HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS (EIN 14-1338470)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-13
IRS object ID: 202333179349310543
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-13T16:44:35+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1101 NEW YORK AVENUE NW	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338470	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HealthAlliance Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HEAL	BusinessNameControlTxt
Phone	8459436084	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	105 MARYS AVENUE	AddressLine1Txt
City	KINGSTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Joshua Ratner	PersonNm
Person Title	President & CEO	PersonTitleTxt
Phone	8459436084	PhoneNum
Signature	2023-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Joshua	PersonFirstNm
Person Last	Ratner	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Justin Lowe	PreparerPersonNm
PTIN	P01866796	PTIN
Phone	2023276000	PhoneNum
Preparation	2023-11-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Change	Yes (X)	NameChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DR MICHAEL DOYLE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	105 MARYS AVENUE	AddressLine1Txt
City	KINGSTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$200,633,334	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.HAHV.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1902	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF HEALTHALLIANCE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1092	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$71,551,601	PYContributionsGrantsAmt
CY Contributions Grants	$44,700,418	CYContributionsGrantsAmt
PY Program Service Revenue	$141,894,791	PYProgramServiceRevenueAmt
CY Program Service Revenue	$149,618,712	CYProgramServiceRevenueAmt
PY Investment Income	$2,951,353	PYInvestmentIncomeAmt
CY Investment Income	$3,160,641	CYInvestmentIncomeAmt
PY Other Revenue	$3,310,556	PYOtherRevenueAmt
CY Other Revenue	$2,946,540	CYOtherRevenueAmt
PY Total Revenue	$219,708,301	PYTotalRevenueAmt
CY Total Revenue	$200,426,311	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$103,732,463	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$97,818,147	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$77,014,216	PYOtherExpensesAmt
CY Other Expenses	$101,323,557	CYOtherExpensesAmt
PY Total Expenses	$180,746,679	PYTotalExpensesAmt
CY Total Expenses	$199,141,704	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,961,622	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,284,607	CYRevenuesLessExpensesAmt
Total Assets BOY	$117,788,749	TotalAssetsBOYAmt
Total Assets EOY	$171,215,836	TotalAssetsEOYAmt
Total Liabilities BOY	$71,770,933	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$129,969,881	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$46,017,816	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$41,245,955	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF HEALTHALLIANCE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$163,380,071	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$151,228,001	RevenueAmt
Desc	TO PROVIDE EXCELLENT HEALTH CARE SERVICES TO ALL PATIENTS. THIS IS ACHIEVED THROUGH THE HOSPITAL'S COMMITMENT OF THE VALUES OF HOSPITALITY, COMMUNITY, STEWARDSHIP, RESPECT, PEACE, EXCELLENCE, INTEGRITY AND FISCAL RESPONSIBLITY. HEALTHALLIANCE HOSPITAL RECORDED 29,092 PATIENT DAYS AND 3,157 SURGERIES (INPATIENT 791 & AMBULATORY 2,366). HEALTHALLIANCE HOSPITAL OFFERS VARIOUS OUTPATIENT SERVICES SUCH AS SLEEP LAB, CHEMOTHERAPY, PSYCH SERVICES, BREAST CENTER AND ALL RADIOLOGIC SERVICES (CT, ULTRASOUND & CARDIAC CATH). TOTAL VISITS FOR THESE SERVICES IN 2022 WERE APPROXIMATELY 102,302 (INCLUDING COVID LABS AND VACCINATIONS).	Desc
Total Program Service Expenses	$163,380,071	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	Yes (true)	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	50	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1092	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERIN NAGY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8459436084	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	105 MARYS AVENUE	AddressLine1Txt
City	KINGSTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GARY BRUDNICKI
TRUSTEE/CFO	1.0	39.0	Yes (X)	Yes (X)	$0	$2,333,526	$70,137
CRAIG SICKLER
CHAIR	1.0	4.0	Yes (X)		$0	$0	$0
FALAK SHAH MD
VP MEDICAL STAFF (EFFECTIVE JANUARY 2022)	1.0	2.0	Yes (X)		$0	$646,158	$60,408
J CHRISTOPHER SMAILER
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
JAMAL MAHDAVIAN MD
PRESIDENT MEDICAL STAFF	1.0	2.0	Yes (X)		$0	$630,937	$44,011
JEROME SIMONETTY
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
JOHN BONAVITA-GOLDMAN MD
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
JOHN HEIMERDINGER
TRUSTEE	1.0	7.0	Yes (X)		$0	$0	$0
JOSHUA RATNER
TRUSTEE	1.0	39.0	Yes (X)		$0	$1,068,839	$80,357
JULIE SWITZER
TRUSTEE/SECRETARY	1.0	39.0	Yes (X)		$0	$1,062,607	$47,287
MICHAEL DOYLE MD
EXECUTIVE DIRECTOR & CMO	33.0	7.0	Yes (X)		$619,034	$0	$8,701
MICHAEL ISRAEL
VICE CHAIR	1.0	39.0	Yes (X)		$0	$3,405,987	$57,096
RICHARD WISHNIE
VICE CHAIR	1.0	5.0	Yes (X)		$0	$0	$0
STEPHANIE TURCO
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
THOMAS COLLINS
TRUSTEE	1.0	2.3	Yes (X)		$0	$0	$0
WILLIAM FRISHMAN MD
TRUSTEE	1.0	39.0	Yes (X)		$0	$39,845	$0
ELISSA WALISZEWSKI
CHIEF OPERATING OFFICER - NORTHERN REGION	36.0	4.0			$0	$357,908	$49,462	Yes (X)
DEREK TOMPKINS
CHIEF MRI TECHNOLOGIST	40.0	0			$203,754	$0	$16,613		Yes (X)
ELIZABETH STANZIONE
PHARMACIST	40.0	0			$179,491	$0	$16,169		Yes (X)
JANE ULRICH
SR. VP OF NURSING	36.0	4.0			$210,568	$0	$29,209		Yes (X)
LOWELL FLEY
ASSISTANT DIRECTOR, RADIOLOGY	40.0	0			$210,424	$0	$34,191		Yes (X)
MICHAEL SCHAFF
DIRECTOR OF PHARMACY	40.0	0			$185,941	$0	$16,170		Yes (X)
JOSEPH MARSICOVETE
FORMER CHIEF OPERATING OFFICER (RESIGNED JUNE 2021)	40.0	1.0			$202,304	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,811,516	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,545,808	TotReportableCompRltdOrgAmt
Total Other Compensation	$529,811	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	200	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CONSIGLI CONSTRUCTION CO INC
72 SUMMER STREET	MILFORD	MA	01757	CONSTRUCTION	$7,929,236
TURNER SANORUBIN JOINT VENTURE
1 COMPUTER DRIVE SOUTH	ALBANY	NY	12205	CONSTRUCTION	$7,497,407
INSTITUTE FOR FAMILY HEALTH
2006 MADISON AVENUE 5TH FLOOR	NEW YORK	NY	10035	PHYSICIANS	$3,039,778
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	75312	CONTRACT LABOR	$1,848,158
OTIS ELEVATOR
PO BOX 13716	NEWARK	NJ	07188	BUILDING MAINTENANCE/UPGRADES	$1,044,916

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$44,700,418	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$44,700,418	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	621300	$149,618,712	$149,618,712	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$149,618,712	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,160,641	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,160,641	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,211,630	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$207,023	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,004,607	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,004,607	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,004,607	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MISCELLANEOUS REVENUE	900099	$1,026,091	$1,026,091	$0	$0
