2019-11-07T13:16:04-06:00 2018-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2018-01-01 141628237 HUDSON HEADWATERS HEALTH NETWORK HUDS 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 CHRISTOPHER TOURNIER CFO 5187610300 2019-11-07 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2019-11-06 209.59.242.22 2019-11-07 09:21:46 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 238159564A7F207AC3E2D33505B4833284B8AC6F 2018 2020-03-31 21:24:44Z DAVID T SLINGERLAND MD 9 CAREY ROAD QUEENSBURY NY 12804 111297852 0 X WWW.HHHN.ORG X 1981 NY FQHC - OUR MISSION IS TO PROVIDE THE BEST HEALTH CARE AND ACCESS TO THAT CARE FOR EVERYONE IN OUR COMMUNITIES. 16 16 908 24 4464760 905667 15819243 12962127 62744882 61576612 -30521 68386 28978519 36690727 107512123 111297852 0 0 0 0 63286243 65905011 0 0 0 30294554 35313963 93580797 101218974 13931326 10078878 94044254 103944765 32346482 32416858 61697772 71527907 X WE ARE A COMMUNITY BASED HEALTH CLINIC WHICH SERVICED 82,866 PATIENTS IN 2017. TO FURTHER THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES TO THE GENERAL POPULATION OF WARREN, WASHINGTON, SARATOGA, HAMILTON, ESSEX AND CLINTON COUNTIES. TO PROMOTE, SPONSOR, FOSTER AND DELIVER PROGRAMS, ACTIVITIES AND SERVICES WHICH SHALL HAVE THE PURPOSE OF IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION SERVED BY THIS CORPORATION AND TO CONTINUALLY SEEK NEW AND INNOVATIVE METHODS OF IMPROVING HEALTH CARE DELIVERY AND ITS FINANCING TO THE COMMUNITY SERVED. TO CARRY OUT ANY EDUCATION AND TEACHING ACTIVITIES RELATED TO RENDERING HEALTH CARE OR TO THE PROMOTION OF HEALTH THAT IN THE OPINION OF THE BOARD OF DIRECTORS MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS OR OTHER RESOURCES THAT ARE FOR, OR CAN BE, MADE. 0 0 79474092 93547420 THE CENTER IS A COMMUNITY BASED HEALTH CENTER CLINIC WITH MULTIPLE LOCATIONS. IN 2018, WE SERVICED 84,347 PATIENTS WITH 360,327 VISITS. 7329433 340B PHARMACY PROGRAM - AS A FEDERALLY QUALIFIED HEALTH CENTER WE ARE ABLE TO ACQUIRE DRUGS AT THE LOWER PRICES MANDATED BY THE FEDERAL 340B DRUG PURCHASING PROGRAM, THIS ALLOWS US TO ASSIST INDIGENT PATIENTS WITH THE SOMETIME OVERWHELMING COSTS OF PRESCRIPTION MEDICATIONS. FACILITATE THE HUDSON HEADWATERS HEALTH NETWORK PATIENT ASSISTANCE PROGRAM WHICH ENABLES NEEDY PATIENTS TO RECEIVE MEDICATIONS FREE OF CHARGE FROM THE DRUG MANUFACTURERS AND GENERATE REVENUE TO SUPPORT HHHN'S OVERALL OPERATIONAL VIABILITY. 86803525 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 84 0 1 908 1 1 1 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X JENNY FALCO 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 AMY LANGWORTHY BOARD MEMBER 1.00 0.10 X 0 0 0 BARBARA SWEET VICE-CHAIR 1.00 0.10 X X 0 0 0 BRUCE CARR BOARD MEMBER 1.00 0.10 X 0 0 0 CATHY MOSES SECRETARY 1.00 0.10 X X 0 0 0 CELINE RACINE-PAQUETTE EXECUTIVE COMMITTEE MEMBER 1.00 0.10 X 0 0 0 DANA HOGAN BOARD MEMBER 1.00 0.10 X 0 0 0 DONNA NICHOLS BOARD MEMBER 1.00 X 0 0 0 EILEEN HAYNES BOARD MEMBER 1.00 0.10 X 0 0 0 EUGENE ARSENAULT OUTGOING TREASURER 1.00 0.10 X X 0 0 0 HARRY ROBINSON BOARD MEMBER 1.00 0.10 X 0 0 0 IKE WOLGIN BOARD CHAIR 1.00 1.10 X X 0 0 0 JIM MORRIS BOARD MEMBER 1.00 0.10 X 0 0 0 KEVIN PORPORA TREASURER 1.00 0.10 X X 0 0 0 MICHAEL MCCARTHY BOARD MEMBER 1.00 0.10 X 0 0 0 MILDRED ANZALONE OUTGOING BOARD MEMBER 1.00 0.10 X 0 0 0 PATRICIA ALLEN BOARD MEMBER 1.00 0.10 