2019-10-31T20:43:04-05:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 141349558 HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS % Erin Nagy Director of Finan HEAL 8459436084 396 Broadway Kingston NY 12401 Robert Ross Exec. Vice President 8459436024 2019-10-31 true LAURA KIELCZEWSKI P00740769 2127733000 173.56.229.42 26308520193045000055 2019-10-31 P 770194AAF055F9EA87E64CA02E08FE540289067F 047C777BBD395ADD529156C75D94AFF56594489C 2018 2020-01-14 16:20:31Z Robert Ross 396 Broadway Kingston NY 12041 106515269 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. 15 8 1079 60 0 81391 1257033 1044816 109900116 99023397 90731 143540 1922593 6298839 113170473 106510592 0 0 0 0 65963054 72716949 0 0 0 48786955 47244998 114750009 119961947 -1579536 -13451355 39312359 31246151 32594239 34658076 6718120 -3411925 THE MISSION OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES. false false 97240691 0 98635975 HealthAlliance Hospital Broadway Campus 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 2018, HealthAlliance Hospital Broadway Campus recorded 26,238 Patient Days, 38,141 Emergency Room visits and 1,895 Surgeries (760 Inpatient & 1,135 Ambulatory). HealthAlliance Hospital Broadway Campus 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 2018 were 77,948. 97240691 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 93 0 true 1079 true true true false false false false false false false false false false false X 15 8 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 THOMAS COLLINS CHAIR 1.0 4.0 X 0 0 0 KEVIN RYAN VICE CHAIR (resigned 11/8/18) 1.0 2.0 X 0 0 0 CRAIG SICKLER TREASURER 1.0 2.0 X 0 0 0 CYNTHIA LOWE SECRETARY (resigned 11/8/18) 1.0 2.0 X 0 0 0 JAMAL MAHDAVIAN MD VP MEDICAL STAFF 1.0 2.0 X 0 0 0 JOHN HEIMERDINGER TRUSTEE 1.0 7.0 X 0 0 0 MICHAEL ISRAEL VICE CHAIR 1.0 39.0 X 0 2466869 167424 SAMUEL SIMON MD TRUSTEE 1.0 2.0 X 0 0 0 JEROME SIMONETTY TRUSTEE 1.0 2.0 X 0 0 0 JULIE SWITZER TRUSTEE 1.0 39.0 X 0 877350 125589 WILLIAM FRISHMAN MD TRUSTEE 1.0 39.0 X 0 498934 65670 RICHARD WISHNIE VICE CHAIR 1.0 6.0 X 0 0 0 NANCY DAVENPORT TRUSTEE (RESIGNED 10/1/18) 1.0 2.0 X 0 0 0 CAREY WAGNER TRUSTEE 1.0 4.0 X 0 0 0 KARA BENNORTH TRUSTEE 1.0 39.0 X 0 691539 173591 GARY BRUDNICKI TRUSTEE 1.0 39.0 X 0 1650080 150650 MICHAEL SHERAN MD TRUSTEE 1.0 2.0 X 0 0 0 robert ross EXEC VICE PRESIDENT/TRUSTEE 1.0 39.0 X 0 322361 93462 David Scarpino CEO 18.0 22.0 X 191175 339824 112279 PAUL LLOBET MD CHIEF MEDICAL OFFICER 18.5 21.5 X 313996 0 6750 JOSEPH MARSICOVETE CHIEF OPERATING OFFICER 18.0 22.0 X 315251 0 15316 ALLEN NACE DIR METHADONE & BRIDGEBACK SVC 40.0 0.0 X 171883 0 13107 PRITI SHAH DIRECTOR OF PHARMACY 40.0 0.0 X 172998 0 28428 JANE ULRICH SR. VP OF NURSING 0.0 40.0 X 0 192299 21799 1165303 7039256 974065 28 false true false Institute for Family Health 2006 Madison Avenue 5th Floor NEW YORK NY 10035 Physician Services 3659542 Laboratory Corporation of America PO Box 12140 BURLINGTON NC 272162140 Laboratory Services 2538301 RAMAPO ANESTHESIOLOGISTS PC 100 ROUTE 59 STE 111 SUFFERN NY 10901 Physician Services 1337500 ORTHOPEDIC ASSOCIATES OF DUTCHESS C 1910 SOUTH ROAD POUGHKEEPSIE NY 12601 PHYSICIAN SERVICES 1060175 POM RECOVERIES INC 85 EAST HOFFMAN AVENUE LINDENHURST NY 11757 COLLECTION AGENCY 601074 27 0 550359 448457 46000 0 1044816 NET PATIENT SERVICE REVENUE 621300 99023397 99023397 0 0 99023397 143540 143540 0 0 190520 4677 185843 0 185843 185843 0 0 0 0 0 0 0 0 0 0 Contracted Services 900099 983177 983177 0 0 CAFETERIA REVENUE 722514 366653 0 0 366653 PROCEEDS FROM LIABILITY INSURANCE CONV. 524298 5058550 0 0 5058550 -295384 -754075 0 458691 6112996 106510592 99252499 0 6213277 0 0 0 0 0 0 0 0 1619028 1619028 0 0 0 0 0 0 53289822 45813121 7476701 0 611770 458828 152942 0 13735904 10302432 3433472 0 3460425 2595319 865106 0 0 0 0 0 287548 0 287548 0 116576 0 116576 0 10500 0 10500 0 0 0 0 0 0 0 17496555 14803563 2692992 0 69885 0 69885 0 2891202 1387986 1503216 0 0 0 0 0 0 0 0 0 1110479 0 1110479 0 80898 3195 77703 0 0 0 0 0 19275 7186 12089 0 116879 0 116879 0 0 0 0 0 2766356 2766356 0 0 1729847 0 1729847 0 Medical Supplies 13287880 13257414 30466 0 EQUIPMENT SERVICE CONTRACT 2431300 2273639 157661 0 Inpatient Allowances 1106329 1106329 0 0 CONTRACTED SERVICES 940288 846295 93993 0 2783201 2783201 119961947 97240691 22721256 0 0 305590 19061 602481 79580 60077 59549 6069244 6368697 0 0 0 0 0 0 1367119 1328101 598024 475531 138764789 116797796 23310386 21966993 598851 560699 0 0 0 0 0 0 6400587 387940 39312359 31246151 15993694 17163460 0 0 999786 1059296 1697936 932936 0 0 0 0 1680690 702538 0 0 12222133 14799846 32594239 34658076 X 6129275 -4000770 0 0 588845 588845 6718120 -3411925 39312359 31246151 X -13451355 -66883 0 0 0 3388193 X X false true X true true true X false false false 0 false 0 false 0 false 0 false 0 false 0 true 10500 10500 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 $10,500. 