HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS (EIN 14-1349558)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201313199349304251
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T10:38:35-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Charles A Barragato & Co LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	950 Third Avenue - 20th FL	AddressLine1
City	New York	City
State	NY	State
ZIP Code	10022	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	141349558	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	The Kingston Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% STEVEN HAAS	InCareOfName
Name Control	KING	NameControl
Phone	8459436024	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	396 Broadway	AddressLine1
Address Line2	Suite	AddressLine2
City	Kingston	City
State	NY	State
ZIP Code	12401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Steven Haas	Name
Title	CFO	Title
Phone	8459436024	Phone
Date Signed	2013-11-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Angelo Pirozzi CPA	Name
Phone	2123714446	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	David Scarpino	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	396 BROADWAY	AddressLine1
City	KINGSTON	City
State	NY	State
ZIP Code	12401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	107816577	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.hahv.org/kingstonhospital	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1891	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	THE KINGSTON HOSPITAL IS A NON-SECTARIAN, NOT-FOR-PROFIT INSTITUTION WHOSE SOLE REASON FOR EXISTENCE IS TO SERVE THE HEALTH CARE NEEDS OF ALL PEOPLE IN OUR COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	1162	TotalNbrEmployees
Total Nbr Volunteers	89	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1386803	ContributionsGrantsPriorYear
Contributions Grants Current Year	2154423	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	111660500	ProgramServiceRevenuePriorYear
Program Service Revenue CY	103056129	ProgramServiceRevenueCY
Investment Income Prior Year	111163	InvestmentIncomePriorYear
Investment Income Current Year	243734	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2641912	OtherRevenuePriorYear
Other Revenue Current Year	2355832	OtherRevenueCurrentYear
Total Revenue Prior Year	115800378	TotalRevenuePriorYear
Total Revenue Current Year	107810118	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	55860410	SalariesEtcPriorYear
Salaries Etc Current Year	55348766	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	57215398	OtherExpensePriorYear
Other Expenses Current Year	45583682	OtherExpensesCurrentYear
Total Expenses Prior Year	113075808	TotalExpensesPriorYear
Total Expenses Current Year	100932448	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2724570	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6877670	RevenuesLessExpensesCY
Total Assets BOY	99270614	TotalAssetsBOY
Total Assets EOY	97498094	TotalAssetsEOY
Total Liabilities BOY	70689544	TotalLiabilitiesBOY
Total Liabilities EOY	68655537	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	28581070	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	28842557	NetAssetsOrFundBalancesEOY
Mission Description	THE KINGSTON HOSPITAL IS A NON-SECTARIAN, NOT-FOR-PROFIT INSTITUTION WHOSE SOLE REASON FOR EXISTENCE IS TO SERVE THE HEALTH CARE NEEDS OF ALL PEOPLE IN OUR COMMUNITY. THIS IS ACCOMPLISHED THROUGH DEDICATED, COMPETENT STAFF PROVIDING ACCESSIBLE PATIENT-FOCUSED CARE, GUIDED BY A COMMITMENT TO CONTINUOUS IMPROVEMENT.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	81340903	Expense
Revenue	104586246	Revenue
Description	THE KINGSTON HOSPITAL IS A TAX-EXEMPT ORGANIZATION, WHICH WAS INCORPORATED UNDER THE NEW YORK STATE NOT-FOR-PROFIT CORPORATION LAW. THE HOSPITAL IS A 150 BED COMMUNITY HEALTH AND MEDICAL INSTITUTION WHOSE BASIC MISSION IS TO OFFER HIGH QUALITY CARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK, AND VISIT THE COMMUNITY OF KINGSTON, NY. Throughout 2012, The Kingston Hospital recorded 41,565 patient days, 44,564 Emergency Room visits and 2,669 Surgeries (1,221 IP & 1,448 OP). The Kingston Hospital offers various Outpatient services such as Pain Management, Wound Care, Renal Dialysis, Outpatient Detox & Rehab and all Radiologic services (MRI, CT, Ultrasound, Mammography). Total visits for these services in 2012 were approximately 135,099.	Description
Total Program Service Expense	81340903	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	89	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1162	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	STEVEN HAAS	NamePerson
Telephone Number	8459436024	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	741 GRANT AVE	AddressLine1
City	LAKE KATRINE	City
State	NY	State
ZIP Code	12449	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Thomas Jacobi
Chairman through 1/31/2012	1.0	3.0	X	X	0	0	0
Joanne Fredenberg
Treasurer	1.0	0.0	X	X	0	0	0
