LITTLE FALLS HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LITTLE FALLS HOSPITAL (EIN 15-0533578)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201143199349308224
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T15:38:12-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150533578 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LITTLE FALLS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LITT | NameControl |
| Phone | 3158231000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 BURWELL STREET | AddressLine1 |
| City | LITTLE FALLS | City |
| State | NY | State |
| ZIP Code | 13365 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES VIELKIND | Name |
| Title | CFO | Title |
| Phone | 3158231000 | Phone |
| Date Signed | 2011-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH J SCHLEGEL | Name |
| Phone | 3154463600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES VIELKIND | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 BURWELL STREET | AddressLine1 |
| City | LITTLE FALLS | City |
| State | NY | State |
| ZIP Code | 13365 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32621481 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | LFHNY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1893 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | LITTLE FALLS HOSPITAL IS A CRITICAL ACCESS HOSPITAL PROVIDING ACCESS TO HEALTH CARE SERVCIES TO RESIDENTS OF HERKIMER COUNTY, AND WESTERN PORTIONS OF MONTGOMERY AND FULTON COUNTIES. LITTLE FALLS HOSPITAL EMERGENCY DEPARTMENT IS STAFFED WITH PHYSICIANS ON A 24/7 BASIS. TWENTY FIVE BEDS ARE USED FOR INPATIENT AND SKILLED NURSING CARE. AMBULATORY SURGERY SERVCIES ARE PROVIDED FOR A VARIETY OF SPECIALTIES, PERFORMANCE IMPROVEMENT AND HIGH QUALITY OF CARE IS DEMOSTRATED WITHIN THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) AS REPORTED IN HOSPITAL COMPARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 322 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 564537 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5752533 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 23687455 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 25897565 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -20309 | InvestmentIncomePriorYear |
| Investment Income Current Year | 87394 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24231683 | TotalRevenuePriorYear |
| Total Revenue Current Year | 31737492 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12600064 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12649682 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 31079 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12536208 | OtherExpensePriorYear |
| Other Expenses Current Year | 13563673 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25136272 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26213355 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -904589 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5524137 | RevenuesLessExpensesCY |
| Total Assets BOY | 20834725 | TotalAssetsBOY |
| Total Assets EOY | 29965668 | TotalAssetsEOY |
| Total Liabilities BOY | 9394366 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11102428 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11440359 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18863240 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | LITTLE FALLS HOSPITAL IS A VOLUNTARY, NOT-FORPROFIT COMMUNITY HEALTHCARE SYSTEM WHOSE MISSION IS TO OFFER QUALITY CARE WITH COMPASSION, TO ALL WHO NEED OUR SERVICES. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7727936 | Expense |
| Revenue | 7681910 | Revenue |
| Description | LITTLE FALLS HOSPITAL EXPANDED THE HOSPITALIST PROGRAM IN 2010 TO INCLUDE A PHYSICIAN. THE HOSPITALIST MODEL PROVIDES FOR INCREASED EFFICIENCY FOR PHYSICIANS AND IMPROVED QUALITY OF CARE IN THE MANAGEMENT FOR INPATIENT NEEDS. IN 2010 ADMISSIONS INCREASED TO 1,349 FROM 1,287. THE HOSPITAL OCCUPANCY WAS 76%. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6502909 | Expense |
| Revenue | 5537039 | Revenue |
| Description | LITTLE FALLS HOSPITAL OPERATES AN EMERGENCY DEPARTMENT WITH TWENTY FOUR HOURS OF PHYSICIAN COVERAGE SEVEN DAYS PER WEEK. THE EMEGENCY DEPARTMENT PROVIDES ACCESS TO CARE FOR APPROXMIATELY 15,000 PATIENTS IN 2010. THE NUMBER OF PATIENTS REQUIRING INPATIENT HOSPITAL CARE AS RESULT OF THE VISIT TO THE EMERGENCY DEPARTMENT WAS APPROXMIATELY 1,800. THESE SERVCIES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. IN 2010 THE TRIAGE SYSTEM WAS IMPROVED TO PROVIDE A MORE EFFICIENT PATIENT TREATMENT SYSTEM. NEW PATEINT SAFETY AND OUTCOMES MEASUREMENTS WERE DEPLOYED TO STANDARDIZE PATIENT CARE PROTOCOLS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7382106 | Expense |
