2014-11-14T11:55:10-00:00 2013-12-31 990 2013-01-01 141338373 The Columbia Memorial Hospital COLU 5188287601 71 Prospect Avenue Hudson NY 12534 Jay P Cahalan President CEO 2014-11-13 false 2013 2015-11-30 17:44:51Z Jay P Cahalan 71 Prospect Avenue Hudson NY 12534 159410604 false X www.columbiamemorial.com X NY The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. 19 12 1682 45 119546 96966 4085085 3922272 150008281 151311567 288320 738775 262655 2179510 154644341 158152124 0 0 89731756 91198163 0 0 61807810 63097212 151539566 154295375 3104775 3856749 92451460 95179096 71274731 66137064 21176729 29042032 X The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. false false 39788583 42807342 Acute Inpatient Hospital services 30,867 patient days. Hospital Emergency Medical Care available to all 31,024 visits. 80508670 86652094 Outpatient Surgery Outreach Clinics spanning 3 Counties. 413,109 visits 7318971 7908884 Our Nursing Home provides skilled care resident rehabilitative services. 38,487 patient days 5455959 5896966 133072183 true true false false false true false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true false true false false 113 0 true 1682 true true true false false false false false false false true false false false false X 19 12 false false false false false false false true true false false true true true true true true true false true true NY X The Columbia Memorial Hospital 5188287601 71 Prospect Avenue Hudson NY 12534 Mary Gail Biebel Chair 008.00 X X 0 0 0 VRichard Back MD Vice-Chair 008.00 X X 1981 0 0 James Lapenn Treasurer 008.00 X X 0 0 0 Aven Kerr Secretary 008.00 X X 0 0 0 Clara Kellner Trustee 008.00 X 0 0 0 Donald Gibson Trustee 008.00 X 0 0 0 Winnie Thorn Trustee 008.00 X 0 0 0 James Reynolds Trustee 008.00 X 0 0 0 Marie Ostoyich RN Trustee 008.00 X 0 0 0 Patti Matheney Trustee 008.00 X 0 0 0 Molly Poleto Trustee 008.00 X 0 0 0 Stephen Dunn Trustee 008.00 X 0 0 0 James Warren Trustee 008.00 X 0 0 0 William Van Slyke Trustee 040.00 X 56610 0 0 A Ramani MD Trustee 040.00 X 376699 0 0 HLouis Clinton MD Trustee 040.00 X 406874 0 0 John Mathews MD Trustee 040.00 X 405402 0 0 Hiral Amin MD Trustee 040.00 X 422825 0 0 Jay P Cahalan Pres. CEO 040.00 X X 403860 0 0 Karen Tassey COO 040.00 X 222304 0 0 Vincent J Dingman III CFO 040.00 X 274299 0 0 Norm Chapin MD Medical Director 040.00 X 303662 0 0 Leitha Pierro VP-Patient Clin. Oper. 040.00 X 174676 0 0 Christopher Gorczynski MD Physician 040.00 X 673187 0 0 Ersno Eromo MD Physician 040.00 X 600002 0 0 Louis DiGiovanni MD Physician 040.00 X 587777 0 0 Andrew Packard MD Physician 040.00 X 521704 0 0 Monoj Subudhi MD Physician 040.00 X 493511 0 0 Jane Ehrlich Past Pres. CEO X 1102486 0 0 7027859 105 true true false AOW Associates Inc 30 Essex Street Albany NY 12206 Contractor 3911754 LabCorp PO Box 12140 Burlington NC 27216 Laboratory 1298650 Dennis Marcus MD PC PO Box 797 Valatie NY 12184 Psychiatric Services 1162067 Pain Management of Upstate NY 44 Capricorn Lane Delmar NY 12054 Medical Services 888456 Kirchhoff-Consigli Construction Mgt 199 West Road - Suite 100 Pleasant Valley NY 12569 Construction 731826 37 1177432 2677271 67569 3922272 I/P O/P Svcs.