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Nonprofiteer
← LITTLE FALLS HOSPITAL

Form 990 for tax year 2023

Filed by LITTLE FALLS HOSPITAL.

Totals

Total revenue
$50,351,620
Total expenses
$47,949,972
Contributions and grants received
$1,333,436
Grants paid
$0
Program service revenue
$48,191,518
Investment income
$276,516
Other revenue
$550,150
Total assets, end of year
$47,291,684
Total liabilities, end of year
$6,765,983
Net assets or fund balances, end of year
$40,525,701
Program services expenses (Part IX)
$39,307,527
Management and general expenses
$8,610,353
Fundraising expenses
$32,092
Program service expenses (Part III)
$39,307,527

Program services were 82.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $79,467

  • 1e · Government grants (contributions)

    $404,997

  • 1f · All other contributions, gifts and grants

    $848,972

  • 2a · Program service revenue: HOSPITAL - OUTPATIENT

    total $41,660,097 · related or exempt $41,660,097

  • 2b · Program service revenue: HOSPITAL - INPATIENT

    total $6,406,254 · related or exempt $6,406,254

  • 2c · Program service revenue: HOSPITAL CAFETERIA

    total $125,167 · related or exempt $125,167

  • 3 · Investment income

    total $276,656 · excluded $276,656

  • 6a · Gross rents

    real property $550,150

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $550,150

  • 6d · Net rental income or loss

    total $550,150 · excluded $550,150

  • 7b · Less cost or other basis and sales expenses

    other assets $140

  • 7c · Gain or loss

    other assets -$140

  • 7d · Net gain or loss

    total -$140 · excluded -$140

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $15,624,447 · program services $14,508,382 · management and general $1,097,201 · fundraising $18,864

  • 8 · Pension plan contributions

    total $279,475 · program services $259,512 · management and general $19,626 · fundraising $337

  • 9 · Other employee benefits

    total $1,102,510 · program services $1,023,790 · management and general $77,397 · fundraising $1,323

  • 10 · Payroll taxes

    total $1,111,259 · program services $1,030,149 · management and general $79,573 · fundraising $1,537

  • 11b · Fees: legal

    total $1,168 · management and general $1,168

  • 11c · Fees: accounting

    total $17,000 · management and general $17,000

  • 11d · Fees: lobbying

    total $10,933 · management and general $10,933

  • 11g · Fees: other

    total $15,281,481 · program services $10,318,801 · management and general $4,958,144 · fundraising $4,536

  • 12 · Advertising and promotion

    total $822 · management and general $822

  • 13 · Office expenses

    total $3,530,442 · program services $1,372,384 · management and general $2,158,058

  • 16 · Occupancy

    total $961,375 · program services $892,442 · management and general $68,933

  • 17 · Travel

    total $24,430 · program services $22,678 · management and general $1,752

  • 19 · Conferences, conventions and meetings

    total $6,177 · program services $6,177

  • 20 · Interest

    total $10,127 · management and general $10,127

  • 21 · Payments to affiliates

    total -$242,513 · management and general -$242,513

  • 22 · Depreciation, depletion and amortization

    total $2,086,119 · program services $2,086,119

  • 23 · Insurance

    total $382,322 · program services $355,025 · management and general $27,297

  • 24a · Other expenses: PURCHASED SERVICES

    total $4,060,420 · program services $3,730,090 · management and general $324,835 · fundraising $5,495

  • 24b · Other expenses: BAD DEBT

    total $1,757,644 · program services $1,757,644

  • 24c · Other expenses: PHARMACEUTICALS

    total $1,686,142 · program services $1,686,142

  • 24d · Other expenses: CHARITY CARE

    total $204,271 · program services $204,271

  • 24e · All other expenses

    total $53,921 · program services $53,921

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $11,886,504 · end of year $4,217,562

  • 2 · Savings and temporary cash investments

    beginning of year $55,551 · end of year $153,486

  • 3 · Pledges and grants receivable

    beginning of year $103,333 · end of year $1,207,401

  • 4 · Accounts receivable

    beginning of year $5,212,862 · end of year $4,359,741

  • 8 · Inventories for sale or use

    beginning of year $603,834 · end of year $614,214

  • 9 · Prepaid expenses and deferred charges

    beginning of year $119,943 · end of year $172,082

  • 10a · Land, buildings and equipment: cost or other basis

    $47,056,794

  • 10b · Land, buildings and equipment: accumulated depreciation

    $36,290,266

  • 10c · Land, buildings and equipment, net

    beginning of year $12,554,761 · end of year $10,766,528

  • 11 · Investments: publicly traded securities

    beginning of year $6,893,264 · end of year $7,586,712

  • 15 · Other assets

    beginning of year $5,618,842 · end of year $18,213,958

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,642,003 · end of year $2,171,149