X 0 0 0 PATRICIA HUNT BOARD MEMBER 1.00 0.10 X 0 0 0 PETER REALE BOARD MEMBER 1.00 0.10 X 0 0 0 CHRISTOPHER TOURNIER CFO 40.00 1.10 X 271563 0 34477 DAVID T SLINGERLAND MD CEO 40.00 1.10 X 349063 0 31992 DOMINICK BIZZARRO PRESIDENT & COO 40.00 X 342597 0 20909 JOHN RUGGE MD EXECUTIVE CHAIRMAN 40.00 1.10 X 436188 0 34130 DANIEL LARSON MD CMO EMERITUS 40.00 X 301573 0 27006 EDWARD SHANNON CDO 40.00 X 193434 0 30990 JOHN SAWYER MD CMO 40.00 X 317342 0 34210 MICHAEL ADAMS MD PHYSICIAN 40.00 X 270823 0 33054 MICHAEL CELOTTI MD PHYSICIAN 40.00 X 273431 0 30546 THOMAS PORTUESE MD PHYSICIAN 40.00 X 346855 0 34596 WILLIAM BORGOS MD PHYSICIAN 40.00 X 273185 0 33074 WILLIAM PARKER MD PHYSICIAN 40.00 X 299796 0 31979 3675850 0 376963 132 0 1 0 RICHARD E JONES ASSOCIATES 339 AVIATION RD QUEENSBURY NY 12804 ARCHITECTURAL AND ENGINEERING SERVICES 829606 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 ACCOUNTING/TAX SERVICES 175105 ANN R PURDUE 11 MACORY WAY GANSEVOORT NY 12831 LEGAL SERVICES 158093 ATLANTIC CONTRACTING AND SPECIALTIES LL 1 HARRISON STREET PO BOX 844 TROY NY 12180 ASBESTOS REMOVAL 121927 ADIRONDACK APOTHECARY LLC 1081 MAIN ST PO BOX 458 SCHROON LAKE NY 12870 CONSULTING SERVICES 121443 5 124037 7284452 5553638 221000 12962127 OTHER THIRD-PARTY PAYORS 621400 22889040 22889040 MEDICARE 621400 11282448 11282448 NEW YORK STATE MEDICAID AND MEDIC 621400 9036914 9036914 MEDICAID MANAGED CARE 621400 8208446 8208446 SELF-PAY 621400 6411133 6411133 3748631 3748631 61576612 32347 32347 255159 0 255159 255159 255159 36039 0 36039 36039 36039 PHARMACY 621400 31355187 31355187 340B CONSULTING 541610 4422947 4422947 MEANINGFUL USE 621400 352749 352749 304685 262872 41813 36435568 111297852 93547420 4464760 323545 2417595 2136365 281230 49509611 43750260 5759351 2089311 1846313 242998 8077211 7137789 939422 3811283 3368011 443272 300309 94460 205849 190407 190407 9759094 6586030 3173064 358300 205093 153207 515456 327158 188298 1068026 381009 687017 2425252 2196481 228771 397963 305990 91973 202354 94733 107621 533161 533161 3195021 2474962 720059 467925 268149 199776 UBIT 299458 299458 340B SUPPLIES 7329433 7329433 MEDICAL SUPPLIES 2866215 2866215 PROVISION FOR BAD DEBT 1975572 1975572 3430017 2626883 803134 101218974 86803525 14415449 0 180273 73633 27358031 14784081 1144064 94534 11572645 14181537 350000 350000 1197009 1745840 67395470 17692256 48317516 49703214 19083417 270000 3654716 3928509 94044254 103944765 13870264 13106701 60192 11842099 11353474 3000088 3988667 3634031 3907824 32346482 32416858 X 61697772 71527907 61697772 71527907 94044254 103944765 X 10078878 21257 -270000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4278142 4278142 45701939 7894514 37807425 4266606 2615437 1651169 7048327 3171723 3876604 6100456 4010582 2089874 49703214 DEFERRED COMPENSATION PAYABLE (457B) 3907824 3907824 X 109875966 21948 -1443834 -1421886 111297852 0 111297852 99622733 21948 357383 379331 99243402 1975572 1975572 101218974 PART X, LINE 2: THE COMPANIES HAVE NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2018. THE COMPANIES' FEDERAL AND STATE INFORMATION RETURNS PRIOR TO CALENDAR YEAR 2015 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE COMPANIES RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES REVENUE 812,738. INTERCOMPANY ELIMINATIONS -11,000. WRITE-OFF OF GOODWILL -270,000. PROVISION FOR BAD DEBTS -1,975,572. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES EXPENSES 389,640. INTERCOMPANY ELIMINATIONS -11,000. UNREALIZED LOSSES -21,257. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,975,572. X X X X 0 0 0 0 0 0 0 1 0 CHRISTOPHER TOURNIER CFO 216145 0 32463 0 22955 0 13372 0 21105 0 306040 0 0 0 DAVID T SLINGERLAND MD CEO 307886 0 36832 0 4345 0 13600 0 18392 0 381055 0 0 0 DOMINICK BIZZARRO PRESIDENT & COO 315878 0 17816 0 8903 0 2186 0 18723 0 363506 0 0 0 JOHN RUGGE MD EXECUTIVE CHAIRMAN 196023 0 201895 0 38270 0 13600 0 20530 0 470318 0 0 0 DANIEL LARSON MD CMO EMERITUS 168456 0 96743 0 36374 0 13600 0 13406 0 328579 0 0 0 EDWARD SHANNON CDO 127513 0 24991 0 40930 0 9842 0 21148 0 224424 0 0 0 JOHN SAWYER MD CMO 247981 0 19926 0 49435 0 13600 0 20610 0 351552 0 0 0 MICHAEL ADAMS MD PHYSICIAN 152231 0 109975 0 8617 0 13260 0 19794 0 303877 0 0 0 MICHAEL CELOTTI MD PHYSICIAN 189394 0 81871 0 2166 0 12199 0 18347 0 303977 0 0 0 THOMAS PORTUESE MD PHYSICIAN 165894 0 168242 0 12719 0 13600 0 20996 0 381451 0 0 0 WILLIAM BORGOS MD PHYSICIAN 173692 0 89599 0 9894 0 13484 0 19590 0 306259 0 0 0 WILLIAM PARKER MD PHYSICIAN 112397 0 175739 0 11660 0 13600 0 18379 0 331775 0 0 0 PART I, LINE 7 THE ORGANIZATION PROVIDED BONUSES TO VARIOUS OFFICERS, AND HIGHEST COMPENSATED EMPLOYEES. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II). A COUNTIES OF WARREN & WASHINGTON CIVIC DEVELOPMENT CORPORATION 383853734 2014-12-16 6500000 LAND, FACILITY & EQUIPMENT FOR HEALTH CENTER 0 0 0 B CLINTON COUNTY CAPITAL RESOURCE CORPORATION 452521133 2015-12-18 6000000 LAND, FACILITY & EQUIPMENT FOR HEALTH CENTER 0 0 0 C SARATOGA COUNTY CAPITAL RESOURCE CORPORATION 140486153 2018-06-28 6600000 LAND, FACILITY & EQUIPMENT FOR HEALTH CENTER 0 0 0 A 760854 6500000 154168 6345832 2015 0 0 1 1 B 404264 6000000 146845 5853155 2017 0 0 1 1 C 6600000 118207 39130 6442663 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 X 2 221000 APPRAISED VALUE 0 0 0 PART I, COLUMN (B): AMOUNT IN COLUMN REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTANT PREPARES THE 990. AFTER PREPARATION, A COPY OF THE DRAFT RETURN IS PROVIDED TO THE BOARD MEMBERS VIA EMAIL OR AT A BOARD MEETING PRIOR TO SUBMISSION WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS ITS' CONFLICT OF INTEREST POLICY WITH AN ANNUAL UPDATE OF ALL INTEREST THAT COULD POTENTIALLY LEAD TO A CONFLICT OF INTEREST FOR ALL EMPLOYEES. IF A CONFLICT OF INTEREST POTENTIAL IS RECOGNIZED THE BOARD SHALL DETERMINE WHETHER A CONFLICT EXISTS AND WHETHER SUCH DIRECTOR SHOULD ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS SETS COMPENSATION FOR THE CEO. THE CEO SETS THE COMPENSATION FOR MEMBERS OF SENIOR MANAGEMENT. THE ORGANIZATION ALSO USES A SURVEY WHERE POSSIBLE, COMPARABLE POSITIONS WITHIN THE REGION, COMPENSATION CONSULTANTS AND BOARD REVIEW. COMPENSATION IS DETERMINED BY A COMBINATION OF SENIOR MANAGEMENT, FINANCE AND HUMAN RESOURCES TO ENSURE FAIRNESS AND CONSISTENCY IN SETTING PAY RATE AND BENEFIT LEVELS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST. THEY ARE MADE AVAILABLE AT OUR ADMINISTRATIVE OFFICE AT 9 CAREY ROAD, QUEENSBURY, NY. FORM 990, PART XI, LINE 9: WRITE-OFF OF GOODWILL -270,000. FORM 990, PART XII, LINE 2C: THE SELECTION AND OVERSIGHT PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION. 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