STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS (EIN 14-1349558)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-12
IRS object ID
201503169349301615
Schema version
2014v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-12T09:41:50-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Charles A Barragato & Co LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1950 Third Avenue - 20th FLAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10022ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141349558EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Healthalliance Hospital Broadway CampusBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STEVEN HAASInCareOfNm
Business Name ControlHEALBusinessNameControlTxt
Phone8459436024PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1396 BroadwayAddressLine1Txt
CityKingstonCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN HAASPersonNm
Person TitleCFOPersonTitleTxt
Phone8459436024PhoneNum
Signature2015-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngelo Pirozzi CPAPreparerPersonNm
PTINP00446022PTIN
Phone2123714446PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDavid ScarpinoPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1396 BroadwayAddressLine1Txt
CityKingstonCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$110,216,708GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.hahv.org/broadway-campus/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1891FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1105TotalEmployeeCnt
Total Volunteers163TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,614,900PYContributionsGrantsAmt
CY Contributions Grants$9,056,562CYContributionsGrantsAmt
PY Program Service Revenue$102,158,920PYProgramServiceRevenueAmt
CY Program Service Revenue$99,035,588CYProgramServiceRevenueAmt
PY Investment Income$193,486PYInvestmentIncomeAmt
CY Investment Income$135,645CYInvestmentIncomeAmt
PY Other Revenue$2,122,252PYOtherRevenueAmt
CY Other Revenue$1,784,366CYOtherRevenueAmt
PY Total Revenue$109,089,558PYTotalRevenueAmt
CY Total Revenue$110,012,161CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,454,056PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,379,589CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$47,037,930PYOtherExpensesAmt
CY Other Expenses$46,148,923CYOtherExpensesAmt
PY Total Expenses$100,491,986PYTotalExpensesAmt
CY Total Expenses$101,528,512CYTotalExpensesAmt
PY Revenues Less Expenses$8,597,572PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,483,649CYRevenuesLessExpensesAmt
Total Assets BOY$89,259,947TotalAssetsBOYAmt
Total Assets EOY$73,497,524TotalAssetsEOYAmt
Total Liabilities BOY$63,496,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$46,858,794TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,763,936NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,638,730NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHEALTHALLIANCE HOSPITAL BROADWAY CAMPUS IS A NON-SECTARIAN, NOT-FOR-PROFIT INSTITUTION WHOSE SOLE REASON FOR EXISTENCE IS TO SERVE THE HEALTH CARE NEEDS OF ALL PEOPLE IN OUR COMMUNITY. THIS IS ACCOMPLISHED THROUGH DEDICATED, COMPETENT STAFF PROVIDING ACCESSIBLE PATIENT-FOCUSED CARE, GUIDED BY A COMMITMENT TO CONTINUOUS IMPROVEMENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$81,831,487ExpenseAmt
Revenue$100,159,603RevenueAmt
DescHealthAlliance Hospital Broadway Campus IS A TAX-EXEMPT ORGANIZATION, WHICH WAS INCORPORATED UNDER THE NEW YORK STATE NOT-FOR-PROFIT CORPORATION LAW. THE HOSPITAL 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 2014, HealthAlliance Hospital Broadway Campus recorded 36,575 patient days, 45,507 Emergency Room visits and 2,612 Surgeries (1,133 IP & 1,479 OP). HealthAlliance Hospital Broadway Campus offers various Outpatient services such as Wound Care/Hyperbaric Oxygen, Diabetes Counseling, Renal Dialysis, and all Radiologic services (MRI, CT, Ultrasound, Mammography). Total visits for these services in 2014 were approximately 67,301.Desc
Total Program Service Expenses$81,831,487TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document85IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1105EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEVEN HAASPersonNm
Phone8459436024PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1741 GRANT AVEAddressLine1Txt
CityLAKE KATRINECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12449ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alexander Cohen
Med Staff - Quality1.00.0Yes (X)Yes (X)$0$0$0
Donald Louie MD
Trustee1.00.0Yes (X)$0$0$0
Donna Moss MD
Trustee1.00.0Yes (X)$0$0$0
Joanne Fredenberg
Chair1.00.0Yes (X)Yes (X)$0$0$0
Judith Greenfield
Secretary1.00.0Yes (X)Yes (X)$0$0$0
Lydia Reidy
Trustee1.00.0Yes (X)$0$0$0
Mark Josefski MD
VP Med Staff1.02.0Yes (X)$0$0$0
Ronald Myers
Vice Chair1.00.0Yes (X)Yes (X)$0$0$0
Robert Seidman
Chief Admin Officer 1/1-8/1/1416.8120.69Yes (X)Yes (X)$0$325,551$28,682
David Scarpino
Chief Executive Officer16.9420.56Yes (X)$497,982$0$24,433
Frank Ehrlich MD
Chief Medical Officer18.219.3Yes (X)$304,026$0$8,948
Joseph Marsicovete
Chief Operating Officer19.6217.88$266,411$0$7,266Yes (X)
Joshua Ratner
Chief Strategy Officer19.0618.44$214,618$0$23,437Yes (X)
Kathleen Lunney
Chief Nursing Officer 1/1-8/122.515.0Yes (X)$218,214$0$3,447
Steven Haas
Chief Financial Officer17.7519.75Yes (X)$267,377$0$20,433
John Finch
Chief Inf. & Comm. Officer14.622.9$0$230,688$30,713Yes (X)
Greg Howard
VP of Human Resources 1/1-8/132.05.5$194,620$0$21,336Yes (X)
Sandra Horan
Chief Nursing Officer8/1-12/3116.7320.77Yes (X)$189,811$0$11,672
Priti Shah
Director of Pharmacy31.06.5$163,368$0$22,343Yes (X)
Patricia Husted
Director of Case Mgt.18.7518.75$147,058$0$10,451Yes (X)
Nicholas Corrado
Director of Materials Mgt18.019.5$132,910$0$17,492Yes (X)
Elizabeth Stanzione
Pharmacist37.50.0$128,395$0$10,197Yes (X)
David Lundquist
CEO Thru 7/25/130.00.0$598,850$0$15,190Yes (X)
Charles Flinn
COO Thru 7/25/130.00.0$165,394$0$10,333Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,489,034TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$556,239TotReportableCompRltdOrgAmt
Total Other Compensation$266,373TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Nistel Inc
PO Box 544LAKE KATRINENY12449Staffing Agency$2,855,879
Institute for Urban Family Health
22 W 19th Street 8th FloorNEW YORKNY10011Physicians$2,387,500
Laboratory Corporation of America
20 Johnson DriveRARITANNJ08869Laboratory Services$2,467,832
Orthopedic Associates of Dutchess C
1910 South RoadPOUGHKEEPSIENY12601Physicians$852,175
Medical Staffing Network
PO Box 840292DALLASTX75281Staffing Agency$601,689
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Government Grants$8,926,563GovernmentGrantsAmt
All Other Contributions$129,999AllOtherContributionsAmt
Total Contributions$9,056,562TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REVENUE621300$103,471,668$103,471,668
BAD DEBT EXPENSE621300-$4,436,080-$4,436,080
FieldValueIRS element (for citing)
Total Program Service Revenue$99,035,588TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,978TotalRevenueColumnAmt
Exclusion$95,978ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$186,188RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$186,188RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,188TotalRevenueColumnAmt
Exclusion$186,188ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$240,714SecuritiesAmt
Other$3,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$182,286SecuritiesAmt
Other$22,261OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$58,428SecuritiesAmt
Other-$18,761OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,667TotalRevenueColumnAmt
Exclusion$39,667ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CONTRACTED SERVICES900099$1,217,485$1,217,485
OTHER REVENUE900099$380,693-$93,470$474,163
FieldValueIRS element (for citing)
Other Revenue Total$1,598,178OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,012,161TotalRevenueColumnAmt
Related Or Exempt Func Income$100,159,603RelatedOrExemptFuncIncomeAmt
Exclusion$795,996ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,847,843TotalAmt
Management And General$2,847,843ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$789,767TotalAmt
Management And General$789,767ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,634,354TotalAmt
Program Services$33,962,240ProgramServicesAmt
Management And General$5,672,114ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$479,919TotalAmt
Program Services$413,570ProgramServicesAmt
Management And General$66,349ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,341,359TotalAmt
Program Services$6,716,035ProgramServicesAmt
Management And General$1,625,324ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,286,347TotalAmt
Program Services$2,627,523ProgramServicesAmt
Management And General$658,824ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$113,870TotalAmt
Management And General$113,870ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,958TotalAmt
Program Services$47,958ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,438,819TotalAmt
Program Services$5,999,746ProgramServicesAmt
Management And General$439,073ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$85,505TotalAmt
Management And General$85,505ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,747,071TotalAmt
Program Services$1,338,052ProgramServicesAmt