FOOD SERVICE	900099	$332,644	$0	$0	$332,644
CONTRACTED SERVICES	900099	$583,198	$583,198	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,941,933	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,426,311	TotalRevenueColumnAmt
Related Or Exempt Func Income	$151,228,001	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,497,892	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$79,647,021	TotalAmt
Program Services	$71,480,260	ProgramServicesAmt
Management And General	$8,166,761	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,162,677	TotalAmt
Program Services	$872,008	ProgramServicesAmt
Management And General	$290,669	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,699,376	TotalAmt
Program Services	$9,525,269	ProgramServicesAmt
Management And General	$3,174,107	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,309,073	TotalAmt
Program Services	$3,231,805	ProgramServicesAmt
Management And General	$1,077,268	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$181,380	TotalAmt
Program Services	$185	ProgramServicesAmt
Management And General	$181,195	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$22,744	TotalAmt
Management And General	$22,744	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$43,355,460	TotalAmt
Program Services	$35,257,607	ProgramServicesAmt
Management And General	$8,097,853	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$245,437	TotalAmt
Management And General	$245,437	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,634,247	TotalAmt
Program Services	$3,099,964	ProgramServicesAmt
Management And General	$1,534,283	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,623,802	TotalAmt
Program Services	$3,123	ProgramServicesAmt
Management And General	$2,620,679	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$43,598	TotalAmt
Management And General	$43,598	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$850,021	TotalAmt
Program Services	$36,434	ProgramServicesAmt
Management And General	$813,587	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$814,671	TotalAmt
Management And General	$814,671	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,061,104	TotalAmt
Program Services	$4,061,104	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,333,062	TotalAmt
Management And General	$3,333,062	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
EQUIPMENT SERVICE CONTRAC	$3,375,670	$3,005,623	$370,047
CONTRACTED SERVICES	$6,811,517	$2,155,666	$4,655,851
MEDICAL SUPPLIES	$29,285,308	$29,157,432	$127,876
ADMINISTRATIVE EXPENSES	$89,730	$85,275	$4,455

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,595,806	TotalAmt
Program Services	$1,408,316	ProgramServicesAmt
Management And General	$187,490	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$199,141,704	TotalAmt
Program Services	$163,380,071	ProgramServicesAmt
Management And General	$35,761,633	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,187,096	BOYAmt
EOY	$1,977,138	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$647,136	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,816,827	BOYAmt
EOY	$16,721,977	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$28,790	BOYAmt
EOY	$2,195,212	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,442,942	BOYAmt
EOY	$1,647,139	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$307,089,943	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$171,457,701	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$83,939,253	BOYAmt
EOY	$135,632,242	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,605,361	BOYAmt
EOY	$3,839,599	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,768,480	BOYAmt
EOY	$8,555,393	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$117,788,749	BOYAmt
EOY	$171,215,836	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,696,597	BOYAmt
EOY	$56,181,937	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,196,921	BOYAmt
EOY	$5,031,903	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,536,495	BOYAmt
EOY	$6,317,413	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,340,920	BOYAmt
EOY	$62,438,628	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,770,933	BOYAmt
EOY	$129,969,881	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,983,401	BOYAmt
EOY	$40,817,820	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,415	BOYAmt
EOY	$428,135	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$46,017,816	BOYAmt
EOY	$41,245,955	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$117,788,749	BOYAmt
EOY	$171,215,836	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,284,607	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$150,581	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,905,887	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$0	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$0	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0	PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$0	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0	PublicSupportCY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Private Foundation509	Yes (X)	PrivateFoundation509Ind

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$22,744	OtherActivitiesAmt
Total Lobbying Expenditures	$22,744	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	HEALTHALLIANCE HOSPITAL PAYS DUES TO GREATER NY HOSPITAL ASSOCIATION AND HEALTHCARE ASSOCIATION OF NEW YORK STATE. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GREATER NY HOSPITAL ASSOCIATION AND HEALTHCARE ASSOCIATION OF NEW YORK STATE, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTABLE TO LOBBYING ACTIVITIES APPLICABLE TO 2022 HEALTHCARE ASSOCIATION OF NEW YORK STATE AND GREATER NY HOSPITAL ASSOCIATION WAS $22,744	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$779,613	ContributionsAmt
Investment Earnings Or Losses	-$125,596	InvestmentEarningsOrLossesAmt
Administrative Expenses	$6,881	AdministrativeExpensesAmt
End Year Balance	$647,136	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$310,791	OtherCostOrOtherBasisAmt
Book Value	$310,791	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$135,230,404	OtherCostOrOtherBasisAmt
Depreciation	$40,775,985	DepreciationAmt
Book Value	$94,454,419	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,626,048	OtherCostOrOtherBasisAmt
Depreciation	$2,613,246	DepreciationAmt
Book Value	$12,802	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$155,688,398	OtherCostOrOtherBasisAmt
Depreciation	$120,961,594	DepreciationAmt
Book Value	$34,726,804	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,234,302	OtherCostOrOtherBasisAmt
Depreciation	$7,106,876	DepreciationAmt
Book Value	$6,127,426	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$135,632,242	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO REALTED PARTIES	$3,302,603
OTHER NON-CURRENT LIABILITIES	$30,073,879
POST RETIREMENT BENEFIT OBLIGATION	$1,415,678
ENVIRONMENTAL REMEDIATION	$492,141
SECURITY DEPOSITS PAYABLE	$25,450
PHILIPS LIABILITY	$27,128,877

Field	Value	IRS element (for citing)
Total Liability	$62,438,628	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 1b	THE OPERATIONS OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS WERE MERGED WITH HEALTHALLIANCE HOSPITAL IN 2022. WE HAVE INCLUDED A 2022 CONTRIBUTION AMOUNT OF $779,613. THIS REPRESENTS THE ENDOWMENT FUNDS BEGINNING OF YEAR BALANCE OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS THAT WAS TRANSFERRED TO HEALTHALLIANCE HOSPITAL.
