STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS (EIN 14-1338470)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-12
IRS object ID
201513169349301436
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)
EIN141338470EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Healthalliance Hospital Mary's Avenue CampusBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STEVEN HAASInCareOfNm
Business Name ControlHEALBusinessNameControlTxt
Phone8453382500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1105 Marys AvenueAddressLine1Txt
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 Line1105 MARYS AVENUEAddressLine1Txt
CityKINGSTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,248,047GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.hahv.org/marys-ave-campus/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1902FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee743TotalEmployeeCnt
Total Volunteers163TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,454,623PYContributionsGrantsAmt
CY Contributions Grants$3,746,244CYContributionsGrantsAmt
PY Program Service Revenue$53,371,146PYProgramServiceRevenueAmt
CY Program Service Revenue$51,381,322CYProgramServiceRevenueAmt
PY Investment Income$14,992PYInvestmentIncomeAmt
CY Investment Income$15,603CYInvestmentIncomeAmt
PY Other Revenue$5,441,386PYOtherRevenueAmt
CY Other Revenue$5,787,001CYOtherRevenueAmt
PY Total Revenue$60,282,147PYTotalRevenueAmt
CY Total Revenue$60,930,170CYTotalRevenueAmt
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$31,559,623PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,845,060CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$40,933,363PYOtherExpensesAmt
CY Other Expenses$37,951,054CYOtherExpensesAmt
PY Total Expenses$72,492,986PYTotalExpensesAmt
CY Total Expenses$67,796,114CYTotalExpensesAmt
PY Revenues Less Expenses-$12,210,839PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,865,944CYRevenuesLessExpensesAmt
Total Assets BOY$52,461,624TotalAssetsBOYAmt
Total Assets EOY$48,324,193TotalAssetsEOYAmt
Total Liabilities BOY$38,844,087TotalLiabilitiesBOYAmt
Total Liabilities EOY$34,319,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,617,537NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,004,649NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$51,229,312ExpenseAmt
Revenue$56,207,209RevenueAmt
DescTO PROVIDE EXCELLENCE IN THE HEALTH CARE SERVICES IT PROVIDES TO ALL PATIENTS. THIS IS ACHIEVED THROUGH THE HOSPITAL'S COMMITMENT TO THE VALUES OF HOSPITALITY, COMMUNITY, STEWARDSHIP, RESPECT, PEACE, EXCELLENCE, INTEGRITY AND FISCAL RESPONSIBILITY. Healthalliance Hospital Mary's Avenue Campus RECORDED 24,499 PATIENT DAYS AND 2,058 SURGERIES (IP & OP). Healthalliance Hospital Mary's Avenue Campus OFFERS VARIOUS OUTPATIENT SERVICES SUCH AS SLEEP LAB, WOUND CARE, CHEMOTHERAPY, PSYCH SERVICES, BREAST CENTER AND ALL RADIOLOGIC SERVICES (CT, ULTRASOUND, CARDIAC CATH). TOTAL VISITS FOR THESE SERVICES IN 2014 WAS APPROXIMATELY 31,927.Desc
Total Program Service Expenses$51,229,312TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 AccountYes (true)EscrowAccountInd
