HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS (EIN 14-1349558)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-02
IRS object ID: 201843069349301854
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-02T13:58:08-05:00	ReturnTs
Tax Period End	2017-12-31	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	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141349558	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ERIN NAGY	InCareOfNm
Business Name Control	HEAL	BusinessNameControlTxt
Phone	8459436084	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID SCARPINO	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8459436024	PhoneNum
Signature	2018-10-31	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	100.2.84.112	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520183065000052	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-02	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	89F31758C10140A6CE2E9E470E23FD94F177A9B4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D7645E384763AEB8339B885771554B833BC3ADBE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2018-06-14 16:35:46Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID SCARPINO	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$113,177,042	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://WWW.HAHV.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1891	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVIDE HIGH QUALITY HEALTHCARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK, AND VISIT THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1139	TotalEmployeeCnt
Total Volunteers	57	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,575,095	PYContributionsGrantsAmt
CY Contributions Grants	$1,257,033	CYContributionsGrantsAmt
PY Program Service Revenue	$100,823,742	PYProgramServiceRevenueAmt
CY Program Service Revenue	$109,900,116	CYProgramServiceRevenueAmt
PY Investment Income	$148,279	PYInvestmentIncomeAmt
CY Investment Income	$90,731	CYInvestmentIncomeAmt
PY Other Revenue	$1,999,065	PYOtherRevenueAmt
CY Other Revenue	$1,922,593	CYOtherRevenueAmt
PY Total Revenue	$105,546,181	PYTotalRevenueAmt
CY Total Revenue	$113,170,473	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	$60,493,306	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$65,963,054	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$46,932,784	PYOtherExpensesAmt
CY Other Expenses	$48,786,955	CYOtherExpensesAmt
PY Total Expenses	$107,426,090	PYTotalExpensesAmt
CY Total Expenses	$114,750,009	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,879,909	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,579,536	CYRevenuesLessExpensesAmt
Total Assets BOY	$44,142,163	TotalAssetsBOYAmt
Total Assets EOY	$39,312,359	TotalAssetsEOYAmt
Total Liabilities BOY	$37,592,511	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$32,594,239	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,549,652	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,718,120	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$92,161,612	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$110,986,538	RevenueAmt
Desc	HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IS A 150 BED COMMUNITY HEALTH AND MEDICAL INSTITUTION WHOSE BASIC MISSION IS TO OFFER HIGH QUALITY CARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK, AND VISIT THE COMMUNITY OF KINGSTON, NY. THROUGHOUT 2017, HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS RECORDED 30,410 PATIENT DAYS, 40,255 EMERGENCY ROOM VISITS AND 1,916 SURGERIES (901 INPATIENT & 1,015 AMBULATORY). HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS OFFERS VARIOUS OUTPATIENT SERVICES SUCH AS WOUND CARE, DIABETES COUNSELING, RENAL DIALYSIS, AND ALL RADIOLOGIC SERVICES (MRI, CT, ULTRASOUND, MAMMOGRAPHY). TOTAL VISITS FOR THESE SERVICES IN 2017 WERE 76,368.	Desc
Total Program Service Expenses	$92,161,612	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	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	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	67	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1139	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ERIN NAGY	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 (26 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	4.0	Yes (X)	$0	$0	$0
KEVIN RYAN
VICE CHAIR	1.0	2.0	Yes (X)	$0	$0	$0
CRAIG SICKLER
TREASURER	1.0	2.0	Yes (X)	$0	$0	$0
CYNTHIA LOWE
SECRETARY	1.0	2.0	Yes (X)	$0	$0	$0
JAMAL MAHDAVIAN MD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
MARSHA CASEY
TRUSTEE (Resigned 9/1/17)	1.0	39.0	Yes (X)	$0	$1,034,617	$103,090
JOHN HEIMERDINGER
TRUSTEE	1.0	7.0	Yes (X)	$0	$0	$0
MICHAEL ISRAEL
VICE CHAIR	1.0	39.0	Yes (X)	$0	$2,618,278	$146,826
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	$851,690	$102,845
WILLIAM FRISHMAN MD
TRUSTEE	1.0	39.0	Yes (X)	$0	$498,887	$64,247
RICHARD WISHNIE
VICE CHAIR	1.0	6.0	Yes (X)	$0	$0	$0
MARTIN CASCIO MD
TRUSTEE (Resigned 3/1/17)	1.0	2.0	Yes (X)	$0	$0	$0
NANCY DAVENPORT
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
CAREY WAGNER
TRUSTEE	1.0	4.0	Yes (X)	$0	$0	$0
KARA BENNORTH
TRUSTEE (EFFECTIVE 11/2/2017)	1.0	39.0	Yes (X)	$0	$634,588	$143,637
GARY BRUDNICKI
TRUSTEE	1.0	39.0	Yes (X)	$0	$1,540,681	$131,399
MICHAEL SHERAN MD
TRUSTEE (EFFECTIVE 5/4/17)	1.0	2.0	Yes (X)	$0	$0	$0
David Scarpino
Chief Executive Officer	18.6	21.4		$521,190	$0	$23,498	Yes (X)
PATRICIA GAVIS
CFO (Resigned 1/20/17)	19.47	20.53		$21,981	$0	$2,137	Yes (X)
Sandra Horan
CNO (Resigned 6/30/17)	25.1	14.9		$150,965	$0	$7,537		Yes (X)
PAUL LLOBET MD
CHIEF MEDICAL OFFICER	21.49	18.51		$313,939	$0	$6,750		Yes (X)
JOSEPH MARSICOVETE
CHIEF OPERATING OFFICER	18.93	21.07		$314,358	$0	$12,201		Yes (X)
ALLEN NACE
DIR METHADONE & BRIDGEBACK SVC	40.0	0.0		$168,600	$0	$12,347		Yes (X)
PRITI SHAH
DIRECTOR OF PHARMACY	32.62	7.38		$169,284	$0	$26,594		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,660,317	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,178,741	TotReportableCompRltdOrgAmt
Total Other Compensation	$783,108	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	34	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
Institute for Family Health
2006 Madison Avenue 5th Floor	NEW YORK	NY	10035	Physician Services	$4,066,670
Laboratory Corporation of America
PO Box 12140	BURLINGTON	NC	272162140	Laboratory Services	$3,142,967
NISTEL INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	STAFFING AGENCY	$1,320,541