Schedule D, Part V, Line 4 Intended uses of endowment funds	INTENDED USE OF THE ENDOWMENT FUNDS. THESE FUNDS ARE TO BE HELD IN PERPETUITY AS RESTRICTED BY THE DONORS. FUNDS ARE MEANT TO EARN INTEREST WHICH SHOULD BE USED TO FUND PROGRAMS AND SERVICES AT HEALTHALLIANCE HOSPITAL.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,957,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$827,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,129,845	NetCommunityBenefitExpnsAmt
Total Expense	0.0157	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,373,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,429,072	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,944,765	NetCommunityBenefitExpnsAmt
Total Expense	0.1152	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$42,331,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,256,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,074,610	NetCommunityBenefitExpnsAmt
Total Expense	0.1309	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,603	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,603	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,776,988	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,426,698	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,350,290	NetCommunityBenefitExpnsAmt
Total Expense	0.0068	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,759,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,017,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,742,538	NetCommunityBenefitExpnsAmt
Total Expense	0.1142	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$46,649,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,443,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,205,431	NetCommunityBenefitExpnsAmt
Total Expense	0.1215	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$88,980,383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,700,342	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,280,041	NetCommunityBenefitExpnsAmt
Total Expense	0.2525	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$407,696	BadDebtExpenseAmt
Reimbursed By Medicare	$40,930,870	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,755,818	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,175,052	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHALLIANCE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	105 MARYS AVENUE	AddressLine1Txt
City	KINGSTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HAHV.ORG	WebsiteAddressTxt
State License	5501001H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHALLIANCE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.HAHV.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.HAHV.ORG/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.hahv.org/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.hahv.org/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.hahv.org/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE PRIORITIES CONSIST OF FOCUS AREAS THAT IMPACT 6 OF THE 8 HEALTH CONCERNS FOR ULSTER COUNTY OUTLINED IN THE MID-HUDSON REGIONAL COMMUNITY HEALTH ASSESSMENT 2022-2024. THE NEW YORK STATE PREVENTION AGENDA OUTLINES TWO OTHER PRIORITY AREAS THAT WERE NOT SELECTED AS PRIORITIES FOR HEALTHALLIANCE HOSPITAL 2022-2024 COMMUNITY SERVICE PLAN: PROMOTE A HEALTHY AND SAFE ENVIRONMENT AND PREVENT COMMUNICABLE DISEASES. ALTHOUGH ALL OF THESE MERIT FOCUS FOR IMPROVING POPULATION HEALTH, THEY WERE NOT SELECTED DUE TO THE LIMITED AMOUNT OF RESOURCES AVAILABLE TO ADDRESS THESE ISSUES AND THE RELATIVE SEVERITY OF NEED DEMONSTRATED FOR THE PRIORITY AREAS THAT WERE CHOSEN.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HEALTHALLIANCE HOSPITAL. HealthAlliance Hospital participated in two community health needs assessment workgroups. The first, led by the Ulster County Departments of Health and Mental Health (UCHMH), includes members of the established Healthy Ulster Council. Representatives from UCHMH, HealthAlliance Hospital, Ellenville Regional Hospital, Cornell Cooperative Extension, Live Well Kingston, American Lung Association, TFAC (Tobacco Free Action Communities) in Ulster, Dutchess, and Sullivan, and the Institute for Family Health, regularly meet to build on existing strengths, share services with one another, and create an integrated system of chronic disease prevention. The focus for 2022, however, has been on the community health assessment (CHA) and the monthly meetings were spent discussing assessment timeline, survey distribution strategies, data review, Prevention Agenda priority selection, and best-practices intervention presentations to be included in the members' community health improvement plan (CHIP) or community service plan (CSP). While all members reviewed and analyzed secondary data sources, e.g., federal, state, regional and local data, to identify trends and patterns that influence or result in poor physical and behavioral health outcomes for Ulster County residents, primary data collection and analysis activities were conducted by Siena College Research Institute (SCRI) under contract with the seven counties' Departments of Health, including Ulster County. SCRI conducted a Mid-Hudson Regional Community Health Assessment survey and collected 5,699 responses from the region's adult residents from March - May 2022. The overall sample was weighted by age, gender, reported race/ethnicity, income and county using the 2015-2020 American Community Survey (ACS) 5-year estimates to ensure statistical representativeness. Respondents were contacted in English and Spanish via landline telephone, cell phone, an online panel, online recruitment from each county and at various in-person events, and other community partnerships to enhance representation. HealthAlliance Hospital further facilitated survey distribution efforts to ensure all segments of the county's population were provided a chance to voice their health needs and concerns, especially those underserved and underrepresented. The hospital posted the community survey link on its public-facing webpage and publicized the survey opportunity through its social media platforms, including Instagram and Twitter. HealthAlliance also disseminated the survey to all employees for their participation and input; partnered with Ulster County Chamber of Commerce and utilized the snow-ball method to distribute to all of their members, who in turn encouraged their employees to complete the survey; conducted community outreach at community events, including the popular Hudson Valley Renegades baseball games in the Minor League, the Dutchess/Ulster Heart Walk, and the Kingston Women's Bike Fest; partnered with People's Place, a not-for-profit agency in Ulster County, to ask their patrons to participate in the survey as the agency serves a traditionally underserved and low-income population; and promoted the survey link via a QR code (e.g. printed and publicly posted large posters with the QR code) for ease of participation. Over a two-month period, a total of 647 Ulster County adult residents completed the community survey. The county-wide sample of 647 was also weighted by age, gender, reported race/ethnicity, and income to ensure statistical representativeness. In addition to participating in the Mid-Hudson Regional Community Health survey, a Community Partner Survey was also conducted by Siena College in the spring and early summer of 2022. The survey collected data from health and human services providers who serve underrepresented populations, including low-income, veterans, persons experiencing homelessness, the aging population, the LGBTQIA+ community, and people with a mental health diagnosis or those with a substance use disorder (SUD). HealthAlliance Hospital participated as a respondent among the final sample of 40. HealthAlliance Hospital also joined the Greater New York Hospital Association's (GNYHA) 2022 Community Health Needs Assessment (CHNA) Collaborative, which supported participating hospital members' primary data collection efforts to meet the requirements of the NYS CSP by gathering information on community health needs and engaging with community members. A diverse group of GNYHA member hospitals across the state participated in the Collaborative, including community and safety net hospitals, small health systems, and large academic medical centers. GNYHA developed the CHNA survey with members' input in multiple stages through a collaborative and iterative process, made the survey available in 11 languages on paper and online, collected the data and analyzed the results, and created custom reports for each participating hospital. The survey used validated questions from existing surveys such as the CDC, BRFSS (Behavioral Risk Factor Surveillance System), and the NYC Department of Health and Mental Hygiene's Community Health Survey (NYC CHS). Once the CHNA survey was designed, all recruitment activities were tasked among participating hospital members. HealthAlliance Hospital, along with other participating collaborative members, engaged and enlisted adult participants using similar strategies as the Mid-Hudson Regional Community Health survey mentioned above. The Collaborative efforts resulted in a final sample of more than 17,600 responses; 331 of which were from Ulster County.