COLUMBIA MEMORIAL HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA MEMORIAL HOSPITAL (EIN 14-1338373)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349302043
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T11:41:43-00:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141338373 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Columbia Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLU | NameControl |
| Phone | 5188287601 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1 |
| City | Hudson | City |
| State | NY | State |
| ZIP Code | 12534 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jane Ehrlich | Name |
| Title | President CEO | Title |
| Phone | 5188287601 | Phone |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Jane Ehrlich | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1 |
| City | Hudson | City |
| State | NY | State |
| ZIP Code | 12534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 145776775 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.columbiamemorial.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1905 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1605 | TotalNbrEmployees |
| Total Nbr Volunteers | 48 | TotalNbrVolunteers |
| Total Gross UBI | 222151 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 34914 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2581235 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2090556 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 127576925 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 137810264 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 554791 | InvestmentIncomePriorYear |
| Investment Income Current Year | 347167 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -641016 | OtherRevenuePriorYear |
| Other Revenue Current Year | -1974625 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 130071935 | TotalRevenuePriorYear |
| Total Revenue Current Year | 138273362 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 76128821 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 81772622 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 55248090 | OtherExpensePriorYear |
| Other Expenses Current Year | 56838502 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 131376911 | TotalExpensesPriorYear |
| Total Expenses Current Year | 138611124 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1304976 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -337762 | RevenuesLessExpensesCY |
| Total Assets BOY | 81803944 | TotalAssetsBOY |
| Total Assets EOY | 84080999 | TotalAssetsEOY |
| Total Liabilities BOY | 60022952 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 65443019 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21780992 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18637980 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 38936520 | Expense |
| Revenue | 46339743 | Revenue |
| Description | Acute Inpatient Hospital services 32,648 patient days. Hospital Emergency Medical Care available to all 33,753 visits. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 66098822 | Expense |
| Revenue | 78621606 | Revenue |
| Description | Outpatient Surgery Outreach Clinics spanning 3 Counties. 324,025 visits | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7460890 | Expense |
| Revenue | 8835119 | Revenue |
| Description | Our Nursing Home provides skilled care resident rehabilitative services. 40,242 patient days | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 4080174 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 4917139 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 116576406 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | true | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 99 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1605 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | true | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Columbia Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5188287601 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 Prospect Avenue | AddressLine1 |
| City | Hudson | City |
| State | NY | State |
| ZIP Code | 12534 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| James Warren | ||||||||
| Chair | 008.00 | X | X | 0 | 0 | 0 | ||
| Mary Gail Biebel | ||||||||
| Vice-Chair | 008.00 | X | X | 0 | 0 | 0 | ||
| Donald Gibson | ||||||||
| Treasurer | 008.00 | X | X | 0 | 0 | 0 | ||
| Winnie Thorn | ||||||||
| Secretary | 008.00 | X | X | 0 | 0 | 0 | ||
| VRichard Back MD | ||||||||
| Trustee | 008.00 | X | 615 | 0 | 0 | |||
| HLouis Clinton MD | ||||||||
| Trustee | 008.00 | X | 297125 | 0 | 0 | |||
| Stephen Dunn | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| David Ginsberg | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| Clara Kellner | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| Aven Kerr | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| James M Kingsbury | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| James Lapenn | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| James Reynolds | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| William Van Slyke | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| Marie Ostoyich RN | ||||||||
| Trustee | 008.00 | X | 0 | 0 | 0 | |||
| Ananthakrishnan Ramani MD | ||||||||
| Trustee | 040.00 | X | 378483 | 0 | 0 | |||
| Jane Ehrlich | ||||||||