ORTHOPEDIC ASSOCIATES OF DUTCHESS C
1910 SOUTH ROAD	POUGHKEEPSIE	NY	12601	PHYSICIAN SERVICES	$1,100,065
POM RECOVERIES INC
85 EAST HOFFMAN AVENUE	LINDENHURST	NY	11757	COLLECTION AGENCY	$863,645

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$143,376	RelatedOrganizationsAmt
Government Grants	$1,070,928	GovernmentGrantsAmt
All Other Contributions	$42,729	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,257,033	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$109,900,116	TotalRevenueColumnAmt
Related Or Exempt Func Income	$109,900,116	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$109,900,116	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,731	TotalRevenueColumnAmt
Exclusion	$90,731	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	$131,275	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,569	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$124,706	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$124,706	TotalRevenueColumnAmt
Exclusion	$124,706	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
CONTRACTED SERVICES	900099	$1,056,348	$1,056,348	$0	$0
CAFETERIA REVENUE	722514	$381,335	$0	$0	$381,335
REBATE REVENUE	900099	$96,742	$0	$0	$96,742

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$263,462	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,865	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$234,597	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,797,887	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,170,473	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110,985,329	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$928,111	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

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	$1,727,262	TotalAmt
Program Services	$1,727,262	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	$49,169,845	TotalAmt
Program Services	$41,348,100	ProgramServicesAmt
Management And General	$7,821,745	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$679,493	TotalAmt
Program Services	$509,620	ProgramServicesAmt
Management And General	$169,873	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,007,137	TotalAmt
Program Services	$8,254,436	ProgramServicesAmt
Management And General	$2,752,701	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,379,317	TotalAmt
Program Services	$2,534,488	ProgramServicesAmt
Management And General	$844,829	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	$342,593	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$342,593	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$130,964	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$130,964	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,297	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,297	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	$13,035,029	TotalAmt
Program Services	$9,346,752	ProgramServicesAmt
Management And General	$3,688,277	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$59,671	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$59,671	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,382,051	TotalAmt
Program Services	$1,282,499	ProgramServicesAmt
Management And General	$2,099,552	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	$1,008,368	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,008,368	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$95,677	TotalAmt
Program Services	$3,109	ProgramServicesAmt
Management And General	$92,568	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	$15,386	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$15,386	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$192,256	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$192,256	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	$3,122,432	TotalAmt
Program Services	$3,122,432	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,528,439	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,528,439	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$12,860,812	$12,781,434	$79,378	$0
PHYSICIAN FEES	$6,714,068	$6,714,068	$0	$0
EQUIPMENT SERVICE CONTRACTS	$2,594,657	$2,435,866	$158,791	$0
INPATIENT ALLOWANCES	$1,168,076	$1,168,076	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,535,179	TotalAmt
Program Services	$933,470	ProgramServicesAmt
Management And General	$1,601,709	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,750,009	TotalAmt
Program Services	$92,161,612	ProgramServicesAmt
Management And General	$22,588,397	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	$2,005,694	BOYAmt
EOY	$305,590	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$150,443	BOYAmt
EOY	$602,481	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$87,986	BOYAmt
EOY	$60,077	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,611,002	BOYAmt
EOY	$6,069,244	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,283,066	BOYAmt
EOY	$1,367,119	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$430,461	BOYAmt
EOY	$598,024	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$137,492,371	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$114,181,985	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,432,895	BOYAmt
EOY	$23,310,386	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$553,245	BOYAmt
EOY	$598,851	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	$4,587,371	BOYAmt
EOY	$6,400,587	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,142,163	BOYAmt
EOY	$39,312,359	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,899,063	BOYAmt
EOY	$15,993,694	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,097,495	BOYAmt
EOY	$999,786	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,417,936	BOYAmt
EOY	$1,697,936	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	$4,026,797	BOYAmt
EOY	$1,680,690	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	$12,151,220	BOYAmt
EOY	$12,222,133	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,592,511	BOYAmt
EOY	$32,594,239	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,960,807	BOYAmt
EOY	$6,129,275	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	$588,845	BOYAmt
EOY	$588,845	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,549,652	BOYAmt
EOY	$6,718,120	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$44,142,163	BOYAmt
