HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS (EIN 14-1338470)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-10-31
IRS object ID: 201943049349301989
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-10-31T20:34:36-05:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5 TIMES SQUARE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10036	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338470	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHALLIANCE HOSPITAL MARY'S AVE CAMPUS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ERIN NAGY	InCareOfNm
Business Name Control	HEAL	BusinessNameControlTxt
Phone	8453382500	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT ROSS	PersonNm
Person Title	EXEC. VICE PRESIDENT	PersonTitleTxt
Phone	8453382500	PhoneNum
Signature	2019-10-31	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAURA KIELCZEWSKI	PreparerPersonNm
PTIN	P00740769	PTIN
Phone	2127733000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	173.56.229.42	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520193045000057	FederalOriginalSubmissionId
Federal Original Submission Id	2019-10-31	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	770194AAF055F9EA87E64CA02E08FE540289067F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	047C777BBD395ADD529156C75D94AFF56594489C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT ROSS	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$61,771,496	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.HAHV.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1902	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	714	TotalEmployeeCnt
Total Volunteers	37	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,791,794	PYContributionsGrantsAmt
CY Contributions Grants	$9,563,454	CYContributionsGrantsAmt
PY Program Service Revenue	$44,125,000	PYProgramServiceRevenueAmt
CY Program Service Revenue	$45,254,595	CYProgramServiceRevenueAmt
PY Investment Income	$2,548,570	PYInvestmentIncomeAmt
CY Investment Income	$3,056,882	CYInvestmentIncomeAmt
PY Other Revenue	$1,486,332	PYOtherRevenueAmt
CY Other Revenue	$3,699,824	CYOtherRevenueAmt
PY Total Revenue	$56,951,696	PYTotalRevenueAmt
CY Total Revenue	$61,574,755	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$32,763,584	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$27,827,242	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,087,709	PYOtherExpensesAmt
CY Other Expenses	$36,449,585	CYOtherExpensesAmt
PY Total Expenses	$62,851,293	PYTotalExpensesAmt
CY Total Expenses	$64,276,827	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,899,597	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,702,072	CYRevenuesLessExpensesAmt
Total Assets BOY	$38,537,866	TotalAssetsBOYAmt
Total Assets EOY	$38,128,586	TotalAssetsEOYAmt
Total Liabilities BOY	$41,485,180	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$43,852,665	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$2,947,314	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$5,724,079	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF HEALTHALLIANCE MARY'S AVENUE CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$49,171,965	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$45,569,497	RevenueAmt
Desc	TO PROVIDE EXCELLENT HEALTH CARE SERVICES TO ALL PATIENTS. THIS IS ACHIEVED THROUGH THE HOSPITAL'S COMMITMENT OF THE VALUES OF HOSPITALITY, COMMUNITY, STEWARDSHIP, RESPECT, PEACE, EXCELLANCE, INTEGRITY AND FISCAL RESPONSIBILITY. HEALTHALLIANCE MARY'S AVENUE CAMPUS RECORDED 21,860 PATIENT DAYS AND 1,378 SURGERIES (INPATIENT & AMBULATORY). HEALTHALLIANCE MARY'S AVENUE CAMPUS OFFERS VARIOUS OUTPATIENT SERVICES SUCH AS SLEEP LAB, CHEMOTHERAPY, PSYCH SERVICES, BREAST CENTER AND ALL RADIOLOGIC SERVICES (CT, ULTRASOUND & CARDIAC CATH). TOTAL VISITS FOR THESE SERVICES IN 2018 WERE APPROXIMATELY 21,169.	Desc
Total Program Service Expenses	$49,171,965	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	51	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	714	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ERIN NAGY	PersonNm
Phone	8459436084	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	741 GRANT AVENUE	AddressLine1Txt
City	LAKE KATRINE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12449	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas Collins
Chair	1.0	4.25	Yes (X)	$0	$0	$0
Kevin Ryan
Vice Chair (resigned 11/8/18)	1.0	2.25	Yes (X)	$0	$0	$0
Craig Sickler
Treasurer	1.0	2.0	Yes (X)	$0	$0	$0
John Heimerdinger
Trustee	1.0	7.0	Yes (X)	$0	$0	$0
Cynthia Lowe
Secretary (resigned 11/8/18)	1.0	2.0	Yes (X)	$0	$0	$0
Jamal Mahdavian MD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
Michael Israel
Vice Chair	1.0	39.0	Yes (X)	$0	$2,466,869	$167,424
Samuel Simon MD
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Jerome Simonetty
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Julie Switzer
Trustee	1.0	39.0	Yes (X)	$0	$877,350	$125,589
William Frishman MD
Trustee	1.0	39.0	Yes (X)	$0	$498,934	$65,670
Richard Wishnie
Vice Chair	1.0	6.0	Yes (X)	$0	$0	$0
Nancy Davenport
Trustee (resigned 10/1/18)	1.0	2.0	Yes (X)	$0	$0	$0