Management And General$409,019ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,202,056TotalAmt
Management And General$1,202,056ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,570TotalAmt
Program Services$32,931ProgramServicesAmt
Management And General$8,639ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,730TotalAmt
Program Services$17,240ProgramServicesAmt
Management And General$490ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$941,342TotalAmt
Management And General$941,342ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,911,062TotalAmt
Program Services$5,911,062ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,303,941TotalAmt
Management And General$1,303,941ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$11,846,489$11,807,448$39,041
PURCHASED SERVICES$6,403,760$5,986,189$417,571
NISTEL EXPENSES$2,855,879$2,855,879
EQUIPMENT SERVICES$2,181,658$2,025,374$156,284

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,010,213TotalAmt
Program Services$2,090,240ProgramServicesAmt
Management And General$2,919,973ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$101,528,512TotalAmt
Program Services$81,831,487ProgramServicesAmt
Management And General$19,697,025ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,149,481BOYAmt
EOY$11,623,502EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,079,447BOYAmt
EOY$127,779EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,051,682BOYAmt
EOY$293,229EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,004,359BOYAmt
EOY$10,372,332EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,461,456BOYAmt
EOY$1,236,911EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$755,795BOYAmt
EOY$930,287EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$133,019,729LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$101,332,516LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,530,568BOYAmt
EOY$31,687,213EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$553,315BOYAmt
EOY$565,401EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,673,844BOYAmt
EOY$16,660,870EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$89,259,947BOYAmt
EOY$73,497,524EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,868,500BOYAmt
EOY$15,696,219EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$889,789BOYAmt
EOY$560,007EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,495,000BOYAmt
EOY$3,892,935EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,524,635BOYAmt
EOY$8,228,477EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,718,087BOYAmt
EOY$18,481,156EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,496,011BOYAmt
EOY$46,858,794EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,742,649BOYAmt
EOY$25,548,652EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$432,442BOYAmt
EOY$501,233EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$588,845BOYAmt
EOY$588,845EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,763,936BOYAmt
EOY$26,638,730EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,259,947BOYAmt
EOY$73,497,524EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,483,649ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$56,376NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$7,552,479OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$8,613OtherActivitiesAmt
Total Lobbying Expenditures$8,613TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceOTHER ACTIVITIESFormAndLineReferenceDesc
ExplanationHealthalliance Hospital Broadway Campus PAYS DUES TO HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2014 HANYS WERE $8,613.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$588,845BeginningYearBalanceAmt
End Year Balance$588,845EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$588,845BeginningYearBalanceAmt
End Year Balance$588,845EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$588,845BeginningYearBalanceAmt
End Year Balance$588,845EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$588,845BeginningYearBalanceAmt
End Year Balance$588,845EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$588,845BeginningYearBalanceAmt
End Year Balance$588,845EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,389,152OtherCostOrOtherBasisAmt
Book Value$1,389,152BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,596,188OtherCostOrOtherBasisAmt
Depreciation$39,527,127DepreciationAmt
Book Value$23,069,061BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,300,258OtherCostOrOtherBasisAmt
Depreciation$2,293,528DepreciationAmt
Book Value$6,730BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$64,492,395OtherCostOrOtherBasisAmt
Depreciation$57,497,900DepreciationAmt
Book Value$6,994,495BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,241,736OtherCostOrOtherBasisAmt
Depreciation$2,013,961DepreciationAmt
Book Value$227,775BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,687,213TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTEREST IN NA- TKH FOUNDATION$1,510,628
DUE FROM RELATED PARTIES$9,034,420
DUE FROM THIRD PARTIES-$91,862
OTHER RECEIVABLE$66,113
INSURANCE RECEIVABLE - LT$6,141,571
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,660,870TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
POST RETIREMENT/SUPPLE. EXEC.$1,644,710
OTHER NONCURRENT LIABILITIES$3,691,756
DUE TO THIRD PARTY PAYORS$6,979,539
DUE TO RELATED PARTIES-$1,918
INSURANCE LIABILITY - LONG-TER$5,098,242
WC INSURANCE$1,043,328
LAB SETTLEMENTS$25,499
FieldValueIRS element (for citing)
Total Liability$18,481,156TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4 - INTENDED USES OF ENDOWMENT FUNDFormAndLineReferenceDesc
ExplanationThese funds are to be held in perpetuity as restricted by the donor. 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,258,099TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,070,578DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,187,521NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,188,280TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,230,610DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,957,670NetCommunityBenefitExpnsAmt
Total Expense0.02910TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,446,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,301,188DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,145,191NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,449TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$47,449NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,447,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,967,442DirectOffsettingRevenueAmt
Net Community Benefit Expns$580,135NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,842,467TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,616,679DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,225,788NetCommunityBenefitExpnsAmt
Total Expense0.05150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,337,493TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,584,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,853,372NetCommunityBenefitExpnsAmt
Total Expense0.05770TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,783,872TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,885,309DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,998,563NetCommunityBenefitExpnsAmt
Total Expense0.09850TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,436,080BadDebtExpenseAmt
Reimbursed By Medicare$36,313,719ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$29,481,188CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,832,531MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HealthAlliance Broadway CampusBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1396 BroadwayAddressLine1Txt
CityKingstonCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12401ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HAH BroadwayBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.hahv.org/community-healthOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.hahv.org/wp-content/uploads/2014/0StrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLXFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLXFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Sec B, Line 5As the largest employer in the region and the only multi-campus healthcare system in Ulster County, HealthAlliance takes a leadership role on collaborating with county public health and community-based organizations to assess health risks through a Community Health Needs Assessment (CHNA) and implement health improvement strategies in the community. Beginning in January of 2013, Ulster County Departments of Health and Mental Health commemced the CHNA planning initiative with HealthAlliance to review state and federal requirements. Additional health care leaders were invited to participate in the CHNA planning process including: Ellenville Regional Hospital, The Institute for Family Health, Mid-Hudson Medical Group, Hudson River Health Care, Ulster Prevention Council and SUNY New Paltz's Center for Research Regional Education and Outreach (CRREO), contracted through Ulster County to develop the CHNA. Ensuing focus groups involved other organizations that represent a broad cross-section of the population that serve the chronically ill, low-income and minority populations in our service area; these include: Department of Social Services, United Way, Cornell Cooperative Extension, Planned Parenthood, health insurance payers, fitness centers, and others.
