2025-11-12T14:10:55-06:00 2024-12-31 333709623 COHNREZNICK ADVISORY LLC 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2024-01-01 141628237 HUDSON HEADWATERS HEALTH NETWORK HUDS 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 LAURA PASCO CFO/EXECUTIVE VP OF FINANCE 5187610300 2025-11-10 1 1 LORI ROTHE YOKOBOSKY P01273422 9732283500 2025-11-10 2024 2025-03-06 01:10:19Z DAVID T SLINGERLAND MD 9 CAREY ROAD QUEENSBURY NY 12804 226861903 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. 11 11 1284 86 2674014 1526332 19723719 13209992 86304898 93404095 1974370 45155805 91741206 75051034 199744193 226820926 11774000 1328250 0 0 106942142 111322007 0 0 654474 80061477 74940297 198777619 187590554 966574 39230372 218686110 245719183 63842467 50373420 154843643 195345763 X WE ARE A COMMUNITY BASED HEALTH CLINIC WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES TO THE GENERAL POPULATION OF WARREN, WASHINGTON, SARATOGA, HAMILTON, ESSEX, CLINTON, AND FRANKLIN 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 1 127402233 1328250 93520938 THE CENTER IS A COMMUNITY BASED HEALTH CENTER CLINIC WITH MULTIPLE LOCATIONS. IN 2024, WE SERVICED 116,261 PATIENTS WITH 459,591 VISITS. 35403087 71129984 HUDSON HEADWATERS HEALTH NETWORK HAS DEPENDED ON THE 340B PROGRAM TO FULFILL ITS MISSION BY MAINTAINING CRUCIAL HEALTH CARE SERVICES AND RESPONDING TO THE GROWING NEEDS OF OUR REGION. THE 340B PROGRAM FINANCIALLY SUPPORTS CRITICAL SERVICES THAT MEET THE DIVERSE NEEDS OF OUR COMMUNITIES, INCLUDING PREVENTIVE CARE, OBSTETRICS AND GYNECOLOGY SERVICES, DENTAL CARE, BEHAVIORAL HEALTH SUPPORT AND MORE. THE 340B PROGRAM ALSO HELPS THE NETWORK TO OFFER MEDICATION DISCOUNTS, LIKE RXASSIST, AND FINANCIAL ASSISTANCE PROGRAMS FOR ELIGIBLE PATIENTS. IN ADDITION TO MAINTAINING AND IMPROVING ITS CURRENT LOCATIONS, THE NETWORK HAS USED THE 340B PROGRAM TO EXPAND SERVICES AND OPEN NEW LOCATIONS; EACH SITE IS BUILT IN RESPONSE TO THE CURRENT AND ANTICIPATED HEALTH CARE NEEDS OF THE REGION. TOGETHER, NEW LOCATIONS, EXPANDED SERVICES AND ENHANCED ACCESS ENSURE THAT PEOPLE, AT EVERY STAGE AND EVERY AGE, HAVE THE RESOURCES THEY NEED TO MAINTAIN AND IMPROVE THEIR HEALTH. 162805320 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 1 116 0 1 1284 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 BRUCE CARR OUTGOING BOARD MEMBER 1.00 X 0 0 0 CHRISTINE ROWE-BUTTON MD SECRETARY 1.00 0.20 X 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 OUTGOING BOARD MEMBER 1.00 X 0 0 0 JAMES J MORRIS IV TREASURER 1.00 0.20 X X 0 0 0 KEVIN PORPORA OUTGOING BOARD MEMBER 1.00 0.10 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 0.10 X 0 0 0 STEPHEN SHAFER BOARD MEMBER 1.00 X 0 0 0 THOMAS DODD VICE CHAIR 1.00 0.10 X X 0 0 0 VICKI DEMARSE-GIROUX BOARD MEMBER 1.00 0.10 X 0 0 0 CHRISTOPHER TOURNIER OUTGOING CFO 1.30 0.20 X 602840 0 51362 DAVID T SLINGERLAND MD CEO 28.80 11.20 X 732130 0 86967 PATTI HAMMOND COO 40.00 X 388381 0 69719 WILLIAM BORGOS MD CMO 40.00 X 510278 0 89771 KIMBERLY BARRON VP OF OPERATIONS - HH 340B LLC 40.00 X 254174 0 49235 KRISTIN KRUZIKAS VP OF FINANCE - HH 340B, LLC 40.00 X 247331 0 50743 LAURA PASCO CFO 38.80 1.20 X 343193 0 83460 NICHOLAS REBMANN CEO - HH 340B, LLC 40.00 X 827335 0 71119 KEVIN GALLAGHER MD CMIO 40.00 X 427431 0 85190 SUSAN CORNEY EVP HUMAN RESOURCES 38.80 1.20 X 375386 0 87506 SUZANNE BERGIN MD PHYSICIAN 40.00 X 402642 0 64783 THOMAS PORTUESE MD PHYSICIAN 40.00 X 460000 0 97108 WILLIAM PARKER MD PHYSICIAN 40.00 X 424500 0 