2013-11-13T08:40:51-07:00 2012-12-31 990 2012-01-01 141338465 NATHAN LITTAUER HOSPITAL ASSOCIATION NATH 5187258621 99 East State Street Gloversville NY 12078 Laurence Kelly 5187735480 2013-11-13 2012 2016-02-25 16:41:14Z Nathan Littauer Hospital and Nursing Home Laurence E Kelly 99 East State Street Gloversville NY 12078 96252452 0 X www.nlh.org X 1894 NY Nathan Littauer Hospital and Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment. 14 12 1090 228 667468 0 602415 684587 85183984 89815422 246733 898165 1617585 4546299 87650717 95944473 0 0 0 0 57082754 59923228 0 0 12173 29129673 30934826 86212427 90858054 1438290 5086419 59240851 66197835 26886203 29241061 32354648 36956774 Nathan Littauer Hospital and Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment. 0 0 50719672 0 67287350 74 bed general medical surgical hospital providing inpatient and outpatient services with the following service statistics for 2012; 13,312 inpatient days, 1,158 observation visits, 860 new born days, 3,173 adult and pediatric admissions, 365 nursery admissions, 24,486 emergency room visits, 92,927 outpatient visits and 4,480 day surgery visits. 24454842 0 15408000 The Nathan Littauer Primary and Specialty Care Centers provide care for the whole family. Our eight conveniently located centers offer a range of services and specialties with direct access to the specialists and state-of-the-art technology available at Nathan Littauer Hospital. Several Centers are located in remote rural parts of our service area. The Centers employ 33 physicians and over 27 other healthcare professionals During 2012 the Centers collectively incurred 118,539 patient visits. 9065523 0 6889580 The Nathan Littauer Nursing Home located on the Nathan Littauer Hospital campus is a short and long term residential healthcare facility that provides a wide range of medical services with 84 beds. In 2012 the facility had a total of 30,271 patient days. 582195 0 3747735 HealthLink is Nathan Littauer Hospital's Wellness Education Center located in Johnstown. HealthLink's role is to promote wellness by increasing community awareness and providing resources for those wishing to make positive, healthy lifestyle changes. Since its launch in 1989, HealthLink has served nearly 172,000 area residents with more than 7,120 free or low-cost education programs and health screenings. Our wide variety of programs are chosen based on the interests and needs of the community. Program categories include Health & Wellness, Mind & Body, Childbirth & Parenting, Health Screenings, Support Groups, Special Events, and Vitality Plus (ViP)...especially for adults 50+. We also offer Worksite Wellness programs, including health screenings and wellness education programs, to promote health & wellness on the job. Speakers are available for presentations to schools, churches, community groups, organizations, etc., on a variety of topics. HealthLink's growing library of books, videos/DVD's, magazines and brochures cover many health-related issues. Most are free or loaned at no charge. The Hospital also offers a Lifeline Program. Lifeline is a personal emergency response system which connects subscribers with the Hospitals emergency department through a telephone based communication system. A total of 500 subscribers are members of NLHs Lifeline