EOY	$39,312,359	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,579,536	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$60,060	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$1,687,944	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,297	OtherActivitiesAmt
Total Lobbying Expenditures	$1,297	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1J	FormAndLineReferenceDesc
Explanation	HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS PAYS DUES TO NORTHERN METRO HOSPITAL ASSOCIATION. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY NORTHERN METRO HOSPITAL ASSOCIATION, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTED TO LOBBYING ACTIVITIES APPLICABLE TO 2017 NORTHERN METRO HOSPITAL ASSOCIATION WERE $1,297.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$556,971	BeginningYearBalanceAmt
Investment Earnings Or Losses	$75,670	InvestmentEarningsOrLossesAmt
Administrative Expenses	$15,406	AdministrativeExpensesAmt
End Year Balance	$617,235	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$534,410	BeginningYearBalanceAmt
Investment Earnings Or Losses	$32,759	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,198	AdministrativeExpensesAmt
End Year Balance	$556,971	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$546,980	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,272	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,298	AdministrativeExpensesAmt
End Year Balance	$534,410	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$535,502	BeginningYearBalanceAmt
Investment Earnings Or Losses	$17,039	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,561	AdministrativeExpensesAmt
End Year Balance	$546,980	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$482,694	BeginningYearBalanceAmt
Investment Earnings Or Losses	$57,281	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,473	AdministrativeExpensesAmt
End Year Balance	$535,502	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,389,152	OtherCostOrOtherBasisAmt
Book Value	$1,389,152	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$63,038,361	OtherCostOrOtherBasisAmt
Depreciation	$44,946,760	DepreciationAmt
Book Value	$18,091,601	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,300,258	OtherCostOrOtherBasisAmt
Depreciation	$2,296,242	DepreciationAmt
Book Value	$4,016	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$68,518,564	OtherCostOrOtherBasisAmt
Depreciation	$64,917,106	DepreciationAmt
Book Value	$3,601,458	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,246,036	OtherCostOrOtherBasisAmt
Depreciation	$2,021,877	DepreciationAmt
Book Value	$224,159	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,310,386	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$5,078,174
INTEREST IN FOUNDATION	$1,310,908
OTHER RECEIVABLES	$11,505

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,400,587	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER NON-CURRENT LIABILITIES	$10,638,479
POST RETIREMENT BENEFITS	$1,583,654

Field	Value	IRS element (for citing)
Total Liability	$12,222,133	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	INTENDED USES OF ENDOWMENT FUNDS THESE FUNDS ARE TO BE HELD IN PERPETUITY AS RESTRICTED BY THE DONORS. FUNDS ARE MEANT TO EARN INTEREST OF WHICH SHOULD BE USED TO FUND PROGRAMS AND SERVICES AT HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,361,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,280,981	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,367	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,867,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,654,735	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,212,827	NetCommunityBenefitExpnsAmt
Total Expense	0.07160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,228,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,935,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,293,194	NetCommunityBenefitExpnsAmt
Total Expense	0.07230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$267,163	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$267,163	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,760,262	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,895,737	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$864,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,635,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,154,663	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,480,935	NetCommunityBenefitExpnsAmt
Total Expense	0.05650	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,663,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,050,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,612,623	NetCommunityBenefitExpnsAmt
Total Expense	0.06630	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,891,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,986,116	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,905,817	NetCommunityBenefitExpnsAmt
Total Expense	0.13860	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$23,148,620	BadDebtExpenseAmt
Reimbursed By Medicare	$36,502,105	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$34,428,698	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,073,407	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HealthAlliance Hosp Broadway Campus	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	https://www.hahv.org/hahv/home.aspx	WebsiteAddressTxt
State License	5501000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHALLIANCE HOSP BROADWAY CAMPUS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	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 (7 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 ON APRIL 26, 2016, FOR AN UPDATE BY THE UCDOHMH ON THE NYS PREVENTION AGENDA AND THE PROGRESS MADE SINCE 2013 WHEN THE LAST COMMUNITY SERVICE PLAN WAS WRITTEN, AND TO STRATEGIZE THE 2016-2018 INTERVENTIONS. THE CBC WILL ENGAGE INTERNAL AND EXTERNAL RESOURCES TO DEVELOP AND IMPLEMENT EVIDENCE BASED STRATEGIES ACROSS THE SERVICE AREAS TO DIRECTLY ADDRESS IDENTIFIED HEALTH NEEDS THAT HEALTHALLIANCE WILL PURSUE. CURRENT AND NEW OUTREACH STRATEGIES WILL BE MODIFIED, IF NEEDED, AND DEVELOPED DURING THE CURRENT TERM OF THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
PART V, SECTION B, LINE 6A	THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS AND ELLENVILLE HOSPITAL.
PART V, SECTION B, LINE 6B	THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL FACILITIES: ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH.