| Pres. CEO | 040.00 | X | X | 456473 | 0 | 0 | ||
| Jay Cahalan | ||||||||
| COO | 040.00 | X | 348872 | 0 | 0 | |||
| Vincent J Dingman III | ||||||||
| CFO | 040.00 | X | 248448 | 0 | 0 | |||
| Norm Chapin MD | ||||||||
| Medical Director | 040.00 | 305450 | 0 | 0 | X | |||
| Leitha Pierro | ||||||||
| VP-Patient Clin. Oper. | 040.00 | 249247 | 0 | 0 | X | |||
| Christopher Gorcznyski MD | ||||||||
| Physician | 040.00 | 689297 | 0 | 0 | X | |||
| Andrew Packard MD | ||||||||
| Physician | 040.00 | 550153 | 0 | 0 | X | |||
| Monoj Subudhi MD | ||||||||
| Physician | 040.00 | 491182 | 0 | 0 | X | |||
| Karuvath Enu MD | ||||||||
| Physician | 040.00 | 482436 | 0 | 0 | X | |||
| Louis DiGiovanni MD | ||||||||
| Physician | 040.00 | 416176 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4913957 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 94 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LabCorp | |||||
| PO Box 12140 | Burlington | NC | 27216 | Laboratory Services | 1433789 |
| Dennis Marcus MD PC | |||||
| PO Box 797 | Valatie | NY | 12184 | Psychiatric Services | 1089103 |
| Atlas | |||||
| 414 West Taylor Street | Syracuse | NY | 13202 | Laundry Service | 598691 |
| Medical Information Technology Inc | |||||
| Medictech Circle | Westwood | MA | 02090 | Software Provider Services | 466473 |
| AOW Associates Inc | |||||
| 30 Essex Street | Albany | NY | 12206 | Contractor | 375179 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 31 | NumberOfContractorsGT100K |
| Related Organizations | 916779 | RelatedOrganizations |
| Government Grants | 960240 | GovernmentGrants |
| All Other Contributions | 213537 | AllOtherContributions |
| Total Contributions | 2090556 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| I/P O/P Svcs.- Medicare/Medicaid Paymts | 900099 | 79545659 | 79545659 |
| I/P O/P Services - Other Direct Payments | 900099 | 52046849 | 52046849 |
| Other Government Payments | 900099 | 6217756 | 6217756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 137810264 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 224511 | TotalRevenueColumn |
| Exclusion | $224,511 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7626069 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7500560 | Securities |
| Other | 2853 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 125509 | Securities |
| Other | -2853 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122656 | TotalRevenueColumn |
| Exclusion | $122,656 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Unrelated Business Income | Description |
| Business Code | 531190 | BusinessCode |
| Total Revenue Column | 222151 | TotalRevenueColumn |
| Unrelated Business Revenue | 222151 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -1974625 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 138273362 | TotalRevenueColumn |
| Related Or Exempt Function Income | 135613488 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 222151 | UnrelatedBusinessRevenue |
| Exclusion | $347,167 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4913957 | Total |
| Program Services | 3305467 | ProgramServices |
| Management And General | 1608490 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63508047 | Total |
| Program Services | 55272684 | ProgramServices |
| Management And General | 8235363 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1365032 | Total |
| Program Services | 1282692 | ProgramServices |
| Management And General | 82340 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7515972 | Total |
| Program Services | 5895860 | ProgramServices |
| Management And General | 1620112 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4469614 | Total |
| Program Services | 3790705 | ProgramServices |
| Management And General | 678909 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 361239 | Total |
| Program Services | 82504 | ProgramServices |
| Management And General | 278735 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140724 | Total |
| Management And General | 140724 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11841509 | Total |
| Program Services | 10195665 | ProgramServices |
| Management And General | 1645844 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 421881 | Total |
| Program Services | 9101 | ProgramServices |
| Management And General | 412780 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17341602 | Total |
| Program Services | 16032821 | ProgramServices |
| Management And General | 1308781 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 686122 | Total |
| Program Services | 426591 | ProgramServices |
| Management And General | 259531 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4147312 | Total |
| Program Services | 3049562 | ProgramServices |
| Management And General | 1097750 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145435 | Total |
| Program Services | 48208 | ProgramServices |
| Management And General | 97227 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126730 | Total |
| Program Services | 31187 | ProgramServices |
| Management And General | 95543 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1658679 | Total |
| Management And General | 1658679 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32294 | Total |
| Management And General | 32294 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5634995 | Total |
