COLUMBIA MEMORIAL HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA MEMORIAL HOSPITAL (EIN 14-1338373)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201523169349302917
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-12T04:51:52-00:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141338373 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Columbia Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CMH Finance Department | InCareOfNm |
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 5188287601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jay P Cahalan | PersonNm |
| Person Title | President CEO | PersonTitleTxt |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jay P Cahalan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $162,364,763 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.columbiamemorial.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1727 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $829,773 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $200,199 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,922,272 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,444,569 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $151,311,567 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $156,323,411 | CYProgramServiceRevenueAmt |
| PY Investment Income | $738,775 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,033,553 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,179,510 | PYOtherRevenueAmt |
| CY Other Revenue | $605,350 | CYOtherRevenueAmt |
| PY Total Revenue | $158,152,124 | PYTotalRevenueAmt |
| CY Total Revenue | $161,406,883 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $91,198,163 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $95,266,921 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $63,097,212 | PYOtherExpensesAmt |
| CY Other Expenses | $63,726,826 | CYOtherExpensesAmt |
| PY Total Expenses | $154,295,375 | PYTotalExpensesAmt |
| CY Total Expenses | $158,993,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,856,749 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,413,136 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $95,179,096 | TotalAssetsBOYAmt |
| Total Assets EOY | $94,739,846 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $66,137,064 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $67,436,263 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,042,032 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,303,583 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $40,506,742 | ExpenseAmt |
| Revenue | $44,098,303 | RevenueAmt |
| Desc | Acute Inpatient Hospital services 31,630 patient days. Hospital Emergency Medical Care available to all 31,047 visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $85,746,231 | ExpenseAmt |
| Revenue | $93,452,805 | RevenueAmt |
| Desc | Outpatient Surgery Outreach Clinics spanning 3 Counties. 436,887 visits | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,516,715 | ExpenseAmt |
| Revenue | $8,195,267 | RevenueAmt |
| Desc | Our Nursing Home provides skilled care resident rehabilitative services. 34,441 patient days | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $5,428,739 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,961,697 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $139,198,427 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | Yes (true) | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | 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 | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 110 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1727 | 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 | Yes (true) | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Columbia Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5188287601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Mary Gail Biebel | |||||||||
| Chair | 008.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Aven Kerr | |||||||||
| Vice-Chair | 008.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| James Lapenn | |||||||||
| Treasurer | 008.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| V Richard Back MD | |||||||||
| Secretary | 008.00 | Yes (X) | Yes (X) | $163,804 | $0 | $0 | |||
| Clara Kellner | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Donald Gibson | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Winnie Thorn | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Reynolds | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Marie Ostoyich RN | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Patti Matheney | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Molly Poleto | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kirk Kneller | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| Marian Krauskopf | |||||||||
| Trustee | 008.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Mathews MD | |||||||||
| Trustee | 040.00 | Yes (X) | $405,402 | $0 | $0 | ||||
| Hiral Amin MD | |||||||||
| Trustee | 040.00 | Yes (X) | $422,561 | $0 | $0 | ||||
| Jay P Cahalan | |||||||||
| Pres. CEO | 040.00 | Yes (X) | Yes (X) | $473,159 | $0 | $0 | |||
| Karen Tassey | |||||||||
| COO | 040.00 | Yes (X) | $251,148 | $0 | $0 | ||||
| Vincent J Dingman III | |||||||||
