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Nonprofiteer
← LITTLE FALLS HOSPITAL

Form 990 for tax year 2024

Filed by LITTLE FALLS HOSPITAL.

Totals

Total revenue
$60,050,752
Total expenses
$52,167,758
Contributions and grants received
$1,938,753
Grants paid
$0
Program service revenue
$56,500,794
Investment income
$1,014,383
Other revenue
$596,822
Total assets, end of year
$55,525,999
Total liabilities, end of year
$5,970,007
Net assets or fund balances, end of year
$49,555,992
Program services expenses (Part IX)
$42,213,804
Management and general expenses
$9,891,200
Fundraising expenses
$62,754
Program service expenses (Part III)
$42,213,804

Program services were 80.9% 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

    $81,590

  • 1e · Government grants (contributions)

    $1,843,292

  • 1f · All other contributions, gifts and grants

    $13,871

  • 2a · Program service revenue: HOSPITAL OUTPATIENT

    total $46,202,395 · related or exempt $46,202,395

  • 2b · Program service revenue: HOSPITAL INPATIENT

    total $9,858,154 · related or exempt $9,858,154

  • 2c · Program service revenue: 340B Revenue

    total $306,588 · related or exempt $306,588

  • 2d · Program service revenue: HOSPITAL CAFETERIA

    total $133,657 · related or exempt $133,657

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $1,019,535 · excluded $1,019,535

  • 6a · Gross rents

    real property $385,835

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $385,835 · personal property $0

  • 6d · Net rental income or loss

    total $385,835 · excluded $385,835

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

    other assets $5,152

  • 7c · Gain or loss

    securities $0 · other assets -$5,152

  • 7d · Net gain or loss

    total -$5,152 · excluded -$5,152

  • 8c · Net income from fundraising events

    total $0

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $210,987 · related or exempt $210,987

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $210,987

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 $213,482 · program services $213,482 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

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

  • 7 · Other salaries and wages

    total $17,267,755 · program services $15,742,210 · management and general $1,470,106 · fundraising $55,439

  • 8 · Pension plan contributions

    total $208,456 · program services $188,788 · management and general $19,668 · fundraising $0

  • 9 · Other employee benefits

    total $1,548,911 · program services $1,413,638 · management and general $132,028 · fundraising $3,245

  • 10 · Payroll taxes

    total $1,189,278 · program services $1,083,822 · management and general $105,456 · fundraising $0

  • 11a · Fees: management

    total $3,425,698 · program services $0 · management and general $3,425,698 · fundraising $0

  • 11b · Fees: legal

    total $338 · program services $0 · management and general $338 · fundraising $0

  • 11c · Fees: accounting

    total $25,885 · program services $0 · management and general $25,885 · fundraising $0

  • 11d · Fees: lobbying

    total $10,836 · program services $0 · management and general $10,836 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

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

  • 11g · Fees: other

    total $17,143,316 · program services $12,859,029 · management and general $4,280,217 · fundraising $4,070

  • 12 · Advertising and promotion

    total $282 · management and general $282 · fundraising $0

  • 13 · Office expenses

    total $335,762 · program services $104,866 · management and general $230,896 · 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 $1,522,639 · program services $1,458,908 · management and general $63,731 · fundraising $0

  • 17 · Travel

    total $26,226 · program services $25,326 · management and general $900 · 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 $7,415 · management and general $7,415 · fundraising $0

  • 21 · Payments to affiliates

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

  • 22 · Depreciation, depletion and amortization

    total $1,902,898 · program services $1,902,898 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $466,302 · program services $348,558 · management and general $117,744 · fundraising $0

  • 24a · Other expenses: DRUGS AND REAGENTS

    total $2,480,338 · program services $2,480,338

  • 24b · Other expenses: BAD DEBT

    total $2,274,264 · program services $2,274,264

  • 24c · Other expenses: PATIENT CARE SUPPLIES

    total $1,501,025 · program services $1,501,025

  • 24d · Other expenses: CHARITY CARE

    total $415,559 · program services $415,559

  • 24e · All other expenses

    total $201,093 · program services $201,093 · management and general $0 · fundraising $0