Part V, Sec B, Line 6aHealthAlliance Hospital: Mary's Avenue Campus and Margaretville Memorial Hospital
Part V, Sec B, Line 111) Healthy Mothers, Healthy Babies, Healthy Children The Breastfeeding Coalition, of which HAHV is a member, educates the community at large about breastfeeding benefits and identifies policy changes to support this option. The Family Birth Place offers prenatal classes and educates expectant mothers about the benefits of breastfeeding. HAHV is also near the end stages of receiving 'baby-friendly' status which recognizes hospitals that successfully implement evidence-based breastfeeding initiatives. The Community Heart Health Coalition (CHHC) creates nutrition and physical activity opportunities that result in chronic disease prevention for the community. CHHC will work with child care centers to support changes with regard to physical activity, nutrition and reduced screen time. CHHC is also engaged in promotion of physical activity among the adult population via free exercise classes, Kingston Walks program and nutrition workshops and will soon place a priority on the adult disability population. Total births were 345 with 266 patients (77%) who breast fed at all during the admission exceeding the benchmark of 75% and 136 patients (39%) who breastfed exclusively almost reaching the benchmark 40%. Although we did not achieve our goal this year of 48% for exclusively breastfeeding, we have increased the number of those who breast feed at all during their hospital stay. To increase those numbers the following has been implemented: - All staff at the Family Birth Place are now Certified Lactation Counselors. - The Family Birth Place joined an initiative, a quality improvement project to increase breastfeeding rates in New York, with The National Institute for Children's Health Quality (NICHQ) and the New York State Department of Health (DOH) who are teaming up to help hospitals improve their breastfeeding rates. A new, five-year quality improvement project will guide nearly 80 hospitals in creating environments that support breastfeeding and reduce racial, ethnic and economic disparities in New York State breastfeeding rates. - By identifying funding for and implementing the NAPSACC program, CHHC worked with childcare centers to identify and create changes in nutrition, physical activities, and decreased screen time. Metrics- 8 centers, 218 children, 47 staff impacted - CHHC worked with the GED classes and English as a Second Language classes in Ellenville administered by UC BOCES to include a burst of movement into their break time called 'Let's Move a Little Ulster County' for 12 students. This program was developed with input from the NYSDOH - CHHC worked with the HAHV employee wellness committee to expand their role in obesity prevention by enhancing internal communications regarding lactation support in the worksite - CHHC maintains an active presence on the Maternal Infant Services Advisory Coalition HAHV's Breast Education and Breast Outreach Program (BEBOP) is a service to educate the community of free cancer screenings and support services available to the uninsured and underinsured. HAHV is also in partnership with the CSP of the Hudson valley to promote breast, cervical and colorectal cancer screenings to the uninsured. 2) Chronic Disease Prevention HAHV's will seek to address the prevalence of heart disease through community health education and public screenings as well as the Diabetes Education Center. The Diabetes education center is committed to providing individuals with the skills and knowledge to manage diabetes and serves as a community resource center where training and educational programs are offered for our community. Individuals who are proficient at managing their diabetes are less likely to develop complications such as heart disease thereby reducing the potential for hospitalizations. The CHHC hosts nutrition workshops to help people make informed choices about their health. Referrals to the Oncology Support Program at the Reuner Cancer Support House increased by 70% from 2013 (153) to 2014 (258); participants in support groups, classes, and special events stayed exactly the same at 3,754; and oncology support visits increased 35% from 747 to 1007. - The Oncology Support Program selectively targeted the Latino community. Efforts by Bilingual Staff include: - Cancer Services Program and BEBOP Informational brochures and fliers about free screenings distributed at post offices, businesses that mainly employ part- - HealthAlliance of the Hudson Valley 5 - Community Service Plan - updated 2014 - time and have no benefits, medical provider offices, libraries, churches, and multicultural festivals and health fairs - Presented at The Washbourne House for Domestic Violence in Woodstock. - The Diabetes Education Center desires to implement the New York State Diabetes Prevention Program (DPP). This is an evidence-based, lifestyle modification program designed for people with pre-diabetes or who are at risk for developing diabetes. The approach of reaching pre-diabetic patients is not a service currently offered by the Center nor is it offered elsewhere in the community. The purpose of the NYS DPP is to assist participants in setting and achieving personal lifestyle goals to prevent the onset of diabetes and the many chronic complications associated with the disease. The program aligns with the NYS Prevention Agenda, as well as HealthAlliance's desired goal for better population health to reduce manageable chronic in-patient admissions. - The Diabetes Education Center offers education and training to adults and teens with Type 1, Type 2 or gestational diabetes. - Although their attendance in classes has decreased a bit, most likely due to providers offering services in their offices, they continue to offer pump trainings, continuous glucose studies, monthly support groups and have added a quarterly cooking/recipe modification class. - In late 2013, CHHC worked with Kingston to draft and pass a healthy vending resolution. - Offers direction as an advisory board member of the YMCA Farm Project to promote the availability of high quality, accessible and affordable vegetables in the inner city. - Provides leadership and support for Live Well Kingston Coalition & chairs Eat Well Kingston focus group. - Live Well Kingston (LWK), city-endorsed health coalition facilitated by Cornell Cooperative Extension of Ulster County and for which HealthAlliance is a founding partner and contributes financially to and as a working partner. - Four people from the healthcare industry officially joined and participated in the LWK Leadership team in 2014. - Four Focus Teams (workgroups) were established: Travel Well, Play Well, Eat Well, and Age Well. A chair of these focus teams was identified. - The Age Well Focus Team focused on defining what it means to age well and on developing a needs assessment incorporating input from Kingston's senior citizens of what they feel would be needed to lead healthier and more active lifestyle. - Eat Well participants shared their work on healthier eating in Kingston, brainstormed their vision of what a healthy food environment would look like, and discussed the role of the Eat Well Focus Team in advancing this vision. - Travel Well Focus Team formed, which consists of three groups in Kingston working on walking and bicycling advocacy - the Complete Streets Advisory Council (CSAC), Bike-Friendly Kingston (BFK), and the Kingston Land Trust Rail Trail Committee (KLT RTC). 3) Mental Health Promotion and Substance Abuse Prevention Quality Improvements - Psychiatric assessment remains composed of original material used to evaluate suicidal and homicidal risk but now includes an OMH recommended tool. This - particular tool adds new depth to the original assessment making it more reliable. - The patient care technicians and/or RN's check on each patient every 15 minutes and document their mental status and activity - An electronic communication policy and practice to enhance information sharing between the social worker and the psychiatrist on call about patients' mental status and treatment needs was added which helps ensure the safest and most appropriate disposition possible - Staffing and growth > The PED staff includes 2 FTE social workers, 4 FTE registered nurses, and 2 FTE patient care technicians. > One of the social workers is certified as a Spanish language interpreter. > Two of the PED are PMCS (Preventing and Managing Crisis Situations) trainers. > Three of the PED staff joined the hospital's Critical Incident Stress Management (CISM) team, one is the coordinator of the team, to respond to traumatic events at the work place and in the community. > People, Inc. provides a peer advocate 3 afternoons per week. > Adolescent Partial Hospitalization Program participation and outcomes: > The number of recipient days (billable visits) was 1775. > The total number of admissions was 101 patients. > The total number of referrals was 186. > The average annual daily census was 8. > The average annual monthly

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGYHealthalliance Hospital Broadway Campus' costing methodology was based upon the 2014 New York State Institutional Cost Report and the 2014 (Form 2552) Cost Report. These cost reports are filed with the New York State Department of Health and the applicable CMS intermediary, respectfully. The cost-to-charge ratio derived from the New York State Institutional Cost Report was used for the various sub-line items of line # 7.
