HOOSICK FALLS HEALTH CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOOSICK FALLS HEALTH CENTER (EIN 14-1370000)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2019-03-22
- IRS object ID
- 201930819349300818
- Schema version
- 2016v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-03-22T10:17:18-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'Connor Davies LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Mamaroneck Avenue | AddressLine1Txt |
| City | Harrison | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141370000 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoosick Falls Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOOS | BusinessNameControlTxt |
| Phone | 5186864371 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Danforth Street | AddressLine1Txt |
| City | Hoosick Falls | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12090 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gregory Laurin | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 5186864371 | PhoneNum |
| Signature | 2019-03-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Garrett M Higgins | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2019-03-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-03-22 | IPDt |
| IP Tm | 10:17:15 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 804F34CAD71154B6AB63CCDEAD416BA8AE38E5F8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9616F4B14A694591D1E716C270910E6FA5556DA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Center for Nursing and Rehabilitation at | BusinessNameLine1Txt |
| Business Name Line2 | Hoosick Falls | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Gregory Laurin | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Danforth Street | AddressLine1Txt |
| City | Hoosick Falls | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12090 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,317,704 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | nursingandrehab.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1914 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | 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 SNF so that each resident has the opportunity to reach their maximum potential. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 220 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $168,402 | PYContributionsGrantsAmt |
| CY Contributions Grants | $157,528 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,096,278 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,084,001 | CYProgramServiceRevenueAmt |
| PY Investment Income | $114,374 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,366 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,865 | PYOtherRevenueAmt |
| CY Other Revenue | $16,924 | CYOtherRevenueAmt |
| PY Total Revenue | $6,387,919 | PYTotalRevenueAmt |
| CY Total Revenue | $6,274,819 | 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 | $4,357,002 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,412,470 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,340,956 | PYOtherExpensesAmt |
| CY Other Expenses | $2,185,386 | CYOtherExpensesAmt |
| PY Total Expenses | $6,697,958 | PYTotalExpensesAmt |
| CY Total Expenses | $6,597,856 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$310,039 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$323,037 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,587,262 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,633,166 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,506,223 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,833,015 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,081,039 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $800,151 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,048,427 | ExpenseAmt |
| Revenue | $6,084,001 | RevenueAmt |
| Desc | 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 25,094. | Desc |
| Total Program Service Expenses | $6,048,427 | 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 | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 220 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Drew Lerman | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8024474587 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Danforth Street | AddressLine1Txt |
| City | Hoosick Falls | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12090 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Gregory Laurin | ||||||
| President | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| William Koester | ||||||
| Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| William Johnston | ||||||
| Treasurer | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Joyce Davis | ||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Edward J Gorman ESQ | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dennis Perry | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Harold McClellan | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Patty Ryan | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Bill Cottrell | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Laura Reynolds | ||||||
| CEO | 40.00 | Yes (X) | $102,170 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $102,170 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $108,474 | RelatedOrganizationsAmt |
| All Other Contributions | $49,054 | AllOtherContributionsAmt |
| Total Contributions | $157,528 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicaid Revenue | 623000 | $3,382,321 | $3,382,321 |
| Medicare Revenue | 623000 | $1,875,915 | $1,875,915 |
| Private Patient Revenu | 623000 | $672,108 | $672,108 |
| Other Patient REvenue | 623000 | $153,657 | $153,657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,084,001 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,689 | TotalRevenueColumnAmt |
| Exclusion | $4,689 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,800 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,800 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,800 | TotalRevenueColumnAmt |
| Exclusion | $7,800 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $54,562 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,885 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,677 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,677 | TotalRevenueColumnAmt |
| Exclusion | $11,677 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $9,124 | TotalRevenueColumnAmt |
| Exclusion | $9,124 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,124 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,274,819 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,084,001 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $33,290 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,170 | TotalAmt |
| Program Services | $95,067 | ProgramServicesAmt |
| Management And General | $7,103 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,520,105 | TotalAmt |
| Program Services | $3,275,366 | ProgramServicesAmt |
