HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS (EIN 14-1349558)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202133139349303878
- Schema version
- 2020v4.1
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T14:42:50-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | 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 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 | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141349558 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ERIN NAGY DIRECTOR OF FINAN | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 8459436084 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 396 Broadway | 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 | 8459436024 | PhoneNum |
| Signature | 2021-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DR 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 |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | $91,813,178 | 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 | 1891 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HIGH QUALITY HEALTHCARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK, AND VISIT THE COMMUNITies served. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 848 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,170,631 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,856,872 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $102,394,785 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,084,364 | CYProgramServiceRevenueAmt |
| PY Investment Income | $517,942 | PYInvestmentIncomeAmt |
| CY Investment Income | $66,895 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,049,092 | PYOtherRevenueAmt |
| CY Other Revenue | $1,802,318 | CYOtherRevenueAmt |
| PY Total Revenue | $115,132,450 | PYTotalRevenueAmt |
| CY Total Revenue | $91,810,449 | 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 | $67,392,125 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,059,457 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,580,336 | PYOtherExpensesAmt |
| CY Other Expenses | $40,929,064 | CYOtherExpensesAmt |
| PY Total Expenses | $114,972,461 | PYTotalExpensesAmt |
| CY Total Expenses | $102,988,521 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $159,989 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,178,072 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,689,276 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,229,896 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,713,188 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,459,651 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,023,912 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$14,229,755 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $87,316,169 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $70,666,221 | RevenueAmt |
| Desc | HEALTHALLIANCE HOSPITAL BROADWAY IS A 150 BED COMMUNITY HEALTH AND MEDICAL INSTITUTION WHOSE BASIC MISSION IS TO OFFER HIGH QUALITY CARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK AND VISIT THE COMMUNITY OF KINGSTON, NY. THROUGHOUT 2020 HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS RECORDED 24,526 PATIENT DAYS, 27,685 EMERGENCY ROOM VISITS, AND 2,446 SURGERIES, 730 INPATIENT AND 1,716 AMBULATORY. HEALTHALLIANCE OFFERS VARIOUS OUTPATIENT SERVICES SUCH AS WOUND CARE, DIABETES COUNSELING, RENAL DIALYSIS, AND ALL RADIOLOGIC SERVICES (MRI, CT, ULTRASOUND, MAMMOGRAPHY). TOTAL VISITS FOR THESE SERVICES IN 2020 WERE 68,952. | Desc |
| Total Program Service Expenses | $87,316,169 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | 74 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 848 | 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 | 11 | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 DIRECTOR OF FINAN | PersonNm |
| Phone | 8459436084 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 741 GRANT AVENUE | AddressLine1Txt |
| City | LAKE KATRINE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12449 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Michael Israel | |||||||||
| VICE CHAIR | 1.0 | 39.0 | Yes (X) | $0 | $2,830,472 | $126,770 | |||
| Gary Brudnicki | |||||||||
| TRUSTEE | 1.0 | 39.0 | Yes (X) | $0 | $1,944,738 | $115,276 | Yes (X) | ||
| Julie Switzer | |||||||||
| TRUSTEE | 1.0 | 39.0 | Yes (X) | $0 | $960,705 | $92,165 | |||
| Kara Bennorth | |||||||||
| Trustee (thru. November 2020) | 1.0 | 39.0 | Yes (X) | $0 | $734,324 | $76,126 | |||
| Joshua Ratner | |||||||||
