2022-11-11T15:04:46-06:00 2021-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2021-01-01 141628237 HUDSON HEADWATERS HEALTH NETWORK HUDS 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 CHRISTOPHER TOURNIER CFO/EXECUTIVE VP OF FINANCE 5187610300 2022-11-10 1 CHRISTOPHER TOURNIER 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2022-11-10 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DAVID T SLINGERLAND MD 9 CAREY ROAD QUEENSBURY NY 12804 161715214 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. 12 12 1235 0 7915201 2483229 20552613 18856153 61409959 79076412 288813 86256 51513495 63669741 133764880 161688562 0 183325 0 0 77926092 88237661 0 0 0 45758577 50045223 123684669 138466209 10080211 23222353 125870296 162853955 27482947 41244253 98387349 121609702 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 110297598 183325 79984003 THE CENTER IS A COMMUNITY BASED HEALTH CENTER CLINIC WITH MULTIPLE LOCATIONS. IN 2021, WE SERVICED 109,570 PATIENTS WITH 474,790 VISITS. 10136579 54250301 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. 120434177 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 93 0 1 1235 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JENNY FALCO 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 AMY LANGWORTHY SECRETARY 1.00 0.10 X X 0 0 0 BRUCE CARR BOARD MEMBER 1.00 0.10 X 0 0 0 CATHY MOSES BOARD MEMBER 1.00 0.10 X 0 0 0 CELINE RACINE-PAQUETTE BOARD MEMBER 1.00 0.10 X 0 0 0 DONNA NICHOLS VICE CHAIR 1.00 0.10 X X 0 0 0 EILEEN HAYNES OUTGOING BOARD CHAIR 1.00 0.10 X X 0 0 0 HARRY ROBINSON BOARD MEMBER 1.00 0.10 X 0 0 0 IKE WOLGIN OUTGOING 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 BOARD CHAIR 1.00 0.10 X X 0 0 0 PATRICIA ALLEN BOARD MEMBER 1.00 0.10 X 0 0 0 PATRICIA AUER 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, AT LARGE 1.00 0.10 X 0 0 0 CHRISTINA WOZNIAK VP OF FINANCE - HH 340B, LLC 40.00 X 127731 0 21914 CHRISTOPHER TOURNIER CFO/EXECUTIVE VP OF FINANCE 40.00 1.10 X 329379 0 39726 DAVID T SLINGERLAND MD CEO 40.00 1.10 X 476714 0 38167 JAMES DONNELLY PRESIDENT - HH 340B, LLC 40.00 X 301557 0 35695 NICHOLAS REBMANN CEO - HH 340B, LLC 40.00 X 300669 0 38142 WILLIAM BORGOS MD CMO 40.00 X 389265 0 37025 KRISTIN KRUZIKAS - LLC VP OF FINANCE - HH 340B, LLC 40.00 X 9514 0 1857 JOHN RUGGE MD EXECUTIVE CHAIRMAN 6.00 1.00 X 157350 0 10075 EDWARD DENIOUS MD PHYSICIAN 40.00 X 331783 0 36374 KEVIN GALLAGHER MD CMIO 40.00 X 356505 0 36209 SUZANNE BERGIN MD PHYSICIAN 40.00 X 340171 0 19283 THOMAS PORTUESE MD PHYSICIAN 40.00 X 385961 0 41105 WILLIAM PARKER MD PHYSICIAN 40.00 X 361969 0 38542 3868568 0 394114 171 0 1 0 ATHENAHEALTH PO BOX 415615 BOSTON MA 02241 EMR SYSTEM 4120003 NORTH COUNTRY JANITORIAL 188 DIX AVE GLENS FALLS NY 12801 CLEANING SERVICE 1261942 BAST HATFIELD CONSTRUCTION LLC 1399 CRESCENT VISCHER FERRY ROAD CLIFTON PARK NY 12065 CONSTRUCTION 1243063 SMRT ARCHITECTS AND ENGINEERS PC PO BOX 618 PORTLAND ME 04104 CONSTRUCTION 675204 PAR8O INC 18 WASHINGTON STREET SUITE 308 CANTON MA 02021 CONSULTING SERVICES 560340 24 559256 14091026 4205871 18856153 OTHER THIRD-PARTY PAYORS 621400 31985202 31985202 MEDICAID MANAGED CARE 621400 15208488 15208488 MEDICARE 621400 14732374 14732374 NEW YORK STATE MANAGED CARE WRAP- 621400 9795584 9795584 SELF-PAY 621400 4119755 4119755 3235009 3235009 79076412 72082 72082 596648 0 596648 596648 596648 40826 26652 14174 14174 14174 340B PHARMACY 621400 54250301 54250301 340B CONSULTING 541610 7878491 7878491 MISC. REVENUE 900099 944301 907591 36710 63073093 161688562 134234304 7915201 682904 X 183325 183325 2314780 2025304 289476 66732778 58422595 8310183 3843786 3344094 499692 10298106 9063633 1234473 5048211 4391944 656267 97908 49594 48314 216631 109732 106899 15848936 12505037 3343899 902651 762139 140512 583630 377798 