2014-11-13T16:06:25-07:00 2013-12-31 990 2013-01-01 141338465 NATHAN LITTAUER HOSPITAL ASSOCIATION NATH 5187258621 99 East State Street Gloversville NY 12078 Mike Ostrander Vice President of Finance & CFO 5187735480 2014-11-13 2013 2015-11-30 17:44:51Z Nathan Littauer Hospital and Nursing Home Laurence E Kelly 99 East State Street Gloversville NY 12078 96538841 0 X www.nlh.org X 1894 NY 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. 15 12 1086 199 841347 0 684587 726102 89815422 87616715 898165 2605029 4546299 3447183 95944473 94395029 0 0 0 0 59923228 58527947 0 0 22679 30934826 31178481 90858054 89706428 5086419 4688601 66197835 71956673 29241061 25941220 36956774 46015453 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. 0 0 50419709 0 65572063 74 bed general medical surgical hospital providing inpatient and outpatient services with the following service statistics for 2013; 11,101 inpatient days, 822 observation visits, 828 new born days, 3,067 adult and pediatric admissions, 363 nursery admissions, 22,855 emergency room visits, 94,363 outpatient visits and 4,279 day surgery visits. 23580518 0 14691706 The Nathan Littauer Primary and Specialty Care Centers provide care for the whole family. Our eight conveniently located centers offer a range of services and specialties with direct access to the specialists and 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 35 physicians and over 30 other healthcare professionals During 2013 the Centers collectively incurred 120,695 patient visits. 9206776 0 7146912 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 2013 the facility had a total of 29,317 patient days. 598334 0 3007941 HealthLink is Nathan Littauer Hospital's Wellness Education Center located within the YMCA in 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 nearly 180,000 area residents with more than 7,350 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 variety of health & wellness related topics available at no cost, as well as a variety of magazines 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 500 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:From January 1 through September 30 2013 Nathan Littauer Hospital was the Lead Agency for Child and Family Health Plus Enrollment Grant covering Fulton, Montgomery and Hamilton County.From October 1, 2013 to December 31, 2013 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 2013 Nathan Littauer Hospital as Lead Agency for both the previous and current grant program's was able to enroll a total of 1926 individuals with the following breakdown: Child Health Plus 990 individuals Family Health Plus 717 individuals, Medicaid 42 individuals, Prenatal Care Program 67 individuals and Qualified Health Plans 110 individuals Also included here is the Meaningful Use Funds received (EHR) of $970,907 and other operating and non-operating revenue of $2,037,034. 598334 0 3007941 83805337 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 30 0 1 1086 1 1 1 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Michael Redcross 5187735481 99 East State Street Gloversville NY 120781293 David Seward Esq Chair 0.5 0.2 X 0 0 0 Brian Hanaburgh Vice Chair 0.5 0 X 0 0 0 Susan Johnson Esq Treasurer 0.5 0 X 0 0 0 Holly Chamberlin Esq Secretary 0.5 0 X 0 0 0 John Fox DDS Member 0.5 0 X 5575 0 0 Shriraj Shah MD Member 0.5 0 X 25000 0 0 Neil McGovern Member 0.5 0 X 0 0 0 Michael Bowker Member 0.5 0 X 0 0 0 Anita Moore Member 0.5 0 X 0 0 0 Mike McBiles Member 0.5 0 X 0 0 0 Kevin Smith Member 0.5 0 X 0 0 0 Gregory Truckenmiller Phd Member 0.5 0 X 0 0 0 Shaloni Winston Member 0.5 0 X 0 0 0 Dianna Downing Member 0.5 0 X 0 0 0 Laurence E Kelly President & CEO & Member 40 0.20 X X 372543 0 164925 Mike Ostrander Vice President of Finance & CFO 40 0 X 196679 0 7853 James Anania MD Physician 40 0 X 432344 0 27775 Paul Moberg MD Physician 40 0 X 401290 0 27775 Paul Husson MD Physician 40 0 X 381969 0 24254 Peter Dowling MD Physician 40 0 X 301290 0 27775 Patricia Nguyen MD Phycian 40 0 X 300690 0 27775 2417380 0 308132 60 0 1 0 Sodexho Operations PO Box 905374 Charlotte NC 28290 Dietary Services 1713678 Alliance Healthcare Services PO Box 96485 Chicago IL 60693 MRI Imaging Servies 1367584 Gloversville Physician Medicine