| Trustee (eff. November 2020) | 1.0 | 39.0 | Yes (X) | $0 | $659,785 | $73,735 | |||
| ROBERT ROSS | |||||||||
| Exec. VP (Resigned 12/31/19) | 0.0 | 0.0 | $0 | $637,730 | $30,451 | Yes (X) | |||
| Michael Doyle | |||||||||
| Executive Director & CMO | 20.0 | 20.0 | Yes (X) | $566,666 | $0 | $7,928 | Yes (X) | ||
| William Frishman MD | |||||||||
| TRUSTEE | 1.0 | 39.0 | Yes (X) | $0 | $497,951 | $69,651 | |||
| Joseph Marsicovete | |||||||||
| Chief Operating Officer | 18.0 | 22.0 | $332,597 | $0 | $18,375 | Yes (X) | |||
| Jane Ulrich | |||||||||
| Sr. VP of Nursing | 4.0 | 36.0 | $0 | $198,298 | $27,094 | Yes (X) | |||
| Benoni Commodore | |||||||||
| Director of Pharmacy | 40.0 | 0.0 | $184,230 | $0 | $636 | Yes (X) | |||
| Erin Nagy | |||||||||
| Director of Finance | 40.0 | 0.0 | $149,531 | $0 | $26,914 | Yes (X) | |||
| Elizabeth Stanzione | |||||||||
| Supervising Pharmacist | 40.0 | 0.0 | $145,533 | $0 | $15,079 | Yes (X) | |||
| David Scarpino | |||||||||
| FORMER CEO (RESIGNED 12/31/18) | 0.0 | 0.0 | $0 | $140,077 | $4,960 | Yes (X) | |||
| Thomas Collins | |||||||||
| CHAIR | 1.0 | 4.25 | Yes (X) | $0 | $0 | $0 | |||
| Craig Sickler | |||||||||
| TREASURER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Jamal Mahdavian MD | |||||||||
| TRUSTEE/VP MEDICAL STAFF | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| John Heimerdinger | |||||||||
| TRUSTEE | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | |||
| Jerome Simonetty | |||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Richard Wishnie | |||||||||
| VICE CHAIR | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | |||
| Carey Wagner | |||||||||
| TRUSTEE | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| Beth Stefanchik DO | |||||||||
| Trustee (eff. March 2020) | 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 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,378,557 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,604,080 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $685,160 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 66 | 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 |
|---|---|---|---|---|---|
| Institute for Family Health | |||||
| 2006 Madison Avenue 5th Floor | NEW YORK | NY | 10035 | Physician Services | $3,733,940 |
| Laboratory Corporation of America | |||||
| PO Box 12140 | BURLINGTON | NC | 272162140 | Laboratory Services | $2,584,785 |
| CROTHALL HEALTHCARE INC | |||||
| 1500 LIBERTY RIDGE DRIVE | WAYNE | PA | 19087 | environmental srvcs | $2,398,228 |
| MORRisON MANAGEMENT SPECIALISTS IN | |||||
| 400 NORTHRIDGE ROAD STE 600 | SANDY SPRINGS | GA | 30350 | food SERVICES | $2,337,040 |
| RAMAPO ANESTHESIOLOGISTS PC | |||||
| 100 ROUTE 59 STE 111 | SUFFERN | NY | 10901 | physician services | $1,081,889 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $19,806,741 | GovernmentGrantsAmt |
| All Other Contributions | $50,131 | AllOtherContributionsAmt |
| Total Contributions | $19,856,872 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $70,084,364 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,084,364 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,084,364 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,895 | TotalRevenueColumnAmt |
| Exclusion | $66,895 | 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 | $79,131 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,729 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $76,402 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,402 | TotalRevenueColumnAmt |
| Exclusion | $76,402 | 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 |
|---|---|---|---|---|
| CONTRACTED SERVICES | 900099 | $581,857 | $581,857 | |
| GAIN ON SALE OF DISPOSALS | 900099 | $461,003 | $461,003 | |
| CAFETARIA REVENUE | 722514 | $292,316 | $292,316 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $390,740 | TotalRevenueColumnAmt |
| Exclusion | $390,740 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,725,916 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91,810,449 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,666,221 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,287,356 | ExclusionAmt |
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 | $574,595 | TotalAmt |
| Program Services | $574,595 | ProgramServicesAmt |
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 | $48,226,859 | TotalAmt |
| Program Services | $43,965,658 | ProgramServicesAmt |
| Management And General | $4,261,201 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,972 | TotalAmt |
