NATHAN LITTAUER HOSPITAL ASSOCIATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: NATHAN LITTAUER HOSPITAL ASSOCIATION (EIN 14-1338465)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-05
IRS object ID: 202503099349302265
Schema version: 2024v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-05T10:06:20-07:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338465	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NATHAN LITTAUER HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NATH	BusinessNameControlTxt
Phone	5187258621	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mike Ostrander	PersonNm
Person Title	Vice President of Finance & CFO	PersonTitleTxt
Phone	5187735480	PhoneNum
Signature	2025-11-14	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Hospital and Nursing Home	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Sean Fadale	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$147,206,995	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nlh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1894	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Nathan Littauer Hospital & 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.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1223	TotalEmployeeCnt
Total Volunteers	97	TotalVolunteersCnt
Total Gross UBI	$1,445,775	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,323,993	PYContributionsGrantsAmt
CY Contributions Grants	$2,505,325	CYContributionsGrantsAmt
PY Program Service Revenue	$107,015,721	PYProgramServiceRevenueAmt
CY Program Service Revenue	$113,094,659	CYProgramServiceRevenueAmt
PY Investment Income	$1,840,268	PYInvestmentIncomeAmt
CY Investment Income	$3,397,349	CYInvestmentIncomeAmt
PY Other Revenue	$2,883,701	PYOtherRevenueAmt
CY Other Revenue	$3,491,373	CYOtherRevenueAmt
PY Total Revenue	$117,063,683	PYTotalRevenueAmt
CY Total Revenue	$122,488,706	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	$81,165,526	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$84,477,559	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$376,737	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,884,775	PYOtherExpensesAmt
CY Other Expenses	$50,503,054	CYOtherExpensesAmt
PY Total Expenses	$132,050,301	PYTotalExpensesAmt
CY Total Expenses	$134,980,613	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,986,618	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$12,491,907	CYRevenuesLessExpensesAmt
Total Assets BOY	$111,820,193	TotalAssetsBOYAmt
Total Assets EOY	$104,497,640	TotalAssetsEOYAmt
Total Liabilities BOY	$39,364,927	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$40,413,007	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$72,455,266	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$64,084,633	NetAssetsOrFundBalancesEOYAmt
Mission	Nathan Littauer Hospital & 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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$64,321,724	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$88,732,173	RevenueAmt
Desc	74 bed general medical surgical hospital providing inpatient and outpatient services with the following service statistics for 2024; 7,681 inpatient days, 931 observation visits, 574 new born days, 2,026 admissions, 292 nursery admissions, 19,665 emergency room visits, 94,644 outpatient visits and 4,364 day surgery visits.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$50,442,776	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$19,832,491	RevenueAmt
Desc	The Nathan Littauer Hospital and Specialty Care Centers provide care for the whole family. Our twelve conveniently located centers offer a range of services and specialties that include urology, obstetrics, gynecology, podiatry, pulmonology, gastroenterology, pediatrics, and neurology along with direct access to 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 45 physicians and over 50 other healthcare professionals. During 2024, the Centers collectively incurred 134,435 patient visits.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$10,517,042	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$4,314,024	RevenueAmt
Desc	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 2024, the facility had a total of 18,416 patient days.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$420,545	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,334,998	RevenueAmt
Desc	Lifeline is a personal emergency response system providing immediate assistance 24 hours a day 7 days a week. Over 400 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: Nathan Littauer Hospital was awarded and continues to be the Lead Agency for the grant entitled: "Consumer Assistant for the NYS of Health Benefit Exchange" covering Fulton and Montgomery County. During the year of 2024 Nathan Littauer Hospital as Lead Agency the program's was able to enroll a total of 2,596 individuals with the following breakdown: Children's Medicaid - 539, Child Health Plus Program - 309, Adult Medicaid - 804, Adult Quality Health Plan - 323, Essential Plans - 621. Also included here is other operating revenue of $2,334,998.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$420,545	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$2,334,998	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$125,702,087	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	Yes (1)	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	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
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	0	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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	25	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1223	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	12	IndependentVotingMemberCnt
Family Or Business Rln	0	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	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Michael Redcross	PersonNm
Phone	5187735481	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Shri Verma MD
Physician	40	0	Yes (X)	$695,302	$0	$37,849
Paul Husson MD
Member/Employed Physician	40	0		$679,976	$0	$37,849	Yes (X)