PART V, SECTION B, LINE 7a	THE HOSPITAL'S CHNA REPORT IS WIDELY AVAILABLE TO THE PUBLIC AT THE BELOW WEBSITE URL: HTTPs://HAHV.ORG/HAHV/COMMUNITY-SERVICE-PLAN.ASPX
PART V, SECTION B, LINE 10a	THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS POSTED AT THE BELOW WEBSITE URL: HTTPs://HAHV.ORG/HAHV/COMMUNITY-SERVICE-PLAN.ASPX
PART V, SECTION B, LINE 11	HEALTHALLIANCE'S CONTINUING PROGRESS AND MONITORING OF GOALS IDENTIFIED IN THE CHNA WILL BE MANAGED BY AN INTERNAL COMMUNITY BENEFITS COMMITTEE (CBC). THIS COMMITTEE MET ON APRIL 26, 2016, FOR AN UPDATE BY THE UCDOHMH ON THE NYS PREVENTION AGENDA AND THE PROGRESS MADE SINCE 2013 WHEN THE LAST COMMUNITY SERVICE PLAN WAS WRITTEN, AND TO STRATEGIZE THE 2016-2018 INTERVENTIONS. THE CBC WILL ENGAGE INTERNAL AND EXTERNAL RESOURCES TO DEVELOP AND IMPLEMENT EVIDENCE BASED STRATEGIES ACROSS THE SERVICE AREAS TO DIRECTLY ADDRESS IDENTIFIED HEALTH NEEDS THAT HEALTHALLIANCE WILL PURSUE. CURRENT AND NEW OUTREACH STRATEGIES WILL BE MODIFIED, IF NEEDED, AND DEVELOPED DURING THE CURRENT TERM OF THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IMPLEMENTATION STRATEGY: IN ACCORDANCE WITH THE NYS PREVENTION AGENDA MANDATE, HEALTHALLIANCE WILL ALIGN WITH UCDOHMH TO FOCUS ON TWO PRIORITY AREAS: 1)PREVENT CHRONIC DISEASE 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 2017. 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 ADDRESSED BY HEALTHALLIANCE - COMMUNITY RESOURCES AND IMPLEMENTATION PLAN: THE FOLLOWING INFORMATION OUTLINES THE COMMUNITY RESOURCES AND ASSETS THAT HEALTHALLIANCE IS CONTRIBUTING TO THE 2016-2018 ULSTER COUNTY COMMUNITY SERVICE PLAN. EACH SECTION BEGINS WITH A BRIEF EXPLANATION OF HOW THAT RESOURCE OR DEPARTMENT IS COMPRISED AND INCLUDES AN UPDATE ON THEIR WORK THUS FAR IN 2017. THESE SECTIONS INCLUDE: 1. THE HEALTHALLIANCE CANCER SUPPORT COMMITTEES -BREAST CANCER SCREENING PROGRAM -COLON CANCER SCREENING PROGRAM 2. THE HEALTHALLIANCE DIABETES EDUCATION CENTER 3. THE HEALTHALLIANCE FAMILY BIRTH PLACE 4. THE HEALTHALLIANCE EMPLOYEE WELLNESS PROGRAM 5. THE HEALTHALLIANCE PARTIAL HOSPITALIZATION PROGRAM 6. THE HEALTHALLIANCE PEOPLE'S PLACE OUTREACH 7. LIVE WELL KINGSTON CANCER SUPPORT PROGRAMS: THE CANCER COMMITTEE OF THE HEALTHALLIANCE HOSPITALS COMMISSION ON CANCER (COC) ACCREDITED CANCER PROGRAM IS COMPRISED OF PHYSICIANS, NURSES, SOCIAL WORKERS AND OTHER ALLIED HEALTH PROFESSIONALS FOCUSED ON CANCER-RELATED CARE FOR HOSPITAL PATIENTS AND COMMUNITY MEMBERS. HEALTHALLIANCES 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 IN OUR FACILITY. THE CANCER COMMITTEE OF THE HEALTHALLIANCE HOSPITAL ESTABLISHED A PREVENTION GOAL FOR 2016/2017, AND FOR THE 2016-2018 ULSTER COUNTY COMMUNITY SERVICE PLAN, THAT IS AIMED AT REDUCING OBESITY IN AN EFFORT TO DECREASE THE RISK OF CHRONIC DISEASES, INCLUDING CERTAIN FORMS OF CANCER. HEALTHALLIANCES ONCOLOGY SUPPORT PROGRAM HELPS TO ADDRESS THIS BY OFFERING ONGOING DANCE AND EXERCISE CLASSES, SUCH AS YOGA, TAI CHI AND SMART BELLS CLASSES TO THE GENERAL POPULATION IN AN EFFORT TO INCREASE PHYSICAL ACTIVITY IN ULSTER COUNTY, INCLUDING THOSE WITH CHRONIC DISEASE. MONTHLY PLANT-BASED DIET COOKING CLASSES ARE ALSO OFFERED IN AN ATTEMPT TO INCREASE THE CONSUMPTION OF WHOLE GRAINS AND PLANT-BASED FOODS. THESE PROGRAMS AND SIMILAR WILL CONTINUE THROUGHOUT 2018. THE ONCOLOGY SUPPORT PROGRAM ALSO DEVELOPED THE WELLNESS AND WEIGHT MANAGEMENT SERIES. THIS IS A FREE, SIX-SESSION PROGRAM THAT INCORPORATES THE SERVICES OF A DIETITIAN AND INCLUDES HEALTHY FOOD DEMONSTRATIONS PRESENTED AT THE REUNER CANCER SUPPORT HOUSE. THE GOALS OF THE PREVENTION PROGRAM ARE TO REDUCE THE BODY MASS INDEX (BMI) FOR PARTICIPANTS WHO ARE OVERWEIGHT, INCREASE USAGE OF FRUITS AND VEGETABLES AND INCREASE PHYSICAL EXERCISE. DURING JAN 30TH - APRIL 25TH 2017, THE ONCOLOGY SUPPORT PROGRAM ONCE AGAIN PROVIDED THE WELLNESS AND WEIGHT MANAGEMENT SERIES. TOTAL ATTENDANCE WAS 53. ATTENDANCE WAS A CHALLENGE AND THE NEED FOR A MORE EVIDENCE-BASED APPROACH WAS IDENTIFIED. DUE TO THESE ISSUES, THE PROGRAM WAS DISCONTINUED. HEALTHALLIANCE HAS IDENTIFIED A MORE EVIDENCE-BASED APPROACH THAT WILL BE IMPLEMENTED IN THE FUTURE. BREAST CANCER SCREENING PROGRAM: BREAST CANCER SCREENINGS ARE REGULARLY OFFERED AT THE HEALTHALLIANCE FERN FELDMAN ANOLICK CENTER FOR BREAST HEALTH, PART OF THE COMPREHENSIVE BREAST CARE PROGRAM AT HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS. OUR