| Program Services | $353,979 | ProgramServicesAmt |
| Management And General | $117,993 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,578,123 | TotalAmt |
| Program Services | $8,417,169 | ProgramServicesAmt |
| Management And General | $2,160,954 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,207,908 | TotalAmt |
| Program Services | $1,655,931 | ProgramServicesAmt |
| Management And General | $551,977 | 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 | $61,716 | TotalAmt |
| Management And General | $61,716 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,317 | TotalAmt |
| Management And General | $90,317 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,213 | TotalAmt |
| Management And General | $1,213 | ManagementAndGeneralAmt |
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 | $16,017,716 | TotalAmt |
| Program Services | $14,420,241 | ProgramServicesAmt |
| Management And General | $1,597,475 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,448 | TotalAmt |
| Management And General | $73,448 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,326,219 | TotalAmt |
| Program Services | $1,959,144 | ProgramServicesAmt |
| Management And General | $1,367,075 | 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 | $757,647 | TotalAmt |
| Program Services | $288 | ProgramServicesAmt |
| Management And General | $757,359 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,925 | TotalAmt |
| Program Services | $403 | ProgramServicesAmt |
| Management And General | $25,522 | 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 | $2,228 | TotalAmt |
| Program Services | $835 | ProgramServicesAmt |
| Management And General | $1,393 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,872 | TotalAmt |
| Management And General | $88,872 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,960,963 | TotalAmt |
| Program Services | $1,960,963 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,737,392 | TotalAmt |
| Management And General | $1,737,392 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $11,766,739 | $11,679,365 | $87,374 |
| EQUIPMENT SERVICE CONTRACTS | $1,436,530 | $1,327,144 | $109,386 |
| INPATIENT ALLOWANCES | $825,149 | $825,149 | $0 |
| CONTRACTED SERVICES | $246,828 | $175,305 | $71,523 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,510,162 | TotalAmt |
| Management And General | $2,510,162 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,988,521 | TotalAmt |
| Program Services | $87,316,169 | ProgramServicesAmt |
| Management And General | $15,672,352 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $658,803 | BOYAmt |
| EOY | $2,409,189 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,001 | BOYAmt |
| EOY | $4,338,027 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,494 | BOYAmt |
| EOY | $341,523 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,402,031 | BOYAmt |
| EOY | $1,251,762 | 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 | $1,613,978 | BOYAmt |
| EOY | $1,924,767 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,987 | BOYAmt |
| EOY | $639,454 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $143,306,648 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $121,823,880 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,548,415 | BOYAmt |
| EOY | $21,482,768 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $639,052 | BOYAmt |
| EOY | $693,813 | 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 | $43,515 | BOYAmt |
| EOY | $148,593 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,689,276 | BOYAmt |
| EOY | $33,229,896 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,917,854 | BOYAmt |
| EOY | $20,804,666 | 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 | $579,633 | BOYAmt |
| EOY | $533,633 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,936 | 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 | $410,721 | BOYAmt |
| EOY | $2,194,101 | 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 | $17,652,044 | BOYAmt |
| EOY | $23,927,251 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,713,188 | BOYAmt |
| EOY | $47,459,651 | 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 | -$3,417,632 | BOYAmt |
| EOY | -$14,623,475 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,720 | BOYAmt |
| EOY | $393,720 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,023,912 | BOYAmt |
| EOY | -$14,229,755 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,689,276 | BOYAmt |
