2025-11-13T15:04:22-06:00 2024-12-31 331374517 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2024-01-01 141370000 HOOSICK FALLS HEALTH CENTER INC HOOS 5186864371 21 DANFORTH STREET HOOSICK FALLS NY 12090 ROBERT LABA CFO 5186864371 2025-11-13 1 1 EVA MRUK P00543254 9143818900 2025-11-13 2024 2025-03-06 01:10:19Z CENTER FOR NURSING AND REHABILITATION AT HOOSICK FALLS GREGORY LAURIN 21 DANFORTH STREET HOOSICK FALLS NY 12090 7393748 0 X WWW.NURSINGANDREHAB.ORG X 1914 NY THE CENTERS MISSION IS TO PROVIDE REHABILITATION AND LONG-TERM CARE SERVICES TO THOSE IN NEED. WE STRIVE TO PROVIDE RESIDENT CENTERED CARE IN OUR 82 BED SKILLED NURSING FACILITY SO THAT EACH RESIDENT HAS THE OPPORTUNITY TO REACH THEIR MAXIMUM POTENTIAL. 6 5 213 12 0 0 27805 15231 5502663 7363756 55 2015 52587 12746 5583110 7393748 0 0 0 0 3593626 4183734 0 0 0 4724100 3806926 8317726 7990660 -2734616 -596912 4757573 5542345 13040914 14419002 -8283341 -8876657 WE ARE AN 82 BED SKILLED NURSING HOME FACILITY PROVIDING 24 HR/7 DAYS A WEEK HEALTH CARE TO THOSE IN NEED IN A HOME LIKE ATMOSPHERE. 0 0 6698343 0 7363756 HOOSICK FALLS HEALTH CENTER FOCUSES ON DEVELOPING, MANAGING, AND OPERATING NURSING HOME CARE IN THE HOOSICK FALLS, NEW YORK AREA AND PROVIDING SERVICES TO THE COMMUNITY. THE ORGANIZATION SPECIALIZES IN LONG-TERM CARE AND REHABILITATION SERVICES, AND PROVIDES GREAT NURSING CARE, GOOD FOOD AND FRIENDLY AND HELPFUL PEOPLE, AND A SUPPORTING AND CARING ENVIRONMENT. THE HOOSICK FALLS HEALTH CENTER HAS 82 SKILLED NURSING BEDS. DURING THE YEAR, THE TOTAL PATIENT/RESIDENT DAYS WERE 23,481. 6698343 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 213 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X ROBERT LABA 8024474587 21 DANFORTH STREET HOOSICK FALLS NY 12090 ROBERT LABA TREASURER & CFO 1.00 39.00 X X 0 381669 40761 GREGORY LAURIN PRESIDENT 2.00 0.00 X X 0 0 0 WILLIAM KOESTER 1ST VICE PRESIDENT 1.00 0.00 X X 0 0 0 JOYCE DAVIS SECRETARY 1.00 0.25 X X 0 0 0 KEVIN DAILEY DIRECTOR THRU OCT 2024 1.00 39.00 X 0 371189 84810 BILL COTTRELL DIRECTOR 1.00 0.00 X 0 0 0 PATTY RYAN DIRECTOR 1.00 0.00 X 0 0 0 MENACHEM SHEPHERD SITE ADMINISTRATOR 40.00 0.00 X 107681 0 45 107681 752858 125616 1 0 1 0 INTELYCARE INC PO BOX 787317 PHILADELPHIA PA 19178 STAFFING AGENCY 739920 SIGMA LINK REHAB 1413 38TH STREET BROOKLYN NY 11218 REHABILITATION AND THERAPY 442403 NEW GOLDLAND PURCHASING LLC 263 NORTH MAIN STREET SPRING VALLEY NY 10977 GROUP PURCHASING/SUPPLY PROCUREMENT 305081 ALLSHIFTSALL AMERICAN HEALTHCARE SERVIC 494 BROAD STREET 4TH FLOOR NEWARK NJ 07102 STAFFING AGENCY 183629 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 STAFFING AGENCY 163021 7 13995 1236 15231 MEDICAID REVENUE 623000 4571420 4571420 MEDICARE REVENUE 623000 1703255 1703255 PRIVATE PATIENT REVENU 623000 1089081 1089081 7363756 2015 2015 7200 0 7200 7200 7200 MEDICAID ADJUSTMENTS 900099 5301 5301 OTHER REVENUE 900099 245 245 5546 7393748 7363756 0 14761 X 107726 98306 9420 3381816 3086100 295716 47733 43559 4174 300313 274053 26260 346146 315879 30267 73977 73977 20579 20579 259 259 1748734 1391811 356923 3910 3910 701489 552416 149073 124424 124424 189797 173974 15823 17335 17335 353699 353699 159005 159005 NY CASH RECEIPT ASSMT. 314527 314527 REPAIRS AND MAINTENANCE 95599 93982 1617 STAFF DEVELOPMENT 3555 3555 PHARMACEUTICALS 37 37 7990660 6698343 1292317 0 212498 1401985 74260 46381 1049762 1058364 57935 2645 11754355 8827778 3237924 2926577 125194 106393 4757573 5542345 2700474 1278990 40936 0 74260 46381 10225244 13093631 13040914 14419002 X -8347995 -8944907 64654 68250 -8283341 -8876657 4757573 5542345 X -596912 3596 X X 0 1 X 1 0 X 837264 167834 252429 27805 15231 1300563 6209239 5906621 4540676 5502663 7363756 29522955 7046503 6074455 4793105 5530468 7378987 30823518 0 0 0 30823518 7378 6898 6671 7255 2015 30217 7378 6898 6671 7255 2015 30217 72737 3301 1146 45387 5546 128117 7126618 6084654 4800922 5583110 7386548 30981852 0.99490 0.99330 0.00100 0.00110 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RECOVERY OF BAD DEBT EXPENSE - 2020 AMOUNT: $ 70,268. 