HOOSICK FALLS HEALTH CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HOOSICK FALLS HEALTH CENTER (EIN 14-1370000)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-19
IRS object ID
201722929349301672
Schema version
2016v3.0
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-10-19T12:56:28-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LAURA J REYNOLDS CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1675 WILSON HILL RDAddressLine1Txt
CityHOOSICK FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP120904547ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141370000EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOOSICK FALLS HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOOSBusinessNameControlTxt
Phone5186864371PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 DANFORTH STREETAddressLine1Txt
CityHOOSICK FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12090ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG LAURINPersonNm
Person TitleBOARD PRESIDENTPersonTitleTxt
Phone5186864371PhoneNum
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA J REYNOLDSPreparerPersonNm
Phone5184418433PhoneNum
Preparation2017-09-29PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.76.84.249IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-19IPDt
IP Tm12:56:11IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEF2D7F89C682CDF38EFF297238D1560B0458C092AtSubmissionCreationDeviceId
At Submission Filing Device IdEF2D7F89C682CDF38EFF297238D1560B0458C092AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLAURA REYNOLDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Danforth StAddressLine1Txt
CityHoosick FallsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12090ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,317,704GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressnursingandrehab.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1914FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionThe Centers mission is to provide rehabilitation and long-term care services to those in need. We strive to provide resident centered care in our 82 bed SNF so that each resident has the opportunity to reach their maximum potentialActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee220TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$168,402PYContributionsGrantsAmt
CY Contributions Grants$157,528CYContributionsGrantsAmt
PY Program Service Revenue$6,096,278PYProgramServiceRevenueAmt
CY Program Service Revenue$6,090,754CYProgramServiceRevenueAmt
PY Investment Income$114,374PYInvestmentIncomeAmt
CY Investment Income$16,366CYInvestmentIncomeAmt
PY Other Revenue$8,865PYOtherRevenueAmt
CY Other Revenue$10,171CYOtherRevenueAmt
PY Total Revenue$6,387,919PYTotalRevenueAmt
CY Total Revenue$6,274,819CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,357,002PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,412,472CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,340,956PYOtherExpensesAmt
CY Other Expenses$2,185,384CYOtherExpensesAmt
PY Total Expenses$6,697,958PYTotalExpensesAmt
CY Total Expenses$6,597,856CYTotalExpensesAmt
PY Revenues Less Expenses-$310,039PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$323,037CYRevenuesLessExpensesAmt
Total Assets BOY$3,587,262TotalAssetsBOYAmt
Total Assets EOY$3,633,166TotalAssetsEOYAmt
Total Liabilities BOY$2,506,223TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,833,015TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,081,039NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$800,151NetAssetsOrFundBalancesEOYAmt
MissionWe are an 82 bed skilled nursing home facility providing 24hr/7 days a weekMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,033,421ExpenseAmt
Grant$44,920GrantAmt
Revenue$6,093,125RevenueAmt
DescWE PROVIDE REHABILITATION AND LONG TERM CARE SERVICES TO THOSE IN NEED. WE STRIVE TO PROVIDE RESIDENT SERVICES IN OUR 82 BED SNF SO THAT EACH RESIDENT CAN REACH THEIR MAXIMUM POTENTIAL.Desc
Total Program Service Expenses$6,033,421TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee220EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAYLA GREENEPersonNm
Phone5186864371PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Danforth StAddressLine1Txt
CityHoosick FallsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12090ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
GREG LAURIN
President2.00Yes (X)$0$0$0
WILLIAM KOESTER
Vice President1.00Yes (X)$0$0$0
WILLIAM JOHNSTON
Treasurer1.50Yes (X)$0$0$0
JOYCE DAVIS
Secretary1.00Yes (X)$0$0$0
LAURA REYNOLDS
CEO40.00$102,170$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,170TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Related Organizations$108,474RelatedOrganizationsAmt
All Other Contributions$49,054AllOtherContributionsAmt
Noncash Contributions$17,640NoncashContributionsAmt
Total Contributions$157,528TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient Service IncomeDesc
Business623000BusinessCd
Total Revenue Column$6,084,001TotalRevenueColumnAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,753TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,090,754TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,689TotalRevenueColumnAmt
Exclusion$4,689ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,800TotalRevenueColumnAmt
Exclusion$7,800ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$54,562SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$42,885SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,677SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,677TotalRevenueColumnAmt
Exclusion$11,677ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Rebates & Discounts623000$1,700$1,700
Miscellaneous623000$671$671
FieldValueIRS element (for citing)
Other Revenue Total$2,371OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,274,819TotalRevenueColumnAmt
Related Or Exempt Func Income$6,093,125RelatedOrExemptFuncIncomeAmt
Exclusion$24,166ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$105,160TotalAmt
Program Services$0ProgramServicesAmt
Management And General$105,160ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,517,117TotalAmt
Program Services$3,370,435ProgramServicesAmt
Management And General$146,682ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,205TotalAmt
Program Services$13,613ProgramServicesAmt
Management And General$592ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$508,809TotalAmt
Program Services$483,369ProgramServicesAmt
Management And General$25,440ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$267,181TotalAmt
Program Services$253,822ProgramServicesAmt
Management And General$13,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$51,050TotalAmt