Program. Other community services include community health fairs, speakers bureau, organ donation program, Camp Superstarrs and New Visions Program for high school students. Health Insurance Counseling: Nathan Littauer Hospital is the lead agency in the New York State Child and Family Health Plus grant funded facilitated enrollment insurance program for Fulton, Montgomery and Hamilton counties. Child and Family Health Plus is a facilitated insurance enrollment program for children and adults that do not have or cannot afford health insurance. In 2012 more than 1,215 children, 50 pregnant women and more than 740 families were enrolled in health insurance programs through our agency. These enrollments included Medicaid and participating HMOs. (2,011 Individuals and families) Also included here is the Meaningful Use Funds received (EHR) of $2,878,753 and other operating and non-operating revenue of $638,490. 582195 0 3747735 84822232 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 34 0 1 1090 1 1 1 0 0 0 0 0 0 0 0 1 1 0 X 14 12 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Michael Redcross 5187735481 99 East State Street Gloversville NY 120781293 David Seward Esq 0.5 0 X 0 0 0 Brian Hanaburgh 0.5 0 X 0 0 0 Susan Johnson Esq 0.5 0 X 0 0 0 Arlene M Sitterly 0.5 0 X 0 0 0 Neil McGovern 0.5 0 X 0 0 0 John Fox DDS 0.5 0 X 0 0 0 Shriraj Shah MD 0.5 0 X 41957 0 0 John Comstock 0.5 0 X 0 0 0 Holly Chamberlin Esq 0.5 0 X 0 0 0 Michael Bowker 0.5 0 X 0 0 0 Anita Moore 0.5 0 X 0 0 0 Mike McBiles 0.5 0 X 0 0 0 Kevin Smith 0.5 0 X 0 0 0 Laurence E Kelly 40 0 X X 350205 0 156114 Henry Legendziewicz 40 0 X 200946 0 74749 Mike Ostrander 40 0 X 5262 0 210 James Anania MD 40 0 X 435685 0 27494 Paul Husson MD 40 0 X 306219 0 10000 Paul Moberg MD 40 0 X 401290 0 27494 Peter Dowling MD 40 0 X 301290 0 27494 Patricia Nguyen MD 40 0 X 300690 0 27494 2343544 0 351049 58 0 1 0 Sodexho Operations PO Box 905374 Charlotte NC 28290 Dietary Services 1676547 Alliance Healthcare Services PO Box 96485 Chicago IL 60693 MRI Imaging Servies 1220535 AOW Associates Inc 30 Essex Street Albany NY 12206 Construction Services 1102079 Saratoga Emergency Physicians PC 211 Church Street Saratoga Springs NY 12866 Emergency Room Physician Services 714661 Quest Diagnostics 1 Malcolm Avenue Teterboro NJ 07608 Laboratory Services 601583 20 0 0 0 200000 473167 11420 0 684587 Inpatient & Outpatient Services 622000 67287350 67287350 0 0 Primary Care & Specialty Care Centers 621110 15408000 15408000 0 0 Nursing Home 623000 6889580 6889580 0 0 Life Line 621990 222905 222905 0 0 Healthlink 611710 7587 7587 0 0 0 0 0 0 89815422 808087 0 0 808087 0 0 0 0 0 0 0 0 0 0 375645 22412 307979 0 67666 22412 90078 90078 0 0 0 Retail Pharmacy 446110 667468 0 667468 0 Cafeteria Sales 722210 433948 0 0 433948 Meaningful Use Funds 921190 2878753 2878753 0 0 566130 548412 0 17718 4546299 95944473 93332665 667468 1259753 0 0 0 0 0 0 0 0 556413 0 556413 0 0 0 0 0 45948044 43573287 2374757 0 3490851 3207878 282973 0 6727717 6351760 375957 0 3200203 3018534 181669 0 474794 474794 0 0 241731 0 241731 0 148376 0 148376 0 31485 0 31485 0 0 0 0 0 0 0 1182150 1019442 162708 0 276955 0 276955 0 3243749 2941127 295862 6760 457102 442716 14386 0 0 0 0 0 1145245 1140002 5243 0 254983 218687 36296 0 0 0 0 0 0 0 0 0 506886 506886 0 0 