| Revenue | 8369640 | Revenue |
| Description | LITTLE FALLS HOSPITAL EXPANDED OUTPATIENT ANCILLARY SERVICES BY IMPLEMENTING A NEW CLINICAL LABORATORY AND THE ADDITION OF A MOBILE MAGNETIC RESONANCE IMAGING (MRI) UNIT. TOTAL AMBULATORY OUTPATIENT VISITS INCREASED APPROXMIATELY 9% TO 34,000 VISITS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 682227 | Expense |
| Revenue | 636514 | Revenue |
| Description | A LOCAL NURSING HOME BEGAN A NEW ADULT DAY HEALTHCARE PROGAM AT THE HOSPITAL. THIS PROGRAM PROVIDES DAILY ACTIVITY AND MEDICAL DAY CARE FOR PATIENTS WHO CONTINUE TO LIVE AT HOME. ADULT DAY HEALTHCARE PROGRAMS ARE AN ALTERNATIVE TO INSITUTION BASED LONG TERM CARE SERVICES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 682227 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 636514 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 22295178 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 37 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 322 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMES G VIELKIND | NamePerson |
| Telephone Number | 3158235281 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 BURWELL STREET | AddressLine1 |
| City | LITTLE FALLS | City |
| State | NY | State |
| ZIP Code | 13365 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JOHN BULLIS | |||||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 | ||
| JOAN S CONBOY | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| TIMOTHY DALY | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ANTHONY DELUCA | |||||||
| FIRST VICE CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | |
| STAN DICKSON | |||||||
| SECOND VICE CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | |
| JOY MALONE | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MARSHA MASON | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| GERALD J SNYDER | |||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X | |
| JENNIFER VANWAGONER | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| RANBIR SODHI MD | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| AUGUST LEINHART MD | |||||||
| TRUSTEE | 2.00 | X | 0 | 428768 | 24180 | ||
| NICHOLAS J NICOLETTA | |||||||
| TREASURER | 2.00 | X | 0 | 371809 | 26961 | X | |
| JEFFREY WOEPPEL | |||||||
| THIRD VICE CHAIRMAN | 2.00 | X | 0 | 188872 | 20998 | X | |
| MICHAEL OGDEN | |||||||
| PRESIDENT & CEO | 40.00 | 0 | 150706 | 462 | X | ||
| JAMES G VIELKIND | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 124560 | 0 | 0 | X | ||
| RICHARD NOCELLA MD | |||||||
| PRIMARY CARE PHYSICIAN | 40.00 | 162561 | 0 | 12358 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 287121 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1140155 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 84959 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SUNBELT STAFFING | |||||
| PO BOX 1024640 | ATLANTA | GA | 303684640 | PROFESISONAL STAFFING | 239235 |
| CTL CONSULTING LLC | |||||
| 705B SE MELODY LANE | LEES SUMMIT | MO | 64063 | PROFESSIONAL NURSING | 128000 |
| HOLT ARCHITECTS PC | |||||
| 217 N AURORA STREET | ITHACA | NY | 14850 | ARCHITECT SERVICES | 114035 |
| DM CONSULTING | |||||
| PO BOX 4715 | UTICA | NY | 13504 | INFORMATION TECHNOLOGY | 104990 |
| MEDSPAR LLC | |||||
| PO BOX 830 | BINGHAMTON | NY | 139020830 | BILLING SERVICES | 101514 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 190934 | RelatedOrganizations |
| Government Grants | 5561599 | GovernmentGrants |
| Total Contributions | 5752533 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT HOSPITAL | 621930 | 16381083 | 16381083 |
| OUTPATIENT SERVICES | 623000 | 9094604 | 9094604 |
| PROGRAM SERVICE LEASE | 532000 | 231642 | 231642 |
| HOSPITAL CAFETERIA | 900099 | 132668 | 132668 |
| OTHER OPERATING REVENU | 900099 | 57568 | 57568 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 25897565 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53910 | TotalRevenueColumn |
| Exclusion | $53,910 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 917473 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 883989 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 33484 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33484 | TotalRevenueColumn |