PC PO Box 82368 Lafayette LA 70598 Physician Services 1252986 Quest Diagnostics 1 Malcolm Avenue Teterboro NJ 07608 Laboratory Services 573886 ISS Solutions Inc PO Box 13700 Philadelphia PA 19191 Bio-Med Services 333596 19 0 0 0 200000 516924 9178 0 726102 Inpatient and Outpatient Services 622110 65572063 65384067 187996 0 Primary Care Centers 621110 14691706 14691706 0 0 Nursing Home 623000 7146912 7146912 0 0 Lifeline 621990 196165 196165 0 0 HealthLink 611710 9869 9869 0 0 0 0 0 0 87616715 2632701 0 0 2632701 0 0 0 0 0 0 0 0 0 0 2110749 5391 2104803 39009 5946 -33618 -27672 -27672 0 0 0 Retail Pharmacy 446110 625643 0 625643 0 340b Program 900099 744327 744327 0 0 Cafeteria Sales 722210 457055 457055 0 0 1620158 1572817 27708 19633 3447183 94395029 90175246 841347 2652334 0 0 0 0 0 0 0 0 567580 0 567580 0 0 0 0 0 44697347 42479575 2199780 17992 3611171 3367976 242475 720 6505774 6171437 331746 2591 3146075 2977792 166907 1376 492106 492106 0 0 193211 0 193211 0 207761 0 207761 0 23396 0 23396 0 0 0 0 0 0 0 1414880 1154733 260147 0 275008 2373 272635 0 3447184 3118474 328710 0 538700 522124 16576 0 0 0 0 0 1153768 1152879 889 0 267546 216547 50999 0 0 0 0 0 0 0 0 0 511371 511371 0 0 0 0 0 0 3653251 3473718 179533 0 1481039 1481039 0 0 Medical Supplies 9451457 9451436 21 0 Non-Medical Supplies 1133592 1122520 11072 0 Purchased Services 4522150 4106154 415996 0 Food 955960 955960 0 0 1456101 1047123 408978 0 89706428 83805337 5878412 22679 4102977 4749525 213649 1967547 311937 311937 11621175 10513240 0 0 0 0 174306 0 631248 685616 1092153 1037578 76245936 51767283 24993131 24478653 15422852 22453799 0 0 0 0 0 0 7634407 5758778 66197835 71956673 7183176 6207917 0 0 0 16000 4180883 3741091 0 0 0 0 5304305 5388079 0 0 12572697 10588133 29241061 25941220 X 36362337 45421016 311937 311937 282500 282500 36956774 46015453 66197835 71956673 X 4688601 193929 0 0 0 4176149 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23396 23396 0 Schedule C, Part II-B, Line 1 A portion of the organization's 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. 318595 0 99793 0 0 1524 416864 265320 0 54663 0 0 1388 318595 303299 0 -36431 0 0 1548 265320 261573 0 43367 0 0 1641 303299 193361 0 69682 0 0 1470 261573 0 1 0 0 0 0 404197 404197 0 35999238 22870313 13128925 0 1694967 1061874 633093 0 33649847 24454089 9195758 0 4497687 3381007 1116680 24478653 AWUL by Debt & Lease Agreement 1519348 AWUL by Board Designation 302032 Agency Funds 28519 Miscellaneous Receivable 207325 Other Assets 395506 Software License 572298 Deferred Financing 199310 Deferred Asset - 1199 592076 Deferred Asset - 457 Plans 1942364 5758778 0 Due to Third Parties 2080285 Asset Retirement Obligation 103896 Long-Term Pension Obligation 5665949 Section 457 Plans 1942364 Due to 1199 592076 EHR Reserve 203563 10588133 X 98377249 0 0 0 4176149 4176149 94201100 0 193929 193929 94395029 89706428 0 0 0 0 0 89706428 0 0 0 89706428 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, 2013 or 2012. Schedule D, Part XI, Line 2d Pension related changes other than net periodic pension costs and contribution of capital asset. Schedule D, Part XI, Line 4b Change in net unrealized gains and losses on available-for-sale investments. 1 1 1 X 1 X 1 1 0 1 1 1914 830486 155074 675412 0.0075 60667 16486833 8867169 7619664 0.0849 0 62581 17317319 9022243 8295076 0.0924 27 10321 787466 241366 546100 0.0061 1 34 122182 0 122182 0.0014 1 120695 16172517 12213954 3958563 0.0441 2 200 957 0 957 31 131250 17083122 12455320 4627802 0.0516 31 193831 34400441 21477563 12922878 0.1440 1 8321439 0 11674230 15157032 -3482802 X 1 1 1 1 Nathan Littauer Hospital Association 99 East State Street Gloversville NY 12078 www.nlh.org 1701000H X X X Nathan Littauer Hospital Association 1 1 X X X X X X X X 13 1 1 1 X www.nlh.org X X X X X 0 0 1 1 100 1 300 1 X X 1 1 X X X X X X 1 X X 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 3-Nathan Littauer Hospital Association Established in 1992 through a New York State Department of Health Rural Health Network Development Grant, the Adirondack Rural Health Network (ARHN) is a community partnership of public, private and non-profit organizations in Upstate New York. ARHN creates a collaborative process for developing strategies