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 EntfalseBusinessRlnWithOfficerEntInd
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 Document68IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee743EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
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 AVENUEAddressLine1Txt
CityLAKE KATRINECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12449ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 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
Michael Ryan
Chair1.00.0Yes (X)Yes (X)$0$0$0
Frank Ehrlich MD
Chief Medical Officer16.321.2Yes (X)Yes (X)$0$304,026$8,948
Craig Brener MD
Chair Med Staff - Quality1.00.0Yes (X)$0$0$0
Cheryl Bowers
Trustee1.00.0Yes (X)$0$0$0
Mark Josefski MD
VP Medical Staff1.02.0Yes (X)$0$0$0
Paul Llobet
Trustee1.00.0Yes (X)$0$180,705$0
Kathleen Lunney
Chief Nursing Officer 1/1-8/112.8922.5Yes (X)$0$218,214$3,447
Nina Postupack
Trustee1.00.0Yes (X)$0$0$0
John Finch
Chief Inf & Com Officer20.916.6Yes (X)$230,688$0$30,714
Joseph Marsicovete
Chief Operating Officer14.8822.62Yes (X)Yes (X)$0$266,411$7,266
Sandy Horan
Chief Nursing Officer2.4635.04Yes (X)$0$189,811$11,672
Ward Todd
Vice Chair & Treasurer1.00.0Yes (X)Yes (X)$0$0$0
Ellen O'Leary
Trustee1.00.0Yes (X)$0$0$0
Robert Jacobsen
Trustee1.00.0Yes (X)$0$0$0
David Scarpino
CEO16.8620.64Yes (X)$0$497,982$24,433
Robert Seidman
Chief Admin Officer 1/1-8/1/1417.8119.69Yes (X)$325,551$0$28,683
Steven Haas
Chief Financial Officer16.7520.75Yes (X)$0$267,377$20,433
Joshua Ratner
Chief Strategy Officer15.4722.03$0$214,618$23,437Yes (X)
Mary Butler
Pharmacist37.50.0$121,577$0$23,448Yes (X)
Rebecca King
Director of Radiology37.50.0$148,307$0$20,236Yes (X)
Catherine Legg
Director Budget & Reimb26.011.5$130,539$0$20,788Yes (X)
Patrick O'Brien
Lead Cardiology Technician22.7514.75$135,497$0$23,874Yes (X)
Jennifer Solfrian
Pharmacist35.252.25$131,453$0$23,339Yes (X)
Charles Flinn
Former COO0.00.0$0$165,394$10,333Yes (X)
David Lundquist
Former CEO0.00.0$0$598,850$15,190Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,223,612TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,903,388TotReportableCompRltdOrgAmt
Total Other Compensation$296,241TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
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
741 GRANT AVELAKE KATRINENY12449Staffing Agency$3,424,741
Laboratory Corporation of America
PO Box 12140BURLINGTONNC27216Laboratory Services$1,194,353
Hudson Valley Pscyh Associates
185 Green Street Suite 2KINGSTONNY12401Medical Staffing$1,311,721
Clifton Budd DeMaria
350 Fifth Avenue Suite 61NEW YORKNY10118Legal Services$212,919
The Advisory Board Company
PO Box 79461BALTIMOREMD21279CONSULTING$441,237
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$3,746,244GovernmentGrantsAmt
Total Contributions$3,746,244TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621300$51,123,608$51,123,608
RECOVERY OF PROVISION FOR BAD DEBT621300$257,714$257,714
FieldValueIRS element (for citing)
Total Program Service Revenue$51,381,322TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,403TotalRevenueColumnAmt
Exclusion$13,403ExclusionAmt