| Exclusion | $33,484 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31737492 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25897565 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $87,394 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297049 | Total |
| Program Services | 172254 | ProgramServices |
| Management And General | 124795 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9742346 | Total |
| Program Services | 8280265 | ProgramServices |
| Management And General | 1442671 | ManagementAndGeneral |
| Fundraising | 19410 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 658436 | Total |
| Program Services | 555641 | ProgramServices |
| Management And General | 101507 | ManagementAndGeneral |
| Fundraising | 1288 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1217765 | Total |
| Program Services | 1023213 | ProgramServices |
| Management And General | 192169 | ManagementAndGeneral |
| Fundraising | 2383 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 734086 | Total |
| Program Services | 617615 | ProgramServices |
| Management And General | 115046 | ManagementAndGeneral |
| Fundraising | 1425 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64351 | Total |
| Management And General | 64351 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17024 | Total |
| Program Services | 6288 | ProgramServices |
| Management And General | 10736 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60878 | Total |
| Program Services | 4081 | ProgramServices |
| Management And General | 56797 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 671496 | Total |
| Program Services | 531025 | ProgramServices |
| Management And General | 140471 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40080 | Total |
| Program Services | 40080 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2140349 | Total |
| Program Services | 2063373 | ProgramServices |
| Management And General | 75393 | ManagementAndGeneral |
| Fundraising | 1583 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 693289 | Total |
| Program Services | 513551 | ProgramServices |
| Management And General | 179738 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 944378 | Total |
| Program Services | 793013 | ProgramServices |
| Management And General | 150601 | ManagementAndGeneral |
| Fundraising | 764 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23379 | Total |
| Program Services | 11878 | ProgramServices |
| Management And General | 11114 | ManagementAndGeneral |
| Fundraising | 387 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19348 | Total |
| Program Services | 9947 | ProgramServices |
| Management And General | 9332 | ManagementAndGeneral |
| Fundraising | 69 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35453 | Total |
| Program Services | 31110 | ProgramServices |
| Management And General | 4318 | ManagementAndGeneral |
| Fundraising | 25 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1409360 | Total |
| Program Services | 1236721 | ProgramServices |
| Management And General | 171646 | ManagementAndGeneral |
| Fundraising | 993 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252140 | Total |
| Program Services | 235329 | ProgramServices |
| Management And General | 16811 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PURCHASED MEDICAL SERVI | 3821026 | 3821026 | ||
| PROVISION FOR BAD DEBT | 1961391 | 1961391 | ||
| ADMINISTRATIVE SERVICES | 819061 | 819061 | ||
| OTHER COSTS | 517110 | 313817 | 200541 | 2752 |
| NEW YORK STATE CASH REC | 73560 | 73560 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26213355 | Total |
| Program Services | 22295178 | ProgramServices |
| Management And General | 3887098 | ManagementAndGeneral |
| Fundraising | 31079 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 377011 | BOY |
| EOY | 598947 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1061327 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 664289 | BOY |
| EOY | 5258493 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2538831 | BOY |
| EOY | 2860833 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417164 | BOY |
| EOY | 369023 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 720439 | BOY |
| EOY | 166266 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 24565781 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15808184 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9372118 | BOY |
| EOY | 8757597 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2675360 | BOY |
| EOY | 1539459 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3771280 | BOY |