| EOY | $33,229,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$11,178,072 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$27,771 | 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $1,213 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,213 | 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 BROADWAY CAMPUS PAYS DUES TO NORTHERN METRO HOSPITAL ASSOCIATION. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY NORTHERN METRO HOSPITAL ASSOCIATION, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTED TO LOBBYING ACTIVITIES WERE $1,213. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $653,733 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $66,208 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6,593 | AdministrativeExpensesAmt |
| End Year Balance | $713,348 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $570,855 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $97,024 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $14,146 | AdministrativeExpensesAmt |
| End Year Balance | $653,733 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $617,235 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | -$32,769 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $13,611 | AdministrativeExpensesAmt |
| End Year Balance | $570,855 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $556,971 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $75,670 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $15,406 | AdministrativeExpensesAmt |
| End Year Balance | $617,235 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $534,410 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $32,759 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $10,198 | AdministrativeExpensesAmt |
| End Year Balance | $556,971 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| 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 | $1,193,048 | OtherCostOrOtherBasisAmt |
| Book Value | $1,193,048 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,760,386 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,100,430 | DepreciationAmt |
| Book Value | $15,659,956 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,300,258 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,297,846 | DepreciationAmt |
| Book Value | $2,412 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,441,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,526,642 | DepreciationAmt |
| Book Value | $1,914,491 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,611,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,898,962 | DepreciationAmt |
| Book Value | $2,712,861 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,482,768 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES/AFFILIATES | -$4,575,435 |
| DUE TO THIRD PARTY PAYORS | $21,865,357 |
| OTHER NON-CURRENT LIABILITIES | $5,229,079 |
| POST RETIREMENT BENEFITS | $1,305,553 |
| LEASE LIABILITIES | $102,697 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,927,251 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | INTENDED USES OF ENDOWMENT FUNDS THESE FUNDS ARE TO BE HELD IN PERPETUITY AS RESTRICTD BY THE DONORS. FUNDS ARE MEANT TO EARN INTEREST WHICH SHOULD BE USED TO FUND PROGRAMS AND SERVICES AT HEALTHALLAINCE HOSPITAL BROADWAY CAMPUS. | ExplanationTxt |
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 | $930,548 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $802,207 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $850,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,951,660 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,568,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,383,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,882,208 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,370,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,233,771 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08000 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,636 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,470,745 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,512,736 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $958,009 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00930 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,175,621 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,360,837 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,814,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08560 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,731,002 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,873,573 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,857,429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,613,210 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,244,010 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,091,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17570 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,553,292 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $18,595,787 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,803,445 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,207,658 | 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 Broadway Campus | BusinessNameLine1Txt |