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$1,007,238RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$317,877RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$689,361RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$689,361TotalRevenueColumnAmt
Exclusion$689,361ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,200OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,200OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,200TotalRevenueColumnAmt
Exclusion$2,200ExclusionAmt

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 (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
COLLABORATIVE ARRANGEMENT900099$4,267,826$4,267,826
ACTIVITY OF FOUNDATION900099$384,217$384,217
FOOD SERVICES900099$230,220$230,220

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$215,377TotalRevenueColumnAmt
Related Or Exempt Func Income$173,844RelatedOrExemptFuncIncomeAmt
Exclusion$41,533ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,097,640OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,930,170TotalRevenueColumnAmt
Related Or Exempt Func Income$56,207,209RelatedOrExemptFuncIncomeAmt
Exclusion$976,717ExclusionAmt

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$615,636TotalAmt
Management And General$615,636ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,665,976TotalAmt
Program Services$15,807,910ProgramServicesAmt
Management And General$5,858,066ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$908,303TotalAmt
Program Services$660,785ProgramServicesAmt
Management And General$247,518ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,891,783TotalAmt
Program Services$3,496,980ProgramServicesAmt
Management And General$1,394,803ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,763,362TotalAmt
Program Services$1,251,987ProgramServicesAmt
Management And General$511,375ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$368,256TotalAmt
Program Services$63,963ProgramServicesAmt
Management And General$304,293ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$134,852TotalAmt
Management And General$134,852ManagementAndGeneralAmt

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$11,753,324TotalAmt
Program Services$8,952,548ProgramServicesAmt
Management And General$2,800,776ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,269TotalAmt
Management And General$27,269ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,008,064TotalAmt
Program Services$145,221ProgramServicesAmt
Management And General$862,843ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,011,920TotalAmt
Program Services$9,201ProgramServicesAmt
Management And General$1,002,719ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,756TotalAmt
Program Services$3,987ProgramServicesAmt
Management And General$21,769ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,101,975TotalAmt
Program Services$3,575ProgramServicesAmt
Management And General$1,098,400ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,059,563TotalAmt
Program Services$5,059,563ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$718,583TotalAmt
Program Services$586,358ProgramServicesAmt
Management And General$132,225ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$13,713,695$13,323,717$389,978
COLLABORATIVE ARRANGEMENT$1,863,517$1,863,517
HA ASSESSMENT$1,155,947$1,155,947
RECRUITMENT EXPENSE$8,333$8,333

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,796,114TotalAmt
Program Services$51,229,312ProgramServicesAmt
Management And General$16,566,802ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,144,388BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$131,496BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$350,970BOYAmt
EOY$92,699EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,244,664BOYAmt
EOY$4,396,357EOYAmt

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$850,633BOYAmt
EOY$893,802EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$390,099BOYAmt
EOY$877,317EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$114,591,813LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$90,172,010LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,381,413BOYAmt
EOY$24,419,803EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,036,239BOYAmt
EOY$1,036,844EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
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Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,931,722BOYAmt
EOY$16,607,371EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$52,461,624BOYAmt
EOY$48,324,193EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,049,132BOYAmt
EOY$11,763,388EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$115,363BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,640,000BOYAmt
EOY$3,295,000EOYAmt

