	$540,038	$0	$0	$0	$868	$0	$10,600	$0	$3,386	$0	$554,892	$0	$0	$0
Paul Husson MD
Physician	$420,000	$0	$0	$0	$270	$0	$10,600	$0	$15,612	$0	$446,482	$0	$0	$0
Paul Moberg MD
Physician	$400,000	$0	$0	$0	$1,290	$0	$10,600	$0	$15,612	$0	$427,502	$0	$0	$0
Susan Behar MD
Physician	$391,769	$0	$0	$0	$300	$0	$10,600	$0	$11,885	$0	$414,554	$0	$0	$0
Patricia Nguyen MD
Physician	$357,831	$0	$0	$0	$1,290	$0	$10,600	$0	$13,205	$0	$382,926	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4	FormAndLineReferenceDesc
Explanation	Payments of $127,627 were made on behalf of the CEO to a 457 (f) plan during 2015.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Shiraj Shah MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Board Member	RelationshipDescriptionTxt
Transaction	$25,000	TransactionAmt
Transaction	Physician Service Contract	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6	Total volunteer hours for 2015 were 11,617 based upon the annual report of the Nathan Littauer Hospital Auxiliary. This included Auxilians, Candy Stripers and Junior Volunteers.
Form 990, Part VI, Section A, Line 6	The sole member of the Nathan Littauer Hospital Association is Colonial Healthcare Corp. which shall be represented at all meetings of the Association by the President of the Board of Directors of Colonial Healthcare Corp. or such person designated by the President in writing.
Form 990, Part VI, Section A, Line 7b	Colonial Healthcare Corp. the sole member of the Nathan Littauer Hospital Association must consent to any changes to the Hospital's bylaws.
Form 990, Part VI, Section B, Line 11b	The Form 990 and any required supplemental schedules are prepared by the Finance Department with input from other Hospital departments as necessary. The draft Form 990 is then reviewed by the Director of Finance and the Vice President of Finance /Chief Financial Officer in order to ensure compliance with applicable instructions. The Vice President of Finance/Chief Financial Officer reviews the Form 990 with the Board of Directors and copies are provided to members during the meeting. Any comments from the members are evaluated by management and any necessary revisions are incorporated into the return. The committee members are then offered both a final draft of the 990 prior to its filing and the final 990 after it's filed.
Form 990, Part VI, Section B, Line 12c	The Hospital's Conflict of Interest policy requires the filing of an annual disclosure statement by covered persons. Covered persons are defined as "Any director, officer, member of a committee with governing board delegated powers, or any member of the Capital Acquisition Committee, Pharmacy & Therapeutics Committee. Value Analysis Committee and Hospital employees who have a position which involves the acquisition of equipment and supplies or who authorize payments for such material". The Board or Committee is informed annually of any possible conflicts. The covered person has a duty to disclose the possible conflict when a matter is brought before or the Board or Committee and Board or Committee makes the determination if a conflict actually exists. The conflicted party will not participate in the discussion of the matter at hand and will leave the meeting which a vote of the disinterested parties takes place. The Corporate Compliance Officer and the Chairman of the Board or Committee are responsible for compliance with the policy.
Form 990, Part VI, Section B, Line 15	The Hospital's Compensation Committee is composed of the Chairman, Vice Chairman and immediate past Chairman of the Board of Directors. All members are independent directors. The Committee utilizes comparable compensation data in its determinations. The compensation of the President (CEO) of the hospital is in the form of a recommendation to the full Board of Directors in an Executive Session of the meeting. Only independent directors are present at the meeting. The Compensation committee also advises and assists the President (CEO) in determining the compensation for senior management of the Hospital using comparative compensation data.
Form 990, Part VI, Section C, Line 19	The Hospital publishes an annual report distributed by mail and made available for distribution through a number of public outlets such as civic and social organizations. The report includes condensed financial statements and various statistical data relative to services provided to the community including free clinics, education programs, health fairs, etc. The form 990 is available to the public upon request. The Hospital's governing documents, conflict of interest policy and internal financial statements are not available to the public.
Form 990, Part XI, Line 9	Pension related changes other than net periodic pension cost $1,882,354. Distributions from Nathan Littauer Foundation $72,680. Change in interest in net assets of Nathan Littauer Foundation $-93,897. Change in net unrealized gains and losses on available-for-sale investments $-35,284. Contribution of capital asset $478.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
Gloversville Extended Care & Nursing Home Co Inc
99 East State Street	Gloversville	NY	12078	237065255	Leasing an 84 bed Skilled Nursing Facility to Hospital	NY	501(c)3	Schedule A Line 3	N/A	Yes (1)
NLH Realty Corp
99 East State Street	Gloversville	NY	12078	141641020	Realty holding company	NY	501(c)2		N/A	0
Nathan Littauer Foundation
99 East State Street	Gloversville	NY	12078	141638991	Support the Hospital & promote healthcare programs in the community through donations.	NY	501(c)3	Schedule A Line 7	N/A	Yes (1)
Nathan Littauer Hospital Auxiliary
99 East State Street	Gloversville	NY	12078	146086641	Assisting Hospital in promoting health & welfare of the community	NY	501(c)3	Schedule A Line 11	N/A	0
Colonial Healthcare Corporation
PO Box 586	Gloversville	NY	12078	141670605	Support & Supplement the activities, goals and operations of Nathan Littauer Hospital Association.	NY	501(c)3	Schedule A Line 7.	N/A	0

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

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