- Medicare/Medicaid Paymts 900099 88958252 88958252 I/P O/P Services - Other Direct Payments 900099 55503899 55503899 Other Government Payments 900099 6849416 6849416 151311567 422145 422145 1552110 23000 1258480 293630 23000 316630 316630 Value Change - Interest Rate Swap 900099 1145454 1145454 Unrealized Gain on Investments 900099 914510 914510 Unrelated Business Income 531190 119546 119546 2179510 158152124 153371531 119546 738775 0 0 0 0 5925373 4489962 1435411 0 69503786 61391302 8112484 1768944 1693012 75932 9042731 8234052 808679 4957329 4426434 530895 0 387662 93752 293910 145000 145000 0 0 13504643 11781471 1723172 217755 2000 215755 19872851 19150827 722024 812992 482896 330096 0 3548959 2295015 1253944 136237 42266 93971 0 151434 38473 112961 1510468 1510468 31413 4520 26893 7466725 5022356 2444369 2884125 2669989 214136 Maintenance 2325998 1765342 560656 Miscellaneous 717248 104812 612436 Provision for Bad Debt 8819149 8819149 Assessment 564553 564553 0 154295375 133072183 21223192 0 4614404 4390481 11588400 14429289 1741737 1933449 1316555 2974908 122039415 71206510 49354065 50832905 12822061 11270798 1490606 1128347 5530164 4929851 3993468 3289068 92451460 95179096 12422953 17679507 32702094 30141886 68329 26081355 18315671 71274731 66137064 X 18306946 26915775 1883118 1138592 986665 987665 21176729 29042032 92451460 95179096 X 3856749 -5989 4014543 X false X true X true true true X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 12030 39794 true true false 7046209 4324470 1137373 5174611 7333441 6367304 4449006 535580 4305681 7046209 6708314 1929661 -298828 1971843 6367304 6309608 1082856 515830 1199980 6708314 6110594 749034 592695 1142715 6309608 0.27000 0.13000 0.60000 false true true 782850 782850 71139116 31845338 39293778 49214221 38750303 10463918 903228 610869 292359 50832905 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued Vacation PTO 3454195 Estimated Payables to 3rd Party Reimbursement Agencies 2863000 Accrued Pension 3556473 Obligations Under Capital Leases 1911050 Interest Rate Swaps 1594529 Asset Retirement Obligation 1139724 Deferred Liability - Exec. Life Insurance Policies 2103318 Professional Liability Insurance Reserve 1598716 Kaaterskill Commons - Ground Lease 94666 18315671 X 154555931 154555931 3596193 3596193 158152124 154530995 154530995 -235620 -235620 154295375 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, 2013 or 2012. XI Restricted gifts grants 3,708,374 which are adjustments to temporary permanently restricted net assets Revenue from Kaaterskill Commons, Inc. 110,968 Net Worth of a related organization which is not recorded on the Hospitals books 1,213. XII Line 4b 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. 235,620 true true true X true X true true true false true true 383330 383330 0.00250 32217486 21118965 11098521 0.07190 32600816 21118965 11481851 0.07440 601486 119246 482240 0.00310 72016 29305 42711 0.00030 49508243 41352651 8155592 0.05290 50181745 41501202 8680543 0.05630 82782561 62620167 20162394 0.13070 216048 216048 0.00140 216048 216048 0.00140 8819149 63099147 61834036 1265111 X true true Tri-Way Interventional Ownership/Rental of Vascular Equipment 0.33000 0.33000 1 1 The Columbia Memorial Hospital 71 Prospect Avenue Hudson NY 12534 X X X CMH CMH 1 true X X X X X X X X 13 true false true X X X X X X X X true false true true 0000000001.000000000000 true 0000000004.000000000000 true X X X X X X X X true true X X X X X true false X X X X true X false false 25 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 4 O/P Practices Womens Hlth, Derm, Ortho, Draw Greene Medical Arts Bldg- Specialty 159 Jefferson Heights Catskill NY 12414 3 O/P Practices Cardio, Sleep Lab, 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 4 O/P Practices Endo, Cardio, Nephro, Urology Columbia Medical Complex - Specialty 67 Prospect Avenue Hudson NY 12534 3 O/P Practices BoneJoint, Spine, Rheumatology Columbia Medical Complex - Specialty 67 Prospect Avenue Hudson NY 12534 2 O/P Practices 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 Game Road Hudson NY 12534 3 O/P Practices Ortho, PT OT Columbia Memorial Valatie Campus OSJ Plaza - 2827 Route 9 Valatie NY 12184 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 Practices 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 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, 2013. 