Carey Wagner
Trustee	1.0	4.0	Yes (X)	$0	$0	$0
KARA BENNORTH
TRUSTEE	1.0	39.0	Yes (X)	$0	$691,539	$173,591
GARY BRUDNICKI
TRUSTEE	1.0	39.0	Yes (X)	$0	$1,650,080	$150,650
MICHAEL SHERAN MD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
robert ross
EXEC. VICE PRESIDENT/trustee	1.0	39.0	Yes (X)	$0	$322,361	$93,462
David Scarpino
ceo	18.0	22.0		$0	$530,999	$50,301	Yes (X)
Joseph Marsicovete
Chief Operating Officer	18.0	22.0		$0	$315,251	$15,316		Yes (X)
PAUL LLOBET MD
CHIEF MEDICAL OFFICER	18.5	21.5		$0	$313,996	$6,750		Yes (X)
ANNEMARIE MARTINEZ
EXEC DIR CLINICAL INTEGRATION	40.0	0.0		$163,613	$0	$8,881		Yes (X)
jane ulrich
sr. vp of nursing	36.0	4.0		$192,299	$0	$21,799		Yes (X)
patrick o'brien
lead echocardiology tech	40.0	0.0		$178,108	$0	$27,661		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$534,020	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,667,379	TotReportableCompRltdOrgAmt
Total Other Compensation	$907,094	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	39	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PHYSICIAN AT NEWBURGh PC
66 WEST GILBERT STREET	RED BANK	NJ	07701	Physician Fees	$2,224,598
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	272162140	lab services	$1,305,416
ARHC BCKNGNY01 LLC
PO BOX 714459	CINCINNATI	OH	452714459	PROPERTY RENTAL	$832,884
CLOVER HEALTH SERVICES LLC
75 SOUTH BROADWAY 4TH FLOOR	WHITE PLAINS	NY	10601	STAFFING AGENCY	$356,822
GRIFOLS USA LLC
PO BOX 741919	ATLANTA	GA	303741919	PHARMACUETICALS	$197,495

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	7	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Government Grants	$9,563,454	GovernmentGrantsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$9,563,454	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$45,254,595	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,254,595	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$45,254,595	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,056,882	TotalRevenueColumnAmt
Exclusion	$3,056,882	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$960,149	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$196,741	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$763,408	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$763,408	TotalRevenueColumnAmt
Exclusion	$763,408	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
FOOD SERVICES	900099	$176,820	$0	$0	$176,820
CONTRACTED SERVICE REVENUE	900099	$244,263	$244,263	$0	$0
GAIN ON SALE INS. CO.	524298	$2,444,694	$0	$0	$2,444,694

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,639	TotalRevenueColumnAmt
Related Or Exempt Func Income	$70,639	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,936,416	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,574,755	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,569,497	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,441,804	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$20,010,566	TotalAmt
Program Services	$13,867,375	ProgramServicesAmt
Management And General	$6,143,191	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$722,641	TotalAmt
Program Services	$541,981	ProgramServicesAmt
Management And General	$180,660	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,433,017	TotalAmt
Program Services	$3,324,587	ProgramServicesAmt
Management And General	$1,108,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,661,018	TotalAmt
Program Services	$1,995,763	ProgramServicesAmt
Management And General	$665,255	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$627,504	TotalAmt
Program Services	$432,883	ProgramServicesAmt
Management And General	$194,621	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$115,667	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$115,667	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,234	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,234	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,215,790	TotalAmt
Program Services	$5,968,439	ProgramServicesAmt
Management And General	$1,247,351	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$27,965	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$27,965	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,709,810	TotalAmt
Program Services	$796,544	ProgramServicesAmt
Management And General	$913,266	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$858,356	TotalAmt
Program Services	$6,566	ProgramServicesAmt
Management And General	$851,790	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$16,715	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$16,715	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,744	TotalAmt
Program Services	$3,335	ProgramServicesAmt
Management And General	$3,409	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$554,279	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$554,279	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,635,673	TotalAmt
Program Services	$2,635,673	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$854,072	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$854,072	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$16,948,919	$16,927,395	$21,524	$0