0 0 0 0 3682717 3500462 182255 0 1446453 1446453 0 0 Medical Supplies 10076500 10076500 0 0 Non-Medical Supplies 1109497 1101819 7678 0 Purchased Services 4164241 3776205 388036 0 Food 924082 924082 0 0 1567880 1101598 460869 5413 90858054 84822232 6023649 12173 1477494 4102977 199048 213649 973151 311937 12031047 11621175 0 0 0 0 174306 174306 541256 631248 881497 1092153 73595843 48602712 25713431 24993131 11593480 15422852 0 0 0 0 0 0 5656141 7634407 59240851 66197835 6923883 7183176 0 0 20492 0 4594126 4180883 0 0 0 0 5206127 5304305 0 0 10141575 12572697 26886203 29241061 X 31098997 36362337 973151 311937 282500 282500 32354648 36956774 59240851 66197835 X 5086419 233071 0 0 0 -717364 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 31485 31485 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 A portion of the organizations dues for the American Hospital Association, Healthcare Association of NY and the Iroquois Healthcare Consortium is used for lobbying purposes. Also the organization engaged in a law firm to seek extension of the Medicare Dependent Hospital designation as part of a group effort on the part of rural hospitals. 265320 0 54663 0 0 1388 318595 303299 0 -36431 0 0 1548 265320 261573 0 43367 0 0 1641 303299 193361 0 69682 0 0 1470 261573 344557 0 -149499 0 0 1697 193361 0 1 0 0 0 0 404197 404197 0 35726209 21608811 14117398 0 1359649 985230 374419 0 31738038 22802008 8936030 0 4367750 3206663 1161087 24993131 AWUL by Debt & Lease Agreement 2267064 AWUL by Board Designation 543234 Agency Funds 21655 Miscellaneous Receivables 1335695 Other Assets 372802 Deferred Software License 763141 Deferred Financing 235807 Deferred Lease 26554 Deferred 1199 Funds 274128 Deferred 457 Plans 1794327 7634407 0 Due To Third Party Reimbursement Agencies 1347104 Assest Retirement Obligation 88620 Accrued Long Term Pension Obligation 9017056 Section 457 Plans 1842826 Due to 1199 124630 EHR Reserve 152461 12572697 X 96428766 0 0 0 717364 717364 95711402 0 233071 233071 95944473 90858054 0 0 0 0 0 90858054 0 0 0 90858054 SchD_P05_S00_L04 Schedule D, Part V, Line 4 The principle donation is permanently restricted, income generated by the fund is used in the daily operations of the hospital. SchD_P10_S00_L02 Schedule D, Part X, Line 2 The Hospital is a not-for-profit organization, as described in Section 501(c)3 of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Hospital recognizes income tax positions when it is more-likely than not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded as of December 31, 2012. SchD_P11_S00_L02d Schedule D, Part XI, Line 2d Distributions from NL Foundation $640,000, Change in interest in NL Foundation ($661,214), Pension related changes other than net periodic pension cost ($696,150). SchD_P11_S00_L04b Schedule D, Part XI, Line 4b Net unrealized gains on investments 1 1 X 1 X 1 X 1 1 1 0 1 1 1 2549 782116 112124 669992 0.0074 1 57757 17415122 11040923 6374199 0.0702 0 0 0 0 0 0 2 60306 18197238 11153047 7044191 0.0776 26 7044 781682 274662 507020 0.0056 1 24 120287 0 120287 0.0013 1 0 24454842 21562211 2892631 0.0318 0 0 0 0 0 0 3 200 11634 0 11634 0.0001 31 7268 25368445 21836873 3531572 0.0388 33 67574 43565683 32989920 10575763 0.1164 1 6824417 0 13757068 17973674 -4216606 X 1 1 1 1 Nathan Littauer Hospital Association