  • 23 · Secured mortgages and notes payable

    beginning of year $237,583 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $741,307 · end of year $2,923,073

  • 25 · Other liabilities

    beginning of year $2,927,847 · end of year $1,671,761

  • 27 · Net assets without donor restrictions

    beginning of year $30,068,180 · end of year $33,563,987

  • 28 · Net assets with donor restrictions

    beginning of year $6,431,974 · end of year $6,961,714

Mission and programs · 2023

Mission

IMPROVING THE HEALTH OF OUR PATIENTS AND THE WELL-BEING OF OUR COMMUNITITES.

  • INPATIENT SERVICES56% OCCUPANCY FOR AN AVERAGE DAILY INPATIENT DAILY CENSUS OF 14 PATIENTS. AS A CRITICAL ACCESS HOSPITAL (CAH) PROVIDER, OUR INPATIENT DAILY SERVICES INCLUDE; OBSERVATION CARE, EXTENDED SWINGBED REHAB SERVICES, AND ACUTE CARE SERVICES. THIS DIVERSITY OF PATIENT CARE ALLOWS FOR OUR RESIDENTS TO REMAIN LOCAL FOR MEDICALLY APPROPRIATE SERVICES. IN 2023, ACUTE CARE LENGTH OF STAY WAS 4.33 DAYS COMPARED WITH 5.2 IN 2022.

    Expenses $7,264,454 · Revenue $6,406,254

  • LITTLE FALLS HOSPITAL OPERATES AN EMERGENCY DEPARTMENT WITH TWENTY FOUR HOURS OF PHYSICIAN COVERAGE, SEVEN DAYS PER WEEK. THE EMERGENCY DEPARTMENT PROVIDED ACCESS TO CARE FOR APPROXIMATELY 16,085 PATIENTS IN 2023. LITTLE FALLS HOSPITAL EXPANDED THE EMERGENCY DEPARTMENT PARTICIPATED IN A NYS MEDICAID ACCELERATED EXCHANGE (MAX) PROGRAM TO REDUCE AVOIDABLE VISITS TO AN EMERGENCY DEPARTMENT. IN ADDITION A PARTNERSHIP WITH SALVATION ARMY AND THEIR COMMUNITY "PATHWAY TO HOPE" PROGRAM WAS FORMALIZED TO ASSIST IN PATIENT CARE MANAGMENT ACTIVITIES. THESE SERVCIES EMBEDDED IN OUR EMERGENCY ROOM PROVIDES ASSITANCE FOR PATIENTS TO MAKE MEDICAL APPOINTMENTS, OBTAIN INSURANCE COVERAGE, OR APPLY FOR COMMUNITY ASSISTANCE PROGRAMS. TOTAL AMBULATORY OUTPATIENT SERVICE VISITS WERE APPROXIMATELY 20,223 IN 2023. OUR AMBULATORY SERVICES INCLUDE REHAB / WELLNESS PROGRAM, AMBULATORY SURGERY / GI SERVICES, WOMENS IMAGING SERVICE, DIAGNOSTIC IMAGING SERVICES, RURAL HEALTH CLINIC RIMARY CARE SERVICES.

    Expenses $32,043,073 · Revenue $41,785,264

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Timothy Daly

    CHAIRMAN/TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Anthony Deluca

    FIRST VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    20 + 20 related

  • Justin Hummel

    SECOND VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Christine Reynolds

    THIRD VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Gerard Snyder

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • David Casullo

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Laura Powers

    FOURTH VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Phyllis Spinner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Kathleen Sellers MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Amy Grace MD

    PRES. MEDICAL STAFF NONTRUSTEE

    Total calculated
    $346,652
    From this org
    $0
    From related orgs
    $312,594
    Other
    $34,058
    Hours/week
    2

    Schedule J breakdown matched by us

    Base
    $0 + $312,594 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $24,920 related
    Nontaxable benefits
    $0 + $9,138 related
    Filer's total
    $0 + $346,652 related