| CFO | 040.00 | Yes (X) | $281,119 | $0 | $0 | ||||
| Leitha Pierro | |||||||||
| VP-Patient Clin. Oper. | 040.00 | $196,376 | $0 | $0 | Yes (X) | ||||
| Christopher Gorczynski MD | |||||||||
| Physician | 040.00 | $690,057 | $0 | $0 | Yes (X) | ||||
| Louis DiGiovanni MD | |||||||||
| Physician | 040.00 | $591,678 | $0 | $0 | Yes (X) | ||||
| Ersno Eromo MD | |||||||||
| Physician | 040.00 | $595,063 | $0 | $0 | Yes (X) | ||||
| Andrew Packard MD | |||||||||
| Physician | 040.00 | $518,076 | $0 | $0 | Yes (X) | ||||
| Monoj Subudhi MD | |||||||||
| Physician | 040.00 | $492,592 | $0 | $0 | Yes (X) | ||||
| Jane Ehrlich | |||||||||
| Past Pres. CEO | $1,123,322 | $0 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,204,357 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 116 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| AOW Associates Inc | |||||
| 30 Essex Street | Albany | NY | 12206 | Contractor | $1,740,272 |
| LabCorp | |||||
| PO Box 12140 | Burlington | NC | 27216 | Laboratory | $1,466,479 |
| Dennis Marcus MD PC | |||||
| PO Box 797 | Valatie | NY | 12184 | Psychiatric Services | $1,049,212 |
| Pain Management of Upstate NY | |||||
| 44 Capricorn Lane | Delmar | NY | 12054 | Medical Services | $959,699 |
| Emergency Medical Association of NY | |||||
| 3 Century Drive | Parsippany | NJ | 07054 | Medical Services | $948,684 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 45 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $890,033 | RelatedOrganizationsAmt |
| Government Grants | $665,253 | GovernmentGrantsAmt |
| All Other Contributions | $1,889,283 | AllOtherContributionsAmt |
| Total Contributions | $3,444,569 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| I/P O/P Svcs.- Medicare/Medicaid Paymts | 900099 | $94,792,963 | $94,792,963 |
| I/P O/P Services - Other Direct Payments | 900099 | $55,073,221 | $55,073,221 |
| Other Government Payments | 900099 | $6,457,227 | $6,457,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $156,323,411 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $593,520 | TotalRevenueColumnAmt |
| Exclusion | $593,520 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,397,513 | SecuritiesAmt |
| Other | $400 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $957,880 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $439,633 | SecuritiesAmt |
| Other | $400 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $440,033 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Form 990-T Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $829,773 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $829,773 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $605,350 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $161,406,883 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $156,098,988 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $829,773 | UnrelatedBusinessRevenueAmt |
| Exclusion | $593,520 | 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 | $6,204,357 | TotalAmt |
| Program Services | $3,879,233 | ProgramServicesAmt |
| Management And General | $2,325,124 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,297,322 | TotalAmt |
| Program Services | $67,458,841 | ProgramServicesAmt |
| Management And General | $5,838,481 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,472,443 | TotalAmt |
| Program Services | $1,453,573 | ProgramServicesAmt |
| Management And General | $18,870 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,147,764 | TotalAmt |
| Program Services | $8,364,655 | ProgramServicesAmt |
| Management And General | $783,109 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,145,035 | TotalAmt |
| Program Services | $4,704,586 | ProgramServicesAmt |
| Management And General | $440,449 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,130 | TotalAmt |
| Program Services | $48,885 | ProgramServicesAmt |
| Management And General | $615,245 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,000 | TotalAmt |
| Management And General | $147,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,663,968 | TotalAmt |
| Program Services | $12,429,765 | ProgramServicesAmt |
| Management And General | $2,234,203 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,335 | TotalAmt |
| Program Services | $4,300 | ProgramServicesAmt |
| Management And General | $491,035 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,476,192 | TotalAmt |
| Program Services | $19,398,135 | ProgramServicesAmt |
| Management And General | $1,078,057 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,300,146 | TotalAmt |
| Program Services | $851,415 | ProgramServicesAmt |
| Management And General | $448,731 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,500,093 | TotalAmt |
| Program Services | $3,696,782 | ProgramServicesAmt |
| Management And General | $803,311 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,165 | TotalAmt |
| Program Services | $35,299 | ProgramServicesAmt |
| Management And General | $96,866 | 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 | $120,631 | TotalAmt |
| Program Services | $2,532 | ProgramServicesAmt |
| Management And General | $118,099 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,395,696 | TotalAmt |
