FORT HUDSON NURSING CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
FORT HUDSON NURSING CENTER INC (EIN 20-0481583)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-06-05
IRS object ID
202531569349301208
Schema version
2024v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-06-05T11:18:30-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 WEMBLEY CTAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200481583EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FORT HUDSON NURSING CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFORTBusinessNameControlTxt
Phone5187472811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1319 BROADWAYAddressLine1Txt
CityFORT EDWARDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12828ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN COBURNPersonNm
Person TitleCFOPersonTitleTxt
Phone5187472811PhoneNum
Signature2025-05-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHELLE MUNDYPreparerPersonNm
PTINP01982856PTIN
Phone5184644080PhoneNum
Preparation2025-05-19PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW CRUIKSHANKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1319 BROADWAYAddressLine1Txt
CityFORT EDWARDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12828ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,964,602GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FORTHUDSON.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR THE ELDERLY AND CHRONICALLY ILL.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee598TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,367,383PYContributionsGrantsAmt
CY Contributions Grants$623,078CYContributionsGrantsAmt
PY Program Service Revenue$23,317,514PYProgramServiceRevenueAmt
CY Program Service Revenue$25,310,287CYProgramServiceRevenueAmt
PY Investment Income$28,108PYInvestmentIncomeAmt
CY Investment Income$30,669CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$568CYOtherRevenueAmt
PY Total Revenue$29,713,005PYTotalRevenueAmt
CY Total Revenue$25,964,602CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,687,245PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,958,863CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,364,809PYOtherExpensesAmt
CY Other Expenses$10,770,668CYOtherExpensesAmt
PY Total Expenses$26,052,054PYTotalExpensesAmt
CY Total Expenses$27,729,531CYTotalExpensesAmt
PY Revenues Less Expenses$3,660,951PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,764,929CYRevenuesLessExpensesAmt
Total Assets BOY$17,913,226TotalAssetsBOYAmt
Total Assets EOY$11,102,042TotalAssetsEOYAmt
Total Liabilities BOY$8,705,164TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,464,645TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,208,062NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,637,397NetAssetsOrFundBalancesEOYAmt
MissionSKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR ELDERLY AND CHRONICALLY ILL INDIVIDUALS LIVING IN THE NURSING FACILITY OR SERVED IN THE ADULT DAY HEALTH CARE PROGRAM. CARE IS PROVIDED IN AN ENVIRONMENT WHICH MAXIMIZES DIGNITY AND INDEPENDENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,697,005ExpenseAmt
Revenue$25,271,850RevenueAmt
DescSKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR ELDERLY AND CHRONICALLY ILL INDIVIDUALS LIVING IN THE NURSING FACILITY OR SERVED IN THE ADULT DAY HEALTH CARE PROGRAM. CARE IS PROVIDED IN AN ENVIRONMENT WHICH MAXIMIZES DIGNITY AND INDEPENDENCE.Desc
Total Program Service Expenses$24,697,005TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee598EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN COBURNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5187472811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1319 BROADWAYAddressLine1Txt
CityFORT EDWARDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12828ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PETER YOUNG
PRESIDENT0.40Yes (X)Yes (X)$0$0$0
SARAH WRIGHT
SECRETARY0.40Yes (X)Yes (X)$0$0$0
JACK MORPHIS
TREASURER0.40Yes (X)Yes (X)$0$0$0
JASON MCCANN
DIRECTOR0.40Yes (X)$0$0$0
KEVIN HAYES
DIRECTOR0.40Yes (X)$0$0$0
KEVIN COTO
DIRECTOR0.40Yes (X)$0$0$0
J LAWRENCE PALTROWITZ
DIRECTOR0.40Yes (X)$0$0$0
GRETCHEN STAFFAN
DIRECTOR0.40Yes (X)$0$0$0
SUZANNE BLOOD
DIRECTOR0.40Yes (X)$0$0$0
JOHN SCHURGA
DIRECTOR0.40Yes (X)$0$0$0
ANDREW CRUIKSHANK
CEO0.40Yes (X)$0$382,380$107,90840.00
JOHN COBURN
CFO0.40Yes (X)$0$220,968$62,35740.00
HOLLY VAUGHN
DIRECTOR OF NURSING40.00$129,530$0$36,553Yes (X)
AMANDA WAITE
ADMINISTRATOR40.00$125,573$0$35,437Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$255,103TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$603,348TotReportableCompRltdOrgAmt
Total Other Compensation$242,255TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$622,318GovernmentGrantsAmt
All Other Contributions$760AllOtherContributionsAmt
Total Contributions$623,078TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CARE OF CHRONICALLY ILL623000$21,564,247$21,564,247
OTHER OPERATING REVENUE623000$3,746,040$3,685,289$60,751
FieldValueIRS element (for citing)
Total Program Service Revenue$25,310,287TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,923TotalRevenueColumnAmt
Exclusion$8,923ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$21,746SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$21,746SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,746TotalRevenueColumnAmt
Related Or Exempt Func Income$21,746RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOFFICE SPACE RENTALDesc
Business900099BusinessCd
Total Revenue Column$568TotalRevenueColumnAmt
Related Or Exempt Func Income$568RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$568OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,964,602TotalRevenueColumnAmt
Related Or Exempt Func Income$25,271,850RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$69,674ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,641,445TotalAmt
Program Services$10,841,611ProgramServicesAmt
Management And General$799,834ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,317,418TotalAmt
Program Services$5,091,601ProgramServicesAmt
