2019-10-31T20:34:36-05:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 141338470 HEALTHALLIANCE HOSPITAL MARY'S AVE CAMPUS % ERIN NAGY HEAL 8453382500 105 MARYS AVENUE KINGSTON NY 12401 ROBERT ROSS EXEC. VICE PRESIDENT 8453382500 2019-10-31 true LAURA KIELCZEWSKI P00740769 2127733000 173.56.229.42 26308520193045000057 2019-10-31 P 770194AAF055F9EA87E64CA02E08FE540289067F 047C777BBD395ADD529156C75D94AFF56594489C 2018 2019-02-21 02:37:17Z ROBERT ROSS 396 BROADWY KINGSTON NY 12401 61771496 false X HTTPS://WWW.HAHV.ORG X 1902 NY 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. 15 9 714 37 0 0 8791794 9563454 44125000 45254595 2548570 3056882 1486332 3699824 56951696 61574755 0 0 0 0 32763584 27827242 0 0 0 30087709 36449585 62851293 64276827 -5899597 -2702072 38537866 38128586 41485180 43852665 -2947314 -5724079 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. false false 49171965 0 45569497 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. 49171965 true false false true false false false false false false true false false true true false false true false false false false false false false false true true false false true true false true false false false false false false false false false false false false false true true false false false true 51 0 true 714 true false false false false false false false false false false false false X 15 9 false false false false true true true true true false false true true true true true true false true true true NY X ERIN NAGY 8459436084 741 GRANT AVENUE LAKE KATRINE NY 12449 Thomas Collins Chair 1.0 4.25 X 0 0 0 Kevin Ryan Vice Chair (resigned 11/8/18) 1.0 2.25 X 0 0 0 Craig Sickler Treasurer 1.0 2.0 X 0 0 0 John Heimerdinger Trustee 1.0 7.0 X 0 0 0 Cynthia Lowe Secretary (resigned 11/8/18) 1.0 2.0 X 0 0 0 Jamal Mahdavian MD TRUSTEE 1.0 2.0 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 0 530999 50301 Joseph Marsicovete Chief Operating Officer 18.0 22.0 X 0 315251 15316 PAUL LLOBET MD CHIEF MEDICAL OFFICER 18.5 21.5 X 0 313996 6750 ANNEMARIE MARTINEZ EXEC DIR CLINICAL INTEGRATION 40.0 0.0 X 163613 0 8881 jane ulrich sr. vp of nursing 36.0 4.0 X 192299 0 21799 patrick o'brien lead echocardiology tech 40.0 0.0 X 178108 0 27661 534020 7667379 907094 39 false true false PHYSICIAN AT NEWBURGh PC 66 WEST GILBERT STREET RED BANK NJ 07701 Physician Fees 2224598 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 lab services 1305416 ARHC BCKNGNY01 LLC PO BOX 714459 CINCINNATI OH 452714459 PROPERTY RENTAL 832884 CLOVER HEALTH SERVICES LLC 75 SOUTH BROADWAY 4TH FLOOR WHITE PLAINS NY 10601 STAFFING AGENCY 356822 GRIFOLS USA LLC PO BOX 741919 ATLANTA GA 303741919 PHARMACUETICALS 197495 7 0 9563454 0 9563454 NET PATIENT SERVICE REVENUE 621300 45254595 45254595 0 0 45254595 3056882 3056882 0 0 960149 196741 763408 0 763408 763408 0 0 0 0 0 0 0 0 0 0 FOOD SERVICES 900099 176820 0 0 176820 CONTRACTED SERVICE REVENUE 900099 244263 244263 0 0 GAIN ON SALE INS. CO. 524298 2444694 0 0 2444694 70639 70639 0 2936416 61574755 45569497 0 6441804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20010566 13867375 6143191 0 722641 541981 180660 0 4433017 3324587 1108430 0 2661018 1995763 665255 0 0 0 0 0 627504 432883 194621 0 115667 0 115667 0 1234 0 1234 0 0 0 0 0 0 0 7215790 5968439 1247351 0 27965 0 27965 0 1709810 796544 913266 0 0 0 0 0 0 0 0 0 858356 6566 851790 0 16715 0 16715 0 0 0 0 0 6744 3335 3409 0 554279 0 554279 0 0 0 0 0 2635673 2635673 0 0 854072 0 854072 0 MEDICAL SUPPLIES 16948919 16927395 21524 0 EQUIPMENT SERVICE CONTRACTS 1412502 1253062 159440 0 ADMINISTRATIVE EXPENSES 960208 944211 15997 0 CONTRACTED SERVICES 1805508 0 1805508 