PART I, LINE 7G - COST ASSOCIATED WITH PHYSICIAN CLINICSThe costs on line 7G include $0 of costs attributable to physician clinics.
PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE AMOUNT OF BAD DEBT EXPENSEThe 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 #1 on pages 9 and 11 of the attached AFS.
Part III, Line 4 - Description of Bad Debt ExpenseThe text of the footnote that describes bad debt expense can be found on Pages 9 and 16-17 of the attached audited financial statements.
Part III, Line 8The 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.
Part III, Line 9bThe 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 (Attachment A). The Charity Care policy provides that the financial counselor evaluates the information provided in patients' charity care application in conjunctions 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 guarantor's gross monthly income.
Part VI Line 2: Needs AssessmentHealthAlliance Hospital: Broadway Campus ("HABC"), previously known as The Kingston Hospital, identifies unmet community health needs by participating in community coalitions, partnerships, boards, committees, commissions, advisory groups, and panels. Local needs assessments and reports, such as the latest Ulster County Community Health Assessment 2013-2015 and New York State's Community Health Assessment Indicators, are used as they become available to evaluate the appropriateness and effectiveness of community benefit programs offered in the community as well as identify any gaps. However, these reports offer vital information at the county level and not as much detail within the community we serve. In order to define community need, we've set parameters to define our community. The community we serve is also known as our Primary Service Area (PSA) which adheres to the 2007 Federal Register guidelines that defines a PSA as the geographic area served by the hospital that is composed of the lowest number of contiguous zip codes from which the hospital draws at least 75% of its inpatients. HealthAlliance's PSA covers most of Ulster County with a population of about 147,000 with the broader population of Ulster County totaling about 182,000. For a more focused needs analysis of our community, the hospital analyzes internal patient surveys and publicly available data on the market including demographics and health services utilization on an annual basis. Using the aforementioned resources as well as internal hospital utilization data, The Kingston Hospital gathers demographic, chronic health and socio-economic data to support internal decision making to determine appropriate resource allocation to meet emerging needs. During FY14, in addition to the continued use of the "Ulster County Community Health Assessment" report, we also use a range of other available assessments to identify and respond to local needs. In fiscal year 2013, we undertook a physician needs assessment study, another key component at examining the community needs and access to quality healthcare providers. This study reviewed medical subspecialties within Health Alliance of the Hudson Valley's ("HAHV") PSA. Physician need was determined based upon demonstrable and documented objective statistics whereby the physician to population ratio in our PSA for the respective physician's medical specialty was identified for current needs, then forecasted over the next five years for a projected need, resulting in a FTE surplus or deficit for the PSA. The analysis demonstrated a current need for additional medical specialties such as cardiology and pulmonary as well as a current need for surgical specialists in General Surgery, Neurosurgery and Urology. Projected need for medical specialties exists in primary care as the current practitioners will begin to age out while projections for surgical specialists exist within orthopedic and thoracic surgery. HAHV is working to recruit new physicians to these specialties to insure the community need and access are improved. The board of Trustees, via the Audit and Compliance committee of the Board, reviewed and approved the community need study/report. By fulfilling these two requirements, HAHV established the necessary link of community need in the PSA and physician recruitment activities. In 2014, HABC continued to work collaboratively with private and public stake holders, the Ulster County Commissioner of Health and the County Executive to identify underinsured healthcare. This study was published in 2010 entitled "Healthy Ulster - A Public Health Approach". A recent report ranked Ulster County 33rd in health outcomes and 30th in health factors compared to other counties (62) in New York State. The leading causes of death in Ulster County are heart disease, cancer and stroke. Based on the above needs assessments, the major community needs identified for fiscal 2010-2014 were: Identify community and government partners who could work in a collaborative way to improve access and delivery of Behavioral Health services. The need to increase access to quality health care, especially for children, pregnant women, uninsured adults and seniors. The need to obtain medical care for the underserved by enrolling eligible residents to Medicaid, MHIP and other insurance programs and by building a better system of care for the uninsured. The need to eliminate racial and ethnic health disparities by providing culturally and linguistically competent care and target diseases that are more prevalent in minority populations. To provide health education, disease prevention and chronic disease management (including obesity) programs to improve the health status of the community. In summary, our activities focus primarily on positively impacting the health of our community with programs that are culturally and linguistically tailored to meet the unmet needs of women, infants, seniors, and racial and ethnic minorities. To work with physician practices to recruit and retain obstetricians which would allow the hospital to continue to provide quality OB/GYN services. HABC's interdepartmental leadership, executive management, and its Board of Trustees plan, monitor and evaluate the Hospital's community benefit efforts. Initiatives are thoughtfully planned to ensure that links exist between the Hospital's clinical expertise and unmet community needs. To determine the needs of the community, HABC has a Chief Executive Officer review committee on community benefit (an internal, interdepartmental committee) that utilizes available data (E.G., needs assessments, hospital patient data, community needs index) and community input to develop the hospital's community benefit work plans. HAHV and Ulster County have formed leadership steering committees to focus on future planning and solutions to two key community health concerns: ED usage by the uninsured or under insured and innovative employee health initiatives. These steering committees meet bi-monthly. 2014-2016 Community Service Plan 2014 Update of Public Participation/Assessment of Public Health Priorities For information on HealthAlliance Background, Mission, Service Area, Three Year Plan of Action, Financial Aid Program and Changes Impacting Community Health/Provision of Charity Care/Access to Services, please refer to the 2014-2016 Community Service Plan, also available on our website, www.hahv.org. Through collaboration with county public health and community-based organizations, HealthAlliance Hospitals aligned together to address three Prevention Agenda Priorities for the years 2014-2016. These priority areas and 2014 updates include: 1) Chronic Disease Prevention 2) Healthy Mothers, Healthy Babies, Healthy Children 3) Mental Health Promotion and Substance Abuse Prevention Prevention Agenda Priority: Prevent Chronic Disease Prevention Agenda Focus Area: Reduce Obesity in children and adults Community Health Needs Addressed: Exclusive Breastfeeding, Obesity Ulster County 1. Goal: Expand the role of healthcare and health service providers and insurers in obesity prevention. a. Objective: Increase % of infants born in NYS hospital who are exclusively breastfed during the birth hospitalization by 10% from 43.7% (2010) to 48.1% 2. Goal: Prevent childhood obesity through early child-care and schools. a. Objective: Increase the number of school districts that meet or exceed NYS regulations for physical education. 