2024-11-15T01:25:10-06:00 2023-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2023-01-01 141628237 HUDSON HEADWATERS HEALTH NETWORK HUDS 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 LAURA PASCO CFO/EXECUTIVE VP OF FINANCE 5187610300 2024-11-15 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2024-11-14 2023 2024-10-15 13:58:12Z DAVID T SLINGERLAND MD 9 CAREY ROAD QUEENSBURY NY 12804 200095946 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 1314 73 12121440 2522828 30571071 19723719 78892338 86304898 383859 1974370 76646413 91741206 186493681 199744193 48681 11774000 0 0 95812026 106942142 0 0 628476 58950743 80061477 154811450 198777619 31682231 966574 189586630 218686110 37856120 63842467 151730510 154843643 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 130554178 11774000 87460706 THE CENTER IS A COMMUNITY BASED HEALTH CENTER CLINIC WITH MULTIPLE LOCATIONS. IN 2023, WE SERVICED 112,140 PATIENTS WITH 448,214 VISITS. 35358114 77929653 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. 165912292 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 1 1 1 1 0 0 1 103 0 1 1314 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 1 0 NY X JENNY SZABLEWSKI 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 AMY LANGWORTHY OUTGOING BOARD MEMBER 1.00 X 0 0 0 BRUCE CARR BOARD MEMBER 1.00 X 0 0 0 CATHY MOSES OUTGOING BOARD MEMBER 1.00 X 0 0 0 CHRISTINE ROWE-BUTTON MD BOARD MEMBER 1.00 X 0 0 0 DARREN WOODS BOARD MEMBER 1.00 X 0 0 0 DEANA KETCHUM BOARD MEMBER, AT LARGE 1.00 0.10 X 0 0 0 DONNA NICHOLS BOARD CHAIR 1.00 0.20 X X 0 0 0 HARRY ROBINSON TREASURER 1.00 0.10 X X 0 0 0 JAMES J MORRIS IV BOARD MEMBER 1.00 0.20 X 0 0 0 KEVIN PORPORA BOARD MEMBER 1.00 0.10 X X 0 0 0 PATRICIA ALLEN OUTGOING BOARD MEMBER 1.00 X 0 0 0 PATRICIA AUER BOARD MEMBER 1.00 0.10 X 0 0 0 PETER REALE BOARD MEMBER 1.00 0.10 X 0 0 0 ROBERT NEMER BOARD MEMBER 1.00 X 0 0 0 THOMAS DODD VICE CHAIR 1.00 0.10 X X 0 0 0 VICKI DEMARSE-GIROUX SECRETARY 1.00 0.10 X X 0 0 0 CHRISTOPHER TOURNIER CFO 38.80 1.20 X 674821 0 68395 DAVID T SLINGERLAND MD CEO 28.80 11.20 X 653696 0 67912 PATTI HAMMOND COO 40.00 X 378148 0 48763 WILLIAM BORGOS MD CMO 40.00 X 456624 0 68881 JAMES DONNELLY PRESIDENT - HH 340B, LLC 40.00 X 633995 0 38614 KRISTIN KRUZIKAS VP OF FINANCE - HH 340B, LLC 40.00 X 194551 0 47836 NICHOLAS REBMANN CEO - HH 340B, LLC 40.00 X 430332 0 71579 KIMBERLY BARRON VP OF OPERATIONS - HH 340B, LLC 40.00 X 199840 0 54442 CASSIE LEONARD MD PHYSICIAN 40.00 X 338881 0 41694 KEVIN GALLAGHER MD CMIO 40.00 X 399648 0 64236 SUZANNE BERGIN MD PHYSICIAN 40.00 X 357901 0 43971 THOMAS PORTUESE MD PHYSICIAN 40.00 X 453355 0 71811 WILLIAM PARKER MD PHYSICIAN 40.00 X 384577 0 43929 5556369 0 732063 176 0 1 0 BAST HATFIELD CONSTRUCTION LLC 1399 CRESCENT VISCHER FERRY ROAD CLIFTON PARK NY 12065 CONSTRUCTION 9576284 ATHENAHEALTH PO BOX 415615 BOSTON MA 02241 EMR SYSTEM 4328930 NORTH COUNTRY JANITORIAL 188 DIX AVE GLENS FALLS NY 12801 CLEANING SERVICE 1427869 ADIRONDACK TECHNICAL SERVICES INC 4697 ROUTE 9N CORINTH NY 12822 CONTRACTING SERVICES 1422124 SMRT ARCHITECTS AND ENGINEERS PC PO BOX 618 PORTLAND ME 04104 ARCHITECTURAL AND ENGINEERING SERVICES 401558 28 16063965 3659754 19723719 OTHER THIRD-PARTY PAYORS 621400 33778145 