ALBANY MED HEALTH SYSTEM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: ALBANY MED HEALTH SYSTEM (EIN 14-1338413)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201503179349303070
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T10:08:54-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338413	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Glens Falls Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% LAURA PASCO ASST CONTROLLER	InCareOfNm
Business Name Control	GLEN	BusinessNameControlTxt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Park Street	AddressLine1Txt
City	Glens Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12801	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mitch Amado	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5189265005	PhoneNum
Signature	2015-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY STAGG	PreparerPersonNm
PTIN	P01326885	PTIN
Phone	5184274600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DIANNE SHUGRUE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Park Street	AddressLine1Txt
City	Glens Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$326,877,440	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	glensfallshospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1897	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	3241	TotalEmployeeCnt
Total Volunteers	638	TotalVolunteersCnt
Total Gross UBI	$1,527,632	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$611,464	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,247,969	PYContributionsGrantsAmt
CY Contributions Grants	$3,073,526	CYContributionsGrantsAmt
PY Program Service Revenue	$296,044,019	PYProgramServiceRevenueAmt
CY Program Service Revenue	$302,012,567	CYProgramServiceRevenueAmt
PY Investment Income	$4,254,979	PYInvestmentIncomeAmt
CY Investment Income	$4,601,269	CYInvestmentIncomeAmt
PY Other Revenue	$4,497,791	PYOtherRevenueAmt
CY Other Revenue	$1,260,983	CYOtherRevenueAmt
PY Total Revenue	$308,044,758	PYTotalRevenueAmt
CY Total Revenue	$310,948,345	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$180,449,695	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$172,407,198	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$391,976	CYTotalFundraisingExpenseAmt
PY Other Expenses	$126,133,251	PYOtherExpensesAmt
CY Other Expenses	$132,515,609	CYOtherExpensesAmt
PY Total Expenses	$306,582,946	PYTotalExpensesAmt
CY Total Expenses	$304,922,807	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,461,812	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,025,538	CYRevenuesLessExpensesAmt
Total Assets BOY	$250,993,804	TotalAssetsBOYAmt
Total Assets EOY	$260,963,700	TotalAssetsEOYAmt
Total Liabilities BOY	$126,647,945	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$129,685,726	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$124,345,859	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$131,277,974	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$244,309,381	ExpenseAmt
Revenue	$301,259,431	RevenueAmt
Desc	Glens Falls Hospital provides a comprehensive health care system that stretches across 3,000 square miles in upstate NY. We provide high quality care to people, regardless of their ability to pay. We are a 410 bed facility with more than 225 certified physicians in over 25 specialties. Our services include, but are not limited to, emergency care, surgical services, mental health, cancer care, primary care and preventative health education. In 2014, we had 67,789 patient days and 14,004 discharges. The Emergency Care Center provided care to 50,338 patients. Our Mental Health department provided 60,572 outpatient treatments and 6,372 inpatient days. Our Surgery Center performed 12,369 procedures.	Desc
Total Program Service Expenses	$244,309,381	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	false	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	Yes (true)	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	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	231	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3241	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
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	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	Yes (true)	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

Field	Value	IRS element (for citing)
Person	LAURA PASCO ASST CONTROLLER	PersonNm
Phone	5189265012	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 PARK STREET	AddressLine1Txt
City	GLENS FALLS	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12801	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DIANNE SHUGRUE
PRESIDENT/CEO	40.0	0.0	Yes (X)	Yes (X)	$425,390	$0	$10,842
MICHAEL B CLARKE
CHAIRMAN	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GLENDA KELMAN RN
VICE CHAIRMAN	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH F RACCUIA
SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN C BIENIEK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL T BITTEL
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM BORGOS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
TENEE' CASACCIO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JAMES E CULLUM
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KATHIE L DUNCAN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KEVIN J HERLIHY MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
GARY R HICKS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
THOMAS J MURPHY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM H REYNOLDS MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SHARON RUGGI
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DAVID WESTFALL MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MITCH AMADO
CFO	40.0	0.0			$286,008	$0	$5,587	Yes (X)
PAUL SCIMECA
SR VP STRAT. PLANNING	40.0	0.0			$243,774	$0	$17,349	Yes (X)
MARK HOLTZ
SR VP OPERATIONS	40.0	0.0			$228,666	$0	$14,986	Yes (X)
KYLE BROCK
VP HUMAN RESOURCES	40.0	0.0			$230,000	$0	$378	Yes (X)
ROBERT PRINGLE MD
VP MED AFFAIRS & CO	40.0	0.0			$212,544	$0	$10,488	Yes (X)
DONNA KIRKER
VP PATIENT SERVICES	40.0	0.0			$207,322	$0	$8,200	Yes (X)
ED HANCHETT
VP CLINICAL SERVICES	40.0	0.0			$160,696	$0	$14,150	Yes (X)
JOHN B KELLEHER
CIO	40.0	0.0			$132,138	$0	$3,368	Yes (X)
JOHN P STOUTENBURG MD
CANCER CTR PHYS	40.0	0.0			$615,787	$0	$16,227		Yes (X)
PATRICK ROWLEY MD
CARDIAC PHYSICIAN	40.0	0.0			$563,487	$0	$18,874		Yes (X)
SCOTT MUNRO MD
CARDIAC PHYSICIAN	40.0	0.0			$565,788	$0	$18,273		Yes (X)
John Layden MD
CARDIAC PHYSICIAN	40.0	0.0			$566,780	$0	$18,874		Yes (X)
IQBAL BASHIR MD
CARDIAC PHYSICIAN	40.0	0.0			$566,419	$0	$18,873		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,004,799	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$176,469	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	196	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
HUDSON HEADWATERS HEALTH NETWORK
9 CAREY RD	QUEENSBURY	NY	12804	MEDICAL SERVICES	$2,533,701
DCCS Consulting Services LLC
205 Hackney Circle	WILMINGTON	DE	19803	Mgt Consulting Serv	$1,281,994
LEADERS FOR TODAY
981 WORCESTER STREET	WELLESLEY	MA	02482	CONTRACT LABOR	$928,336
LAB CORP
PO Box 12141	BURLINGTON	NC	27216	Lab services	$739,219
Healogics Wound Care Services
3087 Momentum Place	CHICAGO	IL	60689	Wound care services	$645,563

