HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS (EIN 14-1338470)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202243159349304139
Schema version: 2021v4.2
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	2022-11-11T12:02:25-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	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 Mary's Ave Campus	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ERIN NAGY	InCareOfNm
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	DR MICHAEL DOYLE	PersonNm
Person Title	EXEC. DIRECTOR/CMO	PersonTitleTxt
Phone	8459436084	PhoneNum
Signature	2022-11-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	DOYLE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	justin lowe	PreparerPersonNm
PTIN	P01866796	PTIN
Phone	2023276000	PhoneNum
Preparation	2022-11-08	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DR MICHAEL DOYLE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	396 BROADWAY	AddressLine1Txt
City	KINGSTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$219,919,158	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 mary's avenue campus is to provide the highest quality health care services to all people in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	698	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$36,599,274	PYContributionsGrantsAmt
CY Contributions Grants	$71,551,601	CYContributionsGrantsAmt
PY Program Service Revenue	$49,920,374	PYProgramServiceRevenueAmt
CY Program Service Revenue	$141,894,791	CYProgramServiceRevenueAmt
PY Investment Income	$2,952,863	PYInvestmentIncomeAmt
CY Investment Income	$2,951,353	CYInvestmentIncomeAmt
PY Other Revenue	$9,475,433	PYOtherRevenueAmt
CY Other Revenue	$3,310,556	CYOtherRevenueAmt
PY Total Revenue	$98,947,944	PYTotalRevenueAmt
CY Total Revenue	$219,708,301	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$46,552,458	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$103,732,463	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$47,036,435	PYOtherExpensesAmt
CY Other Expenses	$77,014,216	CYOtherExpensesAmt
PY Total Expenses	$93,588,893	PYTotalExpensesAmt
CY Total Expenses	$180,746,679	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,359,051	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,961,622	CYRevenuesLessExpensesAmt
Total Assets BOY	$55,047,780	TotalAssetsBOYAmt
Total Assets EOY	$117,788,749	TotalAssetsEOYAmt
Total Liabilities BOY	$48,032,529	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$71,770,933	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,015,251	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$46,017,816	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF HEALTHALLIANCE HOSPITAL MARY'S AVENUE 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	$147,297,291	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$143,930,355	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 MARY'S AVENUE CAMPUS RECORDED 26,357 PATIENT DAYS AND 3,212 SURGERIES (INPATIENT 705 & AMBULATORY 2,507). HEALTHALLIANCE MARY'S AVENUE CAMPUS 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 2021 WERE APPROXIMATELY 122,000 (INCLUDING COVID LABS AND VACCINATIONS).	Desc
Total Program Service Expenses	$147,297,291	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	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	Yes (true)	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	698	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
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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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