| EOY | 5482641 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2472438 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298233 | BOY |
| EOY | 1398644 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20834725 | BOY |
| EOY | 29965668 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3283438 | BOY |
| EOY | 2968638 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18436 | BOY |
| EOY | 20668 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1895821 | BOY |
| EOY | 4117756 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4196671 | BOY |
| EOY | 3995366 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9394366 | BOY |
| EOY | 11102428 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5893277 | BOY |
| EOY | 6706244 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4857467 | BOY |
| EOY | 11408912 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 689615 | BOY |
| EOY | 748084 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11440359 | BOY |
| EOY | 18863240 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20834725 | BOY |
| EOY | 29965668 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5524137 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1898744 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5547082 | BeginningOfYearBalance |
| Contributions | 5230555 | Contributions |
| Investment Earnings Or Losses | 1782439 | InvestmentEarningsOrLosses |
| Other Expenditures | 403080 | OtherExpenditures |
| End Of Year Balance | 12156996 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2664349 | BeginningOfYearBalance |
| Contributions | 174329 | Contributions |
| Investment Earnings Or Losses | 3874661 | InvestmentEarningsOrLosses |
| Other Expenditures | 1166257 | OtherExpenditures |
| End Of Year Balance | 5547082 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4951188 | BeginningOfYearBalance |
| Contributions | 327877 | Contributions |
| Investment Earnings Or Losses | -202282 | InvestmentEarningsOrLosses |
| Other Expenditures | 2412434 | OtherExpenditures |
| End Of Year Balance | 2664349 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.14000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.86000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 267471 | OtherCostOrOtherBasis |
| Book Value | 267471 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14905045 | OtherCostOrOtherBasis |
| Depreciation | 9147895 | Depreciation |
| Book Value | 5757150 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9393265 | OtherCostOrOtherBasis |
| Depreciation | 6660289 | Depreciation |
| Book Value | 2732976 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8757597 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| MARY LEARY CHARITABLE REMAINDER TR | 1833613 | F |
| ELSA O'BRIEN CHARITABLE REMAINER TR | 3649028 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5482641 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DIRECT FINANCE LEASE | Description |
| Book Value | 2472438 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 2472438 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $3,218,797 |
| ACCRUED SALARIES, PAYROLL TAXES AND FRINGE BENEFITS | $776,569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3995366 | TotalOfAmounts |
| Total Revenue | 31737492 | TotalRevenue |
| Total Expenses | 26213355 | TotalExpenses |
| Excess Or Deficit For Year | 5524137 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 206057 | NetUnrealizedGLOnInvestments |
| Other | $1,692,687 | OtherAmount |
| Total Adjustments | 1898744 | TotalAdjustments |
| Excess Or Deficit Per FS | 7422881 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 33636236 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 206057 | NetUnrealizedGainsInvestments |
| Other Revenues | 1692687 | OtherRevenues |
| Revenue Not Rptd F990 | 1898744 | RevenueNotRptdF990 |
| Revenue Subtotal | 31737492 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 31737492 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 26213355 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 26213355 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 26213355 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT FUNDS DISTRIBUTE INCOME FOR PURPOSES OF CAPITAL INVESTMENT. TEMPORARY ENDOWMENTS ARE USED BASED ON THE INTENT OF THE DONATION. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL QUALIFIES AS AN ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN A HOSPITAL'S FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2007 THROUGH 2010. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -18,674. CHANGES IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 1,711,361. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | PENSION RELATED CHANGES OTHER THAN NET PERIODIC BEBEFIT COST -18,674. CHANGES IN VALUE OF BENEFICIAL REMAINDER TRUST 1,711,361. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 164 | PersonsServed |
