Civic Intelligence

Hudson Headwaters Health Network

EIN 14-1628237 • 501(c)3 • Queensbury, NY

View Organization Page

Profile

We are a community based health clinic which provides comprehensive health care services to the general population of warren, washington, saratoga, hamilton, essex and clinton counties. To promote, sponsor, foster and deliver programs, activities and services which shall have the purpose of improving the health and well-being of the population served by this corporation and to continually seek new and innovative methods of improving health care delivery and its financing to the community served. To carry out any education and teaching activities related to rendering health care or to the promotion of health that in the opinion of the board of directors may be justified by the facilities, personnel, funds or other resources that are for, or can be, made.

9 Carey RoadQueensbury, NY 12804

www.hhhn.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

42nd percentile

0.21x

Higher debt load relative to assets than 42% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

32nd percentile

0.22x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

74th percentile

17%

Higher net margin than 74% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

72nd percentile

12%

Faster asset growth than 72% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

67th percentile

14%

Faster revenue growth than 67% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets42nd percentile

Assets

Up

$245,719,183

Up $27,033,073 (+12%) from 2023

Liabilities

Down

$50,373,420

Down $13,469,047 (-21%) from 2023

Net Assets

Up

$195,345,763

Up $40,502,120 (+26%) from 2023

Operations
Liabilities / Revenue32nd percentileNet Margin74th percentile

Revenue

Up

$226,820,926

Up $27,076,733 (+14%) from 2023

Expenses

Down

$187,590,554

Down $11,187,065 (-5.6%) from 2023

Net Income

Up

$39,230,372

Up $38,263,798 (+3959%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth72nd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $23,360,629Liabilities 2010: $13,739,749Net Assets 2010: $9,620,8802010Assets 2011: $25,872,941Liabilities 2011: $12,396,058Net Assets 2011: $13,476,8832011Assets 2012: $27,101,441Liabilities 2012: $10,600,624Net Assets 2012: $16,500,8172012Assets 2013: $31,703,996Liabilities 2013: $9,792,604Net Assets 2013: $21,911,3922013Assets 2014: $46,575,715Liabilities 2014: $12,596,981Net Assets 2014: $33,978,7342014Assets 2015: $63,307,812Liabilities 2015: $21,367,288Net Assets 2015: $41,940,5242015Assets 2016: $73,659,647Liabilities 2016: $24,893,201Net Assets 2016: $48,766,4462016Assets 2017: $94,044,254Liabilities 2017: $32,346,482Net Assets 2017: $61,697,7722017Assets 2018: $103,944,765Liabilities 2018: $32,416,858Net Assets 2018: $71,527,9072018Assets 2019: $126,491,390Liabilities 2019: $38,145,853Net Assets 2019: $88,345,5372019Assets 2020: $125,870,296Liabilities 2020: $27,482,947Net Assets 2020: $98,387,3492020Assets 2021: $162,853,955Liabilities 2021: $41,244,253Net Assets 2021: $121,609,7022021Assets 2022: $189,586,630Liabilities 2022: $37,856,120Net Assets 2022: $151,730,5102022Assets 2023: $218,686,110Liabilities 2023: $63,842,467Net Assets 2023: $154,843,6432023Assets 2024: $245,719,183Liabilities 2024: $50,373,420Net Assets 2024: $195,345,7632024

Highlighted filing

2024

Assets$245,719,183
Liabilities$50,373,420
Net Assets$195,345,763
Open 2024 Filing

Operations Trend

Revenue Growth67th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0Expenses 2010: $40,765,4192010Expenses 2011: $45,051,8642011Expenses 2012: $51,276,4492012Revenue 2013: $63,728,441Expenses 2013: $58,317,866Net Income 2013: $5,410,5752013Revenue 2014: $79,794,426Expenses 2014: $67,727,084Net Income 2014: $12,067,3422014Revenue 2015: $86,338,400Expenses 2015: $78,376,610Net Income 2015: $7,961,7902015Revenue 2016: $94,703,181Expenses 2016: $85,677,259Net Income 2016: $9,025,9222016Revenue 2017: $107,512,123Expenses 2017: $93,580,797Net Income 2017: $13,931,3262017Revenue 2018: $111,297,852Expenses 2018: $101,218,974Net Income 2018: $10,078,8782018Revenue 2019: $126,960,906Expenses 2019: $110,148,570Net Income 2019: $16,812,3362019Revenue 2020: $133,764,880Expenses 2020: $123,684,669Net Income 2020: $10,080,2112020Revenue 2021: $161,688,562Expenses 2021: $138,466,209Net Income 2021: $23,222,3532021Revenue 2022: $186,493,681Expenses 2022: $154,811,450Net Income 2022: $31,682,2312022Revenue 2023: $199,744,193Expenses 2023: $198,777,619Net Income 2023: $966,5742023Revenue 2024: $226,820,926Expenses 2024: $187,590,554Net Income 2024: $39,230,3722024