  • 26 · Joint costs (an allocation of the lines above)

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

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,217,562 · end of year $2,931,827

  • 2 · Savings and temporary cash investments

    beginning of year $153,486 · end of year $61,778

  • 3 · Pledges and grants receivable

    beginning of year $1,207,401 · end of year $525,956

  • 4 · Accounts receivable

    beginning of year $4,359,741 · end of year $5,665,394

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 8 · Inventories for sale or use

    beginning of year $614,214 · end of year $612,700

  • 9 · Prepaid expenses and deferred charges

    beginning of year $172,082 · end of year $162,577

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

    $48,440,628

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

    $37,107,212

  • 10c · Land, buildings and equipment, net

    beginning of year $10,766,528 · end of year $11,333,416

  • 11 · Investments: publicly traded securities

    beginning of year $7,586,712 · end of year $8,127,280

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $18,213,958 · end of year $26,105,071

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,171,149 · end of year $2,513,596

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $2,923,073 · end of year $2,293,291

  • 25 · Other liabilities

    beginning of year $1,671,761 · end of year $1,163,120

  • 27 · Net assets without donor restrictions

    beginning of year $33,563,987 · end of year $41,745,156

  • 28 · Net assets with donor restrictions

    beginning of year $6,961,714 · end of year $7,810,836

Mission and programs · 2024

Mission

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

  • 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 17,000 PATIENTS IN 2024. 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 26,000 IN 2024. OUR AMBULATORY SERVICES INCLUDE REHAB / WELLNESS PROGRAM, AMBULATORY SURGERY / GI SERVICES, WOMENS IMAGING SERVICE, DIAGNOSTIC IMAGING SERVICES, RURAL HEALTH CLINIC PRIMARY CARE SERVICES.

    Expenses $33,245,383 · Revenue $46,853,627

  • INPATIENT SERVICES 74% OCCUPANCY FOR AN AVERAGE DAILY INPATIENT DAILY CENSUS OF 17 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 2024, ACUTE CARE LENGTH OF STAY WAS 3.9 DAYS COMPARED WITH 4.33 IN 2023.

    Expenses $8,968,421 · Revenue $9,858,154

As filed on the 2024 return.

Listed in Part VII

  • Anthony DeLuca

    First Vice Chairman

    Total calculated
    $0
    Hours/week
    2

  • Christine Reynolds

    Third Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • David Casullo

    Chairman

    Total calculated
    $0
    Hours/week
    2

  • Gerard Snyder

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Justin Hummel

    Second Vice Chariman

    Total calculated
    $0
    Hours/week
    2

  • Laura Powers

    Fourth Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • Timothy Daly

    Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Joseph Sellers MD

    Board Member (Thru 3/24)

    Total calculated
    $44,282
    From this org
    $0
    From related orgs
    $43,536
    Other
    $746
    Hours/week
    2 + 42 related

  • Kathleen Sellers MD

    Board Member (Thru 3/24)

    Total calculated
    $0
    Hours/week
    2

  • Phyllis Spinner

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Carlton Rule MD

    VP Medical Director

    Total calculated
    $428,329
    From this org
    $0
    From related orgs
    $394,999
    Other
    $33,330
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,999 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $27,756 related
    Nontaxable benefits
    $0 + $5,574 related
    Filer's total
    $0 + $428,329 related

  • Craig Faerber

    Interim Network CFO

    Total calculated
    $524,460
    From this org
    $0
    From related orgs
    $524,460
    Other
    $0
    Hours/week
    2 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $524,460 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $524,460 related

  • David Almeleh

    President of Medical Staff

    Total calculated
    $305,938
    From this org
    $0
    From related orgs
    $288,729
    Other
    $17,209
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $288,729 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $14,904 related
    Nontaxable benefits
    $0 + $2,305 related
    Filer's total
    $0 + $305,938 related

  • Eula Ramroop

    VP of Operations (Thru 10/24)

    Total calculated
    $213,482
    From this org
    $200,133
    From related orgs
    $0
    Other
    $13,349
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,677
    Bonus
    $7,500
    Other
    $24,956
    Deferred
    $8,319
    Nontaxable benefits
    $5,030
    Filer's total
    $213,482

