2012-05-11T10:28:50-00:00 2010-12-31 Columbia Memorial Hospital 71 Prospect Avenue Hudson NY 12534 990 2010-01-01 141338373 Columbia Memorial Hospital COLU 5188287601 71 Prospect Avenue Hudson NY 12534 Jane Ehrlich 2011-11-14 false John Gallagher 5188288181 2011-11-14 2010 2016-02-24 21:20:13Z Jane Ehrlich President CEO 71 Prospect Avenue Hudson NY 12534 140607314 false X www.columbiamemorial.com X 1905 NY The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. 17 13 1585 55 289441 46981 1003395 2581235 125941407 127576925 -91932 554791 2147985 -641016 129000855 130071935 0 0 70580910 76128821 0 0 53309813 55248090 123890723 131376911 5110132 -1304976 70927010 81803944 47885348 60022952 23041662 21780992 X The mission of Columbia Memorial Hospital is to provide our communities with safe, high quality, comprehensive health care services in a dignified and compassionate environment. false false 44826230 51677849 Acute Inpatient Hospital services 32,686 patient days. Hospital Emergency Medical Care available to all 32,764 visits. 57010916 65760268 Outpatient Surgery Outreach Clinics spanning 3 Counties. 282,081 visits 7601455 8791105 Our Nursing Home provides skilled care resident rehabilitative services. 40,544 patient days 2347508 2695436 111786109 true true false true true false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false true false true true false false false false true true true true false true 85 0 true 1585 true true true false false false false false false false false false true false false 17 13 false false false false false false false true true false false true true true true true true true false true true NY X Columbia Memorial Hospital 5188287601 71 Prospect Avenue Hudson NY 12534 James Warren 008.00 X X 0 0 0 Mary Gail Biebel 008.00 X X 0 0 0 Donald Gibson 008.00 X X 0 0 0 Winnie Thorn 008.00 X X 0 0 0 V Richard Back MD 008.00 X X 6647 0 0 HLouis Clinton MD 008.00 X 0 0 0 Stephen Dunn 008.00 X 0 0 0 David Ginsberg 008.00 X 0 0 0 Clara Kellner 008.00 X 0 0 0 Aven Kerr 008.00 X 0 0 0 James M Kingsbury 008.00 X 0 0 0 James Lapenn 008.00 X 0 0 0 James Reynolds 008.00 X 0 0 0 William Van Slyke 008.00 X 0 0 0 George Davis MD 032.00 X 113697 0 0 Ananthakrishnan Ramani MD 040.00 X 372055 0 10750 Jane Ehrlich 040.00 X X X 482592 0 209465 Jay Cahalan 040.00 X X 361885 0 51834 Vincent J Dingman III 040.00 X X 257605 0 38375 Christopher Gorcznyski MD 040.00 X 605977 0 0 Andrew Packard MD 040.00 X 551534 0 0 Monoj Subudhi MD 040.00 X 492328 0 750 Karuvath Enu MD 040.00 X 428009 0 0 Louis DiGiovanni MD 040.00 X 419212 0 0 4091541 311174 76 true true false LabCorp 20 Johnson Drive Raritan NJ 08869 Laboratory Services 1371141 Dennis Marcus MD PC PO Box 797 Valatie NY 12184 Psychiatric Services 1055861 Pain Management of Upstate New York c/o CMH 71 Prospect AttnTomasz Andr Westwood MA 02090 Physician Services 810000 Medical Information Technology Inc Medictech Circle Westwood MA 02090 Software Provider Services 649148 Donald Blair Architechs 100 Lafeyette Street Suite 604 New York NY 10013 Architectural 376269 22 687869 1847768 45598 36460 2581235 I/P O/P Svcs.- Medicare/Medicaid Paymts 900099 73285587 73285587 I/P O/P Services - Other Direct Payments 900099 49158347 49158347 Other Government Payments 900099 5132991 5132991 127576925 229256 229256 10860613 301 10535379 325234 301 325535 325535 Unrealized Gain on Investments 900099 421504 421504 289441 289441 -641016 130071935 126646468 289441 554791 0 0 0 0 4091541 2982812 1108729 0 59459043 51790931 7668112 0 8342566 6776143 1566423 4235671 3612735 622936 0 363649 48653 314996 139485 139485 0 0 11409042 9879206 1529836 476771 6553 470218 17065311 15777506 1287805 584359 361832 222527 0 3763084 2668900 1094184 156576 43415 113161 0 174201 46877 127324 1524740 1524740 0 4282285 3155596 1126689 4285168 4083903 201265 Maintenance 1598730 1396370 202360 Miscellaneous 349457 101782 247675 Provision for Bad Debt 8545541 8545541 Assessment 507305 507305 Membership Dues 22386 49 22337 0 131376911 111786109 19590802 0 5576459 5372631 11156493 10124480 1432111 1443930 841803 1231570 94484357 54077952 37888624 40406405 9784550 12699400 1725618 2100836 4733745 2521352 3690947 70927010 81803944 9740352 8975565 22095152 33672032 275329 206329 15774515 17169026 47885348 60022952 X 19491754 18817576 2566243 1978751 983665 984665 23041662 21780992 70927010 81803944 -1304976 44306 X false true true X true true X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false false false false II-B, g Our President CEO, and on occasion, other Executive Staff of Columbia Memorial, maintain contact with legislators to share data and concerns relative to healthcare in general, and particularly, the local area that our hospital serves. 