2024-11-15T01:10:34-06:00 2023-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2023-01-01 921733002 HUDSON HEADWATERS SUPPORTING CORP HUDS 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 LAURA PASCO TREASURER 5187610300 2024-11-14 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2024-11-12 2023 2024-10-15 13:58:12Z LAURA PASCO 9 CAREY ROAD QUEENSBURY NY 12804 10273530 0 X N/A X 2007 NY HUDSON HEADWATERS SUPPORTING CORP. (THE CORPORATION) HAS BEEN FORMED TO BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR CARRY OUT THE CHARITABLE PURPOSES OF HUDSON HEADWATERS HEALTH NETWORK. 3 2 0 2 0 0 0 10225000 0 0 0 48530 0 0 0 10273530 0 0 0 0 0 0 0 0 0 0 1380 0 1380 0 10272150 0 10273531 0 1381 0 10272150 HUDSON HEADWATERS SUPPORTING CORP. (THE CORPORATION) HAS BEEN FORMED TO BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR CARRY OUT THE CHARITABLE PURPOSES OF HUDSON HEADWATERS HEALTH NETWORK. 0 0 HUDSON HEADWATERS SUPPORTING CORP. (THE CORPORATION) HAS BEEN FORMED TO BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR CARRY OUT THE CHARITABLE PURPOSES OF HUDSON HEADWATERS HEALTH NETWORK. 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 NY X LAURA PASCO 5187610300 9 CAREY ROAD QUEENSBURY NY 12804 EDWARD SHANNON DIRECTOR 0.10 X 0 0 0 ERIC BURTON DIRECTOR 0.10 X 0 0 0 DAVID T SLINGERLAND MD DIRECTOR 0.10 39.90 X 0 653696 67912 CHISTOPHER TOURNIER PRESIDENT 0.10 39.90 X 0 674821 68395 LAURA PASCO TREASURER 0.10 39.90 X 0 232589 39421 MATTHEW HENDERSON SECRETARY 0.10 39.90 X 0 293026 61636 0 1854132 237364 0 0 1 0 0 10225000 10225000 48530 48530 10273530 0 0 48530 1380 1380 1380 0 1380 0 260631 10012900 0 10273531 1381 0 1381 X 10272150 0 10272150 0 10273531 10272150 0 X 0 1 X 1 0 X X X 1 HUDSON HEADWATERS HEALTH NETWORK 141628237 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 201910724 191637194 191637194 10273530 0 10273530 178882742 178881362 178881362 1380 0 1380 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANIES AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANIES' FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY ELIMINATIONS -11,968,469. RELATED PARTIES REVENUES 203,605,663. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES EXPENSES 190,849,831. INTERCOMPANY ELIMINATIONS -11,968,469. 0 1 0 0 0 0 0 0 0 CHISTOPHER TOURNIER PRESIDENT 0 420452 0 47000 0 207369 0 39000 0 29395 0 743216 0 0 DAVID T SLINGERLAND MD DIRECTOR 0 526615 0 122000 0 5081 0 39000 0 28912 0 721608 0 0 MATTHEW HENDERSON SECRETARY 0 261519 0 30541 0 966 0 36102 0 25534 0 354662 0 0 LAURA PASCO TREASURER 0 221502 0 10709 0 378 0 13735 0 25686 0 272010 0 0 PART I, LINE 3 ALL COMPENSATION IS DETERMINED BY HUDSON HEADWATERS HEALTH NETWORK USING THE FOLLOWING: THE BOARD OF DIRECTORS SETS COMPENSATION FOR THE CEO. THE CEO SETS THE COMPENSATION FOR MEMBERS OF SENIOR MANAGEMENT. THE ORGANIZATION ALSO USES A SURVEY WHERE POSSIBLE, COMPARABLE POSITIONS WITHIN THE REGION, COMPENSATION CONSULTANTS AND BOARD REVIEW. COMPENSATION IS DETERMINED BY A COMBINATION OF SENIOR MANAGEMENT, FINANCE AND HUMAN RESOURCES TO ENSURE FAIRNESS AND CONSISTENCY IN SETTING PAY RATE AND BENEFIT LEVELS. PART I, LINE 4B THE FOLLOWING INDIVIDUALS LISTED ON SCHEDULE J, PART II, PARTICIPATE IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN: - DAVID T. SLINGERLAND, MD, DIRECTOR - CHRISTOPHER TOURNIER, PRESIDENT - MATTHEW HENDERSON, SECRETARY - LAURA PASCO, TREASURER IN 2023, CHRISTOPHER TOURNIER RECEIVED DISTRIBUTION OF $185,954, WHICH IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). FORM 990, PART VI, SECTION A, LINE 6 THIS ORGANIZATION'S SOLE MEMBER IS HUDSON HEADWATERS HEALTH NETWORK, A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A HUDSON HEADWATERS HEALTH NETWORK AS THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTANT PREPARES THE 990. AFTER PREPARATION, A COPY OF THE DRAFT RETURN IS PROVIDED TO THE BOARD MEMBERS VIA EMAIL OR AT A BOARD MEETING PRIOR TO SUBMISSION WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD OVERSEES CONFLICT OF INTEREST POLICY WHICH REQUIRES ANNUAL AND PROIR NOTICE OF ALL POTENTIAL CONFLICTS, AND REVIEWS ALL NOTICES OF POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST AT 9 CAREY ROAD, QUEENSBURY, NY 12804. HUDSON HEADWATERS HEALTH NETWORK 9 CAREY RD QUEENSBURY NY 12804 141628237 FQHC NY 501(C)(3) LINE 3 N/A 0 COMPRE-CARE 9 CAREY RD QUEENSBURY NY 12804 141692479 HEALTH MANAGEMENT NY 501(C)(3) LINE 3 HUDSON HEADWATERS HEALTH NETWORK 0 HUDSON HEADWATERS HEALTH FOUDNATION INC 9 CAREY RD QUEENSBURY NY 12804 651261242 ALL INCLUSIVE CARE FOR THE AND SOCIAL SERVICES. NY 501(C)(3) LINE 10 HUDSON HEADWATERS HEALTH NETWORK 0 PACE AT HUDSON HEADWATERS INC 38 LAROSE STREET GLENS FALLS NY 12801 872010897 ALL INCLUSIVE CARE FOR THE AND SOCIAL SERVICES. NY 501(C)(3) LINE 10 HUDSON HEADWATERS HEALTH NETWORK 0 HUDSON HEADWATERS HEALTH MANAGEMENT PO BOX 357 GLEN FALLS NY 12801 141467175 MANAGMENT SERVICES NY N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0