BURDETT CARE CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BURDETT CARE CENTER INC (EIN 27-2153849)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201423179349304707
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-13T12:41:04-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272153849 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Burdett Care Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BURD | BusinessNameControlTxt |
| Phone | 5182713393 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2215 Burdett Ave | AddressLine1 |
| City | Troy | City |
| State | NY | State |
| ZIP Code | 12180 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lori Santos | PersonNm |
| Person Title | Director of Finance | PersonTitleTxt |
| Signature | 2014-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Debbie Lajeunesse | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2215 Burdett Avenue | AddressLine1 |
| City | Troy | City |
| State | NY | State |
| ZIP Code | 12180 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,155,164 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.burdettcarecenter.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | The Burdett Care Center is a new not-for-profit hospital in Troy, New York, that offers high quality maternity services and other reproductive services, including sterilization services but not including abortions, to women and men in the area. Its mission is to provide high-quality, accessible reproduction-related health care services; to be the provider of choice in the community for women who are having children, as well as women and men who opt not to have children; to be an organization where employees find professional fulfillment and are proud to work. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 83 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,779,213 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,139,466 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,742 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,288 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,602 | PYOtherRevenueAmt |
| CY Other Revenue | $9,410 | CYOtherRevenueAmt |
| PY Total Revenue | $6,786,557 | PYTotalRevenueAmt |
| CY Total Revenue | $7,155,164 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,905,982 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,709,072 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,764,343 | PYOtherExpensesAmt |
| CY Other Expenses | $3,777,408 | CYOtherExpensesAmt |
| PY Total Expenses | $7,670,325 | PYTotalExpensesAmt |
| CY Total Expenses | $7,486,480 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$883,768 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$331,316 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,934,777 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,801,895 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,797,404 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,995,838 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,862,627 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,193,943 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Burdett Care Center's mission is to provide high-quality, accessible reproduction-related health care services; to be the provider of choice in the community for women who are having children, as well as women and men who opt not to have children; to be an organization where employees find professional fulfillment and are proud to work. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,973,890 | ExpenseAmt |
| Revenue | $7,139,466 | RevenueAmt |
| Desc | The Burdett Care Center ("Burdett Care") is a new not-for-profit hospital in Troy, New York that commenced operations on October 1, 2011. Burdett Care is located on the second floor of Samaritan Hospital, in new condominium space previously occupied by Samaritan's maternity department. Burdett Care is dedicated to maternity and reproductive services, other than abortion. Burdett Care was formed to offer high quality maternity services to women in the area and to preserve access by those women to reproductive services (i.e. tubal ligation, Essure and Adiana) in conjunction with maternity services. The Burdett Care concept arose out of merger discussions among Northeast Health, St. Peter's Health Care Services and Seton Health System. The merger parties agreed that Northeast Health would remain secular in connection with its affiliation with the two Catholic systems, but that Northeast Health and its affiliates, including Samaritan Hospital, would abide by the Ethical and Religious Directives for Catholic Health Care Services (the "ERDs"). The merger parties further agreed that, in order to pursue the merger of health systems while preserving reproductive services in Troy, a new hospital - later named The Burdett Care Center - would be formed within the Samaritan facility, with an independent governing board, independent medical staff and independent nursing staff. Burdett Care is not bound by the ERDs.Burdett Care is a 15-bed hospital facility providing high quality inpatient and outpatient reproductive services including maternity, labor, delivery, nursery, contraceptive and sterilization. In 2013 Burdett Care delivered 1,152 babies, and provided sterilization services in connection with 43 of those deliveries. | Desc |
| Total Program Service Expenses | $5,973,890 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | 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 | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | 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 | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 83 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lori Santos | PersonNm |
| Phone | 5185255537 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2215 Burdett Ave 200 | AddressLine1 |
| City | Troy | City |
| State | NY | State |
| ZIP Code | 12180 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Dr Melody Bruce | |||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Charlotte Buchanan Esq | |||||||
| Vice Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Robert G Burke | |||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Ann G DiSarro | |||||||
| Chairman | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Ruth Simmons | |||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Lisa Thorn MD | |||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Debbie Lajeunesse | |||||||