617235 0 -32769 0 0 13611 570855 556971 75670 15406 617235 534410 32759 10198 556971 546980 -2272 10298 534410 535502 17039 5561 546980 1.00000 true false 1405411 1405411 64035967 46582990 17452977 2300258 2296948 3310 68771317 65880084 2891233 2241836 2037774 214062 21966993 0 DUE FROM RELATED PARTIES/AFFILIATES 1260492 Due To Third Party Payors 7609062 OTHER NON-CURRENT LIABILITIES 4434546 POST RETIREMENT HEALTH BENEFITS 1495746 14799846 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THESE FUNDS ARE TO BE HELD IN PERPETUITY AS RESTRICTED BY THE DONORS. FUNDS ARE MEANT TO EARN INTEREST WHICH is USED TO FUND PROGRAMS AND SERVICES AT HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS. true true X true X true X true true false true true 1424595 1192574 232021 0.00190 26280704 14604717 11675987 0.09730 27705299 15797291 11908008 0.09920 187934 0 187934 0.00160 3311243 1962703 1368540 0.01120 30570847 17420101 13150746 0.10960 34070024 19382804 14707220 0.12240 61775323 35180095 26615228 0.22160 true 16634138 31908659 33845664 -1937005 X true true 1 1 HealthAlliance Hosp Broadway Campus 396 Broadway Kingston NY 12401 https://www.hahv.org/hahv/home.aspx 5501000H X X X HEALTHALLIANCE HOSP BROADWAY CAMPUS 1 false false true X X X X X X X X X 16 true true true true X See Section C X true 16 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 5 2016-2018 CHNA IMPLEMENTATION PLAN IN ACCORDANCE WITH THE AFFORDABLE CARE ACT (ACA) OF 2010 AND THE NEW YORK STATE (NYS) HEALTH IMPROVEMENT PLAN'S PREVENTION AGENDA REQUIREMENTS, HEALTHALLIANCE OF THE HUDSON VALLEY (HEALTHALLIANCE), A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK (WMCHEALTH), PARTICIPATED WITH OTHER AREA HOSPITALS, PUBLIC AND GOVERNMENT AGENCIES, COMMUNITY PARTNERS AND THE ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH (UCDOHMH) TO CONDUCT A COMMUNITY HEALTH ASSESSMENT AND DEVELOP A LOCAL COMMUNITY HEALTH IMPROVEMENT PLAN. A WORK GROUP CONSISTING OF UCDOHMH AND LOCAL AREA HOSPITALS MET REGULARLY BEGINNING IN MAY 2016 TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN IS AN UPDATE TO THE PREVIOUSLY CREATED 2014-2016 CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN. AS SUCH, THE 2014-2016 PLANS SERVED AS A FOUNDATION FOR CREATING THE 2016-2018 PLANS. PARTNERS MET ON A MONTHLY TO BIMONTHLY BASIS TO ANALYZE DATA SETS AND COMMUNITY STRENGTHS. THE COMMUNITY PARTICIPATED IN THE PROCESS TO PRIORITIZE IMPROVING THE HEALTH OF ULSTER COUNTY BY MEANS OF A COMMUNITY HEALTH SURVEY. HEALTHALLIANCE'S CONTINUING PROGRESS AND MONITORING OF GOALS IDENTIFIED IN THIS CHNA WILL BE MANAGED BY AN INTERNAL COMMUNITY BENEFITS COMMITTEE (CBC). THIS COMMITTEE MET ON APRIL 26, 2016, FOR AN UPDATE BY THE UCDOHMH ON THE NYS PREVENTION AGENDA AND THE PROGRESS MADE SINCE 2013 WHEN THE LAST COMMUNITY SERVICE PLAN WAS WRITTEN, AND TO STRATEGIZE THE 2016-2018 INTERVENTIONS. THE CBC WILL ENGAGE INTERNAL AND EXTERNAL RESOURCES TO DEVELOP AND IMPLEMENT EVIDENCE BASED STRATEGIES ACROSS THE SERVICE AREAS TO DIRECTLY ADDRESS IDENTIFIED HEALTH NEEDS THAT HEALTHALLIANCE WILL PURSUE. CURRENT AND NEW OUTREACH STRATEGIES WILL BE MODIFIED, IF NEEDED, AND DEVELOPED DURING THE CURRENT TERM OF THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PART V, SECTION B, LINE 6A THE CHNA WAS CONDUCTED WITH HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS AND ELLENVILLE HOSPITAL. PART V, SECTION B, LINE 6B THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL FACILITIES: ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH (UCDOHMH). PART V, SECTION B, LINE 7a THE CHNA WAS WIDELY AVAILABLE TO THE PUBLIC THROUGH THE HOSPITAL'S WEBSITE AT: https://www.hahv.org/Uploads/Public/Documents/HealthAlliance%20PDFs/CHSP_N EW/HealthAlliance%20Hospitals-Broadway%20Campus%20and%20Mary%e2%80%99s%20A venue%20Campus-Community%20Health%20Needs%20Assessment%20and%20Implementat ion%20Plan%202016-2018.pdf PART V, SECTION B, LINE 10a HEALTHALLIANCE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY ADDRESSES THE SIGNIFICANT COMMUNITY HEALTH NEEDS OUTLINED IN THE CHNA. IT CAN BE FOUND ON OUR WEBSITE AT: https://www.hahv.org/Uploads/Public/Documents/HealthAlliance%20PDFs/CHSP_N EW/HealthAlliance%20Hospitals-Broadway%20Campus%20and%20Mary%e2%80%99s%20A venue%20Campus-Community%20Health%20Needs%20Assessment%20and%20Implementat ion%20Plan%202016-2018.pdf THE LAST TAX YEAR OF AN ADOPTED IMPLEMENTATION STRATEGY WAS 2016, WHEN THE PLAN WAS ORIGINALLY DEVELOPED. THE PLAN WAS REVIEWED IN 2018 AND ALL AREAS REMAIN APPLICABLE. PART V, SECTION B, LINE 11 HEALTHALLIANCE CONTINUED TO MONITOR AND TRACK ITS PROGRESS THROUGH THE COMMUNITY BENEFITS COMMITTEE (CBC). THE COMMITTEE MET REGULARLY WITH THE UCDOHMH ON THE PREVENTION AGENDA AND ITS PROGRESS. IN ACCORDANCE WITH THE NYS PREVENTION AGENDA MANDATE, HEALTHALLIANCE WILL ALIGN WITH UCDOHMH TO FOCUS ON TWO PRIORITY AREAS: (1)PREVENT CHRONIC DISEASE; and (2)PROMOTE MENTAL HEALTH/PREVENT SUBSTANCE ABUSE. THESE PRIORITIES CONSIST OF FOCUS AREAS THAT IMPACT 12 OF THE 16 HEALTH NEEDS IDENTIFIED IN THE CHNA AND WILL BE ADDRESSED BY HEALTHALLIANCE. HEALTH NEEDS IDENTIFIED: THE 16 HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA CONTINUE TO BE RELEVANT IN 2018. THE HEALTH NEEDS INCLUDE CANCER, HEART DISEASE, TOBACCO USE, OBESITY AND MENTAL HEALTH, AMONG OTHERS. ACCORDING TO THE 2015 PUBLICATION "ONE REGION, ONE COMMUNITY NEEDS ASSESSMENT", AN EIGHT COUNTY COMMUNITY NEEDS ASSESSMENT OF THE HUDSON VALLEY REGION UNDERTAKEN IN COLLABORATION WITH WESTCHESTER MEDICAL CENTER, THE MONTEFIORE HUDSON VALLEY COLLABORATIVE, REFUAH HEALTH CENTER AND HEALTHALLIANCE OF THE HUDSON VALLEY AS PART OF DSRIP TO EXTENSIVELY ASSESS REGIONAL NEEDS, RANKED THE TOP HEALTH ISSUES IN THE COMMUNITY (OUT OF 17) AS CANCER, OBESITY, MENTAL HEALTH, DIABETES AND HEART DISEASE. THESE INCLUDE THE SAME HEALTH NEEDS IDENTIFIED BY THE COMMUNITY IN THE 2016 ULSTER COUNTY COMMUNITY HEALTH SURVEY (DRUG ABUSE, MENTAL HEALTH AND OBESITY). THESE IDENTIFIED AREAS ARE BEING ADDRESSED IN HEALTHALLIANCE'S 2016-2018 IMPLEMENTATION STRATEGY, AFTER WHICH THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE PERFORMED. HEALTH NEEDS ADDRESS BY HEALTHALLIANCE THROUGH OUR 2016-2018 COMMUNITY SERVICE PLAN: THE SECTIONS THAT FOLLOW INCLUDE A BRIEF INTRODUCTION ON THE DEPARTMENT'S RESOURCES AND AN UPDATEd WORK SUMMARY FOR 2018. 1. CANCER SUPPORT PROGRAMS HEALTHALLIANCES MULTIDISCIPLINARY CANCER COMMITTEE ESTABLISHED A PREVENTION GOAL FOR HEALTHALLIANCES COMMUNITY SERVICE PLAN 20162018 SEEKING TO REDUCE OBESITY TO DECREASE THE RISK OF CHRONIC DISEASES - INCLUDING CORONARY HEART DISEASE, TYPE 2 DIABETES, ASTHMA, HIGH CHOLESTEROL, OSTEOARTHRITIS, HIGH BLOOD PRESSURE, SLEEP APNEA AND CERTAIN TYPES OF CANCER. OVERWEIGHT AND OBESITY, TOGETHER ARE ONE OF THE LEADING PREVENTABLE CAUSES OF DEATH IN THE UNITED STATES, HAVING REACHED EPIDEMIC PROPORTIONS IN THE HEALTHALLIANCE SERVICE AREA, AS WELL AS ACROSS THE COUNTRY AND AROUND THE WORLD. BEING OVERWEIGHT OR OBESE INCREASES ONES RISK FOR A VARIETY OF CANCERS. AMONG OBESE WOMEN, THE RISK INCREASES FOR CANCER OF THE ENDOMETRIUM, OR THE LINING OF THE UTERUS IN YOUNGER WOMEN. OBESE WOMEN ALSO INCREASE THEIR RISK FOR BREAST CANCER IN THOSE WHO HAVE GONE THROUGH MENOPAUSE. OVERWEIGHT MEN HAVE A HEIGHTENED RISK FOR PROSTATE CANCER. BOTH MEN AND WOMEN WHO ARE OBESE ARE AT INCREASED RISK FOR COLORECTAL CANCER. THE HEALTHALLIANCE CANCER COMMITTEE IS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS THROUGH STANDARD-SETTING, PREVENTION, RESEARCH, EDUCATION AND THE MONITORING OF COMPREHENSIVE QUALITY CARE. THE COMMITTEE IS RESPONSIBLE FOR PLANNING, INITIATING, IMPLEMENTING, EVALUATING AND IMPROVING ALL CANCER-RELATED ACTIVITIES AS PART OF THE CANCER CARE PROGRAM IN OUR TWO FACILITIES. HEALTHALLIANCES CANCER CARE PROGRAM IS ACCREDITED BY THE COMMISSION ON CANCER, A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. THE COMMISSION RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT TO PROVIDING COMPREHENSIVE, HIGH-QUALITY AND MULTIDISCIPLINARY PATIENT-CENTERED CARE. THROUGH THE COMMISSION, THE HEALTHALLIANCE CANCER PROGRAM HAS ACCESS TO REPORTING TOOLS TO AID IN BENCHMARKING AND IMPROVING OUTCOMES AT OUR FACILITIES AS WELL AS EDUCATIONAL AND TRAINING OPPORTUNITIES, DEVELOPMENT RESOURCES AND ADVOCACY. HEALTHALLIANCES ONCOLOGY SUPPORT PROGRAM, A UNIQUE INTEGRATIVE OUTPATIENT SUPPORT COMMUNITY UNDER THE CANCER PROGRAMS AUSPICES, HELPS