Field	Value	IRS element (for citing)
Person	ERIN NAGY	PersonNm
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	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Israel
VICE CHAIR	1.0	39.0	Yes (X)	$0	$3,408,429	$68,425
Gary Brudnicki
trustee	1.0	39.0	Yes (X)	$0	$2,321,755	$60,979	Yes (X)
Julie Switzer
TRUSTEE/secretary	1.0	39.0	Yes (X)	$0	$1,021,437	$43,120
Joshua Ratner
Trustee	1.0	39.0	Yes (X)	$0	$854,106	$74,122
Michael Doyle MD
Executive Director & CMO	20.0	20.0	Yes (X)	$0	$593,697	$7,498
Jamal Mahdavian MD
PRES. OF Medical Staff/TRUSTEE	1.0	2.0	Yes (X)	$0	$508,492	$43,105
William Frishman MD
TRUSTEE	1.0	39.0	Yes (X)	$0	$424,343	$64,451
ELISSA Waliszewski
COO - Northern Reg.(eff. 1/21)	36.0	4.0		$0	$332,157	$26,909		Yes (X)
Joseph Marsicovete
COO (RESIGNED 6/21)	20.0	20.0		$0	$320,958	$10,343	Yes (X)
Lowell Fley
Assistant Director, Radiology	40.0	0.0		$198,083	$0	$35,132		Yes (X)
Jane Ulrich
Sr. VP of Nursing	36.0	4.0		$176,847	$0	$28,001		Yes (X)
Rebecca King
Director of Ambulatory Service	40.0	1.0		$158,329	$0	$26,802		Yes (X)
DEREK TOMPKINS
Chief MRI Technologist	40.0	0.0		$0	$169,223	$15,561		Yes (X)
John Heimerdinger
TRUSTEE	1.0	7.0	Yes (X)	$0	$0	$0
Jerome Simonetty
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Richard Wishnie
VICE CHAIR	1.0	5.0	Yes (X)	$0	$0	$0
Carey Wagner
TRUSTEE (THRU 9/21)	1.0	4.0	Yes (X)	$0	$0	$0
Beth Stefanchik DO
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
John Bonavita-Goldman MD
TRUSTEE	1.0	3.0	Yes (X)	$0	$0	$0
J Christopher Smailer
TRUSTEE	1.0	3.0	Yes (X)	$0	$0	$0
Stephanie Turco
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
Thomas Collins
TRUSTEE	1.0	4.25	Yes (X)	$0	$0	$0
Craig Sickler
TREASURER	1.0	2.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$533,259	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,954,597	TotReportableCompRltdOrgAmt
Total Other Compensation	$504,448	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	161	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
TURNER SANORUBIN JOINT VENTURE
1 COMPUTER DRIVE SOUTH	ALBANY	NY	12205	CONSTRUCTION	$36,808,293
CAMPITO PLUMBING AND HEATING INC
PO BOX 550	LATHAM	NY	12110	MAINTENANCE/UPGRADES	$1,030,265
OTIS ELEVATOR
PO BOX 13716	NEWARK	NJ	07188	MAINTENANCE/UPGRADES	$656,267
CBRE INC
PO BOX 848844	LOS ANGELES	CA	90084	PROJECT MANAGEMENT	$537,004
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	272162140	LAB SERVICES	$242,230

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Government Grants	$71,363,829	GovernmentGrantsAmt
All Other Contributions	$187,772	AllOtherContributionsAmt
Total Contributions	$71,551,601	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$141,894,791	TotalRevenueColumnAmt
Related Or Exempt Func Income	$141,894,791	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$141,894,791	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,951,353	TotalRevenueColumnAmt
Exclusion	$2,951,353	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,158,779	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$210,857	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$947,922	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$947,922	TotalRevenueColumnAmt
Exclusion	$947,922	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	900099	$395,588	$395,588
FOOD SERVICE	900099	$327,070		$327,070
CONTRACTED SERVICES	900099	$727,659	$727,659

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$912,317	TotalRevenueColumnAmt
Related Or Exempt Func Income	$912,317	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,362,634	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$219,708,301	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,930,355	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,226,345	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$80,768,639	TotalAmt
Program Services	$71,215,217	ProgramServicesAmt
Management And General	$9,553,422	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,324,629	TotalAmt
Program Services	$993,472	ProgramServicesAmt
Management And General	$331,157	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,892,890	TotalAmt
Program Services	$12,662,082	ProgramServicesAmt
Management And General	$4,230,808	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,746,305	TotalAmt
Program Services	$3,559,729	ProgramServicesAmt
Management And General	$1,186,576	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$277,647	TotalAmt
Program Services	$16,952	ProgramServicesAmt
Management And General	$260,695	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$246,258	TotalAmt
Management And General	$246,258	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,675,901	TotalAmt
Program Services	$20,485,708	ProgramServicesAmt
Management And General	$5,190,193	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$219,781	TotalAmt
Management And General	$219,781	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,924,818	TotalAmt
Program Services	$2,949,208	ProgramServicesAmt
Management And General	$1,975,610	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,620,363	TotalAmt
Program Services	$3,570	ProgramServicesAmt
Management And General	$1,616,793	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$80,993	TotalAmt
Program Services	$4	ProgramServicesAmt
Management And General	$80,989	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$61,214	TotalAmt
Program Services	$12,064	ProgramServicesAmt
Management And General	$49,150	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$570,746	TotalAmt
Management And General	$570,746	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,295,952	TotalAmt
Program Services	$4,295,952	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,073,968	TotalAmt
Management And General	$3,073,968	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
EQUIPMENT SERVICE CONTRAC	$3,467,840	$3,198,929	$268,911
CONTRACTED SERVICES	$5,399,084	$1,156,706	$4,242,378
MEDICAL SUPPLIES	$25,294,822	$25,202,583	$92,239
ADMINISTRATIVE EXPENSES	$101,452	$82,642	$18,810

