2018-11-02T13:58:08-05:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 141349558 HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS % ERIN NAGY HEAL 8459436084 396 BROADWAY KINGSTON NY 12401 DAVID SCARPINO CEO 8459436024 2018-10-31 true LAURA KIELCZEWSKI P00740769 2127733000 100.2.84.112 26308520183065000052 2018-11-02 P 89F31758C10140A6CE2E9E470E23FD94F177A9B4 D7645E384763AEB8339B885771554B833BC3ADBE 2017 2018-06-14 16:35:46Z DAVID SCARPINO 396 BROADWAY KINGSTON NY 12401 113177042 false X https://WWW.HAHV.ORG X 1891 NY PROVIDE HIGH QUALITY HEALTHCARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK, AND VISIT THE COMMUNITY. 17 11 1139 57 0 0 2575095 1257033 100823742 109900116 148279 90731 1999065 1922593 105546181 113170473 0 0 0 0 60493306 65963054 0 0 0 46932784 48786955 107426090 114750009 -1879909 -1579536 44142163 39312359 37592511 32594239 6549652 6718120 THE MISSION OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES. false false 92161612 0 110986538 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. 92161612 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true true false false false true 67 0 true 1139 true false false false false false false false false false false X 17 11 false false false false true true true true true false false true true true true true true true true false NY X ERIN NAGY 8459436084 741 GRANT AVENUE LAKE KATRINE NY 12449 THOMAS COLLINS CHAIR 1.0 4.0 X 0 0 0 KEVIN RYAN VICE CHAIR 1.0 2.0 X 0 0 0 CRAIG SICKLER TREASURER 1.0 2.0 X 0 0 0 CYNTHIA LOWE SECRETARY 1.0 2.0 X 0 0 0 JAMAL MAHDAVIAN MD TRUSTEE 1.0 2.0 X 0 0 0 MARSHA CASEY TRUSTEE (Resigned 9/1/17) 1.0 39.0 X 0 1034617 103090 JOHN HEIMERDINGER TRUSTEE 1.0 7.0 X 0 0 0 MICHAEL ISRAEL VICE CHAIR 1.0 39.0 X 0 2618278 146826 SAMUEL SIMON MD TRUSTEE 1.0 2.0 X 0 0 0 JEROME SIMONETTY TRUSTEE 1.0 2.0 X 0 0 0 JULIE SWITZER TRUSTEE 1.0 39.0 X 0 851690 102845 WILLIAM FRISHMAN MD TRUSTEE 1.0 39.0 X 0 498887 64247 RICHARD WISHNIE VICE CHAIR 1.0 6.0 X 0 0 0 MARTIN CASCIO MD TRUSTEE (Resigned 3/1/17) 1.0 2.0 X 0 0 0 NANCY DAVENPORT TRUSTEE 1.0 2.0 X 0 0 0 CAREY WAGNER TRUSTEE 1.0 4.0 X 0 0 0 KARA BENNORTH TRUSTEE (EFFECTIVE 11/2/2017) 1.0 39.0 X 0 634588 143637 GARY BRUDNICKI TRUSTEE 1.0 39.0 X 0 1540681 131399 MICHAEL SHERAN MD TRUSTEE (EFFECTIVE 5/4/17) 1.0 2.0 X 0 0 0 David Scarpino Chief Executive Officer 18.6 21.4 X 521190 0 23498 PATRICIA GAVIS CFO (Resigned 1/20/17) 19.47 20.53 X 21981 0 2137 Sandra Horan CNO (Resigned 6/30/17) 25.1 14.9 X 150965 0 7537 PAUL LLOBET MD CHIEF MEDICAL OFFICER 21.49 18.51 X 313939 0 6750 JOSEPH MARSICOVETE CHIEF OPERATING OFFICER 18.93 21.07 X 314358 0 12201 ALLEN NACE DIR METHADONE & BRIDGEBACK SVC 40.0 0.0 X 168600 0 12347 PRITI SHAH DIRECTOR OF PHARMACY 32.62 7.38 X 169284 0 26594 1660317 7178741 783108 34 false true false Institute for Family Health 2006 Madison Avenue 5th Floor NEW YORK NY 10035 Physician Services 4066670 Laboratory Corporation of America PO Box 12140 BURLINGTON NC 272162140 Laboratory Services 3142967 NISTEL INC 741 GRANT AVENUE LAKE KATRINE NY 12449 STAFFING AGENCY 1320541 ORTHOPEDIC ASSOCIATES OF DUTCHESS C 1910 SOUTH ROAD POUGHKEEPSIE NY 12601 PHYSICIAN SERVICES 1100065 POM RECOVERIES INC 85 EAST HOFFMAN AVENUE LINDENHURST NY 11757 COLLECTION AGENCY 863645 22 0 143376 1070928 42729 0 1257033 NET PATIENT SERVICE REVENUE 621300 109900116 109900116 0 0 109900116 90731 90731 0 0 131275 6569 124706 0 124706 124706 0 0 0 0 0 