  • Jim Vielkind

    VP of Finance

    Total calculated
    $256,167
    From this org
    $0
    From related orgs
    $239,992
    Other
    $16,175
    Hours/week
    2 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,992 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $14,729 related
    Nontaxable benefits
    $0 + $1,446 related
    Filer's total
    $0 + $256,167 related

  • Staci Thompson

    Network President CEO (As of 4/24)

    Total calculated
    $878,927
    From this org
    $0
    From related orgs
    $866,810
    Other
    $12,117
    Hours/week
    2 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $826,810 related
    Bonus
    $0 + $40,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $12,117 related
    Filer's total
    $0 + $878,927 related

  • Susan Oakes-Ferrucci

    President

    Total calculated
    $312,952
    From this org
    $0
    From related orgs
    $294,938
    Other
    $18,014
    Hours/week
    2 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $294,938 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $9,048 related
    Nontaxable benefits
    $0 + $8,966 related
    Filer's total
    $0 + $312,952 related

  • Diane Dicob

    RN II - Acute Care

    Total calculated
    $207,137
    From this org
    $201,270
    From related orgs
    $0
    Other
    $5,867
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $201,270
    Bonus
    $0
    Other
    $0
    Deferred
    $4,052
    Nontaxable benefits
    $1,815
    Filer's total
    $207,137

  • Heidi Camardello

    Director Nursing Operations LFH

    Total calculated
    $178,527
    From this org
    $171,121
    From related orgs
    $0
    Other
    $7,406
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $171,121
    Bonus
    $0
    Other
    $0
    Deferred
    $3,463
    Nontaxable benefits
    $3,943
    Filer's total
    $178,527

  • Jodi Pollitt

    Admin Suprv Nursing (As of 10/24)

    Total calculated
    $176,437
    From this org
    $170,468
    From related orgs
    $0
    Other
    $5,969
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $134,005
    Bonus
    $1,500
    Other
    $34,963
    Deferred
    $3,447
    Nontaxable benefits
    $2,522
    Filer's total
    $176,437

  • Loreen Shepardson

    Supervising Pharmacist

    Total calculated
    $173,687
    From this org
    $164,802
    From related orgs
    $0
    Other
    $8,885
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,802
    Bonus
    $0
    Other
    $0
    Deferred
    $3,392
    Nontaxable benefits
    $5,493
    Filer's total
    $173,687

  • Sabrina Rouse

    RN II - Acute Care

    Total calculated
    $187,442
    From this org
    $174,694
    From related orgs
    $0
    Other
    $12,748
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,194
    Bonus
    $1,500
    Other
    $0
    Deferred
    $3,576
    Nontaxable benefits
    $9,172
    Filer's total
    $187,442

  • Tommy Ibrahim MD

    Former President

    Total calculated
    $424,611
    From this org
    $0
    From related orgs
    $411,723
    Other
    $12,888
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $411,723 related
    Deferred
    $0 + $12,888 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $424,611 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
  • 4a · Severance or change-of-control payment

Answered no

  • 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)

Schedule J, Part I, Line 4a Severance or change-of-control payment
TOMMY IBRAHIM, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $166,325 AND PTO PAYOUT IN THE AMOUNT OF $245,398. EULA RAMROOP RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $8,160 AND PTO PAYOUT IN THE AMOUNT OF $16,796. THESE AMOUNTS ARE INCLUDED IN THE TOTAL REPORTED IN COLUMN B(III).
Schedule J, 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

    N/A · RENTAL · NY

    Directly controlled by NA

  • FIRST COMMUNITY CARE OF BASSETT

    N/A · HEALTHCARE · NY

    Directly controlled by NA

Related corporations and trusts

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

  • Catskill Care Enterprises

    C Corporation · RETAIL PHARMACY & FITNESS CENTER · NY

    Directly controlled by AO Fox

  • LEATHERSTOCKING PHYSICIANS PC

    C Corporation · HEALTHCARE SERVICES · NY

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2024
Filed
13 November 2025
IRS schema version
2024v5.1
Source object
202503179349306795

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