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) |
|---|---|---|
| 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 HOSP BROADWAY CAMPUS | 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 |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| 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 (7 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, Inc. 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. |
| 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 Inc., 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 trainings 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 or shower, nit |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (11 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 17-18 of the 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 17-18 of the 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 hospitals, there were shortfalls from Medicare for 2020. |
| 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 next three year period. 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 collaborative 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 region 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 HA engages with are aware of the charity care policy and assist patients in applying up to 180 days 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 aha 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 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 where 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 is occurring 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 Inc., a member of the Westchester Medical Center Health Network (WMCHealth), operates a 315-hospital-bed health care system comprised of HealthAlliance Hospital Mary's Avenue campus and HealthAlliance Hospital Broadway campus in Kingston, NY, and 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. The PSA population in 2017 was 119,071 while the broader population for Ulster County was 180,129 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 shows 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 furthers 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, Inc. 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 government and with numerous community organizations on COVID-19 planning, preparedness, and response efforts. In addition, shortly after the pandemic began, the WMC Network began COVID testing sites at our local physician practice. These drive through and walk up testing sites were provided to the communities at no cost to the patients. To prepare for COVID-19 surges regionally, NYS issued a NY Pause, which mandated restaurants to operate for delivery and takeout only. With on-site dining unavailable and local businesses closed with work-from-home orders, the restaurant industry was facing significant economic challenges. To support our local community businesses, HealthAlliance participated in the Meal Train Program. Engagement in this program provided the community an opportunity to support front line staff as well as restaurants. |
| 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, HA also committed to streamlining operations and improving care at the other affiliate locations. |
| PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT | NEW YORK |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael Israel | ||||||||||||||
| VICE CHAIR | $0 | $1,849,662 | $0 | $954,810 | $0 | $26,000 | $0 | $44,745 | $0 | $82,025 | $0 | $2,957,242 | $0 | $0 |
| Gary Brudnicki | ||||||||||||||
| TRUSTEE | $0 | $1,390,660 | $0 | $528,078 | $0 | $26,000 | $0 | $44,745 | $0 | $70,531 | $0 | $2,060,014 | $0 | $0 |
| Julie Switzer | ||||||||||||||
| TRUSTEE | $0 | $699,530 | $0 | $235,175 | $0 | $26,000 | $0 | $44,745 | $0 | $47,420 | $0 | $1,052,870 | $0 | $0 |
| William Frishman MD | ||||||||||||||
| TRUSTEE | $0 | $497,951 | $0 | $0 | $0 | $0 | $0 | $36,700 | $0 | $32,951 | $0 | $567,602 | $0 | $0 |
