2021-11-15T19:02:01-06:00 2020-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2020-01-01 141628237 HUDSON HEADWATERS HEALTH NETWORK HUDS 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 CHRISTOPHER TOURNIER CFO/EXECUTIVE VP OF FINANCE 5187610300 2021-11-15 1 CHRISTOPHER TOURNIER 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID T SLINGERLAND MD 9 CAREY ROAD QUEENSBURY NY 12804 133764880 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. 13 13 1116 57 6888279 2266639 13789026 20552613 66516756 61409959 478437 288813 46176687 51513495 126960906 133764880 0 0 0 0 70456218 77926092 0 0 0 39692352 45758577 110148570 123684669 16812336 10080211 126491390 125870296 38145853 27482947 88345537 98387349 X WE ARE A COMMUNITY BASED HEALTH CLINIC WHICH PROVIDES 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 97944975 61710448 THE CENTER IS A COMMUNITY BASED HEALTH CENTER CLINIC WITH MULTIPLE LOCATIONS. IN 2020, WE SERVICED 96,046 PATIENTS WITH 353,129 VISITS. 9492953 43789792 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. 107437928 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 88 0 1 1116 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 X 0 0 0 BARBARA SWEET OUTGOING VICE-CHAIR 1.00 1.10 X X 0 0 0 BRUCE CARR BOARD MEMBER 1.00 X 0 0 0 CATHY MOSES BOARD MEMBER 1.00 0.10 X X 0 0 0 CELINE RACINE-PAQUETTE BOARD MEMBER 1.00 0.10 X 0 0 0 DONNA NICHOLS BOARD MEMBER 1.00 X 0 0 0 EILEEN HAYNES BOARD CHAIR 1.00 0.10 X X 0 0 0 HARRY ROBINSON BOARD MEMBER 1.00 X 0 0 0 IKE WOLGIN VICE CHAIR 1.00 1.10 X X 0 0 0 JIM MORRIS TREASURER 1.00 0.10 X X 0 0 0 KEVIN PORPORA SECRETARY 1.00 0.10 X X 0 0 0 MICHAEL MCCARTHY OUTGOING BOARD MEMBER 1.00 X 0 0 0 PATRICIA ALLEN BOARD MEMBER 1.00 X 0 0 0 PATRICIA HUNT BOARD MEMBER 1.00 X 0 0 0 PETER REALE BOARD MEMBER, AT LARGE 1.00 0.10 X 0 0 0 CHRISTINA WOZNIAK VP OF FINANCE - HH 340B, LLC 40.00 X 106700 0 17796 CHRISTOPHER TOURNIER CFO/EXECUTIVE VP OF FINANCE 40.00 1.10 X 326365 0 38231 DAVID T SLINGERLAND MD CEO 40.00 1.10 X 492278 0 38488 JAMES DONNELLY PRESIDENT - HH 340B, LLC 40.00 X 283871 0 35096 NICHOLAS REBMANN COO 40.00 X 240478 0 33867 JOHN RUGGE MD EXECUTIVE CHAIRMAN 30.00 1.00 X 331006 0 34337 WILLIAM BORGOS MD CMO 40.00 X 360375 0 35895 JOHN SAWYER MD PHYSICIAN 40.00 X 360874 0 37877 KENNETH FRANCE MD PHYSICIAN 40.00 X 301931 0 34904 SUZANNE BERGIN MD PHYSICIAN 40.00 X 323164 0 19000 THOMAS PORTUESE MD PHYSICIAN 40.00 X 367865 0 39607 WILLIAM PARKER MD PHYSICIAN 40.00 X 380671 0 37079 3875578 0 402177 157 0 1 0 BAST HATFIELD CONSTRUCTION LLC 1399 CRESCENT VISCHER FERRY ROAD CLIFTON PARK NY 12065 CONSTRUCTION 1640409 ASD HEALTHCARE 5025 PLANO PARKWAY CARROLLTON TX 75010 PHARMACY SERVICES 289701 GALUSHA & SONS LLC PO BOX 4787 QUEENSBURY NY 12804 CONSTRUCTION 257616 BISHOP BEAUDRY CONSTRUCTION LLC 2885 CURRY ROAD SCHENECTADY NY 12303 CONSULTING SERVICES 166177 COHN REZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 ACCOUNTING/TAX SERVICES 126804 6 866490 10520061 9166062 20552613 OTHER THIRD-PARTY PAYORS 621400 26838597 26838597 MEDICARE 621400 11564649 11564649 MEDICAID MANAGED CARE 621400 9186110 9186110 NEW YORK STATE MANAGED CARE WRAP- 621400 5655514 5655514 SELF-PAY 621400 5308882 5308882 2856207 2856207 61409959 264813 264813 534935 0 534935 534935 534935 24000 0 24000 24000 24000 340B PHARMACY 621400 43789792 43789792 340B CONSULTING 541610 6843044 6843044 MISC. REVENUE 900099 345724 300489 45235 50978560 133764880 105500240 6888279 823748 X 2374783 2074826 299957 59541283 52044659 7496624 2301290 2002122 299168 9132124 8007849 1124275 4576612 3981652 594960 205557 5154 200403 165491 43251 122240 12430581 10025361 2405220 642505 512652 129853 1003708 722509 281199 1923273 447838 1475435 3041857 2867091 