99 East State Street Gloversville NY 12078

www.nlh.org X X X Nathan Littauer Hospital Association 1 1 1 100 1 300 1 X X 1 1 X X X X 1 X X 0 X X X X 1 X 0 0 9 Nathan Littauer Hospital Nursing Home

99 East State Street Gloversville NY 12078

84 Bed Nursing Home. Nathan Littauer Hospital Primary Care Center

99 East State Street Gloversville NY 12078

Primary/Specility Care Center (Clinic). Perth-Broadalbin Primary Care Center

4100 State Highway 30 Amsterdam NY 12078

Primary/Specialty Care Center (Clinic). Johnstown Primary Care Center

23 South Perry Street Gloversville NY 12095

Primary/Specialty Care Center (Clinic). Mayfield Primary Care Center

2497 State Highway 30 Mayfield NY 12117

Primary/Specialty Care Center (Clinic). Steele Avenue Primary Care Center

182 Steele Avenue Gloversville NY 12078

Primary/Specialty Care Center (Clinic). Caroga Lake Primary Care Center

1840 State Highway 10 Caroga Lake NY 12032

Primary/Specialty Care Center (Clinic). Speculator Primary Care Center

Route 8 Speculator NY 12164

Primary/Specialty Care Center (Clinic). Decker Drive Primary Care Center

110 Decker Drive Johnstown NY 12095

Primary/Specialty Care Center (Clinic). SchH_P01_S00_L06a Schedule H, Part I, Line 6a Our annual community benefit report is prepared by Nathan Littauer Hospital. The report can be found at www.nlh.org. We also mail the report to organizations in our community. Our State requires the filing of a community benefit report every three years, rather than on an annual basis. Our reporting is designed to conform to this standard. SchH_P01_S00_L07 Schedule H, Part I, Line 7 The costing methodology used to calculate the amounts reported in the Table for Line 7 is ratio of patient care cost to charges. SchH_P01_S00_L07g Schedule H, Part I, Line 7g Subsidized health services reported included details from the Primary/Specialty Care Centers, licensed clinics. The Centers operated despite financial losses to the organization for at least the past nine years. The Hospital is committed to operate the Centers as a benefit to the community in order to address an identified community need and to improve access to healthcare, including our remote rural communities. SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 Patient accounts receivable are reflected net of an allowance for estimated uncollectible accounts. In evaluating the collectability of patient accounts receivable, the Hospital analyzes its past collection history, business and economic conditions, trends in governmental and employee health care coverage and other collection indicators for each of its major categories of revenue by payor to estimate the appropriate allowance for estimated uncollectible accounts. Management regularly reviews data about these major categories of revenue in evaluating the sufficiency of the allowance for estimated uncollectible accounts. Throughout the year, the Hospital, after all reasonable collection efforts have been exhausted, will write off the difference between the standard rates (or discounted rates if applicable) and the amounts actually collected against the allowance for estimated uncollectible accounts. In addition to the review of the categories of revenue, management monitors the write offs against established allowances to determine the appropriateness of the underlying assumptions used in estimating the allowance for estimated uncollectible accounts. During 2012, the Hospital increased the amount of the allowance for estimated uncollectibles to provide for the increasing amount of write offs the Hospital is experiencing annually from changes in employer and governmental health care coverages which has resulted in a growth in the level of uninsured and under-insured patients. SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 Medicare allowable costs were calculated using a cost to charge ratio based upon the cost finding methodology in the Medicare 2552-10 Cost Report. Community Benefit rationale: The Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patient, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though costs exceed reimbursements by $4,216,606. Tax exempt hospitals are expected to participate in the Medicare program. For many of the medical services provided by the Hospital, Medicare does not provide sufficient reimbursement to cover the cost of providing care to our patients, forcing the Hospital to use other funds to cover the deficit. Medicare Cost Reports that hospitals are required to file do not include the costs required to treat all Medicare patients. Therefore the amount reflected on the Medicare Cost Report differs from actual losses. In 2012 the Hospital realized an additional shortfall of $3,121,084 resulting from Medicare Advantage and non-PPS Medicare patients. The total shortfall for all types of Medicare patients was $7,337,690. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b Requests for Financial Assistance may be made at any point before, during or after the provision of care. Anyone seeking Financial Assistance will be given an application. Financial Assistance requests may be proposed by sources other than the patient, such as the patient's physician, family members, social services, or hospital personnel. Pending final eligibility determination, Nathan Littauer Hospital will not initiate collection efforts or requests for deposits provided that the responsible party is cooperative with Nathan Littauer Hospital's efforts to get payment from other sources. If initial screening does not disqualify someone for Financial Assistance they will be given an application, which includes instructions on how to apply. For non-Medicare patients, if the balance is under $100.00 for Primary Care and $500.00 for Hospital services, the Short Form Application can be utilized. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 Assessment of Public Health Priorities With ARHN facilitating the process the Community Health Planning Committee (the Committee) was formed with representatives from all six of the hospitals and all six of the local health departments in the region. Members of the Committee participated in a collaborative approach to community health assessment and planning. Relying on regional information gathered and analyzed by ARHN as well as information specific to each hospital's service area, each ARHN hospital prepared a Community Service Plan in collaboration with the other participating hospitals and local health departments. There were five main sources of data that were used to assess the public health priorities: The New York State Department of Health conducted an extensive Behavioral Risk Factor Surveillance Survey (BRFSS) in 2008. The BRFSS was conducted by telephone surveys and collected information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. Existing data, especially public health, statewide and national data New York State Prevention quality Indicatory data (PQI) Statewide Planning and Research Cooperative System (SPARCS) Stakeholder focus groups offer a unique perspective by gathering in a focus group setting individuals who have insight on the health of a community or the region. These individuals also provided suggested activities for improving the health of the region. ARHN used a prioritization matrix to identify the regional health priorities by using data to score criteria and issues. An ad hoc subcommittee was convened to develop the criteria for the matrix. The subcommittee researched a variety of prioritization matrices and compiled a list of 25 possible criteria, of which eight were applied. The eight criteria included: Leadership support available Magnitude of the problem Variance against benchmarks or goals Importance to the public health system Impact on the other health outcomes System resources Impact on the physical or social environment Ease of implementing solutions. The criteria were applied to the prioritization matrix to assist the Committee in reaching consensus on priority health issues. The regional community health assessment and community services plan data collection and reporting identified 34 distinct issues for prioritization. The Committee used the OptionFinder audience response polling system to rate each of the issues on each of the eight criteria noted above. The scores of the 34 individual health issues were then compiled into each of the ten NYSDOH Prevention Agenda areas. SchH_P06_S00_L03 Schedule H, Part VI, Line 3 Nathan Littauer Hospital & Nursing Home educates our patient population for our Financial Assistance policy in the following ways: NLH has provided a "Frequently Asked Question" section on our website (www.nlh.org) to answer questions our patients may have. We have posted the complete Charity/Financial assistance policy on our website (www.NLH.org). NLH posts in their registration areas the availability of Financial Assistance and the appropriate contact information to obtain and complete the application process. NLH also provides pamphlets in all of our inpatient and outpatient registration areas literature providing information on insurances and, again, providing information on our Financial Assistance program and contact information. NLH has four facilitated enrollers available to assist patients with their application for Medicaid, Family Health Plus and Child Health Plus. They will also assist patients in completing our charity care application. Our staff has been trained in assisting our patients with obtaining application and providing direction and contact information for the completion of same. Our in-patient statements and our billing agency provides information advising patients to contact our offices to request the application and assistance in its completion. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 Nathan Littauer Hospital and Nursing Home is located in a rural area in Upstate New York. Our primary service area is Fulton County with additional services available in neighboring Hamilton and Montgomery Counties. Both Fulton and Hamilton counties are designated as Healthcare Professional Shortage Areas (HPSA). Within our main service area, Fulton County, 2012 data shows a population of 54,925 and of those reporting one race, 95.7% of those residents identified themselves as white. 50.5% of our population are women. Over 17% of the population has a median age of 65 or older. The median household income in Fulton County is $45,289 (well below the national average of $56,951). Our county has 16.5% of its residents living below the poverty level. 83.4% of the population has a high school degree or higher. The leading industries remain: Educational services, health care and social assistance employing 26% of the workforce followed by manufacturing employing 15%. Unemployment rates for 2011 are at about 11%. Major health issues for our region remain, respiratory diseases/childhood asthma, cancers of the lung and colon, lack of physical fitness and nutrition, unintentional injuries, tobacco use, lead poisoning and chronic diseases of the lung and the heart. The demographics and public health issues of our area clearly demonstrate why Nathan Littauer Hospital and Nursing Home and our eight primary care center are a vital resource in the communities we serve. Of particular note is our aging population and poverty levels, which are much higher than the state average. It is concluded that health issues affecting our population will continue to be addressed by our community hospital. Our mission is in keeping with the community need as we strive to provide care that is effective, clinically astute, safe and accessible. SchH_P06_S00_L05 Schedule H, Part VI, Line 5 The Board of Directors of Nathan Littauer Hospital and Nursing Home is made up of medical and business professionals, all of whom reside in our primary service area. These volunteers give countless hours to the organization in their oversight role. They are involved in the community needs assessment process, in