2021 AMOUNT: $ 1,241. OTHER REVENUE - 2020 AMOUNT: $ 2,469. 2021 AMOUNT: $ 2,060. 2022 AMOUNT: $ 1,146. 2023 AMOUNT: $ 1,200. 2024 AMOUNT: $ 245. MEDICAID ADJUSTMENTS - 2023 AMOUNT: $ 43,959. 2024 AMOUNT: $ 5,301. REIMBURSEMENT - 2023 AMOUNT: $ 228. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 259 259 0 PART II-B, LINE 1: AMOUNTS REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 0 1 X 60499 60499 3433077 2466693 966384 7669369 5813798 1855571 591410 547287 44123 2926577 DUE TO THIRD PARTY PAYORS 163644 DUE TO FOUNDATION 39560 ESTIMATED INSURANCE LIABILITIES 55725 DUE TO AFFILIATES 12633152 DUE TO BUYER 201550 13093631 X 7393748 0 7393748 0 7393748 7990660 0 7990660 0 7990660 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE HEALTH CENTER ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HEALTH CENTER FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HEALTH CENTER AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2021. 0 1 0 0 0 0 0 1 0 KEVIN DAILEY DIRECTOR THRU OCT 2024 0 203563 0 110254 0 57372 0 6618 0 78192 0 455999 0 0 ROBERT LABA TREASURER & CFO 0 366650 0 0 0 15019 0 3564 0 37197 0 422430 0 0 PART I, LINE 3 THE COMPENSATION PROCESS FOR THE ORGANIZATION'S SITE ADMINISTRATOR IS ESTABLISHED BY RELATED PARTY SOUTHWESTERN VERMONT MEDICAL CENTER. A CONSULTANT IS UTILIZED TO DETERMINE THAT THE SALARY IS COMPARABLE TO A SIMILAR POSITION IN THE INDUSTRY AND AREA AND SALARY RECOMMENDATIONS ARE MADE TO THE ORGANIZATION. PART I, LINE 4B KEVIN DAILEY PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED 457(F) SPONSORED BY A RELATED TAX- EXEMPT ENTITY, SOUTHWESTERN VERMONT MEDICAL CENTER. HE RECEIVED A DISTRIBUTION FROM THE PLAN IN THE AMOUNT OF $31,048. PART I, LINE 7 INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A DISCRETIONARY BONUS DURING CALENDAR YEAR 2024, WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THEIR 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CENTER IS SVHC - HOOSICK FALLS LLC, A SINGLE MEMBER LLC OF SOUTHWESTERN VERMONT HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE POWER TO APPOINT, FIX THE NUMBER OF, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE POWER TO: (1) APPROVE, INTERPRET AND CHANGE THE STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION AND TO REQUIRE THAT THE CORPORATION OPERATE IN CONFORMANCE WITH ITS MISSION AND PHILOSOPHY; (2) APPROVE AND AMEND THE BYLAWS AND CERTIFICATE OF INCORPORATION OF THE CORPORATION; (3) APPROVE ANY PLAN OF MERGER, CONSOLIDATION, DISSOLUTION OR REORGANIZATION OF THE CORPORATION OR ANY SALE, LEASE OR OTHER DISPOSITION OF ALL OF SUBSTANTIALLY ALL OF THEIR ASSETS; (4) ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND/OR THE ADMINISTRATOR OF THE NURSING HOME IF OTHER THAN THE CEO; (5) TO APPROVE THE DEBT OF THE CORPORATION, IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE CORPORATION, EXCEPT FOR DEBT NECESSARY TO FINANCE THE COST OF COMPLIANCE WITH OPERATIONAL OR PHYSICAL PLAN STANDARDS REQUIRED BY LAW; (6) TO APPROVE THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE BOARD OF MANAGERS OF THE MEMBER; (7) TO APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION TO ENSURE THAT SUCH BUDGETS CONFORM TO THE MISSION AND PHILOSOPHY OF THE CORPORATION; (8) TO APPROVE SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND; (9) TO APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION AND THE DEVELOPMENT OR DISSOLUTION OF ANY SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; (10) TO APPROVE THE STRATEGIC PLAN OF THE CORPORATION, PROVIDED THAT SUCH RIGHT OF APPROVAL SHALL NOT