Hadi Minhas MD
Physician	40	0	Yes (X)	$674,643	$0	$38,278
David Cohen MD
Physician	40	0	Yes (X)	$672,899	$0	$19,138
Sean Fadale
President and CEO	40	0.25		$565,368	$0	$96,738	Yes (X)	Yes (X)
Zainul Syed MD
Physician	40	0	Yes (X)	$637,481	$0	$13,800
Stephen Little MD
Employed Physician	40	0	Yes (X)	$581,309	$0	$38,278
Mike Ostrander
Vice President of Finance and CFO	40	0.25		$346,908	$0	$13,800		Yes (X)
G Jeremiah Ryan PhD
Member	0.5	0.25		$0	$0	$0	Yes (X)
Gregory Truckenmiller PhD
Member	0.5	0.25		$0	$0	$0	Yes (X)
Peter Kiernan
Member	0.5	0		$0	$0	$0	Yes (X)
Susan Johnson Esq
Treasurer	0.5	0.25		$0	$0	$0	Yes (X)
Holly Chamberlin Esq
Secretary	0.5	0.25		$0	$0	$0	Yes (X)
Polly Hoye
Member	0.5	0.25		$0	$0	$0	Yes (X)
John Fox DDS
Member	0.5	0.25		$0	$0	$0	Yes (X)
Tobin Cash
Member	0.5	0.25		$0	$0	$0	Yes (X)
Amy Pedrick
Chair	0.5	0.25		$0	$0	$0	Yes (X)
Diana Marshall
Member	0.5	0.25		$0	$0	$0	Yes (X)
Paul Naslund
Vice Chair	0.5	0.25		$0	$0	$0	Yes (X)
Audrey Kline
Member	0.50	0.25		$0	$0	$0	Yes (X)
Stephen Tomlinson
Member	0.5	0.25		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,853,886	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$295,730	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	175	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Sodexo Operations
PO Box 905374	Charlotte	NC	28290	Dietary Services	$2,424,832
Davin Healthcare Workforce
18 Division Street	Saratoga Springs	NY	12866	Contracted Nursing Services	$1,175,914
Alliance Health Services
PO BOX 96485	Chicago	IL	60693	Imaging Services	$1,042,245
Health Advocates Network
1875 Corporate Blvd	Boca Raton	FL	33431	Contract labor	$2,447,144
Gloversville Physician Services
PO BOX 82368	Lafayette	LA	70598	Physician Services	$963,998

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$903,455	RelatedOrganizationsAmt
Government Grants	$1,598,921	GovernmentGrantsAmt
All Other Contributions	$2,949	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,505,325	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Inpatient and Outpatient Services	622110	$88,802,768	$88,732,173	$70,595	$0
Primary Care Centers	621400	$19,832,491	$19,832,491	$0	$0
Nursing Home	623000	$4,314,024	$4,314,024	$0	$0
Lifeline	621990	$145,376	$145,376	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$113,094,659	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,539,043	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,834	UnrelatedBusinessRevenueAmt
Exclusion	$1,536,209	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$26,576,095	SecuritiesAmt
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$24,718,289	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,857,806	SecuritiesAmt
Other	$500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,858,306	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,858,306	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Retail Pharmacy	459990	$1,372,346	$0	$1,372,346	$0
340b Pharmacy	900099	$1,057,868	$1,057,868	$0	$0
Cafeteria Sales	722514	$415,545	$415,545	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$645,614	TotalRevenueColumnAmt
Related Or Exempt Func Income	$645,614	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,491,373	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122,488,706	TotalRevenueColumnAmt
Related Or Exempt Func Income	$115,143,091	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,445,775	UnrelatedBusinessRevenueAmt
Exclusion	$3,394,515	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,592,252	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,592,252	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$66,147,533	TotalAmt
Program Services	$62,630,898	ProgramServicesAmt
Management And General	$3,216,049	ManagementAndGeneralAmt
Fundraising	$300,586	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,226,387	TotalAmt
Program Services	$3,130,890	ProgramServicesAmt
Management And General	$83,474	ManagementAndGeneralAmt
Fundraising	$12,023	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,982,452	TotalAmt
Program Services	$8,368,135	ProgramServicesAmt
Management And General	$574,396	ManagementAndGeneralAmt
Fundraising	$39,921	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,528,935	TotalAmt
Program Services	$4,161,100	ProgramServicesAmt
Management And General	$344,840	ManagementAndGeneralAmt
Fundraising	$22,995	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$568,549	TotalAmt
Program Services	$568,549	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$193,849	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$193,849	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$174,091	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$174,091	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$22,251	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$22,251	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,456,688	TotalAmt
Program Services	$7,984,439	ProgramServicesAmt
Management And General	$472,249	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$177,146	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$177,146	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,649,928	TotalAmt
Program Services	$5,122,266	ProgramServicesAmt
Management And General	$527,662	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,419,580	TotalAmt
Program Services	$1,418,723	ProgramServicesAmt
Management And General	$857	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$230,322	TotalAmt
Program Services	$199,994	ProgramServicesAmt
Management And General	$30,328	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$589,849	TotalAmt
Program Services	$589,849	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,562,438	TotalAmt
Program Services	$7,230,114	ProgramServicesAmt
Management And General	$332,324	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,921,315	TotalAmt
Program Services	$1,921,315	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$12,172,422	$12,172,229	$193	$0
Non-Medical Supplies	$1,337,156	$1,330,225	$6,931	$0
Purchased Services	$7,453,203	$6,787,988	$665,215	$0