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	26	CntrctRcvdGreaterThan100KCnt
Related Organizations	$421,965	RelatedOrganizationsAmt
Government Grants	$2,651,561	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$3,073,526	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$289,304,503	$289,304,503
HOSPITAL LAB SERVICES	621500	$931,605		$931,605
MEANINGFUL USE	900099	$4,043,195	$4,043,195
OUTPATIENT PHARMACY	900099	$2,710,211	$2,710,211
PHYSICIAN ANSWERING SERVICE	900099	$276,057	$251,564	$24,493

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,746,996	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,746,996	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$302,012,567	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,375,772	TotalRevenueColumnAmt
Exclusion	$1,375,772	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$19,148,426	SecuritiesAmt
Other	$6,166	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,897,879	SecuritiesAmt
Other	$31,216	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,250,547	SecuritiesAmt
Other	-$25,050	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,225,497	TotalRevenueColumnAmt
Exclusion	$3,225,497	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
GAIN ON INVESTMENT IN ISNENY	621990	$340,635	$340,635
INVESTMENT IN NO. COUNTRY EYE CENTER	900099	-$137,673	-$137,673
ALL OTHER REVENUE	900099	$1,058,021		$571,534	$486,487

Field	Value	IRS element (for citing)
Other Revenue Total	$1,260,983	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$310,948,345	TotalRevenueColumnAmt
Related Or Exempt Func Income	$301,259,431	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,527,632	UnrelatedBusinessRevenueAmt
Exclusion	$5,087,756	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$2,211,886	TotalAmt
Management And General	$2,211,886	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	$139,720,506	TotalAmt
Program Services	$120,410,926	ProgramServicesAmt
Management And General	$19,135,930	ManagementAndGeneralAmt
Fundraising	$173,650	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,623,504	TotalAmt
Program Services	$3,075,915	ProgramServicesAmt
Management And General	$543,153	ManagementAndGeneralAmt
Fundraising	$4,436	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,397,895	TotalAmt
Program Services	$14,841,152	ProgramServicesAmt
Management And General	$2,535,340	ManagementAndGeneralAmt
Fundraising	$21,403	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,453,407	TotalAmt
Program Services	$8,024,795	ProgramServicesAmt
Management And General	$1,417,039	ManagementAndGeneralAmt
Fundraising	$11,573	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,851,298	TotalAmt
Program Services	$1,398,334	ProgramServicesAmt
Management And General	$2,452,964	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$494,944	TotalAmt
Management And General	$494,944	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$232,031	TotalAmt
Program Services	$20,000	ProgramServicesAmt
Management And General	$197,081	ManagementAndGeneralAmt
Fundraising	$14,950	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$27,269	TotalAmt
Management And General	$27,269	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$23,146,966	TotalAmt
Program Services	$12,345,359	ProgramServicesAmt
Management And General	$10,746,273	ManagementAndGeneralAmt
Fundraising	$55,334	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$969,290	TotalAmt
Program Services	$23,788	ProgramServicesAmt
Management And General	$945,502	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,688,350	TotalAmt
Program Services	$63,178,490	ProgramServicesAmt
Management And General	$4,485,255	ManagementAndGeneralAmt
Fundraising	$24,605	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,251,883	TotalAmt
Program Services	$94,745	ProgramServicesAmt
Management And General	$5,157,138	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,328,885	TotalAmt
Program Services	$1,475,301	ProgramServicesAmt
Management And General	$2,853,584	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$289,640	TotalAmt
Program Services	$172,086	ProgramServicesAmt
Management And General	$117,554	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	$341,256	TotalAmt
Program Services	$225,302	ProgramServicesAmt
Management And General	$115,734	ManagementAndGeneralAmt
Fundraising	$220	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,431,122	TotalAmt
Program Services	$2,440,257	ProgramServicesAmt
Management And General	$990,865	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,162,248	TotalAmt
Program Services	$11,796,577	ProgramServicesAmt
Management And General	$2,365,671	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,395,470	TotalAmt
Program Services	$2,761,122	ProgramServicesAmt
Management And General	$634,348	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	OTHER EXPENSES	Desc
Total	$4,904,957	TotalAmt
Program Services	$2,025,232	ProgramServicesAmt
Management And General	$2,793,920	ManagementAndGeneralAmt
Fundraising	$85,805	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$304,922,807	TotalAmt
Program Services	$244,309,381	ProgramServicesAmt
Management And General	$60,221,450	ManagementAndGeneralAmt
Fundraising	$391,976	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,372,935	BOYAmt
EOY	$24,784,983	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,990,317	BOYAmt
EOY	$9,923,637	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,441,548	BOYAmt
EOY	$27,389,293	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$213,106	BOYAmt
EOY	$235,833	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,462,331	BOYAmt
EOY	$3,260,555	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,445,342	BOYAmt
EOY	$2,379,228	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$291,458,571	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$187,672,748	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$111,728,395	BOYAmt
EOY	$103,785,823	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$72,805,424	BOYAmt
EOY	$79,003,896	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,534,406	BOYAmt
EOY	$10,200,452	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$250,993,804	BOYAmt
EOY	$260,963,700	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,913,381	BOYAmt
EOY	$46,288,353	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,505,000	BOYAmt
EOY	$53,010,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,867,941	BOYAmt
EOY	$15,425,721	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,361,623	BOYAmt
EOY	$14,961,652	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$126,647,945	BOYAmt
EOY	$129,685,726	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$118,737,276	BOYAmt
EOY	$125,639,745	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,101,911	BOYAmt
EOY	$4,131,557	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,506,672	BOYAmt
EOY	$1,506,672	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,345,859	BOYAmt
EOY	$131,277,974	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$250,993,804	BOYAmt
EOY	$260,963,700	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,025,538	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$906,577	NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$27,269	OtherActivitiesAmt
Total Lobbying Expenditures	$27,269	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IIB, Line 1i	FormAndLineReferenceDesc
Explanation	IN 2014, GLENS FALLS HOSPITAL PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE HOSPITAL ASSOCIATION OF NEW YORK, A PORTION OF WHICH WENT TOWARDS LOBBYING EXPENSES, AS DETERMINED BY THE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,506,672	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$355,034	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,000	GrantsOrScholarshipsAmt
Other Expenditures	$53,115	OtherExpendituresAmt
Administrative Expenses	$285,919	AdministrativeExpensesAmt
End Year Balance	$1,506,672	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,506,672	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$284,363	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,810	GrantsOrScholarshipsAmt
Other Expenditures	$45,395	OtherExpendituresAmt
Administrative Expenses	$226,158	AdministrativeExpensesAmt
End Year Balance	$1,506,672	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,506,672	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$114,227	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,000	GrantsOrScholarshipsAmt
Other Expenditures	$20,545	OtherExpendituresAmt
Administrative Expenses	$81,682	AdministrativeExpensesAmt
End Year Balance	$1,506,672	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,506,672	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$44,224	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,900	GrantsOrScholarshipsAmt
Administrative Expenses	$27,324	AdministrativeExpensesAmt
End Year Balance	$1,506,672	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,506,672	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$90,709	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,000	GrantsOrScholarshipsAmt
Other Expenditures	$6,333	OtherExpendituresAmt
Administrative Expenses	$72,376	AdministrativeExpensesAmt
End Year Balance	$1,506,672	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,525,825	OtherCostOrOtherBasisAmt
Book Value	$7,525,825	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$165,708,996	OtherCostOrOtherBasisAmt
Depreciation	$95,589,906	DepreciationAmt
Book Value	$70,119,090	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,223,750	OtherCostOrOtherBasisAmt
Depreciation	$92,082,842	DepreciationAmt
Book Value	$26,140,908	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$103,785,823	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMP PAYABLE	$5,754,652
SELF INSURED LIABILITY RESERVE	$8,708,645
ASSET RETIREMENT OBLIGATION	$498,355

