2017-11-14T10:25:30-00:00 2016-12-31 990 2016-01-01 141338373 The Columbia Memorial Hospital COLU 5188287601 71 Prospect Avenue Hudson NY 12534 Bryan T Mahoney Chief Financial Officer 2017-11-14 false 66.109.40.125 2017-11-14 15:27:55 ES P D55A98EA8FB4F4C4D355D1E60CD77D76ED3FC002 D55A98EA8FB4F4C4D355D1E60CD77D76ED3FC002 2016 2017-02-10 21:41:12Z Jay P Cahalan 71 Prospect Avenue Hudson NY 12534 160915347 false X www.columbiamemorialhealth.org X 1905 NY 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. 17 14 1677 45 554135 -11882 1791480 2136872 162601029 154921364 5473758 357182 420415 1942012 170286682 159357430 0 0 98974775 95440926 0 0 66704797 64897704 165679572 160338630 4607110 -981200 95911486 95195521 62682624 61664966 33228862 33530555 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. false false 41123175 45388677 Acute Inpatient Hospital services 33,391 patient days. Hospital Emergency Medical Care available to all 30,106 visits. 91032322 100386056 Outpatient Surgeries, Ancillary Services Outreach Clinics spanning 3 Counties. 447,246 visits 9587626 9146631 Other Operating Revenues and Expenses 141743123 true true false false false true false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true true false true 129 0 true 1677 true true true false false false false false false false false false false false false X 17 14 false false false false true true true true true false false true true true true true true true false true true NY X The Columbia Memorial Hospital 5188287601 71 Prospect Avenue Hudson NY 12534 V Richard Back MD Chair 008.00 X X 0 0 0 James Lapenn Vice-Chair 008.00 X X 0 0 0 Donald Gibson Treasurer 008.00 X X 0 0 0 Hilla Richardson Secretary 008.00 X X 0 0 0 Mary Gail Biebel Trustee 008.00 X 0 0 0 Steven Frisch MD Trustee 008.00 X 0 0 0 Kirk Kneller Trustee 008.00 X 0 0 0 Marian Krauskopf Trustee 008.00 X 0 0 0 Deborah Lans Trustee 008.00 X 0 0 0 Patti Matheney Trustee 008.00 X 0 0 0 Claire Parde Trustee 008.00 X 0 0 0 Will Pelgrin Trustee 008.00 X 0 0 0 Molly Poleto Trustee 008.00 X 0 0 0 Avon Kerr Trustee 008.00 X 0 0 0 Winnie Thorn Trustee 008.00 X 0 0 0 Jeffrey Stone Trustee 008.00 X 0 0 0 James Kingsbury Trustee 008.00 X 0 0 0 John Mathews MD Trustee 040.00 X 0 0 0 Hiral Amin MD Trustee 040.00 X 432590 0 0 Jay P Cahalan Pres. CEO 040.00 X 602054 0 0 Karen Tassey COO 040.00 X 284738 0 0 Vincent J Dingman III CFO 040.00 X 664801 0 0 Bryan T Mahoney CFO 040.00 X 169914 0 0 Christopher Gorczynski MD Physician 040.00 X 750060 0 0 Ersno Eromo MD Physician 040.00 X 599360 0 0 Louis DiGiovanni MD Physician 040.00 X 592422 0 0 Monoj Subudhi MD Physician 040.00 X 562909 0 0 Andrew Packard MD Physician 040.00 X 511309 0 0 5170157 10 false true false Emergency Medical Association of NY 3 Century Drive Parsippany NJ 07054 Medical Services 1873114 LabCorp PO Box 12140 Burlington NC 27216 Laboratory Services 1322197 AOW Associates 30 Essex Street Albany NY 12206 Contractor 1260718 Albany Medical Center 43 New Scotland Avenue Albany NY 12208 Medical Services 1043001 Pain Management of Upstate NY 44 Capricorn Lane Delmar NY 12054 Medical Services 939093 132 1117610 904172 115090 2136872 I/P O/P Svcs.- Medicare/Medicaid Paymts 89991094 89991094 I/P O/P Services - Other Direct Payments 900099 58798143 58798143 Other Government Payments 900099 6132127 6132127 154921364 391395 391395 326215 326215 326215 1519668 4036 1520829 37088 -1161 -33052 -34213 Value Change - Interest Rate Swap 900099 544955 544955 Unrealized Gain on Investments 900099 516707 516707 Form 990-T Revenue 811000 554135 554135 1615797 159357430 155983026 554135 391395 X 0 0 0 0 5413494 3448650 1964844 0 73418035 67239181 6178854 2304645 2265787 38858 9178045 8310720 867325 5126707 4642233 484474 0 522022 59208 462814 144000 144000 0 0 19499092 17181838 2317254 151919 633 151286 19472704 18736391 736313 1796882 1032419 764463 0 4019783 3653374 366409 133905 1874 132031 0 107028 80271 26757 1170109 1170109 23509 1500 22009 6655550 4732394 1923156 2851102 2749383 101719 Maintenance 2833497 2715378 118119 Miscellaneous 742677 117964 624713 Provision for Bad Debt 4211838 4211838 Assessment 562087 562087 0 160338630 141743123 18595507 0 7712608 9885246 15268604 13481160 1988585 2068314 2638082 3336869 135583132 87203698 45297684 48379434 13862411 13827345 1306649 1957589 5091517 338676 2745346 1920888 95911486 95195521 16393411 18920015 100000 175000 23882257 21569359 22306956 21000592 62682624 61664966 X 31168593 30959643 890301 1147170 1169968 1423742 33228862 33530555 95911486 95195521 X -981200 588 1282305 X false true X true true true X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 47699 true false false 7371603 1476679 540963 1425637 7963608 7463959 1702425 -7147 1787634 7371603 7333441 1734344 491358 2095184 7463959 7046209 4324470 1137373 5174611 7333441 6367304 