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HUDSON HEADWATERS HEALTH NETWORK

Company Details

Name: HUDSON HEADWATERS HEALTH NETWORK
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 20 Jul 1981 (44 years ago)
Entity Number: 712104
ZIP code: 12804
County: Warren
Place of Formation: New York
Address: 9 carey road, QUEENSBURY, NY, United States, 12804

Contact Details

Phone +1 518-792-2223

Phone +1 518-585-6708

Phone +1 518-532-7120

Phone +1 518-251-2541

Phone +1 518-792-7841

Phone +1 518-824-8610

Phone +1 518-359-7222

Phone +1 518-824-8181

Phone +1 518-648-5707

Phone +1 518-824-2562

Phone +1 518-298-2691

Phone +1 518-761-6961

Phone +1 518-644-9471

Phone +1 518-494-2761

Phone +1 518-824-2580

Phone +1 518-942-7123

Phone +1 518-798-6400

Phone +1 518-824-8630

Phone +1 518-891-3845

Phone +1 518-623-3918

Phone +1 518-623-2844

Phone +1 518-536-7060

Phone +1 888-291-9195

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DZYNX32HX2Y4 2024-07-12 9 CAREY RD, QUEENSBURY, NY, 12804, 7880, USA 9 CAREY RD, GEORGE PERDUE ADMINISTRATIVE BUILDING, QUEENSBURY, NY, 12804, 7880, USA

Business Information

URL http://www.hhhn.org
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2023-07-18
Initial Registration Date 2004-04-19
Entity Start Date 1981-07-15
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name LAURA PASCO
Role CHIEF FINANCIAL OFFICER
Address 9 CAREY RD, GEORGE PERDUE ADMINISTRATIVE BUILDING, QUEENSBURY, NY, 12804, USA
Government Business
Title PRIMARY POC
Name CATHLEEN TRAVER
Role VP, PLANNING AND GRANTS
Address 9 CAREY RD, GEORGE PERDUE ADMINISTRATIVE BUILDING, QUEENSBURY, NY, 12804, USA
Past Performance
Title PRIMARY POC
Name EDWARD SHANNON
Address 1 BROAD ST PLAZA, GLENS FALLS, NY, 12801, USA
Title ALTERNATE POC
Name HOWARD NELSON
Address 1 BROAD ST PLAZA, GLENS FALLS, NY, 12801, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3UCK7 Active Non-Manufacturer 2004-04-20 2024-07-15 2029-07-15 2025-07-11

Contact Information

POC CATHLEEN TRAVER
Phone +1 518-761-0300
Address 9 CAREY RD, QUEENSBURY, WARREN, NY, 12804 7880, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUDSON HEADWATERS HEALTH NETWORK LONG TERM DISABILITY PLAN 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 428
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEESNBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 478

Signature of

Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LIFE INSURANCE PLAN 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 490
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 545

Signature of

Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK MEDICAL INSURANCE 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 1330
Three-digit plan number (PN) 504
Effective date of plan 2011-09-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 765

Signature of

Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK DENTAL INSURANCE 2013 141628237 2015-01-28 HUDSON HEADWATERS HEALTH NETWORK 677
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2005-01-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 773

Signature of

Role Plan administrator
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-27
Name of individual signing NANCY BARRETT
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LONG TERM CARE PLAN 2013 141628237 2014-07-09 HUDSON HEADWATERS HEALTH NETWORK 104
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 114

Signature of

Role Plan administrator
Date 2014-07-09
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK DENTAL INSURANCE 2012 141628237 2014-04-21 HUDSON HEADWATERS HEALTH NETWORK 351
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2005-01-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 677

Signature of

Role Plan administrator
Date 2014-04-21
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LIFE INSURANCE PLAN 2012 141628237 2014-04-21 HUDSON HEADWATERS HEALTH NETWORK 429
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 490

Signature of

Role Plan administrator
Date 2014-04-21
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK LONG TERM DISABILITY PLAN 2012 141628237 2014-04-21 HUDSON HEADWATERS HEALTH NETWORK 380
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEESNBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 428

Signature of

Role Plan administrator
Date 2014-04-21
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK MEDICAL INSURANCE 2012 141628237 2014-05-07 HUDSON HEADWATERS HEALTH NETWORK 574
Three-digit plan number (PN) 504
Effective date of plan 2011-09-01
Business code 621111
Plan sponsor’s mailing address 9 CAREY RD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY RD, QUEENSBURY, NY, 12804

Number of participants as of the end of the plan year

Active participants 1330

Signature of

Role Plan administrator
Date 2014-05-07
Name of individual signing NANCY SMITH
Valid signature Filed with authorized/valid electronic signature
HUDSON HEADWATERS HEALTH NETWORK DENTAL INSURANCE 2011 141628237 2012-04-03 HUDSON HEADWATERS HEALTH NETWORK 298
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5187610300
Plan sponsor’s mailing address 9 CAREY ROAD, QUEENSBURY, NY, 12804
Plan sponsor’s address 9 CAREY ROAD, QUEENSBURY, NY, 12804