EQUIPMENT SERVICE CONTRACTS	$1,412,502	$1,253,062	$159,440	$0
ADMINISTRATIVE EXPENSES	$960,208	$944,211	$15,997	$0
CONTRACTED SERVICES	$1,805,508	$0	$1,805,508	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$698,639	TotalAmt
Program Services	$474,151	ProgramServicesAmt
Management And General	$224,488	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,276,827	TotalAmt
Program Services	$49,171,965	ProgramServicesAmt
Management And General	$15,104,862	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$374,105	BOYAmt
EOY	$75,246	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,892,033	BOYAmt
EOY	$6,388,462	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$845,859	BOYAmt
EOY	$867,674	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$740,340	BOYAmt
EOY	$673,004	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$126,562,525	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$102,431,131	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,146,449	BOYAmt
EOY	$24,131,394	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,591,023	BOYAmt
EOY	$991,298	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,948,057	BOYAmt
EOY	$5,001,508	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,537,866	BOYAmt
EOY	$38,128,586	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,729,462	BOYAmt
EOY	$15,598,295	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,343,950	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,399,504	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,080,000	BOYAmt
EOY	$1,605,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,655,119	BOYAmt
EOY	$4,160,337	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,621,095	BOYAmt
EOY	$21,145,083	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,485,180	BOYAmt
EOY	$43,852,665	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$3,148,708	BOYAmt
EOY	-$5,758,494	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$201,394	BOYAmt
EOY	$34,415	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$2,947,314	BOYAmt
EOY	-$5,724,079	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$38,537,866	BOYAmt
EOY	$38,128,586	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,702,072	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,265	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$69,428	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,234	OtherActivitiesAmt
Total Lobbying Expenditures	$1,234	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1J	FormAndLineReferenceDesc
Explanation	HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS PAYS DUES TO Northern Metro Hospital Association and Greater NY Hospital Association. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY Northern Metro Hospital Association and Greater NY Hospital Association, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. The amount attributed to lobbying activities applicable to 2018 Northern Metro Hospital Association and Greater NY Hospital Association IS $1,234.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,573,852	OtherCostOrOtherBasisAmt
Depreciation	$46,938,422	DepreciationAmt
Book Value	$14,635,430	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$343,400	OtherCostOrOtherBasisAmt
Depreciation	$313,272	DepreciationAmt
Book Value	$30,128	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,082,959	OtherCostOrOtherBasisAmt
Depreciation	$53,259,669	DepreciationAmt
Book Value	$1,823,290	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,352,782	OtherCostOrOtherBasisAmt
Depreciation	$1,919,768	DepreciationAmt
Book Value	$7,433,014	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$24,131,394	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN JOINT VENTURES	$3,824,957
INTEREST IN FOUNDATION	$681,626
OTHER NON-CURRENT RECEIVABLES	$473,029
OTHER ASSETS	$21,896

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,001,508	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO RELATED PARTIES	$16,562,632
OTHER NON-CURRENT LIABILITIES	$3,547,951
POST RETIREMENT BENEFIT OBLIGATION	$509,049
ENVIRONMENTAL REMEDIATION	$500,001
SECURITY DEPOSITS PAYABLE	$25,450

Field	Value	IRS element (for citing)
Total Liability	$21,145,083	TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$530,685	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$175,794	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,471,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,586,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,885,119	NetCommunityBenefitExpnsAmt
Total Expense	0.23160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,002,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,941,745	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,060,913	NetCommunityBenefitExpnsAmt
Total Expense	0.23430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$189,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$189,852	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,056,746	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,704,434	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,352,312	NetCommunityBenefitExpnsAmt