and for implementing, monitoring and evaluating the regional health care system. As a member of ARHN, Nathan Littauer Hospital actively supported and participated in the gathering of information from a variety of stakeholders. This process was conducted regionally and included conducting both a survey and focus groups. Participants involved in assessing Fulton County's health needs came from a diverse background including representatives from ARHN, our rural planning group, public health, the hospital and numerous other health and human service organizations including home care services, social services, youth and senior services, housing, department of labor, child care, community action and area school districts. In partnership with ARHN, Nathan Littauer Hospital and Fulton County Public Health worked to identify representatives from community health and human service agencies who would be familiar with our resident's needs. Working with ARHN and the Center for Human Service Research at the University at Albany School of Social Welfare an e survey was conducted of these providers between December 5, 2012 and January 21, 2013. The Fulton County e survey had 61 respondents representing 32 diverse community organizations. Individuals who were asked to complete the survey were subsequently invited to a Stakeholder Meeting May 23, 2013 at the hospital where the results of the survey were presented along with county data. The Fulton County Data and Survey Review for Stake holders was attended by 25 individuals representing 16 community health and human service agencies. In general stakeholders validated e survey results and county data and were in agreement with findings. Access to care was noted on several occasions as an area which needs strengthening. Schedule H, Part V, Section B, Line 4-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 7-Nathan Littauer Hospital Association Nathan Littauer intends to address needs within the five Prevention Agenda Focus areas identified as significant needs in Fulton County; however, some of the challenges identified for those areas will not be addressed by hospital-lead initiatives. The Fulton County CHNA notes that while it appears our region does struggle with mental health issues with over 50% of the 20 mental health indicators noting a "worse" benchmark score, Nathan Littauer does not have the clinical infrastructure to address mental health issues at the hospital level for on-going treatment. We do refer to providers and hospitals in the area. additionally, our clinicians are well trained to meet the needs of a person with a mental health issue in an emergency medical situation. We have cooperative relationships with the Family Counseling Center, even offering them office space in exchange for quick mental health referrals for our patients in crisis. We refer to a neighboring hospital which has mental health treatment facilities available. On the Primary Care level, we are able to provide situational mental health assistance; providing medication as indicated and referral to appropriate local and regional resources. Also, upon review of health indicators, we will not be addressing Environmental Safety with hospital-wide initiatives. The data and focus groups we conducted and reviewed illustrates that Environmental Safety is not identified as a priority. Data would support that; the number of days in Fulton County with unhealthy ozone was at 0%; the percentage of homes in vulnerable neighborhoods that have fewer asthma triggers is less than 10 occurrences. We have concluded that addressing these environmental issues falls outside of our mission. While we continue to address the clinical effects of environmental issues, we cannot address its prevention. We will also not conduct a hospital-wide initiative addressing HIV and AIDS. Fulton County reported only a 6% average rate for newly diagnosed HIV cases in the past two years. The 2017 Prevention Agenda benchmark is less than 14.7%. Additionally, our population has in incidence of HIV and AIDS of less than 2.2 cases per 100,000 population which is well below the New York State incidents of 17.6 per 100,000 people. Knowing the pressing health concerns for this reason, we feel that our resources will be better spent addressing other issues. 