COLUMBIA MEMORIAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA MEMORIAL HOSPITAL (EIN 14-1338373)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201823199349308187
- Schema version
- 2017v2.3
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T01:39:42-00:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 Broadway 4th Floor | AddressLine1Txt |
| City | Albany | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 122072974 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141338373 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Columbia Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 5188287601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bryan T Mahoney | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Todd P Teresco | PreparerPersonNm |
| Phone | 5184274600 | PhoneNum |
| Preparation | 2018-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.109.40.125 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-15 | IPDt |
| IP Tm | 18:34:38 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | CB5AF01107C6CF27A14281BFC16C24B2D5E2DBB5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CB5AF01107C6CF27A14281BFC16C24B2D5E2DBB5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jay P Cahalan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $163,314,271 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.columbiamemorialhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1672 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $170,109 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,136,872 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,391,731 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $154,921,364 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $160,004,523 | CYProgramServiceRevenueAmt |
| PY Investment Income | $357,182 | PYInvestmentIncomeAmt |
| CY Investment Income | $533,410 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,942,012 | PYOtherRevenueAmt |
| CY Other Revenue | $888,500 | CYOtherRevenueAmt |
| PY Total Revenue | $159,357,430 | PYTotalRevenueAmt |
| CY Total Revenue | $162,818,164 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $30,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $95,440,926 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $94,189,234 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $64,897,704 | PYOtherExpensesAmt |
| CY Other Expenses | $67,634,531 | CYOtherExpensesAmt |
| PY Total Expenses | $160,338,630 | PYTotalExpensesAmt |
| CY Total Expenses | $161,853,765 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$981,200 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $964,399 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $95,195,521 | TotalAssetsBOYAmt |
| Total Assets EOY | $96,556,333 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,664,966 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $59,458,050 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,530,555 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,098,283 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $39,428,630 | ExpenseAmt |
| Revenue | $45,761,678 | RevenueAmt |
| Desc | Acute Inpatient Hospital services 32,142 patient days. Hospital Emergency Medical Care available to all 30,062 visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $92,325,156 | ExpenseAmt |
| Revenue | $101,211,022 | RevenueAmt |
| Desc | Outpatient Surgeries, Ancillary Services Outreach Clinics spanning 3 Counties. 440,057 visits | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,055,988 | ExpenseAmt |
| Grant | $30,000 | GrantAmt |
| Revenue | $13,031,823 | RevenueAmt |
| Desc | Other Operating Revenues and Expenses | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $144,809,774 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | Yes (true) | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 131 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1672 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Columbia Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5188287601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| V Richard Back MD | |||||||||
| Chair | 008.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| James Lapenn | |||||||||
| Vice-Chair | 008.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 001.00 | ||
| Donald Gibson | |||||||||
| Treasurer | 008.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Hilla Richardson | |||||||||
| Secretary | 008.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Mary Gail Biebel | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | 009.00 | |||
| Steven Frisch MD | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $966,982 | $109,677 | 049.00 | |||
| Kirk Kneller | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Deborah Lans | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Patti Matheney | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen Nelson | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Claire Parde | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | 001.00 | |||
| Will Pelgrin | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Molly Poleto | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Avon Kerr | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Winnie Thorn | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | 001.00 | |||
| Marion Krauskopf | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jeffrey Stone | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | 008.00 | |||