0 0 0 0 0 CONTRACTED SERVICES 900099 1056348 1056348 0 0 CAFETERIA REVENUE 722514 381335 0 0 381335 REBATE REVENUE 900099 96742 0 0 96742 263462 28865 0 234597 1797887 113170473 110985329 0 928111 X 0 0 0 0 0 0 0 0 1727262 1727262 0 0 0 0 0 0 49169845 41348100 7821745 0 679493 509620 169873 0 11007137 8254436 2752701 0 3379317 2534488 844829 0 0 0 0 0 342593 0 342593 0 130964 0 130964 0 1297 0 1297 0 0 0 0 0 0 0 13035029 9346752 3688277 0 59671 0 59671 0 3382051 1282499 2099552 0 0 0 0 0 0 0 0 0 1008368 0 1008368 0 95677 3109 92568 0 0 0 0 0 15386 0 15386 0 192256 0 192256 0 0 0 0 0 3122432 3122432 0 0 1528439 0 1528439 0 MEDICAL SUPPLIES 12860812 12781434 79378 0 PHYSICIAN FEES 6714068 6714068 0 0 EQUIPMENT SERVICE CONTRACTS 2594657 2435866 158791 0 INPATIENT ALLOWANCES 1168076 1168076 0 0 2535179 933470 1601709 114750009 92161612 22588397 0 0 2005694 305590 150443 602481 87986 60077 9611002 6069244 0 0 0 0 0 0 1283066 1367119 430461 598024 137492371 114181985 25432895 23310386 553245 598851 0 0 0 0 0 0 4587371 6400587 44142163 39312359 17899063 15993694 0 0 1097495 999786 2417936 1697936 0 0 0 0 4026797 1680690 0 0 12151220 12222133 37592511 32594239 X 5960807 6129275 0 0 588845 588845 6549652 6718120 44142163 39312359 X -1579536 60060 0 1687944 X X false true X true true true X false false false 0 false 0 false 0 false 0 false 0 false 0 true 1297 1297 false false SCHEDULE C, PART II-B, LINE 1J HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS PAYS DUES TO NORTHERN METRO HOSPITAL ASSOCIATION. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY NORTHERN METRO HOSPITAL ASSOCIATION, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTED TO LOBBYING ACTIVITIES APPLICABLE TO 2017 NORTHERN METRO HOSPITAL ASSOCIATION WERE $1,297. 556971 75670 15406 617235 534410 32759 10198 556971 546980 -2272 10298 534410 535502 17039 5561 546980 482694 57281 4473 535502 1.00000 true false 0 1389152 1389152 0 63038361 44946760 18091601 0 2300258 2296242 4016 0 68518564 64917106 3601458 2246036 2021877 224159 23310386 DUE FROM RELATED PARTIES 5078174 INTEREST IN FOUNDATION 1310908 OTHER RECEIVABLES 11505 6400587 0 OTHER NON-CURRENT LIABILITIES 10638479 POST RETIREMENT BENEFITS 1583654 12222133 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THESE FUNDS ARE TO BE HELD IN PERPETUITY AS RESTRICTED BY THE DONORS. FUNDS ARE MEANT TO EARN INTEREST OF WHICH SHOULD BE USED TO FUND PROGRAMS AND SERVICES AT HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS. true true X true X true X true true false true true 1361348 1280981 80367 0.00070 23867562 15654735 8212827 0.07160 25228910 16935716 8293194 0.07230 267163 0 267163 0.00230 2760262 1895737 864525 0.00750 27635598 21154663 6480935 0.05650 30663023 23050400 7612623 0.06630 55891933 39986116 15905817 0.13860 true 23148620 36502105 34428698 2073407 X true true 1 1 HealthAlliance Hosp Broadway Campus 396 Broadway Kingston NY 12401 https://www.hahv.org/hahv/home.aspx 5501000H X X X HEALTHALLIANCE HOSP BROADWAY CAMPUS 1 false false true X X X X X X X X X 16 true true true true X See Section C X true 16 true See Section C false true X 150. 