64383 5995621 0 951346 214 0 1 0 BAST HATFIELD CONSTRUCTION LLC 1399 CRESCENT VISCHER FERRY ROAD CLIFTON PARK NY 12065 CONSTRUCTION 8087743 ATHENAHEALTH PO BOX 415615 BOSTON MA 02241 EMR SYSTEM 4728555 NORTH COUNTRY JANITORIAL 188 DIX AVE GLENS FALLS NY 12801 CLEANING SERVICE 1581036 ADIRONDACK TECHNICAL SERVICES INC 4697 ROUTE 9N CORINTH NY 12822 CONTRACTING SERVICES 1318462 ROPES & GRAY LLP PO BOX 70280 PHILADELPHIA PA 191760280 LEGAL CONSULTANT 977618 27 8965927 4244065 6448 13209992 OTHER THIRD-PARTY PAYORS 621400 38165537 38165537 MEDICARE 621400 13668424 13668424 MEDICAID MANAGED CARE 621400 11710103 11710103 NEW YORK STATE MANAGED CARE WRAP- 621400 9608106 9608106 NYRX REINVESTMENT PAYMENT 621400 7212178 7212178 13039747 13039747 93404095 4972158 4972158 1130193 0 1130193 1130193 1130193 28065 40196559 0 40977 28065 40155582 40183647 40183647 340B PHARMACY 621400 71129984 71129984 DISCONTINUED OPERATIONS 621400 2640414 2640414 150443 116843 33600 73920841 226820926 164650922 2674014 46285998 X 1328250 1328250 2956820 2539970 406882 9968 84074005 72221363 11569264 283378 3994381 3431259 549659 13463 14813651 12725243 2038478 49930 5483150 4710143 754526 18481 1149182 877134 269111 2937 211201 161203 49458 540 20180569 15395286 4733618 51665 1639522 1176803 462719 1105613 624041 418042 63530 1358101 854118 483520 20463 4118385 3839618 278767 547088 408764 126476 11848 343950 114094 226081 3775 259465 259465 5445191 4780150 665041 293545 142628 150917 340B PHARMACY SUPPLIES 22684527 22684527 MEDICAL SUPPLIES & EQUI 7876852 7876852 REPAIRS AND MAINTENANCE 1868551 1616160 252391 UBIT 402832 402832 5455723 4635417 695810 124496 187590554 162805320 24130760 654474 1180920 925491 67727052 93581159 5236411 179873 28830745 21763762 350000 350000 23129 4734305 5013414 135445030 42472339 84894059 92972691 16182767 21108352 3270582 2640387 6279269 7160925 218686110 245719183 40489839 24601515 2098388 13765767 13836303 9586861 9837214 63842467 50373420 X 154959023 195380971 -115380 -35208 154843643 195345763 218686110 245719183 39230372 1271748 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6884074 6884074 86944357 24404710 62539647 6554054 4363722 2190332 15634329 6586420 9047909 19428216 7117487 12310729 92972691 DEFERRED COMPENSATION PAYABLE (457B) 7160694 OPERATING LEASE LIABILITIES 2676520 9837214 X 227830007 1271748 33338 -296005 1009081 226820926 0 226820926 187533853 33338 1139961 1173299 186360554 1230000 1230000 187590554 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANIES AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2024, 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 2021 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 1,601,758. INTERCOMPANY ELIMINATIONS -667,763. TRANSFER TO AFFILIATE -1,230,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES EXPENSES 1,807,724. INTERCOMPANY ELIMINATIONS -667,763. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFER TO AFFILIATE 1,230,000. 1 PACE AT HUDSON HEADWATERS INC 38 LAROSE STREET GLENS FALLS NY 12801 872010897 501(C)(3) 1230000 0 SUPPORT FOR PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ("PACE") TICONDEROGA REVITILIZATION ALLIANCE 174 LAKE GEORGE AVENUE SUITE A TICONDEROGA NY 12883 900642083 501(C)(3) 50000 0 TO SUPPORT THE TICONDEROGA CHILDCARE ENDOWMENT FUND. RURAL LAW CENTER OF NEW YORK 22 US OVAL SUITE 101 PLATTSBURGH NY 12903 141792819 501(C)(3) 15000 0 PROVIDE ASSISTANCE AND RESOURCES TO FAMILIES AND INDIVIDUALS RESIDING IN THE ADIRONDACK