Joseph Christiana
Med Staff - Quality	1.0	0.0	X	X	0	0	0
Thomas Collins
Chairman	1.0	2.0	X	X	0	0	0
Judith Greenfield
Secretary	1.0	0.0	X	X	0	0	0
Mark Josefski MD
Trustee/VP Medical Staff	1.0	2.0	X		0	0	0
Donald Louie MD
Trustee	1.0	0.0	X		0	0	0
Donna Moss MD
Trustee	1.0	0.0	X		0	0	0
Ronald Myers
Vice Chair	1.0	0.0	X	X	0	0	0
Robert Seidman
Chief Admin Officer	13.71	23.79	X	X	0	264098	30775
Kathleen Lunney
Chief Nursing Officer	21.54	15.96	X		171909	0	4148
Margo McGilvrey
CNO through 6/30/2012	27.25	10.25	X		214854	0	15078
David Lundquist
Chief Executive Officer	16.86	20.64		X	542670	0	18411
David Scarpino
Chief Financial Officer	16.75	20.75		X	273795	0	19457
Frank Ehrlich MD
Chief Medical Officer	17.25	20.25		X	302604	0	5924
Charles Flinn
Chief Operating Officer	17.81	19.69			275460	0	12972	X
Joseph Marsicovete
Chief Quality Officer	20.63	16.87			229771	0	6075	X
Joshua Ratner
Chief Strategy Officer	17.89	19.61			207071	0	21056	X
Steven Haas
VP of Finance	18.13	19.37			205966	0	21318	X
John Finch
Chief Inf. & Comm. Officer	15.75	21.75			0	250912	28495	X
Dennis Pignato
VP of Support Services	18.75	18.75			184950	0	16949		X
Greg Howard
VP of Human Resources	29.44	8.06			180303	0	20960		X
Sandra Horan
Executive Director	8.17	29.33			176173	0	10718		X
Priti Shah
Director of Pharmacy	28.88	8.62			153336	0	20292		X
Patricia Husted
Director of Case Mgt.	18.75	18.75			132106	0	9553		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3250968	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	515010	TotalReportableCompFrmRltdOrgs
Total Other Compensation	262181	TotalOtherCompensation
Number Individuals GT100 K	37	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Nistel Inc
PO Box 544	LAKE KATRINE	NY	12449	Staffing Agency	3054861
Institute for Urban Family Health
22 W 19th Street 8th Floor	NEW YORK	NY	10011	Physicians	2425000
Laboratory Corporation of America
20 Johnson Drive	RARITAN	NJ	08869	Laboratory Services	2334607
Orthopedic Associates of Dutchess C
1910 South Road	POUGHKEEPSIE	NY	12601	Physicians	794420
PriceWaterhouseCoopers
PO Box 7247-8001	PHILADELPHIA	PA	19170	Auditors	476484

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	23	NumberOfContractorsGT100K
Government Grants	2020923	GovernmentGrants
All Other Contributions	133500	AllOtherContributions
Total Contributions	2154423	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERV. REVENUE	621300	110682501	110682501
BAD DEBT EXPENSE - SEE SCHEDULE O	621300	-7626372	-7626372

Field	Value	IRS element (for citing)
Total Program Service Revenue	103056129	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	170193	TotalRevenueColumn
Exclusion	$170,193	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	334115	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	334115	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	334115	TotalRevenueColumn
Exclusion	$334,115	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	80000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	6459	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	73541	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	73541	TotalRevenueColumn
Exclusion	$73,541	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
CONTRACTED SERVICES	900099	1532198	1532198
OTHER REVENUE	900099	489519	-2081	$491,600

Field	Value	IRS element (for citing)
Total Other Revenue	2021717	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	107810118	TotalRevenueColumn
Related Or Exempt Function Income	104586246	RelatedOrExemptFunctionIncome
Exclusion	$1,069,449	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2548539	Total
Management And General	2548539	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	41547476	Total
Program Services	33319233	ProgramServices
Management And General	8228243	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	561082	Total
Program Services	481852	ProgramServices
Management And General	79230	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7386443	Total
Program Services	5973746	ProgramServices
Management And General	1412697	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3305226	Total
Program Services	2642617	ProgramServices
Management And General	662609	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	491711	Total
Program Services	0	ProgramServices
Management And General	491711	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	224057	Total
Program Services	0	ProgramServices
Management And General	224057	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5644562	Total
Program Services	5132190	ProgramServices
Management And General	512372	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	138746	Total
Program Services	0	ProgramServices
Management And General	138746	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4336640	Total
Program Services	3325044	ProgramServices
Management And General	1011596	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1006884	Total
Program Services	823446	ProgramServices