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - HEALTHALLIANCE HOSPITAL. The CHNA was conducted with HealthAlliance Hospital (both Broadway and Mary's Avenue Campuses) and Ellenville Hospital.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - HEALTHALLIANCE HOSPITAL. HealthAlliance Hospital participated in two community health needs assessment workgroups. The first, led by the Ulster County Departments of Health and Mental Health (UCHMH), includes members of the established Healthy Ulster Council. Representatives from UCHMH, HealthAlliance Hospital, Ellenville Regional Hospital, Cornell Cooperative Extension, Live Well Kingston, American Lung Association, TFAC (Tobacco Free Action Communities) in Ulster, Dutchess, and Sullivan, and the Institute for Family Health. HealthAlliance Hospital also joined the Greater New York Hospital Association's (GNYHA) 2022 Community Health Needs Assessment (CHNA) Collaborative, which supported participating hospital members' primary data collection efforts to meet the requirements of the NYS CSP by gathering information on community health needs and engaging with community members.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - HEALTHALLIANCE HOSPITAL. Based on the findings at the conclusion of the two CHNA workgroup assessments, along with an internal review process to determine HealthAlliance's areas of expertise and available resources, HealthAlliance Hospital aligned its action plans with the NYS 2019-2024 Prevention Agenda by targeting two public health prevention priorities: I. Prevent Chronic Diseases Focus Area 4: Chronic Disease Preventive Care and Management II. Promote Healthy Women, Infants and Children Focus Area 1: Maternal and Women's Health For Priority I, HealthAlliance Hospital, through its outpatient Diabetes Education Center, plans to promote an evidence-based care intervention to prevent and manage diabetes and prediabetes patients by 1) increasing the proportion of people with diabetes who get formal diabetes education by 10% by December 2024 and 2) decreasing the percentage of adult members with diabetes whose most recent HbA1c (hemoglobin A1C) level indicated poor control (>9%) by 10% by December 2024. To achieve these goals, the Center, which is recognized by the American Diabetes Association (ADA), will provide the Intensive Lifestyle Interventions education program for patients with type 2 diabetes to improve their glycemic control and reduce their risk factors for cardiovascular disease. By 6 December 2024, the Center's Certified Diabetes Care and Education Specialists (CDCES) will serve a minimum of 220 patients annually and will develop individualized management plans that fit their patients' lifestyles, beliefs, and culture. The CDCES will also integrate the ADCES' (Association of Diabetes Care & Education Specialists) seven self-care behaviors: Healthy Coping, Healthy Eating, Being Active, Taking Medication, Monitoring, Reducing Risk, and Problem Solving, into the intervention. The program will also focus on providing additional support to Medicaid patients to address their social determinants of health (SDOH) needs. For Priority II, by December 2024, HealthAlliance Hospital's goal is to reduce low-risk C-section (Cesarean delivery) to less than 25% from the current rate of 30%. Through WMCHealth Institute for Women's Health and Wellness, the new Comprehensive Women's Health Center and HealthAlliance Hospital will attain this goal with a multi-strategic approach. Those strategies include: 1) train all Obstetrics staff with the Relias performance modules, which promote vaginal birth and fetal heart rate monitoring; 2) offer expectant mothers prenatal obstetrics consultations and patient education opportunities to raise awareness about how to prepare for a healthy pregnancy and promote natural childbirth; 3) implement an updated workflow process among providers to utilize the revised C-section checklists to enable prenatal record and ultrasonography review; 4) implement Peer-to-Peer Discussions prior to any unscheduled, non-urgent C-sections; and 5) collaborate with community partners and enhance community outreach efforts to increase the number of enrolled expectant mothers into prenatal care, as well as linking Substance Use Disorders (SUD) mothers through HealthAlliance Hospital's widely successful Neonatal Abstinence Syndrome (NAS) program to address their SUD and SDOH needs. The NYS Prevention Agenda outlines three other priority areas that were not selected as public health priorities for the HealthAlliance Hospital 2022-2024 CSP: Promote a Healthy and Safe Environment, Promote Well-Being and Prevent Mental and Substance Use Disorders, and Prevent Communicable Diseases, as a result of the public input and internal ranking system process. Beyond the two selected public health priorities, HealthAlliance Hospital acknowledges the wide range of significant health needs that were identified but cannot be addressed by the hospital due to the level of priority and the lack of expertise and resources. 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN NYS prevention agenda priority area: Prevent chronic diseases Focus area 4: Chronic Disease Preventive Care and Management Prevention agenda goal 4.3: Promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and prediabetes and obesity. Objective 4.3.1: Increase the proportion of people with diabetes who get formal diabetes education (Healthy People 2030 - D-06) by 10% by December 2024 Evidence based intervention: Diabetes Management: Intensive Lifestyle Interventions for Patients with type 2 Diabetes to improve glycemic control and reduce risk factors for cardiovascular disease (https://www.thecommunityguide.org/findings/diabetes-intensive-lifestyle-interventions-patients-type-2-diabetes). Disparities Addressed: Low-income, racial/ethnic minorities, seniors and disadvantaged urban and rural communities NYS prevention agenda priority area: Prevent chronic diseases Focus area 4: Chronic Disease Preventive Care and Management Prevention agenda goal 4.3: Promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and prediabetes and obesity. Objective 4.3.2: Decrease the percentage of adult members with diabetes whose most recent HbA1c level indicated poor control (>9%) by 10% by December 2024 Evidence based intervention: Diabetes care and education specialists (DCES) will serve approximately 220 participants annually by December 2024 and develop individualized management plans that fit their lifestyles, beliefs and cultures. The DCES will ensure participants understand how to use various diabetic prevention devices like glucometers, insulin pens, pumps and continuous glucose monitoring devices; and use the information from these devices and participants' lifestyles to identify patterns and opportunities for better diabetic management. Furthermore, the specialists will help participants to develop coping skills to address the daily challenges of the disease, reduce the risks for complications, decrease costs by reducing or eliminating the need for medications and emergency room visits, and help find and access cost-savings programs. Disparities Addressed: Low-income, racial/ethnic minorities, seniors and disadvantaged urban and rural communities NYS prevention agenda priority area: Promote Healthy Women, Infants and Children Focus area 1: Maternal & Women's Health Prevention agenda goal 1.2.1: Reduce Maternal Mortality and Morbidity Objective 1.2.1: Decrease low-risk C-section (Cesarean delivery) rate to less than 25%. Evidence based intervention: * Enroll and train Obstetrics (OB) staff in an interactive online training platform, Relias Performance Modules, which promote vaginal birth and fetal heart rate monitoring; * Offer expectant mothers prenatal obstetrics consultations, including anesthesia consultation to evaluate high-risk stratified patients, as well as patient educations opportunities to raise awareness about how to prepare for a healthy pregnancy and to promote natural, vaginal childbirth; * Necessitate the usage of the revised C-section (Cesarean section) checklists, such as the labor induction and C-section scheduling forms, as part of a standardized process and workflow among providers to enable prenatal record and ultrasonography review; * Implement peer-to-peer discussion prior to unscheduled, non-urgent C-sections to ensure evidence-based care practice guidelines, in accordance with the American College of Obstetricians and Gynecologists (ACOG), are properly followed; and * Collaborate with community partners and enhance community outreach efforts to increase the number of expectant mothers enrolls into prenatal care, as well as linking opioid use disorders patients through HealthAlliance Hospital's successful Neonatal Abstiencne Syndrome (NAS) Project to address some of their SDOH needs Disparities Addressed: Low-income, racial/ethnic minorities

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ULSTER RADIATION & ONCOLOGY
117 MARYS AVENUE	KINGSTON	NY	12401	OUTPATIENT RADIATION CENTER
COMPREHENSIVE SUPPORT SERVICES LLC
45 PINE GROVE AVENUE	KINGSTON	NY	12401	OUTPATIENT DIAGNOSTIC IMAG CTR

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 FINANCIAL ASSISTANCE AT COST	The hospitals' costing methodology was based upon worksheet 2 of the IRS 990 instructions. The cost-to-charge ratio was used for the various sub-line items of line # 7.