| John Mathews MD | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Hiral Amin MD | |||||||||
| Trustee | 040.00 | Yes (X) | $226,655 | $234,138 | $13,980 | ||||
| Jay P Cahalan | |||||||||
| Pres. CEO | 040.00 | Yes (X) | Yes (X) | $630,958 | $0 | $110,016 | 001.00 | ||
| Karen Tassey | |||||||||
| COO | 040.00 | Yes (X) | $281,480 | $0 | $9,423 | 001.00 | |||
| Bryan T Mahoney | |||||||||
| CFO | 040.00 | Yes (X) | $233,502 | $0 | $5,804 | 001.00 | |||
| Mary Ellen Plass | |||||||||
| CNO | 040.00 | $197,137 | $0 | $5,205 | Yes (X) | ||||
| Christopher Gorczynski MD | |||||||||
| Physician | 040.00 | $778,176 | $0 | $22,849 | Yes (X) | ||||
| Ersno Eromo MD | |||||||||
| Physician | 040.00 | $599,334 | $0 | $17,575 | Yes (X) | ||||
| Louis Digiovanni MD | |||||||||
| Physician | 040.00 | $592,003 | $0 | $9,103 | Yes (X) | ||||
| Manoj Subudi MD | |||||||||
| Physician | 040.00 | $518,086 | $0 | $11,989 | Yes (X) | ||||
| Ian Atlas MD | |||||||||
| Physican | 040.00 | $504,881 | $0 | $11,609 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,562,212 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,201,120 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $327,230 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 118 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Emergency Medical Association of NY | |||||
| 7032 Collection Center Drive | Chicago | IL | 60693 | Medical Services | $2,135,357 |
| LabCorp | |||||
| PO Box 12140 | Burlington | NC | 27216 | Laboratory Services | $1,955,260 |
| Pain Management of Upstate NY | |||||
| 44 Capricorn Lane | Delmar | NY | 12054 | Medical Services | $939,093 |
| Locum Leaders of Missouri LLC | |||||
| PO Box 915241 | Dallas | TX | 75391 | Medical Services | $920,687 |
| IMA NY | |||||
| 3 Century Drive | Parsippany | NJ | 07054 | Medical Services | $792,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $970,372 | RelatedOrganizationsAmt |
| Government Grants | $244,777 | GovernmentGrantsAmt |
| All Other Contributions | $176,582 | AllOtherContributionsAmt |
| Total Contributions | $1,391,731 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| I/P O/P Svcs.- Medicare/Medicaid Paymts | 900099 | $78,813,784 | $78,813,784 |
| I/P O/P Services - Other Direct Payments | 900099 | $73,725,781 | $73,725,781 |
| Other Government Payments | 900099 | $7,464,958 | $7,464,958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $160,004,523 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $523,557 | TotalRevenueColumnAmt |
| Exclusion | $523,557 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $879,409 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $879,409 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $879,409 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $161,018 | UnrelatedBusinessRevenueAmt |
| Exclusion | $718,391 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $505,960 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $496,107 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,853 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,853 | TotalRevenueColumnAmt |
| Exclusion | $9,853 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Retail Services | Desc |
| Business | 811000 | BusinessCd |
| Total Revenue Column | $9,091 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $9,091 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,091 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,818,164 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $160,004,523 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $170,109 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,251,801 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,000 | TotalAmt |
| Program Services | $30,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,562,212 | TotalAmt |
| Program Services | $3,219,135 | ProgramServicesAmt |
| Management And General | $1,343,077 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,552,075 | TotalAmt |
| Program Services | $67,322,761 | ProgramServicesAmt |
| Management And General | $6,229,314 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,280,203 | TotalAmt |
| Program Services | $2,241,041 | ProgramServicesAmt |
| Management And General | $39,162 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,726,201 | TotalAmt |
| Program Services | $7,962,659 | ProgramServicesAmt |
| Management And General | $763,542 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,068,543 | TotalAmt |
| Program Services | $4,625,046 | ProgramServicesAmt |
| Management And General | $443,497 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,754 | TotalAmt |
| Program Services | $82,817 | ProgramServicesAmt |
| Management And General | $256,937 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,000 | TotalAmt |
| Management And General | $159,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,770 | TotalAmt |
| Management And General | $12,770 | ManagementAndGeneralAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,364,124 | TotalAmt |
| Program Services | $21,280,898 | ProgramServicesAmt |
| Management And General | $2,083,226 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,829 | TotalAmt |
| Management And General | $56,829 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,903,468 | TotalAmt |
| Program Services | $19,084,826 | ProgramServicesAmt |
| Management And General | $818,642 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,802,627 | TotalAmt |