TO ADDRESS OBESITY IN PART BY OFFERING REGULAR DANCE AND EXERCISE CLASSES, INCLUDING YOGA, TAI CHI AND SMARTBELLS-BRAND EXERCISE-WEIGHT CLASSES, TO THE GENERAL POPULATION, NOTABLY PEOPLE WHO ARE OBESE, AS WELL AS TO ONCOLOGY PATIENTS, TO INCREASE PHYSICAL ACTIVITY IN ULSTER COUNTY. IN ADDITION, MONTHLY PLANT-BASED DIET COOKING CLASSES ARE OFFERED TO INCREASE THE CONSUMPTION OF WHOLE GRAINS AND PLANT-BASED FOODS. THE PURPOSE OF THESE AND OTHER PROGRAMS, WHICH WERE EXPANDED IN 2018, IS TO ENCOURAGE ILLNESS-PREVENTION BEHAVIORS AND INSPIRE PEOPLE TO DEVELOP HEALTHY LIFESTYLES. WELLNESS AND WEIGHT MANAGEMENT SERIES IN 2016, THE ONCOLOGY SUPPORT PROGRAM, LOCATED ACROSS FROM THE MARYS AVENUE CAMPUS IN THE NURTURING, HOMELIKE REUNER CANCER SUPPORT HOUSE, ALSO DEVELOPED A FREE WELLNESS AND WEIGHT MANAGEMENT SERIES. THE SIX-SESSION PROGRAM BENEFITED FROM THE CLINICAL SERVICES OF A REGISTERED AND CERTIFIED DIETITIAN/NUTRITIONIST OFFERING NUTRITIONAL EDUCATION AND FEATURED DYNAMIC DEMONSTRATIONS OF HEALTHY FOOD PREPARATION. THE GOALS OF THE PREVENTION PROGRAM WERE TO REDUCE THE BMI, OR BODY MASS INDEX, OF PARTICIPANTS WHO WERE OVERWEIGHT, DEVELOP PARTICIPANTS DESIRE TO MAKE HEALTHIER FOOD CHOICES, INCLUDING REGULARLY EATING FRUITS AND VEGETABLES, AND INCREASE THEIR LEVELS OF EXERCISE SO THE PARTICIPANTS WOULD PROFIT FROM THE SCIENTIFICALLY PROVEN BENEFITS OF PHYSICAL ACTIVITY. ALL THE SURVEYED PARTICIPANTS REPORTED MEANINGFUL HEALTH IMPROVEMENTS AFTER PARTICIPATING IN THE SESSIONS, AS MEASURED BY SCREENINGS BEFORE AND AFTER THE SERIES. PARTICIPANTS ALSO REPORTED THEY WERE ABLE TO IDENTIFY EFFECTIVE WEIGHT-LOSS STRATEGIES, UNDERSTAND HOW TO OVERCOME WEIGHT-MANAGEMENT OBSTACLES AT WORK, AND IDENTIFY SUPPORT MECHANISMS. THE REGISTERED AND CERTIFIED DIETITIAN/NUTRITIONIST AND OTHER CLINICIANS ALSO PROVIDED PARTICIPANTS WITH BRIEF COUNSELING TO HELP THEM MEET NUTRITIONAL AND EXERCISE GOALS AND REFERRED THEM TO HEALTHALLIANCE AND COMMUNITY-BASED RESOURCES FOR FURTHER NUTRITION AND PHYSICAL ACTIVITY COUNSELING AND OTHER RESOURCES. BREAST CANCER SCREENING PROGRAM SCREENING TO IDENTIFY PEOPLE WHO HAVE CHRONIC CONDITIONS OR ARE AT RISK OF DEVELOPING THEM CAN HELP PREVENT DISEASE OR LESSEN THE SEVERITY OF ILLNESS. EARLY DETECTION AND INTERVENTION CAN SAVE MONEY AND LIVES. BREAST CANCER IS ONE OF THE MOST COMMON CANCERS AMONG WOMEN IN NEW YORK STATE. EACH YEAR, MORE THAN 15,000 WOMEN ARE DIAGNOSED WITH BREAST CANCER IN NEW YORK AND ABOUT 150 IN ULSTER COUNTY, AND ALMOST 2,600 WOMEN DIE FROM THE DISEASE STATEWIDE AND ABOUT 25 DIE FROM IT IN ULSTER COUNTY. IT IS ESTIMATED THAT ONE IN EIGHT WOMEN WILL DEVELOP BREAST CANCER DURING HER LIFETIME. DEATH FROM BREAST CANCER IS MOST COMMON AMONG WOMEN OF RACIAL OR ETHNIC MINORITIES AND LOW-INCOME GROUPS. MANY OF THESE DEATHS CAN BE AVOIDED BY MAKING CANCER SCREENING SERVICES AVAILABLE TO ALL WOMEN AT RISK. THE CANCER COMMITTEE OF HEALTHALLIANCE HOSPITALS SET A GOAL FOR HEALTHALLIANCE TO ENSURE THAT MEDICALLY UNDERSERVED WOMEN IN ULSTER COUNTY HAVE READY ACCESS TO BREAST CANCER SCREENINGS IN THE INTEREST OF REDUCING BREAST CANCER MORTALITY IN THIS POPULATION. THE FERN FELDMAN ANOLICK CENTER FOR BREAST HEALTH AT HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS OFFERS REGULAR BREAST CANCER SCREENINGS AS PART OF THE TWO HOSPITALS COMPREHENSIVE DIAGNOSTIC, TREATMENT AND SUPPORT PROGRAMS FOR BREAST CARE. ITS INTEGRATED PRACTICE BRINGS TOGETHER A COMPASSIONATE, SKILLED, MULTISPECIALTY TEAM OF DEDICATED EXPERTS TO ENSURE THAT NO MATTER WHERE A PATIENT IS IN HER JOURNEY THROUGH THIS ILLNESS, SHE WILL RECEIVE THE BEST CARE AVAILABLE. THE EXPERTS INCLUDE DIAGNOSTICIANS, PATHOLOGISTS, RADIOLOGISTS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, BREAST SURGICAL ONCOLOGISTS, BREAST PLASTIC AND RECONSTRUCTIVE SURGEONS, PHYSICAL MEDICINE AND REHABILITATION SPECIALISTS, NUTRITIONISTS, ONCOLOGY NURSES AND A HIGHLY SKILLED SUPPORT STAFF - ALL WORKING AS A MULTIDISCIPLINARY TEAM TO PROVIDE WHOLE-PERSON CARE FOR WOMEN. OUR CERTIFIED BREAST-PATIENT NAVIGATION PROGRAM ENSURES SEAMLESS, COORDINATED CARE AMONG PHYSICIANS, DIAGNOSTIC TESTS AND TREATMENTS, WHILE OFFERING EDUCATION, GUIDANCE AND SUPPORT FOR THE PATIENT AND HER FAMILY. THE CENTER IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY FOR MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST ULTRASOUND AND IS DESIGNATED BY THE COLLEGE AS A "BREAST IMAGING CENTER OF EXCELLENCE." THE ANOLICK CENTER