FORT HUDSON NURSING CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FORT HUDSON NURSING CENTER INC (EIN 20-0481583)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-07-29
- IRS object ID
- 202102109349300220
- Schema version
- 2020v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-07-29T08:55:56-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 WEMBLEY CT | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200481583 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORT HUDSON NURSING CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FORT | BusinessNameControlTxt |
| Phone | 5187472811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 319 BROADWAY | AddressLine1Txt |
| City | FORT EDWARD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12828 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN COBURN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5187472811 | PhoneNum |
| Signature | 2021-07-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | COBURN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ARIEL F AMMIRATO | PreparerPersonNm |
| PTIN | P01346991 | PTIN |
| Phone | 5184644080 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREW CRUIKSHANK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 319 BROADWAY | AddressLine1Txt |
| City | FORT EDWARD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12828 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,379,427 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FORTHUDSON.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR THE ELDERLY AND CHRONICALLY ILL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 705 | TotalEmployeeCnt |
| Total Volunteers | 64 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,103,811 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,781,013 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,800,498 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,569,310 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,220 | PYInvestmentIncomeAmt |
| CY Investment Income | $24,354 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $4,750 | CYOtherRevenueAmt |
| PY Total Revenue | $23,915,529 | PYTotalRevenueAmt |
| CY Total Revenue | $23,379,427 | 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 | $14,133,965 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,169,809 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,704,356 | PYOtherExpensesAmt |
| CY Other Expenses | $8,706,363 | CYOtherExpensesAmt |
| PY Total Expenses | $22,838,321 | PYTotalExpensesAmt |
| CY Total Expenses | $22,876,172 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,077,208 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $503,255 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,265,131 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,637,901 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,180,211 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,049,726 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,084,920 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,588,175 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SKILLED 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,489,796 | ExpenseAmt |
| Revenue | $21,530,842 | RevenueAmt |
| Desc | SKILLED 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 | $20,489,796 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | OperateHospitalInd |
| 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 705 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN COBURN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5187472811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 319 BROADWAY | AddressLine1Txt |
| City | FORT EDWARD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12828 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DEAN REALI | ||||||||
| PRESIDENT | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KEVIN HAYES | ||||||||
| VICE PRESIDENT | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GRETCHEN STEFFAN | ||||||||
| SECRETARY | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MILES | ||||||||
| TREASURER | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUZANNE BLOOD | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| JOHN BRODT | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| CARMEN DELLA BELLA | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| JOAN GRISHKOT | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| JASON MCCANN | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS NELSON | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| J LAWRENCE PALTROWITZ | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| TORI J RILEY | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| SARAH WRIGHT | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| PETER YOUNG | ||||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW CRUIKSHANK | ||||||||
| CEO | 0.40 | Yes (X) | $0 | $344,628 | $62,012 | 40.00 | ||
| JOHN COBURN | ||||||||
| CFO | 0.40 | Yes (X) | $0 | $198,177 | $35,711 | 40.00 | ||
| HOLLY VAUGHN | ||||||||
| DIRECTOR OF NURSING | 40.00 | $105,962 | $0 | $19,094 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $105,962 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $542,805 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $116,817 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $11,800 | RelatedOrganizationsAmt |
| Government Grants | $1,260,363 | GovernmentGrantsAmt |
| All Other Contributions | $508,850 | AllOtherContributionsAmt |
| Total Contributions | $1,781,013 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CARE OF CHRONICALLY ILL | 623000 | $18,145,950 | $18,145,950 | |
| OTHER OPERATING REVENUE | 623000 | $3,423,360 | $3,384,892 | $38,468 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,569,310 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,354 | TotalRevenueColumnAmt |
| Exclusion | $24,354 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PRIOR YEAR GAIN THIRD PARTIES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,750 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,750 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,750 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,379,427 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,535,592 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $62,822 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,434,162 | TotalAmt |
| Program Services | $8,677,340 | ProgramServicesAmt |
| Management And General | $756,822 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,735,647 | TotalAmt |
| Program Services | $4,501,433 | ProgramServicesAmt |
| Management And General | $234,214 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,772 | TotalAmt |
| Management And General | $352,772 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,185 | TotalAmt |