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$5,691,909BOYAmt
EOY$6,928,899EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,347,683BOYAmt
EOY$12,332,257EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,844,087BOYAmt
EOY$34,319,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,433,308BOYAmt
EOY$13,006,578EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$981,673BOYAmt
EOY$790,408EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$202,556BOYAmt
EOY$207,663EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,617,537BOYAmt
EOY$14,004,649EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,461,624BOYAmt
EOY$48,324,193EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,865,944ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,294NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$982,876PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$6,271,474OtherChangesInNetAssetsAmt
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 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$27,646OtherActivitiesAmt
Total Lobbying Expenditures$27,646TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceOTHER ACTIVITIESFormAndLineReferenceDesc
ExplanationHealthalliance Hospital Mary's Avenue Campus PAYS DUES TO The Northern Metro Hospital Association (NORMET), THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY NORMET, GNYHA AND HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2014 NORMET, GNYHA AND HANYS ANNUAL DUES WERE $3,833, $5,780 AND $18,034, RESPECTIVELY.ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$8,620AssetsIncludedAmt
FieldValueIRS element (for citing)
Held Works ArtHeldWorksArtGrp
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Collection Used PreservationYes (X)CollectionUsedPreservationInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,531,718OtherCostOrOtherBasisAmt
Depreciation$43,267,892DepreciationAmt
Book Value$15,263,826BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$321,208OtherCostOrOtherBasisAmt
Depreciation$275DepreciationAmt
Book Value$320,933BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,060,348OtherCostOrOtherBasisAmt
Depreciation$45,461,952DepreciationAmt
Book Value$7,598,396BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,469,007OtherCostOrOtherBasisAmt
Depreciation$1,441,891DepreciationAmt
Book Value$1,027,116BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,419,803TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
DEFERRED FINANCING COSTS$147,887
DUE FROM RELATED COMPANIES$2,112,237
INT. IN BENEDICTINE FDN$5,798,525
INVESTMENTS IN JOINT VENTURES$4,076,503
OTHER ASSETS$20,496
OTHER RECEIVABLES$215,410
INSURANCE RECEIVABLE$4,236,313
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,607,371TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$2,396,396
DUE TO THIRD PARTY PAYORS$2,878,036
ENVIRONMENTAL REMEDIATION$233,059
OTHER LIABILITIES$2,657,907
POSTRETIREMENT BENEFIT OBLIGAT$97,534
SECURITY DEPOSITS PAYABLE$33,163
MALPRACTICE LIABILITY$4,036,162
FieldValueIRS element (for citing)
Total Liability$12,332,257TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDESCRIPTION OF ORGANIZATION'S COLLECTIONS AND HOW FURTHERS EXEMPT PURPOSEFormAndLineReferenceDesc
ExplanationTHE ITEMS INCLUDE A BROCK PAINTING, A 17TH CENTURY CARVING (WOODEN MADONNA), AND A "BUST OF CHRIST." THESE ITEMS ARE ON DISPLAY FOR PUBLIC EXHIBITION AND ARE BEING PRESERVED FOR FUTURE GENERATIONS.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$1,419,621TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$386,237DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,033,384NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,196,352TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,109,946DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,086,406NetCommunityBenefitExpnsAmt
Total Expense0.08980TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,615,973TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,496,183DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,119,790NetCommunityBenefitExpnsAmt
Total Expense0.10500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,290TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,290NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,224,964TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,799,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,425,901NetCommunityBenefitExpnsAmt
Total Expense0.08000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,270,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,799,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,471,191NetCommunityBenefitExpnsAmt
Total Expense0.08100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,886,227TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,295,246DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,590,981NetCommunityBenefitExpnsAmt
Total Expense0.18600TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense-$257,713BadDebtExpenseAmt
Reimbursed By Medicare$15,621,242ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$18,317,615CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,696,373MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPct
Ulster Rad & Oncolog
RADIATION/ONCOLOGY SERVICE0.50000
Compreh Support Svcs
DIAGNOSTIC IMAGING0.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HealthAlliance Mary's Ave CampusBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1105 Marys AvenueAddressLine1Txt
CityKingstonCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12401ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HealthAlliance Hosp Mary's Ave CampusBusinessNameLine1Txt
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
Information GapsYes (X)InformationGapsInd
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 URLwww.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 URLwww.hahv.org/wp-content/uploads/2014/01/CommuStrategyWebsiteURLTxt
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, Section 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, Section B, Line 6aHealthAlliance Hospital: Broadway Campus and Margaretville Memorial Hospital
Part V, Section 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 monthl
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ULSTER RADIATION & ONCOLOGY
117 Marys AvenueKingstonNY12401Outpatient Radiation Center
COMPREHENSIVE SUPPORT SERVICES LLC
45 Pine Grove AvenueKINGSTONNY12401outpatient Diagnostic Imag ctr

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGYHealthAlliance Hospital: Mary's Avenue Campus' costing methodology was based upon the 2014 New York State Institutional Cost Report and the 2014 Medicare (Form 2552) cost report. These cost reports are filed with the New York State Department of Health and the applicable CMS intermediary, respectively. The cost-to-charge ration 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 12-15 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 12-15 of the attached audited financial statements.
Part III, Line 8 - Explanation of shortfall as community benefitThe 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 9b - Provisions on collection practices for qualified patieThe 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: Mary's Avenue Campus ("HAMC"), previously known as Benedictine 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, HAMC 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. HAMC'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, HAMC 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. 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. 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 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
Part VI, Line 3: Patient education of eligibility for assistanceHealthAlliance Hospital: Mary's Avenue 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, HAMC 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 HAMC 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. HAMC 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. HAMC has established a written policy (Attachment A) for the billing, collection and support for patients with payment obligations. HAMC 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. HAMC 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% wi
PART VI, LINE 4 - COMMUNITY INFORMATIONHAHV 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 SYSYTEMHealthAlliance 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. Mission Statement's for HealthAlliance of the Hudson Valley Hospital's HealthAlliance Hospital: Broadway and Mary's Avenue Campuses The mission of the HealthAlliance of the Hudson Valley is to provide the highest quality health care services to all people in our communities. Margaretville Hospital Margaretville Hospital is a rural Critical Access Hospital whose mission is to provide immediate access to high quality medical care and diagnostic testing services to medically underserved areas in the Catskill Mountains. Margaretville Hospital provides linkages to high tech and specialty medical care through an active relationship with the HealthAlliance Hospitals.