Schedule H, Part I, Line 7g SUBSIDIZED SERVICES	The costs on line 7g do not include any costs attributable to physician clinics.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	The amount reported on line 2 is equal to the provision for bad debt expense per the audited financial statements (AFS). The explanation of the methodology used to estimate this amount can be found in footnote #2 on pages 19-20 of the attached Audited Financial Statements.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The text of the footnote that describes bad debt expense can be found on pages 19-20 of the attached Audited Financial Statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The costs on line 6 were taken directly from the cost report costs (D & E & I-series, where applicable) plus lab fee schedule costs and payments less subsidized services & Medicare losses which were taken from Exhibit 46 of the New York State Institutional Cost Report. For both hospital campuses, there were no shortfalls from Medicare for 2022, therefore, there is no consideration for a community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	The credit and collection policy for self-pay balances provides that, in some cases, non-insured patients that do not qualify for Medicaid qualify for charity care. In those instances, the credit and collection department will follow the guidelines as set forth in the charity care policy. The charity care policy provides that the financial counselor evaluates the information provided in patients' charity care applications in conjunction with federal income poverty guidelines to determine the write-off percentage. If the patient/guarantor qualifies for charity care based on the sliding scale, the patient will be required to pay the outstanding amount. A payment plan is established not to exceed 10% of the guarantor's gross monthly income.
Schedule H, Part V, Section B, Line 16a FAP website	- HEALTHALLIANCE HOSPITAL: Line 16a URL: https://www.hahv.org/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- HEALTHALLIANCE HOSPITAL: Line 16b URL: https://www.hahv.org/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- HEALTHALLIANCE HOSPITAL: Line 16c URL: https://www.hahv.org/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	For the community-based strategies, HealthAlliance will continue to actively participate in a work group consisting of the public health department and health partners for the purposes of maintaining engagement with local partners over the during the period of this CHNA. Initially, meetings will be held throughout the year; however, frequency will be revisited throughout the timeframe to ensure that the meetings are meeting the needs of all partners. METHODOLOGY AND PROCESS HealthAlliance Hospital participated in two community health needs assessment workgroups. The first, led by the Ulster County Departments of Health and Mental Health (UCHMH), includes members of the established Healthy Ulster Council. Representatives from UCHMH, HealthAlliance Hospital, Ellenville Regional Hospital, Cornell Cooperative Extension, Live Well Kingston, American Lung Association, TFAC (Tobacco Free Action Communities) in Ulster, Dutchess, and Sullivan, and the Institute for Family Health, regularly meet to build on existing strengths, share services with one another, and create an integrated system of chronic disease prevention. The focus for 2022, however, has been on the community health assessment (CHA) and the monthly meetings were spent discussing assessment timeline, survey distribution strategies, data review, Prevention Agenda priority selection, and best-practices intervention presentations to be included in the members' community health improvement plan (CHIP) or community service plan (CSP). While all members reviewed and analyzed secondary data sources, e.g., federal, state, regional and local data, to identify trends and patterns that influence or result in poor physical and behavioral health outcomes for Ulster County residents, primary data collection and analysis activities were conducted by Siena College Research Institute (SCRI) under contract with the seven counties' Departments of Health, including Ulster County. SCRI conducted a Mid-Hudson Regional Community Health Assessment survey and collected 5,699 responses from the region's adult residents from March - May 2022. The overall sample was weighted by age, gender, reported race/ethnicity, income and county using the 2015-2020 American Community Survey (ACS) 5-year estimates to ensure statistical representativeness. Respondents were contacted in English and Spanish via landline telephone, cell phone, an online panel, online recruitment from each county and at various in-person events, and other community partnerships to enhance representation. HealthAlliance Hospital further facilitated survey distribution efforts to ensure all segments of the county's population were provided a chance to voice their health needs and concerns, especially those underserved and underrepresented. The hospital posted the community survey link on its public-facing webpage and publicized the survey opportunity through its social media platforms, including Instagram and Twitter. HealthAlliance also disseminated the survey to all employees for their participation and input; partnered with Ulster County Chamber of Commerce and utilized the snow-ball method to distribute to all of their members, who in turn encouraged their employees to complete the survey; conducted community outreach at community events, including the popular Hudson Valley Renegades baseball games in the Minor League, the Dutchess/Ulster Heart Walk, and the Kingston Women's Bike Fest; partnered with People's Place, a not-for-profit agency in Ulster County, to ask their patrons to participate in the survey as the agency serves a traditionally underserved and low-income population; and promoted the survey link via a QR code (e.g. printed and publicly posted large posters with the QR code) for ease of participation. Over a two-month period, a total of 647 Ulster County adult residents completed the community survey. The county-wide sample of 647 was also weighted by age, gender, reported race/ethnicity, and income to ensure statistical representativeness. In addition to participating in the Mid-Hudson Regional Community Health survey, a Community Partner Survey was also conducted by Siena College in the spring and early summer of 2022. The survey collected data from health and human services providers who serve underrepresented populations, including low-income, veterans, persons experiencing homelessness, the aging population, the LGBTQIA+ community, and people with a mental health diagnosis or those with a substance use disorder (SUD). HealthAlliance Hospital participated as a respondent among the final sample of 40. HealthAlliance Hospital also joined the Greater New York Hospital Association's (GNYHA) 2022 Community Health Needs Assessment (CHNA) Collaborative, which supported participating hospital members' primary data collection efforts to meet the requirements of the NYS CSP by gathering information on community health needs and engaging with community members. A diverse group of GNYHA member hospitals across the state participated in the Collaborative, including community and safety net hospitals, small health systems, and large academic medical centers. GNYHA developed the CHNA survey with members' input in multiple stages through a collaborative and iterative process, made the survey available in 11 languages on paper and online, collected the data and analyzed the results, and created custom reports for each participating hospital. The survey used validated questions from existing surveys such as the CDC, BRFSS (Behavioral Risk Factor Surveillance System), and the NYC Department of Health and Mental Hygiene's Community Health Survey (NYC CHS). Once the CHNA survey was designed, all recruitment activities were tasked among participating hospital members. HealthAlliance Hospital, along with other participating collaborative members, engaged and enlisted adult participants using similar strategies as the Mid-Hudson Regional Community Health survey mentioned above. The Collaborative efforts resulted in a final sample of more than 17,600 responses; 331 of which were from Ulster County.