| Total Community Benefit Expense | 111580 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 84168 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11763 | PersonsServed |
| Total Community Benefit Expense | 4542436 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3368159 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1174277 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04480 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11927 | PersonsServed |
| Total Community Benefit Expense | 4654016 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3452327 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1201689 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04580 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 52679 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5187 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 52679 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5187 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11927 | PersonsServed |
| Total Community Benefit Expense | 4706695 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3457514 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1249181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04760 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $876,674 | BadDebtExpenseAmount |
| Amount Attributable To | 57315 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8722607 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 8637287 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 85320 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LITTLE FALLS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 BURWELL STREET | AddressLine1 |
| City | LITTLE FALLS | City |
| State | NY | State |
| ZIP Code | 13365 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
| Other | INCLUDES 25 INPATIENT BEDS, | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LITTLE FALLS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 09 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 300.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Other Factors | X | OtherFactors |
| Explains Application Method | 0 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: LITTLE FALLS HOSPITAL DID NOT PROVIDE CHARITY CARE OR DISCOUNTED CARE TO PATIENTS WITH INSURANCE BENEFITS. | ||
| PART I, LINE 7: COST FOR CHARITY CARE PATIENTS WAS CALCULATED USING RATIO OF COST TO CHARGES. COST ASSOCIATED WITH MEDICAID REPRESENTS AGGREGATE ALLOWABLE COST AND TOTAL GROSS CHARGES USED TO CALCULATE A FACILITY LEVEL OF COST TO CHARGE RATIO. THIS FACILITY LEVEL COST TO CHARGE RATIO WAS APPLIED TO TOTAL MEDICAID CHARGES TO ARRIVE AT TOTAL MEDICAID COST. | ||
| PART I, LINE 7G: LITTLE FALLS HOSPITAL DOES NOT PROVIDE DISCOUNTED CARE FOR PATIENTS WITH INSURANCE. HARDSHIP CASES ARE REVIEWED ON AN INDIVIDUAL BASIS. | ||
| PART I, L7 COL(F): LITTLE FALLS HOSPITAL REMOVED $1,961,391 OF BAD DEBT EXPENSE TO CALCULATE COST OF PATIENT CARE. | ||
| PART III, LINE 4: (J)NET PATIENT SERVICE REVENUE AND RELATED RECEIVABLESTHE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL BY MEDICARE AND MEDICAID. THESE THIRD-PARTY PAYORS REIMBURSE THE HOSPITAL ON A COST BASIS. THE HOSPITAL ALSO HAS AGREEMENTS WITH OTHER THIRD-PARTY PAYORS. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, COST-BASED REIMBURSEMENT, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE AND THE RELATED PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS, INCLUDING THE HMO PROGRAMS OFFERED BY THESE PAYORS, ACCOUNTED FOR APPROXIMATELY 69% AND 68% OF THE HOSPITAL'S NET PATIENT SERVICE REVENUE FOR THE YEARS 2010 AND 2009, RESPECTIVELY. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION.DESCRIPTION OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, CONTINUED(J)NET PATIENT SERVICE REVENUE AND RELATED RECEIVABLES, CONTINUEDAS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. IN 2010 AND 2009, NET PATIENT SERVICE REVENUE INCREASED (DECREASED) BY APPROXIMATELY $137,000 AND $(156,000), RESPECTIVELY, RELATED TO EITHER SETTLEMENT OF PRIOR YEAR ISSUES OR CHANGES IN ESTIMATES ASSOCIATED WITH THIRD-PARTY ISSUES.THE HOSPITAL GRANTS UNSECURED CREDIT TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE MIX OF RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS AT DECEMBER 31 WAS AS FOLLOWS: 2010 2009MEDICARE 39% 32%MEDICAID 16% 20%PRIVATE PAYORS 16% 19%INSURANCE AND ALL OTHERS 29% 29% 100% 100% | ||