Schedule J IRS990ScheduleJ

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Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
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Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
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Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
Charles Flinn
Former COO$0$0$0$0$0$165,394$0$0$0$10,333$0$175,727$0$0
Frank Ehrlich MD
Chief Medical Officer$0$289,787$0$0$0$14,239$0$1,370$0$7,578$0$312,974$0$0
Paul Llobet
Trustee$0$180,705$0$0$0$0$0$0$0$0$0$180,705$0$0
Kathleen Lunney
Chief Nursing Officer 1/1-8/1$0$137,775$0$0$0$80,439$0$3,447$0$0$0$221,661$0$0
David Lundquist
Former CEO$0$56,879$0$0$0$541,971$0$1,482$0$13,708$0$614,040$0$0
David Scarpino
CEO$0$488,418$0$0$0$9,564$0$6,500$0$17,933$0$522,415$0$0
Robert Seidman
Chief Admin Officer 1/1-8/1/14$205,213$0$0$0$120,338$0$10,175$0$18,508$0$354,234$0$0$0
John Finch
Chief Inf & Com Officer$220,138$0$0$0$10,550$0$12,206$0$18,508$0$261,402$0$0$0
Joseph Marsicovete
Chief Operating Officer$0$260,150$0$0$0$6,261$0$6,500$0$766$0$273,677$0$0
Joshua Ratner
Chief Strategy Officer$0$209,815$0$0$0$4,803$0$5,504$0$17,933$0$238,055$0$0
Steven Haas
Chief Financial Officer$0$261,089$0$0$0$6,288$0$6,500$0$13,933$0$287,810$0$0
Rebecca King
Director of Radiology$148,001$0$0$0$306$0$6,078$0$14,158$0$168,543$0$0$0
Catherine Legg
Director Budget & Reimb$125,631$0$0$0$4,908$0$2,580$0$18,208$0$151,327$0$0$0
Patrick O'Brien
Lead Cardiology Technician$135,374$0$0$0$123$0$5,505$0$18,369$0$159,371$0$0$0
Jennifer Solfrian
Pharmacist$131,300$0$0$0$153$0$5,131$0$18,208$0$154,792$0$0$0
Sandy Horan
Chief Nursing Officer$0$179,778$0$0$0$10,033$0$4,564$0$7,108$0$201,483$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4ACHARLES FLINN RECEIVED SEVERANCE PAYMENTS OF $165,394 IN 2014 FROM A RELATED ORGANIZATION. DAVID LUNDQUIST RECEIVED SEVERANCE PAYMENTS OF $540,378 IN 2014 FROM A RELATED ORGANIZATION. KATHLEEN LUNNEY RECEIVED SEVERANCE PAYMENTS OF $76,739 IN 2014 FROM A RELATED ORGANIZATION. ROBERT SEIDMAN RECEIVED SEVERANCE PAYMENTS OF $111,266 IN 2014.
Part I, Line 3THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS RECEIVED THEIR COMPENSATION FROM A RELATED ORGANIZATION, WHICH USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION.

