2021-11-09T14:42:50-06:00 2020-12-31 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW WASHINGTON DC 20005 990 2020-01-01 141349558 HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS % ERIN NAGY DIRECTOR OF FINAN HEAL 8459436084 396 Broadway Kingston NY 12401 DR MICHAEL DOYLE Exec. Director/CMO 8459436024 2021-11-03 true DR MICHAEL DOYLE XXX-XX-XXXX justin lowe P01866796 2023276000 2 2020 2022-09-23 18:48:47Z DR Michael Doyle 396 Broadway Kingston NY 12401 91813178 false X https://www.hahv.org X 1891 NY PROVIDE HIGH QUALITY HEALTHCARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK, AND VISIT THE COMMUNITies served. 17 11 848 25 0 0 9170631 19856872 102394785 70084364 517942 66895 3049092 1802318 115132450 91810449 0 0 0 0 67392125 62059457 0 0 0 47580336 40929064 114972461 102988521 159989 -11178072 31689276 33229896 34713188 47459651 -3023912 -14229755 X THE MISSION OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES. true false 87316169 0 70666221 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. 87316169 true true false true false false false false false true true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true true false false false true 74 0 true 848 true false false false false false false false false false false false false X 17 11 false false false false true true true true true false false true true true true true true true true false NY X ERIN NAGY DIRECTOR OF FINAN 8459436084 741 GRANT AVENUE LAKE KATRINE NY 12449 Michael Israel VICE CHAIR 1.0 39.0 X 0 2830472 126770 Gary Brudnicki TRUSTEE 1.0 39.0 X X 0 1944738 115276 Julie Switzer TRUSTEE 1.0 39.0 X 0 960705 92165 Kara Bennorth Trustee (thru. November 2020) 1.0 39.0 X 0 734324 76126 Joshua Ratner Trustee (eff. November 2020) 1.0 39.0 X 0 659785 73735 ROBERT ROSS Exec. VP (Resigned 12/31/19) 0.0 0.0 X 0 637730 30451 Michael Doyle Executive Director & CMO 20.0 20.0 X X 566666 0 7928 William Frishman MD TRUSTEE 1.0 39.0 X 0 497951 69651 Joseph Marsicovete Chief Operating Officer 18.0 22.0 X 332597 0 18375 Jane Ulrich Sr. VP of Nursing 4.0 36.0 X 0 198298 27094 Benoni Commodore Director of Pharmacy 40.0 0.0 X 184230 0 636 Erin Nagy Director of Finance 40.0 0.0 X 149531 0 26914 Elizabeth Stanzione Supervising Pharmacist 40.0 0.0 X 145533 0 15079 David Scarpino FORMER CEO (RESIGNED 12/31/18) 0.0 0.0 X 0 140077 4960 Thomas Collins CHAIR 1.0 4.25 X 0 0 0 Craig Sickler TREASURER 1.0 2.0 X 0 0 0 Jamal Mahdavian MD TRUSTEE/VP MEDICAL STAFF 1.0 2.0 X 0 0 0 John Heimerdinger TRUSTEE 1.0 7.0 X 0 0 0 Jerome Simonetty TRUSTEE 1.0 2.0 X 0 0 0 Richard Wishnie VICE CHAIR 1.0 5.0 X 0 0 0 Carey Wagner TRUSTEE 1.0 4.0 X 0 0 0 Beth Stefanchik DO Trustee (eff. March 2020) 1.0 2.0 X 0 0 0 John Bonavita-Goldman MD TRUSTEE 1.0 3.0 X 0 0 0 J Christopher Smailer TRUSTEE 1.0 3.0 X 0 0 0 Stephanie Turco TRUSTEE 1.0 2.0 X 0 0 0 1378557 8604080 685160 66 true true false Institute for Family Health 2006 Madison Avenue 5th Floor NEW YORK NY 10035 Physician Services 3733940 Laboratory Corporation of America PO Box 12140 BURLINGTON NC 272162140 Laboratory Services 2584785 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRIVE WAYNE PA 19087 environmental srvcs 2398228 MORRisON MANAGEMENT SPECIALISTS IN 400 NORTHRIDGE ROAD STE 600 SANDY SPRINGS GA 30350 food SERVICES 2337040 RAMAPO ANESTHESIOLOGISTS PC 100 ROUTE 59 STE 111 SUFFERN NY 10901 physician services 1081889 30 19806741 50131 19856872 NET PATIENT SERVICE REVENUE 621300 70084364 70084364 70084364 66895 66895 0 0 79131 2729 76402 0 76402 76402 0 0 0 0 0 0 0 0 0 0 CONTRACTED SERVICES 900099 581857 581857 GAIN ON SALE OF DISPOSALS 900099 461003 461003 CAFETARIA REVENUE 722514 292316 292316 390740 390740 1725916 91810449 70666221 0 1287356 0 0 0 0 574595 574595 0 48226859 43965658 4261201 471972 353979 117993 10578123 8417169 2160954 2207908 1655931 551977 0 61716 61716 90317 90317 1213 1213 0 0 16017716 14420241 1597475 0 73448 73448 3326219 1959144 1367075 0 0 757647 288 757359 25925 403 25522 0 2228 835 1393 88872 88872 0 1960963 1960963 1737392 1737392 MEDICAL SUPPLIES 11766739 11679365 87374 EQUIPMENT SERVICE CONTRACTS 1436530 1327144 109386 INPATIENT ALLOWANCES 825149 825149 0 CONTRACTED SERVICES 246828 175305 71523 2510162 2510162 102988521 87316169 15672352 0 658803 2409189 84001 4338027 150494 341523 7402031 1251762 0 0 0 0 0 0 1613978 1924767 548987 639454 143306648 121823880 20548415 21482768 639052 693813 0 0 0 0 0 0 43515 148593 31689276 33229896 15917854 20804666 0 0 579633 533633 152936 0 0 0 0 0 410721 2194101 0 0 17652044 23927251 34713188 47459651 X -3417632 -14623475 393720 393720 -3023912 -14229755 31689276 33229896 -11178072 -27771 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1213 1213 false false SCHEDULE C, PART II-B, LINE 1J 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. 