| PART III, LINE 8: LITTLE FALLS HOSPITAL COSTING METHODOLOGY CONSIST OF INFORMATION FROM MEDICARE COST REPORT. AS A CRITICAL ACCESS HOSPITAL PAYMENT IS BASED ON 101 % OF MEDICARE ALLOWABLE COST, | ||
| PART III, LINE 9B: COLLECTION AND CHARITY CARE POLICY SPECIFY ACCOUNTS WITH ACTIVE CARE APPLICATIONS WILL NOT GO TO COLLECTION AGENCIES WHILE IN REVIEW. | ||
| PART V, SECTION A: LITTLE FALLS HOSPITAL HAS BEEN A CRITICAL ACCESS HOSPITAL SINCE OCTOBER 1, 2004. INPATIENT SERVICES CONSIST OF TWENTY FIVE BEDS SERVING ACUTE CARE AND SWING BEDS. A TWENTY FOUR HOUR SEVEN DAY PER WEEK PHYSICIAN STAFF EMERGENCY DEPARTMENT SERVES A WIDE GEOGRAPHIC AREA. OTHER SERVCIES INCLUDE TWO PRIMARY CARE OFFICES LOCATED IN DOLGIVILLE AND NEWPORT RESPECTIVELY. SPECIALTY SERVICES INCLUDE AMBULATORY SURGERY WITH ENDOSCOPY PROCEDURE CAPABILITY, FULLY ATUOMATED LABORATORY, AND FULL ARRAY OF DIAGNOSTIC IMAGING PROCEDURE CAPABILITIES. | ||
| PART V, SECTION B, LINE 3: HOSPITAL SERVICE AREA LITTLE FALLS HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSESS ALL OF HERKIMER COUNTY, WITH A POPULATION OF 62,200, FULTON COUNTY, WITH A POPULATION OF 55,024 AND MONTGOMERY COUNTY WITH A POPULATION OF 48,679 (ACCORDING TO U.S. CENSUS 2008 ESTIMATE), AND A PORTION OF ONEIDA COUNTY.LITTLE FALLS HOSPITAL HELPED TO IDENTIFY PREVENTION AGENDA PRIORITIES AND ESTABLISH PLANS TO ADDRESS THEM THROUGH PARTICIPATION IN A SERIES OF COMMUNITY FORUMS, ROUNDTABLE MEETINGS AND FOCUS GROUPS THROUGHOUT 2009. THE INFORMATION GATHERED CULMINATED IN A REGIONAL HEALTH SUMMIT TO DETERMINE THE PREVENTION AGENDA PRIORITY AREAS.UPDATEAS A RESULT OF THE REGIONAL HEALTH SUMMIT ON MARCH 26, 2009, SUBCOMMITTEES FOR EACH OF THE FIVE SELECTED PREVENTION AGENDA PRIORITY AREAS FOR HERKIMER AND ONEIDA COUNTIES HAVE BEEN FORMED. THESE SUBCOMMITTEES HAVE DECIDED TO CONTINUE MEETING BIMONTHLY ON A REGIONAL LEVEL WITH THE GOAL OF IMPROVING OUTCOMES IN THE FIVE AREAS OF: HEALTHY MOTHERS/BABIES/CHILDREN, MENTAL HEALTH AND SUBSTANCE ABUSE, CHRONIC DISEASE, ACCESS TO CARE, AND PHYSICAL ACTIVITY & NUTRITION (OBESITY PREVENTION). SELECTED PREVENTION AGENDA PRIORITIES- ACCESS TO QUALITY HEALTHCARE- CHRONIC DISEASEOVERALL GOALS- INCREASE ACCESS TO CANCER SCREENINGS- INCREASE ACCESS TO EARLY PRENATAL CARE; REDUCE RATES OF TEEN PREGNANCY AND INFANT MORTALITY- PREVENT OR DELAY THE ONSET OF DIABETES IN PEOPLE WHO ARE AT HIGH RISKUPDATECANCER SCREENING ACCESS: WITH REGARD TO INCREASING ACCESS TO CANCER SCREENINGS SPECIFICALLY, LITTLE FALLS HOSPITAL COLLABORATES WITH THE BASSETT CANCER INSTITUTE AND THE CANCER SERVICES PROGRAM OF ONEIDA, HERKIMER AND MADISON COUNTIES TO OFFER CANCER SCREENINGS. THESE SCREENINGS INCLUDE CLINICAL BREAST EXAMS, MAMMOGRAMS, PAP/PELVIC EXAMS AND IN-HOME COLORECTAL SCREENINGS TO AID THE UNDERINSURED AND UNINSURED MEN AND WOMEN BETWEEN THE AGES OF 40-64 YEARS OF AGE. TO INCREASE AWARENESS OF SERVICES, A REPRESENTATIVE OF LITTLE FALLS HOSPITAL SITS ON AN AD-HOC COMMITTEE TO BRING AWARENESS OF THE SERVICES TO REMOTE AREAS.ACCESS TO EARLY PRENATAL CARE: EDUCATIONAL AND REFERRAL INFORMATION IS AVAILABLE AT COMMUNITY HEALTH SCREENINGS ON WOMEN'S HEALTH AND PRENATAL CARE.DIABETES PREVENTION AND AWARENESS: THE NUMBER OF NEW YORKERS WITH DIABETES HAS MORE THAN DOUBLED IN THE LAST DECADE WITH NEARLY TWO MILLION STATE RESIDENTS LIVING WITH DIABETES, AND IT'S A TREND WE'RE SEEING MIRRORED IN OUR OWN RURAL CENTRAL NEW YORK POPULATION. FOUR YEARS AGO, BASSETT HEALTHCARE LAUNCHED CHALLENGE DIABETES, A PROGRAM AIMED AT REDUCING THE INCIDENCE OF DIABETES IN THE COUNTIES SERVED BY THE BASSETT HEALTHCARE NETWORK. AS A BASSETT AFFILIATE, LFH IS PARTICIPATING IN THIS PROGRAM BY:- WORKING WITH A DIABETES EDUCATION COORDINATOR TO WORK WITH AT RISK PATIENTS AND PATIENTS LIVING WITH DIABETES EDUCATING THE GENERAL PUBLIC AND STAFF ABOUT DIABETES PREVENTION THROUGH LUNCH & LEARN PATIENT EDUCATION SESSIONS- SCREENING PATIENTS FOR DIABETES OR AT RISK OF DEVELOPING DIABETES AND REFERRING THOSE PATIENTS FOR APPROPRIATE FOLLOW-UPNON-PREVENTION AGENDA PROGRAMS: IN ADDITION TO THE WORK DESCRIBED ABOVE, LITTLE FALLS HOSPITAL CONTINUES TO OFFER A VARIETY OF PUBLIC HEALTH AND SCREENING PROGRAMS CALLED "KNOW YOUR NUMBERS" THAT TACKLE HEALTH ISSUES OUTSIDE THE SELECTED PREVENTION AGENDA PRIORITIES. AMONG THE AREAS ADDRESSED ARE PHYSICAL ACTIVITY AND NUTRITION, INFECTIOUS DISEASES, MENTAL HEALTH AND SUBSTANCE ABUSE SCREENINGS. LUNCH AND LEARN EDUCATIONAL PROGRAMS ARE HELD EACH MONTH FOR THE PUBLIC ON A VARIETY OF TOPICS INCLUDING: A SHOT OF PREVENTION - H1N1; CHOLESTEROL/GLUCOSE/BMI/BP SCREENINGS; HOSPITALIST PROGRAM; WELLNESS PROGRAM; IRRITABLE BOWEL SYNDROME; DIALYSIS; CARDIAC SURGERY; DIABETICS; LAP BAND SURGERY; NUTRITION. | LITTLE FALLS HOSPITAL | |