| Program Services | $1,048,496 | ProgramServicesAmt |
| Management And General | $754,131 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,887,187 | TotalAmt |
| Program Services | $3,706,097 | ProgramServicesAmt |
| Management And General | $181,090 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,337 | TotalAmt |
| Program Services | $1,647 | ProgramServicesAmt |
| Management And General | $124,690 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,347 | TotalAmt |
| Program Services | $91,086 | ProgramServicesAmt |
| Management And General | $30,261 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,068,093 | TotalAmt |
| Program Services | $1,185 | ProgramServicesAmt |
| Management And General | $1,066,908 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,933 | TotalAmt |
| Program Services | $1,295 | ProgramServicesAmt |
| Management And General | $25,638 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,772,609 | TotalAmt |
| Program Services | $4,860,702 | ProgramServicesAmt |
| Management And General | $1,911,907 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,835,509 | TotalAmt |
| Program Services | $2,741,271 | ProgramServicesAmt |
| Management And General | $94,238 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Maintenance | $2,873,990 | $2,764,220 | $109,770 |
| Miscellaneous | $677,283 | $137,921 | $539,362 |
| Provision for Bad Debt | $3,028,299 | $3,028,299 | |
| Assessment | $578,372 | $578,372 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,853,765 | TotalAmt |
| Program Services | $144,809,774 | ProgramServicesAmt |
| Management And General | $17,043,991 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,885,246 | BOYAmt |
| EOY | $10,086,874 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,481,160 | BOYAmt |
| EOY | $14,164,383 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,068,314 | BOYAmt |
| EOY | $2,111,007 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,336,869 | BOYAmt |
| EOY | $2,878,688 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $141,370,649 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $93,188,875 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,379,434 | BOYAmt |
| EOY | $48,181,774 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,827,345 | BOYAmt |
| EOY | $15,364,087 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,957,589 | BOYAmt |
| EOY | $2,215,706 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,676 | BOYAmt |
| EOY | $115,814 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,920,888 | BOYAmt |
| EOY | $1,438,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,195,521 | BOYAmt |
| EOY | $96,556,333 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,920,015 | BOYAmt |
| EOY | $18,333,319 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,000 | BOYAmt |
| EOY | $435,007 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,569,359 | BOYAmt |
| EOY | $19,432,345 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,000,592 | BOYAmt |
| EOY | $21,257,379 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,664,966 | BOYAmt |
| EOY | $59,458,050 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,959,643 | BOYAmt |
| EOY | $34,664,336 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,147,170 | BOYAmt |
| EOY | $1,009,205 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,423,742 | BOYAmt |
| EOY | $1,424,742 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,530,555 | BOYAmt |
| EOY | $37,098,283 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,195,521 | BOYAmt |
| EOY | $96,556,333 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $964,399 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,170,497 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,432,832 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $12,770 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,770 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-B 1i | FormAndLineReferenceDesc |
| Explanation | CMH belongs to several hospital associations where a portion of the membership dues are used for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Vl EOY | $40,901 | DonorAdvisedFundsVlEOYAmt |
| Disclosed Org Leg Ctrl | Yes (true) | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,963,608 | BeginningYearBalanceAmt |
| Contributions | $906,346 | ContributionsAmt |
| Other Expenditures | $190,641 | OtherExpendituresAmt |
| End Year Balance | $8,679,313 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,371,603 | BeginningYearBalanceAmt |
| Contributions | $1,476,679 | ContributionsAmt |
| Investment Earnings Or Losses | $540,963 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,425,637 | OtherExpendituresAmt |
| End Year Balance | $7,963,608 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,463,959 | BeginningYearBalanceAmt |
| Contributions | $1,702,425 | ContributionsAmt |
| Investment Earnings Or Losses | -$7,147 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,787,634 | OtherExpendituresAmt |
| End Year Balance | $7,371,603 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,333,441 | BeginningYearBalanceAmt |
| Contributions | $1,734,344 | ContributionsAmt |
| Investment Earnings Or Losses | $491,358 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,095,184 | OtherExpendituresAmt |
| End Year Balance | $7,463,959 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,046,209 | BeginningYearBalanceAmt |