1 4480 35887 true true false 6309608 1082856 515830 1199980 6708314 6110594 749034 592695 1142715 6309608 7632997 3220130 -1514973 3227560 6110594 0.25000 0.14000 0.61000 false true true 698850 698850 53899956 24134633 29765323 39055253 29440883 9614370 830298 502436 327862 40406405 ACCRUED VACATION PTO 2931537 ESTIMATED PAYABLES TO 3RD PARTY REIMBURSEMENT AGENCIES 2626000 ACCRUED PENSION 4550944 OBLIGATIONS UNDER CAPITAL LEASES 710986 INTEREST RATE SWAPS 963854 ASSET RETIREMENT OBLIGATION 860000 DEFERRED LIABILITY - EXEC. LIFE INSURANCE POLICIES 2138038 PROFESSIONAL LIABILITY INSURANCE RESERVE 2289000 KAATERSKILL COMMONS - GROUND LEASE 98667 17169026 130071935 131376911 -1304976 -1575712 -1575712 -2880688 128564305 128564305 1507630 1507630 130071935 131444993 131444993 -68082 -68082 131376911 X, 2 FOOTNOTE 1,R INCOME TAXES The Hospital and KCI are Internal Revenue Code Section 501c3 organizations and, as such, are exempt from federal income taxes on related income pursuant to Section 501a. The Hospital recognizes the effect, if any, of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50 likely of being realized. Changes in recognition or X, 2 measurement are reflected in the period in which the change in judgment occurs. The Hospital has no uncertain tax positions at December 31, 2010 or 2009. XI 8, Not included in Revenue or Expenses on Lines 1 2, but included as adjustments to net assets on the Hospitals consolidtated financial statements are Restricted Gifts and Grants 1,483,575, which are adjustments to Temporarily and Permanently Restricted Net Assets Revenue received from a related organization - Kaaterskill Commons, Inc.- which is eliminated upon consolidation 60,000 the net loss from Kaaterskill Commons, Inc. which is included in the Hospitals consolidated financial XI 8 statements 44,732, and the net worth of a related organization which is not recorded on the Hospitals books -12,595. XII 4b, Not included in Revenue on Part XII, Line 3, but included as revenue on the Hospitals consolidated financial statements are Restricted Gifts and Grants 1,483,575, which are adjustments to Temporarily and Permanently Restricted Net Assets Revenue from Kaaterskill Commons, Inc., a consolidated entity 36,650 and the net worth of a related organization which is not recorded on the Hospitals books -12,595. VIII 4b. Not included in Expenses on Part XIII, Line 3, but included as expenses on the Hospitals consolidated financial statements are the expenses for Kaaterskill Commons, Inc., a conlosidated entity 68,082. true true true X true X true true true false true true 340641 340641 0.00260 27533519 21526381 6007138 0.04570 27874160 21526381 6347779 0.04830 360049 42024 318025 0.00240 360049 42024 318025 0.00240 28234209 21568405 6665804 0.05070 115970 115970 0.00090 115970 115970 0.00090 true 4041186 2020593 50615152 47927514 2687638 true false 2 1 Columbia Memorial Hospital

71 Prospect Avenue Hudson NY 12534

X X X 2 Kaaterskill Care Skilled Nursing & Rehab

161 Jefferson Heights Catskill NY 12414

Skilled Nursing Facility X X X X false false false false false false false false false Ananthakrishnan Ramani MD 252055 120000 10750 382805 387398 Jane Ehrlich 396024 64904 21664 209465 692057 707051 Jay Cahalan 286058 68783 7044 51834 413719 416848 Vincent J Dingman III 203608 50000 3997 38375 295980 307431 Christopher Gorcznyski MD 605977 605977 568451 Andrew Packard MD 451619 99915 551534 527446 Monoj Subudhi MD 492328 750 493078 503708 Karuvath Enu MD 390169 37850 428019 428930 Louis DiGiovanni MD 419212 419212 415565 George F Davis MD 113697 113697 117694 V Richard Back MD 6647 6647 Columbia County Industrial Development Agency 141636496 197511AR9 2008-01-30 11730000 Refinancing false Columbia County Capital Resource Corp 271072117 197505AA8 2010-03-01 12945000 Refinancing New Construction false 11730000 603669 3815256 7273421 37654 2010 false false true true false true true HSBC 0000000010.000000000000 false false false false false false true true HSBC 0000000010.000000000000 false false false false false James Reynolds Board Trustee 371480 Refer to Schedule L, Part V. false David Ginsberg Board Trustee 695143 Refer to Schedule L, Part V. false IV, 1 James Reynolds, a Columbia Memorial Hospital Board Trustee, is also President of Mid-Hudson Cablevision and Mid-Hudson Media. Those companies provided 74,163 in cable internet access to various locations belonging to the Hospital. Mr. Reynolds is also on the Board of Directors of Tech Valley Communications whom provided 297,317 in communications equipment to the Hospital. IV, 2 David Ginsberg, a Columbia Memorial Hospital Board Trustee, is also the Owner, President CEO of Ginsbergs