Program Services$51,050ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,543TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,543ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$24,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,750TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,750ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$379,139TotalAmt
Program Services$313,752ProgramServicesAmt
Management And General$65,387ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$790TotalAmt
Program Services$0ProgramServicesAmt
Management And General$790ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,262TotalAmt
Program Services$0ProgramServicesAmt
Management And General$7,262ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$138,844TotalAmt
Program Services$134,679ProgramServicesAmt
Management And General$4,165ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,698TotalAmt
Program Services$6,836ProgramServicesAmt
Management And General$1,862ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$104,686TotalAmt
Program Services$0ProgramServicesAmt
Management And General$104,686ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$260,492TotalAmt
Program Services$251,407ProgramServicesAmt
Management And General$9,085ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,032TotalAmt
Program Services$58,904ProgramServicesAmt
Management And General$2,128ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Assessment$262,311$262,311$0$0
Supplies$640,086$630,954$9,132$0
Bad Debt$151,979$151,979$0$0
Equipment Rental$69,799$50,310$19,489$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$21,923TotalAmt
Program Services$0ProgramServicesAmt
Management And General$21,923ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,597,856TotalAmt
Program Services$6,033,421ProgramServicesAmt
Management And General$564,435ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$142,858BOYAmt
EOY$64,793EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$49,695EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$729,952BOYAmt
EOY$685,330EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$53,269BOYAmt
EOY$42,861EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,033BOYAmt
EOY$29,436EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,995,729LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,778,086LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,342,329BOYAmt
EOY$2,217,643EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$173,049BOYAmt
EOY$134,743EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$122,772BOYAmt
EOY$408,665EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,587,262BOYAmt
EOY$3,633,166EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$506,460BOYAmt
EOY$496,362EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$28,962BOYAmt
EOY$24,989EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,415,438BOYAmt
EOY$1,690,156EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$555,363BOYAmt
EOY$621,508EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,506,223BOYAmt
EOY$2,833,015EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,020,129BOYAmt
EOY$738,721EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$60,910BOYAmt
EOY$61,430EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,081,039BOYAmt
EOY$800,151EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,587,262BOYAmt
EOY$3,633,166EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$323,037ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,208NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$44,357OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (true)AgentTrusteeEtcInd
Beginning Balance$28,962BeginningBalanceAmt
Additions During Year$27,367AdditionsDuringYearAmt
Distributions During Year$31,340DistributionsDuringYearAmt
Ending Balance$24,989EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$60,499InvestmentCostOrOtherBasisAmt
Book Value$60,499BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,015,739InvestmentCostOrOtherBasisAmt
Depreciation$4,454,675DepreciationAmt
Book Value$1,561,064BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,339,564InvestmentCostOrOtherBasisAmt
Depreciation$877,823DepreciationAmt
Book Value$461,741BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$579,927InvestmentCostOrOtherBasisAmt
Depreciation$445,588DepreciationAmt
Book Value$134,339BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,217,643TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest in Trust$61,430
Insurance Recoveries$322,246
Restricted Cash -Resident Funds$24,989
FieldValueIRS element (for citing)
Total Book Value Other Assets$408,665TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due To Third Party Payers$171,841
Fair Market Value of Swap Agreement$43,757
Due to Foundation$83,664
Estimated Insurance Liabilities$322,246
FieldValueIRS element (for citing)
Total Liability$621,508TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OtherPart XI is not completed:See Audit Supplemental Statements. Column 1 of Audited Statement Supplemental agrees with the return.
Pt IV, Line 1bResident personal expense accounts for hair,cable,phone not covered in resident care.
Pt IV, Line 2bRepresents resident accounts which facility pays personal expenditures from and deposits personal funds to.
Pt XI, Line 4bNothing to report

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bBoard review of 990 - prior to filing, the Board reviews and discusses the 990. Once done, a motion to approve is made.
Pt VI, Line 12cConflict of Interest - Due to our rural area and knowledge of backgrounds of the Board, conflicts of interest are known. If there is a discussion or motion where there is a conflict, that board member will either remove themselves from the discussion or obstain from voting. Each year, Board members sign a Conflict of Interest Statement.
Pt VI, Line 15aPrior to finalizing the budget, finance and personnel committees meet to discuss compensation. There is a formal board approval for the administrator salary which is given during yearly review.
Pt VI, Line 15bBoard approves yearly increases in the budget process. Any other increases are approved by the Administrator.
Pt XILine 9 - Gain on FMV of SWAP Agreement $43837 and $520 change in MV of Benefitial Interest in Trust.
Form 990, Part IX, Line 24eTelephone 15377. 0. 15377. 0.
Form 990, Part IX, Line 24eMiscellaneous 6546. 0. 6546. 0.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Hoosick Falls Health Center Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Danforth StreetAddressLine1Txt
CityHoosick FallsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12090ZIPCd
FieldValueIRS element (for citing)
EIN223186959EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501 (c) 3ExemptCodeSectionTxt
Public Charity StatusyesPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1noBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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