2020-09-10T14:23:14-05:00 2019-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2019-01-01 200481583 FORT HUDSON NURSING CENTER INC FORT 5187472811 319 BROADWAY FORT EDWARD NY 12828 JOHN COBURN CFO 5187472811 2020-08-12 1 ARIEL F AMMIRATO P01346991 5184644080 4.26.26.190 2020-08-12 14:26:23 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 83DCA7CB572579BC2F7670A58B2B8A6B85EBC27A 2019 2020-11-19 02:30:22Z ANDREW CRUIKSHANK 319 BROADWAY FORT EDWARD NY 12828 23915529 0 X WWW.FORTHUDSON.COM X 2003 NY SKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR THE ELDERLY AND CHRONICALLY ILL. 13 13 708 50 0 0 416351 1103811 22188139 22800498 -14703 11220 443890 0 23033677 23915529 0 0 0 0 13605434 14133965 0 0 0 8316926 8704356 21922360 22838321 1111317 1077208 11496186 16265131 7488474 11180211 4007712 5084920 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 20562725 22764506 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. 20562725 1 0 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 14 0 1 708 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 KEITH LAAKE 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 ANDREW CRUIKSHANK CEO 0.40 40.00 X 0 342751 57308 JOHN COBURN CFO 0.40 40.00 X 0 193811 32405 HOLLY VAUGHN DIRECTOR OF NURSING 40.00 X 102223 0 17092 102223 536562 106805 1 0 1 0 0 658206 44403 401202 1103811 CARE OF CHRONICALLY ILL 623000 19316730 19316730 OTHER OPERATING REVENUE 623000 3483768 3447776 35992 22800498 11220 11220 23915529 22764506 0 47212 9415642 8653153 762489 4718323 4497338 220985 343120 343120 62473 62473 79875 79875 407578 407578 128543 128543 444002 444002 203356 203356 NYS CASH RECEIPTS ASSES 1725539 1725539 THERAPY SERVICES 1310479 1310479 DIETARY COSTS 1238615 1238615 REPAIR AND MAINTENANCE 694958 694958 2065818 1462520 603298 22838321 20562725 2275596 0 2008954 1837289 2515782 2469585 99371 86291 229147 209051 20512364 12414757 3688181 8097607 108000 108000 2846751 3457308 11496186 16265131 1654204 1782318 50503 106967 2635615 5702179 3148152 3588747 7488474 11180211 X 4007712 5084920 4007712 5084920 11496186 16265131 1077208 0 X X 0 1 X 1 0 X 50301 50301 7010669 4955119 2055550 277097 234478 42619 8429632 7225160 1204472 4744665 4744665 8097607 DUE FROM AFFILIATES 2918037 DUE FROM THIRD PARTIES 456625 RESIDENT FUNDS 82646 3457308 DUE TO AFFILIATES 3063082 DUE TO PAYERS 443019 DUE TO RESIDENTS 82646 3588747 X X 0 0 0 0 0 0 0 0 0 ANDREW CRUIKSHANK CEO 0 342751 0 0 0 0 0 0 0 57308 0 400059 0 0 JOHN COBURN CFO 0 193811 0 0 0 0 0 0 0 32405 0 226216 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 72945 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 16.72% GROSS WAGES. JOHN COBURN NONTAXABLE FRINGE BENEFITS ORGANIZATIONAL AVERAGE 16.72% 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