| Contributions | $4,324,470 | ContributionsAmt |
| Investment Earnings Or Losses | $1,137,373 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,174,611 | OtherExpendituresAmt |
| End Year Balance | $7,333,441 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.30000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.11000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.59000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $523,650 | OtherCostOrOtherBasisAmt |
| Book Value | $523,650 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,178,217 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,344,817 | DepreciationAmt |
| Book Value | $35,833,400 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,679,466 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,100,583 | DepreciationAmt |
| Book Value | $11,578,883 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $989,316 | OtherCostOrOtherBasisAmt |
| Depreciation | $743,475 | DepreciationAmt |
| Book Value | $245,841 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $48,181,774 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Accrued Vacation PTO | $4,649,037 |
| Estimated Payables to 3rd Party Reimbursement Agencies | $4,248,876 |
| Accrued Pension | $3,962,734 |
| Obligations Under Capital Leases | $3,835,730 |
| Interest Rate Swaps | $552,865 |
| Asset Retirement Obligation | $1,647,000 |
| Deferred Liability - Exec. Life Insurance Policies | $952,000 |
| Professional Liability Insurance Reserve | |
| Kaaterskill Commons - Ground Lease | $89,333 |
| Deferred Rent - MOB | $304,166 |
| Deferred Rent - VA | $257,865 |
| Workers Comp Reserve - LT Portion | $757,773 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,257,379 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | With the exception of Madison Avenue Services Corporation, Albany Med Subs, Albany Medical Park South, LLC and Better Health of Northeast New York, Inc. all entities comprising the System are not-for-profit corporations under Section 501 c3 of the Internal Revenue Code and are exempt from federal income taxes pursuant to Section 501 a of the Code. Better Health of Northeast New York, Inc. is a 501c6. Income taxes associated with Madison Avenue Services Corporation are not material to the combined financial statements. In addition, Albany Medical Park South I, LLC and Albany Med Subs, are limited liability companies which have been deemed as disregarded entities. The System recognizes income tax positions when it is more-likely than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no uncertain tax positions that need to be recorded at December 31, 2017 and 2016. |
| V 4 | The organization utilitizes available endowment funds to further the mission through ongoing investments through capital and operational expenses. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,251,978 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,251,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,806,234 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,338,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,467,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06470 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,058,212 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,338,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,719,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $269,600 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,277 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $206,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,715 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $112,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,025,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,636,654 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,389,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03950 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,429,212 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,720,701 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,708,511 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,487,424 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,059,243 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,428,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11390 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $492,423 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $492,423 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $492,423 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $492,423 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,028,299 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $69,291,047 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $69,247,809 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $43,238 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tri-Way Interventional | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Ownership/Rental of Vascular Equipment | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.33000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | The Columbia Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | CMH | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.columbiamemorialhealth.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.columbiamemorialhealth.org | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0000000100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0000000400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.columbiamemorialhealth.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.columbiamemorialhealth.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.columbiamemorialhealth.org | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group The Columbia Memorial Hospital Line Part V, Section B, Line 6b | The Hospitals Community Health Needs Assessment CHNA was developed in conjunction with input from over 30 health, human service, charitable and law enforcement agencies and organizations in Columbia and Greene Counties. |
