HOOSICK FALLS HEALTH CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HOOSICK FALLS HEALTH CENTER (EIN 14-1370000)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201423189349302572
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

FieldValueIRS element (for citing)
Return2014-11-14T08:15:51-08:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LAURA J REYNOLDS CPABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1675 WILSON HILL RDAddressLine1
CityHOOSICK FALLSCity
StateNYState
ZIP Code120904547ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141370000EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOOSICK FALLS HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOOSBusinessNameControlTxt
Phone5186864371PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 DANFORTH STREETAddressLine1
CityHOOSICK FALLSCity
StateNYState
ZIP Code12090ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA REYNOLDSPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone5186864371PhoneNum
Signature2014-10-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA J REYNOLDSPreparerPersonNm
Phone5184418433PhoneNum
Preparation2014-11-14PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLAURA REYNOLDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Danforth StAddressLine1
CityHoosick FallsCity
StateNYState
ZIP Code12090ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$7,100,714GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressnursingandrehab.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1914FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionThe Centers mission is to provide rehabilitation and long-term care services to those in need. We strive to provide resident services in our 82 bed SNF so that each resident has the opportunity to reach their maximum potentialActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee169TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$85,335PYContributionsGrantsAmt
CY Contributions Grants$105,469CYContributionsGrantsAmt
PY Program Service Revenue$6,048,410PYProgramServiceRevenueAmt
CY Program Service Revenue$6,336,640CYProgramServiceRevenueAmt
PY Investment Income$107,983PYInvestmentIncomeAmt
CY Investment Income$200,585CYInvestmentIncomeAmt
PY Other Revenue$16,423PYOtherRevenueAmt
CY Other Revenue$15,457CYOtherRevenueAmt
PY Total Revenue$6,258,151PYTotalRevenueAmt
CY Total Revenue$6,658,151CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,135,988PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,025,399CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$2,290,944CYOtherExpensesAmt
PY Total Expenses$4,135,988PYTotalExpensesAmt
CY Total Expenses$6,316,343CYTotalExpensesAmt
PY Revenues Less Expenses$2,122,163PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$341,808CYRevenuesLessExpensesAmt
Total Assets BOY$5,129,981TotalAssetsBOYAmt
Total Assets EOY$5,065,986TotalAssetsEOYAmt
Total Liabilities BOY$3,630,962TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,225,454TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,499,019NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,840,532NetAssetsOrFundBalancesEOYAmt
MissionWe are an 82 bed skilled nursing home facility providing 24hr/7 days a weekMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,484,147ExpenseAmt
Revenue$6,336,640RevenueAmt
DescWE PROVIDE REHABILITATION AND LONG TERM CARE SERVICES TO THOSE IN NEED. WE STRIVE TO PROVIDE RESIDENT SERVICES IN OUR 82 BED SNF SO THAT EACH RESIDENT CAN REACH THEIR MAXIMUM POTENTIAL.Desc
Total Program Service Expenses$5,484,147TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee169EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclfalseNondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAURA REYNOLDSPersonNm
Phone5186864371PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Danforth StAddressLine1
CityHoosick FallsCity
StateNYState
ZIP Code12090ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
EDWARD J GORMAN
PresidentYes (X)$0$0$0
WILLIAM C JOHNSTON
1st Vice PresidentYes (X)$0$0$0
DOUG BUGGEE
TreasurerYes (X)$0$0$0
JOYCE DAVIS
SecretaryYes (X)$0$0$0
LAURA REYNOLDS
CEO$82,950$0$14,392Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$82,950TotalReportableCompFromOrgAmt
Total Other Compensation$14,392TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Related Organizations$79,812RelatedOrganizationsAmt
All Other Contributions$25,657AllOtherContributionsAmt
Total Contributions$105,469TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
Net Patient Services, Medicaid623000$3,530,210
Net Patient Services, Medicare623000$1,535,240
Net Patient Services, Other623000$1,184,802
Ancillary623000$86,388
FieldValueIRS element (for citing)
Total Program Service Revenue$6,336,640TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,771TotalRevenueColumnAmt
Exclusion$24,771ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,510RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,174RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$13,336RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,336TotalRevenueColumnAmt
Exclusion$13,336ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$614,203SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$438,389SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$175,814SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$175,814TotalRevenueColumnAmt
Exclusion$175,814ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Rebates & Discounts623000$1,259$1,259
Vending Machine Rebates623000$242$242
Sevices Sold623000$470$470