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,703,377	TotalAmt
Program Services	$1,462,473	ProgramServicesAmt
Management And General	$240,904	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$180,746,679	TotalAmt
Program Services	$147,297,291	ProgramServicesAmt
Management And General	$33,449,388	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,774,327	BOYAmt
EOY	$3,187,096	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$6,072,460	BOYAmt
EOY	$15,816,827	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
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$510,158	BOYAmt
EOY	$28,790	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,346,551	BOYAmt
EOY	$1,442,942	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$178,634,952	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$94,695,699	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$36,265,998	BOYAmt
EOY	$83,939,253	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,001,210	BOYAmt
EOY	$4,605,361	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

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	$8,077,076	BOYAmt
EOY	$8,768,480	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$55,047,780	BOYAmt
EOY	$117,788,749	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,228,661	BOYAmt
EOY	$23,696,597	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	$4,652,187	BOYAmt
EOY	$4,196,921	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$565,000	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	$6,417,005	BOYAmt
EOY	$5,536,495	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	$20,169,676	BOYAmt
EOY	$38,340,920	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,032,529	BOYAmt
EOY	$71,770,933	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	$6,980,836	BOYAmt
EOY	$45,983,401	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,015,251	BOYAmt
EOY	$46,017,816	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$55,047,780	BOYAmt
EOY	$117,788,749	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$38,961,622	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$40,943	NetUnrlzdGainsLossesInvstAmt
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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$3,746	OtherActivitiesAmt
Total Lobbying Expenditures	$3,746	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1J	FormAndLineReferenceDesc
Explanation	HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS PAYS DUES TO NORTHERN METRO 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 NORTHERN METRO 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 2021 Northern Metro Hospital Association and Healthcare Association of New York State was $2,765.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$209,532	OtherCostOrOtherBasisAmt
Book Value	$209,532	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,807,754	OtherCostOrOtherBasisAmt
Depreciation	$36,863,936	DepreciationAmt
Book Value	$4,943,818	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$343,400	OtherCostOrOtherBasisAmt
Depreciation	$329,381	DepreciationAmt
Book Value	$14,019	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,991,492	OtherCostOrOtherBasisAmt
Depreciation	$53,802,640	DepreciationAmt
Book Value	$1,188,852	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,282,774	OtherCostOrOtherBasisAmt
Depreciation	$3,699,742	DepreciationAmt
Book Value	$77,583,032	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,939,253	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN JOINT VENTURES	$4,382,328
OTHER RECEIVABLES	$4,364,256
OTHER ASSETS	$21,896

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,768,480	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO REALTED PARTIES	$24,271,842
OTHER NON-CURRENT LIABILITIES	$10,657,592
POST RETIREMENT BENEFIT OBLIGATION	$338,942
ENVIRONMENTAL REMEDIATION	$492,141
SECURITY DEPOSITS PAYABLE	$25,450
PHILIPS LIABILITY	$2,554,953

Field	Value	IRS element (for citing)
Total Liability	$38,340,920	TotalLiabilityAmt