Field	Value	IRS element (for citing)
Total Liability	$14,961,652	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4	Permanently restricted net assets are investments to be held in perpetuity, the income from which is expendable to support the following: Dental Free Care 1,053,285 Indigent Care 148,927 Gen. Operating Expenses 169,975 Health Education 134,485 Total 1,506,672
Part X, Line 2	The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgement occurs. The hospital did not recognize the effect of any uncertain tax positions in 2014.
Part XI, Line 2d	Additional net actuarial loss on accrued post retirement benefit obligations $ (144,313) Net assets released from restrictions used for purchases of property & Equipment $ 2,010,527 Restricted gifts and distributions from GFH Foundation $ 2,333,131 Change in interest in net assets of GFH Foundation $ (25,695) Restricted gain income $ 164,839 Net assets released from restrictions $(2,432,492) Part XI Line 2d Total = $ 1,905,997

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	130.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	330.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	$2,844,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,824,386	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,020,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,870,954	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,890,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,980,252	NetCommunityBenefitExpnsAmt
Total Expense	0.04580	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,715,605	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,715,088	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,000,517	NetCommunityBenefitExpnsAmt
Total Expense	0.04910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,450,850	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,002,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$447,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$194,165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$194,165	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,425,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,348,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,212	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$131,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,106	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,028	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,367,807	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,376,314	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$991,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,083,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,091,402	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,992,011	NetCommunityBenefitExpnsAmt
Total Expense	0.05230	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,166	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,166	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$378,396	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$378,396	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$502,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$462,562	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$892,998	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,527,131	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$69,492,339	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$76,449,304	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,956,965	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	false	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Imaging Serv NENY
Diagnostic Radiology	0.50000	0.50000	0.50000
North Country Eye Ce
Eye center	0.30000	0.30000	0.30000

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	Glens Falls Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Park Street	AddressLine1Txt
City	Glens Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	glensfallshospital.org	WebsiteAddressTxt
State License	5601000H	StateLicenseNum
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Glens Falls Hospital	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	GLENSFALLSHOSPITAL.ORG/SERVICES/HEALTH-	OwnWebsiteURLTxt
Other Website URL	PROMOTION-CENTER.CFM	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	GLENSFALLSHOSPITAL.ORG/SERVICES/HEALTHPROMOTI	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	130.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	330.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V LINE 5