Foods, Inc. His company provided 695,143 in food, paper products, etc. during 2010 X 36460 Selling price false false false FORM 990 PART III - STATEMENT OF PROGRAM SERVICE, LN.4d, OTHER Total of Other Operating Revenue of 2,695,436 to include Government Grants 1,847,768 Funds from related organizations 687,869 Smaller contributions 45,598 A non-cash donation reported on Schedule B 36,460. Form 990 PART VI SECTION B, POLICIES, LN. 11a - GOVERNING BODYS REVIEW OF FORM 990 The 990 and its supporting schedules are presented to the finance Committee by the Chief Financial Officer of Columbia Memorial Hospital. The Finance Committee is comprised of select members of the Board of Trustees who after review of the documents, present the same to all members of the Board of Trustees. FORM 990 PART VI SECTION B, POLICIES, LN. 12c - CONFLICT OF INTEREST All members of the Board of Trustees are required to complete and execute the Hospital policy on Organizational Ethics as well as a conflict of Interest Questionaire for Trustees and Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, they are also required from all encumbent trustees on an annual basis. FORM 990 PART VI SECTION B, POLICIES, LN.15a - COMPENSATION OF CEO OTHER KEY EMPLOYEES Performance review and recommendations pertaining to salary are undertaken by the Compensation Committee on an annual basis. The Compensation Committee is comprised of select members of the Board of Trustees who may employ outside consultants, use data industry standards, etc. to formulate conculusions. FORM 990 PART IV, SECTION C, DISCLOSURE - LN.19 Columbia Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990 Part III Program Service Accomplishments Line 4d Other Activities Program Service Expenses 2,347,508, Grants and allocations 0, Revenue 2,695,436 Miscellaneous Ancillary services Form 990, Part III, Line 4d Program Service Expenses 2,347,508, Grants and allocations 0, Revenue 2,695,436 Miscellaneous Ancillary services FORM 990 PART III - STATEMENT OF PROGRAM SERVICE, LN.4d, OTHER Total of Other Operating Revenue of 2,695,436 to include Government Grants 1,847,768 Funds from related organizations 687,869 Smaller contributions 45,598 A non-cash donation reported on Schedule B 36,460. Form 990 PART VI SECTION B, POLICIES, LN. 11a - GOVERNING BODYS REVIEW OF FORM 990 The 990 and its supporting schedules are presented to the finance Committee by the Chief Financial Officer of Columbia Memorial Hospital. The Finance Committee is comprised of select members of the Board of Trustees who after review of the documents, present the same to all members of the Board of Trustees. FORM 990 PART VI SECTION B, POLICIES, LN. 12c - CONFLICT OF INTEREST All members of the Board of Trustees are required to complete and execute the Hospital policy on Organizational Ethics as well as a conflict of Interest Questionaire for Trustees and Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, they are also required from all encumbent trustees on an annual basis. FORM 990 PART VI SECTION B, POLICIES, LN.15a - COMPENSATION OF CEO OTHER KEY EMPLOYEES Performance review and recommendations pertaining to salary are undertaken by the Compensation Committee on an annual basis. The Compensation Committee is comprised of select members of the Board of Trustees who may employ outside consultants, use data industry standards, etc. to formulate conculusions. FORM 990 PART IV, SECTION C, DISCLOSURE - LN.19 Columbia Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Columbia-Greene Hospital Foundation 71 Prospect Avenue Hudson NY 12534 141761112 Fund Raising NY 501c3 170b1Aiv N/A false The Second Show Inc 519 Warren Street Hudson NY 12534 141796715 Thrift Shop NY 501c3 170b1Aiv N/A false Columbia Medical Complex LLC 839 North Jefferson Street Milwaukee WI 53202 201017545 Healthcare WI N/A Related false false Tri-Way Interventional LLC c/o 71 Prospect Avenue Hudson NY 12534 320041811 Healthcare NY N/A Related 41253 14114 false false 0.33340 Capital Health Network LLC 125 Wolf Road Albany NY 12205 141794727 Healthcare NY N/A Investment false false United Lab Network LLC 125 Wolf Road Albany NY 12205 141827292 Healthcare NY N/A Investment false false United Lab Network IPA LLC 125 Wolf Road Albany NY 12205 141832018 Healthcare NY N/A Investment false false Columbia-Greene Services Inc c/o CMH 71 Prospect Avenue Hudson NY 12534 141758524 Healthcare NY N/A C Corp 1.00000 false false true false false false false false false false false true true false false true false false Columbia-Greene Hospital Foundation c 700464 Columbia-Greene Hospital Foundation l 57798 Columbia-Greene Hospital Foundation m Columbia-Greene Hospital Foundation p 192919 The Second Show Inc p 70266