Food	$937,537	$937,537	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,636,730	TotalAmt
Program Services	$1,147,836	ProgramServicesAmt
Management And General	$487,682	ManagementAndGeneralAmt
Fundraising	$1,212	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$134,980,613	TotalAmt
Program Services	$125,702,087	ProgramServicesAmt
Management And General	$8,901,789	ManagementAndGeneralAmt
Fundraising	$376,737	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,753,068	BOYAmt
EOY	$3,297,257	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,194,184	BOYAmt
EOY	$1,032,966	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$532,406	BOYAmt
EOY	$451,547	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,783,543	BOYAmt
EOY	$11,017,032	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$804,799	BOYAmt
EOY	$762,211	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,108,312	BOYAmt
EOY	$466,563	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$127,584,966	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$99,585,050	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$32,250,122	BOYAmt
EOY	$27,999,916	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$47,632,553	BOYAmt
EOY	$45,750,698	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,761,206	BOYAmt
EOY	$13,719,450	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$111,820,193	BOYAmt
EOY	$104,497,640	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,184,966	BOYAmt
EOY	$15,334,263	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$483,570	BOYAmt
EOY	$451,345	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,696,391	BOYAmt
EOY	$24,627,399	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,364,927	BOYAmt
EOY	$40,413,007	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	$68,194,703	BOYAmt
EOY	$60,408,660	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,260,563	BOYAmt
EOY	$3,675,973	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$72,455,266	BOYAmt
EOY	$64,084,633	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$111,820,193	BOYAmt
EOY	$104,497,640	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$12,491,907	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,145,677	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$2,975,597	OtherChangesInNetAssetsAmt
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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$22,251	OtherActivitiesAmt
Total Lobbying Expenditures	$22,251	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	A portion of the organizations dues for the American Hospital Association, Healthcare Association of New York State and the Iroquois Healthcare Consortium is used for Lobbying purposes.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$632,500	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$88,165	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,353	AdministrativeExpensesAmt
End Year Balance	$719,312	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$537,821	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$95,809	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,130	AdministrativeExpensesAmt
End Year Balance	$632,500	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$655,081	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$116,139	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,121	AdministrativeExpensesAmt
End Year Balance	$537,821	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$560,097	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$96,200	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,216	AdministrativeExpensesAmt
End Year Balance	$655,081	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$481,564	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$79,449	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$946	AdministrativeExpensesAmt
End Year Balance	$560,067	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,103,543	OtherCostOrOtherBasisAmt
Book Value	$1,103,543	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$58,675,587	OtherCostOrOtherBasisAmt
Depreciation	$39,893,309	DepreciationAmt
Book Value	$18,782,278	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,106,131	OtherCostOrOtherBasisAmt
Depreciation	$1,832,896	DepreciationAmt
Book Value	$273,235	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$61,317,469	OtherCostOrOtherBasisAmt
Depreciation	$54,379,086	DepreciationAmt
Book Value	$6,938,383	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,382,236	OtherCostOrOtherBasisAmt
Depreciation	$3,479,759	DepreciationAmt
Book Value	$902,477	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$27,999,916	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
AWUIL by Board Designation	$272,685
Agency Funds	$68,885
Other Assets	$1,545,317
Deferred Finance Costs	$10,336
Right of Use Assets-Operating Lease	$6,369,792
Deferred Asset 457 Plans	$2,945,861
Prepaid Pension Asset	$2,506,574

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,719,450	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Due to Third Parties	$4,303,042
Section 457 Plans	$2,945,861
EHR Reserve	$445,944
Promissory Notes	$10,486,328
Obligations under Operating Leases	$6,446,224

Field	Value	IRS element (for citing)
Total Liability	$24,627,399	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$126,609,980	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,145,677	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$2,975,597	OtherRevenueAmt
Revenue Not Reported	$4,121,274	RevenueNotReportedAmt
Revenue Subtotal	$122,488,706	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$122,488,706	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$134,980,613	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$134,980,613	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$134,980,613	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 501c 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 its more-likely than not that position will be sustainable based on the merits of the position. Recognized tax liabilities are not material to the financial statements as of December 31, 2024 or 2023.