INTEGRATED PRACTICE BRINGS TOGETHER A MULTISPECIALTY CANCER TREATMENT TEAM OF EXPERTS TO ENSURE YOU GET THE BEST CARE AVAILABLE. THE EXPERTS INCLUDE BREAST HEALTH SPECIALISTS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, SURGEONS, PLASTIC SURGEONS, PATHOLOGISTS, RADIOLOGISTS AND A SKILLED SUPPORT STAFF - ALL WORKING AS A MULTIDISCIPLINARY TEAM TO PROVIDE WHOLE-PERSON CARE FOR WOMEN. OUR CERTIFIED BREAST PATIENT NAVIGATOR ENSURES SEAMLESS, COORDINATED CARE AMONG PHYSICIANS, DIAGNOSTIC TESTS AND CANCER TREATMENTS, WHILE OFFERING EDUCATION, GUIDANCE AND SUPPORTING THE PATIENT AND HIS/HER FAMILY. THE CENTER, AN FDA CERTIFIED MAMMOGRAPHY FACILITY, RECEIVED CERTIFICATION IN MAMMOGRAPHY, STEREOTACTIC BIOPSY AND BREAST ULTRASOUND FROM THE AMERICAN COLLEGE OF RADIOLOGY AND IS DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. THE CANCER COMMITTEE OF HEALTHALLIANCE HOSPITAL IDENTIFIED THE NEED TO ENSURE THAT LOW INCOME MEMBERS OF ULSTER COUNTY HAVE ACCESS TO BREAST CANCER SCREENINGS IN ORDER TO REDUCE BREAST CANCER MORTALITY IN THIS POPULATION. OUTREACH AND EDUCATION IS PROVIDED TO ASSESS BREAST CANCER SCREENING NEEDS. ON JULY 20, 2017 WE SPOKE TO 15 PEOPLE AT LBGQT WOMEN'S GROUP AND ON VARIOUS DATES IN 2017, 91 WOMEN PARTICIPATED AT PEOPLE'S PLACE. COLON CANCER SCREENING PROGRAM: THE HEALTHALLIANCE GASTROENTEROLOGY DEPARTMENTS DEDICATED AND EXPERIENCED TEAM ASSISTS PATIENTS AT EVERY STAGE - FROM ADMISSION, THROUGH THEIR PROCEDURE, RECOVERY AND DISCHARGE - WITH EXPERT CARE. WE PROVIDE PATIENT-FOCUSED SERVICES AND USE WELL-ESTABLISHED TECHNIQUES TO PERFORM PROCEDURES AND TESTING. SERVICES OFFERED INCLUDE ESOPHAGEAL DILATION, BRONCHOSCOPY, UPPER ENDOSCOPY AND GASTROSCOPY, ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND COLONOSCOPY. THE HEALTHALLIANCE CANCER COMMITTEE IDENTIFIED THE NEED TO INCREASE EDUCATION ABOUT, AND THE SCREENING RATES OF COLON CANCER. HEALTHALLIANCE PROVIDED COLON CANCER SCREENING EDUCATION THROUGH MARKETING EFFORTS AND EVENT OUTREACH, WHERE SPECIALISTS CONNECT THE UNINSURED AND UNDERINSURED WITH FREE COLON CANCER SCREENINGS OFFERED THROUGH THE CANCER SERVICES PROGRAM. ON MARCH 21, 2017, A WORKSHOP ENTITLED COLON CANCER SCREENING AND PREVENTION EDUCATIONAL PROGRAM WITH DR. ARI GOLDSTEIN WAS HELD WITH A TOTAL OF 9 ATTENDEES. AN OUTREACH EVENT TO THE LGBTq WOMENS GROUP WAS HELD ON JULY 20, 2017 WITH A TOTAL ATTENDANCE OF 15. DIABETES EDUCATION PROGRAM: THE HEALTHALLIANCE DIABETES EDUCATION CENTER IN KINGSTON, NY, IS COMMITTED TO PROVIDING INDIVIDUALS WITH THE SKILLS AND KNOWLEDGE TO MANAGE DIABETES AND PREVENT DIABETIC COMPLICATIONS. THE DIABETES EDUCATION CENTER IS ALSO A COMMUNITY RESOURCE CENTER WHERE WE HOST TRAININGS AND EDUCATIONAL PROGRAMS AND OFFER INFORMATION RESOURCES FOR OUR COMMUNITY TO LEARN ABOUT DIABETES. THE DIABETES EDUCATION CENTER OFFERS EDUCATION AND TRAINING TO ADULTS AND TEENS WITH TYPE 1, TYPE 2 OR GESTATIONAL DIABETES INCLUDING WEEKLY CLASSES, A FREE MONTHLY SUPPORT GROUP, PUMP TRAININGS AND CONTINUOUS GLUCOSE MONITORING STUDIES. OUR DIABETES EDUCATIONAL PROGRAM HAS BEEN RECOGNIZED SINCE 2003 BY THE AMERICAN DIABETES ASSOCIATION FOR MEETING ITS HIGH-EDUCATIONAL STANDARDS AND FOR OFFERING QUALITY SELF-MANAGEMENT DIABETES EDUCATION. WE REMAIN THE ONLY AMERICAN DIABETES ASSOCIATION ACCREDITED EDUCATION CENTER IN ULSTER COUNTY. 2017 UPDATE PATIENT VOLUME: 332 PATIENTS SEEN 199 NEW PATIENTS REFERRED BY: 77% PHYSICIAN 11% HOSPITAL 12% UNKNOWN OR OTHER (I.E., SELF-REFERRED) CLASSES, SUPPORT GROUPS AND COMMUNITY OUTREACH: -97 PATIENTS ATTENDED D
PART V, SECTION B, LINE 16A, B AND C	THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND FAP APPLICATION ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTPs://HAHV.ORG/HAHV/FINANCIAL-ASSISTANCE.ASPX

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7: FINANCIAL ASSISTANCE AT COST	HEALTHALLIANCE HOSPITAL ("HA") BROADWAY CAMPUS' COSTING METHODOLOGY WAS BASED UPON WORKSHEET 2 OF THE IRS 990 INSTRUCTIONS. THE COST-TO-CHARGE RATIO WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7. PART I, LINE 7G: SUBSIDIZED SERVICES THE COSTS ON LINE 7G INCLUDE $0 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART III, LINE 2: METHODOLOGY USED TO ESTIMATE AMOUNT OF BAD DEBT EXPENSE	THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS (AFS). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE #2 ON PAGES 18-19 OF THE ATTACHED AFS.