Highlighted filing

2024

Revenue$226,820,926
Expenses$187,590,554
Net Income$39,230,372
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$245,719,183
Liabilities
$50,373,420
Net assets
$195,345,763
Revenue
$226,820,926
Expenses
$187,590,554
Net income
$39,230,372
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$246$50.4$195$227$188$39.2
2023Detailed filing. Detailed filing data is available for this year.$219$63.8$155$200$199$0.97
2022Detailed filing. Detailed filing data is available for this year.$190$37.9$152$186$155$31.7
2021Detailed filing. Detailed filing data is available for this year.$163$41.2$122$162$138$23.2
2020Detailed filing. Detailed filing data is available for this year.$126$27.5$98.4$134$124$10.1
2019Detailed filing. Detailed filing data is available for this year.$126$38.1$88.3$127$110$16.8
2018Detailed filing. Detailed filing data is available for this year.$104$32.4$71.5$111$101$10.1
2017Detailed filing. Detailed filing data is available for this year.$94.0$32.3$61.7$108$93.6$13.9
2016Detailed filing. Detailed filing data is available for this year.$73.7$24.9$48.8$94.7$85.7$9.03
2015Detailed filing. Detailed filing data is available for this year.$63.3$21.4$41.9$86.3$78.4$7.96
2014Detailed filing. Detailed filing data is available for this year.$46.6$12.6$34.0$79.8$67.7$12.1
2013Detailed filing. Detailed filing data is available for this year.$31.7$9.79$21.9$63.7$58.3$5.41
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.1$10.6$16.5$51.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.9$12.4$13.5$45.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.4$13.7$9.62$40.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 10, 2025
Return Version
2024v5.2
Gross Receipts
$226,861,903
Mission and Program Overview

Mission

We are a community based health clinic which serviced 73,617 patients in 2014. To further the provision of comprehensive health care services to the general population of warren, washington, saratoga, hamilton and essex counties. To promote, sponsor, foster and deliver programs, activities and services which shall have the purpose of improving the health and well-being of the population served by this corporation and to continually seek new and innovative methods of improving health care delivery and its financing to the community served. To carry out any education and teaching activities related to rendering health care or to the promotion of health that in the opinion of the board of directors may be justified by the facilities, personnel, funds or other resources that are for, or can be, made.

Fqhc - our mission is to provide the best health care and access to that care for everyone in our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$67,727,052$93,581,159▲ $25,854,107
Land, Buildings, and Equipment, Net$84,894,059$92,972,691▲ $8,078,632
Accounts Receivable$28,830,745$21,763,762▼ $7,066,983
Investments in Publicly Traded Securities$16,182,767$21,108,352▲ $4,925,585
Prepaid Expenses and Deferred Charges$4,734,305$5,013,414▲ $279,109
Intangible Assets$3,270,582$2,640,387▼ $630,195
Cash and Non-Interest-Bearing Accounts$1,180,920$925,491▼ $255,429
Other Notes and Loans Receivable, Net$350,000$350,000→ $0
Pledges and Grants Receivable$5,236,411$179,873▼ $5,056,538
Inventories for Sale or Use-$23,129-
Total Assets$218,686,110$245,719,183▲ $27,033,073
Other Assets Total$6,279,269$7,160,925▲ $881,656
Liabilities
Accounts Payable and Accrued Expenses$40,489,839$24,601,515▼ $15,888,324
Mortgage Notes Payable Secured by Investment Property$13,765,767$13,836,303▲ $70,536
Other Liabilities$9,586,861$9,837,214▲ $250,353
Deferred Revenue-$2,098,388-
Total Liabilities$63,842,467$50,373,420▼ $13,469,047
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$154,959,023$195,380,971▲ $40,421,948
Net Assets With Donor Restrictions$-115,380$-35,208▲ $80,172
Total Net Assets Fund Balance$154,843,643$195,345,763▲ $40,502,120
Total Liabilities and Net Assets / Fund Balance$218,686,110$245,719,183▲ $27,033,073

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$62,539,647$24,404,710$86,944,357
Other Land Buildings$12,310,729$7,117,487$19,428,216
Equipment$9,047,909$6,586,420$15,634,329
Land$6,884,074-$6,884,074
Leasehold Improvements$2,190,332$4,363,722$6,554,054
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas RebmannCEO - Hh 340b, LLCFT$447,762$450,692$898,454
David T Slingerland MdCEOPT$602,022$217,075$819,097
Christopher TournierOutgoing CFO-$42,252$611,950$654,202
William Borgos MdCMOFT$424,009$176,040$600,049
Thomas Portuese MdPhysicianFT$411,247$145,861$557,108
Kevin Gallagher MdCmioFT$388,839$123,782$512,621
William Parker MdPhysicianFT$382,972$105,911$488,883
Suzanne Bergin MdPhysicianFT$366,220$101,205$467,425
Susan CorneyEvp Human ResourcesFT$301,556$161,336$462,892
Patti HammondCOOFT$332,618$125,482$458,100
Laura PascoCFOFT$310,775$115,878$426,653
Kimberly BarronVP of Operations - Hh 340b LLCFT$130,096$173,313$303,409
Kristin KruzikasVP of Finance - Hh 340b, LLCFT$128,041$170,033$298,074

Board Members and Trustees

NameTitle
Donna NicholsBoard Chair
Thomas DoddVice Chair
Darren WoodsBoard Member
Patricia AuerBoard Member
Peter RealeBoard Member
Robert NemerBoard Member
Stephen ShaferBoard Member
Vicki Demarse-girouxBoard Member
Deana KetchumBoard Member, at Large
Bruce CarrOutgoing Board Member
Harry RobinsonOutgoing Board Member
Kevin PorporaOutgoing Board Member
Christine Rowe-button MdSecretary
James J Morris IvTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Bast Hatfield Construction LLCConstruction1399 CRESCENT VISCHER FERRY ROAD, Clifton Park, NY 12065$8,087,743
AthenahealthEmr SystemPO BOX 415615, Boston, MA 02241$4,728,555
North Country JanitorialCleaning Service188 DIX AVE, Glens Falls, NY 12801$1,581,036
Adirondack Technical Services INCContracting Services4697 ROUTE 9N, Corinth, NY 12822$1,318,462
Ropes & Gray LLPLegal ConsultantPO BOX 70280, Philadelphia, PA 19176-0280$977,618
Revenue and Support

Revenue Composition

Contributions and Grants
$13,209,992
Program Service Revenue
$93,404,095
Investment Income
$45,155,805
Other Revenue
$75,051,034
All Other Contributions
$4,244,065
Change in Net Assets
$39,230,372

Audited Revenue Reconciliation

Revenue per Audited Statements
$226,820,926
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,009,081
Total Revenue per Audited Statements
$227,830,007
Total Revenue per Form 990
$226,820,926
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$111,322,007
Other Expenses$74,940,297
Grants and Similar Amounts Paid$1,328,250
Total Fundraising Expense$654,474
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$72,221,363$11,569,264$283,378$84,074,005
Fees for Services Other$15,395,286$4,733,618$51,665$20,180,569
Other Employee Benefits$12,725,243$2,038,478$49,930$14,813,651
Payroll Taxes$4,710,143$754,526$18,481$5,483,150
All Other Expenses$4,635,417$695,810$124,496$5,455,723
Depreciation Depletion$4,780,150$665,041-$5,445,191
Occupancy$3,839,618$278,767-$4,118,385
Pension Plan Contributions$3,431,259$549,659$13,463$3,994,381
Current Officers, Directors, Trustees, and Key Employees$2,539,970$406,882$9,968$2,956,820
Advertising$1,176,803$462,719-$1,639,522
Information Technology$854,118$483,520$20,463$1,358,101
Grants to Domestic Orgs$1,328,250--$1,328,250
Fees for Services Legal$877,134$269,111$2,937$1,149,182
Office Expenses$624,041$418,042$63,530$1,105,613
Travel$408,764$126,476$11,848$547,088
Other Expenses$402,832$252,391-$402,832
Conferences and Meetings$114,094$226,081$3,775$343,950
Insurance$142,628$150,917-$293,545
Interest$259,465--$259,465
Fees for Services Accounting$161,203$49,458$540$211,201
Total Functional Expenses$162,805,320$24,130,760$654,474$187,590,554

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$187,590,554
Total Expenses per Audited Statements$187,533,853
Expenses per Audited Statements$186,360,554
Expenses Not Reported on Financial Statements$1,230,000
Other Expense Adjustments$1,230,000
Expenses Not Reported on Form 990$1,173,299
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Pace at Hudson Headwaters IncGlens Falls, NY501(c)(3)SUPPORT FOR PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ("PACE")$1,230,000
Ticonderoga Revitilization AllianceTiconderoga, NY501(c)(3)To Support the Ticonderoga Childcare Endowment Fund.$50,000
Joint Council for Economic Opportunity of Clinton and Franklin Counties inPlattsburgh, NY501(c)(3)Emergency Aid to Alice (asset Limited, Income Constrained, Employed) Households Navigating Unexpected Crises to Foster Financial Stability.$15,000
Rural Law Center of New YorkPlattsburgh, NY501(c)(3)PROVIDE ASSISTANCE AND RESOURCES TO FAMILIES AND INDIVIDUALS RESIDING IN THE ADIRONDACK REGION WITH FILING BANKRUPTCY, DEBTOR EDUCATION AND CREDIT COUNSELING. CLINICS AND WORKSHOPS WILL ALSO BE PROVIDED ON "KNOW YOUR RIGHTS AND FRAUD PREVENTION.$15,000
Adkactionorg IncKeeseville, NY501(c)(3)A PILOT SHORT TERM RENTAL CONVERSION TOOLKIT AND INCENTIVE PROGRAM THAT EMPOWERS INTERESTED PROPERTY OWNERS WITH THE TOOLS AND SUPPORT NEEDED TO HELP "UNLOCK" IMMEDIATE HOUSING STOCK IN THE ADIRONDACKS.$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Payable (457b)$7,160,694
Operating Lease Liabilities$2,676,520
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“The organization regularly and consistently monitors its' conflict of interest policy with an annual update of all interest that could potentially lead to a conflict of interest for all employees. If a conflict of interest potential is recognized the board shall determine whether a conflict exists and whether such director should abstain from voting.”

Form 990, Part VI, Section B, Line 15

“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.”

Form 990, Part VI, Section C, Line 19

“Documents are available upon written request. They are made available at our administrative office at 9 carey road, queensbury, ny.”

Filing and Contact Details

Filer

Filer Name
Hudson Headwaters Health Network
EIN
14-1628237
Phone
5187610300
Address
9 CAREY ROAD, QUEENSBURY, NY 12804

Signing Officer

Name
Laura Pasco
Title
CFO/executive VP of Finance
Phone
5187610300
Signed
2025-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David T Slingerland Md
Formed
1981
Legal Domicile
Ny
Voting Board Members
11
Independent Board Members
11
Employees
1,284
Volunteers
86

Preparer

Firm
Cohnreznick Advisory LLC
Address
14 SYLVAN WAY, PARSIPPANY, NJ 07054-3801
Preparer
Lori Rothe Yokobosky
Phone
9732283500
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

“In august 2024, hudson headwaters 340b llc that provided consulting services for entities participating in 340b program was sold.”

Form 990, Part IX, Line 11G

“340b consultants: program service expenses 12,718,560. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,718,560. Other consultants: program service expenses 2,676,726. Management and general expenses 4,733,618. Fundraising expenses 51,665. Total expenses 7,462,009.”

FORM 990, PART IV, QUESTION 20A:

“The organization is licensed under article 28 of new york state public health law. However, subsection 10 of article 28 excludes certain healthcare facilities from the definition of general hospital. Therefore, the organization is not including schedule h in the current year form 990 as they do not meet this definition.”

Financial Statement Notes

PART X, LINE 2:

“Management has analyzed the tax positions taken by the companies and has concluded that, as of december 31, 2024, 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 2021 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:

“Related parties revenue 1,601,758. Intercompany eliminations -667,763. Transfer to affiliate -1,230,000.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Related parties expenses 1,807,724. Intercompany eliminations -667,763.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Transfer to affiliate 1,230,000.”

Raw XML AppendixShowing 400 of 1,111 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE CENTER IS A COMMUNITY BASED HEALTH CENTER CLINIC WITH MULTIPLE LOCATIONS. IN 2024, WE SERVICED 116,261 PATIENTS WITH 459,591 VISITS.
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