| Executive Direc | 40.00 | 0.00 | $111,292 | $0 | $6,599 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $111,292 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $6,599 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Samaritan Hospital | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2215 Burdett Avenue | AddressLine1 |
| City | Troy | City |
| State | NY | State |
| ZIP Code | 12180 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Reimburse expenses | ServicesDesc |
| Compensation | $2,519,763 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Total Revenue Column | $7,139,466 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,139,466 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,139,466 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,288 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,288 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Miscellaneous | Desc |
| Total Revenue Column | $9,410 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,410 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,410 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,155,164 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,155,164 | RelatedOrExemptFuncIncomeAmt |
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 | $111,292 | TotalAmt |
| Management And General | $111,292 | 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 | $3,073,757 | TotalAmt |
| Program Services | $3,037,157 | ProgramServicesAmt |
| Management And General | $36,600 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,450 | TotalAmt |
| Program Services | $68,133 | ProgramServicesAmt |
| Management And General | $3,317 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,280 | TotalAmt |
| Program Services | $202,423 | ProgramServicesAmt |
| Management And General | $9,857 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,293 | TotalAmt |
| Program Services | $229,135 | ProgramServicesAmt |
| Management And General | $11,158 | 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 | $3,140 | TotalAmt |
| Management And General | $3,140 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,917 | TotalAmt |
| Management And General | $23,917 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,362 | TotalAmt |
| Program Services | $118,136 | ProgramServicesAmt |
| Management And General | $56,226 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,492 | TotalAmt |
| Program Services | $19,080 | ProgramServicesAmt |
| Management And General | $2,412 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,140 | TotalAmt |
| Program Services | $779,655 | ProgramServicesAmt |
| Management And General | $28,485 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,030 | TotalAmt |
| Management And General | $139,030 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,076 | TotalAmt |
| Program Services | $6,062 | ProgramServicesAmt |
| Management And General | $14 | 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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,060 | TotalAmt |
| Program Services | $544,758 | ProgramServicesAmt |
| Management And General | $302 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,562 | TotalAmt |
| Management And General | $205,562 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Master Service Agmt-Samaritan | $1,744,231 | $870,154 | $874,077 |
| NYS Assessment | $96,257 | $96,257 | |
| Other Fees | $5,747 | $5,747 | |
| Books/Periodicals | $2,940 | $2,940 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,454 | TotalAmt |
| Management And General | $1,454 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,486,480 | TotalAmt |
| Program Services | $5,973,890 | ProgramServicesAmt |
| Management And General | $1,512,590 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,525,899 | BOYAmt |
| EOY | $1,798,150 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $770,550 | BOYAmt |
| EOY | $823,280 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,537 | BOYAmt |
| EOY | $10,876 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,331 | BOYAmt |
| EOY | $271,956 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,190,060 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,297,353 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,423,651 | BOYAmt |
| EOY | $4,892,707 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,809 | BOYAmt |
| EOY | $4,926 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,934,777 | BOYAmt |
| EOY | $7,801,895 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,556 | BOYAmt |
| EOY | $464,682 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,468,208 | BOYAmt |
| EOY | $4,230,958 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,634,164 | BOYAmt |
| EOY | $3,634,164 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,271,476 | BOYAmt |
| EOY | $1,666,034 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,797,404 | BOYAmt |
| EOY | $9,995,838 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,862,627 | BOYAmt |
| EOY | -$2,193,943 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,862,627 | BOYAmt |
| EOY | -$2,193,943 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,934,777 | BOYAmt |
| EOY | $7,801,895 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$331,316 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,835,681 | OtherCostOrOtherBasisAmt |
| Depreciation | $747,267 | DepreciationAmt |
| Book Value | $4,088,414 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,354,379 | OtherCostOrOtherBasisAmt |
| Depreciation | $550,086 | DepreciationAmt |
| Book Value | $804,293 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,892,707 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Non-Affiliated Company | $1,629,026 |