Schedule D, Part XI, Line 2d	Changes include increases of $2,656,732 for pension related changes other than net periodic pension cost, contributions of capital assets of $903,455, a decrease of $503,731 for changes in net assets for capital grant awards, and a decrease of $80,859 for changes in net assets of the Nathan Littauer Hospital Foundation.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	489	PersonsServedCnt
Total Community Benefit Expns	$156,558	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$147,952	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	62525	PersonsServedCnt
Total Community Benefit Expns	$30,562,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,655,591	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,459,623	NetCommunityBenefitExpnsAmt
Total Expense	0.1219	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	63014	PersonsServedCnt
Total Community Benefit Expns	$30,718,698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,664,197	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,607,575	NetCommunityBenefitExpnsAmt
Total Expense	0.1230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	134435	PersonsServedCnt
Total Community Benefit Expns	$30,269,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,370,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,889,157	NetCommunityBenefitExpnsAmt
Total Expense	0.1103	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	134435	PersonsServedCnt
Total Community Benefit Expns	$30,269,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,370,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,889,157	NetCommunityBenefitExpnsAmt
Total Expense	0.1103	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	197449	PersonsServedCnt
Total Community Benefit Expns	$60,988,426	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,034,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,496,732	NetCommunityBenefitExpnsAmt
Total Expense	0.2333	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,327,228	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,550,001	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$222,773	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Hospital Association	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	99 East State Street	AddressLine1Txt
City	Gloversville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12078	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.nlh.org	WebsiteAddressTxt
State License	1701000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Hospital Association	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.nlh.org/wp-content/uploads/2023/04/CHNA-draft-for-Dec-2022-ver1.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.nlh.org/wp-content/uploads/2023/04/2022_25_chip_workplan-Fulton-County.pdf	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.nlh.org/wp-content/uploads/2024/01/2024-Financial-Assistance-Policy-website.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.nlh.org/wp-content/uploads/2024/01/2024-Financial-Assistance-Application.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.nlh.org/wp-content/uploads/2024/01/2024-Financial-Assistance-Summary.pdf	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Nathan Littauer Hospital Association	The Ad Hoc Data Sub-Committee of the Adirondack Rural Health Network (ARHN) drafted a survey to obtain input from the community. ARHN surveyed key informants in the seven county service area, to provide the CHA Committee with input on regional health care needs and priorities. At the June 4, 2021, CHA meeting, it was decided that an Ad Hoc Data Sub-Committee would be created to review tools and processes used by CHA Committee members to develop their Community Health Assessments (CHA) and Community Health Improvement Plans (CHIP), as well as identify ways to enhance the CHA/CHIP process. A primary activity of the Ad Hoc Data Sub-Committee was to collaboratively develop a stakeholder survey. The data subcommittee met four times from mid-July through mid-November 2021. Meetings were held via Webex/Zoom. Attendance ranged from 6 to 10 subcommittee members per meeting, with Fulton County Public Health participating in all. Meetings were also attended by AHI staff from the Adirondack Rural Health Network. The survey was developed through SurveyMonkey and included 14 community health questions as well as several demographic questions. The CHA Committee provided a list of health care, social service, education, government, and service providers (hereafter referred to as community stakeholders) by county to be surveyed. The collected distribution list totaled 806 community stakeholders. An initial email was sent to the community stakeholders in early January 2022 by the CHA Committee partners, introducing and providing a web-based link to the survey. CHA Committee partners released a follow-up email approximately two weeks later after the initial reach out. CHA Committee members were provided the names of all non-respondents for additional follow-up, at partner discretion. To analyze the chosen priority areas, responses were totaled by ARHN and the priority area that received the most responses is listed as the First Choice, followed by the second most responses listed as Second Choice. Fulton County survey participants' first choice was Promote Well-Being and Prevent Mental and Substance Use Disorders and the second choice was Prevent Chronic Disease. After reviewing the survey results and determining their ability to impact the focus areas, Nathan Littauer Hospital and Fulton County Public Health Department selected the priority areas of Prevent Chronic Diseases, with a focus area of Healthy Eating and Food Security and a focus area of Physical Activity for their 2022-2024 service plans.