PERMIT THE CORPORATION TO EXERCISE ANY OF THE GOVERNANCE AUTHORITY UNDER APPLICABLE REGULATIONS UNLESS THE CORPORATION HAS RECEIVED ESTABLISHMENT APPROVAL FROM THE PUBLIC HEALTH AND HEALTH PLANNING COUNCIL; (11) TO APPROVE ANY APPLICATION TO THE NEW YORK STATE DEPARTMENT OF HEALTH BY THE CORPORATION FOR A CERTIFICATE OF NEED; (12) TO APPROVE ANY FINAL SETTLEMENT BY THE CORPORATION RELATED TO MEDICAID OR ANY OTHER PAYOR AUDITS; AND (13) TO APPROVE ANY RATE APPEALS TO BE INITIATED BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH EMPLOYEE AND BOARD MEMBER HAS A RESPONSIBILITY AT ALL TIMES TO PROMOTE THE BEST INTERESTS OF THE CENTER FOR NURSING AND REHABILITATION AT HOOSICK FALLS. A CONFLICT OF INTEREST OCCURS WHEN AN EMPLOYEE'S JUDGMENT IN ACTING FOR THE FACILITY IS ADVERSELY AFFECTED. EXAMPLES OF CONFLICTS OF INTEREST INCLUDE BUT ARE NOT LIMITED TO: - ACCEPTING GRATUITIES FROM OTHER COMPANIES OR INDIVIDUALS WHO DO BUSINESS WITH THIS FACILITY OR SEEK TO DO BUSINESS WITH IT. - RENDERING SERVICES TO COMPETITORS. - USING, FACILITATING, CONVEYING, OR PERMITTING OTHERS TO USE FACILITY DOCUMENTS, EQUIPMENT, CONFIDENTIAL INFORMATION OR TRADE SECRETS. - BENEFITING PERSONALLY FROM ANY PURCHASES OR SALES BY THIS FACILITY. - ENGAGING IN OTHER EMPLOYMENT TO THE DETRIMENT OF THE EMPLOYEE'S WORK FOR THE FACILITY. ANNUALLY, ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM REPORTING ANY POTENTIAL CONFLICT OF INTERESTS. IF ONE BELIEVES A CONFLICT OF INTEREST EXISTS THE INDIVIDUAL MUST CONSULT THEIR SUPERVISOR, DEPARTMENT MANAGER, OR ADMINISTRATOR IN WHICH THE DETERMINATION OF WHETHER A CONFLICT EXISTS WILL BE MADE AND REVIEWED. ENGAGEMENT IN ANY BUSINESS PRACTICES THAT COMPROMISE THE FACILITY IN ANY WAY MAY RESULT IN THE IMMEDIATE TERMINATION OF ANY AND ALL EMPLOYEES INVOLVED IN SUCH ACTIVITY, AND MAY BE GROUNDS FOR LEGAL ACTION AGAINST THOSE EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 89,378. MANAGEMENT AND GENERAL EXPENSES 342,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 431,875. PHYSICIAN & NURSING PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,174,006. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,174,006. PHARMACY/DIETARY CONSULTING: PROGRAM SERVICE EXPENSES 9,663. MANAGEMENT AND GENERAL EXPENSES 14,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,089. CONTINUING EDUCATION SERVICES: PROGRAM SERVICE EXPENSES 7,762. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,762. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 111,002. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,002. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN TRUST 3,596. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOOSICK FALLS HEALTH CENTER FOUNDATION INC 21 DANFORTH STREET HOOSICK FALLS NY 12090 223186959 SUPPORT THE OPERATIONS OF THE HOOSICK FALLS HEALTH CENTER, INC. NY 501(C)(3) LINE 7 HOOSICK FALLS HEALTH CENTER INC 1 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 HOSPITAL VT 501(C)(3) LINE 3 N/A 0 SOUTHWESTERN VT HEALTH CARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) LINE 12A, I SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 0 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HOSPITAL VT 501(C)(3) LINE 3 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 0 MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOME VT 501(C)(3) LINE 10 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 0 TWIN RIVERS MEDICAL PC 2 SUNRISE DRIVE HOOSICK FALLS NY 12090 473028931 HEALTHCARE NY 501(C)(3) LINE 10 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 0 NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 814023607 HEALTHCARE MA 501(C)(3) LINE 10 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 0 SOUTHWESTERN VT HEALTH CARE ENTERPRISES 100 HOSPITCAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0