Management And General	183438	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	135449	Total
Program Services	67686	ProgramServices
Management And General	67763	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	53511	Total
Program Services	47192	ProgramServices
Management And General	6319	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	913848	Total
Program Services	0	ProgramServices
Management And General	913848	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5398540	Total
Program Services	5398540	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1108936	Total
Program Services	1093462	ProgramServices
Management And General	15474	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	12340204	12285824	54380
PURCHASED SERVICES	5134361	4186441	947920
NISTEL EXPENSES	3385269	3385269	0
EQUIPMENT SERVICES	2107580	1907927	199653

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3163384	Total
Program Services	1270434	ProgramServices
Management And General	1892950	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	100932448	Total
Program Services	81340903	ProgramServices
Management And General	19591545	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	13499001	BOY
EOY	11899749	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4077782	BOY
EOY	4111535	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	107616	BOY
EOY	226697	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11852010	BOY
EOY	10552067	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1778099	BOY
EOY	1601844	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	826797	BOY
EOY	788709	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	129360405	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	89848577	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	42061387	BOY
EOY	39511828	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	479642	BOY
EOY	468743	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	24588280	BOY
EOY	28336922	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	99270614	BOY
EOY	97498094	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14376740	BOY
EOY	13477325	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	792752	BOY
EOY	706829	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	11905000	BOY
EOY	11215000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	10727449	BOY
EOY	10132329	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	32887603	BOY
EOY	33124054	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	70689544	BOY
EOY	68655537	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	27213721	BOY
EOY	27719183	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	778504	BOY
EOY	534529	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	588845	BOY
EOY	588845	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	28581070	BOY
EOY	28842557	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	99270614	BOY
EOY	97498094	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6877670	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2408	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-6618591	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$12,650	OtherActivitiesAmount
Total Lobbying Expenditures IIB	12650	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II-B, LINE 1I - OTHER ACTIVITIES DESCRIPTION	Identifier
Explanation	The Kingston Hospital pays dues to GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), AMERICAN HOSPITAL ASSOCIATION (AHA), and NORMET. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA, HANYS, AHA, and NORMET, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2012 GNYHA, HANYS, AHA, and NORMET ANNUAL DUES WERE $0, $1,798, $6,514 AND $4,338 RESPECTIVELY.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	588845	BeginningOfYearBalance
End Of Year Balance	588845	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	588845	BeginningOfYearBalance
End Of Year Balance	588845	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	588845	BeginningOfYearBalance
End Of Year Balance	588845	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	513845	BeginningOfYearBalance
Contributions	75000	Contributions
End Of Year Balance	588845	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	513845	BeginningOfYearBalance
End Of Year Balance	513845	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1389152	OtherCostOrOtherBasis
Book Value	1389152	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	62071955	OtherCostOrOtherBasis
Depreciation	35329027	Depreciation
Book Value	26742928	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2300258	OtherCostOrOtherBasis
Depreciation	2291172	Depreciation
Book Value	9086	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58325664	OtherCostOrOtherBasis
Depreciation	50233102	Depreciation
Book Value	8092562	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5273376	OtherCostOrOtherBasis
Depreciation	1995276	Depreciation
Book Value	3278100	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	39511828	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
