irs program accomplishments · form 990 part iii · fy2024
What they reported doing
- #1 primary $35.40MHUDSON HEADWATERS HEALTH NETWORK HAS DEPENDED ON THE 340B PROGRAM TO FULFILL ITS MISSION BY MAINTAINING CRUCIAL HEALTH CARE SERVICES AND RESPONDING TO THE GROWING NEEDS OF OUR REGION. THE 340B PROGRAM FINANCIALLY SUPPORTS CRITICAL SERVICES THAT MEET THE DIVERSE NEEDS OF OUR COMMUNITIES, INCLUDING PREVENTIVE CARE, OBSTETRICS AND GYNECOLOGY SERVICES, DENTAL CARE, BEHAVIORAL HEALTH SUPPORT AND MORE. THE 340B PROGRAM ALSO HELPS THE NETWORK TO OFFER MEDICATION DISCOUNTS, LIKE RXASSIST, AND FINANCIAL ASSISTANCE PROGRAMS FOR ELIGIBLE PATIENTS. IN ADDITION TO MAINTAINING AND IMPROVING ITS CURRENT LOCATIONS, THE NETWORK HAS USED THE 340B PROGRAM TO EXPAND SERVICES AND OPEN NEW LOCATIONS; EACH SITE IS BUILT IN RESPONSE TO THE CURRENT AND ANTICIPATED HEALTH CARE NEEDS OF THE REGION. TOGETHER, NEW LOCATIONS, EXPANDED SERVICES AND ENHANCED ACCESS ENSURE THAT PEOPLE, AT EVERY STAGE AND EVERY AGE, HAVE THE RESOURCES THEY NEED TO MAINTAIN AND IMPROVE THEIR HEALTH.
named programs · 4 · from sources
What they call their work
Primary Care Services
Team-based primary care including family medicine, pediatrics, and internal medicine, with integrated behavioral health and pharmacy support.
RXAssist Program
Medication assistance program offering free or low-cost prescription drugs to eligible patients through the 340B program and manufacturer partnerships.
Urgent Care
Walk-in urgent care available seven days a week in Glens Falls and Warrensburg for non-life-threatening conditions such as sprains, lacerations, infections, and minor fractures.
Women's Health Care
Comprehensive obstetric and gynecologic services including prenatal care, annual exams, screenings, and postpartum care provided by OB/GYNs, nurse midwives, and specialists.
activities · 9 groups
What they do
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Community Health Center Services 4 activities
- Expand health care access through 340B program reinvestmentUses savings from the 340B Drug Pricing Program to expand services, open new health care locations, and support community health services in rural New York in response to regional health care needs.
- Maintain regulatory compliance as a Federally Qualified Health CenterOperates under federal and state regulatory oversight as a Federally Qualified Health Center and seeks approval from the New York State Department of Health for facility expansions, renovations, and service changes.
- Operate a network of community health centers providing comprehensive primary careOperates a system of 26 community health centers across 7,900 square miles in upstate New York, delivering comprehensive primary care services including annual physicals, immunizations, screenings, and chronic disease management. Services are provided through health centers, a nursing home facility, and in-home visits.
- Provide behavioral health, OB/GYN, and dental care through integrated servicesOffers a full range of services including preventive care, obstetrics and gynecology, dental care, and behavioral health support, particularly leveraging financial support from the 340B Drug Pricing Program to expand access.
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Comprehensive Dental Care Services 1 activity
- Deliver preventive dental services to children in schoolsProvides preventive dental services including cleanings, screenings, sealant applications, and fluoride treatments to children in area schools using portable equipment.
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Comprehensive Women's Health Services 1 activity
- Deliver women’s health and reproductive care servicesProvides women's health care services including annual exams, screenings, prenatal and postpartum care, and supports women across all life stages from adolescence through post-menopause. Basic women’s health screenings and preventive care are offered at multiple health centers across the North Country.
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Flexible Grants to Grassroots Organizations 1 activity
- Fund community initiatives addressing social determinants of healthLaunched the Upstream Fund in 2019 to invest in community partners working to address social determinants of health, such as housing, food security, and transportation.
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Pediatric Primary and Specialty Care 1 activity
- Provide pediatric primary and acute care servicesDelivers pediatric health care for children from birth through adolescence, including newborn visits, annual physicals, sick visits, and same-day appointments for minor injuries or illnesses. After-hours care is available through on-call providers and urgent care centers in Warrensburg and Glens Falls.
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Telehealth and Urgent Care Access 1 activity
- Provide urgent care services for minor illnesses and injuriesOperates urgent care centers in Glens Falls and Warrensburg with seven-day-a-week availability, evening hours, and on-site X-ray imaging. Services are open to the general public regardless of patient affiliation, accepting walk-ins and most health insurance for non-life-threatening conditions.
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Pharmacy Access and Medication Assistance 1 activity
- Reduce prescription drug costs and provide medication assistanceAcquires prescription drugs at reduced prices through the federal 340B Drug Pricing Program, saving millions annually that are reinvested into expanding access to care. Operates patient assistance programs enabling low-income patients to receive medications free of charge from drug manufacturers and offers medication discounts through programs like RXASSIST and financial assistance to eligible patients.
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Art Integration in Healthcare Settings 1 activity
- Support healing environments through art programmingOperates an art collection designed to support introspection, inspiration, and dialogue about the human experience within health care settings.
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Uncategorized 1 activity
- Operate patient advisory council for care improvementOperates a Patient Advisory Council where patients provide feedback on care delivery across clinical and non-clinical areas to inform service improvements.