Part III, Line 4: Description of Bad Debt Expense	THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 18-19 OF THE ATTACHED AFS.
Part III, Line 8: Costing Methodology	THE COSTS ON LINE 6 WERE TAKEN DIRECTLY FROM THE COST REPORT COSTS (D & E-SERIES, WHERE APPLICABLE) LESS SUBSIDIZED SERVICES MEDICARE LOSSES WHICH WERE TAKEN FROM EXHIBIT 46 OF THE NEW YORK STATE INSTITUTIONAL COST REPORT. FOR THE BROADWAY CAMPUS, THERE WAS NO SHORTFALL FROM MEDICARE FOR 2017. THEREFORE, IT IS NOT CONSIDERED A COMMUNITY BENEFIT.
PART III LINE 9B:PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS	THE CREDIT AND COLLECTION POLICY FOR SELF-PAY BALANCES PROVIDES THAT, IN SOME CASES, NON-INSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID QUALIFY FOR CHARITY CARE. IN THOSE INSTANCES, THE CREDIT AND COLLECTION DEPARTMENT WILL FOLLOW THE GUIDELINES AS SET FORTH IN THE CHARITY CARE POLICY. THE CHARITY CARE POLICY PROVIDES THAT THE FINANCIAL COUNSELOR EVALUATES THE INFORMATION PROVIDED IN PATIENTS CHARITY CARE APPLICATIONS IN CONJUNCTION WITH FEDERAL INCOME POVERTY GUIDELINES TO DETERMINE THE WRITE-OFF PERCENTAGE. IF THE PATIENT/GUARANTOR QUALIFIES FOR CHARITY CARE BASED ON THE SLIDING SCALE, THE PATIENT WILL BE REQUIRED TO PAY THE OUTSTANDING AMOUNT. A PAYMENT PLAN IS ESTABLISHED NOT TO EXCEED 10% OF THE 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 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 MAY 17, MAY 31, JUNE 14, JUNE 28, JULY 26, AUGUST 9, SEPTEMBER 27, OCTOBER 25 AND NOVEMBER 22. THE COMMUNITY PARTICIPATED IN THE PROCESS TO PRIORITIZE IMPROVING THE HEALTH OF THE COUNTY BY MEANS OF A COMMUNITY HEALTH SURVEY THAT WAS DRAFTED AND DISTRIBUTED AS A RESULT OF THESE MEETINGS. IT WAS PROVIDED TO THE COMMUNITY ONLINE AND IN PAPER FORMAT WITH A COLLECTION BOX AT COMMUNITY AGENCIES STRATEGICALLY LOCATED FOR POPULATIONS WITH THE GREATEST NEED. ULTIMATELY, MORE THAN 600 COMMUNITY SURVEYS WERE COLLECTED AND TABULATED. B. METHODOLOGY AND PROCESS THE PREVIOUS CHNA, DEMOGRAPHIC DATA AND TRENDS, NYS PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, EBRFSS DATA, A REGIONAL COMMUNITY NEEDS ASSESSMENT (CNA) UNDERTAKEN IN COLLABORATION WITH WMCHEALTH, MONTEFIORE MEDICAL CENTER, HEALTHALLIANCE AND AN ULSTER COUNTY COMMUNITY HEALTH SURVEY COMPLETED BY OVER 600 RESIDENTS OF ULSTER COUNTY, WERE USED TO DEVELOP THE CHNA. THE SURVEY WAS AVAILABLE BOTH ONLINE AND IN PAPER COPIES THAT WERE STRATEGICALLY PLACED TO BE ACCESSIBLE TO LOW INCOME, CHRONICALLY ILL AND MINORITY COMMUNITIES WITH THE GREATEST NEED.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	THE HOSPITAL INFORMS THE PATIENT OF THE AVAILABILITY OF CHARITY CARE SEVERAL WAYS: 1- NOTICE IS ON EVERY PATIENT BILL WITH AN APPLICATION ON THE BACK OF THE BILL 2- ON THE HOSPITAL WEBSITE 3- ALL MEMBERS OF THE PATIENT ACCOUNTING DEPARTMENT ARE TRAINED TO SCREEN PATIENTS FOR CHARITY CARE WHEN DISCUSSING BILLS AND CONCERNS REGARDING INABILITY TO PAY 4- FLIERS ARE POSTED IN REGISTRATION AREAS OF THE HOSPITAL 5- REGISTRATION CLERKS WILL IDENTIFY PATIENTS WITHOUT A PAY SOURCE AND REFER THE PATIENT TO A FINANCIAL COUNSELOR AND HAND THE PATIENT A FINANCIAL ASSISTANCE FORM 6- FINANCIAL COUNSELORS ASSIST PATIENTS IN SECURING MEDICAID AND SCREEN FOR CHARITY CARE 7- THE COLLECTION AGENCIES THAT HAHV ENGAGES WITH ARE AWARE OF THE CHARITY CARE POLICY AND ASSIST PATIENTS IN APPLYING UP TO 180 POST-PLACEMENT WITH THEM HEALTHALLIANCE IS COMMITTED TO: - PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES. - CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. - ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY. IN ACCORDANCE WITH American Hospital Association (AHA) RECOMMENDATIONS, HEALTHALLIANCE ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS - MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS - OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS - IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER - IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONS HEALTHALLIANCE EFFECTIVELY COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATION AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE. INFORMATION REGARDING THE FINANCIAL ASSISTANCE IS ALSO PROVIDED BY THE ONSITE FINANCIAL COUNSELING STAFF IN BOTH INPATIENT AND OUTPATIENT AREAS. PATIENT ACCOUNTING ALSO SUPPORTS THE FINANCIAL COUNSELING PROGRAM BY PROVIDING PATIENTS WITH INFORMATION AND APPLICATIONS WHILE HANDLING CUSTOMER SERVICE CALLS. OUR FINANCIAL COUNSELORS AND COUNTY MEDICAID WORKERS ALSO PROVIDE GUIDANCE REGARDING THE FINANCIAL ASSISTANCE PROGRAM WHEN