| Management And General | $1,395,696 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,283 | TotalAmt |
| Program Services | $1,682 | ProgramServicesAmt |
| Management And General | $33,601 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,314,198 | TotalAmt |
| Program Services | $5,207,643 | ProgramServicesAmt |
| Management And General | $2,106,555 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,776,699 | TotalAmt |
| Program Services | $2,682,229 | ProgramServicesAmt |
| Management And General | $94,470 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Maintenance | $2,749,521 | $2,375,983 | $373,538 |
| Miscellaneous | $458,803 | $105,923 | $352,880 |
| Provision for Bad Debt | $5,905,279 | $5,905,279 | |
| Assessment | $591,687 | $591,687 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,993,747 | TotalAmt |
| Program Services | $139,198,427 | ProgramServicesAmt |
| Management And General | $19,795,320 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,390,481 | BOYAmt |
| EOY | $4,126,157 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,429,289 | BOYAmt |
| EOY | $15,503,713 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,933,449 | BOYAmt |
| EOY | $1,855,839 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,974,908 | BOYAmt |
| EOY | $2,045,572 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $127,277,479 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,077,943 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,832,905 | BOYAmt |
| EOY | $49,199,536 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,270,798 | BOYAmt |
| EOY | $13,134,037 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,128,347 | BOYAmt |
| EOY | $1,189,433 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,929,851 | BOYAmt |
| EOY | $5,362,730 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,289,068 | BOYAmt |
| EOY | $2,322,829 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,179,096 | BOYAmt |
| EOY | $94,739,846 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,679,507 | BOYAmt |
| EOY | $17,101,713 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,141,886 | BOYAmt |
| EOY | $27,381,463 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $187,500 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,315,671 | BOYAmt |
| EOY | $22,765,587 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,137,064 | BOYAmt |
| EOY | $67,436,263 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,915,775 | BOYAmt |
| EOY | $25,335,194 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,138,592 | BOYAmt |
| EOY | $979,724 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $987,665 | BOYAmt |
| EOY | $988,665 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,042,032 | BOYAmt |
| EOY | $27,303,583 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,179,096 | BOYAmt |
| EOY | $94,739,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,413,136 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,719 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,147,866 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Contri | $9,080 | DonorAdvisedFundsContriAmt |
| Donor Advised Funds Vl EOY | $36,160 | DonorAdvisedFundsVlEOYAmt |
| Disclosed Org Leg Ctrl | Yes (true) | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | Yes (true) | DisclosedForCharitablePrpsInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,333,441 | BeginningYearBalanceAmt |
| Contributions | $1,734,344 | ContributionsAmt |
| Investment Earnings Or Losses | $491,358 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,095,184 | OtherExpendituresAmt |
| End Year Balance | $7,463,959 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,046,209 | BeginningYearBalanceAmt |
| Contributions | $4,324,470 | ContributionsAmt |
| Investment Earnings Or Losses | $1,137,373 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,174,611 | OtherExpendituresAmt |
| End Year Balance | $7,333,441 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,367,304 | BeginningYearBalanceAmt |
| Contributions | $4,449,006 | ContributionsAmt |
| Investment Earnings Or Losses | $535,580 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,305,681 | OtherExpendituresAmt |
| End Year Balance | $7,046,209 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,708,314 | BeginningYearBalanceAmt |
| Contributions | $1,929,661 | ContributionsAmt |
| Investment Earnings Or Losses | -$298,828 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,971,843 | OtherExpendituresAmt |
| End Year Balance | $6,367,304 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,309,608 | BeginningYearBalanceAmt |
| Contributions | $1,082,856 | ContributionsAmt |
| Investment Earnings Or Losses | $515,830 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,199,980 | OtherExpendituresAmt |
| End Year Balance | $6,708,314 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.28310 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.12870 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.58800 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $782,850 | OtherCostOrOtherBasisAmt |
| Book Value | $782,850 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,582,438 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,242,344 | DepreciationAmt |