| Program Services | 3857489 | ProgramServices |
| Management And General | 1777506 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2981584 | Total |
| Program Services | 2726922 | ProgramServices |
| Management And General | 254662 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Maintenance | 2081113 | 1659312 | 421801 |
| Miscellaneous | 410689 | 83042 | 327647 |
| Provision for Bad Debt | 8230677 | 8230677 | |
| Assessment | 595917 | 595917 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138611124 | Total |
| Program Services | 116576406 | ProgramServices |
| Management And General | 22034718 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5372631 | BOY |
| EOY | 6467684 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10124480 | BOY |
| EOY | 10872613 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1443930 | BOY |
| EOY | 1465692 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1231570 | BOY |
| EOY | 1472291 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 100439693 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 59495509 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40406405 | BOY |
| EOY | 40944184 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12699400 | BOY |
| EOY | 12056292 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2100836 | BOY |
| EOY | 2149638 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4733745 | BOY |
| EOY | 4966145 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3690947 | BOY |
| EOY | 3686460 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81803944 | BOY |
| EOY | 84080999 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8975565 | BOY |
| EOY | 9861731 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33672032 | BOY |
| EOY | 32298995 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206329 | BOY |
| EOY | 137329 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17169026 | BOY |
| EOY | 23144964 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60022952 | BOY |
| EOY | 65443019 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18817576 | BOY |
| EOY | 16170358 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1978751 | BOY |
| EOY | 1481957 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 984665 | BOY |
| EOY | 985665 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21780992 | BOY |
| EOY | 18637980 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81803944 | BOY |
| EOY | 84080999 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -337762 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2805250 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number DA Fs Held | 1 | NumberDAFsHeld |
| Donor Advised Contributions | 7135 | DonorAdvisedContributions |
| Aggregate DAF Value | 30740 | AggregateDAFValue |
| Disclosed Orgs Legal Control | true | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | true | DisclosedForCharitablePurposes |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6708314 | BeginningOfYearBalance |
| Contributions | 1929661 | Contributions |
| Investment Earnings Or Losses | -298828 | InvestmentEarningsOrLosses |
| Other Expenditures | 1971843 | OtherExpenditures |
| End Of Year Balance | 6367304 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6309608 | BeginningOfYearBalance |
| Contributions | 1082856 | Contributions |
| Investment Earnings Or Losses | 515830 | InvestmentEarningsOrLosses |
| Other Expenditures | 1199980 | OtherExpenditures |
| End Of Year Balance | 6708314 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6110594 | BeginningOfYearBalance |
| Contributions | 749034 | Contributions |
| Investment Earnings Or Losses | 592695 | InvestmentEarningsOrLosses |
| Other Expenditures | 1142715 | OtherExpenditures |
| End Of Year Balance | 6309608 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7632997 | BeginningOfYearBalance |
| Contributions | 3220130 | Contributions |
| Investment Earnings Or Losses | -1514973 | InvestmentEarningsOrLosses |
| Other Expenditures | 3227560 | OtherExpenditures |
| End Of Year Balance | 6110594 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.25000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.15000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.60000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 698850 | OtherCostOrOtherBasis |
| Book Value | 698850 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54760766 | OtherCostOrOtherBasis |
| Depreciation | 26467437 | Depreciation |
| Book Value | 28293329 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44139060 | OtherCostOrOtherBasis |
| Depreciation | 32487136 | Depreciation |
| Book Value | 11651924 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 841017 | OtherCostOrOtherBasis |
| Depreciation | 540936 | Depreciation |
| Book Value | 300081 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 40944184 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Vacation PTO | $3,185,850 |
| Estimated Payables to 3rd Party Reimbursement Agencies | $3,106,000 |
| Accrued Pension | $6,987,693 |
| Obligations Under Capital Leases | $2,046,608 |
| Interest Rate Swaps | $2,420,498 |
| Asset Retirement Obligation | $915,740 |
| Deferred Liability - Exec. Life Insurance Policies | $2,324,741 |
| Professional Liability Insurance Reserve | $2,060,501 |