205832 2722013 1543744 1178269 3504037 3322148 181889 331853 223208 108645 200531 134880 65651 1948 1948 4310997 3754187 556810 831751 369035 462716 340B SUPPLIES 10136579 10136579 MEDICAL SUPPLIES 6096242 6096242 REPAIRS AND MAINTENANCE 1395741 1284875 110866 UBIT 826804 826804 2036971 1505332 531639 138466209 120434177 18032032 0 403272 579572 36718378 70277461 16934370 18962459 350000 350000 2495229 3989160 91425909 28507092 62348432 62918817 1553440 5067175 5776486 125870296 162853955 21902365 23949371 525273 1530262 5055309 15764620 27482947 41244253 X 98387349 121609702 98387349 121609702 125870296 162853955 23222353 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4947312 4947312 63687863 15115211 48572652 4523621 3293075 1230546 13461030 8183656 5277374 4806083 1915150 2890933 62918817 DEFERRED COMPENSATION PAYABLE (457B) 5764620 REFUNDABLE ADVANCE - PPP 10000000 15764620 X 162435509 21948 1284255 1306203 161129306 559256 559256 161688562 138729173 21948 241016 262964 138466209 0 138466209 PART X, LINE 2: THE COMPANIES HAVE NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021. THE COMPANIES' FEDERAL AND STATE INFORMATION RETURNS PRIOR TO CALENDAR YEAR 2018 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 1,412,368. INTERCOMPANY ELIMINATIONS -128,113. PART XI, LINE 4B - OTHER ADJUSTMENTS: TRANSFER FROM AFFILIATES 559,256. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES EXPENSES 369,129. INTERCOMPANY ELIMINATIONS -128,113. 1 GLENS FALLS HOSPITAL FOUNDATION 100 PARK STREET GLENN FALLS NY 12801 141790805 501(C)(3) 50000 0 PALLIATIVE CARE OPERATIONS SUMMER CAMP OPPORTUNITIES PROMOTE EDUCATION INC 108 WEST 39TH STREET NEW YORK NY 10018 202772242 501(C)(3) 6500 0 PROVIDE CHILDREN THE OPPORTUNITY TO ATTEND CAMPS IN THE ADIRONDACKS, REGARDLESS OF SOCIO-ECONOMIC BACKGROUND. 2 PART I, LINE 2: PROVIDED GRANTS TO RECIPIENTS. THE RECIPIENTS PROVIDED DONOR ACKNOWLEDGEMENT LETTERS NOTING THE FUNDING WAS SPENT FOR THE PROGRAM PURPOSE. X X X X 0 0 0 0 0 0 0 1 0 DAVID T SLINGERLAND MD CEO 342723 0 72267 0 61724 0 14500 0 23667 0 514881 0 0 0 THOMAS PORTUESE MD PHYSICIAN 342341 0 24256 0 19364 0 14500 0 26605 0 427066 0 0 0 WILLIAM BORGOS MD CMO 325672 0 48300 0 15293 0 14500 0 22525 0 426290 0 0 0 WILLIAM PARKER MD PHYSICIAN 329232 0 3256 0 29481 0 14500 0 24042 0 400511 0 0 0 KEVIN GALLAGHER MD CMIO 331516 0 18256 0 6733 0 14293 0 21916 0 392714 0 0 0 CHRISTOPHER TOURNIER CFO/EXECUTIVE VP OF FINANCE 257882 0 42553 0 28944 0 14500 0 25226 0 369105 0 0 0 EDWARD DENIOUS MD PHYSICIAN 287968 0 13256 0 30559 0 14500 0 21874 0 368157 0 0 0 SUZANNE BERGIN MD PHYSICIAN 300177 0 18256 0 21738 0 14500 0 4783 0 359454 0 0 0 NICHOLAS REBMANN CEO - HH 340B, LLC 235299 0 33432 0 31938 0 14221 0 23921 0 338811 0 0 0 JAMES DONNELLY PRESIDENT - HH 340B, LLC 214589 0 56968 0 30000 0 13555 0 22140 0 337252 0 0 0 JOHN RUGGE MD EXECUTIVE CHAIRMAN 97869 0 35783 0 23698 0 7172 0 2903 0 167425 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 15 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 7,858,973. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,858,973. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,646,064. MANAGEMENT AND GENERAL EXPENSES 3,343,899. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,989,963. 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 9216376 8202949 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 12A, I 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 PACE AT HUDSON HEADWATERS INC 9 CAREY RD QUEENSBURY NY 12804 872010897 ALL INCLUSIVE CARE FOR THE ELDERLY PROVIDING MEDICAL AND SOCIAL SERVICES. NY 501(C)(3) LINE 10 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 487 106395 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 HUDSON HEADWATERS HEALTH FOUNDATION C 559256 FMV