| Management And General | $79,185 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,208 | TotalAmt |
| Management And General | $84,208 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,821 | TotalAmt |
| Program Services | $390,821 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,151 | TotalAmt |
| Program Services | $102,151 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,662 | TotalAmt |
| Program Services | $473,662 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,511 | TotalAmt |
| Management And General | $218,511 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NYS CASH RECEIPTS ASSES | $1,617,026 | $1,617,026 | |
| THERAPY SERVICES | $1,329,146 | $1,329,146 | |
| DIETARY COSTS | $1,280,311 | $1,280,311 | |
| ADMIN & FISCAL COSTS | $664,132 | $3,468 | $660,664 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,114,438 | TotalAmt |
| Program Services | $2,114,438 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,876,172 | TotalAmt |
| Program Services | $20,489,796 | ProgramServicesAmt |
| Management And General | $2,386,376 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,837,289 | BOYAmt |
| EOY | $3,638,528 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,469,585 | BOYAmt |
| EOY | $2,030,683 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,291 | BOYAmt |
| EOY | $190,977 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,051 | BOYAmt |
| EOY | $236,769 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,848,557 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,875,582 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,097,607 | BOYAmt |
| EOY | $8,972,975 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,000 | BOYAmt |
| EOY | $108,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,457,308 | BOYAmt |
| EOY | $4,459,969 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,265,131 | BOYAmt |
| EOY | $19,637,901 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,782,318 | BOYAmt |
| EOY | $2,252,514 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,967 | BOYAmt |
| EOY | $180,612 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,702,179 | BOYAmt |
| EOY | $6,453,304 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,588,747 | BOYAmt |
| EOY | $5,163,296 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,180,211 | BOYAmt |
| EOY | $14,049,726 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,084,920 | BOYAmt |
| EOY | $5,588,175 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,084,920 | BOYAmt |
| EOY | $5,588,175 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,265,131 | BOYAmt |
| EOY | $19,637,901 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $503,255 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,301 | OtherCostOrOtherBasisAmt |
| Book Value | $50,301 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,858,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,118,242 | DepreciationAmt |
| Book Value | $6,740,727 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $351,089 | OtherCostOrOtherBasisAmt |
| Depreciation | $241,094 | DepreciationAmt |
| Book Value | $109,995 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,588,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,516,246 | DepreciationAmt |
| Book Value | $2,071,952 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,972,975 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $4,170,044 |
| DUE FROM THIRD PARTIES | $171,652 |
| RESIDENT FUNDS | $118,273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,459,969 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $4,374,047 |
| DUE TO PAYERS | $670,976 |
| DUE TO RESIDENTS | $118,273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,163,296 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREW CRUIKSHANK | ||||||||||||||
| CEO | $0 | $344,628 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $62,012 | $0 | $406,640 | $0 | $0 |
| JOHN COBURN | ||||||||||||||
| CFO | $0 | $198,177 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $35,711 | $0 | $233,888 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | INDUSTRY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWNA CRUIKSHANK | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | WIFE OF CEO | RelationshipDescriptionTxt |
| Transaction | $73,710 | TransactionAmt |
| Transaction | ANNUAL SALARY | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | SHAWNA CRUIKSHANK - WIFE OF CEO |
| FORM 990, PART VI, SECTION A, LINE 6 | FORT 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 7A | FORT HUDSON HEALTH SYSTEM APPOINTS BOARD MEMBERS TO FORT HUDSON NURSING CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11B | RETURNS ARE PRESENTED TO THE FULL BOARD FOR COMMENT AND APPROVAL PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL REVIEW OF DISCLOSURES AND REQUIREMENT TO INFORM OF NEW DEVELOPMENTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | INDUSTRY DATA FROM TRADE ASSOCIATIONS IS USED TO SET PARAMETERS FOR SALARY AND BENEFIT LEVELS. |
| FORM 990, PART VI, SECTION C, LINE 18 | UPON WRITTEN REQUEST BASED ON STATUTORY AND REGULATORY REQUIREMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON WRITTEN REQUEST BASED ON STATUTORY AND REGULATORY REQUIREMENTS. |
| FORM 990, PART VII - COMPENSATION EXPLANATION | ANDREW CRUIKSHANK NONTAXABLE FRINGE BENEFITS ORGANIZATIONAL AVERAGE 18.02% GROSS WAGES. JOHN COBURN NONTAXABLE FRINGE BENEFITS ORGANIZATIONAL AVERAGE 18.02% GROSS WAGES. |
| FORM 990, PART XII, LINE 2C: | PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FORT HUDSON RESIDENCES INC | ||||||||||
| 319 BROADWAY | FORT EDWARD | NY | 12828 | 311655779 | HOUSING FOR THE ELDERLY | NY | 501(C)(3) | 509(A)(2) | FORT HUDSON HEALTH SYSTEM INC | 0 |
| FORT HUDSON HOME CARE INC | ||||||||||
| 319 BROADWAY | FORT EDWARD | NY | 12828 | 208166870 | HOMECARE AND SOCIAL DAYCARE | NY | 501(C)(3) | 509(A)(2) | FORT HUDSON HEALTH SYSTEM INC | 0 |
| FORT HUDSON PROPERTY MANAGEMENT CORP | ||||||||||
| 319 BROADWAY | FORT EDWARD | NY | 12828 | 141810104 | REAL ESTATE HOLDING COMPANY | NY | 501(C)(2) | FORT HUDSON HEALTH SYSTEM INC | 0 | |
| FORT HUDSON FOUNDATION CORPORATION | ||||||||||
| 319 BROADWAY | FORT EDWARD | NY | 12828 | 223368083 | FUNDRAISING | NY | 501(C)(3) | 509(A)(2) | FORT HUDSON HEALTH SYSTEM INC | 0 |
| FORT HUDSON HEALTH SYSTEM INC | ||||||||||
| 319 BROADWAY | FORT EDWARD | NY | 12828 | 200928661 | PASSIVE PARENT/SOLE MEMBER OF LISTED ORG | NY | 501(C)(3) | 509(A)(3) | 0 | |
| FORT HUDSON CERTIFIED HOME HEALTH AGENCY | ||||||||||
| 319 BROADWAY | FORT EDWARD | NY | 12828 | 463241378 | HOME HEALTH CARE | NY | 501(C)(3) | 509(A)(2) | FORT HUDSON HEALTH SYSTEM INC | 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 | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 |
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