| Kara Bennorth | ||||||||||||||
| Trustee (thru. November 2020) | $0 | $529,166 | $0 | $185,658 | $0 | $19,500 | $0 | $44,745 | $0 | $31,381 | $0 | $810,450 | $0 | $0 |
| Joshua Ratner | ||||||||||||||
| Trustee (eff. November 2020) | $0 | $527,620 | $0 | $132,165 | $0 | $0 | $0 | $39,900 | $0 | $33,835 | $0 | $733,520 | $0 | $0 |
| David Scarpino | ||||||||||||||
| FORMER CEO (RESIGNED 12/31/18) | $0 | $0 | $0 | $0 | $0 | $140,077 | $0 | $0 | $0 | $4,960 | $0 | $145,037 | $0 | $0 |
| Michael Doyle | ||||||||||||||
| Executive Director & CMO | $493,640 | $0 | $72,750 | $0 | $276 | $0 | $7,125 | $0 | $803 | $0 | $574,594 | $0 | $0 | $0 |
| Joseph Marsicovete | ||||||||||||||
| Chief Operating Officer | $325,412 | $0 | $0 | $0 | $7,185 | $0 | $7,125 | $0 | $11,250 | $0 | $350,972 | $0 | $0 | $0 |
| Jane Ulrich | ||||||||||||||
| Sr. VP of Nursing | $0 | $196,500 | $0 | $0 | $0 | $1,798 | $0 | $3,967 | $0 | $23,127 | $0 | $225,392 | $0 | $0 |
| Benoni Commodore | ||||||||||||||
| Director of Pharmacy | $183,714 | $0 | $0 | $0 | $516 | $0 | $180 | $0 | $456 | $0 | $184,866 | $0 | $0 | $0 |
| Erin Nagy | ||||||||||||||
| Director of Finance | $149,351 | $0 | $0 | $0 | $180 | $0 | $3,787 | $0 | $23,127 | $0 | $176,445 | $0 | $0 | $0 |
| Elizabeth Stanzione | ||||||||||||||
| Supervising Pharmacist | $144,741 | $0 | $0 | $0 | $792 | $0 | $3,725 | $0 | $11,354 | $0 | $160,612 | $0 | $0 | $0 |
| ROBERT ROSS | ||||||||||||||
| Exec. VP (Resigned 12/31/19) | $0 | $0 | $0 | $0 | $0 | $637,730 | $0 | $0 | $0 | $30,451 | $0 | $668,181 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | The organization's Executive Director received compensation from the filing organization. In order to establish compensation payments, the related 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 The organization's top management official (CEO) retired effective 12/31/18 and was paid severance in 2020 from a related organization. David Scarpino received SEVERANCE payments of $140,077 in 2020 from a related organization. ROBERT ROSS RECEIVED SEVERANCE PAYMENTS OF $637,730 IN 2020 FROM A RELATED ORGANIZATION. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ulster County Capital Resource Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 273282033 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2010-12-29 | BondIssuedDt |
| Issue Price | $12,500,000 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $9,745,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $12,500,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $250,000 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $4,067,217 | CapitalExpendituresAmt |
| Other Spent Proceeds | $8,182,783 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, COL (F) - DESCRIPTION OF PURPOSE | THE BONDS WERE ISSUED TO FINANCE A CONSTRUCTION AND EQUIPMENT FACILITY AND TO REFUND PREVIOUSLY ISSUED BONDS (I.E., THE SERIES 1999 REVENUE BONDS). |
| PART IV, LINE 2C - ARBITRAGE | A REVIEW OF HISTORICAL TREASURY RATES SHOWED THAT AT NO TIME WERE BOND PROCEEDS INVESTED AT A YIELD THAT EXCEEDED THE YIELD OF THE 2010 BONDS (4.5228% AS DEFINED IN THE FILED FORM 8038). |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mahdavian Mahdavian | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | 35% or greater than ownership by trustee, Jamal Mahdavian, MD | RelationshipDescriptionTxt |
| Transaction | $173,250 | TransactionAmt |
| Transaction | PHYSICIAN SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A GLOBAL PANDEMIC AND ON MARCH 13, 2020, PRESIDENT TRUMP DELCARED A NATIONAL EMERGENCY. ON MARCH 22, 2020 GOVENOR ANDREW CUOMO, VIA EXECUTIVE ORDER 202.10, SUSPENDED ALL BUT ESSENTIAL SURGERIES AND PROCEDURES WITHIN NEW YORK STATE AND MOST OUTPATIENT SERVICES WERE CURTAILED. AS A RESULT, HEALTHALLIANCE (HA) EXPERIENCED A SIGNIFICANT REDUCTION IN NET PATIENT SERVICE REVENUE DUE TO VOLUME AND INCREASE IN COSTS FOR SUPPLIES AND OTHER EXPENSES NECESSARY TO TREAT COVID-19 PATIENTS. ELECTIVE SURGERIES RESUMED DURING THE MONTH OF MAY 2020. THE COVID-19 PANDEMIC REQUIRED AN UNPRECEDENTED MOBiLIZATION EFFORT ON THE PART OF HA IN ORDER TO APPROPRIATELY CARE FOR COVID-19 PATIENTS WHILE SIMultaneously ENSURING THE SAFETY AND WELL-BEING OF ITS STAFF. THIS EFFORT CUT ACROSS VIRTUALLY ALL DEPARTMENTS AND DISCIPLINES. THIS ENABLED A SIGNIFICANTLY HIGH LEVEL OF OPERATIONAL AND CLINICAL COORDINATION THAT ALLOWED HA TO ACHIEVE MEANINGFUL ACCESS AND HIGH QUALITY CLINICAL OUTCOMES FOR ITS PATIENTS. THE PROCESSES AND PROCEDURES IMPLEMENTED