INTEREST IN NA- TKH FOUNDATION	1865201
DUE FROM RELATED PARTIES	19933597
DUE FROM THIRD PARTIES	710225
OTHER RECEIVABLE	124005
INSURANCE RECEIVABLE - LT	5703894

Field	Value	IRS element (for citing)
Total Book Value Other Assets	28336922	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
POST RETIREMENT/SUPPLE. EXEC.	$2,137,832
OTHER NONCURRENT LIABILITIES	$312,676
DUE TO THIRD PARTY PAYORS	$13,603,652
DUE TO RELATED PARTIES	$8,082,339
INSURANCE LIABILITY - LONG-TER	$5,295,600
WC INSURANCE	$408,293
LAB SETTLEMENTS	$63,494
ACCRUAL FOR MALPRACTICE	$1,413,419
ACCRETION OF ARO	$1,806,749

Field	Value	IRS element (for citing)
Total Of Amounts	33124054	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND	Identifier
Explanation	These funds are to be held in perpetuity as restricted by the donor. Funds are meant to earn interest of which should be used to fund programs and services at The Kingston Hospital.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2775621	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1126932	DirectOffsettingRevenue
Net Community Benefit Expense	1648689	NetCommunityBenefitExpense
Percent Of Total Expense	0.01630	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13961599	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12839800	DirectOffsettingRevenue
Net Community Benefit Expense	1121799	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16737220	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13966732	DirectOffsettingRevenue
Net Community Benefit Expense	2770488	NetCommunityBenefitExpense
Percent Of Total Expense	0.02740	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	73014	TotalCommunityBenefitExpense
Net Community Benefit Expense	73014	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2438653	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1453385	DirectOffsettingRevenue
Net Community Benefit Expense	985268	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20231845	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15562028	DirectOffsettingRevenue
Net Community Benefit Expense	4669817	NetCommunityBenefitExpense
Percent Of Total Expense	0.04630	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1050	TotalCommunityBenefitExpense
Net Community Benefit Expense	1050	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22744562	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17015413	DirectOffsettingRevenue
Net Community Benefit Expense	5729149	NetCommunityBenefitExpense
Percent Of Total Expense	0.05680	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39481782	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30982145	DirectOffsettingRevenue
Net Community Benefit Expense	8499637	NetCommunityBenefitExpense
Percent Of Total Expense	0.08420	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,626,372	BadDebtExpenseAmount
Amount Reimbursed By Medicare	37740740	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	28613044	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	9127696	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	The Kingston Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	396 Broadway	AddressLine1
City	Kingston	City
State	NY	State
ZIP Code	12401	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	The Kingston Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY	The Kingston Hospital's costing methodology was based upon the 2012 New York State Institutional Cost Report and the 2012 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 ratio derived from The New York State Institutional Cost Report was used for the various sub-line items of line #7.
PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE AMOUNT OF BAD DEBT EXPENSE	THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE 1 ON PAGES 9 AND 11 OF THE ATTACHED AFS.
PART III, LINE 4 - BAD DEBT EXPENSE AUDITED FINANCIAL STATEMENT FOOTNOTE	THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 9 AND 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8 - methodolgoy used to determine the amount on line 6	The costs on line 6 were taken directly from the cost report costs (D & E-Series where applicable).
PART III, LINE 9B - PROVISIONS ON COLLECTION PRACTICES FOR QUAL. PATIENTS	The Credit and Collection Policy for Self Pay Balances provides that, in some cases, non insured patients that do not qualify for Medicaid qualify for charity care. In those instances the Credit and Collection Department will follow the guidelines as set forth in the Charity Care policy. The Charity Care Policy provides that the Financial Counselor evaluates the information provided in patients Charity Care application in conjunction with Federal Income Poverty Guidelines to determine the write-off percentage. If the patient/guarantor qualifies for Charity Care based on the sliding scale, the patient will be required to pay the outstanding amount. A payment plan is established not to exceed 10% of the guarantors gross monthly income.