  • Timothy Whitaker

    MEDICAL DIRECTOR

    Total calculated
    $583,352
    From this org
    $0
    From related orgs
    $548,395
    Other
    $34,957
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $548,395 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $28,982 related
    Nontaxable benefits
    $0 + $5,975 related
    Filer's total
    $0 + $583,352 related

  • Tommy Ibrahim MD

    BMC PRESIDENT

    Total calculated
    $742,362
    From this org
    $0
    From related orgs
    $709,126
    Other
    $33,236
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $708,826 related
    Bonus
    $0 + $300 related
    Other
    $0
    Deferred
    $0 + $19,992 related
    Nontaxable benefits
    $0 + $13,244 related
    Filer's total
    $0 + $742,362 related

  • Susan Oakes-Ferrucci

    CHIEF HOSPITAL EXECUTIVE

    Total calculated
    $277,342
    From this org
    $0
    From related orgs
    $257,286
    Other
    $20,056
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $257,286 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,078 related
    Nontaxable benefits
    $0 + $11,978 related
    Filer's total
    $0 + $277,342 related

  • James Vielkind

    VP FINANCE

    Total calculated
    $245,172
    From this org
    $0
    From related orgs
    $232,159
    Other
    $13,013
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $232,159 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $12,067 related
    Nontaxable benefits
    $0 + $946 related
    Filer's total
    $0 + $245,172 related

  • Eula Ramroop

    VP OF OPERATIONS

    Total calculated
    $306,754
    From this org
    $297,292
    From related orgs
    $0
    Other
    $9,462
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $297,292
    Bonus
    $0
    Other
    $0
    Deferred
    $9,462
    Nontaxable benefits
    $0
    Filer's total
    $306,754

  • Heidi Camardello

    DIRECTOR NURSING

    Total calculated
    $172,655
    From this org
    $165,468
    From related orgs
    $0
    Other
    $7,187
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,468
    Bonus
    $0
    Other
    $0
    Deferred
    $3,349
    Nontaxable benefits
    $3,838
    Filer's total
    $172,655

  • Jamie Camardello

    PHARMACIST I

    Total calculated
    $168,622
    From this org
    $165,318
    From related orgs
    $0
    Other
    $3,304
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,971
    Bonus
    $8,347
    Other
    $0
    Deferred
    $3,304
    Nontaxable benefits
    $0
    Filer's total
    $168,622

  • Diane Dicob

    RN II

    Total calculated
    $196,802
    From this org
    $191,220
    From related orgs
    $0
    Other
    $5,582
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,620
    Bonus
    $2,600
    Other
    $0
    Deferred
    $3,850
    Nontaxable benefits
    $1,732
    Filer's total
    $196,802

  • Sabrina Rouse

    RN II ACUTE

    Total calculated
    $172,119
    From this org
    $159,957
    From related orgs
    $0
    Other
    $12,162
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,007
    Bonus
    $1,950
    Other
    $0
    Deferred
    $3,374
    Nontaxable benefits
    $8,788
    Filer's total
    $172,119

  • Loren Shepardson

    SUPERVISING PHARMACIST

    Total calculated
    $181,273
    From this org
    $175,416
    From related orgs
    $0
    Other
    $5,857
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,979
    Bonus
    $7,437
    Other
    $0
    Deferred
    $3,541
    Nontaxable benefits
    $2,316
    Filer's total
    $181,273

  • Eric Stein

    FORMER PRESIDENT

    Total calculated
    $162,020
    From this org
    $0
    From related orgs
    $162,020
    Other
    $0
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $162,020 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $162,020 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE COMPENSATION PROCESS FOR TOP OFFICIAL THE CHIEF EXECUTIVE OFFICER'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE LITTLE FALLS HOSPITAL BOARD OF TRUSTEES REVIEWS THE FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE CEO. THE CEO'S WORK PLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE REVIEWED. SALARY CHANGES ARE BASED ON MARKET, WORKPLAN, AND ACCOMPLISHMENTS. THE CEO'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT WHICH IS APPROVED BY THE BOARD.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • STAMFORD PROFESSIONAL ASSOCIATES

    RENTAL · NY

  • FIRST COMMUNITY CARE OF BASSETT

    HEALTHCARE · NY

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CATSKILL CARE ENTERPRISES

    C · RETAIL PHARMACY & FITNESS CENTER · NY

  • LEATHERSTOCKING PHYSICIANS PC

    C · HEALTHCARE SERVICES · NY

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202403199349309935

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