| Group The Columbia Memorial Hospital Line Part V, Section B, Line 11 | In order to address significant needs identified in the most recent CHNA, the Hospital, in conjunction with partnering health department and community agencies in Columbia and Greene Counties, have created Prevention Agenda Priorities and created work plans to address prevention of chronic disease, promotion of mental health and prevention of substance abuse and promotion of healthly women, infants and children. Specific actions taken from these work plans have included expanding capacity for mental health crisis in the Emergency Department, expanding capacity in the Psychiatric Department, expansion of Primary and Rapid Care capacity, expansion of outpatient behavioral health services, recruitment of an Addiction Specialist and a focus on school-based dental health services. |
| Group The Columbia Memorial Hospital Line Part V, Section B, Line 5 | The organization collaborates with multiple stakeholders throughout Columbia and Greene County in the development of the most recent CHNA, including the Columbia County Department of Health, Greene County Public Health, Greene County Rural Health Network, Twin County Recovery Services, The Healthcare Consortium, and others. |
| Group The Columbia Memorial Hospital Line Part V, Section B, Line 6a | As adopted by members of the Healthy Capital District Initiative, the communities assessed in the Community Health Needs Assessment CHNA are the six counties of the Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene. Along with Albany Medical Center Hospital, other hospital participants in this CHNA process included Ellis Hospital, St. Marys Hospital, St. Peters Health Partners, Saratoga Hospital, Sunnyview Hospital, and Columbia Memorial Hospital, all of which are located in the 6-county region. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 24 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Greene Medical Arts Bldg- GMI | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 7 O/P Medical Imaging Services |
| Greene Medical Arts Bldg- Family Care | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 4 O/P Family Care Practices |
| Greene Medical Arts Bldg- Specialty | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 5 O/P Womens Hlth, Psych, Ortho, Draw |
| Greene Medical Arts Bldg- Specialty | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 4 O/P Cardio, Sleep Ctr., Peds, Nephrology |
| Columbia Medical Complex - Imaging | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 7 O/P Medical Imaging Services |
| Columbia Medical Complex - Specialty | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 5 O/P Endo, Cardio, Nephro, Urology, Psych |
| Columbia Medical Complex - Specialty | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 3 O/P BoneJoint, Spine, Rheumatology |
| Columbia Medical Complex - Specialty | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 2 O/P Womens Health Surgery |
| Columbia Medical Complex - Surgical Associates | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 1 O/P Surgical Practice |
| Columbia Medical Complex - Family Care | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 2 O/P Family Care Practices |
| Columbia Memorial Bone & Joint | ||||
| 23 Fish and Game Road | Hudson | NY | 12534 | 3 O/P Ortho, PT OT |
| Columbia Memorial Valatie Campus | ||||
| OSJ Plaza - 2827 Route 9 | Valatie | NY | 12184 | 3 O/P Rapid Care, Family Care, Draw |
| Valatie Medical Arts Building - Imaging | ||||
| 1301 River Street | Valatie | NY | 12184 | 4 O/P Medical Imaging Services |
| Valatie Medical Arts Building - Specialty | ||||
| 1301 River Street | Valatie | NY | 12184 | 1 O/P Cardiology |
| Valatie Medical Arts Building - Family Care | ||||
| 1301 River Street | Hudson | NY | 12184 | O/P Family Care Practice |
| Columbia Memorial Pediatrics | ||||
| 813 Warren Street | Hudson | NY | 12534 | O/P Pediatric Services |
| Callan Family Care Center | ||||
| 358 Mountain View Road | Copake | NY | 12516 | O/P Family Care Practice |
| Chatham Family Care Center | ||||
| 31 Dardess Drive | Chatham | NY | 12037 | O/P Family Care Practice |
| Broadway Family Care Center | ||||
| 7385 South Broadway | Red Hook | NY | 12571 | O/P Family Care Practice |
| Cairo Family Care Center | ||||
| 4383 Route 23 | Cairo | NY | 12413 | O/P Family Care Practice |
| Windham Medical Care | ||||
| 345 State Route 296 | Hensonville | NY | 12439 | O/P Family Care Practice |
| Coxsackie Medical Care | ||||
| 9 Law Street | West Coxsackie | NY | 12192 | O/P Family Care Practice |
| CMH Dental Van | ||||
| 71 Prospect Avenue | Hudson | NY | 12534 | Mobile Care Unit |
| CMH Rapid Care - Copake | ||||
| 283 Mountain View Road | Copake | NY | 12516 | O/P Rapid Care |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 7 | For the purposes of calculating the Hospitals total community benefits expense at cost, the Hospital used a cost to charge ratio, consistent with the calculation derived from Worksheet 2, Ratio of Patient Care Cost to Charges. |