In 2013-2014, GFH WORKED WITH THE ADIRONDACK REGIONAL HEALTH NETWORK (ARHN) TO CONDUCT A SURVEY OF STAKEHOLDERS REPRESENTING HEALTH CARE AND SERVICE PROVIDING AGENCIES WITHIN THE EIGHT COUNTY REGION. THE RESULTS OF THE SURVEY PROVIDE AN OVERVIEW OF REGIONAL HEALTH NEEDS AND PRIORITIES, AND INFORM FUTURE PLANNING AND THE DEVELOPMENT OF A REGIONAL HEALTH CARE AGENDA. THE SURVEY RESULTS WERE PRESENTED AT BOTH THE COUNTY AND REGIONAL LEVELS. RESPONDENTS OF THE SURVEY REPRESENT A WIDE RANGE OF ORGANIZATIONS FROM HEALTH PROVIDERS, PLANNED PARENTHOOD, WIC PROGRAMS, YMCA, FAMILY COUNSELING, NURSING HOMES, SCHOOLS, SENIOR CITIZENS, COUNTY HEALTH OFFICES, MENTAL HEALTH PROVIDERS AND MANY MORE. ARHN provides guidance and technical assistance to the Community Health Planning Committee (CHPC), a regional forum for hospitals, county health departments and community partners, who provide oversight of planning and assessment activities. The group is further comprised of subcommittees developed to address areas specific to hospital, public health and data-specific requirements. Regular meetings of each subcommittee and the full CHPC have resulted in a systematic approach to community health planning and the development of regional and local strategies to address health care priorities.

PART V LINE 11

GLENS FALLS HOSPITAL ADDRESSES THE HIGHEST NEEDS OF THE COMMUNITIES SERVED BASED ON RESOURCES AVAILABLE TO THE HOSPITAL. WE ARE CONTINUALLY EXPLORING PARTNERSHIPS TO MEET ADDITIONAL NEEDS AND TO PROVIDE PATIENTS INCREASE ACCESS TO HEALTH SERVICES. WE ARE CURRENTLY WORKING TO REASSESS THE BEHAVORIAL HEALTH SERVICE LINE TO ENSURE LONG TERM SUSTAINABILITY AND MAXIMUM CAPACITY. WE ARE ADDRESSING SOME OF THE NEEDS THROUGH THE MEDICAID HEALTH HOME INITIATIVE AND THE INTEGRATED BEHAVORIAL HEALTH IN PRIMARY CARE INITIATIVE. THROUGH THE CREATION OF THE MEDICAL STAFF DEVELOPMENT PLAN, GFH WILL ENSURE ADEQUATE RESOURCES FOR OBSTETRICS AND PEDIATRICS THROUGH AN EMPHASIS ON THE UTILIZATION OF MID-LEVEL PROVIDERS AND ADVANCED PRACTICED NURSES. UNFORTUNATELY, GLENS FALLS HOSPITAL IS UNABLE TO ADDRESS ALL OF THE IDENTIFIED NEEDS OF THE COMMUNITIES WE SERVE. IT WOULD NOT BE PRUDENT TO SPREAD HOSPITAL AND COMMUNITY RESOURCES ACROSS TOO MANY INITIATIVES. GLENS FALLS HOSPITAL WILL NOT BE DIRECTLY ADDRESSING ALL THE NEEDS IN REGARDS TO BEHAVORIAL HEALTH AND SUBSTANCE ABUSE. GLENS FALLS HOSPITAL IS NOT EXPLICITLY ADDRESSING THE PRIORITY AREA OF PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN, BUT IS CONTINUOUSLY WORKING TO SUPPORT THE NEEDS OF THESE PATIENTS. WITH RESPECT TO THE PRIORITY AREA PROMOTE A HEALTHY AND SAFE ENVIRONMENT, THE MAJORITY OF THESE FOCUS AREAS ARE BEYOND THE CAPACITY AND SCOPE OF THE EXPERTISE OF GFH AND THE HEALTHCARE SECTOR. EFFORTS TO ADDRESS THESE AREAS ARE BETTER LEAD BY POLICY MAKERS AND OTHER COMMUNITY STAKEHOLDERS THROUGH COLLABORATION AND SUPPORT OF THE HEALTHCARE SECTOR. GFH WILL CONTINUE TO SUPPORT THE COUNTIES AS THE PUBLIC HEALTH DEPARTMENTS DEVELOP AND MAINTAIN RELEVANT PROGRAMS FOR THESE FOCUS AREAS.

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
Advanced Imaging at Baybrook
22 Willowbrook Road	Queensbury	NY	12804	Hosp. Extension Clinic - Diagnostic OP Radiology CT Scanner
Behavioral Health ServicesRidge Commons
1 Lawrence Street	Glens Falls	NY	12801	Hosp. Extension Clinic - O/P Mental Health Services
Cambridge Family Health Clinic
35 Gilbert Street	Cambridge	NY	12816	Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, MHU, PT
Center for Recovery
101 Ridge Street	Glens Falls	NY	12801	Hosp. Extension Clinic - Chemical dependence, O/P Rehab
Evergreen Health Center
Evergreen Plaza 13 Palmer Avenue	Corinth	NY	12822	Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, PT
Fort Edward Family Medicine
327 Broadway	Fort Edward	NY	12828	HOsp. Extension Clinic - Primary Medical Care O/P
GFH Outpatient Renal Dialysis Center
3 Broad Street	Glens Falls	NY	12801	HOsp. Extension Clinic - O/P Renal Dialysis, Home Dialysis training
GFH Sleep Lab
92 Broad Street	Glens Falls	NY	12801	Hosp. Extension Clinic - Primary Medical Care, Sleep studies
GFH Broad Street Campus
2 Broad Street	Glens Falls	NY	12801	HOsp. Extension Clinic - Primary Medical Care
GFH Cardiac Rehab
6 Hearts Way	Queensbury	NY	12804	Hosp. Extension Clinic - Cardiac Rehab
GRANVILLE HEALTH CENTER
79 North Street	Granville	NY	12832	Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, Lab, PT
Greenwich Family Health Center
1112 County Rt 29	Greenwich	NY	12834	Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, PT
Hoosick Falls Family Health Center
16 Danforth Street	Hoosick Falls	NY	12090	HOsp. Extension Clinic - Primary Medical Care, O/P Radiology, PT
Hudson Falls Internal Medicine
325 Main Street	Hudson Falls	NY	12839	Hosp. Extension Clinic - Primary Medical Care
Main Street Physical Therapy
17 Main Street	Glens Falls	NY	12801	Hosp. Extension Clinic - Physical Therapy O/P
Mobile Pediatric Dental Van
100 Park Street	Glens Falls	NY	12801	Hosp. Extension Clinic - O/P Dental Services
Salem Family Health Center
213 Main Street	Salem	NY	12865	Hosp. Extension Clinic - Primary Medical Care, O/P Physical Therapy
The Center for Recovery
340 Main Street	Glens Falls	NY	12801	Hosp. Extension Clinic - Chemical dependency O/P Rehab
THE MEDICAL CENTER AT WILTON
135 North Road	Gansevoort	NY	12831	Hosp. Extension Clinic - PRIMARY MEDICAL CARE, O/P RADIOLOGY, LAB, PT
THE REHAB CENTER & HEARING CENTER
2 Country Club Rd	Queensbury	NY	12804	Hosp. Extension Clinic - PT, OT, Speech, Audiology
Whitehall Health Center
65 Poultney Street	Whitehall	NY	12887	Hosp. Extension Clinic - Primary Medical Care, O/P Radiology, Rehab
Wilton Health Center
11 Carpenter Lane	Wilton	NY	12866	HOsp. Extension Clinic - Primary Medical Care, Lab Services
Stuart M Townsend Middle School
27 Hyland Drive	Lake Luzerne	NY	12846	School Based HOsp. Ext.Clinic- Health Ed, Immunology, Screenings
Whitehall Elementary School
Buckley Road	Whitehall	NY	12887	School Based HOsp. Ext.Clinic- Health Ed, Immunology, Screenings

