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Nonprofiteer
← LITTLE FALLS HOSPITAL

Form 990 for tax year 2022

Filed by LITTLE FALLS HOSPITAL.

Totals

Total revenue
$49,343,803
Total expenses
$41,503,072
Contributions and grants received
$1,645,101
Grants paid
$0
Program service revenue
$46,692,779
Investment income
$1,005,923
Other revenue
$0
Total assets, end of year
$43,048,894
Total liabilities, end of year
$6,548,740
Net assets or fund balances, end of year
$36,500,154
Program services expenses (Part IX)
$33,112,217
Management and general expenses
$8,352,488
Fundraising expenses
$38,367
Program service expenses (Part III)
$33,112,217

Program services were 79.8% 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

    $76,900

  • 1e · Government grants (contributions)

    $1,568,201

  • 2a · Program service revenue: HOSPITAL - OUTPATIENT

    total $36,069,479 · related or exempt $36,069,479

  • 2b · Program service revenue: HOSPITAL - INPATIENT

    total $9,093,307 · related or exempt $9,093,307

  • 2c · Program service revenue: OTHER OPERATING REVENUE

    total $1,413,590 · related or exempt $1,413,590

  • 2d · Program service revenue: HOSPITAL CAFETERIA

    total $116,403 · related or exempt $116,403

  • 3 · Investment income

    total $64,707 · excluded $64,707

  • 7a · Gross sales of assets other than inventory

    securities $930,510 · other assets $10,706

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $930,510 · other assets $10,706

  • 7d · Net gain or loss

    total $941,216 · excluded $941,216

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $13,572,531 · program services $12,351,003 · management and general $1,202,664 · fundraising $18,864

  • 8 · Pension plan contributions

    total $553,631 · program services $553,631

  • 9 · Other employee benefits

    total $870,411 · program services $782,372 · management and general $87,121 · fundraising $918

  • 10 · Payroll taxes

    total $1,015,893 · program services $879,058 · management and general $135,298 · fundraising $1,537

  • 11b · Fees: legal

    total $29,419 · program services $27,558 · fundraising $1,861

  • 11d · Fees: lobbying

    total $9,932 · management and general $9,932

  • 12 · Advertising and promotion

    total $14,650 · program services $12,696 · management and general $1,954

  • 13 · Office expenses

    total $3,476,922 · program services $3,085,615 · management and general $391,307

  • 14 · Information technology

    total $856,822 · program services $742,535 · management and general $114,287

  • 16 · Occupancy

    total $873,575 · program services $873,575

  • 17 · Travel

    total $21,603 · program services $18,722 · management and general $2,881

  • 19 · Conferences, conventions and meetings

    total $6,965 · program services $6,036 · management and general $929

  • 20 · Interest

    total $12,910 · program services $11,189 · management and general $1,703 · fundraising $18

  • 22 · Depreciation, depletion and amortization

    total $2,218,262 · program services $1,922,392 · management and general $295,870

  • 23 · Insurance

    total $265,049 · program services $232,113 · management and general $32,936

  • 24a · Other expenses: PURCHASED SERVICES

    total $15,496,462 · program services $9,405,687 · management and general $6,075,606 · fundraising $15,169

  • 24b · Other expenses: BAD DEBT

    total $1,888,897 · program services $1,888,897

  • 24c · Other expenses: CHARITY CARE

    total $182,285 · program services $182,285

  • 24d · Other expenses: NYS ASSESSMENT

    total $136,853 · program services $136,853

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $21,159,958 · end of year $11,886,504

  • 2 · Savings and temporary cash investments

    beginning of year $54,710 · end of year $55,551

  • 3 · Pledges and grants receivable

    beginning of year $621,025 · end of year $103,333

  • 4 · Accounts receivable

    beginning of year $3,779,714 · end of year $5,212,862

  • 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 $575,329 · end of year $603,834

  • 9 · Prepaid expenses and deferred charges

    beginning of year $197,139 · end of year $119,943

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

    $46,772,579

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

    $34,217,818

  • 10c · Land, buildings and equipment, net

    beginning of year $14,878,369 · end of year $12,554,761

  • 11 · Investments: publicly traded securities

    beginning of year $7,881,825 · end of year $6,893,264

  • 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 $430,681 · end of year $5,618,842

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,115,030 · end of year $2,642,003

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 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 $234,930 · end of year $237,583

  • 24 · Unsecured notes and loans payable

    beginning of year $1,216,555 · end of year $741,307

  • 25 · Other liabilities

    beginning of year $14,900,531 · end of year $2,927,847

  • 27 · Net assets without donor restrictions

    beginning of year $23,728,529 · end of year $30,068,180

  • 28 · Net assets with donor restrictions

    beginning of year $6,383,175 · end of year $6,431,974

Mission and programs · 2022

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 2022, ACUTE CARE LENGTH OF STAY WAS 5.2 DAYS COMPARED WITH 4.2 IN 2021.