3. Goal: Create community environments that promote and support healthy food and beverage choices and physical activity. a. Objective: Increase the % of adult's age 18+ who participates in leisure-time physical activity. HAHV Response The Breastfeeding Coalition, of which HAHV is a member, educates the community at large about breastfeeding benefits and identifies policy changes to support this option. The Family Birth Place offers prenatal classes and educates expectant mothers about the benefits of breastfeeding. HAHV is also near the end stages of receiving 'baby-friendly' status which recognizes hospitals that successfully implement evidence-based breastfeeding initiatives. HealthAlliance of the Hudson Valley The Community Heart Health Coalition (CHHC) creates nutrition and physical activity opportunities that result in chronic disease prevention for the community. CHHC will work with child care centers to support changes with regard to physical activity, nutrition and reduced screen time. CHHC is also engaged in promotion of physical activity among the adult population via free exercise classes, Kingston Walks program and nutrition workshops and will soon place a priority on the adult disability population. Update 2014 Total births were 345 with 266 patients (77%) who breast fed at all during the admission exceeding the benchmark of 75% and 136 patients (39%) who breastfed exclusively almost reaching the benchmark 40%. Although we did not achieve our goal this year of 48% for exclusively breast
Part VI, Line 3: Patient education of eligibility for assistanceHealthAlliance Hospital: Broadway Campus 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 AHA recommendations, HABC has 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 HABC 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. Financial counselors, both internal staff and a paid external vendor, 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 hospital has onsite representatives from Fidelis Insurance Company to help patients who are in need of insurance coverage navigate through the application process. 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. Fidelis screens the patient to see which plan will fit them and they are certified to enroll the patients in many different insurance policies based on their insurance needs. Every effort is made to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial support can be made during any stage of the patient's stay after stabilization or collection cycle. HABC 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, financials assistance applications and hospital statements. HABC has established a written policy (Attachment A) for the billing, collection and support for patients with payment obligations. HABC 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. HABC educated staff members who 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 receives 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. Attachment A HEALTH ALLIANCE OF THE HUDSON VALLEY POLICY AND /OR PROCEDURE STATEMENT PATIENT ACCOUNTING TITLE: Charity Care-Policy and Procedure EFFECTIVE DATE: October 1, 2009, January 2011, January 2012,March 2013,December 2013, February 2014 DATES REVISED: Full replacement of Policies in existence prior to October 2009 for Mary's Ave Campus, Broadway Campus and Margaretville Hospital DATES REVIEWED: DISTRIBUTED BY: Patient Accounting Department RESPONSIBLE DEPARTMENTS: Patient Accounting Department, Financial Counseling POLICY: HealthAlliance recognizes the responsibility to provide access to quality health care services meeting the community's needs. Patients who present themselves for emergency or urgent care will not be turned away because of their inability to pay. Charity care (Financial Assistance) will not be made available for non-medically necessary services such as, but not limited to - cosmetic surgery, patient convenience items or elective procedures. The population that this policy will apply to is defined as patients residing in New York State. HealthAlliance of the Hudson Valley's Charity Care Program will be used in conjunction with the Uninsured Discount which is automatically applied to all patient accounts where a patient does not have hospital medical coverage through a third party or government payer. (Please see Uninsured Discount Policy for further clarification) Both charity care discounts and self-pay discounts are reported by HealthAlliance of the Hudson Valley as charity care. Charity care is defined as health care services provided at no charge or at a reduced charge to patients who do not have nor cannot obtain adequate financial resources or other means to pay for their care. This is in contrast to bad debt which is defined as a patient and/or guarantor who, having the financial resources to pay for health care services, has demonstrated by their actions an unwillingness to resolve a bill. Partial or full charity care will be based solely on ability to pay and will not be abridged on the basis of age, sex, race, creed, disability or national origin. PURPOSE: To establish guidelines for processing and approving Charity Care. PROCEDURE: 1. Upon obtaining a request for financial assistance from the patient or responsible party, Patient Accounting will give or mail an application for Financial Assistance to the requesting party. 2. Uninsured patients' accounts will be reviewed for possible insurance coverage and other self-pay options, such as credit cards and payment plans. After all third party and personal resources have been exhausted, financial counseling staff will evaluate the patient for Medicaid. If it is determined that a Medicaid application is required, it must be completed and submitted to Medicaid in a timely manner. a. If Medicaid denies the application due to the patient not qualifying, the guarantor is responsible for supplying the Financial Counselor with a copy of the Medicaid denial letter. b. Upon receipt of a valid Medicaid denial letter a Charity Care application is required to be completed in a timely manner by the guarantor. The time period allowed for request for aid is 90 days from discharge. In the event of extenuating circumstances identified by the guarantor this maximum application period will be extended by approval of the Assistant Director of Patient Access/ Credit or the Director of PFS. c. The guarantor has 20 working days to complete the application. The guarantor must supply proof of income such as the most recent Federal Tax return, last four (4) pay stubs, or other documents which clearly show income. In the event of extenuating circumstances identified by the guarantor, this maximum application period will be extended by approval of the Director of Patient Accounts or designee. 3. The Financial Counselor reviews the required information along with the Charity Care application. If the information is false the application will be immediately denied. 4. The Financial Counselor evaluates the information provided in the application in conjunction with Federal Income Poverty Guidelines (FPIG) to determine the write-off percentage. The following guidelines will be used in the sliding scale: Families with incomes at or below the FPIG guidelines will receive 100% discount Families with incomes between the 101% of the FPIG guideline and 150% will receive 80% discount from the self-pay discount Families with incomes between 151% and 250% will re