NECESSARY. FINANCIAL ASSISTANCE IS AVAILABLE ON THE BACK OF EVERY HOSPITAL BILL AS WELL AS THE HOSPITAL WEBSITE AT https://WWW.HAHV.ORG. FINANCIAL 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/HAHV/FINANCIAL-ASSISTANCE.ASPX 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 his/her FINANCIAL OBLIGATION UP FRONT AND UNDERSTAND THE COMPETITIVE PRICING BEING OFFERED. DESPITE MILLIONS OF DOLLARS OF CHARITY CARE DISTRIBUTED TO NEEDY PATIENTS EVERY YEAR, A CONSISTENT CHALLENGE IS PATIENTS NOT UTILIZING THE PROGRAMS WE OFFER. OFTEN THEY DO NOT WANT TO PROVIDE THE NECESSARY FINANCIAL INFORMATION TO INITIATE THE FINANCIAL AID PROCESS. CONTINUAL OUTREACH AND EDUCATION IS OCCURRING TO MINIMIZE CONFUSION AND IMPROVE UTILIZATION. HEALTHALLIANCE IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE AND IS VERY SENSITIVE TO LOW INCOME PATIENTS ABILITY TO PAY.
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; 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 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 179,349 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 HA MARYS AVENUE CAMPUS AND BROADWAY CAMPUS, both located in Kingston, NY; MARGARETVILLE MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; AND MOUNTAINSIDE RESIDENTIAL CARE CENTER, A SKILLED NURSING FACILITY. THIS INTEGRATED HEALTHCARE SYSTEM IS COMMITTED TO PROVIDING QUALITY AND COMPASSIONATE MEDICAL CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY. IN ADDITION TO SERVICE CONSOLIDATION BETWEEN THE TWO KINGSTON HOSPITALS, HAHV ALSO COMMITTED TO STREAMLINING OPERATIONS AND IMPROVING CARE AT THE OTHER AFFILIATE LOCATIONS. DESPITE SIGNIFICANT OPERATIONAL IMPROVEMENT AND AT THE SUGGESTION OF NYS DEPARTMENT OF HEALTH, HAHV JOINED IN 2014 WITH THE WESTCHESTER MEDICAL HEALTH PERFORMING PROVIDER SYSTEM IN THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) AGAIN SEEKING TO TRANSFORM HEALTHCARE DELIVERY TO A MORE EFFECTIVE AND EFFICIENT MODEL THAT WILL BENEFIT ULSTER COUNTY ON MANY LEVELS. ON MARCH 30, 2016 WESTCHESTER COUNTY HEALTH CARE CORP., THROUGH ITS WHOLLY OWNED SUBSIDIARY WMCHEALTH ULSTER INC. (WMCHEALTHULSTER), BECAME THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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
Sandra Horan
CNO (Resigned 6/30/17)	$145,514	$0	$0	$0	$5,451	$0	$3,367	$0	$4,170	$0	$158,502	$0	$0	$0
MARSHA CASEY
TRUSTEE (Resigned 9/1/17)	$0	$799,777	$0	$234,840	$0	$0	$0	$73,790	$0	$29,300	$0	$1,137,707	$0	$0
MICHAEL ISRAEL
VICE CHAIR	$0	$1,500,187	$0	$1,118,091	$0	$0	$0	$73,779	$0	$73,047	$0	$2,765,104	$0	$0
JULIE SWITZER
TRUSTEE	$0	$636,471	$0	$215,219	$0	$0	$0	$61,200	$0	$41,645	$0	$954,535	$0	$0
WILLIAM FRISHMAN MD
TRUSTEE	$0	$498,887	$0	$0	$0	$0	$0	$34,792	$0	$29,455	$0	$563,134	$0	$0
David Scarpino
Chief Executive Officer	$512,037	$0	$0	$0	$9,153	$0	$6,750	$0	$16,748	$0	$544,688	$0	$0	$0
PAUL LLOBET MD
CHIEF MEDICAL OFFICER	$308,999	$0	$0	$0	$4,940	$0	$6,750	$0	$0	$0	$320,689	$0	$0	$0
KARA BENNORTH
TRUSTEE (EFFECTIVE 11/2/2017)	$0	$483,498	$0	$151,090	$0	$0	$0	$105,426	$0	$38,211	$0	$778,225	$0	$0
GARY BRUDNICKI
TRUSTEE	$0	$1,088,168	$0	$452,513	$0	$0	$0	$71,841	$0	$59,558	$0	$1,672,080	$0	$0
JOSEPH MARSICOVETE
CHIEF OPERATING OFFICER	$306,957	$0		$0	$7,401	$0	$6,750	$0	$5,451	$0	$326,559	$0	$0	$0
ALLEN NACE
DIR METHADONE & BRIDGEBACK SVC	$167,838	$0	$0	$0	$762	$0	$4,223	$0	$8,124	$0	$180,947	$0	$0	$0
PRITI SHAH
DIRECTOR OF PHARMACY	$168,788	$0	$0	$0	$496	$0	$4,288	$0	$22,306	$0	$195,878	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ULSTER COUNTY CAPITAL RESOURCE CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	273282033	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2010-12-29	BondIssuedDt
Issue Price	$12,500,000	IssuePriceAmt
Purpose	Ulster County Capital Resource Cor	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,047,064	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$12,500,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$250,000	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$8,182,783	WorkingCapitalExpendituresAmt
Capital Expenditures	$4,067,217	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule K, Part I-V-16, Line 1	FormAndLineReferenceDesc
Explanation	THE BONDS WERE ISSUED TO FINANCE A CONSTRUCTION AND EQUIPMENT FACILITY AND TO REFUND PREVIOUSLY ISSUED BONDS (I.E., THE SERIES 1999 REVENUE BONDS).	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Mahdavian Mahdavian	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	35% or greater than ownership by trustee	RelationshipDescriptionTxt
Transaction	$158,156	TransactionAmt