300. X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X true X false false PART V, SECTION B, LINE 5 2016-2018 CHNA IMPLEMENTATION PLAN IN ACCORDANCE WITH THE AFFORDABLE CARE ACT (ACA) OF 2010 AND THE NEW YORK STATE (NYS) HEALTH IMPROVEMENT PLAN'S PREVENTION AGENDA REQUIREMENTS, HEALTHALLIANCE OF THE HUDSON VALLEY (HEALTHALLIANCE), A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK (WMCHEALTH), PARTICIPATED WITH OTHER AREA HOSPITALS, PUBLIC AND GOVERNMENT AGENCIES, COMMUNITY PARTNERS AND THE ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH (UCDOHMH) TO CONDUCT A COMMUNITY HEALTH ASSESSMENT AND DEVELOP A LOCAL COMMUNITY HEALTH IMPROVEMENT PLAN. A WORK GROUP CONSISTING OF UCDOHMH AND LOCAL AREA HOSPITALS MET REGULARLY BEGINNING IN MAY 2016 TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN IS AN UPDATE TO THE PREVIOUSLY CREATED 2014-2016 CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN. AS SUCH, THE 2014-2016 PLANS SERVED AS A FOUNDATION FOR CREATING THE 2016-2018 PLANS. PARTNERS MET ON A MONTHLY TO BIMONTHLY BASIS TO ANALYZE DATA SETS AND COMMUNITY STRENGTHS. THE COMMUNITY PARTICIPATED IN THE PROCESS TO PRIORITIZE IMPROVING THE HEALTH OF ULSTER COUNTY BY MEANS OF A COMMUNITY HEALTH SURVEY. HEALTHALLIANCE'S CONTINUING PROGRESS AND MONITORING OF GOALS IDENTIFIED IN THIS CHNA WILL BE MANAGED BY AN INTERNAL COMMUNITY BENEFITS COMMITTEE (CBC). THIS COMMITTEE MET ON APRIL 26, 2016, FOR AN UPDATE BY THE UCDOHMH ON THE NYS PREVENTION AGENDA AND THE PROGRESS MADE SINCE 2013 WHEN THE LAST COMMUNITY SERVICE PLAN WAS WRITTEN, AND TO STRATEGIZE THE 2016-2018 INTERVENTIONS. THE CBC WILL ENGAGE INTERNAL AND EXTERNAL RESOURCES TO DEVELOP AND IMPLEMENT EVIDENCE BASED STRATEGIES ACROSS THE SERVICE AREAS TO DIRECTLY ADDRESS IDENTIFIED HEALTH NEEDS THAT HEALTHALLIANCE WILL PURSUE. CURRENT AND NEW OUTREACH STRATEGIES WILL BE MODIFIED, IF NEEDED, AND DEVELOPED DURING THE CURRENT TERM OF THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PART V, SECTION B, LINE 6A THE CHNA WAS CONDUCTED WITH 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 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 X X X X X X false false false false false false false false false Sandra Horan CNO (Resigned 6/30/17) 145514 0 0 0 5451 0 3367 0 4170 0 158502 0 0 0 MARSHA CASEY TRUSTEE (Resigned 9/1/17) 0 799777 0 234840 0 0 0 73790 0 29300 0 1137707 0 0 MICHAEL ISRAEL VICE CHAIR 0 1500187 0 1118091 0 0 0 73779 0 73047 0 2765104 0 0 JULIE SWITZER TRUSTEE 0 636471 0 215219 0 0 0 61200 0 41645 0 954535 0 0 WILLIAM FRISHMAN MD TRUSTEE 0 498887 0 0 0 0 0 34792 0 29455 0 563134 0 0 David Scarpino Chief Executive Officer 512037 0 0 0 9153 0 6750 0 16748 0 544688 0 0 0 PAUL LLOBET MD CHIEF MEDICAL OFFICER 308999 0 0 0 4940 0 6750 0 0 0 320689 0 0 0 KARA BENNORTH TRUSTEE (EFFECTIVE 11/2/2017) 0 483498 0 151090 0 0 0 105426 0 38211 0 778225 0 0 GARY BRUDNICKI TRUSTEE 0 1088168 0 452513 0 0 0 71841 0 59558 0 1672080 0 0 JOSEPH MARSICOVETE CHIEF OPERATING OFFICER 306957 0 0 7401 0 6750 0 5451 0 326559 0 0 0 ALLEN NACE DIR METHADONE & BRIDGEBACK SVC 167838 0 0 0 762 0 4223 0 8124 0 180947 0 0 0 PRITI SHAH DIRECTOR OF PHARMACY 168788 0 0 0 496 0 4288 0 22306 0 195878 0 0 0 A ULSTER COUNTY CAPITAL RESOURCE CORPORATION 273282033 000000000 2010-12-29 12500000 Ulster County Capital Resource Cor false false false A 8047064 0 12500000 0 0 0 250000 0 8182783 4067217 0 0 true false false true A false false true false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false false false false false 0 false 0 false false A false Form 990, Schedule K, Part I-V-16, Line 1 THE BONDS WERE ISSUED TO FINANCE A CONSTRUCTION AND EQUIPMENT FACILITY AND TO REFUND PREVIOUSLY ISSUED BONDS (I.E., THE SERIES 1999 REVENUE BONDS). Mahdavian