4449006 535580 4305681 7046209 0.28000 0.12000 0.60000 false true true 523650 523650 77688596 39662170 38026426 56390070 46838617 9551453 980816 702911 277905 48379434 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued Vacation PTO 4684365 Estimated Payables to 3rd Party Reimbursement Agencies 3355005 Accrued Pension 4935757 Obligations Under Capital Leases 3550825 Interest Rate Swaps 907304 Asset Retirement Obligation 1349000 Deferred Liability - Exec. Life Insurance Policies 797303 Professional Liability Insurance Reserve 638100 Kaaterskill Commons - Ground Lease 90667 Deferred Rent - MOB 354167 Deferred Rent - VA 338099 21000592 X 158732444 158732444 624986 624986 159357430 160828420 160828420 -489790 -489790 160338630 XI 4b Gifts and grants of 1,894,616 which are adjustments to net assets. Effect of Business Combination 67,480. Change in net worth of related organizations which is not recorded on the Hospitals books 2,782 Revenue included on the Consolidated Statements for Columbia-Greene Hospital Foundation 1,074,797 Revenue included on the Consolidated Statements for Kaaterskill Commons, Inc, 124,571. X 2 The Hospital and Kaaterskill Commons, Inc KCI are Internal Revenue Code Section 501c3 organizations and, as such, are exempt from Federal income taxes on related income pursuant to Section 502a. The Hospital recognized the effect, if any, of income tax positions only if those positions are more likely than not sustainable under current income tax regulations. The Hospital has no uncertain tax positions at December 31, 2016 or 2015. XII 4b Not included in expenses on Part XII, line 3, but included as expense on the Hospitals Consolidated Financials are the expenses for Columbia-Greene Hospital Foundation 257,594 and Kaaterskill Commons, Inc, 232,196. true true true X true X true true true false true true 704789 704789 0.00440 35907752 26733222 9174530 0.05720 36612541 26733222 9879319 0.06160 327362 69899 257463 0.00160 150342 22972 127370 0.00080 25517504 20150057 5367448 0.03350 25995208 20242928 5752281 0.03590 62607749 46976150 15631600 0.09750 460625 460625 0.00290 460625 460625 0.00290 true 4211838 64782265 64720898 61367 true true Tri-Way Interventional Ownership/Rental of Vascular Equipment 0.33000 0.33000 1 1 The Columbia Memorial Hospital 71 Prospect Avenue Hudson NY 12534 X X X CMH CMH 1 true false true X X X X X X X X X 16 true false true true X www.columbiamemorialhealth.org X true 16 true www.columbiamemorialhealth.org false true X 0000000100.000000000000 0000000400.000000000000 X X X X true true X X X true X www.columbiamemorialhealth.org X www.columbiamemorialhealth.org X www.columbiamemorialhealth.org X X X X X X true X false X X X X true X false false Group The Columbia Memorial Hospital Line Part V, Section B, Line 6b The Hospitals Community Health Needs Assessment CHNA was 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. 26 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, Derm, 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 2 O/P Dermatology, Cadiology 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 Ghent Family Care Center 60 Garage Place Road Ghent NY 12075 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 Twin County Sleep Center Sherman Potts Drive Ghent NY 12075 O/P Sleep CMH Rapid Care - Copake 283 Mountain View Road Copake NY 12516 O/P Rapid Care 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 4 The Hospital used the Bad Debt Expense derived from the audited Statement of Operations for the period-ended December 31, 2016. Bad Debts are estimated at cost on an ongoing basis, and charged to expense when management deems it probable that the revenue will not be collected. Discounts provided to patients are considered an adjustment in calculating Net Patient Service Revenue, and are not included as a component of Bad Debt Expense. Part III Line 4 The Hospitals discusses the availability of charity care with patients during the registration process, and enrolls all eligible patients based on the information provided by the patient. The Hospitals audited financial statements contain the following information regarding bad debt expense The amount of the provision for bad debts is based on managements assessment of historical and expected net collections, based on business and economic conditions, trends in federal and state governmental health care coverage and other collection indicators. 