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	$3,628,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$990,093	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,638,255	NetCommunityBenefitExpnsAmt
Total Expense	0.01460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,449,147	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,853,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,595,691	NetCommunityBenefitExpnsAmt
Total Expense	0.11390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,077,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,843,549	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,233,946	NetCommunityBenefitExpnsAmt
Total Expense	0.12850	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,122	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,697,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,294,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,402,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,035,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,732,463	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,302,641	NetCommunityBenefitExpnsAmt
Total Expense	0.11790	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,875,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,026,903	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,848,742	NetCommunityBenefitExpnsAmt
Total Expense	0.12650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,953,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,870,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,082,688	NetCommunityBenefitExpnsAmt
Total Expense	0.25500	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,889,897	BadDebtExpenseAmt
Reimbursed By Medicare	$38,674,227	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,975,388	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,698,839	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 hosp MARY'S AVE CAMPUS	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 Mary's Ave	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	19	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	See Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Section C	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	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section c	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section c	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section c	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2019-2021. The New York State Prevention Agenda outlines two other priority areas that were not selected as priorities for HealthAlliance Hospital 2019-2021 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.
PART V, SECTION B, LINE 5	HealthAlliance of the Hudson Valley was an active member of a comprehensive 7-County Community Health Assessment which includes 17 hospitals and the local health departments of all 7 counties from the Hudson Valley. HealthAlliance staff was heavily involved in the collaboration and contributed $25,000 towards the cost of the assessment. The assessment process began in November 2017 with a meeting convened by HealtheConnections with hospitals, health systems, performing provider systems, and LHDs to discuss the benefits of collaborating on a Regional Community Health Assessment. After collective consensus, we then moved to hire Siena College Research Institute (SCRI) in December of 2017 to conduct a random sample community health survey of the Mid-Hudson Region to assess the health status and concerns of its residents. The work and collaboration continued through 2019 that ultimately led to the Mid-Hudson Region Community Health Assessment 2019-2021 (CHA). The survey administered by Siena was designed to conduct a random digit dial regional community health survey to supplement the Regional Community Health Assessment. In order to gauge the perception of residents surrounding health and resources in their communities, responses from 5,372 residents of the Mid-Hudson Region were collected. To further supplement the data collected, members of the Collaborative held 12 focus groups with service providers to understand the needs of specific communities and populations, and the barriers they face to achieving optimal health. These efforts covered feedback from underrepresented populations such as low-income, veterans, seniors, people experiencing homelessness, LGBTQ members, and people with a mental health diagnosis or those with a substance use disorder. In addition, before the focus groups took place, a Stakeholder Interview Form was sent to providers in order to supply additional insight around local factors influencing community health. This survey covered several topics, including the populations the providers serve; the issues that affect health in the communities they serve; barriers to people achieving better health; and interventions that are used to address social determinants of health. Throughout the seven counties in the Mid-Hudson Region, 285 surveys were completed by service providers. The answers to the survey varied throughout each county, and these differences were expanded upon in the focus groups.
PART V, SECTION B, LINE 6A	The CHNA was conducted with HealthAlliance Hospital (both Broadway and Mary's Avenue Campuses) and Ellenville Hospital.
PART V, SECTION B, LINE 6B	HealthAlliance worked very closely with Ellenville Hospital and Ulster County Departments of Health and Mental Health (UCDOH-MH), Institute of Family Health, and hundreds of organizations serving its residents throughout Ulster County.
PART V, SECTION B, LINE 7A	The CHNA has been widely available to the public through HealthAlliance's website: HTTPS://WWW.HAHV.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS AND A PAPER COPY IS AVAILABLE FOR PUBLIC INSPECTION AT THE HOSPITAL. PAPER COPY IS AVAILABLE FOR PUBLIC INSPECTION AT THE HOSPITAL.
PART V, SECTION B, LINE 10A	HealthAlliance has adopted an implementation strategy that will address the significant community health needs outlined in the hospital's CHNA which can be found on our website at https://www.hahv.org/community-health-needs-assessments under 'Ulster County' HealthAlliance/Ulster County Community Service Plan and Implementation Plan; both for 2019-2021.
PART V, SECTION B, LINE 11	Through the collaboration and partnership with Ulster County Departments of Health and Mental Health (UCDOH-MH), Ellenville Regional Hospital, and health and human service agencies, HealthAlliance Hospital, in accordance with New York State Prevention Agenda mandate, has chosen to align with our community partners in focusing on three priority areas: a. Prevent Chronic Diseases b. Promote Healthy Women, Infants, and Children c. Promote Well-Being and Prevent Mental and Substance Use Disorders 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 2019-2021. The New York State Prevention Agenda outlines two other priority areas that were not selected as priorities for HealthAlliance Hospital 2019-2021 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. AREAS OF FOCUS: In accordance with our Mid-Hudson Region Community Health Assessment 2019-2021, there were eight identified health needs which include cardiovascular disease, suicide, diabetes, teen pregnancy, housing, transportation, tobacco use, and infant mortality. The Mid-Hudson CHA was a collaborative effort with Westchester Medical Center Health Network (WMCHealth), Nuvance Health, Montefiore Hudson Valley Collaborative, Montefiore Nyack Hospital, Montefiore St. Luke's Cornwall, Orange Regional Medical Center, a member of the Greater Hudson Valley Health System, and St. Joseph's Medical Center. HealthAlliance of the Hudson Valley, a member of WMCHealth, decided to address the county's health needs through the following implementation plan in guidance of NYS Prevention Agenda which you'll find below. In addition, we've outlined all the programs that will be spearheading the following implementation plans. 