| Book Value | $39,340,094 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,994,687 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,187,620 | DepreciationAmt |
| Book Value | $8,807,067 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $917,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $647,979 | DepreciationAmt |
| Book Value | $269,525 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,199,536 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Accrued Vacation PTO | $4,839,583 |
| Estimated Payables to 3rd Party Reimbursement Agencies | $2,921,000 |
| Accrued Pension | $6,915,187 |
| Obligations Under Capital Leases | $2,659,011 |
| Interest Rate Swaps | $1,612,443 |
| Asset Retirement Obligation | $1,050,000 |
| Deferred Liability - Exec. Life Insurance Policies | $1,160,862 |
| Professional Liability Insurance Reserve | $1,060,000 |
| Kaaterskill Commons - Ground Lease | $93,334 |
| Deferred Rent - MOB | $454,167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,765,587 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $151,701,839 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $151,701,839 | RevenueSubtotalAmt |
| Other Revenues Not Included | $9,705,044 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $9,705,044 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $161,406,883 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $149,969,892 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $149,969,892 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $9,023,857 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $9,023,857 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $158,993,749 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2. | The Hospital KCI are Internal Revenue Code Section 501c3 organizations and, as such, are exempt from federal income taxes on related income pursuant to Section 502a. The Hospital recognizes the effect, if any, of income tax positions only if those positions aare more likely than not sustainable under current income tax regulations. The Hospital has no uncertain tax positions at December 31, 2014 or 2013. |
| XI 4b. | LTC Patient Other Revenue included as part of Net Loss from Assets held for Sale was 8,311,800 Restricted gifts grants of 1,509,674 which are adjustments to temporary permanently restricted net assets Net Worth of related organization which is not recorded on the Hospitals books 2,321 Revenue included on Consolidated Statements for Kaatersill Commons, Inc. 118,751. |
| XII 4b. | LTC Provision for Bad Debts Operating Expenses included as part of Net Loss from Assets Held for Sale were 9,261,288 Not included in expenses on Part XII, line 3 but included as expense on the Hospitals consolidated financials are the expenses for Kaaterskill Commons, Inc. 237,431. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,058,226 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,058,226 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00670 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,964,615 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,604,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,359,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,022,841 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,604,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,417,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $425,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $148,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $276,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,241 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,958,103 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,449,316 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,508,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03460 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,459,441 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,611,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,847,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03670 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,482,282 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,216,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,265,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08340 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $447,727 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $447,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $447,727 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $447,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $5,905,280 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $69,540,174 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $67,161,479 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,378,695 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tri-Way Interventional | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Ownership/Rental of Vascular Equipment | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.33000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Columbia Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | CMH | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (true) | 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 |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.columbiamemorialhealth.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.columbiamemorialhealth.org | 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 | 0000000100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0000000400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | X | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | X | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | X | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| 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 All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Kaaterskill Care Skilled Nursing & Rehab | ||||