| PART V, SECTION B, LINE 11H: LITTLE FALLS HOSPITAL CHARGES FOR SERVICES BASED ON RELATIONSHIPS OF COST OF SERVICES, AND AGGREGATE MARGINS REQUIRED FOR HEALTHCARE SERVICES. | LITTLE FALLS HOSPITAL | |
| PART V, SECTION B, LINE 13G: LITTLE FALLS HOSPITAL BILLING FORMS INCLUDE A STATEMENT TO INQUIRE ABOUT FINANCIAL ASSISTANCE WITH A PHONE NUMBER TO CALL. UNINSURED PATEINTS ARE MAILED AN APPLICATION FOR THEIR COMPLETION. | LITTLE FALLS HOSPITAL | |
| PART V, SECTION B, LINE 15E: THE HOSPITAL REFERRED COLLECTION MATTERS TO A THIRD PARTY AGENCY. | LITTLE FALLS HOSPITAL | |
| PART V, SECTION B, LINE 19D: LITTLE FALLS HOSPITAL CHARGES UNIFORM CHARGES TO ALL PAYERS REGARDLESS OF RESPONSIBLE PARTY FOR THE BILL. | LITTLE FALLS HOSPITAL | |
| PART V, SECTION B, LINE 21: LITTLE FALLS HOSPITAL CHARGES UNIFORM CHARGES TO ALL PAYERS REGARDLESS OF RESPONSIBLE PARTY FOR THE BILL. | LITTLE FALLS HOSPITAL | |
| PART VI, LINE 6: LITTLE FALLS HOSPITAL ACTIVELY PLANS AND IMPLEMENTS COORDINATED HEALTH CARE RESOURCES WITH BASSETT HEALTHCARE NETWORK. THIS SYNERGY ALLOWS FOR GREATER ACCESS, MINIMIZES DUPLICATION OF SERVICES, AND RESULTS WITH HIGH QUALITY CARE. LITTLE FALLS HOSPITAL SERVES ALL PATIENTS WITHOUT CONSIDERATION OF PAYMENT SOURCES. IN 2010 THE AGGREGATE OUTPATIENT GOVERMENT AND UNINSURED SPONSORED PAYMENT PERCENTAGE WAS 63.7%. TO MANAGE CARE MORE APPROPRATELY EMPHASIS HAS BEEN PREVALENT IN QUALITY OF CARE MEASUREMENTS. THIS HAS RESULTED IN IMPROVING FEWER PATIENTS REQUIRING RE-ADMISSION TO THE HOSPITAL AFTER 30 DAYS. IN ADDITION THE NUMBER OF PATIENTS CONNECTED WITH FOLLOW - UP COMMUNICATIONS HAS SHOWN IMPROVED SHORT AND LONG TERM HEALTH STATUS BENEFITS. CONTINUED EFFORTS TO EXPAND THE PRIMARY CARE PROVIDER BASE WILL FURTHER IMPROVE ACCESS TO PRIMARY CARE RESULTING IN A MORE PATIENT CENTERED DELIVERY OF CARE MODEL. IN 2011 - 2012 THE IMPLEMENTATION OF THE "ELECTRONIC HEALTH RECORD" WILL RESULT IN A MORE SIGNIFICANT ADOPTION OF CARE DOCUMENTATION PROTOCOLS TO FURTHER IMPROVE THE HEALTH STATUS OF OUR PATIENTS. | ||
| PART VI, LINE 7: LITTLE FALLS HOSPITAL IS A MEMBER OF THURSTON CORPORATION (DBA BASSETT HEALTHCARE NETWORK)THAT PROVIDES HEALTH SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND NINE COUNTIES. THE NETWORK FOCUSES ITS COMMUNITY SERVICES PROGRAMS IN THE COUNTIES WHERE THE SIX AFFILIATED HOSPTITALS AND GREATEST PATIENT POPULATIONS ARE LOCATED. OTSEGO COUNTY - POPULATION 61,962; DELAWARE COUNTY - POPULATION 46,085; HERKIMER COUNTY - POPULATION 62,200; SCHOHARIE COUNTY - POPULATION 31,910 (ACCORDING TO THE 2008 U.S. CENSUS ESTIMATES). THE MARY IMOGENE BASSETT HOSPITAL, AN ACUTE CARE INPATIENT TECHING FACILITY IN COOPERSTOWN, OTSEGO COUNTY, O'CONNOR HOSPITAL, A CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTY, COBLESKILL REGIONAL HOSPITAL, AN ACUTE CARE FACILITY IN COBLESKILL, SCHOHARIE COUNTY, LITTLE FALLS HOSPTAL, A CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTY, TRI TOWN REGIOANL HOSPITAL A 24/7 EMERGENCY CARE FACILITY IN SIDNEY, DELAWARE COUNTY, AUREILA OSBORN FOX MEMORIAL HOSPITAL, AN ACUTE CARE FAILITY IN ONEONTA, OTSEGO COUNTY, THE BASSETT CLINIC, AN OUTPATIENT PRIMARY AND SPECIALTY CARE CENTER IN COOPERSTOWN, A REGIONAL NETWORK OF 26 COMMUNITY BASED HEALTH CENTERS, 18 SCHOOL BASED HEALTH CENTERS, TWO AMBULATORY SURGERY CENTERS, VALLEY HEALTH SERVICES A RESIDUAL HEALTH CARE AND REHABBILATION FACILITY, AT HOME CARE, A CERTIFIED HOME CARE AGENCY AND FIRST COMMUNITY CARE OF BASSETT A MEDICAL SUPPLY COMPANY, ALL OF WHICH MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS NINE COUNTY REGION IN CENTRAL NEW YORK. | ||
| NY | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUGUST LEINHART MD | |||||||||||||
| 0 | 330000 | 0 | 25000 | 0 | 73768 | 0 | 22678 | 0 | 1502 | 0 | 452948 | 0 | 0 |
| NICHOLAS J NICOLETTA | |||||||||||||
| 0 | 341809 | 0 | 30000 | 0 | 0 | 0 | 22678 | 0 | 4283 | 0 | 398770 | 0 | 0 |
| JEFFREY WOEPPEL | |||||||||||||
| 0 | 188872 | 0 | 0 | 0 | 0 | 0 | 16811 | 0 | 4187 | 0 | 209870 | 0 | 0 |
| MICHAEL OGDEN | |||||||||||||
| 0 | 140500 | 0 | 9000 | 0 | 1206 | 0 | 0 | 0 | 462 | 0 | 151168 | 0 | 0 |
| RICHARD NOCELLA MD | |||||||||||||