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN NYS prevention agenda priority area: Prevent chronic diseases Focus area 3: Tobacco prevention Prevention agenda goal 3.1: Prevent initiation of tobacco use Objective 3.1.6: Increase the number of municipalities that adopt retail environment policies, including those that restrict the density of tobacco retailers, keep the price of tobacco products high, and prohibit the sale of flavored tobacco products Evidence based intervention: 3.1.3 Pursue policy action to reduce the impact of tobacco marketing in lower-income and racial/ethnic minority communities, disadvantaged urban neighborhoods and rural areas. 3.1.4 Keep the price of tobacco uniformly high by regulating tobacco company practices that reduce the real price of cigarettes through discounts. 3.1.5 Decrease the availability of flavored tobacco products including menthol flavors used in combustible and non-combustible tobacco products and flavored liquids including menthol used in electronic vapor products. Disparity addressed: Low-income, racial/ethnic minorities, and disadvantaged urban and rural communities NYS prevention agenda priority area: Prevent chronic diseases Focus area 4: Chronic disease preventative care and management Prevention agenda goal 4.1: Increase cancer screening rates Objective 4.1.3: Increase the percentage of adults who receive a colorectal cancer screening based on the most recent guidelines (ages 50 - 75) Evidence based intervention: 4.1.5 Remove structural barriers to cancer screening such as providing flexible clinic hours, offering cancer screening in non-clinical settings (mobile mammography vans, flu clinics), offering on-site translation, transportation, patient navigation and other administrative services and working with employers to provide employees with paid leave or the option to use flex time for cancer screenings. Disparity 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 preventative care and management Prevention agenda goal 4.4: In the community setting, improve self-management skills for individuals with chronic diseases, including asthma, arthritis, cardiovascular disease, diabetes and prediabetes and obesity Objective 4.4.1: Increase the percentage of adults with chronic conditions (arthritis, asthma, cvd, diabetes, ckd, cancer) who have taken a course or class to learn how to manage their condition Evidence based intervention: 4.4.2 Expand access to evidence-based self-management interventions for individuals with chronic disease (arthritis, asthma, cardiovascular disease, diabetes, prediabetes, and obesity) whose condition(s) is not well-controlled with guidelines-based medical management alone. Disparity 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 2: Perinatal and infant health Prevention agenda goal 2.2: Increase breastfeeding Objective 2.2.1: Increase the percentage of infants who are exclusively breastfed in the hospital by 10% from 47.0% (2016) to 51.7% among all infants Evidence based intervention: 2.2.2: Promote and implement maternity care practices consistent with the baby friendly hospital initiative - ten steps to successful breastfeeding Disparity addressed: Low-income, racial/ethnic minorities NYS prevention agenda priority area: Promote well-being and prevent mental and substance use disorders Focus area 2: Mental and substance use disorders prevention Prevention agenda goal 2.3: Prevent and address adverse childhood experiences (aces) Objective 2.3.3: Increase communities reached by opportunities to build resilience by at least 10 percent Evidence based intervention: 2.3.3: Grow resilient communities through education, engagement, activation/mobilization and celebration Disparity addressed: Socio-economic, regional, and LGBTQ communities Tobacco Free Action Communities Tobacco Free Action Communities in Ulster, Dutchess and Sullivan (formerly SmokeFree Dutchess and Tobacco Free Action Coalition of Ulster) is part of a network of statewide partners working to support New York State's tobacco-free goal. Each partner consists of a community engagement component and a youth action component (branded as Reality Check). Partners work to reduce the negative impact of tobacco product marketing and price promotions on youth and adults at the point of sale, increase the number of local laws and voluntary policies that prohibit tobacco use in outdoor areas, decrease secondhand smoke exposure in multi-unit housing, with an emphasis on policies that protect the health of low-income residents, and promote policies that reduce tobacco use imagery in youth-rated movies, and on the Internet and social media. Oncology Support Program The HealthAlliance Oncology Support Program, a member of Westchester Medical Health Network, is a unique support community for those affected by cancer. The program offers counseling, support groups and compassionate professionals who visit cancer patients while they are in the hospital. We also offer a comprehensive outpatient service to patients and their caregivers in the nurturing environment of the Herbert H. and Sofia P. Reuner Cancer Support House which is perceived as a "home away from home" by cancer survivors and their loved ones. Diabetes Education Center The HealthAlliance Diabetes Education Center, a member of Westchester Medical Health Network, is committed to providing individuals with skills and knowledge to manage diabetes and prevent diabetic complications. At the center we host training and education programs and offer information resources for our community. The Diabetes Educational Program offered is recognized by the American Diabetes Association for meeting its high-educational standards and for offering quality self-management diabetes education. Family Birth Place HealthAlliance Hospital: Broadway Campus is the only designated Baby-Friendly birth facility between Albany and Westchester County. The designation, widely considered "the gold standard" of maternity practices, means the hospital is nationally credentialed for meeting or exceeding international standards for providing optimal newborn care, including immediate mother-baby bonding and breastfeeding for the best health of the baby and the mother. We at the Family Birth Place believe that every childbearing experience is unique and that every woman is entitled to a joyful and healthy birth experience which is why our beautiful unit is designed to make your delivery a safe, natural and comfortable experience. We offer many proven methods of low intervention labor management such as birthing balls, hydrotherapy tub
PART V, SECTION B, LINE 16A, B AND C	The hospital's financial assistance policy and application are available at the following link: https://www.hahv.org/financial-assistance