Plan administrator’s name and address

Administrator’s EIN 141628237
Plan administrator’s name HUDSON HEADWATERS HEALTH NETWORK
Plan administrator’s address 9 CAREY ROAD, QUEENSBURY, NY, 12804
Administrator’s telephone number 5187610300

Number of participants as of the end of the plan year

Active participants 349
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-04-03
Name of individual signing MELISSE ROBINSON
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 9 carey road, QUEENSBURY, NY, United States, 12804

History

Start date End date Type Value
2024-01-03 2024-01-23 Address 9 carey road, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)
1981-07-20 2024-01-03 Address *, WARRENSBURG, NY, 12885, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240123002861 2024-01-23 CERTIFICATE OF AMENDMENT 2024-01-23
240103000861 2024-01-02 CERTIFICATE OF CHANGE BY ENTITY 2024-01-02
A782984-10 1981-07-20 CERTIFICATE OF INCORPORATION 1981-07-20

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF19416 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-08-01 2011-07-31 HEALTH CARE AND OTHER FACILITIES
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK, INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885, UNITED STATES
Obligated Amount 346500.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF15074 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2009-07-01 2011-06-30 HEALTH CARE AND OTHER FACILITIES
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK, INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885, UNITED STATES
Obligated Amount 188100.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS14089 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK, INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885, UNITED STATES
Obligated Amount 2261730.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11702 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK, INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885, UNITED STATES
Obligated Amount 598913.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
D1BIT10897 Department of Health and Human Services 93.888 - SPECIALLY SELECTED HEALTH PROJECTS 2008-09-01 2009-08-31 CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK, INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885
Obligated Amount 94352.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
D06RH09009 Department of Health and Human Services 93.912 - RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT PROGRAM 2008-05-01 2011-04-30 RURAL HEALTH NETWORK DEVELOPMENT PROGRAM
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK, INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885
Obligated Amount 540000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00159 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-01-01 2009-12-31 HEALTH CENTER CLUSTER
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK, INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885
Obligated Amount 45293891.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H76HA00738 Department of Health and Human Services 93.918 - GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE 2001-09-30 2015-03-31 RYAN WHITE PART C OUTPATIENT EIS PROGRAM
Recipient HUDSON HEADWATERS HEALTH NETWORK
Recipient Name Raw HUDSON HEADWATERS HEALTH NETWORK INC
Recipient UEI DZYNX32HX2Y4
Recipient DUNS 119765204
Recipient Address HEALTH CENTER PLAZA, WARRENSBURG, WARREN, NEW YORK, 12885, UNITED STATES
Obligated Amount 3250809.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1628237 Corporation Unconditional Exemption 9 CAREY RD, QUEENSBURY, NY, 12804-7880 1982-06
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 218686110
Income Amount 200095946
Form 990 Revenue Amount 199744193
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 202212
Filing Type E
Return Type 990T
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 202112
Filing Type E
Return Type 990T
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 202012
Filing Type E
Return Type 990T
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK
EIN 14-1628237
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK INC
EIN 14-1628237
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK INC
EIN 14-1628237
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK INC
EIN 14-1628237
Tax Period 201512
Filing Type E
Return Type 990
File View File
Organization Name HUDSON HEADWATERS HEALTH NETWORK INC
EIN 14-1628237
Tax Period 201512
Filing Type P
Return Type 990T
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3492678906 2021-04-28 0248 PPP 9 Carey Rd, Queensbury, NY, 12804-7880
Loan Status Date 2022-07-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 10000000
Loan Approval Amount (current) 10000000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47268
Servicing Lender Name Glens Falls National Bank and Trust Company
Servicing Lender Address 250 Glen St, GLENS FALLS, NY, 12801-3505
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Queensbury, WARREN, NY, 12804-7880
Project Congressional District NY-21
Number of Employees 499
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 47268
Originating Lender Name Glens Falls National Bank and Trust Company
Originating Lender Address GLENS FALLS, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 10109722.22
Forgiveness Paid Date 2022-06-03

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
3630904 Intrastate Hazmat 2024-01-05 45000 2023 3 4 Private(Property)
Legal Name HUDSON HEADWATERS HEALTH NETWORK
DBA Name -
Physical Address 9 CAREY RD, QUEENSBURY, NY, 12804-7880, US
Mailing Address 9 CAREY RD, QUEENSBURY, NY, 12804-7880, US
Phone (518) 761-0300
Fax -
E-mail KVANDERWARKER@HHHN.ORG

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 1
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 1
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 1
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Date of last update: 17 Mar 2025

Sources: New York Secretary of State