Part VI, Line 4 - Community InformationCommunity Description HAHV is a multi-campus health care system consisting of HealthAlliance Hospital's Mary's Ave and Broadway Campus' in Kingston and Woodland Pond, a continuing-care retirement community, in New Paltz, both of Ulster County, as well as, Margaretville Hospital and Mountainside Residential Care Center, a skilled nursing facility, co-located on a single campus in Margaretville, in adjacent Delaware County. In an area which once had strong shipping and manufacturing industries that have since departed, healthcare is now one of the primary sectors and a significant employer that now forms the basis of our regional economy. HealthAlliance defines its primary service area 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 affiliated with HAHV, there are two distinct primary service areas within Ulster and Delaware counties, though not encompassing all of each county. For operational and community need development, HAHV regards these two service areas as a single primary service area with predominant population in Ulster County. The PSA population in 2010 was 147,700 while the broader population for Ulster County was 182,493 and 47,980 for Delaware County with populations concentrated in the cities of Kingston, New Paltz and Saugerties for Ulster County and the Village of Margaretville for Delaware County. Patients from adjacent counties also visit either the hospitals or one of our many outpatient locations for services that may not be available in their respective communities. Overall population for the primary service area will grow by .1% over the next 5 years, compared to the U.S. growth of 4.9%. However, the population of the region is aging rapidly, with a 12% growth rate for 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 HealthAlliance's future community health planning. In 2012 The Primary Service Area market share for inpatient hospital services was 61%, while the market share for inpatient behavioral health (psychiatric and substance abuse services) was 78%. For maternity services, HealthAlliance had a 35% market share, with over 70% 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, although our share of maternity service patients is expected to remain steady as HAHV serves as the '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. Approximately 12% of hospital patients are enrolled in Medicaid and an estimated additional 18% have no health insurance (Ulster County Community Status Report 2009). Median household income for the county is $57,584, and $46,098 for the City of Kingston, while persons below poverty level are 11.3% for the county and 14.6% in the City of Kingston (US Census Bureau - State and County Quick Facts). The region is economically diverse, but adjacent service areas in Greene and Delaware Counties have the highest unemployment and poverty rates in this upstate New York region. Consequently, HealthAlliance provides a significant amount of charity care totaling over $3,887,000 in 2012. According to Ulster County's Health Assessment Indicator's for 2008-2010, the area population has serious behavior-related contributors to chronic health conditions as well as high incidences of cancer mortality. Adults who smoke are 22.7% of the population, compared to 18.1% statewide, while the rate of lung cancer incidence is 89.8 per 100,000 of the population, significantly higher than the state average of 69.8 per 100,000. Mental health and substance abuse indicators are also all higher than state levels, including 17.3% of adults reporting recent binge drinking compared to 18.1% statewide, 13.6% reporting poor mental health compared to 11.2% statewide, and suicide mortality rate at 12.1 per 100,000 compared to 7.1 per 100,000 statewide. Diet and exercise are also areas of public health concern. The obesity rate among students in pre-kindergarten through 10th grade is 17.6% compared to 16.5% for NYS, while WIC children ages 2-4 have an obesity rate of 17.5% compared to NYS rate of 15.2%. Adult obesity is 24.6%, slightly above the statewide rate of 23.2%. Compared to Prevention Agenda 2013 obesity rate goals of 15% for adults and 11.6% for pre-k, obesity is a significant concern in Ulster County.
Part VI, Line 5 - Promotion of community health2014-2016 Community Service Plan Development Public Participation & Assessment of Public Health Priorities HealthAlliance Hospitals, Ulster County As the largest employer in the region and the only multi-campus healthcare system in Ulster County, HealthAlliance takes a leadership role in collaborating with county public health and community-based organizations to assess health risks through a Community Health Needs Assessment (CHNA) and implement health improvement strategies in the community. Beginning in January of 2013, Ulster County Departments of Health and Mental Health commenced the CHNA planning initiative with HealthAlliance to review state and federal requirements. Additional health care leaders were invited to participate in the CHNA planning process including: Ellenville Regional Hospital, The Institute for Family Health, Mid-Hudson Medical Group, Hudson River Health Care, Ulster Prevention Council and SUNY New Paltz's Center for Research Regional Education and Outreach (CRREO), contracted through Ulster County to develop the CHNA. Ensuing focus groups involved other organizations that represent a broad cross-section of the population that serve the chronically ill, low-income and minority populations in our service area; these include: Department of Social Services, United Way, Cornell Cooperative Extension, Planned Parenthood, health insurance payers, fitness centers, and others. On May 22, 2013, CRREO mediated a community wide focus group to determine the public's perception of health risk and the awareness level of available interventions. Demographic data and trends, state inpatient and outpatient hospitalization data, NYS DOH county risk assessment indicator data and community focus group findings were utilized to develop the CHNA. On September 10, 2013, another focus group session occurred to determine the prioritization of community health needs utilizing the Hanlon Method, also known as the Basic Priority Rating System. The Hanlon Method for Prioritizing Health Problems is advantageous when the desired outcome is an objective list of health priorities based on baseline data and specific criteria. After reviewing various sources of quantitative and qualitative data, health needs were identified as those that pose risks to our community's wellbeing. Prioritized health needs are: 1. Tobacco Use Among Children 2. Childhood Obesity 3. Asthma Hospitalizations (Child) 4. Unplanned Pregnancy 5. Tobacco Use Among Adults 6. Suicide Deaths 7. Cardiovascular Disease 8. Adult Obesity 9. Poor Mental Health (Adults) 10. Exclusive Breastfeeding 11. Coronary Heart Disease Deaths 12. Breast Cancer Deaths 13. Motor Vehicle Crash Deaths 14. Fall Hospitalizations 65+ 15. Lung Cancer Deaths 16. Colorectal Cancer Although there are sixteen identified health needs, most can be categorized in broader terms within two NYS Prevention Agenda priorities. As a result, the collective choices were Prevent Chronic Disease, a priority that directly links with heart disease, obesity, tobacco use and cancer; and Promote Mental Health and Prevent Substance Abuse, a priority that directly links with poor mental health and suicide deaths in the community. Margaretville Hospital, Delaware County In March 2013, the CHNA and Implementation Strategy initiative began through preliminary discussions and data review with key county stakeholders under the leadership of the Delaware County Public Health Nursing Service and included representatives from Margaretville Hospital, O'Connor Hospital, Tri-Town Hospital and Delaware Valley Hospital. Three additional meetings have been held with community representatives including: Delaware County Departments of Social Services, Office of the Aging, O'Connor Hospital, Delaware Valley Hospital (both Critical Access Hospitals), SUNY Binghamton, representatives from The Women Infant & Children's (WIC) Program, public school officials, emergency services, law enforcement and mental health professionals, as well as groups who service the elderly, low income, chronically ill, minority and