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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
PART I, LINE 7G: SUBSIDIZED SERVICES	The costs on line 7g do not include any costs attributable to physician clinics.
Part III, Line 2: Methodology Used to Estimate Amount of Bad Debt Expense	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 19-22 of the attached Audited Financial Statements.
Part III, Line 4: Description of Bad Debt Expense	The text of the footnote that describes bad debt expense can be found on pages 19-22 of the attached Audited Financial Statements.
Part III, Line 8: Costing Methodology	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 2021, therefore, there is no consideration for a community benefit.
PART III LINE 9B: COLLECTION PRACTICES	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.
PART VI, LINE 2: COMMUNITY 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 In 2017, HealthAlliance entered into a collaboratively 7-county partnership to create a regional community health assessment (CHA) which was led by the representatives from HealthEconnections. This process included 17 local hospitals and 7 county health departments which ultimately developed the regional community health assessment survey for the purpose of creating the CHA and inform future health improvement efforts in the Mid-Hudson region. The survey is ultimately designed to include questions to collect information on several initiatives put forward by the NYS Department of Health and NYS Prevention Agenda 2019-2024. Survey data collection, analysis, and charting were provided by a team from SCRI who administered a random digit dial survey by phone which took place between April and September 2018, utilizing both landline and mobile phone numbers to reach respondents. Results were then weighted by gender, age, race, and regional according to the US census. Although the Mid-Hudson region community health survey collected responses from a randomized sample of over 5,000 Hudson valley residents, there are some populations that may not be accounted for in this survey. Some of these underrepresented populations include low income, veterans, seniors, people experiencing homelessness, LGBTQ members, and people with a mental health diagnosis. In order to ensure that the needs of these populations were met, focus groups were conducted with providers that serve these populations in each of the seven counties. The term "providers" refers to those who offer services such as mental health support, vocational programs, and programs for underserved populations. Before the focus groups took place, a survey was sent out to providers within each county in order to supply additional insight around local factors influencing community health. This survey covered several topics including the populations the providers serve, the issues that affect health in the communities they serve, barriers to people achieving better health, and interventions that are used to address social determinants of health. Throughout the seven counties in the Mid-Hudson region, 285 surveys were completed by service providers. The answers to the survey varied throughout each county, and these differences were expanded upon in the focus groups.
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 HealthAlliance of Hudson Valley ("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 the american hospital assocation 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.
PART VI, LINE 4: COMMUNITY INFORMATION	HealthAlliance of the Hudson Valley, a member of the Westchester Medical Center Health Network (WMCHealth), operates 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 operates Mountainside Residential Care Center, an 82-bed nursing home in Margaretville adjacent to Margaretville Hospital. 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.
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, 2020 and the COVID-19 pandemic created a greater need and focus on community health care. HealthAlliance of the Hudson Valley and the WMCHealth Network took a leading role in the Hudson Valley on the dissemination of information surrounding COVID-19, educating the community and providing community testing. Working in full partnership with New York State Department of Health, we transferred all patient care services out of our Mary's Avenue Campus so New York State could have it available for a COVID-19 surge hospital for the Hudson Valley. Our staff were tireless in the efforts to provide the highest quality of care to COVID-19 patients, while at the same time managing the loss of elective procedures as decreed by Executive Order. 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. In addition to all the efforts surrounding the COVID-19 pandemic, HAHV's clinical and community relations teams provide ongoing outreach, education and programming services to the communities it serves. HAHV participated in well over a hundred community events in 2021 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.). 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.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM	HealthAlliance, Inc (HA) 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. It is expected for the newly renovated, consolidated hospital to open at Mary's Ave by the last quarter of 2022.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT	NEW YORK