| 161 Jefferson Heights | Catskill | NY | 12414 | Skilled Nursing Rehab |
| Greene Medical Arts Bldg- GMI | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 7 O/P Medical Imaging Services |
| Greene Medical Arts Bldg- Family Care | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 4 O/P Family Care Practices |
| Greene Medical Arts Bldg- Specialty | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 5 O/P Womens Hlth, Psych, Derm, Ortho, Draw |
| Greene Medical Arts Bldg- Specialty | ||||
| 159 Jefferson Heights | Catskill | NY | 12414 | 4 O/P Cardio, Sleep Ctr., Peds, Nephrology |
| Columbia Medical Complex - Imaging | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 7 O/P Medical Imaging Services |
| Columbia Medical Complex - Specialty | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 5 O/P Endo, Cardio, Nephro, Urology, Psych |
| Columbia Medical Complex - Specialty | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 3 O/P BoneJoint, Spine, Rheumatology |
| Columbia Medical Complex - Specialty | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 2 O/P Womens Health Surgery |
| Columbia Medical Complex - Surgical Associates | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 1 O/P Surgical Practice |
| Columbia Medical Complex - Family Care | ||||
| 67 Prospect Avenue | Hudson | NY | 12534 | 2 O/P Family Care Practices |
| Columbia Memorial Bone & Joint | ||||
| 23 Fish and Game Road | Hudson | NY | 12534 | 3 O/P Ortho, PT OT |
| Columbia Memorial Valatie Campus | ||||
| OSJ Plaza - 2827 Route 9 | Valatie | NY | 12184 | 3 O/P Rapid Care, Family Care, Draw |
| Valatie Medical Arts Building - Imaging | ||||
| 1301 River Street | Valatie | NY | 12184 | 4 O/P Medical Imaging Services |
| Valatie Medical Arts Building - Specialty | ||||
| 1301 River Street | Valatie | NY | 12184 | 2 O/P Dermatology, Cadiology |
| Valatie Medical Arts Building - Family Care | ||||
| 1301 River Street | Hudson | NY | 12184 | O/P Family Care Practice |
| Columbia Memorial Pediatrics | ||||
| 813 Warren Street | Hudson | NY | 12534 | O/P Pediatric Services |
| Callan Family Care Center | ||||
| 358 Mountain View Road | Copake | NY | 12516 | O/P Family Care Practice |
| Chatham Family Care Center | ||||
| 31 Dardess Drive | Chatham | NY | 12037 | O/P Family Care Practice |
| Broadway Family Care Center | ||||
| 7385 South Broadway | Red Hook | NY | 12571 | O/P Family Care Practice |
| Ghent Family Care Center | ||||
| 60 Garage Place Road | Ghent | NY | 12075 | O/P Family Care Practice |
| Cairo Family Care Center | ||||
| 4383 Route 23 | Cairo | NY | 12413 | O/P Family Care Practice |
| Windham Medical Care | ||||
| 345 State Route 296 | Hensonville | NY | 12439 | O/P Family Care Practice |
| Coxsackie Medical Care | ||||
| 9 Law Street | West Coxsackie | NY | 12192 | O/P Family Care Practice |
| CMH Dental Van | ||||
| 71 Prospect Avenue | Hudson | NY | 12534 | Mobile Care Unit |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 7 | For the purposes of calculating the Hospitals total community benefits expense at cost, the Hospital used a cost to charge ratio, consistent with the calculation derived from Worksheet 2, Ratio of Patient Care Cost to Charges. |
| Part II | The hospitals community building activities consist of ongoing workforce development and community training sessions, for which the Hospital receives a very nominal fee, if any. These free or low-cost programs increase community awareness of health issues, provide an opportunity for ongoing education of community providers and caregivers, and support improved health habits for the community the Hospital serves. |
| Part III Line 4 | The Hospital used the Bad Debt Expense derived from the audited Statement of Operations for the period-ended December 31, 2014. Bad Debts are estimated at cost on an ongoing basis, and charged to expense when management deems it probable that the revenue will not be collected. Discounts provided to patients are considered an adjustment in calculating Net Patient Service Revenue, and are not included as a component of Bad Debt Expense. |
| Part III Line 4 | The Hospitals discusses the availability of charity care with patients during the registration process, and enrolls all eligible patients based on the information provided by the patient. The Hospitals audited financial statements contain the following information regarding bad debt expense The amount of the provision for bad debts is based on managements assessment of historical and expected net collections, based on business and economic conditions, trends in federal and state governmental health care coverage and other collection indicators. |