Management And General$225,817ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$384,280TotalAmt
Management And General$384,280ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$108,859TotalAmt
Management And General$108,859ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$118,402TotalAmt
Management And General$118,402ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$473,294TotalAmt
Program Services$473,294ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$51,569TotalAmt
Program Services$51,569ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$744,035TotalAmt
Program Services$744,035ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$335,476TotalAmt
Management And General$335,476ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NYS CASH RECEIPTS ASSES$1,829,642$1,829,642
DIETARY COSTS$1,547,755$1,547,755
THERAPY SERVICES$1,365,834$1,365,834
ADMIN & FISCAL COSTS$1,059,858$1,059,858

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,751,664TotalAmt
Program Services$2,751,664ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,729,531TotalAmt
Program Services$24,697,005ProgramServicesAmt
Management And General$3,032,526ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,638,620BOYAmt
EOY$637,012EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,276,832BOYAmt
EOY$2,138,582EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$207,248BOYAmt
EOY$216,062EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$264,797BOYAmt
EOY$113,356EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,280,975LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,724,553LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,828,647BOYAmt
EOY$7,556,422EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$108,000BOYAmt
EOY$108,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$589,082BOYAmt
EOY$332,608EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,913,226BOYAmt
EOY$11,102,042EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,708,673BOYAmt
EOY$2,509,618EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$594,774BOYAmt
EOY$42,652EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,745,005BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$656,712BOYAmt
EOY$912,375EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,705,164BOYAmt
EOY$3,464,645EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,208,062BOYAmt
EOY$7,637,397EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,208,062BOYAmt
EOY$7,637,397EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,913,226BOYAmt
EOY$11,102,042EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,764,929ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$194,264OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$172,808OtherCostOrOtherBasisAmt
Book Value$172,808BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,982,811OtherCostOrOtherBasisAmt
Depreciation$6,547,870DepreciationAmt
Book Value$5,434,941BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$355,628OtherCostOrOtherBasisAmt
Depreciation$288,978DepreciationAmt
Book Value$66,650BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,769,728OtherCostOrOtherBasisAmt
Depreciation$8,887,705DepreciationAmt
Book Value$1,882,023BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,556,422TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO AFFILIATES$41,208
DUE TO THIRD PARTY PAYERS$48,370
DUE TO RESIDENTS$183,317
OPERATING LEASE LIABILITIES$1,011
LOC OUTSTANDING$600,000
FINANCE LEASE LIABILITIES$38,469
FieldValueIRS element (for citing)
Total Liability$912,375TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW CRUIKSHANK
CEO$0$382,380$0$0$0$0$0$0$0$107,908$0$490,288$0$0
JOHN COBURN
CFO$0$220,968$0$0$0$0$0$0$0$62,357$0$283,325$0$0
HOLLY VAUGHN
DIRECTOR OF NURSING$129,530$0$0$0$0$0$0$0$36,553$0$166,083$0$0$0
AMANDA WAITE
ADMINISTRATOR$125,573$0$0$0$0$0$0$0$35,437$0$161,010$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationINDUSTRY DATA FROM TRADE ASSOCIATION IS USED BY BOARD TO SET PARAMETERS FOR SALARY AND BENEFIT LEVELS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSHAWNA CRUIKSHANKPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionWIFE OF CEORelationshipDescriptionTxt
Transaction$88,206TransactionAmt
TransactionANNUAL SALARYTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2SHAWNA CRUIKSHANK - WIFE OF CEO
FORM 990, PART VI, SECTION A, LINE 6FORT HUDSON HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER AND PASSIVE PARENT OF FORT HUDSON NURSING CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7AFORT HUDSON HEALTH SYSTEM APPOINTS BOARD MEMBERS TO FORT HUDSON NURSING CENTER.
FORM 990, PART VI, SECTION B, LINE 11BRETURNS ARE PRESENTED TO THE FULL BOARD FOR COMMENT AND APPROVAL PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL REVIEW OF DISCLOSURES AND REQUIREMENT TO INFORM OF NEW DEVELOPMENTS.
FORM 990, PART VI, SECTION B, LINE 15INDUSTRY DATA FROM TRADE ASSOCIATIONS IS USED TO SET PARAMETERS FOR SALARY AND BENEFIT LEVELS.
FORM 990, PART VI, SECTION C, LINE 18UPON WRITTEN REQUEST BASED ON STATUTORY AND REGULATORY REQUIREMENTS.
FORM 990, PART VI, SECTION C, LINE 19UPON WRITTEN REQUEST BASED ON STATUTORY AND REGULATORY REQUIREMENTS.
FORM 990, PART XI, LINE 9:GAIN ON FORGIVENESS OF INTERCOMPANY DEBT 194,264.
FORM 990, PART XII, LINE 2C:PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
FORT HUDSON RESIDENCES INC
319 BROADWAYFORT EDWARDNY12828311655779HOUSING FOR THE ELDERLYNY501(C)(3)509(A)(2)FORT HUDSON HEALTH SYSTEM INC0
FORT HUDSON HOME CARE INC
319 BROADWAYFORT EDWARDNY12828208166870HOMECARE AND SOCIAL DAYCARENY501(C)(3)509(A)(2)FORT HUDSON HEALTH SYSTEM INC0
FORT HUDSON FOUNDATION CORPORATION
319 BROADWAYFORT EDWARDNY12828223368083FUNDRAISINGNY501(C)(3)170(B)(I)(A)(A)(III)FORT HUDSON HEALTH SYSTEM INC0
FORT HUDSON HEALTH SYSTEM INC
319 BROADWAYFORT EDWARDNY12828200928661PASSIVE PARENT/SOLE MEMBER OF LISTED ORGNY501(C)(3)509(A)(3)0
FORT HUDSON CERTIFIED HOME HEALTH AGENCY
319 BROADWAYFORT EDWARDNY12828463241378HOME HEALTH CARENY501(C)(3)509(A)(2)FORT HUDSON HEALTH SYSTEM INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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