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	The hospital informs the patient of the availability of charity care several ways: 1. notice is on every patient bill with an application on the back of the bill 2. on the hospital website 3. all members of the patient accounting department are trained to screen patients for charity care when discussing bills and concerns regarding inability to pay 4. fliers are posted in registration areas of the hospital 5. registration clerks will identify patients without a pay source and refer the patient to a financial counselor and hand the patient a financial assistance form 6. financial counselors assist patients in securing Medicaid and screen for charity care 7. the collection agencies that HAHV engages with are aware of the charity care policy and assist patients in applying up to 180 post-placement with them HealthAlliance is committed to: * providing access to quality healthcare services with compassion, dignity and respect for those we serve, particularly the poor and the underserved in our communities. * caring for all persons, regardless of their ability to pay for services. * assisting patients who cannot pay for part or all of the care they receive. * balancing needed financial assistance for some patients with broader fiscal responsibilities in order to sustain viability and provide the quality and quantity of services for all who may need care in a community. In accordance with American Hospital Association recommendations, HealthAlliance adopted the following guiding principles when handling the billing, collection and financial support functions for our patients: * provide effective communications with patients regarding hospital bills * make affirmative efforts to help patients apply for public and private financial support programs * offer financial support to patients with limited means * implement policies for assisting low-income patients in a consistent manner * implement fair and consistent billing and collection practices for all patients with patient payment obligations HealthAlliance effectively communicates with patients regarding patient payment obligations. Financial counseling is provided to patients about their payment obligation and hospital bills. Information on hospital-based financial support policies and external programs that provide coverage for services are made available to patients during the pre-registration and registration processes and in response to patients seeking financial assistance. Information regarding the financial assistance is also provided by the onsite financial counseling staff in both inpatient and outpatient areas. Patient accounting also supports the financial counseling program by providing patients with information and applications while handling customer service calls. Our financial counselors and county Medicaid workers also provide guidance regarding the financial assistance program when necessary. Financial assistance is available on the back of every hospital bill as well as the hospital website at www.hahv.org. Financial counselors make affirmative efforts to help patients apply for public and private programs for which they may qualify and that may help them obtain and pay for healthcare services. The patient does not need to have an account with the hospital; they just have to be in a situation in which they are in need of insurance coverage. Every effort is made to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial support can be made during any stage of the patient's stay after stabilization or collection cycle. HealthAlliance offers financial support to patients with limited means. This support is available to uninsured and underinsured patients who do not qualify for public programs or other assistance. Notification about financial assistance, including contact information, is available through the hospital website, hospital posters and flyers, financial assistance applications and hospital statements. The financial assistance policy (FAP) and application are available on our website at https://www.hahv.org/financial-assistance and are supplied in both English and Spanish as well as plain language summary format. If additional assistance is needed, HealthAlliance offers translation services for patients. HealthAlliance has an established written policy for the billing, collection and support for patients with payment obligations. The organization makes every effort to adhere to the policy and is committed to implementing and applying the policy for assisting patients with limited means in a professional, consistent manner. Educated staff members work closely with patients (including those working in patient registration and admitting, financial assistance, customer service, billing and collections) about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance status or their ability to pay for services. All patient registration staff receives in-service training regarding the financial assistance program. Patient accounting also receives information about the program and how to handle patients seeking financial assistance. Financial counselors receive in depth training to handle financial assistance requests, process applications, and manage outcomes. HealthAlliance provides several options for patients who either do not have insurance coverage or who have inadequate insurance coverage. Our many programs have been very successful and many have taken advantage of our offerings. Financial counseling offers a patient the opportunity to speak to a financial counselor to determine what assistance can be accessible based on family income. Patients often shop around for the most economical healthcare and we offer price quotes. This allows the patient to know their financial obligation up front and understand the competitive pricing being offered. Despite millions of dollars of charity care distributed to needy patients every year, a consistent challenge is patients not utilizing the programs we offer. Often, they don't want to provide the necessary financial information to initiate the financial aid process. Continual outreach and education will be ongoing to minimize confusion and improve utilization. HealthAlliance is committed to providing the best possible healthcare and is very sensitive to low income patients' ability to pay. The call center offers the convenience of calling one telephone number for all billing inquiries regardless of which hospital the patient is calling about.