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$150TotalRevenueColumnAmt
Related Or Exempt Func Income$150RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,121OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,658,151TotalRevenueColumnAmt
Related Or Exempt Func Income$6,338,761RelatedOrExemptFuncIncomeAmt
Exclusion$213,921ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$82,950TotalAmt
Program Services$0ProgramServicesAmt
Management And General$82,950ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,123,213TotalAmt
Program Services$2,980,528ProgramServicesAmt
Management And General$142,685ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,439TotalAmt
Program Services$16,212ProgramServicesAmt
Management And General$1,227ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$558,464TotalAmt
Program Services$519,162ProgramServicesAmt
Management And General$39,302ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$243,333TotalAmt
Program Services$226,208ProgramServicesAmt
Management And General$17,125ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$111,407TotalAmt
Program Services$111,407ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,082TotalAmt
Program Services$0ProgramServicesAmt
Management And General$17,082ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,348TotalAmt
Program Services$0ProgramServicesAmt
Management And General$21,348ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,869TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,869ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$308,926TotalAmt
Program Services$185,757ProgramServicesAmt
Management And General$123,169ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,880TotalAmt
Program Services$428ProgramServicesAmt
Management And General$2,452ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,662TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,662ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$180,139TotalAmt
Program Services$173,834ProgramServicesAmt
Management And General$6,305ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,839TotalAmt
Program Services$10,177ProgramServicesAmt
Management And General$6,662ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$151,500TotalAmt
Program Services$146,349ProgramServicesAmt
Management And General$5,151ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$351,170TotalAmt
Program Services$339,230ProgramServicesAmt
Management And General$11,940ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$58,480TotalAmt
Program Services$56,434ProgramServicesAmt
Management And General$2,046ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Assessment$293,140$0$293,140$0
Supplies$671,052$662,390$8,662$0
Telephone$15,375$0$15,375$0
Equipment Rental$33,652$32,474$1,178$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,423TotalAmt
Program Services$23,557ProgramServicesAmt
Management And General$16,866ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,316,343TotalAmt
Program Services$5,484,147ProgramServicesAmt
Management And General$832,196ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,275BOYAmt
EOY$148,471EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$257,842BOYAmt
EOY$272,613EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$857,891BOYAmt
EOY$1,005,598EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$56,308BOYAmt
EOY$57,028EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$57,381BOYAmt
EOY$39,573EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,395,000LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,678,467LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,670,862BOYAmt
EOY$2,716,533EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,132,197BOYAmt
EOY$777,548EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$36,082BOYAmt
EOY$30,338EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,143BOYAmt
EOY$18,284EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,129,981BOYAmt
EOY$5,065,986EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$530,635BOYAmt
EOY$512,030EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$27,325BOYAmt
EOY$47,682EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$18,143BOYAmt
EOY$20,083EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,609,648BOYAmt
EOY$2,251,860EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$445,211BOYAmt
EOY$393,799EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,630,962BOYAmt
EOY$3,225,454EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,499,019BOYAmt
EOY$1,840,532EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,499,019BOYAmt
EOY$1,840,532EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,129,981BOYAmt
EOY$5,065,986EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$341,808ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$103,192NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$102,897OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gross Investment Income170 GrossInvestmentIncome170Grp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,247,847InvestmentCostOrOtherBasisAmt
Depreciation$1,566,092DepreciationAmt
Book Value$1,681,755BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,505,999InvestmentCostOrOtherBasisAmt
Depreciation$3,723,521DepreciationAmt
Book Value$782,478BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$580,655InvestmentCostOrOtherBasisAmt
Depreciation$388,854DepreciationAmt
Book Value$191,801BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,716,533TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due To Third Party Payers$180,385
Fair Market Value of Swap Agreement$213,414
FieldValueIRS element (for citing)
Total Liability$393,799TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$6,536,525TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$103,192NetUnrealizedGainsInvstAmt
Other Revenue$57,403OtherRevenueAmt
Revenue Not Reported-$45,789RevenueNotReportedAmt
Revenue Subtotal$6,582,314RevenueSubtotalAmt
Other Revenues Not Included$79,812OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$79,812RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,662,126TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,329,553TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$9,238OtherExpensesIncludedAmt
Expenses Not Reported$9,238ExpensesNotReportedAmt
Expenses Subtotal$6,320,315ExpensesSubtotalAmt
Total Expenses Per Form990$6,320,315TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XI Line 2dRepresents related party income of $53229 and rental expense of $4174
Pt XII Line 2dOther Expenses - this represents related entity expense of $5064 and rental expense of $4174
Pt XI Line 4bRepresents $79812 contribution from related party (not controlling entity)
Pt IV Line 2bCash Held in Escrow Patient Trust

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XIline 9, other changes in net assets consist of the change in FMV of swap of $102897
Pt VI, Line 11bBoard review of 990- prior to filing the 990, the finance committee will review and discuss the form.
Pt VI, Line 11bOnce done, there is a motion to approve and report to the full board for approval
Pt VI, Line 12cConflict of interest- due to our rural area and the knowledge and backgrounds of our board memebers
Pt VI, Line 12cconflicts of interest are known, if there is a discussion or motion required where a member
Pt VI, Line 12chas a conflict of interest that person will either remove themselves from the
Pt VI, Line 12cdiscussion and vote or obstain from voting
Pt VI, Line 15bPrior to finalizing our budget to top management, the finance and personal committees
Pt VI, Line 15bmeet to discuss compensation. There is a formal board approvalfor the administrator salary which is given during yearly review
Pt VI, Line 19Our governing documents, conflict of interest policy and financial statements are available to the public by request in writing
Pt VI, Line 15aPrior to finalizing our budget to top management, the finance and personal committees
Pt VI, Line 15ameet to discuss compensation. There is a formal board approvalfor the administrator salary which is given during yearly review

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Hoosick Falls Health Center Foundation IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Danforth StreetAddressLine1
CityHoosick FallsCity
StateNYState
ZIP Code12090ZIPCode
FieldValueIRS element (for citing)
EIN223186959EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501 (c) 3ExemptCodeSectionTxt
Public Charity StatusyesPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1noBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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