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part 1, Line 6a	GLENS FALLS HOSPITAL PROVIDES AN ANNUAL REPORT TO THE COMMUNITY WHICH INCLUDES A COMPREHENSIVE OVERVIEW OF OUR COMMUNITY BENEFIT PROGRAM DESCRIPTIONS. The report is mailed to donors, Board Members and members of the community. In addition, hard copies of the report are available at the Glens Falls Hospital Foundation office and at various locations throughout the community.
Part 1, Line 7	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS A COST-TO-CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TOCHARGES.
Part II, Community Building Activities	Glens Falls Hospital regularly assesses the makeup of the region's physician population, paying particular attention to physicians who may be approaching retirement age and specialties that may have a physiCian shortage due to retirement or relocation. To insure that there is never a shortage of physicians across all specialties the Hospital now employs a physician recruiter. The position actilvely recruits for vacancies and shortages among hospital employed physicians, and partners with independent practices to help them keep a full complement of physicians across specialties. The Hospital also monitors and actively engages in preventing the spread of infectious disease through school based health and the Hospital's infection control program. This includes vaccinations for children, and access to flu vaccines for the residents of our service area, (free or at a significantly reduced cost), including an annual HPODS drill. The Hospital meets regularly with community groups in planning for emergency preparedness. Coordinating with police depts, fire departments, EMS and county officials. Emergency drills are carried out for such things as natural disasters, terrorism, accidents with mass casualties and bio hazards. Community members play an active roll in these drills.
Part III, Section A, Line 2	Glens Falls Hospital considers 100% of the amount reported in Part III, line 2 & 3 a community benefit. Glens Falls Hospital is the only comprehensive acute-care hospital serving a predominately rural, 3,000-square mile area of upstate New York that encompasses Warren, Washington, Hamilton, Essex and northern Saratoga counties. In a very real sense, it is the safety-net hospital for the patients in these communities. THE HOSPITAL PROVIDES SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GRANTS CREDIT TO ALL PATIENTS REGARDLESS OF CREDITWORTHINESS AND WITHOUT COLLATERAL. WHILE THE HOSPITAL PRUSUES COLLECTIONS OF AMOUNTS OWED INCLUDING THE USE OF COLLECTION AGENCIES, IT DOES SO IN A MANNER THAT IS RESPECTFUL OF THE NEEDS OF OUR PATIENTS, IN ADHERENCE WITH ALL APPLICABLE LAWS AND IS REFLECTIVE OF OUR VALUES AND PUBLIC MISSION. WE ENTERTAIN REASONABLE SETTLEMENT OFFERS, INCLUDING PROVIDING DISCOUNTS FOR PAYMENT AND OFFERING PAYMENT PLANS WHERE WE ACCEPT REASONABLE MONTHLY INSTALLMENTS BASED ON THE INDIVIDUAL'S MEANS. LITIGATION IS COMMENCED SELECTIVELY AND ONLY AS A LAST RESORT. APPROXIMATELY 60% OF THE AMOUNTS WRITTEN OFF AS BAD DEBT ARE FOR PATIENTS WHO HAVE NO INSURANCE COVERAGE FOR THE SERVICES PROVIDED. THE HOSPITAL APPROVES 98% OF APPLICATIONS IT RECIEVES FOR PATIENT ASSISTANCE. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINE 2 IS AS FOLLOWS. GROSS BAD DEBT PER THE GENERAL LEDGER IS MULTIPLIED BY THE RATIO OF COST TO CHARGES TO GET AN ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS. EXPECTED POOL PAYMENTS ARE ADDED TO THIS RESULT TO GET A TOTAL COMMUNITY BENEFIT. THIS ESTIMATED COMMUNITY BENEFIT IS REDUCED BY RECOVERIES, REVENUE FROM UNCOMPENSATED CARE POOLS AND MEDICARE BAD DEBT REIMBURSEMENT TO ARRIVE AT A NET COMMUNITY BENEFIT REPORTABLE ON LINE 2. PART III, SECTION A, LINE 3 A LARGE PORTION OF PATIENT ACCOUNT BALANCES THAT END UP AS BAD DEBT WOULD LIKELY QUALIFY FOR BENEFITS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, BUT NOT ALL PATIENTS TAKE THE OPPORTUNITY TO APPLY FOR SUCH BENEFITS OR SUPPLY DOCUMENTATION ALLOWING US TO ASSESS THEIR ABILITY TO QUALIFY. AN ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS ARRIVED AT BY TAKING TOTAL CHARITY CARE CHARGES FROM THE ICR, REDUCED BY THE FREE CARE ALLOWANCE ON THE ICR. THIS RESULT IS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE NET RESULT IS FURTHER REDUCED BY PAYMENTS FOR UNCOMPENSATED CARE PARTIAL PAYMENTS BY PATIENTS APPROVED FOR CHARITY CARE.
Part III, Section A, Line 4	FOOTNOTE G OF THE AUDITED FINANCIAL STATEMENTS STATES THAT THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS PATIENT FINANCIAL ASSISTANCE PROGRAM WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE COST OF CHARITY CARE WAS DETERMINE BASED ON THE APPLICATION OF A RATIO OF OVERALL HOSPITAL COSTS TO PATIENT CHARGES. THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS.