underserved populations. A community focus group convened on May 22nd, 2013 was facilitated by Pamela Stewart Fahs, RN, DNS, Professor, Decker School of Nursing at State University of New York (SUNY), Binghamton University, Binghamton, New York, and consisted of different age and socioeconomic groups. Contacts were also made with community service centers, such as the WIC program and senior meals sites, to secure additional community input regarding the health care needs of Delaware County residents served by these organizations. Data and information that were reviewed included the 2013 Delaware Community Health Needs Assessment Plan, NYS Statewide Planning and Research Cooperative System (SPARCS) data, community focus group findings, Delaware County Indicators for Tracking Health Priorities, and New York State Office of Mental Health Quality Indicator Overview 5/1/2013. After reviewing various sources of quantitative and qualitative data, health needs were identified as those that pose risks to our community's wellbeing or prevent from achieving it. Access to Health Care Cancer Coronary Artery Disease Diabetes Heart Disease Mental Health Obesity Suicide The priority health needs identified as a result of our collaboration were Prevent Chronic Disease and Promote Mental Health and Prevent Substance Abuse. Heart disease, coronary artery disease, cancer and diabetes were specified as the major chronic disease concerns in Delaware County with Obesity an underlying issue related to chronic disease. Mental, Emotional and Behavioral (MEB) health concerns focused on children, parenting, disease diagnosis and treatment, and the high addiction rates among a range of age groups and persons. Delaware County is 100% rural, thus access to healthcare services and providers are limited especially to low income and elderly persons, creating a disparity of access for this population. Some primary causes of difficult access include: distance to a provider, lack of public transportation and geographic location (mountainous and difficult driving terrain). Related to lack of health care professionals, the CHNA identified a need for professionals in mental health, family practice, women's health, dentists, home care services and social workers. 2014-2016 CHNA Implementation Plan In 2013, HealthAlliance of the Hudson Valley's member hospitals were involved in collaborative planning groups to assess and define community health needs in Ulster and Delaware Counties. Analysis developed from this process will be the basis for the development of an implementation plan to address community health needs for the next three years. HAHV's continuing progress and monitoring of goals identified in this assessment will be managed by an internal Community Benefit Committee (CBC). The CBC will engage internal and external resources to develop and implement evidence-based strategies across the service area to directly address the identified health needs HAHV will pursue. Current and new outreach strategies will be modified, if needed, and developed during the current term of the CSP (2014-2016). In accordance with the NYS Prevention Agenda mandate, HAHV Hospitals will align with County Departments of Health to focus on two priority areas, Prevent Chronic Disease and Promote Mental Health & Prevent Substance Abuse. These priority areas consist of focus areas that impact 12 of the 16 health needs identified in the Ulster County CHNA and all of the health needs identified in the Delaware County CHNA. NYS Prevention Agenda goals and objectives identified below are to be met as a collective statewide effort. HealthAlliance will apply internal resources to help Ulster County meet these expectations. Ulster County Health needs HealthAlliance Hospital will address: 1. Goal: Expand the role of healthcare and health service providers and insurers in obesity prevention. a. Objective: Increase % of infants born in NYS hospital who are exclusively breastfed during the birth hospitalization by 10% from 43.7% (2010) to 48.1% 2. Goal: Prevent childhood obesity through early child-care and schools. a. Objective: Increase the number of school districts that meet or exceed NYS regulations for physical education. 3. Goal: Create community environments that promote and support healthy food and beverage choices and physical activity. a. Objective: Increase the % of adult's age 18+ who participates in leisure-time physical activity. 1. Goal: Prevent initiation of tobacco use by New York youth and young adults, especially among low socioeconomic status (SES) populations a. Objective: Decrease the prevalence of any tobacco use (cigarettes, cigars, smokeless tobacco) by high school age students by 30% from 21.2% (2010) to 15.0%. b. Objective: Decrease the prevalence of cigarette smoking by adults age 18-24 by 17% from 21.6% to 18%. c. Objective: Increase the number of municipalities that restrict to
Part VI, Line 6 - Affiliated health care systemBackground HealthAlliance of the Hudson Valley (HAHV) is the parent company to affiliate members HealthAlliance Hospital: Mary's Avenue campus, formerly Benedictine Hospital, Broadway Campus, formerly The Kingston Hospital, Margaretville Hospital, a rural critical access hospital; Mountainside Residential Care Center, a skilled nursing facility and Woodland Pond, a continuing care retirement community. This integrated healthcare system is committed to providing quality and compassionate medical care for our patients, their families and our community. The consolidation of two acute care hospital campuses was a focus of HealthAlliance when incorporating in 2008, responding directly to New York State's Berger Commission mandate to form a corporate alliance between the formerly known Benedictine Hospital and The Kingston Hospital to bring down the costs of hospital-based care. In addition to service consolidation between the two Kingston Hospitals, HealthAlliance also committed to streamlining operations and improving care at the other affiliate locations. Effective March 11, 2009, HealthAlliance became the active parent company of the aforementioned entities and a master alignment agreement was signed between the two Kingston Hospitals that stipulated: Benedictine will remain a Catholic Hospital; The Kingston Hospital will remain a secular hospital; non-emergency, elective abortions and sterilizations will be performed by a separate corporation located in proximity to The Kingston Hospital. The two hospitals conducted a bed-need analysis and clinical consolidation study and made a recommendation for use in the HEAL 4 grant application. The Boards of both Hospitals approved the following recommendations: each campus would eventually be licensed for 150 beds; clinical and non-clinical duplication will be eliminated to the extent possible; The Kingston Hospital will become the General Acute Care campus; and Benedictine will become the Specialty Acute Care campus. The results by 2010 solved many long-standing problems including retiring debt, improving operational performance of Benedictine and The Kingston Hospital by $15 million, achieving pay parity between employees at each hospital and implementing electronic health records technology. The hospital consolidation, long in the making, was a success. With the business of healthcare undergoing drastic changes in recent years, HealthAlliance has entered a new planning phase to respond to these changes. Many factors contributed to this new phase such as: operating at 70% occupancy, patient trends of delaying elective care, physicians doing more procedures in their offices or ambulatory facilities in lieu of a hospital and providing care in a mixed income community with high-need and lower reimbursed rates than competitors in neighboring counties. These factors will continue to negatively impact the efficiency of healthcare operations in Ulster County unless we are able to reduce the physical footprint. Despite significant operational improvement since 2008, HealthAlliance is again seeking to transform healthcare delivery to a more effective and efficient model that will benefit Ulster County on many levels. The NYS Department of Health, other state regulatory agencies and HealthAlliance are engaged in frequent discussions regarding the community's current and future healthcare needs; in addition to assessing the potential impact to the greater Hudson Valley and its healthcare institutions. This open communication between all entities will continue throughout the transition process.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Seidman
