Skip to content
Nonprofiteer
← NATHAN LITTAUER HOSPITAL ASSOCIATION

Form 990 for tax year 2024

Filed by NATHAN LITTAUER HOSPITAL ASSOCIATION.

Totals

Total revenue
$122,488,706
Total expenses
$134,980,613
Contributions and grants received
$2,505,325
Grants paid
$0
Program service revenue
$113,094,659
Investment income
$3,397,349
Other revenue
$3,491,373
Total assets, end of year
$104,497,640
Total liabilities, end of year
$40,413,007
Net assets or fund balances, end of year
$64,084,633
Program services expenses (Part IX)
$125,702,087
Management and general expenses
$8,901,789
Fundraising expenses
$376,737
Program service expenses (Part III)
$125,702,087

Program services were 93.1% 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

    $903,455

  • 1e · Government grants (contributions)

    $1,598,921

  • 1f · All other contributions, gifts and grants

    $2,949

  • 1g · Noncash contributions included above

    $0

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

    total $88,802,768 · related or exempt $88,732,173 · unrelated business $70,595 · excluded $0

  • 2b · Program service revenue: Primary Care Centers

    total $19,832,491 · related or exempt $19,832,491 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: Nursing Home

    total $4,314,024 · related or exempt $4,314,024 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: Lifeline

    total $145,376 · related or exempt $145,376 · 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 $1,539,043 · related or exempt $0 · unrelated business $2,834 · excluded $1,536,209

  • 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 $26,576,095 · other assets $500

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

    securities $24,718,289 · other assets $0

  • 7c · Gain or loss

    securities $1,857,806 · other assets $500

  • 7d · Net gain or loss

    total $1,858,306 · related or exempt $0 · unrelated business $0 · excluded $1,858,306

  • 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 $1,372,346 · related or exempt $0 · unrelated business $1,372,346 · excluded $0

  • 11b · Other revenue: 340b Pharmacy

    total $1,057,868 · related or exempt $1,057,868 · unrelated business $0 · excluded $0

  • 11c · Other revenue: Cafeteria Sales

    total $415,545 · related or exempt $415,545 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $645,614 · related or exempt $645,614 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $3,491,373

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 $1,592,252 · program services $0 · management and general $1,592,252 · fundraising $0

  • 6 · Compensation of disqualified persons

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

  • 7 · Other salaries and wages

    total $66,147,533 · program services $62,630,898 · management and general $3,216,049 · fundraising $300,586

  • 8 · Pension plan contributions

    total $3,226,387 · program services $3,130,890 · management and general $83,474 · fundraising $12,023

  • 9 · Other employee benefits

    total $8,982,452 · program services $8,368,135 · management and general $574,396 · fundraising $39,921

  • 10 · Payroll taxes

    total $4,528,935 · program services $4,161,100 · management and general $344,840 · fundraising $22,995

  • 11a · Fees: management

    total $568,549 · program services $568,549 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $193,849 · program services $0 · management and general $193,849 · fundraising $0

  • 11c · Fees: accounting

    total $174,091 · program services $0 · management and general $174,091 · fundraising $0

  • 11d · Fees: lobbying

    total $22,251 · program services $0 · management and general $22,251 · 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 $8,456,688 · program services $7,984,439 · management and general $472,249 · fundraising $0

  • 12 · Advertising and promotion

    total $177,146 · program services $0 · management and general $177,146 · fundraising $0

  • 13 · Office expenses

    total $5,649,928 · program services $5,122,266 · management and general $527,662 · 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 $1,419,580 · program services $1,418,723 · management and general $857 · fundraising $0

  • 17 · Travel

    total $230,322 · program services $199,994 · management and general $30,328 · 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 $589,849 · program services $589,849 · 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 $7,562,438 · program services $7,230,114 · management and general $332,324 · fundraising $0

  • 23 · Insurance

    total $1,921,315 · program services $1,921,315 · management and general $0 · fundraising $0

  • 24a · Other expenses: Medical Supplies

    total $12,172,422 · program services $12,172,229 · management and general $193 · fundraising $0

  • 24b · Other expenses: Non-Medical Supplies

    total $1,337,156 · program services $1,330,225 · management and general $6,931 · fundraising $0

  • 24c · Other expenses: Purchased Services

    total $7,453,203 · program services $6,787,988 · management and general $665,215 · fundraising $0

  • 24d · Other expenses: Food

    total $937,537 · program services $937,537 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $1,636,730 · program services $1,147,836 · management and general $487,682 · fundraising $1,212

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,753,068 · end of year $3,297,257

  • 2 · Savings and temporary cash investments

    beginning of year $2,194,184 · end of year $1,032,966

  • 3 · Pledges and grants receivable

    beginning of year $532,406 · end of year $451,547

  • 4 · Accounts receivable

    beginning of year $11,783,543 · end of year $11,017,032

  • 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 $804,799 · end of year $762,211

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,108,312 · end of year $466,563

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

    $127,584,966

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

    $99,585,050

  • 10c · Land, buildings and equipment, net

    beginning of year $32,250,122 · end of year $27,999,916

  • 11 · Investments: publicly traded securities

    beginning of year $47,632,553 · end of year $45,750,698

  • 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 $12,761,206 · end of year $13,719,450

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,184,966 · end of year $15,334,263

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $483,570 · end of year $451,345

  • 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 $23,696,391 · end of year $24,627,399

  • 27 · Net assets without donor restrictions

    beginning of year $68,194,703 · end of year $60,408,660

  • 28 · Net assets with donor restrictions

    beginning of year $4,260,563 · end of year $3,675,973

Mission and programs · 2024

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 2024; 7,681 inpatient days, 931 observation visits, 574 new born days, 2,026 admissions, 292 nursery admissions, 19,665 emergency room visits, 94,644 outpatient visits and 4,364 day surgery visits.