Part III, Section B, Lines 5,6,7	In addition to the amount included in the Medicare Cost Report and reported on lines 5,6 & 7, the hospital incurred losses on services provided to Medicare patients and paid for under the Part B fee schedule and not reportable on the Medicare Cost Report. A complete reconciliation of amounts reportable in Section B. Total revenues included on the Medicare Cost Report, reported on line 5 $69,492,339 Total revenues from Medicare Part B services, not reported on line 5 $1,117,527 ---------------------------------------------------------------- Total revenues for Medicare services $70,609,866 Total costs included on the Medicare Cost report, reported on line 6 $76,449,304 Total costs from Medicare Part B services, not reported on line 6 $ 1,423,299 ----------------------------------------------------------------- Total costs from Medicare services $ 77,872,603 Total (shortfall) included on the Medicare Cost Report, reported on line 7 $ 6,956,965 Total (shortfall) from Medicare Part B services, not reported on line 7 $ 305,772 ------------------------------------------------------------------ Total (Shortfall) for Medicare services $ 7,262,737
Part III, Line 8	The costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected on line 6, is the methodology prescribed by Medicare in the completion for Form CMS-2552-96 and conforms to the requirements and principals set forth in 42 CFR, Part 412, 42 CFR, Part 413 and in the Provider Reimbursement manual, Part 1. GLENS FALLS HOSPITAL CONSIDERS 100% OF THE AMOUNT REPORTED IN PART III, LINE 7 A COMMUNITY BENEFIT. GLENS FALLS HOSPITAL IS THE ONLY COMPREHENSIVE ACUTE-CARE HOSPITAL SERVING A PREDOMINATELY RURAL, 3,000 SQUARE MILE AREA OF UPSTATE NEW YORK THAT ENCOMPASSES WARREN, WASHINGTON, HAMILTON, ESSEX AND NORTHERN SARATOGA COUNTIES. IN A VERY REAL SENSE, IT IS THE SAFETY NET HOSPITAL FOR THE MEDICARE PATIENTS IN THESE COMMUNITIES. DESPITE THE FACT THAT THE PAYMENTS RECEIVED FROM MEDICARE FOR THE SERVICES PROVIDED ARE GENERALLY BELOW THE RATES THAT THE HOSPITAL RECEIVES FROM MANAGED CARE PAYERS AND PRIVATE INSURERS THE HOSPITAL REMAINS COMMITTED TO SERVING ELDERLY PATIENTS AND IMPROVING THE HEALTH STATUS OF THE ELDERLY. Part III, Section C, Line 9b It is Glens Falls Hospital policy to delay final collections efforts while a patient financial assistance application is in process. A final determination is required before outside collection efforts are initiated. Part V, Line 22d The hospital determined in 2014 the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care based on the amounts paid by the hospital's highest volume contracted payor.
Part VI, Line 2	Glens Falls Hospital completes a NY State Department of Health required Community Needs Assessment in partnership with the Public Health Departments of the counties we serve (Warren, Washington, Hamilton, Essex, and Saratoga)and the NYS Department of Health. This assessment is available via PDF (http://www.arhn.org/regional-health-assessment.php), through the county public health department.
Part VI, Line 3	Patient education of eligibility for assistance - Brochures are given at the point of service. All patient's statements advertise charity care programs. Customer Service reps are trained to outline and encourage participation in the program. Vender Medicaid eligibility process includes charity care screening step for all inpatient and outpatient. Website contains information on charity care programs and web portal gives the ability to complete an online application.
Part VI, Line 4	Community information - The Glens Falls Hospital healthcare system serves a large area of upstate New York that includes all or portions of the following counties: Warren, Washington, Hamilton, Essex and Northern Saratoga. The service area covers approximately 400,000 people; the population is largely white, non-Hispanic (93.5%). Approximately 40% of the female population is of child-bearing age. People over the age of 65 constitute 13.9% of the population; children under the age of 15 make up 16.8% of the population. The average household income is $67,708, essentially equal to the national average of $67,918. One in four people has obtained a Bachelor's degree or higher level of education (25.7%). By 2015 the population of this area is expected to grow by 3.4%. Two age groups that will see the greatest growth are people aged 55 to 65 years and older. It is estimated that these two segments of the population together will constitute 29.1 % of the total population by 2015.
Part VI, Line 5	PROMOTION OF COMMUNITY HEALTH GFH IS GOVERNED BY AN 15 MEMBER BOARD OF GOVERNORS, ALL OF WHOM LIVE IN THE HOSPITAL'S SERVICE AREA. ANY AND ALL PHYSICIANS LIVING IN THE SERVICE AREA WHO ARE QUALIFIED, AND WHO MEET REQUIREMENTS AS DOCUMENTED IN THE MEDICAL STAFF BYLAWS, ARE EXTENDED PRIVILEGES. FUND IN EXCESS OF EXPENSES ARE ALLOCATED FOR CAPITAL PROJECTS, MEDICAL RESEARCH AND CLINICAL TRIALS, PATIENT CARE IMPROVEMENTS AND SYSTEM IMPROVEMENTS. CAPITAL PROJECTS ARE PRIORITIZED BY AN INTERDISCIPLINARY COMMITTEE, CONSISTING OF PHYSICIAN FROM DIFFERENT SPECIALTIES, AS WELL AS HOSPITAL MANAGEMENT.
Part VI, Line 7	STATE IN WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT NEW YORK STATE