Schedule H, Part V, Section B, Line 6a-Nathan Littauer Hospital Association	The Community Health Assessment (CHA) Committee, facilitated by ARHN, is made up of hospitals including; University of Vermont Health Network - Alice Hyde Medical Center, University of Vermont Health Network - Elizabethtown Community Hospital, Glens Falls Hospital, Nathan Littauer Hospital, University of Vermont Health Network - Champlain Valley Physicians Hospital.
Schedule H, Part V, Section B, Line 6b-Nathan Littauer Hospital Association	The Community Health Assessment Committee is comprised of representatives from organizations other than hospital facilities including; Adirondack Health, Clinton County Health Department, Essex County Public Health, Franklin County Public Health, Fulton County Public Health, Warren County Health Service and Washington County Health Services.
Schedule H, Part V, Section B, Line 11-Nathan Littauer Hospital Association	After reviewing the survey results and determining their ability to impact the focus areas, Nathan Littauer Hospital and Fulton County Public Health Department selected the priority areas of Prevent Chronic Diseases, with a focus area of #1 Health Eating and Food Security and a focus area of #2 Physical Activity for their 2022-2024 service plans. Concerning focus area #1: Healthy Eating and Food Security, Nathan Littauer Hospital & Nursing Home's goal is to Increase skills and knowledge to support healthy food and beverage choices with an objective of by December 31, 2024. In addition, decrease the percentage of adults ages 18 years and older with obesity (among all adults); and Decrease the percentage of adults who consume less than one fruit and less than one vegetable per day (among all adults). Nathan Littauer Hospital & Nursing Home plans to move HealthLink to NLH main campus and recruit medical staff to re-launch its community service programs. NLH will expand food collection efforts to assist re-stocking local food pantries. NLH will collaborate with FCPH, local organizations, and local media to promote food drive campaigns, such as a "Holiday Food Drive" as well as others during the year. To promote education and awareness NLH will explore video programming led by trained nutritionist/NLH staff advocating affordable, convenient, and nutritional ideas and recipes. The goal is to broadcast programming at healthcare and health-related facilities servicing underserved or low-income members of the community. Continuing an already existing program, NLH will offer a vehicle-service voucher program to address patients with significantly limited transportation access who may need rides to appointments and other necessary locations like food stores. Concerning Priority #2: Physical Activity, the goal is to promote school, child care and worksite environments that increase physical activity. Nathan Littauer Hospital plans to increase physical activity through implementing a combination of worksite-based physical activity policies, programs, or best practices; through multi-component worksite physical activity or nutrition programs, environmental supports or prompts to encourage walking and/or taking the stairs, or structured walking-based programs focusing on overall physical activity that include goal-setting, activity monitoring, social support, counseling, and health promotions and information messaging. Specifically Nathan Littauer Hospital & Nursing Home plans to explore physical fitness and exercise programs under the HealthLink service led by activity trainers. Explore or expand counseling services by NLH staff to promote physical activity benefits and (at minimum) annual wellness visits. Lastly, NLH will continue their Walking Challenge program in the main campus grounds and track participation metrics.