CONDUCTED OUTREACH THROUGHOUT 2018 TO TALK WITH UNDERSERVED WOMEN AT MULTIPLE LOCATIONS, INCLUDING A POPULAR THRIFT STORE AND FOOD PANTRY IN KINGSTON CALLED THE PEOPLES PLACE AND THE HUDSON VALLEY LGBTQ COMMUNITY CENTER, ALSO IN KINGSTON. STUDIES HAVE FOUND THAT LESBIANS AND BISEXUAL WOMEN GET LESS ROUTINE BREAST CANCER SCREENING TESTS THAN OTHER WOMEN. THE REASONS INCLUDE LOWER-THAN-AVERAGE RATES OF HEALTH INSURANCE, FEAR OF DISCRIMINATION AND FEAR OF A NEGATIVE EXPERIENCE WITH A HEALTHCARE PROVIDER. IN ADDITION, TRANSGENDER WOMEN AND PEOPLE ON THE TRANSFEMININE [MALE-TO-FEMALE] SPECTRUM OFTEN FACE ADDITIONAL CONCERNS ABOUT BREAST CANCER SCREENINGS. THESE COMMUNITY OUTREACH INITIATIVES AFFORDED HEALTHAL PART V, SECTION B, LINE 16A, B AND C THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND FAP APPLICATION ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://HAHV.ORG/HAHV/FINANCIAL-ASSISTANCE.ASPX PART I, LINE 7: FINANCIAL ASSISTANCE AT COST THE HEALTHALLIANCE HOSPITAL ("HA") BROADWAY CAMPUS 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 INCLUDE no 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 18-19 OF THE ATTACHED AFS. Part III, Line 4: Description of Bad Debt Expense THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 18-19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Part III, Line 8: Costing Methodology THE COSTS ON LINE 6 WERE TAKEN DIRECTLY FROM THE COST REPORT COSTS (D & E-SERIES, WHERE APPLICABLE) LESS SUBSIDIZED SERVICES MEDICARE LOSSES WHICH WERE TAKEN FROM EXHIBIT 46 OF THE NEW YORK STATE INSTITUTIONAL COST REPORT. FOR THE BROADWAY CAMPUS, THERE WAS A SHORTFALL FROM MEDICARE FOR 2018. THEREFORE, IT IS CONSIDERED A COMMUNITY BENEFIT. PART III LINE 9B: COLLECTION PRACTICES THE CREDIT AND COLLECTION POLICY FOR SELF-PAY BALANCES PROVIDES THAT, IN SOME CASES, NON-INSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID QUALIFY FOR CHARITY CARE. IN THOSE INSTANCES, THE CREDIT AND COLLECTION DEPARTMENT WILL FOLLOW THE GUIDELINES AS SET FORTH IN THE CHARITY CARE POLICY. THE CHARITY CARE POLICY PROVIDES THAT THE FINANCIAL COUNSELOR EVALUATES THE INFORMATION PROVIDED IN THE PATIENTS CHARITY CARE APPLICATION 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 GUARANTORS GROSS MONTHLY INCOME. PART VI, LINE 2: COMMUNITY NEEDS ASSESSMENT COMMUNITY NEEDS ASSESSMENT IS DONE ON TWO LEVELS. BELOW WE EXPLAIN THE CHNA PROCESS WE ENGAGED IN DURING 2016, THE MACRO LEVEL OF ASSESSMENT THAT OCCURS EVERY THREE YEARS. ON A MICRO LEVEL AND ON AN ONGOING BASIS, STAFF FROM VARIOUS LEVELS OF THE ORGANIZATION ARE ENGAGED OUTSIDE THE WALLS OF THE HOSPITAL IN THE COMMUNITY IMPLEMENTING THE NEEDS THAT WERE GENERATED AS A RESULT OF THE MACRO CHNA ASSESSMENT AND REASSESSING HOW THE VARIOUS PLANS ARE PROGRESSING. STAFF THAT INTERFACE WITH THE COMMUNITY INCLUDE THE CEO/EXECUTIVE DIRECTOR WHO MEETS ON AN ONGOING BASIS WITH THE FAITH BASED COMMUNITY, COORDINATORS WHO SERVE ON THE LIVE WELL KINGSTON COMMISSION AND GATHER COMMUNITY INFO FROM THAT MONTHLY MEETING, AND THE COMMUNITY HEALTH COORDINATOR WHO SERVES ON THE HEALTHY ULSTER COUNCIL AND MEETS WITH OTHER AGENCY LEADERS TO LEARN OF COMMUNITY NEEDS. A. PARTNERS BEGINNING MAY 2016, THE HEALTHALLIANCE COMMUNITY HEALTH COORDINATOR MET WITH THE STAFF OF THE UCDOHMH AND COMMENCED THE COMMUNITY HEALTH NEEDS PLANNING INITIATIVE. ADDITIONAL HEALTH CARE LEADERS WERE INVITED TO PARTICIPATE IN THE INITIATIVE, INCLUDING ELLENVILLE REGIONAL HOSPITAL. MEETINGS WERE HELD ON VARIOUS DATES THROUGHOUT 2017 AND 2018. THE COMMUNITY PARTICIPATED IN THE PROCESS TO PRIORITIZE IMPROVING THE HEALTH OF THE COUNTY BY MEANS OF A COMMUNITY HEALTH SURVEY THAT WAS DRAFTED AND DISTRIBUTED AS A RESULT OF THESE MEETINGS. IT WAS PROVIDED TO THE COMMUNITY ONLINE AND IN PAPER FORMAT WITH A COLLECTION BOX AT COMMUNITY AGENCIES STRATEGICALLY LOCATED FOR POPULATIONS WITH THE GREATEST NEED. ULTIMATELY, MORE THAN 600 COMMUNITY SURVEYS WERE COLLECTED AND TABULATED. B. METHODOLOGY AND PROCESS THE PREVIOUS CHNA, DEMOGRAPHIC DATA AND TRENDS, NYS PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, EBRFSS DATA, A REGIONAL COMMUNITY NEEDS ASSESSMENT (CNA) UNDERTAKEN IN COLLABORATION WITH WMCHEALTH, MONTEFIORE MEDICAL CENTER, HEALTHALLIANCE AND AN ULSTER COUNTY COMMUNITY HEALTH SURVEY COMPLETED BY OVER 600 RESIDENTS OF ULSTER COUNTY, WERE USED TO DEVELOP THE CHNA. THE SURVEY WAS AVAILABLE BOTH ONLINE AND IN PAPER COPIES THAT WERE STRATEGICALLY PLACED TO BE