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	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIANNE SHUGRUE
PRESIDENT/CEO	$423,584	$0	$0	$0	$1,806	$0	$10,123	$0	$719	$0	$436,232	$0	$0	$0
JOHN P STOUTENBURG MD
CANCER CTR PHYS	$592,890	$0	$22,448	$0	$449	$0	$10,400	$0	$5,827	$0	$632,014	$0	$0	$0
PATRICK ROWLEY MD
CARDIAC PHYSICIAN	$386,406	$0	$176,451	$0	$630	$0	$10,400	$0	$8,474	$0	$582,361	$0	$0	$0
SCOTT MUNRO MD
CARDIAC PHYSICIAN	$386,317	$0	$178,841	$0	$630	$0	$9,799	$0	$8,474	$0	$584,061	$0	$0	$0
John Layden MD
CARDIAC PHYSICIAN	$386,317	$0	$178,235	$0	$2,228	$0	$10,400	$0	$8,474	$0	$585,654	$0	$0	$0
IQBAL BASHIR MD
CARDIAC PHYSICIAN	$386,317	$0	$179,682	$0	$420	$0	$10,400	$0	$8,473	$0	$585,292	$0	$0	$0
MITCH AMADO
CFO	$274,274	$0	$6,000	$0	$5,734	$0	$0	$0	$5,587	$0	$291,595	$0	$0	$0
PAUL SCIMECA
SR VP STRAT. PLANNING	$241,992	$0	$0	$0	$1,782	$0	$10,006	$0	$7,343	$0	$261,123	$0	$0	$0
MARK HOLTZ
SR VP OPERATIONS	$203,977	$0	$0	$0	$24,689	$0	$10,006	$0	$4,980	$0	$243,652	$0	$0	$0
KYLE BROCK
VP HUMAN RESOURCES	$210,000	$0	$20,000	$0	$0	$0	$0	$0	$378	$0	$230,378	$0	$0	$0
ROBERT PRINGLE MD
VP MED AFFAIRS & CO	$208,646	$0	$0	$0	$3,898	$0	$7,805	$0	$2,683	$0	$223,032	$0	$0	$0
DONNA KIRKER
VP PATIENT SERVICES	$206,664	$0	$0	$0	$658	$0	$7,647	$0	$553	$0	$215,522	$0	$0	$0
ED HANCHETT
VP CLINICAL SERVICES	$159,283	$0	$0	$0	$1,413	$0	$6,600	$0	$7,550	$0	$174,846	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part 1, Line 4a	In 2014 Mark Holtz recieved a severance payment of $ 11,538.
Part 1, Line 7	Physicians are eligible and did receive additional compensation through participation in an incentive program that addressed quality, patient satisfaction and their personal productivity.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Warren Washington Cty IDA Series A
A	144085209	934651AS9	2003-10-16	$35,871,377	Hospital expansion & equipment	false	false	false
Warren Washington Cty IDA series B
B	144085209	934651AZ3	2003-10-16	$20,038,436	Hospital expansion & equipment	false	false	false
Warren Washington Cty IDA series C
C	144085209	934651BR0	2003-10-16	$12,393,178	Hospital expansion & equipment	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,895,000	$0	$36,992,048	$2,415,978	$0	$0	$717,418	$3,527,563	$0	$29,715,852	$0	$0	2005	false	false	Yes (true)	Yes (true)
B	$6,415,000	$0	$20,605,878	$1,480,800	$0	$0	$400,770	$1,856,320	$0	$16,454,529	$0	$0	2005	false	false	Yes (true)	Yes (true)
C	$4,315,000	$0	$12,712,855	$775,700	$0	$0	$247,684	$972,412	$0	$10,500,082	$0	$0	2005	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part v	FormAndLineReferenceDesc
Explanation	During Sept 2003, the counties of warren and washington industrial development agency (issuer) issued civic facility revenue bonds. series A 2003 $36,200,000; Series B, 2003, $20,000,000; and series c 2003, $12,435,000 for the purpose of financing the hospital's expansion and renovation construction of the northwest tower, refinancing the hospital's series 1975 and 1979 bonds issued by the dormitory authority of the state of new york, fund a debt services reserve and provided the funding for the financing expenses. The final maturity date is 12/01/35. The remaining balances of the bonds that were refinanced from the dormitory authority were $5,387,352. PART IV, LINE 2C The rebate computation was performed of 10/16/14.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Michael Clarke
Board chairman	$368,664	Loan from GFNB	false
Thomas J Murphy
Director	$368,664	Loan from GFNB	false
James E Cullum
Director	$323,075	Attorney	false
John C Bieniek
Director	$958,852	Insurance Broker	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	mICHAEL cLARKE IS THE CHAIRMAN FOR THE gLENS FALLS HOSPITAL BOARD, WHO	FormAndLineReferenceDesc
Explanation	IS ALSO ON THE BOARD OF ARROW FINANCIAL GROUP, WHICH IS THE PARENT OF GLENS FALLS NATIONAL BANK. The Hospital did independent due diligence in selecting the financial institution that provided the most competitive rates. Thomas Murphy is a director on the Glens Falls Hospital Board who is also President of Glens Falls National Bank. Glens Falls Hospital has a business relationship with Glens Falls National Bank. The Hospital did independent due diligence in selecting the financial institution that provided the most competitive rates. John C. Bieniek is a director on the Glens Falls Hospital Board who is a V/P and partner at Cool Insuring Agency. The Hospital engages the Cool Insuring Agency for many of its business related insurance needs. James Cullum is a Director of the Glens Falls Hospital Board. Mr. Cullum is a partner with the law firm McPhillips, Fitzgerald & Cullum. Glens Falls Hospital engages McPhillips, Fitzgerald & Cullum for malpractice litigation. All of Glens Falls Hospital Board members are required to sign a conflict of interest policy, to ensure that the Hospital operates in a manner consistent with its charitable purposes. Activities, arrangements and services are the result of arms length bargaining reflecting reasonable payments for goods and services. Board bylaws stipulate that board members recuse themselves regarding any subject that pertains to a potential conflict of interest.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Glens Falls Hospital	Part I, Line 1 & Part III, Line 1 Glens Falls Hospital is an acute care facility and is the largest hospital between Albany and Montreal. It serves 6 counties and operates 24 regional care facilities. We have more than 225 affiliated, board certified physicians, ranging from primary care to surgical specialties. Glens Falls Hospital provides access to primary care and preventative health education and outreach activiites, services offered to the community for free or reduced costs including patient financial assistance and charity care. The mission of Glens Falls Hospital is to improve the health of the people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting. Our fundamental values are C.A.R.E.S. Collaboration, Accountability, Respect, Excellence and Safety.
Part VI, Section A, Line 9	Mark Holtz, c/o Waterbury Hospital, 64 Robbins St, Waterbury, CT 06721.
Part VI, Section A, Line 11	A copy of Form 990 was given to the Hospital's audit and compliance committee to review and comment on at their regular meeting. The form was approved by the committee and filed on a timely basis. The form was also given to the CFO, the Controller, and the Assistant Controller to review and comment on. In addition, the form was reviewed by an independent accountant, KPMG, to make sure it was filled out completely and accurately.
Part VI, Section B, Line 12b	Each director, principal officer and member of a committee with board delegated powers shall annually sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy and d) understands that the corporation is a charitable organization and that in order to maintain its Federal exemption it must engage primarily in activities which accomplish one or more of its tax exempt purposes. To ensure that the corporation operates in a manner consistent with its charitable purposes and that it does not engage in activiites that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. Reviews shall include the following subjects: A) whether compensation arrangements and benefits are reasonable and are the result of arm's length bargaining. B) whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. C) whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further the corporation's charitable purposes and do not result in inurement or impermissible private benefit. In conducting reviews, the corporation may use outside advisors.
Part VI, Section B, Line 15b	Glens Falls Hospital is committed to developing and maintaining a total compensation program that is competitive with programs offered by other health care organizations that are comparable to Glens Falls Hospital in revenue, structure, mission and scope of services. The compensation philosophy includes: base salary ranges positioned in the 50th percentile of a national and regional peer group, annual incentive opportunities tied to performance goals established by the Board, benefits delivered in the 50th percentile of a national peer group and total compensation positioned at approximately the 50th percentile for expected performance and somewhat above that for exceptional performance. Executive pay is reviewed annually by a third party consultant. This review includes comparison of Glens Falls Hospital executive pay practices with national and regional benchmark studies as appropriate. The consultant is engaged directly by the Glens Falls Hospital Board of Governors and reports their findings to the Board Personnel Committee for review and action.
Part IV, Section C, Line 19	The organization makes its governing documents, conflicts of interest policy and financial statements available upon request.
Part XI, Line 5	Unrestricted Net Assets: Net assets released from restrictions 2,010,527 Net actuarial (loss) on accrued post retirement benefits (144,313) Temporary Restricted Net Assets: Restricted gifts & distributions from GFH Foundation 2,333,131 Change in interest in net assets of GFH Foundation (25,695) Restricted income 164,839 Net Assets released from restrictions (2,432,492) Change in unrealized (losses) on investments (10,137) Net change in unrealized losses on trading investments (989,283) ---------------- Total 906,577

