2021-07-29T08:55:56-05:00 2020-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2020-01-01 200481583 FORT HUDSON NURSING CENTER INC FORT 5187472811 319 BROADWAY FORT EDWARD NY 12828 JOHN COBURN CFO 5187472811 2021-07-27 1 JOHN COBURN 999009999 ARIEL F AMMIRATO P01346991 5184644080 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANDREW CRUIKSHANK 319 BROADWAY FORT EDWARD NY 12828 23379427 0 X WWW.FORTHUDSON.COM X 2003 NY SKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR THE ELDERLY AND CHRONICALLY ILL. 14 14 705 64 0 0 1103811 1781013 22800498 21569310 11220 24354 0 4750 23915529 23379427 0 0 0 0 14133965 14169809 0 0 0 8704356 8706363 22838321 22876172 1077208 503255 16265131 19637901 11180211 14049726 5084920 5588175 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. 0 0 20489796 21530842 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. 20489796 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 7 0 1 705 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X JOHN COBURN 5187472811 319 BROADWAY FORT EDWARD NY 12828 X DEAN REALI PRESIDENT 0.40 X X 0 0 0 KEVIN HAYES VICE PRESIDENT 0.40 X X 0 0 0 GRETCHEN STEFFAN SECRETARY 0.40 X X 0 0 0 ROBERT MILES TREASURER 0.40 X X 0 0 0 SUZANNE BLOOD DIRECTOR 0.40 X 0 0 0 JOHN BRODT DIRECTOR 0.40 X 0 0 0 CARMEN DELLA BELLA DIRECTOR 0.40 X 0 0 0 JOAN GRISHKOT DIRECTOR 0.40 X 0 0 0 JASON MCCANN DIRECTOR 0.40 X 0 0 0 CHRIS NELSON DIRECTOR 0.40 X 0 0 0 J LAWRENCE PALTROWITZ DIRECTOR 0.40 X 0 0 0 TORI J RILEY DIRECTOR 0.40 X 0 0 0 SARAH WRIGHT DIRECTOR 0.40 X 0 0 0 PETER YOUNG DIRECTOR 0.40 X 0 0 0 ANDREW CRUIKSHANK CEO 0.40 40.00 X 0 344628 62012 JOHN COBURN CFO 0.40 40.00 X 0 198177 35711 HOLLY VAUGHN DIRECTOR OF NURSING 40.00 X 105962 0 19094 105962 542805 116817 1 0 1 0 0 11800 1260363 508850 1781013 CARE OF CHRONICALLY ILL 623000 18145950 18145950 OTHER OPERATING REVENUE 623000 3423360 3384892 38468 21569310 24354 24354 PRIOR YEAR GAIN THIRD PARTIES 900099 4750 4750 4750 23379427 21535592 0 62822 9434162 8677340 756822 4735647 4501433 234214 352772 352772 79185 79185 84208 84208 390821 390821 102151 102151 473662 473662 218511 218511 NYS CASH RECEIPTS ASSES 1617026 1617026 THERAPY SERVICES 1329146 1329146 DIETARY COSTS 1280311 1280311 ADMIN & FISCAL COSTS 664132 3468 660664 2114438 2114438 22876172 20489796 2386376 0 1837289 3638528 2469585 2030683 86291 190977 209051 236769 21848557 12875582 8097607 8972975 108000 108000 3457308 4459969 16265131 19637901 1782318 2252514 106967 180612 5702179 6453304 3588747 5163296 11180211 14049726 X 5084920 5588175 5084920 5588175 16265131 19637901 503255 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 50301 50301 11858969 5118242 6740727 351089 241094 109995 9588198 7516246 2071952 8972975 DUE FROM AFFILIATES 4170044 DUE FROM THIRD PARTIES 171652 RESIDENT FUNDS 118273 4459969 DUE TO AFFILIATES 4374047 DUE TO PAYERS 670976 DUE TO RESIDENTS 118273 5163296 X X 0 0 0 0 0 0 0 0 0 ANDREW CRUIKSHANK CEO 0 344628 0 0 0 0 0 0 0 62012 0 406640 0 0 JOHN COBURN CFO 0 198177 0 0 0 0 0 0 0 35711 0 233888 0 0 PART I, LINE 3 INDUSTRY DATA FROM TRADE ASSOCIATION IS USED BY BOARD TO SET PARAMETERS FOR SALARY AND BENEFIT LEVELS. SHAWNA CRUIKSHANK WIFE OF CEO 73710 ANNUAL SALARY 0 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. 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 0 0 1 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0