Schedule H, Part V, Section B, Line 20d-Nathan Littauer Hospital Association	The Hospital does not have adequate resources to accurately predict those who would qualify for its Financial Assistance Program.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Nathan Littauer Hospital Nursing Home
99 East State Street	Gloverville	NY	12078	84 Bed Nursing Home.
Nathan Littauer Hospital Primary Care
99 East State Street	Gloversville	NY	12078	Primary/Specialty Care Center (Clinic)
Perth Primary Care Center
4100 State Highway 30	Amsterdam	NY	12110	Primary/Specialty Care Center (Clinic).
Johnstown Primary Care Center
23 South Perry Street	Johnstown	NY	12095	Primary/Specialty Care Center (Clinic).
Mayfield Primary Care Center
2497 State Highway 30	Mayfield	NY	12117	Primary/Specialty Care Center (Clinic).
Kingsboro GI Center
434 South Kingsboro Ave Extension	Johnstown	NY	12095	Primary/Specialty Care Center (Clinic).
Decker Drive Primary Care Center
9 Decker Drive	Johnstown	NY	12095	Primary/Specialty Care Center (Clinic).
Steele Avenue Primary Care Center
182 Steele Avenue	Gloversville	NY	12078	Primary/Specialty Care Center (Clinic).
Speculator Primary Care Center
Route 8	Speculator	NY	12164	Primary/Specialty Care Center (Clinic).
Caroga Lake Primary Care Center
1840 State Highway 10	Caroga Lake	NY	12032	Primary/Specialty Care Center (Clinic).
Fonda Primary Care Center
46 East Main Street	Fonda	NY	12068	Primary/Specialty Care Center (Clinic).
Broadalbin Primary Care Center
103 County Highway 138	Broadalbin	NY	12025	Primary/Specialty Care Center (Clinic)
Amsterdam Primary & Urgent Care Center
375 Golf Course Road	Amsterdam	NY	12010	Amsterdam Primary/Urgent Care Center:

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	The costing methodology used to calculate the amounts reported in the Table for Line 7 is the ratio of patient cost to patient charges.
Schedule H, Part I, Line 7, Column f	Bad Debt Expense was not included in Form 990, Part IX, line 25, Column (A), and not subtracted for purpose of calculating the percentage in Schedule H Part I, Line 7 column (f).
Schedule H, Part I, Line 7g	Subsidized health services reported included details from the Primary/Specialty Care Centers and licensed clinics. The Centers operate despite financial losses to the Organization for at least the last fifteen years. The Hospital is committed to operate the Clinics as a benefit to the community in order address an identified need and to improve access to healthcare, including our remote rural communities.
Schedule H, Part III, Section A, Line 2	Due to the adoption of ASU No. 2014-09- Revenue from contracts with Customers (Topic 606) bad debt expense is no longer reported on the audited financial statements. Rather, it is treated as a price concession. Revenue from Contracts with Customers (Topic 606), which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most current revenue recognition guidance, including industry specific guidance, and requires significantly expanded disclosures about revenue recognition. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.
Schedule H, Part III, Section A, Line 3	Due to the adoption of ASU No. 2014-09- Revenue from contracts with Customers (Topic 606) bad debt expense is no longer reported on the audited financial statements. Rather, it is treated as a price concession. Revenue from Contracts with Customers (Topic 606), which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most current revenue recognition guidance, including industry specific guidance, and requires significantly expanded disclosures about revenue recognition. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.
Schedule H, Part III, Section A, Line 4	The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. Those records include the amount of charges for services and supplies furnished to patients at no charge. The level of charity care, measured on the basis of cost, is approximately $156,558 and $245,905 for 2024 and 2023, respectively. The cost of charity care provided was determined based on the application of the ratio of the Hospital's overall cost to patient charges. Included in net patient service revenue for 2024 and 2023 is approximately $28,000 and $0, respectively in net uncompensated care distributions received from New York State to support the cost of charity care. The Hospital annually conducts a comprehensive assessment of the community and charitable benefits it provides. A copy of the Nathan Littauer Hospital Community Service Report is available on the Hospital's website.
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 2252-10 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 $222,773. Tax exempt hospital 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 2024, the Hospital realized an additional shortfall of $846,419 resulting from Medicare Advantage and non-PPS Medicare patients. The total shortfall for all types of Medicare patients was $1,069,192.
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 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.
Schedule H, Part VI, Line 2	Fulton County Public Health Department and Nathan Littauer Hospital and Nursing Home collaborated to complete their 2022-2024 Community Health Needs Assessment utilizing key informant survey data compiled by Adirondack Rural Health Network. The key informants represent a broad range of sectors, and community interests, and include organizations that represent the medically underserved, low-income, and minority populations. In addition to the key informant responses, the assessment includes quantitative data sources collected and published by New York State, as well as health indicators included on NYS Prevention Agenda Dashboard. The site includes a comprehensive dashboard of community indicators covering over 20 topics in the areas of health, social determinants of health, and quality of life from public secondary data sources.