fundraising and in general stewardship. Littauer utilizes excess funds to reinvest in our technology, computerization and facilities to keep our organization safe, efficient and accessible as well as to ensure quality patient care. For example we recently used excess funds to support free and low cost education programs offered by Littauer to our community. Renovated Diagnostic Imaging and Health Information Management departments in 2012. SchH_P06_S00_L07 Schedule H, Part VI, Line 7 New York X X X X X 0 1 0 0 0 0 0 0 0 Laurence E Kelly 348915 0 0 0 1290 0 138620 0 17494 0 506319 0 123688 0 Henry Legendziewicz 197581 0 0 0 3365 0 54910 0 19839 0 275695 0 31200 0 Mike Ostrander 5250 0 0 0 12 0 210 0 0 0 5472 0 0 0 James Anania MD 435000 0 0 0 685 0 10000 0 17494 0 463179 0 0 0 Paul Moberg MD 400000 0 0 0 1290 0 10000 0 17494 0 428784 0 0 0 Paul Husson MD 305979 0 0 0 240 0 10000 0 0 0 316219 0 0 0 Peter Dowling MD 300000 0 0 0 1290 0 10000 0 17494 0 328784 0 0 0 Patricia Nguyen MD 300000 0 0 0 690 0 10000 0 17494 0 328184 0 0 0 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Payments were made on behalf of the CEO and Senior Vice President & CFO to a 457(f) plan during 2012. Shriraj Shah MD Board Member 41457 Independent Contractor 0 F990_P01_S00_L06 Form 990, Part I, Line 6 Total volunteer hours for 2012 were 14,721 based upon the annual report of the Nathan Littauer Hospital Auxiliary. This included Auxilians, Candy Stripers and Junior Volunteers. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 The sole member of the Nathan Littauer Hospital Association is Colonial Healthcare Corp. which shall be represented at all meetings of the Association by the President of the Board of Directors of Colonial Healthcare Corp. or such person designated by the President in writing. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b Colonial Healthcare Corp., the sole member of the Nathan Littauer Hospital Association, must consent to any changes to the hospital's bylaws. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The form 990 was presented at a regular meeting of the Board of Directors on October 22, 2013 by Mike Ostrander, Vice President of Finance & CFO and Laurence Kelly, President & CEO prior to the filing of the form. The Chairman and Vice-Chairman of the Board were presented with copies prior to the board meeting. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The Hospital's Conflict of Interest policy requires the filing of an annual disclosure statement by covered persons. Covered persons are defined as "Any director, officer, member of a committee with governing board delegated powers, or any member of the Capital Acquisition Committee, Pharmacy & Therapeutics Committee or Value Analysis Committee and Hospital employees who have a position which involves the acquisition of equipment and supplies or who authorize payments for such material. The Board or Committee is informed annually of any possible conflicts. The covered person has a duty to disclose the possible conflict when a matter is brought before the Board or Committee and the Board or Committee makes the determination if a conflict actually exists. The conflicted party will not particapate in the discussion of the matter at hand and will leave the meeting which a vote of the disinterested parties takes place. The Corporate Compliance Officer and the Chairman of the Board or Committee are responsible for compliance with policy. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The Hospital's Compensation Committee is composed of the Chairman, Vice Chairman and immediate past Chairman of the Board of Directors. All members are independent directors. The Committee utilizes comparable compensation data in its deliberations. The compensation of the President (CEO) of the hospital is in the form of a recommendation to the full Board of Directors in an Executive Session of the meeting. Only independent directors are present at the meeting. The Compensation committee also advises and assists the President (CEO) in determining the compensation for senior management of the Hospital using comparative compensation data. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The Hospital publishes an annual report distributed by mail and made available for distribution through a number of public outlets such as civic and social organizations. The report includes condensed financial statements and various statistical data relative to services provided to the community including free clinics, education programs, health fairs, etc. The Form 990 is available to the public upon request. The Hospital's governing documents, conflict of interest policy and internal financial statements are not available to the public. F990_P11_S00_L09 Form 990, Part XI, Line 9 Pension Related Changes - (696,150), Distributions from NL Foundation - 640,000, Change in Interest in Net Assets of NL Foundation - (661,214). Gloversville Extended Care & Nursing Home Co Inc 99 East State Street Gloversville NY 12078 237065255 Leasing an 84 bed Skilled Nursing Facility to Hospital NY 501(c)3 Schedule A Line 3 N/A 1 NLH Realty Corp 99 East State Street Gloversville NY 12078 141641020 Realty holding company NY 501(c)2 N/A 0 Nathan Littauer Foundation 99 East State Street Gloversville NY 12078 141638991 Support the Hospital & promote healthcare programs in the community through donations. NY 501(c)3 Schedule A Line 7 N/A 1 Nathan Littauer Hospital Auxiliary 99 East State Street Gloversville NY 12078 146086641 Assisting Hospital in promoting health & welfare of the community NY 501(c)3 Schedule A Line 11 N/A 0 Colonial Healthcare Corporation PO Box 586 Gloversville NY 12078 141670605 Support & Supplement the activities, goals and operations of Nathan Littauer Hospital Association. NY 501(c)3 Schedule A Line 7. N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Gloversville Extended Care & Nursing Home Co Inc j 111578 Payments Nathan Littauer Foundation c 840000 Receipts