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 IDABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN141643765BondIssuerEIN
CUSIP903769BZ9CUSIPNum
Bond Issued2006-11-03BondIssuedDt
Issue Price$19,290,000IssuePriceAmt
PurposePay Off Notes, Leases, and Other DPurposeDesc
DefeasedYes (true)DefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$15,950,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$19,290,000TotalProceedsAmt
In Reserve Fund$1,500,000InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$385,800IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$11,923,632WorkingCapitalExpendituresAmt
Capital Expenditures$5,480,568CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

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)
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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1The mission of the HealthAlliance Hospital Mary's Avenue Campus is to provide the highest quality health care services to all people in our communities.
FORM 990, PART VI, LINE 6HEALTH ALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF THE Healthalliance Hospital Mary's Avenue Campus
FORM 990, PART VI, LINE 7AHEALTH ALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF Healthalliance Hospital Mary's Avenue 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 Mary's Avenue 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 15BPROCESS IS PERFORMED BY A DEDICATED COMPENSATION COMMITTEE WHO REVIEWS AND ANALYZES ALL EXTERNALLY PRODUCED FAIR MARKET VALUE ANALYSIS AND OTHER RELATED 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 A - COMPENSATION EXPLANATIONKenneth Newman, MD, Joseph Christiana, and Craig Brener, MD had an uncompensated administrative role at Healthalliance Hospital Mary's Avenue Campus (HAMC). Kenneth Newman, MD and Craig Brener, MD were employed by Cross River Anesthesiologist Services, PC, which renders services to "HAMC" and Joseph Christiana was employed by Health Quest Medical Practice which also renders services to "HAMC".
FORM 990, PART IX, LINE 11G - OTHER FEESPHYSICIAN FEES.................................... $3,039,249 NURSING/MANPOWER.................................. 3,451,014 CONTRACTED SERVICE................................ 5,263,061 -------------------------------------------------------------- Total $11,753,324
FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCESTransfers from affiliates . . . . . . . . . . . . . $ 6,490,918 CHANGE IN INTEREST IN NA OF BENEDICTINE FDN . . . . -179,545 EQUITY IN JOINT VENTURES . . . . . . . . . . . . . . -38,326 CHANGE IN MPSS EQUITY. . . . . . . . . . . . . . . . -1,573 ----------------------------------------------------------------- TOTAL $ 6,271,474

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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
Healthalliance Hospital Broadway Campus
396 BROADWAYKINGSTONNY12401141349558EXEMPT HOSPNY501(c)(3)3HA INCfalse
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE HIGHWAY 28MARGARETVILLENY12455150552726EXEMPT HOSPNY501(c)(3)3HA INCfalse
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28MARGARETVILLENY12455223143565NURSING HOMENY501(c)(3)9MMHfalse
FASC FOUNDATION
741 GRANT AVENUELAKE KATRINENY12449264201295SUPPORT FDNNY501(c)(3)7TKHfalse
HEALTHALLIANCE SENIOR LIVING CORP
396 BROADWAYKINGSTONNY12401300164277RTMTCOMMUNITYNY501(c)(3)9HA INCfalse
Benedictine Health Foundation
105 Marys AvenueKingstonNY12401222243537FundraisingNY501(C)(3)7NAfalse
Margaretville Health Foundation
42084 State Highway 28MargaretvilleNY12455261998454Support FDNNY501(c)(3)11AHA INCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctEINEIN
ULSTER RADIATION & ONCOLOGY CENTER
117 MARYS AVENUEKINGSTONNY12401RADIATION ONCNYNARelated$4,267,826$2,413,429false$0false0.50000
COMPREHENSIVE SUPPORT SERVICES LLC
45 PINE GROVE AVENUEKINGSTONNY12401DIAGNOSTIC IMNYNARelated-$38,326$939,936false$0false0.50000141805027
MULTI PROVIDER SUPPORT SERVICES LLC
105 MARYS AVENUEKINGSTONNY12401OFFICE SUPPORNYNARelated$0$247,742false$0false0.50000141811898

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 SERVINYHAC CORP$2,648,205$510,8730.50000false
KINGSTON REGIONAL HEALTH CARE ENTERP
396 BROADWAYKINGSTONNY12401161514994RE INVESTMENTNYHAC CORP$0$00.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
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