Mahdavian 35% or greater than ownership by trustee 158156 PHYSICIAN ON CALL PAYMENT false FORM 990, PART VI, LINE 6 HealthAlliance, Inc. is the sole corporate member of HealthAlliance Hospital Broadway Campus. Form 990, Part VI, Line 7A HealthAlliance, Inc. is the sole corporate member of HealthAlliance Hospital: Broadway Campus and has the power to elect and appoint members of the boards of directors and board officers of the hospitals. FORM 990, PART VI, LINE 7B All decisions with relation to the Broadway Campus are made at the HealthAlliance, Inc. board level. These decisions include approval/removal of corporate officers, approval of bylaw amendments, review of annual capital and operating budgets, review and/or modification of any CON applications, review incurrence of debt and develop and implement joint medical staff appointments. FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY 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 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 true MARGARETVILLE MEMORIAL HOSPITAL 42084 STATE ROUTE 28 MARGARETVILLE NY 12455 150552726 EXEMPT HOSP NY 501(C)(3) 3 HA INC true MARGARETVILLE NURSING HOME INC 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 223143565 NURSING HOME NY 501(C)(3) 10 MMH true MARGARETVILLE HEALTH FOUNDATION 42084 STATE HIGHWAY 28 MARGARETVILLE NY 12455 261998454 SUPPORT FDN NY 501(C)(3) 12A MMH true FASC FOUNDATION 741 GRANT AVENUE LAKE KATRINE NY 12449 264201295 SUPPORT FDN NY 501(C)(3) 7 HAH BWAY true GOOD SAMARITAN FDN FOR BETTER HEALTH 255 LAFAYETTE AVE SUFFERN NY 10901 133400353 SUPPORT FDN NY 501(C)(3) 7 BSCHSI false BON SECOURS COMMUNITY HOSPITAL FDN 255 LAFAYETTE AVE SUFFERN NY 10901 810667395 SUPPORT FDN NY 501(C)(3) 7 BSCHSI true BON SECOURS WARWICK HEALTH FOUNDATION 255 LAFAYETTE AVE SUFFERN NY 10901 141972807 SUPPORT FDN NY 501(C)(3) 7 BSCHSI true BON SECOURS CHARITY HEALTH SYSTEM INC 255 LAFAYETTE AVE SUFFERN NY 10901 912135195 SUPPORTING NY 501(C)(3) 12C, III-FI WCHCC false HealthAlliance Foundation Inc 741 GRANT AVENUE LAKE KATRINE NY 12449 222511450 FUNDRAISING NY 501(C)(3) 7 HA INC false HUDSON RIVER WEST INSURANCE (BARBADOS) 38 PINE ROAD BELLEVILLE ST MICHAEL BB 000000000 CAP INSURANCE BB BSCHSI C CORP true KINGSTON INSURANCE (BARBADOS) LIMITED 38 PINE ROAD BELLEVILLE ST MICHAEL BB 000000000 CAP INSURANCE BB HEALTHALLIANCE C CORP true NORTHEAST PROVIDER SOLUTIONS INC 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING AID NY NA c corp true WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFFICES NY NA c corp true WESTCHESTER MEDICAL REGIONAL PHYS SVCS 241 NORTH ROAD POUGHKEEPSIE NY 10532 465522536 PHYSICIAN OFFICES NY NA c corp true WCHCC (BERMUDA) LIMITED VICTORIA HALL 11 VICTORIA STREET HAMILTON BD 000000000 CAP INSURANCE BD NA c corp true KINGSTON REGIONAL HEALTH CARE ENTERPRISE 396 BROADWAY KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY c corp 62522 743849 1.00000 true MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY na c corp true bschs medical group pc 10 franklin turnkpike mahwah NJ 07430 821632215 physician offices NJ bschs c corp true false false true false false false false false false true false false true false true true true false false SCHEDULE R, PART II, Bon Secours Charity Health System, Inc. (BSCHS) HealthAlliance Hospital Broadway Campus has a brother-sister relationship with BSCHS's six subordinates in a group exemption within BSCHS.