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. Part III Line 4 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 Within the financial assistance policy, we limit installment payment plans to 10 of patient gross income for any remaining balance, after financial assistance is granted, in accordance with New York State policy. Part VI, Line 7 NY X X X X X false true false true false true false false false A Ramani MD Trustee 262045 114396 258 15750 33000 425449 HLouis Clinton MD Trustee 406874 750 12407 420031 John Mathews MD Trustee 405402 405402 Hiral Amin MD Trustee 422825 12421 435246 Jay P Cahalan Pres. CEO 325820 64867 13173 75750 19021 498631 Karen Tassey COO 222304 750 223054 Vincent J Dingman III CFO 228926 45235 138 38375 15126 327800 Norm Chapin MD Medical Director 303404 258 750 9386 313798 Leitha Pierro VP-Patient Clin. Oper. 174280 396 13871 188547 Christopher Gorczynski MD Physician 673133 54 750 18033 691970 Ersno Eromo MD Physician 600000 2 5656 605658 Louis DiGiovanni MD Physician 587381 396 750 9533 598060 Andrew Packard MD Physician 521083 621 750 13242 535696 Monoj Subudhi MD Physician 493253 258 750 9767 504028 Jane Ehrlich Past Pres. CEO 1102486 1102486 Part 1 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 4b. Jane Ehrlich, Past President CEO of The Columbia Memorial Hospital, is also listed as a Former Trustee. In 2013, she received 1,102,486 from a supplemental non-qualified retirement plan held by CMH. A Columbia County Industrial Development Agency 141636496 197511AR9 2008-01-30 11730000 Refinancing false B Columbia County Capital Resource Corp 271072117 197505AA8 2010-03-01 12945000 Refinancing New Construction false A 11730000 603669 3852910 7273421 2010 false false true true B 12945000 762958 12137878 44164 2013 false false false true A false false false false false false true B false false false false false false true A false true true HSBC 0000000010.000000000000 false false false false B false true true HSBC 0000000010.000000000000 false false false false James Reynolds CMH Board Trustee 48926 Refer to Schedule L, Part V false Part IV Line 1 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. true false Form 990, Part III, Line 4d Program Service Expenses 5,455,959, Grants and allocations 0, Revenue 5,896,966 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 B, 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 4,014,543 adjustment due to the following Pension valuation 4,232,887, Net assets released from restriction -219,557, change in net assets of Auxiliary not booked by CMH 1,213. 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 Columbia Medical Complex LLC 839 North Jefferson Street Milwaukee WI 53202 201017545 Healthcare WI N/A Related false false 0.35500 Tri-Way Interventional LLC c/o 71 Prospect Avenue Hudson NY 12534 320041811 Healthcare NY N/A Related 73083 80009 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 Columbia-Greene Services Inc c/o CMH 71 Prospect Avenue Hudson NY 12534 141758524 Healthcare NY N/A C Corp 1.00000 false false false true false false false false false false false false false true false false false true false false Columbia-Greene Hospital Foundation c 1177432 Columbia-Greene Hospital Foundation m 53031 Columbia-Greene Hospital Foundation q 201913 The Second Show Inc q 103098