653733 66208 6593 713348 570855 97024 14146 653733 617235 0 -32769 0 0 13611 570855 556971 75670 15406 617235 534410 32759 10198 556971 1.00000 true false 1193048 1193048 64760386 49100430 15659956 2300258 2297846 2412 69441133 67526642 1914491 5611823 2898962 2712861 21482768 0 DUE TO RELATED PARTIES/AFFILIATES -4575435 DUE TO THIRD PARTY PAYORS 21865357 OTHER NON-CURRENT LIABILITIES 5229079 POST RETIREMENT BENEFITS 1305553 LEASE LIABILITIES 102697 23927251 SCHEDULE D, PART V, LINE 4 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. true true X true X true X true true false true true 930548 802207 850341 0.00830 16951660 9568230 7383430 0.07170 17882208 10370437 8233771 0.08000 84636 0 84636 0.00080 2470745 1512736 958009 0.00930 23175621 14360837 8814784 0.08560 25731002 15873573 9857429 0.09570 43613210 26244010 18091200 0.17570 true 8553292 18595787 21803445 -3207658 X true true 1 1 HealthAlliance Hosp Broadway Campus 396 Broadway Kingston NY 12401 WWW.HAHV.ORG 5501001H X X X HEALTHALLIANCE HOSP BROADWAY CAMPUS 1 false false true X X X X X X X X X 19 true true true true X See Section C X true 19 true See Section C false true X 150. 300. X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X true X false false 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 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 X X X X X X true false false false false false false false false Michael Israel VICE CHAIR 0 1849662 0 954810 0 26000 0 44745 0 82025 0 2957242 0 0 Gary Brudnicki TRUSTEE 0 1390660 0 528078 0 26000 0 44745 0 70531 0 2060014 0 0 Julie Switzer TRUSTEE 0 699530 0 235175 0 26000 0 44745 0 47420 0 1052870 0 0 William Frishman MD TRUSTEE 0 497951 0 0 0 0 0 36700 0 32951 0 567602 0 0 Kara Bennorth Trustee (thru. November 2020) 0 529166 0 185658 0 19500 0 44745 0 31381 0 810450 0 0 Joshua Ratner Trustee (eff. November 2020) 0 527620 0 132165 0 0 0 39900 0 33835 0 733520 0 0 David Scarpino FORMER CEO (RESIGNED 12/31/18) 0 0 0 0 0 140077 0 0 0 4960 0 145037 0 0 Michael Doyle Executive Director & CMO 493640 0 72750 0 276 0 7125 0 803 0 574594 0 0 0 Joseph Marsicovete Chief Operating Officer 325412 0 0 0 7185 0 7125 0 11250 0 350972 0 0 0 Jane Ulrich Sr. VP of Nursing 0 196500 0 0 0 1798 0 3967 0 23127 0 225392 0 0 Benoni Commodore Director of Pharmacy 183714 0 0 0 516 0 180 0 456 0 184866 0 0 0 Erin Nagy Director of Finance 149351 0 0 0 180 0 3787 0 23127 0 176445 0 0 0 Elizabeth Stanzione Supervising Pharmacist 144741 0 0 0 792 0 3725 0 11354 0 160612 0 0 0 ROBERT ROSS Exec. VP (Resigned 12/31/19) 0 0 0 0 0 637730 0 0 0 30451 0 668181 0 0 Schedule J, Part I, Line 3 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. A Ulster County Capital Resource Corporation 273282033 000000000 2010-12-29 12500000 SEE PART VI false false false A 9745000 0 12500000 0 0 0 250000 0 0 4067217 8182783 0 2010 true false false true A false false false false 0 false false false false A false false false true false false 0 false 0 false false A false 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). Mahdavian Mahdavian 35% or greater than ownership by trustee, Jamal Mahdavian, MD 173250 PHYSICIAN SERVICES false 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 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 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 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING NY NA c corp false WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFFICES NY NA c corp false WESTCHESTER MEDICAL REGIONAL PHYS SVCS 241 NORTH ROAD POUGHKEEPSIE NY 10532 465522536 PHYSICIAN OFFICES NY NA c corp false WCHCC (BERMUDA) LIMITED 11 VICTORIA STREET HAMILTON BD CAP INSURANCE BD NA c corp false kingston regional health care enterprise 396 BROADWAY KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY c corp 0 533515 1.00000 true MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY na c corp false bschs medical group pc 10 franklin turnkpike mahwah NJ 07430 821632215 PHYSICIAN OFFICES NJ bschs c corp false false false false false false false false false true false false true false true true true false false SCHEDULE R, PART II, Bon Secours Charity Health System, Inc. (BSCHS) HealthAlliance Hospital Broadway Campus has a brother-sister relationship with BSCHS's six subordinates in a group exemption within BSCHS.