| estimated third party settlements | $37,008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,666,034 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,155,164 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,155,164 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,155,164 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,486,480 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,486,480 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,486,480 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | The Internal Revenue Service has determined that Burdett Care Center is exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code. Burdett Care Center does not conduct unrelated business activities and, therefore, has made no provision for income taxes in the accompanying financial statements.Burdett Care Center has adopted the provisions of ASC 740-10, Accounting for Uncertainty in Income Taxes. Management has evaluated Burdett Care Center's tax positons, including interest and penalties attributalbe thereto, and concluded that Burdett Care Center has taken no tax positions that required adjustment to its financial statements as of December 31, 2013.Burdett Care Center's information return filings are subject to audit by various taxing authorities. There are currently no examinations in process nor has Burdett Care Center been informed of any pending examinations. All of Burdett Care Center's information returns remain subject to examinaiton by taxing authorities. | ExplanationTxt |
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 |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $12,617 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,852,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,931,250 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $921,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,865,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,931,250 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $934,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,865,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,931,250 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $934,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12480 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $176,839 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $80,404 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $104,020 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,616 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| 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 | Burdett Care Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://burdettcarecenter.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 3 - Account Input from Person Who Represent the Community | Burdett Care Center community benefits program is based on the community health needs assessment (CHNA) conducted by the Healthy Capital District Initiative (HCDI). HCDI is consortium of organizations joined together to prioritize and address significant community health issues. Burdett Care Center is a member organization of HCDT. The CHNA benefited from the review and input of the members of the Community Health Needs Assessment Workgroup of the Healthy Capital District Initiative. These individuals are subject matter experts from the area county public health departments of Albany, Rensselaer, and Schenectady; and of each of the Capital Region hospitals, Albany Medical Center, Albany Memorial Hospital, Sunnyview Hospital and Rehabilitation Center, St. Marys Hospital, St. Peter's Hospital, Samaritan Hospital, and Ellis Hospital. They were joined by representatives from community based organizations, businesses, consumers, schools, academics, and disease groups for a total of 34 different organizations in our Capital Region such as Catholic Charities, Whitney M. Young, Jr FQHC, Capital District Physicians Health Plan, Fidelis Care Health Plan, University of Albany School of Public Health, YMCA, Community Gardens, and senior housing organizations. Representatives of the HCDI determined the process for completing the needs assessment, reviewed the collected data. The CHNA is the result of over a year of meetings with member organizations and community input through our survey of over 3,000 residents of the Capital District. Drafts of the sections were sent to local subject matter experts for review in the health departments of Albany, Rensselaer, and Schenectady counties and in St. Peters Health Partners, Albany Medical Center, Ellis Hospital, and Interfaith Partnership for the Homeless. Comments were addressed and changes were incorporated into the final document. The Community Health Needs Assessment was completed in and approved in June 2013. |
| Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment | Line 4: Burdett Care Center conducted its CHNA in collaboration with the following hospital facilities- Albany Medical Center, Albany Memorial Hospital, Ellis Hospital, St. Marys Hospital, St. Peter's Hospital, Samaritan Hospital and Sunnyview Hospital and Rehabilitation Center. |
| Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why | Line 7:Of the ten areas identified as problems through the community health needs assessment for the Capital District, the organization along with community partners prioritized the prevention of chronic disease with an emphasis on (1) asthma and (2) diabetes, with a specific focus on new delivering mothers presenting with gestational diabetes. While the organization will continue to offer services addressing other pressing health needs, it felt that the increased focus on the selected areas represents the best use of resources and expertise. Other health care facilities serving our community will continue to address the other areas as well. |
| Part V, Line 14g - Other Means Hospital Facility Publicized the Policy | Information regarding the availability of a finance assistance program and who to contract is included on the billing invoices to patients. |
| Part V, Line 20d - Other Billing Determination of Individuals Without Insurance | The hospital used the commercial rate negotiated with its highest volume commercial payor, which is consistent with New York State Public Health Law Article 28 requirements. |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The Hospital's bad debt expense is calculated on an allowance/reserve basis. Each month, account balances, net of payments, discounts and contractual allowances, are sorted by the age of the receivable and payor group. Each payor and aging group is assigned a percentage that will be used to calculate a reserve/allowance for bad debt. This allowance for doubtful account total is combined with our bad debt account receivable balance to arrive at a total estimated allowance for doubtful accounts. This total is compared to our total allowance for doubtful accounts recorded in the Hospital's general ledger. The difference is recorded as bad debt expense.Account balances on patient accounts are transferred to bad debt accounts receivable once they are determined to be uncollectible. The balances are net of discounts, adjustments and payments that have been applied to these accounts.In order to determine the Hospital's bad debt expense at cost for Part III, line 2,the bad debt expense was multiplied by an overall hospital cost to charge ratio. |