| Kaaterskill Commons - Ground Lease | $97,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 23144964 | TotalOfAmounts |
| Total Revenue | 138273362 | TotalRevenue |
| Total Expenses | 138611124 | TotalExpenses |
| Excess Or Deficit For Year | -337762 | ExcessOrDeficitForYear |
| Other | -$1,422,232 | OtherAmount |
| Total Adjustments | -1422232 | TotalAdjustments |
| Excess Or Deficit Per FS | -1759994 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 137069900 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 137069900 | RevenueSubtotal |
| Other Revenues Not Included | 1203462 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1203462 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 138273362 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 138829894 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 138829894 | ExpensesSubtotal |
| Other Expenses Not Included | -218770 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -218770 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 138611124 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| X | 2. | Audited Statement Footnote 1s, 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 effect, if any, of income tax positions only if they are more likely than not of being sustained. The Hospital has no uncertain tax positions at December, 2011 or 2010. |
| XI | 8 | Not included in Revenue or Expenses on Lines 1 2, but included as adjustments to net assets on the Hospitals consolidated financials are Restricted Gifts Grants 1,316,538 which are adjustments to Temporary Permanently Restricted Net Assets Net Loss from Kaaterskill Commons, Inc., included in the Hospitals consolidated financials 104,542 Net Worth of a related organization, not recorded on the Hospital books 1,152. |
| XII | 4b. | Not included in revenue on Part XII, Line 1, but included as revenue on the Hospitals consolidated financials are Restricted Gifts Grants 1,316,538 which are adjustments to Temporary Permanently Restricted Net Assets Revenue from Kaaterskill Commons, Inc. 114,228 Net Worth of a related organization which is not recorded on the Hospitals books 1,152. |
| XIII | 4b. | Not included in expenses on Part, Line 3, but included as expense on the Hospitals consolidated financials are the expenses for Kaaterskill Commons, Inc. 218,770. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 296102 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 296102 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29547629 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23544290 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6003339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04330 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29843731 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23544290 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6299441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 442039 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 63523 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 378516 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 442039 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 63523 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 378516 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30285770 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23607813 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6677957 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04810 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 298848 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 18571 | DirectOffsettingRevenue |
| Net Community Building Expense | 280277 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 298848 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 18571 | DirectOffsettingRevenue |
| Net Community Building Expense | 280277 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $8,230,678 | BadDebtExpenseAmount |
| Amount Attributable To | 4115339 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 57871588 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 54564725 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3306863 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tri-Way Interventional | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Ownership/Rental of Vascular Equipment | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.33000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.33000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| Columbia Memorial Hospital | ||||||||
| 1 | 71 Prospect Avenue | Hudson | NY | 12534 | X | X | X | |
| Kaaterskill Care Skilled Nursing & Rehab | ||||||||
| 2 | 161 Jefferson Heights | Catskill | NY | 12414 | X | Skilled Nursing Facility | ||
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I line 7 | For the purposes of calculating the Hospitals total community benefits expense at cost, the Hospital used a cost-to-charge ratio, consistent with the calculation derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. |
| Part II | The hospitals community building activities consist of ongoing workforce development and community training sessions, for which the Hospital receives a very nominal fee, if any. These free or low-cost programs increase community awareness of health issues, provide an opportunity for ongoing education of community providers and caregivers, and support improved health habits for the community the Hospital serves. |
