2022-09-09T07:50:29-05:00 2021-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2021-01-01 200481583 FORT HUDSON NURSING CENTER INC FORT 5187472811 319 BROADWAY FORT EDWARD NY 12828 JOHN COBURN CFO 5187472811 2022-08-18 1 JOHN COBURN 999009999 ARIEL F AMMIRATO P01346991 5184644080 2022-08-18 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ANDREW CRUIKSHANK 319 BROADWAY FORT EDWARD NY 12828 22532978 0 X WWW.FORTHUDSON.COM X 2003 NY SKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR THE ELDERLY AND CHRONICALLY ILL. 12 12 675 62 0 0 1781013 435323 21569310 22057079 24354 4337 4750 36239 23379427 22532978 0 0 0 0 14169809 14281894 0 0 0 8706363 9684808 22876172 23966702 503255 -1433724 19637901 21718364 14049726 17563913 5588175 4154451 SKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR ELDERLY AND CHRONICALLY ILL INDIVIDUALS LIVING IN THE NURSING FACILITY OR SERVED IN THE ADULT DAY HEALTH CARE PROGRAM. CARE IS PROVIDED IN AN ENVIRONMENT WHICH MAXIMIZES DIGNITY AND INDEPENDENCE. 0 0 21571715 22042296 SKILLED NURSING CARE AND SKILLED REHABILITATION SERVICES FOR ELDERLY AND CHRONICALLY ILL INDIVIDUALS LIVING IN THE NURSING FACILITY OR SERVED IN THE ADULT DAY HEALTH CARE PROGRAM. CARE IS PROVIDED IN AN ENVIRONMENT WHICH MAXIMIZES DIGNITY AND INDEPENDENCE. 21571715 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 7 0 1 675 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X JOHN COBURN 5187472811 319 BROADWAY FORT EDWARD NY 12828 KEVIN HAYES PRESIDENT 0.40 X X 0 0 0 JOHN BRODT VICE PRESIDENT 0.40 X X 0 0 0 SUZANNE BLOOD SECRETARY 0.40 X X 0 0 0 SARAH WRIGHT TREASURER 0.40 X X 0 0 0 JACK MORPHIS DIRECTOR 0.40 X 0 0 0 DEAN REALI DIRECTOR 0.40 X 0 0 0 JOAN GRISHKOT DIRECTOR 0.40 X 0 0 0 JASON MCCANN DIRECTOR 0.40 X 0 0 0 CHRIS NELSON DIRECTOR 0.40 X 0 0 0 J LAWRENCE PALTROWITZ DIRECTOR 0.40 X 0 0 0 TORI J RILEY DIRECTOR 0.40 X 0 0 0 PETER YOUNG DIRECTOR 0.40 X 0 0 0 ANDREW CRUIKSHANK CEO 0.40 40.00 X 0 357367 101992 JOHN COBURN CFO 0.40 40.00 X 0 199176 56844 HOLLY VAUGHN DIRECTOR OF NURSING 40.00 X 111792 0 31905 AMANDA WAITE ADMINISTRATOR 40.00 40.00 X 103331 0 29491 215123 556543 220232 2 0 1 0 0 4880 389443 41000 435323 CARE OF CHRONICALLY ILL 623000 18769690 18769690 OTHER OPERATING REVENUE 623000 3287389 3236367 51022 22057079 4337 4337 GAIN ON TRANSFER FHPM 900099 36239 36239 36239 22532978 22042296 0 55359 9726148 8981279 744869 4555746 4343138 212608 352222 352222 83072 83072 99686 99686 419767 419767 303629 303629 614795 614795 258612 258612 THERAPY SERVICES 1638086 1638086 NYS CASH RECEIPTS ASSES 1566129 1566129 DIETARY COSTS 1330499 1330499 REPAIR AND MAINTENANCE 950056 950056 2068255 1424337 643918 23966702 21571715 2394987 0 3638528 5731641 2030683 1336577 190977 197289 236769 253479 22185372 