| Part II | The Hospitals community building activities consist of ongoing workforce development and community training sessions, for which the Hospital receives a very nominal fee, if any. These free or low-cost programs increase community awareness of health issues, provide an opportunity for ongoing education of community providers and caregivers, and support improved health habits for the community the Hospital serves. |
| Part III Line 2 | The organization evaluates aged accounts receivable on an ongoing basis, and records bad debt expense when management deems it probably that the revenue will not be collected. |
| Part III Line 3 | The organization utilizes a presumptive eligibility tool to identify patients eligible for financial assistance who have unpaid account balances, and does not record bad debt expense associated with this patient activity. |
| Part III Line 4 | Community Benefit, Charity Care and Uncompensated Care Footnote from Combined Audited Financial Statements. NOTE The Center reports information regarding bad debt on a combined basis with Albany Medical Center Hospital. a Community Benefit The Hospital offers numerous community benefit programs and services in community-based settings in response to the needs of the communities it serves. They include community health fairs, health screenings, health education lectures and workshops for community groups and the general public, consumer health information, facilitated insurance plan enrollment services and clinical services such as outpatient clinics, adult and pediatric care services and behavioral health services. Staff members of the Hospital also participate in community leadership efforts by donating significant hours of board service to other not-for-profit organizations. The Hospital supports graduate medical education and offers health professions education support for community members through continuing education programs and scholarships. b Charity and Uncompensated Care The Hospitals net cost of charity care, including payments to and receipts from the statewide pool was approximately 136,000 in 2017 and 484,000 in 2016 as follows 2017-Charity care at cost 1,375,000, Payments to Statewide Pool 491,000, Receipts from Statewide Pool 1,730,000, Total 136,000. 2016-Charity care at cost 735,000, Payments to Statewide Pool 506,000, Receipts from Statewide Pool 757,000, Total 484,000. The cost of charity care provided was determined using direct and indirect costs to provide services based on the application of the ratio of the Hospitals overall cost to patient charges. The Hospital also subsidizes services to Medicaid patients, which are paid at reimbursement levels below the Hospitals cost of rendering the related services. In addition, during 2017 and 2016, the Hospital incurred approximately 3,028,000 and 4,212,000 in provisions for uncollectable accounts, respectively. |
| Part III Line 8 | The Hospitals costing methodology used to determine the Medicare allowable costs reported in the organizations Medicare Cost Report is based upon the ratio of patient care cost to charges. |
| Part III Line 9b | The Hospital follows a consistent collections policy for all patients. For patients eligible for financial assistance, the Hospital ensures collection actions are consistent with NYS Laws. |
| Part VI Line 2 | The Hospital continuously monitors changes in the demographics of the 2 counties it serves, through community outreach, discussions with local political and business leaders, and working with a variety of state and local agencies to assess the needs of the community. The Community Service Plan is continually updated and available on the Hospitals public website. |
| Part VI Line 3 | The Hospitals written bad debt and Charity Care policy broadly applies to the outstanding balance for the patient or insurer. The Hospital advertises throughout the facility, discusses with patients directly during the registration process, and again during the collections process, about the availability for charity care. As patients are enrolled in the charity care program, adjustments to their outstanding balance is charged against net patient service revenue, and not considered a component of bad debt expense. |
| Part VI Line 4 | The Hospital serves the people of Columbia and Greene Counties and part of Northern Dutchess County, with a combined population of approximately 115,000 people, which is distributed between one small city and 32 towns. The two counties combined cover an area of nearly 1,300 square miles, most of which is agricultural or rural. Columbia County is located in the northeastern region of the Mid-Hudson Valley of New York State. It is bordered on the north by Rensselaer County, on the south by Dutchess County, on the east by Berkshire County of the Commonweatlh of Massachusetts and on the west by the Hudson River, opposite Greene County. Columbia County is rural in nature and includes the City of Hudson and 18 towns. Greene County is situated between the Hudson River on the east and the Catskill Mountains at the Southern and Western ends. It is bordered by Albany County to the north, Rensselaer County to the northeast, Columbia County to the east, Ulster County to the south, Delaware County to the west and Schoharie County to the northwest. Greene County is located 2 hours north of the major metropolitan areas of New York City and a half-hour south of Albany, New York States Capital District. |