0 698639 474151 224488 64276827 49171965 15104862 0 0 374105 75246 0 0 0 0 4892033 6388462 0 0 0 0 0 0 845859 867674 740340 673004 126562525 102431131 24146449 24131394 1591023 991298 0 0 0 0 0 0 5948057 5001508 38537866 38128586 13729462 15598295 0 1343950 2399504 0 2080000 1605000 0 0 0 0 4655119 4160337 0 0 18621095 21145083 41485180 43852665 X -3148708 -5758494 0 0 201394 34415 -2947314 -5724079 38537866 38128586 X -2702072 -5265 0 0 0 -69428 X false true X true false X false false false 0 false 0 false 0 false 0 false 0 false true 1234 1234 false false SCHEDULE C, PART II-B, LINE 1J 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. 209532 209532 61573852 46938422 14635430 343400 313272 30128 55082959 53259669 1823290 9352782 1919768 7433014 24131394 INVESTMENT IN JOINT VENTURES 3824957 INTEREST IN FOUNDATION 681626 OTHER NON-CURRENT RECEIVABLES 473029 OTHER ASSETS 21896 5001508 0 DUE TO RELATED PARTIES 16562632 OTHER NON-CURRENT LIABILITIES 3547951 POST RETIREMENT BENEFIT OBLIGATION 509049 ENVIRONMENTAL REMEDIATION 500001 SECURITY DEPOSITS PAYABLE 25450 21145083 true true X true X true X true true false true true 530685 354891 175794 0.00270 23471973 8586854 14885119 0.23160 24002658 8941745 15060913 0.23430 189852 0 189852 0.00300 13072 58066 0 0.00000 21056746 12704434 8352312 0.12990 21259670 12762500 8542164 0.13290 45262328 21704245 23603077 0.36720 true 2529100 10336737 8169131 2167606 X true true 1 1 healthalliance hosp MARY'S AVE CAMPUS 105 Marys Avenue Kingston NY 12401 HTTPs://WWW.HAHV.ORG 5501001h X X HealthAlliance Hospital Mary's Ave 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 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 2 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 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 X X X X X false false false false false false false false false David Scarpino ceo 0 525005 0 0 0 5994 0 26704 0 23597 0 581300 0 0 Joseph Marsicovete Chief Operating Officer 0 307472 0 0 0 7779 0 6750 0 8566 0 330567 0 0 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 PAUL LLOBET MD CHIEF MEDICAL OFFICER 0 308999 0 0 0 4997 0 6750 0 0 0 320746 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 ANNEMARIE MARTINEZ EXEC DIR CLINICAL INTEGRATION 163505 0 0 0 108 0 0 0 8881 0 172494 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 184164 0 0 0 8135 0 3434 0 18365 0 214098 0 0 0 patrick o'brien lead echocardiology tech 177928 0 0 0 180 0 3615 0 24046 0 205769 0 0 0 SCHEDULE J, PART I, LINE 3 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. A ULSTER COUNTY IDA 141643765 903769BZ9 2006-11-03 19290000 PAYOFF NOTES,LEASES&OTHER DEBT true true true A 17270000 0 19290000 1500000 0 0 385800 0 11823632 5480568 0 0 2020 false true true true A false false true false false 0.00600 0.00000 0.00600 false false 0.00000 false true A false false false false false false 0 false 0 false false A false 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 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 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 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 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 true MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY na C CORP true bschs medical group pc 10 franklin turnpike mahwah NJ 07430 821632215 physician offICES NJ bschs c corp true false false true false false false false false false true true false true true true true true false true Schedule R, Part II, Bon Secours Charity Health System, Inc. (BSCHS) Healthalliance, Inc. has a brother-sister relationship with BSCHS's six subordinates in a group exemption within BSCHS.