| Management And General | $244,739 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,205 | TotalAmt |
| Program Services | $13,217 | ProgramServicesAmt |
| Management And General | $988 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,454 | TotalAmt |
| Program Services | $352,142 | ProgramServicesAmt |
| Management And General | $26,312 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,536 | TotalAmt |
| Program Services | $369,897 | ProgramServicesAmt |
| Management And General | $27,639 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,543 | TotalAmt |
| Management And General | $1,543 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Management And General | $24,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809 | TotalAmt |
| Management And General | $809 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,750 | TotalAmt |
| Management And General | $1,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,425 | TotalAmt |
| Program Services | $357,875 | ProgramServicesAmt |
| Management And General | $67,550 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $880 | TotalAmt |
| Program Services | $90 | ProgramServicesAmt |
| Management And General | $790 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $742,578 | TotalAmt |
| Program Services | $692,385 | ProgramServicesAmt |
| Management And General | $50,193 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,843 | TotalAmt |
| Program Services | $138,843 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,026 | TotalAmt |
| Program Services | $10,164 | ProgramServicesAmt |
| Management And General | $1,862 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,440 | TotalAmt |
| Program Services | $69,678 | ProgramServicesAmt |
| Management And General | $28,762 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,492 | TotalAmt |
| Program Services | $256,136 | ProgramServicesAmt |
| Management And General | $4,356 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,033 | TotalAmt |
| Management And General | $61,033 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| NYS Cash Receipts Asses | $262,311 | $262,311 |
| Bad Debt Expense | $151,979 | $151,979 |
| Special Activities | $2,879 | $2,879 |
| Repairs & Maintenance | $398 | $398 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,597,856 | TotalAmt |
| Program Services | $6,048,427 | ProgramServicesAmt |
| Management And General | $549,429 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,858 | BOYAmt |
| EOY | $64,793 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $76,496 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $729,952 | BOYAmt |
| EOY | $677,490 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,269 | BOYAmt |
| EOY | $42,861 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,033 | BOYAmt |
| EOY | $29,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,995,729 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,778,086 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,515,378 | BOYAmt |
| EOY | $2,217,643 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $132,931 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,772 | BOYAmt |
| EOY | $391,516 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,587,262 | BOYAmt |
| EOY | $3,633,166 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $506,460 | BOYAmt |
| EOY | $496,362 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,282,800 | BOYAmt |
| EOY | $924,400 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,962 | BOYAmt |
| EOY | $24,989 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,638 | BOYAmt |
| EOY | $765,756 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,363 | BOYAmt |
| EOY | $621,508 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,506,223 | BOYAmt |
| EOY | $2,833,015 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,020,129 | BOYAmt |
| EOY | $738,721 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,910 | BOYAmt |
| EOY | $61,430 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,081,039 | BOYAmt |
| EOY | $800,151 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,587,262 | BOYAmt |
| EOY | $3,633,166 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$323,037 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,208 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $44,357 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $85,335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $105,469 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,657 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $168,402 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $157,528 | CurrentTaxYearAmt |
| Total | $523,391 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,048,410 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,336,640 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,234,172 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,096,278 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,084,001 | CurrentTaxYearAmt |
| Total | $30,799,501 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,133,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,442,109 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,240,829 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,264,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,241,529 | CurrentTaxYearAmt |
| Total | $31,322,892 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $31,322,892 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,281 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,396 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,489 | CurrentTaxYearAmt |
| Total | $152,860 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,281 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,396 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,489 | CurrentTaxYearAmt |
| Total | $152,860 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,702 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,121 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $858 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,065 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,124 | CurrentTaxYearAmt |
| Total | $16,870 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,192,155 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,486,511 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,267,673 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,283,141 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,263,142 | CurrentTaxYearAmt |
| Total | $31,492,622 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99460 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99400 | PublicSupportPY509Pct |