33778145 MEDICARE 621400 14314908 14314908 NEW YORK STATE MANAGED CARE WRAP- 621400 13212539 13212539 MEDICAID MANAGED CARE 621400 11239384 11239384 NYRX REINVESTMENT PAYMENT 621400 5398794 5398794 8361128 8361128 86304898 2316123 222360 2093763 756665 0 756665 756665 756665 10000 351753 -341753 -341753 -341753 340B PHARMACY 621400 77929653 77929653 340B CONSULTING 541610 11857323 11857323 1197565 1155808 41757 90984541 199744193 165390359 12121440 2508675 X 11774000 11774000 3835838 3313517 505889 16432 80761148 69740160 10675020 345968 3909929 3402530 490574 16825 12362794 10595865 1713738 53191 6072433 5283017 763291 26125 425270 335033 89573 664 228467 179989 48121 357 22137233 17387588 4718753 30892 1724505 1330313 394192 1409607 969506 382459 57642 947326 676847 267808 2671 3739781 3496399 243382 568671 373936 190328 4407 643123 422893 215246 4984 99402 99402 5157254 4525208 632046 812020 348338 463682 340B PHARMACY SUPPLIES 21817152 21817152 MEDICAL SUPPLIES & EQUI 6315801 6315801 REPAIRS AND MAINTENANCE 1664906 1532075 132831 UBIT 697183 697183 11673776 1295540 10309918 68318 198777619 165912292 32236851 628476 611963 1180920 75493630 83909819 3434335 5236411 21085655 28830745 350000 350000 6139721 4734305 122860174 37966115 72769923 84894059 4515033 3270582 5186370 6279269 189586630 218686110 28130450 40489839 13765767 9725670 9586861 37856120 63842467 X 151730510 154959023 -115380 151730510 154843643 189586630 218686110 966574 2146559 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6884074 6884074 87536915 21285599 66251316 5942082 3781725 2160357 16918547 10515198 6403349 5578556 2383593 3194963 84894059 DEFERRED COMPENSATION PAYABLE (457B) 6279269 OPERATING LEASE LIABILITIES 3307592 9586861 X 201910724 2146559 21948 -1976 2166531 199744193 0 199744193 178882742 21948 -8191825 -8169877 187052619 11725000 11725000 198777619 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANIES AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANIES' FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES REVENUE 9,657,531. INTERCOMPANY ELIMINATIONS -9,659,507. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES EXPENSES 1,467,682. INTERCOMPANY ELIMINATIONS -9,659,507. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFER TO AFFILIATES 11,725,000. 1 HUDSON HEADWATERS SUPPORT CORPORATION 9 CAREY RD QUEENSBURY NY 12804 921733002 501(C)(3) 10225000 0 TO SUPPORT GENERAL OPERATIONS. PACE AT HUDSON HEADWATERS INC 9 CAREY RD QUEENSBURY NY 12804 872010897 501(C)(3) 1500000 0 CONSTRUCTION OF FACILLITY FOR PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ("PACE") CENTER WARRENWASHINGTON HOMELESS YOUTH COALITION INC DBA WAIT HOUSE 10-12 WAIT STREET PO BOX 3252 GLENS FALLS NY 12801 141826965 10000 0 RENTAL ASSISTANCE FOR HOUSEHOLDS FACING HOMELESSNESS AND CASE MANAGEMENT TO HELP HOUSEHOLDS ACCESS AVAILABLE RESOURCES AND BUILD LIFE SKILLS SO THEY REMAIN STABLY HOUSED. ADKACTIONORG INC PO BOX 64 KEESEVILLE NY 12944 274514665 501(C)(3) 10000 0 INCREASE FOOD SECURITY AND NUTRITION FOR ADIRONDACKERS. JOINT COUNCIL FOR ECONOMIC OPPORTUNITY OF CLINTON AND FRANKLIN COUNTIES IN 54 MARGARET STREET PLATTSBURGH NY 12901 141494810 501(C)(3) 9750 0 FUEL AID TO SUPPORT NORTH COUNTRY FAMILIES NOT COVERED BY