| Part VI Line 5 | A majority of the Hospital Board of Trustees reside in Columbia and Greene County, as do most of the Hospitals employees. In recent years, the Hospital has significantly increased the access provided to local, previously unaffiliated doctors, and has further provided access and support for these practitioners to an electronic health exchange. |
| Part VI Line 6 | The organization is part of an affiliated health care system, with Albany Medical Center, Saratoga Hospital, and their related entities. The organizations within the Albany Med System individually and collaboratively coordinate with multiple community health organizations, such as the respective County Departments of Mental Health and others, to understand, respond to and promote the health of the communities served. This occurs through Board representation, collaborative community health meetings, and development of the Community Health Needs Assessment and annual strategic plans to respond to the needs of the community. |
| Part VI, Line 7 | NY |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Greater New York Hospital FDN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 West 57th Street | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 132954140 | RecipientEIN |
| IRC Section | 501c3 | IRCSectionDesc |
| Cash Grant | $30,000 | CashGrantAmt |
| Valuation Method Used | Other | ValuationMethodUsedDesc |
| Purpose Of Grant | Puerto Rico Hurricane Relief Fund | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I Line 2 | FormAndLineReferenceDesc |
| Explanation | CMH made one donation to provide assistance due to the devastation in Puerto Rico from Hurricane damage. Puerto Rico houses the largest supplier of intravenous fluids of which are an integral component for patient needs. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Steven Frisch MD | ||||||||||||
| Trustee | $738,002 | $209,000 | $19,980 | $89,738 | $19,939 | $1,076,659 | ||||||
| Hiral Amin MD | ||||||||||||
| Trustee | $233,224 | $914 | $9,425 | $243,563 | $226,520 | $135 | $750 | $3,805 | $231,210 | |||
| Jay P Cahalan | ||||||||||||
| Pres. CEO | $484,040 | $23,243 | $88,250 | $21,766 | $740,974 | $123,675 | ||||||
| Karen Tassey | ||||||||||||
| COO | $258,559 | $396 | $750 | $8,673 | $290,903 | $22,525 | ||||||
| Bryan T Mahoney | ||||||||||||
| CFO | $214,638 | $1,014 | $750 | $5,054 | $239,306 | $17,850 | ||||||
| Mary Ellen Plass | ||||||||||||
| CNO | $186,852 | $396 | $5,205 | $202,342 | $9,889 | |||||||
| Christopher Gorczynski MD | ||||||||||||
| Physician | $771,368 | $60 | $750 | $22,099 | $801,025 | $6,748 | ||||||
| Ersno Eromo MD | ||||||||||||
| Physician | $599,280 | $54 | $750 | $16,825 | $616,909 | |||||||
| Louis Digiovanni MD | ||||||||||||
| Physician | $591,353 | $650 | $750 | $8,353 | $601,106 | |||||||
| Manoj Subudi MD | ||||||||||||
| Physician | $517,690 | $396 | $750 | $11,239 | $530,075 | |||||||
| Ian Atlas MD | ||||||||||||
| Physican | $504,881 | $750 | $10,859 | $516,490 | ||||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part 1 Line 3 | The compensation of the Hospitals CEO is determined by the Compensation Committee of the Board of Trustees. The Compensation Committee bases their proposal on CEO compensation surveys from the healthcare industry organizations, IRS Form 990 for comparable organizational data and general industry knowledge. The CEO compensation package is formalized in a written employment contract and approved by the Board of Trustees. |
| Part 1 Line 4b | The CEO, Jay Cahalan is a participant in a supplemental non-qualified retirement plan held by CMH. In 2017, his retirement account was credited 87,500. Steven Frisch, MD is a participant in a supplemental non-qualified plan held by Albany Medical Center. In 2017, his retirement account was credited 78,938. |
| Part I Line 5a 6a | The organization administers incentive compensation program under which members of Hospital management are eligible to earn incentive compensation. Overall incentive compensation is based on measurable achievement against a menu of organizations goals, which include financial results such as revenues and net earnings, as well as patient satisfaction, quality of care, employee satisfaction, and growth in services. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd |
|---|---|---|---|---|---|---|
| Columbia County Industrial Development Agency | ||||||
| A | 141636496 | 197511AR9 | 2008-01-30 | $11,730,000 | Refinancing | false |
| Columbia County Capital Resource Corp | ||||||
| B | 271072117 | 197505AA8 | 2010-03-01 | $12,945,000 | Refinancing New Construction | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,380,000 | $11,730,000 | $603,669 | $3,852,910 | $7,273,421 | 2010 | false | false | Yes (true) | Yes (true) |
| B | $6,400,000 | $12,945,000 | $762,958 | $12,182,042 | 2013 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | false | false | Yes (true) |
| B | false | false | Yes (true) | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HSBC | ||||||||||
| A | false | Yes (true) | Yes (true) | Yes (true) | 0000000010.000000000000 | false | false | false | false | Yes (true) |
| HSBC | ||||||||||
| B | false | Yes (true) | Yes (true) | Yes (true) | 0000000010.000000000000 | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV Line 2 | The arbitrage rebate calculation for both the 2008 and 2010 bonds were completed as of December 31, 2017 with no Arbitrage Rebate due on either issuance. |