9 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). 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 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 ten 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 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. During 2013, the Hospital increased the amount of the allowance for estimated uncollectibles to provide for the increasing amount of write offs the Hospital is experiencing annually from changes in employer and governmental health care coverages which has resulted in a growth in the level of uninsured and under-insured patients. 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 $3,482,802. 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 2013 the Hospital realized an additional shortfall of $3,555,733 resulting from Medicare Advantage and non-PPS Medicare patients. The total shortfall for all types of Medicare patients was $7,038,535. 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. For non-Medicare patients, if the balance is under $100.00 for Primary Care and $500.00 for Hospital services, the Short Form Application can be utilized. 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, Family Health Plus 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. Both Fulton and Hamilton counties are designated as Healthcare Professional Shortage Areas (HPSA). 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 center 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 the Nursing Home nurses station and installed a sprinkler system, renovated hospital corridors and Respiratory Department among other capital acquisitions in 2013. Schedule H, Part VI, Line 7 New York State. X X X X X 0 1 0 0 0 0 0 0 0 Laurence E Kelly President & CEO & Member 371253 0 0 0 1290 0 147350 0 17575 0 537468 0 0 0 Mike Ostrander Vice President of Finance & CFO 196327 0 0 0 352 0 7853 0 0 0 204532 0 0 0 James Anania MD Physician 431654 0 0 0 690 0 10200 0 17575 0 460119 0 0 0 Paul Moberg MD Physician 400000 0 0 0 1290 0 10200 0 17575 0 429065 0 0 0 Paul Husson MD Physician 381715 0 0 0 254 0 10200 0 14054 0 406223 0 0 0 Peter Dowling MD Physician 300000 0 0 0 1290 0 10200 0 17575 0 329065 0 0 0 Patricia Nguyen MD Phycian 300000 0 0 0 690 0 10200 0 17575 0 328465 0 0 0 Schedule J, Part I, Line 4 Payments were made on behalf of the CEO to a 457(f) plan during 2013. Shiraj Shah MD Board Member 25000 Physician Services Contract 0 Form 990, Part I, Line 6 Total volunteer hours for 2013 were 13,243 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 was presented at a regular meeting of the Board of Directors on October 28, 2014 by Mike Ostrander, Vice President of Finance & CFO and Laurence Kelly, President & CEO prior to the filing of the form. Form 990, Part VI, Section B, Line 12c The Hospital's Conflict of Interest policy requires the filing of an annual disclosure statement by covered persons. Covered persons are defined as "Any director, officer, member of a committee with governing board delegated powers, or any member of the Capital Acquisition Committee, Pharmacy & Therapeutics Committee or 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 the Board or Committee and the Board or Committee makes the determination if a conflict actually exists. The conflicted party will not participate in the discussion of the matter at hand and will leave the meeting which a vote of the disinterested parties takes place. The Corporate Compliance Officer and the Chairman of the Board or Committee are responsible for compliance with policy. Form 990, Part VI, Section B, Line 15 The Hospital's Compensation Committee is composed of the Chairman, Vice Chairman and immediate past Chairman of the Board of Directors. All members are independent directors. The Committee utilizes comparable compensation data in its deliberations. 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 costs and contribution of capital asset. 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 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 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 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 Nathan Littauer Foundation c 200000 Payment to hospital.