REGION WITH FILING BANKRUPTCY, DEBTOR EDUCATION AND CREDIT COUNSELING. CLINICS AND WORKSHOPS WILL ALSO BE PROVIDED ON "KNOW YOUR RIGHTS AND FRAUD PREVENTION. JOINT COUNCIL FOR ECONOMIC OPPORTUNITY OF CLINTON AND FRANKLIN COUNTIES IN 54 MARGARET STREET PLATTSBURGH NY 12901 141494810 501(C)(3) 15000 0 EMERGENCY AID TO ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) HOUSEHOLDS NAVIGATING UNEXPECTED CRISES TO FOSTER FINANCIAL STABILITY. ADKACTIONORG INC PO BOX 64 KEESEVILLE NY 12944 274514665 501(C)(3) 10000 0 A PILOT SHORT TERM RENTAL CONVERSION TOOLKIT AND INCENTIVE PROGRAM THAT EMPOWERS INTERESTED PROPERTY OWNERS WITH THE TOOLS AND SUPPORT NEEDED TO HELP "UNLOCK" IMMEDIATE HOUSING STOCK IN THE ADIRONDACKS. 5 0 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 1 1 0 0 0 0 0 1 0 NICHOLAS REBMANN CEO - HH 340B, LLC 447762 0 184042 0 195531 0 31404 0 39715 0 898454 0 153007 0 DAVID T SLINGERLAND MD CEO 602022 0 123952 0 6156 0 40250 0 46717 0 819097 0 0 0 CHRISTOPHER TOURNIER OUTGOING CFO 42252 0 147896 0 412692 0 35973 0 15389 0 654202 0 0 0 WILLIAM BORGOS MD CMO 424009 0 48750 0 37519 0 40250 0 49521 0 600049 0 0 0 THOMAS PORTUESE MD PHYSICIAN 411247 0 31000 0 17753 0 40250 0 56858 0 557108 0 0 0 KEVIN GALLAGHER MD CMIO 388839 0 30000 0 8592 0 40250 0 44940 0 512621 0 0 0 WILLIAM PARKER MD PHYSICIAN 382972 0 3275 0 38253 0 17250 0 47133 0 488883 0 0 0 SUZANNE BERGIN MD PHYSICIAN 366220 0 30000 0 6422 0 40250 0 24533 0 467425 0 0 0 SUSAN CORNEY EVP HUMAN RESOURCES 301556 0 40943 0 32887 0 40207 0 47299 0 462892 0 0 0 PATTI HAMMOND COO 332618 0 44805 0 10958 0 40250 0 29469 0 458100 0 0 0 LAURA PASCO CFO 310775 0 32040 0 378 0 39102 0 44358 0 426653 0 0 0 KIMBERLY BARRON VP OF OPERATIONS - HH 340B LLC 130096 0 75851 0 48227 0 19458 0 29777 0 303409 0 0 0 KRISTIN KRUZIKAS VP OF FINANCE - HH 340B, LLC 128041 0 75851 0 43439 0 19201 0 31542 0 298074 0 0 0 PART I, LINES 4A-B 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 - LAURA PASCO, EXECUTIVE VP OF FINANCE - SUSAN CORNEY, EXECUTIVE VP HUMAN RESOURCES - NICHOLAS REBMANN, CEO - HH 340B, LLC - PATTI HAMMOND, COO - KIMBERLY BARRON, VP OF OPERATIONS - HH 340B, LLC - KRISTIN KRUZIKAS, VP OF FINANCE - HH 340B, LLC IN 2024, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTION WHICH IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III): - NICHOLAS REBMANN - $153,007 IN 2024, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE WHICH IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III): - NICHOLAS REBMANN - $106,512 - CHRISTOPHER TOURNIER - $319,300 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 III, LINE 3 IN AUGUST 2024, HUDSON HEADWATERS 340B LLC THAT PROVIDED CONSULTING SERVICES FOR ENTITIES PARTICIPATING IN 340B PROGRAM WAS SOLD. 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 12,718,560. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,718,560. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 2,676,726. MANAGEMENT AND GENERAL EXPENSES 4,733,618. FUNDRAISING EXPENSES 51,665. TOTAL EXPENSES 7,462,009. 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 -11607253 0 HUDSON HEADWATERS HEALTH NETWORK NETWORK FOR HEALTH IPA LLC 9 CAREY ROAD QUEENSBURY NY 12804 991721088 COMPREHENSIVE HEALTH CARE SERVICES NY 0 0 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 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 PACE AT HUDSON HEADWATERS INC A 412813 FMV PACE AT HUDSON HEADWATERS INC B 1230000 FMV PACE AT HUDSON HEADWATERS INC Q 558835 FMV