174766 313601 205654 107947 166542 109215 57327 1027677 1027677 4094285 3398038 696247 654215 265513 388702 340B SUPPLIES 9492953 9492953 MEDICAL SUPPLIES 4993053 4993053 PROVISION FOR BAD DEBTS 1652361 1652361 UBIT 736150 736150 3214768 2822350 392418 123684669 107437928 16246741 0 317548 403272 16228720 36718378 20906 18010906 16934370 350000 350000 2188397 2495229 86688005 24339573 61023934 62348432 23469135 1553440 4881844 5067175 126491390 125870296 15202587 21902365 161271 525273 16972337 948499 4861159 5055309 38145853 27482947 X 88345537 98387349 88345537 98387349 126491390 125870296 10080211 -38399 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4947312 4947312 52020763 12384213 39636550 4264295 3083612 1180683 7960051 4028014 3932037 17495584 4843734 12651850 62348432 DEFERRED COMPENSATION PAYABLE (457B) 5055309 5055309 X 134257037 -38399 21948 1375098 1358647 132898390 866490 866490 133764880 124045638 21948 339021 360969 123684669 0 123684669 PART X, LINE 2: THE COMPANIES HAVE NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2020. THE COMPANIES' FEDERAL AND STATE INFORMATION RETURNS PRIOR TO CALENDAR YEAR 2017 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 1,403,484. INTERCOMPANY ELIMINATIONS -28,386. PART XI, LINE 4B - OTHER ADJUSTMENTS: TRANSFER FROM AFFILIATES 866,490. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES EXPENSES 367,407. INTERCOMPANY ELIMINATIONS -28,386. X X X X 0 0 0 0 0 0 0 1 0 DAVID T SLINGERLAND MD CEO 339014 0 66663 0 86601 0 14250 0 24238 0 530766 0 0 0 WILLIAM PARKER MD PHYSICIAN 325438 0 27526 0 27707 0 14250 0 22829 0 417750 0 0 0 THOMAS PORTUESE MD PHYSICIAN 342421 0 6756 0 18688 0 14250 0 25357 0 407472 0 0 0 JOHN SAWYER MD PHYSICIAN 285101 0 44949 0 30824 0 14250 0 23627 0 398751 0 0 0 WILLIAM BORGOS MD CMO 329462 0 1256 0 29657 0 14250 0 21645 0 396270 0 0 0 JOHN RUGGE MD EXECUTIVE CHAIRMAN 187265 0 136223 0 7518 0 14250 0 20087 0 365343 0 0 0 CHRISTOPHER TOURNIER CFO/EXECUTIVE VP OF FINANCE 267599 0 38682 0 20084 0 14250 0 23981 0 364596 0 0 0 SUZANNE BERGIN MD PHYSICIAN 301015 0 2256 0 19893 0 14250 0 4750 0 342164 0 0 0 KENNETH FRANCE MD PHYSICIAN 280533 0 12535 0 8863 0 14250 0 20654 0 336835 0 0 0 JAMES DONNELLY PRESIDENT - HH 340B, LLC 226916 0 32951 0 24004 0 14168 0 20928 0 318967 0 0 0 NICHOLAS REBMANN COO 203174 0 28266 0 9038 0 12148 0 21719 0 274345 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). SCHEDULE J, PART II, COLUMN B(III): INCLUDED IN COLUMN B(III) IS VACATION PAYOUT AND 457(B). 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 IX, LINE 11G 340B CONSULTANTS: PROGRAM SERVICE EXPENSES 6,847,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,847,844. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,177,517. MANAGEMENT AND GENERAL EXPENSES 2,405,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,582,737. 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. HUDSON HEADWATERS STRATEGIC SERVICES LLC 9 CAREY ROAD QUEENSBURY NY 12804 811084946 CONSULTING NY 0 0 HUDSON HEADWATERS HEALTH NETWORK HUDSON HEADWATERS 340B LLC 9 CAREY ROAD QUEENSBURY NY 12804 843532873 THIRD PARTY SERVICES FOR 340B PROGRAM NY 6127679 6179946 HUDSON HEADWATERS HEALTH NETWORK HUDSON HEADWATERS HEALTH FOUNDATION 9 CAREY RD QUEENSBURY NY 12804 651261242 FINANCIAL SUPPORT TO HUDSON HEADWATERS HEALTH NETWORK NY 501(C)(3) LINE 12B, II HUDSON HEADWATERS HEALTH NETWORK 1 COMPRE CARE INC 9 CAREY RD QUEENSBURY NY 12804 141692479 IDLE HEALTH CENTER OPERATION NY 501(C)(3) LINE 3 HUDSON HEADWATERS HEALTH NETWORK 1 HUDSON HEADWATERS HEALTH MANAGEMENT PO BOX 357 GLEN FALLS NY 12801 141467175 MANAGMENT SERVICES NY HUDSON HEADWATERS HEALTH NETWORK C 775 106144 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0