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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 (13 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
Jamal Mahdavian MD
PRES. OF Medical Staff/TRUSTEE	$0	$508,492	$0	$0	$0	$0	$0	$30,700	$0	$12,405	$0	$551,597	$0	$0
Michael Israel
VICE CHAIR	$0	$2,017,429	$0	$1,365,000	$0	$26,000	$0	$0	$0	$68,425	$0	$3,476,854	$0	$0
Gary Brudnicki
trustee	$0	$1,545,755	$0	$750,000	$0	$26,000	$0	$0	$0	$60,979	$0	$2,382,734	$0	$0
Julie Switzer
TRUSTEE/secretary	$0	$748,503	$0	$246,934	$0	$26,000	$0	$0	$0	$43,120	$0	$1,064,557	$0	$0
William Frishman MD
TRUSTEE	$0	$424,343	$0	$0	$0	$0	$0	$36,700	$0	$27,751	$0	$488,794	$0	$0
Joshua Ratner
Trustee	$0	$657,082	$0	$197,024	$0	$0	$0	$40,600	$0	$33,522	$0	$928,228	$0	$0
Michael Doyle MD
Executive Director & CMO	$0	$481,125	$0	$112,036	$0	$536	$0	$7,250	$0	$248	$0	$601,195	$0	$0
Joseph Marsicovete
COO (RESIGNED 6/21)	$0	$142,774	$0	$0	$0	$178,184	$0	$4,028	$0	$6,315	$0	$331,301	$0	$0
Jane Ulrich
Sr. VP of Nursing	$175,532	$0	$0	$0	$1,315	$0	$4,065	$0	$23,936	$0	$204,848	$0	$0	$0
Rebecca King
Director of Ambulatory Service	$157,813	$0	$0	$0	$516	$0	$3,466	$0	$23,336	$0	$185,131	$0	$0	$0
Lowell Fley
Assistant Director, Radiology	$194,963	$0	$3,000	$0	$120	$0	$4,132	$0	$31,000	$0	$233,215	$0	$0	$0
DEREK TOMPKINS
Chief MRI Technologist	$0	$169,127	$0	$0	$0	$96	$0	$4,490	$0	$11,071	$0	$184,784	$0	$0
ELISSA Waliszewski
COO - Northern Reg.(eff. 1/21)	$0	$312,657	$0	$0	$0	$19,500	$0	$0	$0	$26,909	$0	$359,066	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3