    Expenses $64,321,724 · Revenue $88,732,173

  • 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 45 physicians and over 50 other healthcare professionals. During 2024, the Centers collectively incurred 134,435 patient visits.

    Expenses $50,442,776 · Revenue $19,832,491

  • 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 2024, the facility had a total of 18,416 patient days.

    Expenses $10,517,042 · Revenue $4,314,024

  • 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 2024 Nathan Littauer Hospital as Lead Agency the program's was able to enroll a total of 2,596 individuals with the following breakdown: Children's Medicaid - 539, Child Health Plus Program - 309, Adult Medicaid - 804, Adult Quality Health Plan - 323, Essential Plans - 621. Also included here is other operating revenue of $2,334,998.

    Expenses $420,545 · Revenue $2,334,998

As filed on the 2024 return.

Listed in Part VII

  • Shri Verma MD

    Physician

    Total calculated
    $733,151
    From this org
    $695,302
    From related orgs
    $0
    Other
    $37,849
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $691,492
    Bonus
    $0
    Other
    $3,810
    Deferred
    $13,800
    Nontaxable benefits
    $24,049
    Filer's total
    $733,151

  • Paul Husson MD

    Member/Employed Physician

    Total calculated
    $717,825
    From this org
    $679,976
    From related orgs
    $0
    Other
    $37,849
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $679,527
    Bonus
    $0
    Other
    $450
    Deferred
    $13,800
    Nontaxable benefits
    $24,049
    Filer's total
    $717,826

  • Hadi Minhas MD

    Physician

    Total calculated
    $712,921
    From this org
    $674,643
    From related orgs
    $0
    Other
    $38,278
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $674,403
    Bonus
    $0
    Other
    $240
    Deferred
    $13,800
    Nontaxable benefits
    $24,478
    Filer's total
    $712,921

  • David Cohen MD

    Physician

    Total calculated
    $692,037
    From this org
    $672,899
    From related orgs
    $0
    Other
    $19,138
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $670,919
    Bonus
    $0
    Other
    $1,980
    Deferred
    $13,800
    Nontaxable benefits
    $5,338
    Filer's total
    $692,037

  • Sean Fadale

    President and CEO

    Total calculated
    $662,106
    From this org
    $565,368
    From related orgs
    $0
    Other
    $96,738
    Hours/week
    40 + 0.25 related

    Schedule J breakdown matched by us

    Base
    $539,423
    Bonus
    $0
    Other
    $25,945
    Deferred
    $72,260
    Nontaxable benefits
    $24,478
    Filer's total
    $662,106

  • Zainul Syed MD

    Physician

    Total calculated
    $651,281
    From this org
    $637,481
    From related orgs
    $0
    Other
    $13,800
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $633,818
    Bonus
    $0
    Other
    $3,663
    Deferred
    $13,800
    Nontaxable benefits
    $0
    Filer's total
    $651,281

  • Stephen Little MD

    Employed Physician

    Total calculated
    $619,587
    From this org
    $581,309
    From related orgs
    $0
    Other
    $38,278
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $581,039
    Bonus
    $0
    Other
    $270
    Deferred
    $13,800
    Nontaxable benefits
    $24,478
    Filer's total
    $619,587

  • Mike Ostrander

    Vice President of Finance and CFO

    Total calculated
    $360,708
    From this org
    $346,908
    From related orgs
    $0
    Other
    $13,800
    Hours/week
    40 + 0.25 related

    Schedule J breakdown matched by us

    Base
    $345,618
    Bonus
    $0
    Other
    $1,290
    Deferred
    $13,800
    Nontaxable benefits
    $0
    Filer's total
    $360,708

  • G Jeremiah Ryan PhD

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Gregory Truckenmiller PhD

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Peter Kiernan

    Member

    Total calculated
    $0
    Hours/week
    0.5

  • 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

    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

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Audrey Kline

    Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.25 related

  • Stephen Tomlinson

    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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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 1a
A tax gross-up payment was made to the CEO, Sean Fadale. This amount was treated as taxable compensation, and is reported on Schedule J, Part II, Column (B)(iii).
Schedule J, Part I, Line 4
Payments of $58,460 were made on behalf of the CEO, Sean Fadale to a 457(f) plan in 2024, and is included in Schedule J, Part II, Column (C) as Deferred Compensation.

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
2024
Filed
14 November 2025
IRS schema version
2024v5.0
Source object
202503099349302265

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.