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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
Glens Falls Hopital Foundation
100 Park Street	Glens Falls	NY	12801	141790805	Support Org	NY	501(c)(3)	11,Type III	NA	false
Adirondack Health Services Inc
100 Park Street	Glens Falls	NY	12801	141667492	Parent Org.	NY	501(c)(3)	11, Type I	NA	false
McGregor Realty Corporation
100 Park Street	Glens Falls	NY	12801	141560380	Property rent	NY	501(c)(2)		GFH	Yes (true)
Greater Adirondack Home Aides
100 Park Street	Glens Falls	NY	12801	141491972	Home Health	NY	501(c)(3)	7	NA	false
Lower Adirondack Wilderness Rescue
100 Park Street	Glens Falls	NY	12801	542082693	Wildrnes res.	NY	501(c)(3)	7	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Imag Svc of NENY
100 Park Street	Glens Falls	NY	12801	141820955	Diag. radiology	NY	NA	RELATED	$363,021	$139,043	false	$0	false	0.50000
No Country Eye Ctr
465B Maple Ave	Saratoga	NY	128665531	453715451	Eye Center	NY	NA	RELATED	-$35,706	-$150,879	false	$0	false	0.30000

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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
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	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
McGregor Realty
k	$28,500	Check Register
McGregor Realty
l	$43,200	Financial Stats