Total Expense	0.12990	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,259,670	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,762,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,542,164	NetCommunityBenefitExpnsAmt
Total Expense	0.13290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,262,328	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,704,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,603,077	NetCommunityBenefitExpnsAmt
Total Expense	0.36720	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,529,100	BadDebtExpenseAmt
Reimbursed By Medicare	$10,336,737	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,169,131	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,167,606	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	healthalliance hosp MARY'S AVE CAMPUS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	105 Marys Avenue	AddressLine1Txt
City	Kingston	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPs://WWW.HAHV.ORG	WebsiteAddressTxt
State License	5501001h	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HealthAlliance Hospital Mary's Ave	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section c	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section c	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section c	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 BROADWAY 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 HOSPITALS 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 DEPARTMENTS RESOURCES AND AN UPDATE 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 HEALTHALLIA
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

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ULSTER RADIATION & ONCOLOGY
117 Marys Avenue	Kingston	NY	12401	Outpatient Radiation Center
COMPREHENSIVE SUPPORT SERVICES LLC
45 Pine Grove Avenue	KINGSTON	NY	12401	outpatient Diagnostic Imag ctr

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7: FINANCIAL ASSISTANCE AT COST	THE HEALTHALLIANCE HOSPITALS ("HA") MARY'S AVENUE 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 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 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 MARYS AVENUE CAMPUS, THERE WAS NOT A SHORTFALL FROM MEDICARE FOR 2018. THEREFORE, IT IS NOT 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 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. 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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Scarpino
ceo	$0	$525,005	$0	$0	$0	$5,994	$0	$26,704	$0	$23,597	$0	$581,300	$0	$0
Joseph Marsicovete
Chief Operating Officer	$0	$307,472	$0	$0	$0	$7,779	$0	$6,750	$0	$8,566	$0	$330,567	$0	$0
Michael Israel
Vice Chair	$0	$1,566,869	$0	$900,000	$0	$0	$0	$68,500	$0	$98,924	$0	$2,634,293	$0	$0
Julie Switzer
Trustee	$0	$655,675	$0	$221,675	$0	$0	$0	$62,500	$0	$63,089	$0	$1,002,939	$0	$0
William Frishman MD
Trustee	$0	$498,934	$0	$0	$0	$0	$0	$34,992	$0	$30,678	$0	$564,604	$0	$0
PAUL LLOBET MD
CHIEF MEDICAL OFFICER	$0	$308,999	$0	$0	$0	$4,997	$0	$6,750	$0	$0	$0	$320,746	$0	$0
KARA BENNORTH
TRUSTEE	$0	$518,039	$0	$173,500	$0	$0	$0	$128,448	$0	$45,143	$0	$865,130	$0	$0
GARY BRUDNICKI
TRUSTEE	$0	$1,152,946	$0	$497,134	$0	$0	$0	$68,500	$0	$82,150	$0	$1,800,730	$0	$0
ANNEMARIE MARTINEZ
EXEC DIR CLINICAL INTEGRATION	$163,505	$0	$0	$0	$108	$0	$0	$0	$8,881	$0	$172,494	$0	$0	$0
robert ross
EXEC. VICE PRESIDENT/trustee	$0	$322,361	$0	$0	$0	$0	$0	$50,750	$0	$42,712	$0	$415,823	$0	$0
jane ulrich
sr. vp of nursing	$184,164	$0	$0	$0	$8,135	$0	$3,434	$0	$18,365	$0	$214,098	$0	$0	$0
patrick o'brien
lead echocardiology tech	$177,928	$0	$0	$0	$180	$0	$3,615	$0	$24,046	$0	$205,769	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	The organization's top management official (CEO) received compensation from a related 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 INCORPORATED into a written employment contract. All actions above are approved by the Board of directors/compensation committee prior to finalization.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ULSTER COUNTY IDA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	141643765	BondIssuerEIN
CUSIP	903769BZ9	CUSIPNum
Bond Issued	2006-11-03	BondIssuedDt
Issue Price	$19,290,000	IssuePriceAmt
Purpose	PAYOFF NOTES,LEASES&OTHER DEBT	PurposeDesc
Defeased	Yes (true)	DefeasedInd
On Behalf Of Issuer	Yes (true)	OnBehalfOfIssuerInd
Pool Financing	Yes (true)	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$17,270,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$19,290,000	TotalProceedsAmt
In Reserve Fund	$1,500,000	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$385,800	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$11,823,632	WorkingCapitalExpendituresAmt
Capital Expenditures	$5,480,568	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2020	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00600	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00600	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 6	HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS ("HAMC").