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financials · form 990 · fy2024
revenue
Total revenue$226.82M
Contributions & grants$13.21M6%
Program service revenue$93.40M41%
Investment income$45.16M20%
Other revenue$75.05M
expenses
Total expenses$187.59M
Program expenses87%
Admin / overhead13%
Fundraising0%
Salaries & benefits$111.32M
Grants paid out$1.33M
Largest expense lineCompensation
balance sheet
Total assets$245.72M
Cash$94.51M
Investments$21.11M
Liabilities$50.37M
Net assets$195.35M
Liquid reserves7.4 mo
4 years on record · 2020–2024 · YoY revenue +13.6%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 13
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| NICHOLAS REBMANN | CEO - HH 340B, LLC | 40 | $898K |
| DAVID T SLINGERLAND MD | CEO | 29 | $819K |
| CHRISTOPHER TOURNIER | OUTGOING CFO | 1 | $654K |
| WILLIAM BORGOS MD | CMO | 40 | $600K |
| THOMAS PORTUESE MD | PHYSICIAN | 40 | $557K |
| KEVIN GALLAGHER MD | CMIO | 40 | $513K |
| WILLIAM PARKER MD | PHYSICIAN | 40 | $489K |
| SUZANNE BERGIN MD | PHYSICIAN | 40 | $467K |
| SUSAN CORNEY | EVP HUMAN RESOURCES | 39 | $463K |
| PATTI HAMMOND | COO | 40 | $458K |
| LAURA PASCO | CFO | 39 | $427K |
| KIMBERLY BARRON | VP OF OPERATIONS - HH 340B LLC | 40 | $303K |
| KRISTIN KRUZIKAS | VP OF FINANCE - HH 340B, LLC | 40 | $298K |
board members · 12
- BRUCE CARR — OUTGOING BOARD MEMBER
- CHRISTINE ROWE-BUTTON MD — SECRETARY
- DARREN WOODS — BOARD MEMBER
- DEANA KETCHUM — BOARD MEMBER, AT LARGE
- DONNA NICHOLS — BOARD CHAIR
- HARRY ROBINSON — OUTGOING BOARD MEMBER
- JAMES J MORRIS IV — TREASURER
- KEVIN PORPORA — OUTGOING BOARD MEMBER
- PATRICIA AUER — BOARD MEMBER
- PETER REALE — BOARD MEMBER
- ROBERT NEMER — BOARD MEMBER
- STEPHEN SHAFER — BOARD MEMBER
relationships · 15
Who they work with
- 26 health centers Partner — Network of health centers delivering medical services
- Albert R. Tucker Dental Services Center Partner — Dental services center providing care in Warrensburg, NY
- Colgate University Partner — Engages students from Colgate University as video production interns.
- Federal 340B Drug Pricing Program Government — Participates in the federal 340B program to acquire discounted drugs and support patient care and operational sustainability.
- Health Resources and Services Administration Government — Federal agency that regulates Hudson Headwaters as a Federally Qualified Health Center and HRSA grantee.
- Hudson Headwaters Health magazine Network — Published platform for sharing information about the Arts in Health program.
- Microsoft Partner — Uses Microsoft Teams for virtual Patient Advisory Council meetings.
- National Health Service Corps Network — Hudson Headwaters is a member site of the National Health Service Corps, serving all patients.
- New York State Government — Required to submit Health Equity Impact Assessments (HEIA) and Certificates of Need (CON) to comply with state regulations.
- New York State Department of Health Government — Regulatory body that reviews and approves health center developments, renovations, expansions, and service changes.
- Price Chopper House Calls Partner — Pharmacy services available to patients at each urgent care location.
- U.S. Department of Health and Human Services Government — Participates in the 340B Federal Drug Pricing Program administered by HRSA under HHS.
- University of Albany Partner — Collaborates with students from the University of Albany as oral history and video production interns.
- Upstream Fund Partner — Community investment initiative launched by Hudson Headwaters to support partners addressing social determinants of health.
- Urgent Care Centers in Warrensburg and Glens Falls Partner — Collaborates with urgent care centers in Warrensburg and Glens Falls to provide after-hours pediatric care for non-life-threatening conditions.
strategies · 5
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- 340B-Driven Financial Sustainability for Underserved Caremethodology: 340b_program_utilizationBy leveraging the 340B Drug Pricing Program and patient assistance revenue models, the organization stretches federal and pharmaceutical resources to fund critical services like care management and outreach, because reduced drug costs and manufacturer-funded medications generate operational savings that directly expand access for low-income and uninsured patients.
- Community-Centered Co-Design for Population Healthmethodology: community-centered_careBy centering community needs and partnering with local organizations to co-develop solutions, the organization improves population health outcomes, because community-shaped care increases trust, relevance, and engagement, particularly around social drivers of health.
- Integrated Care Model for Rural Accessmethodology: integrated_care_networkBy integrating primary care with behavioral health, women’s health, and care coordination across a decentralized network of community health centers, the organization improves access and continuity for rural populations, because co-located and team-based services reduce barriers to utilization and support holistic management of health needs.
- Preventive Care Through Early and Family Engagementmethodology: preventive_care_early_interventionBy initiating preventive care early in life and actively engaging parents in pediatric health, the organization reduces long-term health risks, because early intervention and family-provider collaboration establish healthy behaviors and enable timely identification of developmental or medical issues.
- Urgent Care as Access-First Interventionmethodology: no-appointment_urgent-careBy offering no-appointment urgent care as a timely, cost-effective alternative to emergency rooms, the organization increases access to acute care and reduces system strain, because removing scheduling barriers enables faster treatment and encourages utilization for minor but urgent conditions.