Schedule H, Part VI, Line 4 Community information	In 2022, HealthAlliance of the Hudson Valley, a member of the Westchester Medical Center Health Network (WMCHealth), operated a 315-hospital-bed health care system comprising HealthAlliance Hospital Mary's Avenue campus and HealthAlliance hospital Broadway campus in Kingston, NY, and the Margaretville Hospital in Margaretville, NY. It also operated Mountainside Residential Care Center, an 82-bed nursing home in Margaretville adjacent to Margaretville Hospital. In December 2022, HAH Mary's Avenue Campus and HAH Broadway Campus merged into one hospital at the Mary's Avenue location, completing a 113 million dollar expansion and enhancement. The HealthAlliance Broadway will be transformed into a Health Village for outpatient services. HealthAlliance is guided by the needs of its patients and their families. HealthAlliance delivers the best health care of the highest value in a safe, compassionate environment; invests in innovative technologies and leading-edge therapies to advance health care delivery; and improves the overall health and well-being of the diverse communities it serves. HealthAlliance defines its primary service area (PSA) by a federal definition that consists of the top 75% of hospital discharges from the lowest number of contiguous zip codes. Due to the geographical location of acute care hospitals under HealthAlliance, there are two distinct primary service areas that lie within Ulster and Delaware counties, though not encompassing all of each county. Although defined as two service areas, HealthAlliance regards it as a single primary service area for operational community need development. According to the 2020 Census, the population for Ulster County was 178,371 with populations concentrated in the cities of Kingston, New Paltz and Saugerties. Patients from adjacent counties also visit the hospital or one of our outpatient locations for services that may not be available in their respective communities. Ulster County's percentage of adult smokers from 2013 to 2016 decreased from 21.1% to 15.2%. In addition, Ulster County reported a higher percentage of cigarette smoking among those with poor mental health compared to those who indicated not having poor mental health (24.5% vs 15.2%). Although cigarette use has been decreasing over time, the use of electronic vapor products, also known as e-cigarettes, has increased dramatically. Ulster County is monitoring the use of vaping, especially among the young people of the county. According to the NYSDOH, the use of e-cigarettes among high school youth increased 160% over the past 4 years. The data show a surge in binge drinking, going from 10.5% of adults reporting binge drinking in 2013-2014, to more than double that at 22.2% in 2016. Ulster County continues to show the highest rates of binge drinking compared to the region and New York State. Lastly, authorities in Ulster County have recently been focusing attention on the increasing incidence of opioid-related overdoses and deaths. Overdoses have more than doubled in the most recent five-year span measured. Overdose deaths have increased 447% since 2010, and most deaths occur in those aged 18-44 years.
Schedule H, Part VI, Line 5 Promotion of community health	Please see narrative for Schedule H, Part V, Section B, Line 11 for a complete description of how the organization's hospital facilities further its exempt purposes by promoting the health of the community. In addition, the ongoing COVID-19 pandemic created a greater need and focus on community health care. HealthAlliance of the Hudson Valley and the WMCHealth Network continued the leading role in the Hudson Valley on the dissemination of information surrounding COVID-19, educating the community, providing community testing, and vaccination. In all of our efforts we focused on the hardest to reach individuals and communities. We coordinated closely in all of our COVID-19 messaging, outreach, and direct care with New York State Department of Health, Delaware County Department of Health, and Ulster County Department of Health, other hospitals, healthcare providers, and Federally Qualified Health Centers. We provided detailed and ongoing information and messaging for community organizations, employers, and municipal governments. We participated at all levels of governments and with numerous community organizations on COVID-19 planning, preparedness, and response efforts. Additionally, HAHV's clinical and community relations teams provide ongoing outreach, education and programming services to the communities it serves. HAHV participated in dozens of community events in 2022 which included such things as: hosting a wide variety of cancer support groups, providing bike helmet safety fittings, lending clinical expertise to community meetings and roundtables on health care issues (i.e. substance abuse, behavioral health care, pre-natal care, diabetes, etc.). Free health screenings were offered at public events including Prostate Cancer screening and Cervical Cancer screening. We also distributed information on public health issues such as Lyme Disease and Wound Care at numerous community events. Healthy cooking classes were offered to our patients and the communities to assist individuals in taking an active role in their ongoing health and wellness. HAHV also supports local charities in their mission of health and wellness in the communities.
Schedule H, Part VI, Line 6 Affiliated health care system	HealthAlliance of the Hudson Valley (HAHV) is the parent company to affiliate members HealthAlliance Mary's Avenue Campus, Broadway Campus, Margaretville Memorial Hospital, a rural critical access hospital and Mountainside Residential Care Center, a skilled nursing facility. This integrated healthcare system is committed to providing quality and compassionate medical care for our patients, their families and our community. In addition to service consolidation between the two Kingston hospitals, HAHV also committed to streamlining operations and improving care at the other affiliate locations. In September of 2020, the consolidation of HAHV Broadway Campus to the Mary's Ave Campus' operating license. The newly renovated, consolidated hospital opened at Mary's Ave in December of 2022. The Broadway campus will be transformed into a Health Village for outpatient services. On the reimagined Broadway campus, in the heart of Kingston, HealthAlliance will collaborate with community partners in the health village to provide preventative and primary care services in one convenient destination.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY BRUDNICKI
TRUSTEE/CFO	$0	$1,556,526	$0	$750,000	$0	$27,000	$0	$0	$0	$70,137	$0	$2,403,663	$0	$0
MICHAEL DOYLE MD
EXECUTIVE DIRECTOR & CMO	$509,142	$0	$109,336	$0	$556	$0	$8,115	$0	$586	$0	$627,735	$0	$0	$0
MICHAEL ISRAEL
VICE CHAIR	$0	$2,013,987	$0	$1,365,000	$0	$27,000	$0	$0	$0	$57,096	$0	$3,463,083	$0	$0
JAMAL MAHDAVIAN MD
PRESIDENT MEDICAL STAFF	$0	$630,937	$0	$0	$0	$0	$0	$31,700	$0	$12,311	$0	$674,948	$0	$0
JOSHUA RATNER
TRUSTEE	$0	$791,139	$0	$264,950	$0	$12,750	$0	$42,700	$0	$37,657	$0	$1,149,196	$0	$0
FALAK SHAH MD
VP MEDICAL STAFF (EFFECTIVE JANUARY 2022)	$0	$646,158	$0	$0	$0	$0	$0	$31,700	$0	$28,708	$0	$706,566	$0	$0
JULIE SWITZER
TRUSTEE/SECRETARY	$0	$776,327	$0	$259,280	$0	$27,000	$0	$0	$0	$47,287	$0	$1,109,894	$0	$0
JOSEPH MARSICOVETE
FORMER CHIEF OPERATING OFFICER (RESIGNED JUNE 2021)	$0	$0	$0	$0	$202,304	$0	$0	$0	$0	$0	$202,304	$0	$0	$0
ELISSA WALISZEWSKI
CHIEF OPERATING OFFICER - NORTHERN REGION	$0	$357,908	$0	$0	$0	$0	$0	$20,500	$0	$28,962	$0	$407,370	$0	$0
LOWELL FLEY
ASSISTANT DIRECTOR, RADIOLOGY	$207,304	$0	$3,000	$0	$120	$0	$3,191	$0	$31,000	$0	$244,615	$0	$0	$0
MICHAEL SCHAFF
DIRECTOR OF PHARMACY	$185,845	$0	$0	$0	$96	$0	$4,680	$0	$11,490	$0	$202,111	$0	$0	$0
ELIZABETH STANZIONE
PHARMACIST	$177,967	$0	$0	$0	$1,524	$0	$4,499	$0	$11,670	$0	$195,660	$0	$0	$0
DEREK TOMPKINS
CHIEF MRI TECHNOLOGIST	$203,646	$0	$0	$0	$108	$0	$5,123	$0	$11,490	$0	$220,367	$0	$0	$0
JANE ULRICH
SR. VP OF NURSING	$209,189	$0	$0	$0	$1,379	$0	$5,273	$0	$23,936	$0	$239,777	$0	$0	$0

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Tax Imposed	$15	TaxImposedAmt
Tax Reimbursed	$9	TaxReimbursedAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 2 New program services	AS PART OF HA'S PLAN TO TRANSITION TO A SINGLE HOSPITAL CAMPUS IN KINGSTON, NEW YORK, AS APPROVED BY THE NYS DEPARTMENT OF HEALTH, THE MEDICARE PROVIDER NUMBER FOR THE BROADWAY HOSPITAL CAMPUS WAS MERGED INTO THE PROVIDER NUMBER FOR THE MARY'S AVE HOSPITAL CAMPUS. THE MAJORITY OF THE BROADWAY HOSPITAL CAMPUS PATIENT CARE SERVICES HAVE BEEN CONSOLIDATED INTO MARY'S AVE. HEALTHALLIANCE, INC, THE PARENT ORGANIZATION, WILL BE REDEVELOPING THE BROADWAY HOSPITAL CAMPUS INTO A "MEDICAL VILLAGE" FOCUSED ON PROVIDING CRITICAL OUTPATIENT SERVICES TO THE COMMUNITIES SERVED.
