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Nonprofiteer
← NATHAN LITTAUER HOSPITAL ASSOCIATION

Form 990 for tax year 2023

Filed by NATHAN LITTAUER HOSPITAL ASSOCIATION.

Totals

Total revenue
$117,063,683
Total expenses
$132,050,301
Contributions and grants received
$5,323,993
Grants paid
$0
Program service revenue
$107,015,721
Investment income
$1,840,268
Other revenue
$2,883,701
Total assets, end of year
$111,820,193
Total liabilities, end of year
$39,364,927
Net assets or fund balances, end of year
$72,455,266
Program services expenses (Part IX)
$121,907,894
Management and general expenses
$9,776,623
Fundraising expenses
$365,784
Program service expenses (Part III)
$121,907,894

Program services were 92.3% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $331,535

  • 1e · Government grants (contributions)

    $4,975,341

  • 1f · All other contributions, gifts and grants

    $17,117

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: Inpatient and Outpatient Services

    total $80,852,806 · related or exempt $80,794,469 · unrelated business $58,337 · excluded $0

  • 2b · Program service revenue: Primary Care Centers

    total $18,936,119 · related or exempt $18,936,119 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: Nursing Home

    total $7,086,096 · related or exempt $7,086,096 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: Lifeline

    total $140,700 · related or exempt $140,700 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $1,548,344 · related or exempt $0 · unrelated business $1,653 · excluded $1,546,691

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $0 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 7a · Gross sales of assets other than inventory

    securities $27,742,641 · other assets $577

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

    securities $27,451,294 · other assets $0

  • 7c · Gain or loss

    securities $291,347 · other assets $577

  • 7d · Net gain or loss

    total $291,924 · related or exempt $0 · unrelated business $0 · excluded $291,924

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11a · Other revenue: Retail Pharmacy

    total $616,275 · related or exempt $0 · unrelated business $616,275 · excluded $0

  • 11b · Other revenue: 340b Pharmacy

    total $1,555,936 · related or exempt $1,555,936 · unrelated business $0 · excluded $0

  • 11c · Other revenue: Cafeteria Sales

    total $395,679 · related or exempt $395,679 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $315,811 · related or exempt $315,811 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $2,883,701

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $1,274,494 · program services $0 · management and general $1,274,494 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $63,340,305 · program services $59,258,326 · management and general $3,791,633 · fundraising $290,346

  • 8 · Pension plan contributions

    total $3,275,818 · program services $3,170,008 · management and general $94,196 · fundraising $11,614

  • 9 · Other employee benefits

    total $8,958,617 · program services $8,279,580 · management and general $638,729 · fundraising $40,308

  • 10 · Payroll taxes

    total $4,316,292 · program services $3,928,734 · management and general $365,347 · fundraising $22,211

  • 11a · Fees: management

    total $515,529 · program services $515,529 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $174,682 · program services $0 · management and general $174,682 · fundraising $0

  • 11c · Fees: accounting

    total $182,882 · program services $0 · management and general $182,882 · fundraising $0

  • 11d · Fees: lobbying

    total $23,023 · program services $0 · management and general $23,023 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $7,540,855 · program services $6,663,011 · management and general $877,844 · fundraising $0

  • 12 · Advertising and promotion

    total $90,100 · program services $0 · management and general $90,100 · fundraising $0

  • 13 · Office expenses

    total $5,922,965 · program services $5,364,243 · management and general $558,722 · fundraising $0

  • 14 · Information technology

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $1,466,360 · program services $1,465,500 · management and general $860 · fundraising $0

  • 17 · Travel

    total $201,351 · program services $169,619 · management and general $31,732 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 20 · Interest

    total $358,365 · program services $358,365 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $8,885,433 · program services $8,555,528 · management and general $329,905 · fundraising $0

  • 23 · Insurance

    total $1,752,586 · program services $1,752,586 · management and general $0 · fundraising $0

  • 24a · Other expenses: Medical Supplies

    total $12,045,405 · program services $12,045,348 · management and general $57 · fundraising $0

  • 24b · Other expenses: Non-Medical Supplies

    total $1,258,104 · program services $1,251,535 · management and general $6,569 · fundraising $0

  • 24c · Other expenses: Purchased Services

    total $7,879,421 · program services $7,146,492 · management and general $732,929 · fundraising $0

  • 24d · Other expenses: Food

    total $865,045 · program services $865,045 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $1,722,669 · program services $1,118,445 · management and general $602,919 · fundraising $1,305

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,403,039 · end of year $2,753,068

  • 2 · Savings and temporary cash investments

    beginning of year $1,545,604 · end of year $2,194,184

  • 3 · Pledges and grants receivable

    beginning of year $934,520 · end of year $532,406

  • 4 · Accounts receivable

    beginning of year $12,475,430 · end of year $11,783,543

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $989,036 · end of year $804,799

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,400,647 · end of year $1,108,312

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

    $126,006,180

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

    $93,756,058

  • 10c · Land, buildings and equipment, net

    beginning of year $38,202,190 · end of year $32,250,122

  • 11 · Investments: publicly traded securities

    beginning of year $49,712,479 · end of year $47,632,553

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $8,975,230 · end of year $12,761,206

  • 17 · Accounts payable and accrued expenses

    beginning of year $12,716,552 · end of year $15,184,966

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $528,618 · end of year $483,570

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $21,447,971 · end of year $23,696,391

  • 27 · Net assets without donor restrictions

    beginning of year $77,191,755 · end of year $68,194,703

  • 28 · Net assets with donor restrictions

    beginning of year $4,753,279 · end of year $4,260,563

Mission and programs · 2023

Mission

Nathan Littauer Hospital & Nursing Home and its family of health services is committed to providing safe high quality health and wellness services and improving the health of our communities in a caring, contemporary environment.