FORM 990, PART VI, LINE 7A	HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS AND HAS THE POWER TO ELECT AND APPOINT MEMBERS OF THE BOARDS OF DIRECTORS AND BOARD OFFICERS OF THE HOSPITALS.
FORM 990, PART VI, LINE 7B	ALL DECISIONS WITH RELATION TO THE MARY'S AVENUE CAMPUS ARE MADE AT THE HEALTHALLIANCE, INC. BOARD LEVEL. THESE DECISIONS INCLUDE APPROVAL/REMOVAL OF CORPORATE OFFICERS, APPROVAL OF BYLAW AMENDMENTS, REVIEW OF ANNUAL CAPITAL AND OPERATING BUDGETS, REVIEW AND/OR MODIFICATION OF ANY CERTIFICATE OF NEED APPLICATIONS, REVIEW INCURRENCE OF DEBT AND DEVELOP AND IMPLEMENT JOINT MEDICAL STAFF APPOINTMENTS.
FORM 990, PART VI, LINE 11B	THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATION'S FINANCE DEPARTMENT AND OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, LINE 12C	THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMCHEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) DISCLOSURE OF THE CONFLICT, 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT, 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT.
FORM 990, PART VI, LINES 15A & 15B	The determination of the CEO's compensation involves the engagement of an independent compensation consultant to perform a compensation study/survey. Once completed, the findings and recommendations from the consultant are brought to the compensation committee of the board of directors. Upon the committee's review and approval, the CEO's employment contract is developed. For other top management officials, the same process is used with the exception that the findings are used to develop and execute a letter of employment versus a contract.
FORM 990, PART VI, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part xi, line 9	Affiliates expense/income - ($69,428).
FORM 990 PART IX LINE 11G	DESCRIPTION:Other fees TOTAL FEES:3680244
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:3535546

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS ROAD	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(C)(3)	12A	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY	115	N/A	NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(C)(3)	12A	WCHCC	false
NORTH ROAD LHCSA INC
100 WOODS road	Valhalla	NY	10595	465293268	HOMECARE SVCS	NY	501(C)(3)	10	WCHCC	false
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS ROAD	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(C)(3)	10	WCHCC	false
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROAD	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(C)(3)	7	WCHCC	false
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	Yes (true)
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	150552726	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	Yes (true)
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(C)(3)	10	MMH	Yes (true)
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(C)(3)	12A	MMH	Yes (true)
FASC FOUNDATION
741 GRANT AVENUE	LAKE KATRINE	NY	12449	264201295	SUPPORT FDN	NY	501(C)(3)	7	HAH BWAY	Yes (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	Yes (true)
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	Yes (true)
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(C)(3)	12C, III-FI	WCHCC	false
HEALTH ALLIANCE INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	261850453	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
HealthAlliance Foundation Inc
741 GRANT AVENUE	LAKE KATRINE	NY	12449	222511450	FUNDRAISING	NY	501(C)(3)	7	HA INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE (BARBADOS)
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	CAP INSURANCE	BB	BSCHSI	C CORP	Yes (true)
KINGSTON INSURANCE (BARBADOS) LIMITED
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	CAP INSURANCE	BB	HEALTHALLIANCE	C CORP	Yes (true)
NORTHEAST PROVIDER SOLUTIONS INC
			MSO & HEARING		NA	C CORP	Yes (true)	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
			PHYSICIAN OFFICES		NA	C CORP	Yes (true)	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WESTCHESTER MEDICAL REGIONAL PHYS SVCS
			PHYSICIAN OFFICES		NA	C CORP	Yes (true)	241 NORTH ROAD	POUGHKEEPSIE	NY	10532	465522536	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET	HAMILTON	BD	CAP INSURANCE	BD	NA	C CORP	Yes (true)
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
			INVESTMENT		HAH BWAY	C CORP	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
			MEDICAL SVCS		na	C CORP	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	203564769	NY
bschs medical group pc
			physician offICES		bschs	c corp	Yes (true)	10 franklin turnpike	mahwah	NJ	07430	821632215	NJ

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part II, Bon Secours Charity Health System, Inc. (BSCHS)	FormAndLineReferenceDesc
Explanation	Healthalliance, Inc. has a brother-sister relationship with BSCHS's six subordinates in a group exemption within BSCHS.	ExplanationTxt