| 133261 | 0 | 0 | 0 | 29300 | 0 | 0 | 0 | 12358 | 0 | 174919 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | LITTLE FALLS HOSPITAL RECEIVED APPROVAL FROM NEW YORK STATE DEPARTMENT OF HEALTH TO PROVIDE MOBILE MAGNETIC RESONANCE IMAGING SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11 | LITTLE FALLS EXECUTIVE & FINANCE COMMITTEE OF THE BOARD REVIEWS AND APPROVES FORM 990. ALL TRUSTEES CAN REVIEW THE FORM 990 PRIOR TO SUBMISSION. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE MADE ANNUALLY. NEW BOARD MEMEBERS ARE REQUIRED TO DISCLOSE ON THEIR RESUME ALL AFFILIATED ORGANIZATIONS. | |
| FORM 990, PART VI, SECTION B, LINE 15A | BOARD OF TRUSTEES COMPLETES A CEO EVALUATION ANNUALLY AND MAKES ADJUSTMENTS TO COMPENSATION ACCORDING TO PERFORMANCE AND INDUSTRY COMPENSATION LEVELS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | LITTLE FALLS HOSPITAL IS MAKES AVAILABLE THE 990 TO THE PUBLIC UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 206,057. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -18,674. CHANGE IN VALUE OF BENEFICIAL REMAINDER CHARITABLE REMAINDER TRUST 1,711,361. TOTAL TO FORM 990, PART XI, LINE 5: 1,898,744. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Primary ActivitiesPrimaryActivities |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THURSTON CORPORATION | |||||||||||
| ONE ROCKEFELLER PLAZA 31ST FLOOR | NEW YORK | NY | 10020 | 133218680 | NY | 501 (C) 3 | 11 C | N/A | 0 | ||
| FRIENDS OF BASSETT | |||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 237041610 | NY | 501 (C) 3 | 7 | 0 | THURSTON CORPORATION | ||
| MARY IMOGENE BASSETT HOSPITAL | |||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 135596796 | NY | 501 (C) 3 | 3 | 0 | THURSTON CORPORATION | HEALTH CARE ORGANIZATION OFFERING INPATIENT AND OUTPATIENT SERVICES | |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY | |||||||||||
| ONE NORTON AVENUE | ONEONTA | NY | 13820 | 150539039 | NY | 501 (C) 3 | 3 | 0 | THURSTON CORPORATION | HEALTH CARE ORGANIZATION OFFERING INPATIENT AND OUTPATIENT SERVICES | |
| TEMPLETON FOUNDATION | |||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133317084 | NY | 501 (C) 3 | 9 | 0 | THURSTON CORPORATION | ||
| BASSETT REGIONAL CORPORATION | |||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133522783 | NY | 501 (C) 3 | 11 (B) | 0 | THURSTON CORPORATION | PROVIDES EXCELLENCE IN THE COORDINATION PLANNING AND POLICY DIRECTION FOR | |
| BASSETT HOSPITAL OF SCHOHARIE CO | |||||||||||
| 178 GRANDVIEW DRIVE | COBLESKILL | NY | 12043 | 141772971 | NY | 501 (C) 3 | 3 | 0 | BASSETT REGIONAL CORPORATION | ||
| O'CONNOR HOSPITAL | |||||||||||
| 460 ANDES ROAD | DELHI | NY | 13753 | 161540394 | NY | 501 (C) 3 | 3 | 0 | BASSETT REGIONAL CORPORATION | ||
| TRI TOWN REGIONAL HEALTHCARE | |||||||||||
| 43 PEARL STREET | SYNDEY | NY | 13838 | 260169584 | NY | 501 (C) 3 | 3 | 0 | BASSETT REGIONAL CORPORATION | ||
| VALLEY HEALTH SERVICES | |||||||||||
| 690 GERMAN STREET | HERKIMER | NY | 13350 | 222511614 | NY | 501 (C) 3 | 3 | 0 | BASSETT REGIONAL CORPORATION | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PRIMARY ACTIVITY | Identifier |
| Return Reference | FORM 264 990 R -2 SHEET 1 & SHEET 2 | ReturnReference |
| Explanation | SHEET 1 / LINE 90 THURSTON CORPORATION - SUPPORTING ORGANIZATION TO THE MARY IMOGENE BASSETT HOSPITAL, FRIENDS OF BASSETT, BASSETT REGIONAL CORPORATION, AUREILA OSBORN FOX MEMORIAL HOSPITAL AND TEMPLETON FOUNDATION PURSUANT TO SECTION 509. SHEET 1 / LINE 93 FRIENDS OF BASSETT - PROMOTE THE WELFARE OF ALL THURSTON CORPORATION MEMBERS AND BASSETT REGIONAL CORPORATION SHEET 1/ LINE 102 TEMPLETON FOUNDATION - PROMOTE HEALTH CARE BY PROVIDING NECESSARY RESIDENTIAL FACILITIES AND OFFICE SPACE TO HOSPITALS AND HEALTH CARE ORGANIZATIONS. SHEET 2 / LINE 90 BASSETT REGIONAL CORPORATION - PROVIDE EXCELLENCE IN THE COORDINATION, PLANNING AND POLICY DIRECTION FOR BASSETT HOSP OF SCHOHARIE CO., O'CONNOR HOSP, VALLEY HEALTH SERVICES, LITTLE FALLS HOSPITAL AND TRI TOWN REGIONAL HEALTHCARE SHEET 2 / LINE 93 BASSETT HOSPITAL OF SCHOHARIE CO. - PROVIDE HEALTH CARE SERVICES TO SCHOHARIE COUNTY AND SURROUNDING REGION SHEET 2 / LINE 96 O'CONNOR HOSPITAL - A 23 BED CRITICAL ACCESS HOSPITAL PROVIDING HEALTH CARE SERVICES TO DELAWARE COUNTY AND SURROUNDING REGION SHEET 2 / LINE 99 TRI TOWN REGIONAL HEALTHCARE - HOSPITAL PROVIDING ACUTE CARE AND EMERGENCY SERVICES TO RESIDENTS OF THE TOWN OF SIDNEY AND TRI-TOWN COMMUNITY. SHEET 2 / LINE 102 VALLEY HEALTH SERVICES - NOT-FOR-PROFIT SKILLED NURSING FACILITY PROVIDING RESIDENTIAL HEALTH SERVICES TO HERKIMER COUNTY AND THE SURROUNDING AREA | Explanation |
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