ACCESSIBLE TO LOW INCOME, CHRONICALLY ILL AND MINORITY COMMUNITIES WITH THE GREATEST NEED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL INFORMS THE PATIENT OF THE AVAILABILITY OF CHARITY CARE SEVERAL WAYS: 1- NOTICE IS ON EVERY PATIENT BILL WITH AN APPLICATION ON THE BACK OF THE BILL 2- ON THE HOSPITAL WEBSITE 3- ALL MEMBERS OF THE PATIENT ACCOUNTING DEPARTMENT ARE TRAINED TO SCREEN PATIENTS FOR CHARITY CARE WHEN DISCUSSING BILLS AND CONCERNS REGARDING INABILITY TO PAY 4- FLIERS ARE POSTED IN REGISTRATION AREAS OF THE HOSPITAL 5- REGISTRATION CLERKS WILL IDENTIFY PATIENTS WITHOUT A PAY SOURCE AND REFER THE PATIENT TO A FINANCIAL COUNSELOR AND HAND THE PATIENT A FINANCIAL ASSISTANCE FORM 6- FINANCIAL COUNSELORS ASSIST PATIENTS IN SECURING MEDICAID AND SCREEN FOR CHARITY CARE 7- THE COLLECTION AGENCIES THAT HAHV ENGAGES WITH ARE AWARE OF THE CHARITY CARE POLICY AND ASSIST PATIENTS IN APPLYING UP TO 180 POST-PLACEMENT WITH THEM HEALTHALLIANCE IS COMMITTED TO: - PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES. - CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. - ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY. IN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION (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 PATIENT PAYMENT OBLIGATIONS HEALTHALLIANCE EFFECTIVELY COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATION AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE. INFORMATION REGARDING THE FINANCIAL ASSISTANCE IS ALSO PROVIDED BY THE ONSITE FINANCIAL COUNSELING STAFF IN BOTH INPATIENT AND OUTPATIENT AREAS. PATIENT ACCOUNTING ALSO SUPPORTS THE FINANCIAL COUNSELING PROGRAM BY PROVIDING PATIENTS WITH INFORMATION AND APPLICATIONS WHILE HANDLING CUSTOMER SERVICE CALLS. OUR FINANCIAL COUNSELORS AND COUNTY MEDICAID WORKERS ALSO PROVIDE GUIDANCE REGARDING THE FINANCIAL ASSISTANCE PROGRAM WHEN NECESSARY. FINANCIAL ASSISTANCE IS AVAILABLE ON THE BACK OF EVERY HOSPITAL BILL AS WELL AS THE HOSPITAL WEBSITE AT https://www.hahv.org/financial-assistance. 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 PATIENTS ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENTS 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 RECEIVE 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. OFTEN UTILIZED, 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. HEALTHALLIANCE IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE AND IS VERY SENSITIVE TO LOW INCOME PATIENTS ABILITY TO PAY. OUR CALL CENTER OFFERS THE CONVENIENCE OF CALLING ONE TELEPHONE NUMBER FOR ALL BILLING INQUIRIES REGARDLESS OF WHICH HOSPITAL THE PATIENT IS CALLING ABOUT. PART VI, LINE 4: COMMUNITY INFORMATION HEALTHALLIANCE OF THE HUDSON VALLEY, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK (WMCHEALTH), OPERATES A 315-HOSPITAL-BED HEALTH CARE SYSTEM COMPRISING HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS AND HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IN KINGSTON, NY, AND THE MARGARETVILLE HOSPITAL IN MARGARETVILLE, NY. IT ALSO OPERATES MOUNTAINSIDE RESIDENTIAL CARE CENTER, AN 82-BED NURSING HOME IN MARGARETVILLE ADJACENT TO MARGARETVILLE HOSPITAL. HEALTHALLIANCE IS GUIDED BY THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. HEALTHALLIANCE DELIVERS THE BEST HEALTH CARE OF THE HIGHEST VALUE IN A SAFE, COMPASSIONATE ENVIRONMENT. IT 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. MARCH 2016 WAS A PIVOTAL MONTH FOR HEALTHALLIANCE. ON MARCH 4, 2016, HEALTHALLIANCE RECEIVED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) AND THE STATE DORMITORY AUTHORITY AN $88.8 MILLION CAPITAL RESTRUCTURING FINANCING PROGRAM AWARD, THE SECOND HIGHEST SINGLE AWARD IN THE STATE, TO TRANSFORM ITS MARYS AVENUE CAMPUS INTO A SINGLE, STATE-OF-THE ART HOSPITAL AND TO REDEVELOP ITS BROADWAY CAMPUS INTO A "MEDICAL VILLAGE." ON MARCH 30, 2016 WESTCHESTER COUNTY HEALTH CARE CORP., THROUGH ITS NEWLY CREATED, WHOLLY OWNED SUBSIDIARY WMCHEALTH ULSTER INC. (WMCHEALTHULSTER), BECAME THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE. HEALTHALLIANCE REMAINS AN ACTIVE PARTICIPANT IN THE WMCHEALTH PERFORMING PROVIDER SYSTEM (PPS) WITHIN THE NEW YORK STATE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP). WMCHEALTH-ULSTER OVERSEES OPERATIONS AT HEALTHALLIANCE. THE CHANGE IN OWNERSHIP, ALONG WITH STATE FUNDING TO TRANSFORM HEALTH CARE DELIVERY IN ULSTER COUNTY, WILL HAVE A SIGNIFICANT POSITIVE IMPACT ON OPERATIONS. 