The organization's Executive Director /CMO received compensation from a related organization. In order to establish compensation payments, the organization typically completes a compensation study or engages an independent consultant. The results of said study or consultant's findings are implemented into a written employment contract. All actions above ARE approved by the Board of Directors/Compensation Committee prior to finalization.

Schedule J, Part I, line 4a

Joseph Marsicovete, former Chief Operating Officer for HealthAlliance, Inc., received severance payments of $171,342 in 2021 from a related organization.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SEE PART V	PersonNm

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(A) NAME OF INTERESTED PERSON MAHDAVIAN & MAHDAVIAN (B) RELATIONSHIP 35% OR GREATER THAN OWNERSHIP BY TRUSTEE, JAMAL MAHDAVIAN, MD (C) AMOUNT 71,750 (D) DESCRIPTION OF TRANSACTION PHYSICIAN SERVICES (E) SHARING ORGANIZATION REVENUE? YES X NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	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	HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS ("HAMC").
form 990, part vi, line 7a	HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS 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	ALL DECISIONS WITH RELATION TO THE MARY'S AVENUE CAMPUS 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	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	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, LINES 15A & 15B	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	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:19520933
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:3101357
FORM 990 PART IX LINE 11G	DESCRIPTION:MANPOWER TOTAL FEES:1246338
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:1807273

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	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS ROAD	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(C)(3)	12A	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY	115	N/A	NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(C)(3)	12A	WCHCC	false
NORTH ROAD LHCSA INC
100 WOODS road	Valhalla	NY	10595	465293268	HOMECARE SVCS	NY	501(C)(3)	10	WCHCC	false
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS ROAD	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(C)(3)	10	WCHCC	false
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROAD	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(C)(3)	7	WCHCC	false
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	false
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	150552726	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	false
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(C)(3)	10	MMH	false
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(C)(3)	12A	MMH	false
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVE	SUFFERN	NY	10901	133400353	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	false
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVE	SUFFERN	NY	10901	810667395	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	false
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	false
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(C)(3)	12C, III-FI	WCHCC	false
HEALTH ALLIANCE INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	261850453	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
HealthAlliance Foundation Inc
741 GRANT AVENUE	LAKE KATRINE	NY	12449	222511450	FUNDRAISING	NY	501(C)(3)	7	HA INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	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	CJ	ky1-1102	CAP INSURANCE	CJ	BSCHSI	C CORP	false
Hudson River North insurance Limited
23 LIME TREE BAY AVE	po box	CJ	ky1-1102	CAP INSURANCE	CJ	HEALTHALLIANCE	C CORP	false
NORTHEAST PROVIDER SOLUTIONS INC
				MSO & HEARING		NA	C CORP	false	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
				PHYSICIAN OFF		NA	C CORP	false	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WCHCC (BERMUDA) LIMITED
11 VICTORIA STREET HAMILTON		BD		CAP INSURANCE	BD	NA	C CORP	false
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
				INVESTMENT		HAH BWAY	C CORP	false	396 BROADWAY	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
				MEDICAL SVCS		na	C CORP	false	396 BROADWAY	KINGSTON	NY	12401	203564769	NY
bschs medical group pc
				physician off		bschs	c corp	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	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