Chief Admin Officer 1/1-8/1/14$0$205,213$0$0$0$120,338$0$10,175$0$18,507$0$354,233$0$0
David Lundquist
CEO Thru 7/25/13$56,879$0$0$0$541,971$0$1,482$0$13,708$0$614,040$0$0$0
David Scarpino
Chief Executive Officer$488,418$0$0$0$9,564$0$6,500$0$17,933$0$522,415$0$0$0
Frank Ehrlich MD
Chief Medical Officer$289,787$0$0$0$14,239$0$1,370$0$7,578$0$312,974$0$0$0
Charles Flinn
COO Thru 7/25/13$0$0$0$0$165,394$0$0$0$10,333$0$175,727$0$0$0
Joseph Marsicovete
Chief Operating Officer$260,150$0$0$0$6,261$0$6,500$0$766$0$273,677$0$0$0
Joshua Ratner
Chief Strategy Officer$209,815$0$0$0$4,803$0$5,504$0$17,933$0$238,055$0$0$0
Kathleen Lunney
Chief Nursing Officer 1/1-8/1$137,775$0$0$0$80,439$0$3,447$0$0$0$221,661$0$0$0
Steven Haas
Chief Financial Officer$261,089$0$0$0$6,288$0$6,500$0$13,933$0$287,810$0$0$0
John Finch
Chief Inf. & Comm. Officer$0$220,138$0$0$0$10,550$0$12,206$0$18,507$0$261,401$0$0
Greg Howard
VP of Human Resources 1/1-8/1$122,732$0$0$0$71,888$0$3,129$0$18,207$0$215,956$0$0$0
Sandra Horan
Chief Nursing Officer8/1-12/31$179,778$0$0$0$10,033$0$4,564$0$7,108$0$201,483$0$0$0
Priti Shah
Director of Pharmacy$162,826$0$0$0$542$0$4,135$0$18,208$0$185,711$0$0$0
Patricia Husted
Director of Case Mgt.$145,717$0$0$0$1,341$0$3,673$0$6,778$0$157,509$0$0$0
Nicholas Corrado
Director of Materials Mgt$131,734$0$0$0$1,176$0$3,334$0$14,158$0$150,402$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationDavid Lundquist received severance payments of $540,378 in 2014. Charles Flinn received severance payments of $165,394 in 2014. Kathleen Lunney received severance payments of $76,739 in 2014. Greg Howard received severance payments of $69,048 in 2014. Robert Seidman received severance payments of $111,266 in 2014 from a related organization.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Ulster County Resource CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN273282033BondIssuerEIN
Bond Issued2010-12-29BondIssuedDt
Issue Price$12,500,000IssuePriceAmt
PurposeConstruct & Equipment FacilityPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$6,602,064RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$12,500,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$250,000IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$4,067,217CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Current RefundingfalseCurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Private Bus Use By Others0PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COL (F) - DESCRIPTION OF PURPOSEFormAndLineReferenceDesc
ExplanationThe primary purpose of the Series 2010A Revenue Bonds was to refinance the Series 1999 Revenue Bonds.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMARK JOSEFSKI MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionCURRENT TRUSTEERelationshipDescriptionTxt
Transaction$2,012,500TransactionAmt
TransactionPHYSICIAN RESIDENCY CONTRACTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IVFormAndLineReferenceDesc
ExplanationMark Josefski, MD is a current trustee on HealthAlliance Hospital Broadway Campus Board of Directors. He is a physician employed by the Institute for Urban Family Health, Inc. (IUFH) HealthAlliance Hospital Broadway Campus has a contract with the Institute for Urban Family Health to run its Residency Program. IUFH was paid $2,012,500 for the contract in 2014.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 6Health Alliance, Inc. is the sole corporate member of HealthAlliance Hospital Broadway Campus.
FORM 990, PART VI, LINE 7AHealth Alliance, Inc. is the sole corporate member of HealthAlliance Hospital Broadway Campus and has the power to elect one or more members of the local governing body of the Hospital.
FORM 990, PART VI, LINE 7BAll decisions made at the local board level of HealthAlliance Hospital Broadway Campus, other than those related to Quality Assurance and Building & Grounds, are subject to approval by members of Health Alliance, Inc. Board of Trustees. These decisions include election and removal of members of the local governing body, appointment / 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 11BThe finance director and CFO undertake a detailed review of the 990. In addition, select board members undertake a review of the organization's Form 990 and then review with the CFO any commentary, observations, and recommendations, as appropriate.
FORM 990, PART VI, LINE 12CAnnual compliance questionnaires are required to be signed by all officers, directors, trustees and key employees. All questionnaires are returned to the Corporate Compliance officer for review and filing. If a conflict is noted, the Officer reports said conflict to the CEO and Board of Directors for discussion and resolution. Once a resolution is met, the Officer instructs the individual who completed the questionnaire of a final outcome and action plan if applicable.
FORM 990, PART VI, LINE 15AReviewed through Internal Compensation Committee along with verification of all external fair market value analysis and data. Committee decisions are contemporaneously documented in Committee minutes.
FORM 990, PART VI, LINE 15BReviewed through Internal Compensation Committee along with verification of all external fair market value analysis and data. Committee decisions are contemporaneously documented in Committee minutes.
FORM 990, PART VI, LINE 19Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws.
FORM 990, PART VII, SECTION AMARK JOSEFSKI, MD: HealthAlliance Hospital Broadway Campus ENGAGED THE SERVICES OF INSTITUTE FOR URBAN FAMILY HEALTH ("IUH"), AN UNRELATED COMPANY, TO ADMINISTER THE RESIDENCY PROGRAM. REMUNERATION PAID TO IUH DURING 2013 IS REPORTED IN PART VII, SECTION B - INDEPENDENT CONTRACTORS AND DISCLOSED ON SCHEDULE L.
FORM 990, PART XI, LINE 9EQUITY TRANSFER TO RELATED ORGANIZATIONS. . . . . . . . $ -7,433,881. CHANGE IN POSTRETIREMENT BENEFITS . . . . . . . . . . . -187,389. CHANGE IN NET ASSETS OF THE KINGSTON HOSPITAL FOUNDATION 68,791. TOTAL $ -7,552,479.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Health Alliance Inc
741 Grant AvenueLake KatrineNY12449261850453SUPPORTNY501(C)(3)11ANAfalse
FASC Foundation
741 Grant AvenueLake KatrineNY12449264201295SUPPORT FOUNDNY501(C)(3)7HEALTH ALLIAfalse
HealthAlliance Senior Living Corp
396 BroadwayKingstonNY12401300164277OPERATE CCRCNY501(C)(3)9Health Alliafalse
Healthalliance Hospital Mary's Ave
105 Marys AvenueKingstonNY12401141338470EXEMPT HOSPNY501(C)(3)3HEALTH ALLIAfalse
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28MARGARETVILLENY12455223143565NURSING FACILNY501(C)(3)9MMHfalse
Margaretville Health Foundation
42084 State Highway 28MargaretvilleNY12455261998454SUPPORT FOUNDNY501(C)(3)11AMMHfalse
Margaretville Memorial Hospital
42084 State Route 28MargaretvilleNY12455150552726EXEMPT HOSPNY501(c)(3)3HEALTH ALLIAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndEINEIN
ULSTER RADIATION & ONCOLOGY CENTER
117 MARYS AVE Kingston NYKINGSTONNY12401RADIATION ONCNYNAfalsefalse
COMPREHENSIVE SUPPORT SERVICES LLC
45 PINE GROVE AVEKingston NYKINGSTONNY12401DIAGNOSTIC IMNYNAfalsefalse141805027
MULTI PROVIDER SUPPORT SERVICES LLC
105 MARYS AVE Kingston NYKINGSTONNY12401OFFICE SUPPORNYNAfalsefalse141811898

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
MID HUDSON PHYSICIANS PC
396 BROADWAYKINGSTONNY12401203564769MEDICAL SERVINYNAC CORP$2,648,205$510,8730.50000false
Kingston Regional Health Care Enterprise
396 BroadwayKingstonNY12401161514994RE INVESTMENTNYNAC CORP$72,437$588,1941.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd