Nathan Littauer Hospital & Nursing Home

Legal name: Nathan Littauer Hospital Association

Nonprofit profile at a glance

EIN
141338465
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Gloversville, NY, US
Phone
(518) 725-8621
Rating
88
Verdict
STRONG
Rating confidence
Standard
Sector
Hospital, General

Official website

Reported finances

Revenue
$122,488,706
Expenses
$134,980,613
Assets
$104,497,640
Liabilities
$40,413,007

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

21 people listed

Executive titles in this filing

  • Sean Fadale (President and CEO)
  • Mike Ostrander (Vice President of Finance and CFO)

Highest reported compensation

  • Shri Verma MD (Physician): $733,151 total reported compensation
  • Paul Husson MD (Member/Employed Physician): $717,825 total reported compensation
  • Hadi Minhas MD (Physician): $712,921 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide high-quality, compassionate healthcare services to the community.

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 97% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 90
  • Transparency & Controls: 90
  • Accountability: 92
  • Sustainability: 22
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 93.1%; rating input score 93
  • Fundraising efficiency: $6.65 raised per $1 spent on fundraising; rating input score 30; 30th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 85.7%; rating input score 86; 32nd percentile among comparable filings
  • Governance controls: 8 of 8 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -10.2%; rating input score 8; 8th percentile among comparable filings
  • Total-asset coverage ratio: 0.77; rating input score 31; 31st percentile among comparable filings
  • Liabilities to assets ratio: 0.39; rating input score 46; 46th percentile among comparable filings
  • Officer compensation ratio: 3.8%; rating input score 28; 28th percentile among comparable filings

Growth

  • Program expense growth: 4% per year; rating input score 100; 31st percentile among comparable filings
  • Revenue growth: 2.4% per year; rating input score 100; 17th percentile among comparable filings
  • Asset growth: 5.2% per year; rating input score 100; 38th percentile among comparable filings

Details

  • What they do: 5 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 100% of revenue deployed · 93.1% of spending went to programs
  • Governance: 12 of 14 board members independent · 8 of 8 filing controls reported
  • Programs: 4 filed program accomplishments · $125.7M in reported program spending
  • Leadership: top reported pay $733K · 21 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $8.1M reported
  • Consistency: 45 of 45 current checks pass
  • Schedules: 8 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 5 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Financial Efficiency: Fundraising efficiency scored 30/100.
  • High — Sustainability: Operating margin scored 8/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 31/100.
  • High — Sustainability: Officer compensation ratio scored 28/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 46/100.