    Expenses $6,821,741 · Revenue $8,540,356

  • 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 15,356 PATIENTS IN 2022. 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.

    Expenses $9,723,390 · Revenue $12,642,097

  • TOTAL AMBULATORY OUTPATIENT SERVICE VISITS WERE APPROXIMATELY 25,566 IN 2022. OUR AMBULATORY SERVICES INCLUDE REHAB / WELLNESS PROGRAM, AMBULATORY SURGERY / GI SERVICES, WOMENS IMAGING SERVICE, DIAGNOSTIC IMAGING SERVICES, RURAL HEALTH CLINIC RIMARY CARE SERVICES.

    Expenses $16,567,086 · Revenue $25,510,326

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Timothy Whitaker

    MEDICAL DIRECTOR

    Total calculated
    $748,316
    From this org
    $0
    From related orgs
    $719,297
    Other
    $29,019
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $719,297 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $21,570 related
    Nontaxable benefits
    $0 + $7,449 related
    Filer's total
    $0 + $748,316 related

  • David Casullo

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Timothy Daly

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Anthony Deluca

    FIRST VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Amy Grace MD

    PRESIDENT OF MEDICAL STAFF

    Total calculated
    $345,129
    From this org
    $0
    From related orgs
    $316,005
    Other
    $29,124
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $316,005 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $20,432 related
    Nontaxable benefits
    $0 + $8,692 related
    Filer's total
    $0 + $345,129 related

  • Justin Hummel

    SECOND VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Laura Powers

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Christine Reynolds

    THIRD VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Kathleen Sellers MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Gerard Snyder

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Phyllis Spinner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • James G Vielkind

    VICE PRESIDENT FINANCE

    Total calculated
    $278,487
    From this org
    $0
    From related orgs
    $265,054
    Other
    $13,433
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,054 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $12,473 related
    Nontaxable benefits
    $0 + $960 related
    Filer's total
    $0 + $278,487 related

  • Eric Stein

    PRESIDENT

    Total calculated
    $361,212
    From this org
    $0
    From related orgs
    $327,021
    Other
    $34,191
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $284,968 related
    Bonus
    $0 + $42,053 related
    Other
    $0
    Deferred
    $0 + $27,670 related
    Nontaxable benefits
    $0 + $6,521 related
    Filer's total
    $0 + $361,212 related

  • Diane Dicob

    NURSE

    Total calculated
    $191,931
    From this org
    $186,889
    From related orgs
    $0
    Other
    $5,042
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,889
    Bonus
    $0
    Other
    $0
    Deferred
    $3,738
    Nontaxable benefits
    $1,304
    Filer's total
    $191,931

  • Heidi Camardello

    CHIEF NURSING OFFICER

    Total calculated
    $188,652
    From this org
    $181,763
    From related orgs
    $0
    Other
    $6,889
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,763
    Bonus
    $0
    Other
    $0
    Deferred
    $3,635
    Nontaxable benefits
    $3,254
    Filer's total
    $188,652

  • Loreen Shepardson

    DIRECTOR OF PHARMACY

    Total calculated
    $175,064
    From this org
    $169,296
    From related orgs
    $0
    Other
    $5,768
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,296
    Bonus
    $0
    Other
    $0
    Deferred
    $3,386
    Nontaxable benefits
    $2,382
    Filer's total
    $175,064

  • Jodi Pollitt

    NIGHT SUPERVISOR

    Total calculated
    $169,783
    From this org
    $163,705
    From related orgs
    $0
    Other
    $6,078
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,705
    Bonus
    $0
    Other
    $0
    Deferred
    $3,274
    Nontaxable benefits
    $2,804
    Filer's total
    $169,783

  • Jamie Carmardello

    PHARMACIST

    Total calculated
    $161,363
    From this org
    $158,199
    From related orgs
    $0
    Other
    $3,164
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,199
    Bonus
    $0
    Other
    $0
    Deferred
    $3,164
    Nontaxable benefits
    $0
    Filer's total
    $161,363

  • William Lecates

    FORMER PRESIDENT

    Total calculated
    $390,296
    From this org
    $0
    From related orgs
    $363,030
    Other
    $27,266
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $263,344 related
    Bonus
    $0 + $99,686 related
    Other
    $0
    Deferred
    $0 + $23,488 related
    Nontaxable benefits
    $0 + $3,778 related
    Filer's total
    $0 + $390,296 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
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349315446

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