Form 990, Part VI, Line 6 Classes of members or stockholders	HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL ("HAH").
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL AND HAS THE POWER TO ELECT AND APPOINT MEMBERS OF THE BOARDS OF DIRECTORS AND BOARD OFFICERS OF THE HOSPITALS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	ALL DECISIONS WITH RELATION TO HEALTHALLIANCE HOSPITAL ARE MADE AT THE HEALTHALLIANCE, INC. BOARD LEVEL. THESE DECISIONS INCLUDE APPROVAL/REMOVAL OF CORPORATE OFFICERS, APPROVAL OF BYLAW AMENDMENTS, REVIEW OF ANNUAL CAPITAL AND OPERATING BUDGETS, REVIEW AND/OR MODIFICATION OF ANY CERTIFICATE OF NEED APPLICATIONS, REVIEW INCURRENCE OF DEBT AND DEVELOP AND IMPLEMENT JOINT MEDICAL STAFF APPOINTMENTS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATION'S FINANCE DEPARTMENT AND OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMCHEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) DISCLOSURE OF THE CONFLICT, 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT, 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE DETERMINATION OF THE CEO'S COMPENSATION INVOLVES THE ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A COMPENSATION STUDY/SURVEY. ONCE COMPLETED, THE FINDINGS AND RECOMMENDATIONS FROM THE CONSULTANT ARE BROUGHT TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. UPON THE COMMITTEE'S REVIEW AND APPROVAL, THE CEO'S EMPLOYMENT CONTRACT IS DEVELOPED. FOR OTHER TOP MANAGEMENT OFFICIALS, THE SAME PROCESS IS USED WITH THE EXCEPTION THAT THE FINDINGS ARE USED TO DEVELOP AND EXECUTE A LETTER OF EMPLOYMENT VERSUS A CONTRACT.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	CONTRACTED SERVICES - Total Expense: 22504869, Program Service Expense: 18699926, Management and General Expenses: 3804943, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 3194839, Program Service Expense: 3194839, Management and General Expenses: 0, Fundraising Expenses: 0; MANPOWER - Total Expense: 12238705, Program Service Expense: 12208099, Management and General Expenses: 30606, Fundraising Expenses: 0; OTHER FEES - Total Expense: 5417047, Program Service Expense: 1154743, Management and General Expenses: 4262304, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	ASSET IMPAIRMENT - -967173; TRANSFER TO RELATED PARTIES - 24486810; HOSPITAL CONSOLIDATION - -29425524;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS ROAD	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(c)(3)	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(c)(3)	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY		NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(c)(3)	WCHCC	false
NORTH ROAD LHCSA INC
100 WOODS ROAD	VALHALLA	NY	10595	465293268	HOMECARE SVCS	NY	501(c)(3)	WCHCC	false	10
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS ROAD	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(c)(3)	WCHCC	false	10
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROAD	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(c)(3)	WCHCC	false	7
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(c)(3)	HA INC	false	3
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	150552726	EXEMPT HOSP	NY	501(c)(3)	HA INC	false	3
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(c)(3)	MMH	false	10
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(c)(3)	MMH	false
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVE	SUFFERN	NY	10901	133400353	SUPPORT FDN	NY	501(c)(3)	BSCHSI	false	7
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVE	SUFFERN	NY	10901	810667395	SUPPORT FDN	NY	501(c)(3)	BSCHSI	false	7
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(c)(3)	BSCHSI	false	7
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(c)(3)	WCHCC	false	Type III-FI
HEALTH ALLIANCE INC
105 MARYS AVENUE	KINGSTON	NY	12401	261850453	SUPPORTING	NY	501(c)(3)	WCHCC	false
HEALTHALLIANCE FOUNDATION INC
105 MARYS AVENUE	KINGSTON	NY	12401	222511450	FUNDRAISING	NY	501(c)(3)	HA INC	false	7

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE LIMITED
23 LIME TREE BAY AVE	PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	BSCHSI	C Corporation	false
HUDSON RIVER NORTH INSURANCE LIMITED
23 LIME TREE BAY AVE	PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	HA Inc	C Corporation	false
NORTHEAST PROVIDER SOLUTIONS INC
				MSO & HEARING		NA	C Corporation	false	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
				PHYSICIAN OFF		NA	C Corporation	false	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET		HAMILTON	BD	CAP INSURANCE	BD	NA	C Corporation	false
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
				INVESTMENT		HAH BWAY	C Corporation	false	105 MARYS AVENUE	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
				MEDICAL SVCS		NA	C Corporation	false	396 BROADWAY	KINGSTON	NY	12401	203564769	NY
BSCHS MEDICAL GROUP PC
				PHYSICIAN OFF		BSCHSI	C Corporation	false	10 FRANKLIN TURNPIKE	MAHWAH	NJ	07430	821632215	NJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part II BON SECOURS CHARITY HEALTH SYSTEM, INC. (BSCHS)	FormAndLineReferenceDesc
Explanation	HEALTHALLIANCE HOSPITAL MARY'S AVE CAMPUS HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS.	ExplanationTxt