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 145,784 WHILE THE BROADER POPULATION FOR ULSTER COUNTY WAS 182,420 IN 2016 AND 45,417 FOR DELAWARE COUNTY IN 2017, 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. UNLIKE THE POPULATION GROWTH IN THE U.S. OF 4.9%, THE OVERALL POPULATION FOR THE PRIMARY SERVICE AREA IS EXPECTED TO DECLINE SLIGHTLY OVER THE NEXT FIVE YEARS. HOWEVER, THE POPULATION OF THE REGION IS AGING RAPIDLY, WITH A 12% GROWTH RATE OF PRE-MEDICARE AND MEDICARE POPULATIONS OF SENIORS (TRUVEN HEALTH, MARKET EXPERT). THESE DEMOGRAPHIC CHANGES, CONSISTENT WITH NATIONAL TRENDS, ARE ONE OF THE DEFINING ASPECTS OF HEALTHALLIANCES FUTURE COMMUNITY HEALTH PLANNING. IN 2017, HEALTHALLIANCES PSA MARKET SHARE FOR INPATIENT HOSPITAL SERVICES WAS 45.5% WHILE THE MARKET SHARE FOR INPATIENT BEHAVIORAL HEALTH (PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES) WAS 77%. FOR MATERNITY SERVICES, HEALTHALLIANCE HAD A 26% MARKET SHARE, WITH OVER 75% OF THESE PATIENTS BEING MEDICAID ENROLLEES, GIVEN THE ACCESSIBLE LOCATION WITHIN A HIGH-NEED, LOWER-INCOME AREA. WITHIN OUR REGION, PROJECTIONS FOR WOMEN OF CHILDBEARING AGE AND PEDIATRIC POPULATIONS SHOW A DECLINE OF 4.5%, OR 2,563 PEOPLE. HOWEVER, HEALTHALLIANCES SHARE OF MATERNITY PATIENTS IS EXPECTED TO REMAIN STEADY AS HEALTHALLIANCE SERVES AS A SAFETY NET PROVIDER FOR LOWER INCOME, HIGHER RISK PATIENTS. THE STABLE MATERNITY VOLUME IS DUE TO OUR PARTNERSHIP WITH THE MID-HUDSON FAMILY PRACTICE RESIDENCY PROGRAM. IT IS ONE OF THE FEW FAMILY PRACTICE RESIDENCY PROGRAMS IN THE COUNTRY WHOSE PHYSICIANS PROVIDE MATERNITY AND PEDIATRIC CARE FOR PRIMARY CARE PATIENTS AT THE NEARBY INSTITUTE FOR FAMILY HEALTH CLINIC. OF HEALTHALLIANCE PATIENTS, 6.2 % ARE ENROLLED IN MEDICAID AND 14.3% HAVE MEDICAID MANAGED CARE. AN ESTIMATED ADDITIONAL 9.2% HAVE NO HEALTH INSURANCE (CENSUS.GOV, 2016 SAHIE). IN 2017, THE MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $82,954 AND $68,298 FOR THE CITY OF KINGSTON, WHILE PERSONS BELOW POVERTY LEVEL ARE 13.7% FOR THE COUNTY AND 21.5% FOR THE CITY OF KINGSTON. THE REGION IS ECONOMICALLY DIVERSE, BUT ADJACENT AREAS IN DELAWARE COUNTY HAVE UNEMPLOYMENT RATES THAT EXCEED NYS AVERAGES. ACCORDING TO ULSTER COUNTY HHI-EBRFFS DATA, THE PERCENTAGE OF ADULT SMOKERS IN ULSTER COUNTY WITH INCOME BELOW $25,000 IS 36.3% COMPARED TO 24.2% FOR NYS, WHILE THE RATE OF LUNG CANCER INCIDENCE IS 72.5 PER 100,000 OF THE POPULATION, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE AVERAGE OF 63.3 PER 100,000 PEOPLE. MENTAL HEALTH AND SUBSTANCE ABUSE INDICATORS ARE ALSO HIGHER THAN STATE LEVELS. ULSTER COUNTY RESIDENTS REPORT 17.1 DAYS OF POOR MENTAL HEALTH PER YEAR, HIGHER THAN AN AVERAGE OF NYS RESIDENTS WHO REPORT OF 11.2 DAYS. ULSTER COUNTY HAS AN AGE ADJUSTED SUICIDE RATES OF 8.5 PER 100,000 PEOPLE AS OPPOSED TO 7.9 PER 100,000 PEOPLE FOR NYS. DIET AND EXERCISE ARE ALSO AREAS OF PUBLIC HEALTH CONCERN. THE PERCENTAGE OF OBESE ADULTS AS REPORTED IN THE 2013-2014 EBRFSS IS 26.4% AS COMPARED TO 24.4% IN THE MID-HUDSON REGION AND 24.6% IN NYS. 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 ORGANIZATIONS HOSPITAL FACILITIES FURTHERS ITS EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM HEALTHALLIANCE IS THE PARENT COMPANY TO AFFILIATE MEMBERS HEALTHALLIANCE MARYS AVENUE CAMPUS, HEALTHALLIANCE BROADWAY CAMPUS, MARGARETVILLE MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL, AND MOUNTAINSIDE RESIDENTIAL CARE CENTER, A SKILLED NURSING FACILITY. THIS INTEGRATED HEALTHCARE SYSTEM IS COMMITTED TO PROVIDING QUALITY AND COMPASSIONATE MEDICAL CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY. IN ADDITION TO SERVICE CONSOLIDATION BETWEEN THE TWO KINGSTON HOSPITALS, HAHV ALSO COMMITTED TO STREAMLINING OPERATIONS AND IMPROVING CARE AT THE OTHER AFFILIATE LOCATIONS. DESPITE SIGNIFICANT OPERATIONAL IMPROVEMENT AND AT THE SUGGESTION OF NYS DEPARTMENT OF HEALTH, HAHV JOINED IN 2014 WITH THE WESTCHESTER MEDICAL HEALTH PERFORMING PROVIDER SYSTEM IN THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) AGAIN SEEKING TO TRANSFORM HEALTHCARE DELIVERY TO A MORE EFFECTIVE AND EFFICIENT MODEL THAT WILL BENEFIT ULSTER COUNTY ON MANY LEVELS. WESTCHESTER COUNTY HEALTHCARE CORP, THROUGH ITS WHOLLY OWNED SUBSIDIARY, WMCHEALTH ULSTER, INC. (WMCHEALTH-ULSTER), IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE, INC. HEALTHALLIANCE REMAINS AN ACTIVE PARTICIPANT IN THE WMCHEALTH PERFORMING PROVIDER SYSTEM (PPS) WITHIN THE NEW YORK STATE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP). WMCHEALTH-ULSTER OVERSEES OPERATIONS AT THE HEALTHALLIANCE CAMPUSES. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT NEW YORK X X X X X X false false false false false false false false false MICHAEL ISRAEL VICE CHAIR 0 1566869 0 900000 0 0 0 68500 0 98924 0 2634293 0 0 JULIE SWITZER TRUSTEE 0 655675 0 221675 0 0 0 62500 0 63089 0 1002939 0 0 WILLIAM FRISHMAN MD TRUSTEE 0 498934 0 0 0 0 0 34992 0 30678 0 564604 0 0 David Scarpino CEO 185181 339824 0 0 5994 0 26704 38500 23597 23478 241476 401802 0 0 PAUL LLOBET MD CHIEF MEDICAL OFFICER 308999 0 0 0 4997 0 6750 0 0 0 320746 0 0 0 KARA BENNORTH TRUSTEE 0 518039 0 173500 0 0 0 128448 0 45143 0 865130 0 0 GARY BRUDNICKI TRUSTEE 0 1152946 0 497134 0 0 0 68500 0 82150 0 1800730 0 0 JOSEPH MARSICOVETE CHIEF OPERATING OFFICER 307472 0 0 0 7779 0 6750 0 8566 0 330567 0 0 0 ALLEN NACE DIR METHADONE & BRIDGEBACK SVC 171091 0 0 0 792 0 4316 0 8791 0 184990 0 0 0 PRITI SHAH DIRECTOR OF PHARMACY 172482 0 0 0 516 0 4382 0 24046 0 201426 0 0 0 robert ross EXEC VICE PRESIDENT/TRUSTEE 0 322361 0 0 0 0 0 50750 0 42712 0 415823 0 0 JANE ULRICH SR. VP OF NURSING 0 184164 0 0 0 8135 0 3434 0 18365 0 214098 0 0 Schedule J, Part I, Line 3 The organization's top management official (CEO) received compensation from the filing organization. In order to establish compensation payments, the organization typically completes a compensation study or engages an independent consultant. The results of said study or consultant's findings are INCORPORATED into a written employment contract. All actions above are approved by the Board of directors/compensation committee prior to finalization. A ULSTER COUNTY CAPITAL RESOURCE CORPORATION 273282033 000000000 2010-12-29 12500000 Ulster County Capital Resource Cor false false false A 8812064 0 12500000 0 0 0 250000 0 8182783 4067217 0 0 true false false true A false false false false 0.00950 0.00000 0.00950 false false 0.00000 false false A false false false false 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). Mahdavian Mahdavian 35% or greater than ownership by trustee 167125 PHYSICIAN ON CALL PAYMENT false 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 ORGANIZATIONS TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATIONS 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 XI, LINE 9 recognize Health plan settlement - ($3,000,000). LAND & BUILDING acquisition and loan WRITE OFF - ($398,100). REturn OF PRIOR GRANT OVERPAYMENT - $9,907. FORM 990 PART IX LINE 11G DESCRIPTION:Other fees TOTAL FEES:11021956 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:6474599 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 true MARGARETVILLE MEMORIAL HOSPITAL 42084 STATE ROUTE 28 MARGARETVILLE NY 12455 150552726 EXEMPT HOSP NY 501(C)(3) 3 HA INC true MARGARETVILLE NURSING HOME INC 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 223143565 NURSING HOME NY 501(C)(3) 10 MMH true MARGARETVILLE HEALTH FOUNDATION 42084 STATE HIGHWAY 28 MARGARETVILLE NY 12455 261998454 SUPPORT FDN NY 501(C)(3) 12A MMH true FASC FOUNDATION 741 GRANT AVENUE LAKE KATRINE NY 12449 264201295 SUPPORT FDN NY 501(C)(3) 7 HAH BWAY true 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 true BON SECOURS WARWICK HEALTH FOUNDATION 255 LAFAYETTE AVE SUFFERN NY 10901 141972807 SUPPORT FDN NY 501(C)(3) 7 BSCHSI true 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 (BARBADOS) 38 PINE ROAD BELLEVILLE ST MICHAEL BB CAP INSURANCE BB BSCHSI C CORP true KINGSTON INSURANCE (BARBADOS) LIMITED 38 PINE ROAD BELLEVILLE ST MICHAEL BB CAP INSURANCE BB HEALTHALLIANCE C CORP true NORTHEAST PROVIDER SOLUTIONS INC 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING NY NA c corp true WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFFices NY NA c corp true WESTCHESTER MEDICAL REGIONAL PHYS SVCS 241 NORTH ROAD POUGHKEEPSIE NY 10532 465522536 PHYSICIAN OFFices NY NA c corp true WCHCC (BERMUDA) LIMITED VICTORIA HALL 11 VICTORIA STREET HAMILTON BD CAP INSURANCE BD NA c corp true kingston regional health care enterprise 396 BROADWAY KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY c corp -146964 533890 1.00000 true MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY na c corp true bschs medical group pc 10 franklin turnkpike mahwah NJ 07430 821632215 physician offices NJ bschs c corp true false false true 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.