| Part III Line 3a | CMH only has incidental management and service contracts in various financed areas. Therefore, no contracts are considered to result in private business use within the bond-financined property group. |
Schedule L IRS990ScheduleL
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part XI, Line 9 | Combined total of 1,432,832 adjustment due to the following Pension valuation 1,197,286 Interest rate swap of 354,439 Net assets released from restrictions 118,903 Change in net assets of Auxilliary not booked by CMH 10. |
| Form 990, Part VI, Section B, Line 11b | Draft IRS and NYS tax filings, including the Form 990 and 990T and supporting schedules, are provided to the Board of Trustees for their review in advance of filing. Any agreed upon changes are incorporated into the filings prior to submission. |
| Form 990, Part VI, Section B, Line 12c | All members of the Board of Trustees are required to complete and execute the Hospital policy on Organization Ethics as well as a Conflict of Interest questionaire for Trustees and a Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, prior to appointment, they are also required of all incumbent trustees on an annual basis. The Audit Committee reviews, monitors enforces conflict of interest issues and reports the same to all members at the General Board Meetings. |
| Form 990, Part VI, Section B, Line 15a | Performance review and recommendations related to salary are undertaken by the Compensation Committee of the Board of Trustees on an annual basis. The Compensation Committee is comprised of select members of the Board of Trustees who may employ outside consultants, use industry standards, benchmarking data, etc. to formulate conclusions. |
| Form 990, Part VI, Section C, Line 19 | Columbia Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part VI, Section A, Line 6, 7a, 7b | Albany Medical Center AMC is the Hospitals sole corporate member. AMC retains seats on the Hospitals Board of Trustees and provides a seat on the AMC Board of Governors to a Hospital representative. As sole corporate member, AMC approves the Hospitals annual operating budget in addition to other significant governance decisions. |
| Form 990, Part IX, Line 11g | Other Fees for Services includes 13,055,619 for Professional Fees 8,561,502 for Purchased Services 1,214,075 for Agency Personnel 253,006 for Collection Fees 193,450 for Dues and 99,242 for Recruiting. |
| Form 990, Part VI, Line 4 | Columbia Memorial Hospital amended its ByLaws, effective January 1, 2016, to recognize Albany Medical Center as the co-operator for the Hospital and sole corporate member. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Columbia-Greene Hospital Foundation | |||||||||||
| 71 Prospect Avenue | Hudson | NY | 12534 | 141761112 | Fundraising | NY | 501c3 | 10 | The Columbia Memorial Hospital | Yes (true) | |
| The Second Show Inc | |||||||||||
| 519 Warren Street | Hudson | NY | 12534 | 141796715 | Thrift Shop | NY | 501c3 | 7 | The Columbia Memorial Hospital | Yes (true) | |
| Kaaterskill Commons Inc | |||||||||||
| 163 Jefferson Heights | Catskill | NY | 12414 | 205700964 | Low Income Housing | NY | 501c3 | 7 | The Columbia Memorial Hospital | Yes (true) | |
| Albany Medical Center | |||||||||||
| 47 New Scotland Avenue | Albany | NY | 12208 | 141641730 | Healthcare | NY | 501c3 | 12 type11 | NA | false | |
| Saratoga Hospital | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 141338547 | Hospital | NY | 501c3 | 3 | Albany Medical Center | false | |
| Albany Medical Center Kidskeller | |||||||||||
| 47 New Scotland Avenue | Albany | NY | 12208 | 222635792 | Educational Day Program | NY | 501c3 | 2 | Albany Medical Center | false | |
| Center for Donation and Transplant | |||||||||||
| 218 Great Oaks Blvd | Albany | NY | 12203 | 141820447 | Organ and Tissue Bank | NY | 501c3 | 12 type I | Albany Medical Center | false | |
| Better Health for Northeast New York | |||||||||||
| 43 New Scotland Avenue | Albany | NY | 12208 | 811861104 | Delivery System Reform Incentive Payment | NY | 501c6 | Albany Medical Center | false | ||
| Saratoga Regional Medical PC | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 472468259 | Healthcare Services | NY | 501c3 | 3 | Saratoga Hospital | false | |
| Saratoga Care Inc | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 141775218 | Promoting Health | NY | 501c3 | 12 type 11 | Saratoga Hospital | false | |
| Healthcare Partners of Saratoga Ltd | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 453303309 | Emergent Care | NY | 501c3 | 3 | false | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Columbia-Greene Services Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o CMH 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141758524 | EIN |
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C Corp | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Columbia-Greene Hospital Foundation | ||
| c | $970,382 | Accrual |
| Columbia-Greene Hospital Foundation | ||
| m | $35,241 | Accrual |
| Columbia-Greene Hospital Foundation | ||
| q | $206,616 | Cash |
| The Second Show Inc | ||
| q | $68,231 | Cash |
| Kaaterskill Commons Inc | ||
| k | $1,333 | Accrual |
| Kaaterskill Commons Inc | ||
| q | $5,500 | Cash |
| Albany Medical Center | ||
| p | $4,809,461 | Accrual |