FOR COVID-19 PROVIDED FOR ADEQUATE SUPPLIES OF PERSONAL PROTECTIVE EQUIPMENT ("PPE") FOR ALL CLINICAL AND NON-CLINICAL STAFF. ON MARCH 28, 2020 GOVERNOR OF NEW YORK ANDREW CUOMO ANNOUNCED HA MARY'S AVENUE CAMPUS HAS BEEN SELECTED TO BE ONE OF THE SELECT HOSPITALS IN THE STATE TO BE A TEMPORARY CARE CENTER FOR COVID-19 PATIENTS. IN REsPONSE, ALL INPATIENT SERVICES WERE MOVED OUT OF THE MARY'S AVENUE CAMPUS, TRANSFERRING TO THE BROADWAY CAMPUS AND OTHER NETWORK FACILITIES. THE MARY'S AVENUE CAMPUS WAS TRANSFORMED INTO A COVID CARE HOSPITAL AND WAS ON STAND-BY IN ANTICIPATION OF AN INFLUX OF COVID PATIENTS THROUGHOUT NORTHEASTERN NEW YORK. AT THE ONSET OF THE PANDEMIC, NON-patient interfacing STAFF WERE SETUP TO WORK FROM HOME AND ACCOMODATIONS WERE MADE FOR STAFF TO FLEX THEIR TIME BETWEEN HOME AND BEING IN THE OFFICE AS NEEDED. ADDITIONAL MANPOWER WAS utilized TO HELP IN ESSENTIAL AREAS. AS CASES BEGAN IN THE REGION, HA MADE GRADUAL CHANGES TO VISITATION POLICIES, ULTIMATELY RESULTING IN NO VISITORS ON SITE, EXCEPT PEDIATRICS AND END-OF-LIFE CIRCUMSTANCES. FOLLOWING THAT HA BEGAN TO RESCHEDULE ELECTIVE SURGICAL PROCEDURES AND PROVIDED PATIENTS in THE OUTPATIENT MEDICAL OFFICES THE ABILITY TO SHIFT TO VIRTUAL VISITS. WHILE DOING THIS, HA INCREASED BED CAPACITY. IN ADDITION TO THE INCREASE IN BED CAPACITY, STAFF ADJUSTMENTS INCLUDED THE DEPLOYMENT OF WORK FROM HOME PROCESSES FOR APPROPRIATE NON-CLINICAL, NON-PATIENT INTERFACING STAFF. NON-CLINICAL, NON-PATIENT INTERFACING STAFF WHO COULD NOT WORK FROM HOME WERE REDEPLOYED TO ASSIST IN OTHER AREAS OF THE FACILITIES. THROUGHOUT THE PANDEMIC SURGE, HA FLEXED ORGANIZATION OPERATIONS AND STAFFING TO MEET THE DEMANDS AND NEEDS OF ITS COMMUNITY AND PATIENTS. THESE SUCCESSFUL OPERATIONAL ADJUSTMENTS ALLOWED HA TO MAINTAIN INTERNAL AND EXTERNAL COMMUNICATION AND QUICKLY DEVELOP PROCESSES TO TEST AND TREAT PATIENTS. HA WORKED WITH LOCAL AND REGIONAL RESOURCES TO COMPLY WITH APPROPRIATE GUIDELINES FOR COVID-19 RELATED RELIEF FUNDS. THIS FUNDING INCLUDED: - DEPARTMENT OF HEALTH & HUMAN SERVICES, AS PART OF THE CARES ACT, ALLOCATED $14.9 MILLION TO BROADWAY CAMPUS THROUGH DECEMBER 2020. - IN ADDITION, BROADWAY CAMPUS RECEIVED $15.8 MILLION IN MEDICARE ADVANCE FUNDS AND WAS ABLE TO SECURE AN EMPLOYEE RETENTION CREDIT OF APPROXIMATELY $456,000. FORM 990, PART VI, LINE 6 HealthAlliance, Inc. is the sole corporate member of HealthAlliance Hospital Broadway Campus. Form 990, Part VI, Line 7A HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL: BROADWAY 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 BROADWAY 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 CON 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, LINE 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:13158984 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2858732 |
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) | 7 | WCHCC | false |
| WESTCHESTER MEDICAL CENTER FOUNDATION | ||||||||||
| 100 WOODS ROAD | VALHALLA | NY | 10595 | 134095845 | FUNDRAISING | NY | 501(C)(3) | 7 | WCHCC | false |
| HEALTHALLIANCE INC | ||||||||||
| 741 GRANT AVENUE | LAKE KATRINE | NY | 12449 | 261850453 | SUPPORTING | NY | 501(C)(3) | 12A | WCHCC | false |
| HEALTHALLIANCE HOSP MARY'S AVE CAMPUS | ||||||||||
| 105 MARYS AVENUE | KINGSTON | NY | 12401 | 141338470 | 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 |
| 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 (9 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 OFFICES | NA | c corp | false | 19 BRADHURST AVENUE | HAWTHORNE | NY | 10595 | 264709927 | NY | ||||||||
| WESTCHESTER MEDICAL REGIONAL PHYS SVCS | |||||||||||||||||
| PHYSICIAN OFFICES | NA | c corp | false | 241 NORTH ROAD | POUGHKEEPSIE | NY | 10532 | 465522536 | 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 | Yes (true) | 396 BROADWAY | KINGSTON | NY | 12401 | 161514994 | NY | $0 | $533,515 | 1.00000 | |||||
| MID HUDSON PHYSICIANS PC | |||||||||||||||||
| MEDICAL SVCS | na | c corp | false | 396 BROADWAY | KINGSTON | NY | 12401 | 203564769 | NY | ||||||||
| bschs medical group pc | |||||||||||||||||
| PHYSICIAN OFFICES | bschs | c corp | false | 10 franklin turnkpike | 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 |
| 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 | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | 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 Broadway Campus has a brother-sister relationship with BSCHS's six subordinates in a group exemption within BSCHS. | ExplanationTxt |