| Investment Income CY | 0.00490 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00570 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Rebates Discounts - 2012 Amount: $ 469. 2013 Amount: $ 1,259. 2014 Amount: $ 231. 2015 Amount: $ 468. Miscellaneous - 2015 Amount: $ 155. Vending Machine Rebates - 2012 Amount: $ 655. 2013 Amount: $ 242. 2014 Amount: $ 561. 2015 Amount: $ 442. Services Sold - 2012 Amount: $ 662. 2013 Amount: $ 470. 2014 Amount: $ 66. Other Income - 2012 Amount: $ 1,916. 2013 Amount: $ 150. 2016 Amount: $ 9,124. | ExplanationTxt |
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 | $809 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $809 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Costs are incurred as part of dues paid to nursing home industry organizations. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,499 | OtherCostOrOtherBasisAmt |
| Book Value | $60,499 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,799,217 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,628,956 | DepreciationAmt |
| Book Value | $1,170,261 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,556,086 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,703,542 | DepreciationAmt |
| Book Value | $852,544 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $579,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $445,588 | DepreciationAmt |
| Book Value | $134,339 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,217,643 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Third-Party Payors | $7,840 |
| Beneficial Interest in trust | $61,430 |
| Other Long-Term Assets | $322,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $391,516 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Third-Party Payors | $171,841 |
| Due to Related Party | $83,664 |
| Fair Market Value Swap Agreement | $43,757 |
| Other Long-Term Liabilities | $322,246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $621,508 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,181,194 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,208 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $18,807 | OtherRevenueAmt |
| Revenue Not Reported | $16,599 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,164,595 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,750 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $108,474 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $110,224 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,274,819 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,599,398 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $111,766 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $111,766 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,487,632 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,750 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $108,474 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $110,224 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,597,856 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2013. |
| Part XI, Line 2d - Other Adjustments: | Revenue attributed to affiliate 18,807. |
| Part XI, Line 4b - Other Adjustments: | eliminations on consolidated financial statements 108,474. |
| Part XII, Line 2d - Other Adjustments: | Expenses Attributed to affiliate 111,766. |
| Part XII, Line 4b - Other Adjustments: | Eliminations on consolidated financial statements 108,474. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Amended Form 990: | The organization amended its 2016 Form 990 for the following reasons: 1. Part III, Line 4a: Updated its program narrative to include statistical information about the organization's programs. In addition, the program revenue and expenses were updated to agree with the changes in Part VIII, and Part IX. 2. Part IV: Lines 4, 11f, 35a, and 35b were all changed to yes to agree with the updated schedule presentation. 3. Part V: Lines 7g - 9b were left blank as the questions do not apply to the filing organization. 4. Part VI, Lines 15a/b were changed to "no" as the organization does not meet all of the rebuttable presumption criteria. In addition, only one officer is reported in Part VII with compensation, and therefore line 15b does not apply. 5. Part VI, Line 18: "Another's website" was checked off as the organization provides its Form 990 to the Attorney General, and it is posted on their website. 6. Part VII was updated to include all voting board members as of 12/31/2016. 7. Part VIII, Lines 2g and 11 were updated to agree with the reclass of program revenue. 8. Part IX: The total expense allocation was updated to agree with the organization's Medicaid cost report functional allocation. In addition, various reclasses of expenses were made in conformity with the IRS instructions. 9. Part X: Various reclasses of assets and liabilities were made in conformity with the IRS instructions. 10. Schedule A: The organization updated Part I to reflect their status per their IRS determination letter, which is under section 509(a)(2). Therefore, the organization is completing Part III of Schedule A, as required. 11. Schedule C: The organization is completing Schedule C to reflect its current year lobbying expenses. 12. Schedule D, Part IV: The organization updating lines 1c - 1f to remove the activity from its escrow funds as the funds are reported in Part X. 13. Schedule D, Part VI: The organization updated column (b) to report its building and equipment in this column instead of column (a) as the buildings and equipment are used to fulfill the organization's mission. 14. Schedule D, Parts IX and X: These sections were updated to agree with the changes reflected in Part X. 15. Schedule R: The organization updated Part II, and Part V, Line 2 to reflect the Foundation as a related controlled entity. Therefore, transactions over $50,000 are reported on Line 2. |
| 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 B, line 15 | The organization uses compensation surveys and comparable analysis of other similar size nursing homes to determine compensation of the CEO. |
| 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 at 21 Danforth Street, Hoosick Falls, NY 12090 or by calling the organization directly at 518-686-4371. |
| Form 990, Part XI, line 9: | Change in Beneficial Interest in Trust 520. Change in Fair Value of Interest Rate Swap 43,837. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoosick Falls Health Center Foundation Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Danforth Street | AddressLine1Txt |
| City | Hoosick Falls | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12090 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223186959 | EIN |
| Primary Activities | Support the operations of the Hoosick Falls Health Center, Inc. | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoosick Falls Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 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 | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | 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 | Hoosick Falls Health Center Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $108,474 | InvolvedAmt |
| Method Of Amount Determination | Cost | MethodOfAmountDeterminationTxt |
Comments