Transaction	PHYSICIAN ON CALL PAYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 6	HealthAlliance, Inc. is the sole corporate member of HealthAlliance Hospital Broadway Campus. Form 990, Part VI, Line 7A HealthAlliance, Inc. is the sole corporate member of HealthAlliance Hospital: Broadway Campus and has the power to elect and appoint members of the boards of directors and board officers of the hospitals. FORM 990, PART VI, LINE 7B All decisions with relation to the Broadway Campus are made at the HealthAlliance, Inc. board level. These decisions include approval/removal of corporate officers, approval of bylaw amendments, review of annual capital and operating budgets, review and/or modification of any CON applications, review incurrence of debt and develop and implement joint medical staff appointments.
FORM 990, PART VI, LINE 11B	THE FORM 990 WAS PREPARED BY OUR TAX ADVISORS TOGETHER WITH THE FINANCE DEPARTMENT WITH THE ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY INTERNAL LEADERSHIP. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, LINE 12C	THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMCHEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) DISCLOSURE OF THE CONFLICT, 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT, 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT.
FORM 990, PART VI, LINE 15A & 15B	The determination of the CEO's compensation involves the engagement of an independent compensation consultant to perform a compensation study/survey. Once completed, the findings and recommendations from the consultant are brought to the compensation committee of the board of directors. Upon the committee's review and approval, the CEO's employment contract is developed. For other top management officials, the same process is used with the exception that the findings are used to develop and execute a letter of employment versus a contract.
FORM 990, PART VI, LINE 19	Governing documents, conflict of interest policy and financial statements are made available to the public upon request.
FORM 990, PART XI, LINE 9	recognize Empire blue cross settlement - $1,500,000. REDUCE PRIOR YEARS LIABILITY TO IBM LEASE #1 - $187,944.
FORM 990 PART IX LINE 11G	DESCRIPTION:NISTEL MANPOWER TOTAL FEES:1320541
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER MANPOWER TOTAL FEES:1371404
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:2200667
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING & MGT TOTAL FEES:275400
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:7302652
FORM 990 PART IX LINE 11G	DESCRIPTION:BIOMEDICAL SERVICES TOTAL FEES:316721
FORM 990 PART IX LINE 11G	DESCRIPTION:WASTE DISPOSAL SERVICES TOTAL FEES:247644

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 INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	261850453	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
HEALTHALLIANCE HOSP MARY'S AVE CAMPUS
105 MARYS AVENUE	KINGSTON	NY	12401	141338470	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	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
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	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
HUDSON RIVER WEST INSURANCE (BARBADOS)
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	000000000	CAP INSURANCE	BB	BSCHSI	C CORP	Yes (true)
KINGSTON INSURANCE (BARBADOS) LIMITED
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	000000000	CAP INSURANCE	BB	HEALTHALLIANCE	C CORP	Yes (true)
NORTHEAST PROVIDER SOLUTIONS INC
			133991673	MSO & HEARING AID		NA	c corp	Yes (true)	100 WOODS ROAD	VALHALLA	NY	10595	NY
WMC ADVANCED PHYSICIAN SERVICES PC
			264709927	PHYSICIAN OFFICES		NA	c corp	Yes (true)	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	NY
WESTCHESTER MEDICAL REGIONAL PHYS SVCS
			465522536	PHYSICIAN OFFICES		NA	c corp	Yes (true)	241 NORTH ROAD	POUGHKEEPSIE	NY	10532	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET	HAMILTON	BD	000000000	CAP INSURANCE	BD	NA	c corp	Yes (true)
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
			161514994	INVESTMENT		HAH BWAY	c corp	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	NY	$62,522	$743,849	1.00000
MID HUDSON PHYSICIANS PC
			203564769	MEDICAL SVCS		na	c corp	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	NY
bschs medical group pc
			821632215	physician offices		bschs	c corp	Yes (true)	10 franklin turnkpike	mahwah	NJ	07430	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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

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