| Part III Line 8 | The Hospitals costing methodology used to determine the Medicare allowable costs reported in the organizations Medicare Cost Report is based upon the ratio of patient care cost to charges. |
| Part III Line 9b | The Hospital follows a consistent collections policy for all patients. For patients eligible for financial assistance, the Hospital ensures collection actions are consistent with NYS Laws. |
| Part VI Line 2 | The Hospital continuously monitors changes in the demographics of the 2 counties it serves, through community outreach, discussions with local political and business leaders, and working with a variety of state and local agencies to assess the needs of the community. The Community Service Plan is continuously updated and available on the Hospitals public website. |
| Part VI Line 3 | The Hospitals written Bad Debt and Charity Care policy broadly applies to the outstanding balance for the patient or insurer. The Hospital advertises throughout the facility, discusses directly with patients during the registration process, and again during the collections process about the availability for charity care. As patients are enrolled in the charity care program, adjustments to their outstanding balance is charged against net patient service revenue, and not considered a component of bad debt expense. |
| Part VI Line 4 | The Hospital serves the people of Columbia and Greene Counties and part of Northern Dutchess County, with a combined population of approximately 115,000 people, which, is distributed between one small city and 32 towns. The two counties combined cover an area of nearly 1,300 square miles, most of which is agricultural or rural. |
| Part VI Line 4 | Columbia County is located in the northeastern region of the Mid-Hudson Valley of New York State. It is bordered on the north by Rensselaer County, on the south by Dutchess County, on the east by the Berkshire County of the Commonwealth of Massachusetts and on the west by the Hudson River, opposite Greene County. Columbia County is rural in nature and includes the City of Hudson and 18 towns. Greene County is situated between the Hudson River on the east and the Catskill Mountains at the Southern and Western ends. It is bordered by Albany County to the north, Rensselaer County to the northeast, Columbia County to the east, Ulster County to the south, Delaware County to the west and Schoharie County to the northwest. Greene County is located two hours north of the major metropolitan areas of New York City, and a half-hour south of Albany, New York States Capital District. |
| Part VI Line 5 | Part VI, Line 5 A majority of the Hospitals Board of Trustees reside in the Columbia and Greene counties, as do most of the Hospitals employees. In recent years, the Hospital has significantly increased the access provided to local, previously unaffiliated doctors, and has further provided access and support for these practitioners to an electronic health exchange. |
| Part VI Line 6 | The Hospital is not part of an affiliated health care system. |
| Part VI, Line 7 | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|
| V Richard Back MD | ||||||
| Secretary | $163,804 | $163,804 | ||||
| John Mathews MD | ||||||
| Trustee | $405,402 | $405,402 | ||||
| Hiral Amin MD | ||||||
| Trustee | $422,303 | $434,431 | $258 | $750 | $11,120 | |
| Jay P Cahalan | ||||||
| Pres. CEO | $372,556 | $568,561 | $22,363 | $75,750 | $19,652 | $78,240 |
| Karen Tassey | ||||||
| COO | $229,280 | $251,898 | $2,318 | $750 | $19,550 | |
| Vincent J Dingman III | ||||||
| CFO | $227,322 | $334,611 | $7,147 | $38,375 | $15,117 | $46,650 |
| Leitha Pierro | ||||||
| VP-Patient Clin. Oper. | $174,280 | $210,847 | $396 | $14,471 | $21,700 | |
| Christopher Gorczynski MD | ||||||
| Physician | $690,000 | $709,619 | $57 | $750 | $18,812 | |
| Louis DiGiovanni MD | ||||||
| Physician | $591,282 | $603,527 | $396 | $750 | $11,099 | |
| Ersno Eromo MD | ||||||
| Physician | $595,009 | $607,353 | $54 | $12,290 | ||
| Andrew Packard MD | ||||||
| Physician | $442,314 | $533,535 | $762 | $15,459 | $75,000 | |
| Monoj Subudhi MD | ||||||
| Physician | $492,334 | $503,570 | $258 | $750 | $10,228 | |
| Jane Ehrlich | ||||||
| Past Pres. CEO | $1,123,322 | $1,123,322 | ||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line Line 3 | The compensation of the Hospitals CEO is determined by the Compensation Committee as well as the Board of Trustees. The Compensation Committee bases their proposal on CEO compensation surveys from healthcare industry organizations, Form 990 for comparable organizational data and general industry knowledge. The CEO compensation package is formalized in a written employment contract and approved by the Board of Trustees. |
| Part I Line Line 4b | Jane Ehrlich, Past President CEO of The Columbia Memorial Hospital, is also listed as a Former Trustee. In 2014, she received 1,123,322 from a supplemental non-qualified retirement plan held by CMH. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd |
|---|---|---|---|---|---|---|
| Columbia County Industrial Development Agency | ||||||
| A | 141636496 | 197511AR9 | 2008-01-30 | $11,730,000 | Refinancing | false |
| Columbia County Capital Resource Corp | ||||||