| Part III, Line 4 - Bad Debt Expense | Part II, Section A Question 4: Line 4 The text of the footnote that describes bad debt expense is contained on page 11 of the attached financial statements. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | If a patient qualifies for financial assistance, their account will not be subject to the usual collection practices during this process. If the patient does not submit the necessary documentation within 120 days, then their account could be forwarded to collections. |
| Part VI - Patient Education of Eligibility for Assistance | In addition to posting Burdett Care Center's financial assistance policy on the hospital's website, Burdett Care Center physically posts the policy at almost all inpatient and outpatient intake desks. All registration personnel are trained to know the procedures for assisting patients who have no insurance. Burdett Care Center has also contracted with a firm that supplies the services of a Medicaid enroller "on-site". |
| Part VI - Community Information | Burdett Care considers the community it serves to comprise Albany and Rensselaer Counties. There are several reasons why residents of the Capital Region outside of Albany and Rensselaer Counties are unlikely to seek services from Burdett Care, and should not be considered part of "the Community." First, for most such persons, Burdett Care is more distant than other maternity and reproductive services resources, such as Ellis Hospital, Saratoga Hospital, Albany Medical Center or St. Peter's Hospital. Second, it is significant that Burdett Care is on the Troy side of the Hudson River. While residents of Albany County - particularly eastern Albany County - do use the services in Troy, to residents in population centers further west, northwest or southwest, the river is perceived as a barrier or border. Burdett Care is new, and does not yet have the name recognition or perceived prestige as competing services. But within Rensselaer and Albany counties, Burdett Care is seen as a successor provider to the maternity and reproductive services previously provided by Samaritan Hospital and Seton Health System, which were discontinued when Burdett Care opened. Over 70% of the births performed at Samaritan and Seton in 2010 came from Albany and Rensselaer Counties. |
| Part VI - Community Building Activities | Burdett Care was opened in 2011 to preserve access to sterilization service in the Troy, New York area in the context of the merging of secular and Catholic health systems in the area. In connection with this purpose and to promote womens health generally, Burdett Care continued to hold community forums in 2013, one of which celebrated it's anniversary. Attendees included representatives from a non-profit organization whose mission is to educate the public about maternity care and other community members. Burdett Care also provides Lamaze Childbirth education, Breastfeeding education and support groups, infant massage, and sibling classes.In addition, Burdett Care is managed by a board of directors composed primarily of independent leaders in the community. Burdett Care has an open medical staff. Burdett Care presently operates at a deficit, but any future surpluses will certainly be used to fund the capital and operational needs of Burdett Care's services. |
| Part VI - Additional Information | 1.7 line b - An overall hospital cost to charge ratio was calculated using total expenses over total revenue. The Hospital applied this ratio to the charges associated with the straight Medicaid payer classification and the Medicaid Managed Care payer classifications.III.8- Burdett Care Center used the overall cost to charge ratio times the charges associated with the Medicare payer classification to arrive at the Medicare allowable cost of care. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | Burdett Care took steps to educate the board of directors on the compliance requirements mandated by the From 990. The form 990 is provided to the full board prior to filing. Members are updated on the major areas included in the return. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Burdett Care Center has two system-wide conflict of interest policies, one applicable to the board of directors and one applicable to administrative staff and select employees and medical staff. Together, the two policies require annual disclosure of conflicts of interest by all directors, officers and key employees, and prescribe various responses to such conflicts applying customary conflicts of interest principles. Employee disclosure forms are reviewed annually by the compliance officer for a determination of any conflicts impact on the integrity of the disclosing individuals acts and decisions. Violation of the policy subjects an employee to potential disciplinary action. Board of directors conflict of interest disclosure forms are reviewed and summarized by the compliance officer. Customary procedures are followed, including non-participation by affected individuals in the deliberation and vote on any matters that potentially conflict with the individuals outside interests. Appropriate corrective action is taken by the Board in the event of a directors failure to disclose a conflict of interest or other violation of the policy. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The executive director's evaluation is completed by the board president with input from a 360 degree evaluation process including input from direct reports and board members. The evaluation includes a review of performace and progress on meeting established goals for the year under review. It also includes goal setting related to the strategic direction established by the board. The executive director's salary is reviewed annually using 3 to 4 national healthcare compensation surveys considering location, type of hospital, number of beds, operating revenue and budget. The target for compensation is to pay at the 50th percentile of the market. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | In 2013, Burdett Care Center, Inc. did not make the above-named documents available to the public, although certifications of incorporation were available from the NYS Secretary of State |
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