  • 74 bed general medical surgical hospital providing inpatient and outpatient services with the following service statistics for 2023; 8,294 inpatient days, 1,067 observation visits, 634 new born days, 2,080 admissions, 312 nursery admissions, 18,697 emergency room visits, 92,354 outpatient visits and 4,753 day surgery visits.

    Expenses $64,100,304 · Revenue $80,852,806

  • The Nathan Littauer Hospital and Specialty Care Centers provide care for the whole family. Our twelve conveniently located centers offer a range of services and specialties that include urology, obstetrics, gynecology, podiatry, pulmonology, gastroenterology, pediatrics, and neurology along with direct access to state-of-the-art technology available at Nathan Littauer Hospital. Several Centers are located in remote rural parts of our service area. The Centers employ 41 physicians and over 35 other healthcare professionals. During 2023, the Centers collectively incurred 131,859 patient visits.

    Expenses $47,388,744 · Revenue $18,936,119

  • The Nathan Littauer Nursing Home located on the Nathan Littauer Hospital campus is a short and long-term residential healthcare facility that provides a wide range of medical services with 84 beds. In 2023, the facility had a total of 20,651 patient days.

    Expenses $10,009,211 · Revenue $7,086,096

  • Lifeline is a personal emergency response system providing immediate assistance 24 hours a day 7 days a week. Over 400 subscribers are members of NLHs Lifeline Program. Other community services include community health fairs, speakers bureau, organ donation program and New Visions Program for high school students. Health Insurance Counseling: Nathan Littauer Hospital was awarded and continues to be the Lead Agency for the grant entitled: "Consumer Assistant for the NYS of Health Benefit Exchange" covering Fulton and Montgomery County. During the year of 2023 Nathan Littauer Hospital as Lead Agency the program's was able to enroll a total of 1,027 individuals with the following breakdown: Children's Medicaid - 179, Child Health Plus Program - 103, Adult Medicaid - 373, Adult Quality Health Plan - 264, Essential Plans - 108. Also included here is other operating revenue of $2,407,853.

    Expenses $409,635 · Revenue $2,407,853

As filed on the 2023 return.

Listed in Part VII

  • Sean Fadale

    President and CEO

    Total calculated
    $740,858
    From this org
    $646,149
    From related orgs
    $0
    Other
    $94,709
    Hours/week
    40 + 0.25 related

    Schedule J breakdown matched by us

    Base
    $487,752
    Bonus
    $0
    Other
    $158,397
    Deferred
    $70,435
    Nontaxable benefits
    $24,274
    Filer's total
    $740,858

  • Verma Shri MD

    Physician

    Total calculated
    $707,673
    From this org
    $670,199
    From related orgs
    $0
    Other
    $37,474
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $666,390
    Bonus
    $0
    Other
    $3,810
    Deferred
    $13,200
    Nontaxable benefits
    $24,274
    Filer's total
    $707,674

  • Paul Husson MD

    Employed Physician

    Total calculated
    $680,921
    From this org
    $644,345
    From related orgs
    $0
    Other
    $36,576
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $643,898
    Bonus
    $0
    Other
    $447
    Deferred
    $13,200
    Nontaxable benefits
    $23,376
    Filer's total
    $680,921

  • David Cohen MD

    Physician

    Total calculated
    $664,043
    From this org
    $645,541
    From related orgs
    $0
    Other
    $18,502
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $643,561
    Bonus
    $0
    Other
    $1,980
    Deferred
    $13,200
    Nontaxable benefits
    $5,302
    Filer's total
    $664,043

  • Stephen Little MD

    Physician

    Total calculated
    $603,359
    From this org
    $566,783
    From related orgs
    $0
    Other
    $36,576
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $566,513
    Bonus
    $0
    Other
    $270
    Deferred
    $13,200
    Nontaxable benefits
    $23,376
    Filer's total
    $603,359

  • Diana Page MD

    Physician

    Total calculated
    $514,160
    From this org
    $492,067
    From related orgs
    $0
    Other
    $22,093
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $491,617
    Bonus
    $0
    Other
    $450
    Deferred
    $13,200
    Nontaxable benefits
    $8,893
    Filer's total
    $514,160

  • Mike Ostrander

    Vice President of Finance and CFO

    Total calculated
    $371,207
    From this org
    $344,807
    From related orgs
    $0
    Other
    $26,400
    Hours/week
    40 + 0.25 related

    Schedule J breakdown matched by us

    Base
    $343,529
    Bonus
    $0
    Other
    $1,278
    Deferred
    $26,400
    Nontaxable benefits
    $0
    Filer's total
    $371,207

  • Nicholas Filippone MD

    Member/Employed Physician

    Total calculated
    $318,112
    From this org
    $283,538
    From related orgs
    $0
    Other
    $34,574
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $277,359
    Bonus
    $0
    Other
    $6,180
    Deferred
    $11,198
    Nontaxable benefits
    $23,376
    Filer's total
    $318,113

  • G Jeremiah Ryan PhD

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Gregory Truckenmiller PhD

    Chair

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Stephen Tomlinson

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Susan Johnson Esq

    Treasurer

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Holly Chamberlin Esq

    Secretary

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Polly Hoye

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • John Fox DDS

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Tobin Cash

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Amy Pedrick

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Diana Marshall

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Paul Naslund

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 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 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

Schedule J, Part I, Line 4
Payments of $57,235 were made on behalf of the CEO, Sean Fadale to a 457(f) plan in 2023, and is included in Schedule J, Part II, Column (C) as Deferred Compensation. $157,707 of Sean Fadale's 457(f) plan also vested in 2023, and is included in Schedule J, Part II, Column (B)(iii).

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.

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.0
Source object
202423169349302112

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