| Part III line 4 | The Hospital used the Bad Debt Expense derived from the audited Statement of Operations for the period-ended December 31, 2011. Bad Debts are estimated at cost on an ongoing basis, and charged to expense when management deems it probable that the revenue will not be collected. Discounts provided to patients are considered an adjustment in calculating Net Patient Service Revenue, and are not included as a component of Bad Debt Expense. |
| Part III line 4 | The Hospitals discusses the availability of charity care with patients during the registration process, and enrolls all eligible patients based on the information provided by the patient. |
| Part III line 4 | The Hospitals audited financial statements contain the following information regarding bad debt expense The amount of the provision for bad debts is based on managements assessment of historical and expected net collections, based on business and economic conditions, trends in federal and state governmental health care coverage and other collection indicators. |
| Part III line 8 | The Hospitals costing methodology used to determine the Medicare allowable costs reported in the organizations Medicare Cost Report is based upon the ratio of patient care cost to charges. |
| Part III line 9b | The Hospital follows a consistent collections policy for all patients |
| Part V | Line 19d The Hospital determines the maximum amounts charged to Financial Assistance Policy FAP individuals based upon the payment rates negotiated with the commercial insurer with the highest volume of services performed at our facility and outpatient locations. |
| Part VI Line 2 | The Hospital continuously monitors changes in the demographics of the 2 counties it serves, through community outreach, discussions with local political and business leaders, and working with a variety of state and local agencies to assess the needs of the community. The Community Service Plan is continuously updated and available on the Hospitals public website. The Hospital serves the people of Columbia and Greene Counties and part of Northern Dutchess County, with a combined population of approximately 115,000, which, is distributed between one small city and 32 towns. The two counties combined cover an area of nearly 1,300 square miles, most of which is agricultural or rural. |
| Part VI Line 2 | Columbia County is located in the northeastern region of the Mid-Hudson Valley of New York State. It is bordered on the north by Rensselaer County, on the south by Dutchess County, on the east by the Berkshire County of the Commonwealth of Massachusetts and on the west by the Hudson River, opposite Greene County. Columbia County is rural in nature and includes the City of Hudson and 18 towns. |
| Part VI Line 2 | Greene County is situated between the Hudson River on the east and the Catskill Mountains at the Southern and Western ends. It is bordered by Albany County to the north, Rensselaer County to the northeast, Columbia County to the east, Ulster County to the south, Delaware County to the west and Schoharie County to the northwest. Greene County is located two hours north of the major metropolitan areas of New York City, and a half-hour south of Albany, New York States Capital District. |
| Part VI Line 2 | A majority of the Hospitals Board of Trustees reside in the Columbia and Greene counties, as do most of the Hospitals employees. In recent years, the Hospital has significantly increased the access provided to local, previously unaffiliated doctors, and has further provided access and support for these practitioners to an electronic health exchange. |
| Part VI Line 3 | Sch H 990 Part VI, Ln. 3, The Hospitals written Bad Debt Charity Care policy broadly applies to the outstanding balance for patient or insurer. The Hospital advertises throughout the facility, discusses directly with patients during the registration process, and again during collections process re availability for charity care. As patients enroll in Charity Care, adjustment to their o/s balance is chgd. against net patient svc.revenue, and not considered a component of bad debt expense. |
| Part VI Line 6 | The Hospital is not part of an affiliated health care system, and files a community benefit report only in New York State. |
| Part VI Line 7 | Part VI Line 7, NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg |
|---|---|---|---|---|---|
| HLouis Clinton MD | |||||
| 297125 | 297125 | ||||
| Ananthakrishnan Ramani MD | |||||
| 258322 | 405733 | 120000 | 161 | 10750 | 16500 |
| Jane Ehrlich | |||||
| 397163 | 535943 | 48106 | 11204 | 75750 | 3720 |
| Jay Cahalan | |||||
| 282667 | 401426 | 58700 | 7505 | 51834 | 720 |
| Vincent J Dingman III | |||||
| 204861 | 291383 | 40000 | 3587 | 38375 | 4560 |
| Norm Chapin MD | |||||
| 305312 | 309888 | 138 | 750 | 3688 | |
| Leitha Pierro | |||||
| 238425 | 249967 | 10431 | 391 | 720 | |
| Christopher Gorcznyski MD | |||||
| 639243 | 690047 | 50000 | 54 | 750 | |
| Andrew Packard MD | |||||
| 493223 | 551930 | 56534 | 396 | 1777 | |
| Monoj Subudhi MD | |||||
| 491025 | 500457 | 157 | 750 | 8525 | |
| Karuvath Enu MD | |||||
| 481200 | 482436 | 1236 | |||
| Louis DiGiovanni MD | |||||
| 415918 | 422558 | 258 | 6382 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | I | Identifier |
| Return Reference | 3 | ReturnReference |