HEAP. TOWN OF CHESTER PO BOX 423 6307 STATE ROUTE 9 CHESTERTOWN NY 12817 146002124 MUNCIPAL CORPORATION 7500 0 REFURBISH THE 1200 SQUARE FOOT MEAL SITE WITHIN THE TOWN HALL TO OFFER A STATE OF THE ART DAY CARE FACILITY FOR OUR COMMUNITY AS WELL AS NEIGHBORING COMMUNITIES. SCHROON LAKE FED UNITED METHODIST CHURCH PO BOX 276 SCHROON LAKE NY 12870 222502674 501(C)(3) 6750 0 PURCHASE AND INSTALLATION OF A GENERATOR TO PREVENT FROZEN AND REFRIGERATED FOOD SPOILAGE DURING POWER OUTAGES FOR THE FOOD PANTRY. 6 1 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 1 0 0 0 0 0 1 0 CHRISTOPHER TOURNIER CFO 420452 0 47000 0 207369 0 39000 0 29395 0 743216 0 0 0 DAVID T SLINGERLAND MD CEO 526615 0 122000 0 5081 0 39000 0 28912 0 721608 0 0 0 JAMES DONNELLY PRESIDENT - HH 340B, LLC 251626 0 117041 0 265328 0 24180 0 14434 0 672609 0 0 0 WILLIAM BORGOS MD CMO 366389 0 47000 0 43235 0 39000 0 29881 0 525505 0 0 0 THOMAS PORTUESE MD PHYSICIAN 401837 0 21500 0 30018 0 39000 0 32811 0 525166 0 0 0 NICHOLAS REBMANN CEO - HH 340B, LLC 341745 0 52508 0 36079 0 39000 0 32579 0 501911 0 0 0 KEVIN GALLAGHER MD CMIO 377994 0 15500 0 6154 0 39000 0 25236 0 463884 0 0 0 WILLIAM PARKER MD PHYSICIAN 343474 0 500 0 40603 0 16500 0 27429 0 428506 0 0 0 PATTI HAMMOND COO 321856 0 44000 0 12292 0 37355 0 11408 0 426911 0 0 0 SUZANNE BERGIN MD PHYSICIAN 341981 0 15500 0 420 0 39000 0 4971 0 401872 0 0 0 CASSIE LEONARD MD PHYSICIAN 335912 0 2500 0 469 0 16500 0 25194 0 380575 0 0 0 KIMBERLY BARRON VP OF OPERATIONS - HH 340B, LLC 165284 0 23481 0 11075 0 20774 0 33668 0 254282 0 0 0 KRISTIN KRUZIKAS VP OF FINANCE - HH 340B, LLC 158810 0 25489 0 10252 0 20637 0 27199 0 242387 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS LISTED ON SCHEDULE J, PART II, PARTICIPATE IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN: - DAVID T. SLINGERLAND, MD, CEO OF HHHN & EX OFFICIO - CHRISTOPHER TOURNIER, EXECUTIVE VP OF FINANCE - NICHOLAS REBMANN, CEO - HH 340B, LLC - PATTI HAMMOND, COO - JAMES DONNELLY, PRESIDENT - HH 340B, LLC - KIMBERLY BARRON, VP OF OPERATIONS - HH 340B, LLC - KRISTIN KRUZIKAS, VP OF FINANCE - HH 340B, LLC IN 2023, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTION WHICH IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III): - CHRISTOPHER TOURNIER - $185,954 - NICHOLAS REBMANN - $35,681 - JAMES DONNELLY - $211,819 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 OTHER : PROGRAM SERVICE EXPENSES 17,387,588. MANAGEMENT AND GENERAL EXPENSES 4,718,753. FUNDRAISING EXPENSES 30,892. TOTAL EXPENSES 22,137,233. 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 14325866 17394852 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 38 LAROSE STREET GLENS FALLS NY 12801 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 SUPPORTING CORP 9 CAREY RD QUEENSBURY NY 12804 921733002 NEW MARKET TAX CREDIT NY 501(C)(3) LINE 12A, I 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 102108 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 PACE AT HUDSON HEADWATERS INC A 108937 FMV HUDSON HEADWATERS SUPPORTING CORPORATION B 10225000 FMV PACE AT HUDSON HEADWATERS INC B 10715342 FMV PACE AT HUDSON HEADWATERS INC O 180908 FMV PACE AT HUDSON HEADWATERS INC P 345108 FMV PACE AT HUDSON HEADWATERS INC Q 139320 FMV