| B | 271072117 | 197505AA8 | 2010-03-01 | $12,945,000 | Refinancing New Construction | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $11,730,000 | $603,669 | $3,852,910 | $7,273,421 | 2010 | false | false | Yes (true) | Yes (true) | |
| B | $12,945,000 | $762,958 | $12,137,878 | 2013 | false | false | Yes (true) | Yes (true) | $44,681 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | Yes (true) |
| B | false | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HSBC | ||||||||||
| A | false | Yes (true) | Yes (true) | Yes (true) | 0000000010.000000000000 | false | false | false | false | Yes (true) |
| HSBC | ||||||||||
| B | false | Yes (true) | Yes (true) | Yes (true) | 0000000010.000000000000 | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IV Line 2 | FormAndLineReferenceDesc |
| Explanation | The arbitrage rebate computation for both the 2008 and 2010 bonds were completed as of December 31, 2014 with no Arbitrage Rebate due on either issuannce. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Reynolds | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | CMH Board Trustee | RelationshipDescriptionTxt |
| Transaction | $140,936 | TransactionAmt |
| Transaction | Refer to Schedule L, Part V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IV Line 1 | FormAndLineReferenceDesc |
| Explanation | James Reynolds, a Columbia Memorial Hospital Board Trustee, is President of Mid-Hudson Cablevision, Inc. That company provides cable internet service, and well as equipment to various locations belonging to the Hospital. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 5,428,739, Grants and allocations 0, Revenue 5,961,697 Miscellaneous Ancillary Services |
| Form 990, Part VI, Section B., Line 11b. | - GOVERNING BODYS REVIEW OF FORM 990 Form 990 and its supporting schedules are mailed to the Executive and/or Finance Committees for their review, in advance of a meeting to be held whereby feedback is obtained from members of those committees. As result of that meetings, changes agreed upon, if any, are made to said documents prior to the presentation made by the Chief Financial Officer of Columbia Memorial Hospital at the General Board of Trustees Meeting. |
| Form 990, Part VI, Section B., Line 12c. | CONFLICT OF INTEREST All members of the Board of Trustees are required to complete and execute the Hospital policy on Organizational Ethics as well as a Conflict of Interest Questionaire for Trustees and Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, they are also required from all encumbent trustees on an annual basis. The Governance Committee reviews, monitors enforces conflicts of interest issues, and reports the same to all members at General Board Meetings. |
| Form 990, Part VI, Section B., Line 15a. | COMPENSATION OF CEO OTHER KEY EMPLOYEES Performance review and recommendations pertaining to salary are undertaken by the Compensation Committee on an annual basis. The Compensation Committee is comprised of select member of the Board of Trustees who may employ outside consultants, use data industry standards, etc. to formulate conclusions. |
| Form 990, Part VI, Section C., Line 19. | DISCLOSURE Columbia Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part XI, Line 9. | RECONCILIATION OF NET ASSETS Combined total of -4,147,866 adjustment due to the following Pension valuation -3,885,789, Net assets released from restriction -259,754, change in net assets of Auxiliary not booked by CMH -2,323. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Columbia-Greene Hospital Foundation | ||||||||||
| 71 Prospect Avenue | Hudson | NY | 12534 | 141761112 | Fund Raising | NY | 501c3 | 170b1Aiv | N/A | false |
| The Second Show Inc | ||||||||||
| 519 Warren Street | Hudson | NY | 12534 | 141796715 | Thrift Shop | NY | 501c3 | 170b1Aiv | N/A | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Columbia Medical Complex LLC | |||||||||||||
| 839 North Jefferson Street | Milwaukee | WI | 53202 | 201017545 | Healthcare | WI | N/A | Related | -$55,094 | -$1,218,680 | false | false | 0.35500 |
| Tri-Way Interventional LLC | |||||||||||||
| c/o 71 Prospect Avenue | Hudson | NY | 12534 | 320041811 | Healthcare | NY | N/A | Related | $73,080 | $73,089 | false | false | 0.33340 |
| Capital Health Network LLC | |||||||||||||
| 125 Wolf Road | Albany | NY | 12205 | 141794727 | Healthcare | NY | N/A | Investment | false | false | |||
| United Lab Network LLC | |||||||||||||
| 125 Wolf Road | Albany | NY | 12205 | 141827292 | Healthcare | NY | N/A | Investment | false | false | |||
| United Lab Network IPA LLC | |||||||||||||
| 125 Wolf Road | Albany | NY | 12205 | 141832018 | Healthcare | NY | N/A | Investment | false | false | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Columbia-Greene Services Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o CMH 71 Prospect Avenue | AddressLine1Txt |
| City | Hudson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141758524 | EIN |
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C Corp | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| Columbia-Greene Hospital Foundation | |
| c | $890,033 |
| Columbia-Greene Hospital Foundation | |
| m | $46,386 |
| Columbia-Greene Hospital Foundation | |
| q | $185,857 |
| The Second Show Inc | |
| q | $81,901 |