| Explanation | The compensation of the Hospitals CEO is determined by the Compensation Committee of the Board of Trustees. The Committee basis the CEO compensation on compensation surveys from healthcare industry organizations, the Form 990 for comparable organizations, and general industry knowledge. The CEO compensation package is formalized in a written employment contract and approved by the Committee. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased |
|---|---|---|---|---|---|
| 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 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| 11730000 | 603669 | 3815256 | 7273421 | 37654 | 2010 | false | false | true | true |
| 12945000 | 762958 | 8648910 | 3533132 | 2012 | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| HSBC | ||||||||
| false | true | true | 0000000010.000000000000 | false | false | false | false | false |
| HSBC | ||||||||
| false | true | true | 0000000010.000000000000 | false | false | false | false | false |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| James Reynolds | |||
| CMH Board Trustee | 367964 | Refer to Schedule L, Part V. | false |
| David Ginsberg | |||
| CMH Board Trustee | 632658 | Refer to Schedule L, Part V. | false |
| Douglas Thorn | |||
| Son of a Board Trustee | 95101 | Refer to Schedule L, Part V. | false |
Form990 Schedule L Part V Form990ScheduleLPartV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| IV | 1 | James Reynolds, a Columbia Memorial Hospital Board Trustee, is President of Mid-Hudson Cablevision, Inc. 51,823 and Mid-Hudson Media 40,606. Those companies provide cable internet service to various locations belonging to the Hospital. Mr. Reynolds was also on the Board of Directors of Tech Valley Communications whom provided 275,535 in communications equipment to the Hospital. |
| IV | 2 | David Ginsberg, a Columbia Memorial Hospital Board Trustee, is also the Owner, President CEO of Ginsbergs Institutional Foods, Inc. His company provided 632,658 in food, paper products, etc. during 2011. |
| IV | Line 3, | Douglas Thorn, son of Winnie Thorn, Board Trustee, is a Regional Vice-President with First Niagara Risk Management. Columbia Memorial Hospital paid 95,101 in liability insurance premiums to First Niagara Risk Management Company during 2011. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990 Part VI | 11b. | - 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, presents the same to all members of the Board of Trustees. |
| Form 990 Part VI | Line 12c. | - CONFLICT OF INTEREST All members of the Board of Turstees are required to complete and execute the Hospital policy on Organizational Ethics as well as a Conflict of Interest Questionaire for Trustees and Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, they are also required from all encumbent trustees on an annual basis. The Governance Committee reviews, monitors and enforces conflict of interest issues, and reports the same to all members at General Board Meetings. |
| Form 990 Part VI | 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 conclusions. |
| Form 990 Part VI | 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 4,080,174, Grants and allocations 0, Revenue 4,917,139 Miscellaneous Ancillary services |
| Form 990, Part III, Line 4d Program Service Expenses 4,080,174, Grants and allocations 0, Revenue 4,917,139 Miscellaneous Ancillary services Form 990 Part VI Section B, Policies, Line 11b. - 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, presents the same to all members of the Board of Trustees. Form 990 Part VI Section B, Policies, Line Line 12c. - CONFLICT OF INTEREST All members of the Board of Turstees are required to complete and execute the Hospital policy on Organizational Ethics as well as a Conflict of Interest Questionaire for Trustees and Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, they are also required from all encumbent trustees on an annual basis. The Governance Committee reviews, monitors and enforces conflict of interest issues, and reports the same to all members at General Board Meetings. Form 990 Part VI Section B, Policies, Line 15a. - COMPENSATION OF CEO OTHER KEY EMPLOYEES Performance review and recommendations pertaining to salary are undertaken by the Compensation Committee on an annual basis. The Compensation Committee is comprised of select members of the Board of Trustees who may employ outside consultants, use data industry standards, etc. to formulate conclusions. Form 990 Part VI Section C, DISCLOSURE, Line 19 - Columbia Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | false | false | 79737 | 13829 | 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 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Columbia-Greene Services Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o CMH 71 Prospect Avenue | AddressLine1 |
| City | Hudson | City |
| State | NY | State |
| ZIP Code | 12534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141758524 | EIN |
| Primary Activity | Healthcare | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C Corp | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Columbia-Greene Hospital Foundation | |
| c | 855884 |
| Columbia-Greene Hospital Foundation | |
| l | 63509 |
| Columbia-Greene Hospital Foundation | |
| m | |
| Columbia-Greene Hospital Foundation | |
| p | 197672 |
| The Second Show Inc | |
| p | 76839 |