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 two 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 Hopsital 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 two small cities and 31 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 to the north by Rensselaer County, on the south by Dutchess County, on the east by Berkshire County of the Commonwealth 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 about 2 hours norht 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 Hospitals 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 practicioners to an electronic health exchange. Part VI, Line 7 NY X X X X X false true false true false true false false false Hiral Amin MD Trustee 432306 258 750 8172 441486 Jay P Cahalan Pres. CEO 481500 97650 22904 750 21037 623841 Karen Tassey COO 262223 19375 3140 750 1189 286677 Vincent J Dingman III CFO 639298 23250 2253 750 4408 669959 Bryan T Mahoney CFO 167780 2134 750 7315 177979 Christopher Gorczynski MD Physician 750000 60 750 20990 771800 Ersno Eromo MD Physician 599280 54 15750 615084 Louis DiGiovanni MD Physician 592026 396 750 8172 601344 Monoj Subudhi MD Physician 537691 24944 274 750 11004 574663 Andrew Packard MD Physician 510547 762 12145 523454 Part I Line 3 The compensation of the Hospitals CEO is determined by the Compensation Committee of the Board of Trustees. The Compensation Committee establishes CEO compensation based on surveys from healthcare industry organizations, IRS Form 990 for comparable organizations and general industry knowledge. The CEO compensation package is formalized in a written employment contract and approved by the Board of Trustees. Part I Line 4b During 2016, the CEO, Jay Cahalan and Ex-CFO, Vincent Dingman participated in a supplemental non-qualified retirement plan held by CMH. A Columbia County Industrial Development Agency 141636496 197511AR9 2008-01-30 11730000 Refinancing false B Columbia County Capital Resource Corp 271072117 197505AA8 2010-03-01 12945000 Refinancing New Construction false A 11730000 603669 3852910 7273421 2010 false false true true B 12945000 762958 12137878 2013 false false true true A false false false false false false true B false false false false false false true A false true true true HSBC 0000000010.000000000000 false false false false true B false true true true HSBC 0000000010.000000000000 false false false false true A true B true Part IV Line 2 The arbitrage rebate calculation for both the 2008 and 2010 bonds were completed as of December 31, 2016 with no Arbitrage Rebate due on either issuance. Form 990, Part XI, Line 9 Combined total of 1,282,305 adjustment due to the following Pension valuation 1,277,580 Net assets released from restriction 65,537 Gain recognized from business combination 67,480 Change in net assets of Auxilliary not booked by CMH 2,782. Form 990, Part IX, Line 11g Other Fees for Services includes 9,560,778 for Professional Fees 7,817,271 for Purchased Services 1,384,342 for Agency Personnel 310,553 for Collection Fees 216,610 for Dues and 209,538 for Recuiting. Form 990, Part VI, Section B, Line 11b Form 990 and its supporting schedules are mailed to the Executive and /or Finance Committees, for their review, in advance of the meeting to be held, whereby feedback is obtained from members of those committees. As a result of that meetings, changes agreed upon, if any, are made prior to filing the Form 990 and its supporting schedules. 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 encumbent 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. Columbia-Greene Hospital Foundation 71 Prospect Avenue Hudson NY 12534 141761112 Fund Raising NY 501c3 170b1Aiv The Columbia Memorial Hospital true The Second Show Inc 519 Warren Street Hudson NY 12534 141796715 Thrift Shop NY 501c3 170b1Aiv N/A false Kaaterskill Commons Inc 163 Jefferson Heights Catskill NY 12414 205700964 Low Income Housing NY 501c3 170b1Avi The Columbia Memorial Hospital true Albany Medical Center 47 New Scotland Avenue Albany NY 12208 141641730 Healthcare NY 501c3 170b1Aiii N/A false Columbia Medical Complex LLC 839 North Jefferson Street Milwaukee WI 53202 201017545 Healthcare WI N/A Related 2481841 false false 0.35500 Tri-Way Interventional LLC c/o 71 Prospect Avenue Hudson NY 12534 320041811 Healthcare NY N/A Related 106414 19270 false false 0.33330 Capital Health Network LLC 125 Wolf Road Albany NY 12205 141794727 Healthcare NY N/A Investment false false United Lab Network LLC 125 Wolf Road Albany NY 12205 141827292 Healthcare NY N/A Investment false false United Lab Network IPA LLC 125 Wolf Road Albany NY 12205 141832018 Healthcare NY N/A Investment false false Columbia-Greene Services Inc c/o CMH 71 Prospect Avenue Hudson NY 12534 141758524 Healthcare NY N/A C Corp 1.00000 false false false true false false false false false false false true false true false false true true false false Columbia-Greene Hospital Foundation c 1120421 Accrual Columbia-Greene Hospital Foundation m 29603 Accrual Columbia-Greene Hospital Foundation q 214979 Cash The Second Show Inc q 126369 Cash Kaaterskill Commons Inc k 1333 Accrual Kaaterskill Commons Inc q 11456 Cash Albany Medical Center m 60000 Accrual Albany Medical Center p 1146000 Accrual