Schedule H, Part VI, Line 3	NLH 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, Quality Health Plan 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 in neighboring Hamilton and Montgomery counties. Within our main service area, Fulton County, 2024 data shows a population of 52,073 a 0.3% decrease since 2023. Of those reporting one race, 91.05% of those residents identified themselves as white. 50.2% of our population are women. Over 22.1% of the population has median age of 65 or older. The median household income in Fulton County is $60,557. Our county has 13.9% of its residents living below the poverty level. 79.65% of the population has a high school degree or higher. The leading industries remain: Educational services, health care and social assistance. Unemployment rates for 2024 are about 4.2%. 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. Of particular note is our aging population and poverty levels, which are much higher than the state average. 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 Healthlink Littauer. Built a new a Primary Care Center in Fonda NY, added a new Interventional Radiology department among other capital equipment acquisitions and projects in 2017. Most of the funds needed for these projects and purchases were made with operational gains.
Schedule H, Part VI, Line 7	New York State.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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 (8 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
Sean Fadale
President and CEO	$539,423	$0	$0	$0	$25,945	$0	$72,260	$0	$24,478	$0	$662,106	$0	$0	$0
Mike Ostrander
Vice President of Finance and CFO	$345,618	$0	$0	$0	$1,290	$0	$13,800	$0	$0	$0	$360,708	$0	$0	$0
Shri Verma MD
Physician	$691,492	$0	$0	$0	$3,810	$0	$13,800	$0	$24,049	$0	$733,151	$0	$0	$0
David Cohen MD
Physician	$670,919	$0	$0	$0	$1,980	$0	$13,800	$0	$5,338	$0	$692,037	$0	$0	$0
Paul Husson MD
Employed Physician	$679,527	$0	$0	$0	$450	$0	$13,800	$0	$24,049	$0	$717,826	$0	$0	$0
Hadi Minhas MD
Physician	$674,403	$0	$0	$0	$240	$0	$13,800	$0	$24,478	$0	$712,921	$0	$0	$0
Zainul Syed MD
Physician	$633,818	$0	$0	$0	$3,663	$0	$13,800	$0	$0	$0	$651,281	$0	$0	$0
Stephen Little MD
Employed Physician	$581,039	$0	$0	$0	$270	$0	$13,800	$0	$24,478	$0	$619,587	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	A tax gross-up payment was made to the CEO, Sean Fadale. This amount was treated as taxable compensation, and is reported on Schedule J, Part II, Column (B)(iii).
Schedule J, Part I, Line 4	Payments of $58,460 were made on behalf of the CEO, Sean Fadale to a 457(f) plan in 2024, and is included in Schedule J, Part II, Column (C) as Deferred Compensation.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 2025 by Mike Redcross, Director of Finance and Sean Fadale, President and 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. 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 or the Board or Committee and 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 determinations. 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	Changes include increases of $2,656,732 for pension related changes other than net periodic pension cost, contribution of capital assets of $903,455, a decrease of $503,731 for changes in net assets for capital grant awards and a decrease of $80,859 for changes in net assets of the Nathan Littauer Hospital Foundation.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Gloversville Extended Care & Nursing Home Co Inc
99 East State Street	Gloversville	NY	12078	237065255	Leasing a 84 bed Skilled Nursing Facility	NY	501(c)3	Schedule A Line 3	Nathan Littauer Hospital	Association	Yes (1)
NLH Realty Corp
99 East State Street	Gloversville	NY	12078	141641020	Realty Holding Company	NY	501(c)2		Nathan Littauer Foundation		0
Nathan Littauer Foundation
99 East State Street	Gloversville	NY	12078	141638991	Support the Hospital and promote healthcare	NY	501(c)3	Schedule A Line 7	Colonial Healthcare Corporation		0
Nathan Littauer Hospital Auxiliary
99 East State Street	Gloversville	NY	12078	146086641	Assisting Hospital in promoting healthcare	NY	501(c)3	Schedule A Line 12			0	N/A
Colonial Healthcare Corporation
PO Box 586	Gloversville	NY	12078	141670605	Support & Supplement the activities and goals	NY	501(c)3	Schedule A Line 7			0	N/A

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	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Nathan Littauer Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	c	TransactionTypeTxt
Involved	$903,455	InvolvedAmt
Method Of Amount Determination	Payment made to Hospital.	MethodOfAmountDeterminationTxt