13490377 8972975 8694995 108000 108000 4459969 5396383 19637901 21718364 2252514 2144937 180612 114375 6453304 9860989 5163296 5443612 14049726 17563913 X 5588175 4154451 5588175 4154451 19637901 21718364 -1433724 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 172808 172808 11858969 5394114 6464855 351089 251444 99645 9802506 7844819 1957687 8694995 DUE FROM AFFILIATES 5221158 DUE FROM THIRD PARTIES 17303 RESIDENT FUNDS 157922 5396383 DUE TO AFFILIATES 5181724 DUE TO PAYERS 103966 DUE TO RESIDENTS 157922 5443612 X X 0 0 0 0 0 0 0 0 0 ANDREW CRUIKSHANK CEO 0 357367 0 0 0 0 0 0 0 101992 0 459359 0 0 JOHN COBURN CFO 0 199176 0 0 0 0 0 0 0 56844 0 256020 0 0 PART I, LINE 3 INDUSTRY DATA FROM TRADE ASSOCIATION IS USED BY BOARD TO SET PARAMETERS FOR SALARY AND BENEFIT LEVELS. SHAWNA CRUIKSHANK WIFE OF CEO 75623 ANNUAL SALARY 0 FORM 990, PART VI, SECTION A, LINE 2 SHAWNA CRUIKSHANK - WIFE OF CEO FORM 990, PART VI, SECTION A, LINE 6 FORT HUDSON HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER AND PASSIVE PARENT OF FORT HUDSON NURSING CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A FORT HUDSON HEALTH SYSTEM APPOINTS BOARD MEMBERS TO FORT HUDSON NURSING CENTER. FORM 990, PART VI, SECTION B, LINE 11B RETURNS ARE PRESENTED TO THE FULL BOARD FOR COMMENT AND APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL REVIEW OF DISCLOSURES AND REQUIREMENT TO INFORM OF NEW DEVELOPMENTS. FORM 990, PART VI, SECTION B, LINE 15 INDUSTRY DATA FROM TRADE ASSOCIATIONS IS USED TO SET PARAMETERS FOR SALARY AND BENEFIT LEVELS. FORM 990, PART VI, SECTION C, LINE 18 UPON WRITTEN REQUEST BASED ON STATUTORY AND REGULATORY REQUIREMENTS. FORM 990, PART VI, SECTION C, LINE 19 UPON WRITTEN REQUEST BASED ON STATUTORY AND REGULATORY REQUIREMENTS. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORT HUDSON RESIDENCES INC 319 BROADWAY FORT EDWARD NY 12828 311655779 HOUSING FOR THE ELDERLY NY 501(C)(3) 509(A)(2) FORT HUDSON HEALTH SYSTEM INC 0 FORT HUDSON HOME CARE INC 319 BROADWAY FORT EDWARD NY 12828 208166870 HOMECARE AND SOCIAL DAYCARE NY 501(C)(3) 509(A)(2) FORT HUDSON HEALTH SYSTEM INC 0 FORT HUDSON PROPERTY MANAGEMENT CORP 319 BROADWAY FORT EDWARD NY 12828 141810104 REAL ESTATE HOLDING COMPANY NY 501(C)(2) FORT HUDSON HEALTH SYSTEM INC 0 FORT HUDSON FOUNDATION CORPORATION 319 BROADWAY FORT EDWARD NY 12828 223368083 FUNDRAISING NY 501(C)(3) 170(B)(I)(A)(A)(III) FORT HUDSON HEALTH SYSTEM INC 0 FORT HUDSON HEALTH SYSTEM INC 319 BROADWAY FORT EDWARD NY 12828 200928661 PASSIVE PARENT/SOLE MEMBER OF LISTED ORG NY 501(C)(3) 509(A)(3) 0 FORT HUDSON CERTIFIED HOME HEALTH AGENCY 319 BROADWAY FORT EDWARD NY 12828 463241378 HOME HEALTH CARE NY 501(C)(3) 509(A)(2) FORT HUDSON HEALTH SYSTEM INC 0 0 0 1 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0