PART VI, Line 2 - NEEDS ASSESSMENT	The Kingston Hospital ("TKH") identifies unmet community health needs by participating in community coalitions, partnerships, boards, committees, commissions, advisory groups, and panels. On an annual basis, the hospital analyzes internal patient surveys and publicly available data on the market including demographics and health services utilization. Local needs assessments and reports, such as the latest Ulster County Community Health Assessment 2010-2013 and the community needs index developed by healthcare business of Thomson Reuters, are used as they became available to determine the types and locations of community benefit programs implemented. Using the community needs index, The Kingston Hospital gathers vital socio-economic and demographic factors to support internal decision making for resource allocation and to determine the geographic location of new programs to meet emerging needs. For each zip code, the community needs index methodology aggregates five socioeconomic indicators/barriers to healthcare access that are known to contribute to health disparity. The indicators are related to income (percentage of households over age 65 below poverty line; percentage of families with children under 18 below poverty line; percentage of single female families with children under 18 below poverty line), education (percentage of population over 25 without a high school diploma), culture (percentage of population that is minority including Hispanic/Latino ethnicity; percentage of population over age 5 that speaks English poorly or not at all), insurance ( percentage of population in the labor force, aged 16 or more, without employment; percentage of population without health insurance), and housing (percentage of households renting their home). During FY12, in addition to the continued use of the "Ulster County Community Health Assessment" report, we also use a range of other available needs assessments to identify and respond to local needs. In fiscal year 2009, we undertook a physician Community Needs Assessment Study, another key component at examining the community needs and access to quality healthcare providers. This study reviewed by specialty in Health Alliance of the Hudson Valley's ("HAHV") designated geographic areas comprising or existing within the confines of HAHV's Kingston primary service area. This community need was determined based upon demonstrable and documented objective evidence. The board of Trustees, via the Audit and Compliance committee of the Board, reviewed and approved the community need study/report. In order to define community need, we followed the 2007 Federal Register guidelines establishing the necessary link of community need in the Primary Service Area ("PSA") and physician recruitment activities: "The geographic area served by the hospital, is the area composed of the lowest number of contiguous zip codes from which the hospital draws at least 75% of its inpatients." HAHV demonstrated and documented Community Need whereby the physician to population ratio in our PSA for the respective physician's medical specialty is below the recommended ratio resulting in an FTE deficit on the "community need model." By fulfilling these two requirements, HAHV established the necessary link of community need in the PSA and physician recruitment activities. The analysis demonstrated a documented community need for additional certain medical specialties such as pulmonary and cardiology, as well as a need for most surgical specialties. HAHV is working with existing physician practices to recruit new physicians to these specialties to insure the community need and access are improved. In 2012, TKH 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 2010-2013 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. The Kingston Hospital'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, The Kingston Hospital has a Chief Executive Officer review committee on community benefit (an internal, interdepartmental committee) that utilizes available data (E.G., needs assessments, hospital patient data, community needs index) and community input to develop the hospital's community benefit work plans. HAHV and Ulster County have formed leadership steering committees to focus on future planning and solutions to two key community health concerns: ED usage by the uninsured or under insured and innovative employee health initiatives. These steering committees meet bi-monthly.
PART VI, Line 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	The Kingston Hospital 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, TKH 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 TKH 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 TKH; 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. TKH 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. TKH has established a written policy (Attachment A) for the billing, collection and support for patients with payment obligations. TKH 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. TKH 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.
PART VI, Line 4 - COMMUNITY INFORMATION	The Kingston Hospital, one of three hospitals within a two-market area, primarily serves the residents of Ulster County, an area with a total population of approximately 182,500. Our Primary service area consists of 22 zip codes in Ulster and Delaware County that account for the top 75% of discharges. Our secondary service area is comprised of zip codes in Ulster, Eastern Delaware and Northern Dutchess Counties that make up the next 15% of discharges. Approximately 18% of the 148,000 residents in our primary service area are minorities, compared to 39.5% for the State. Demographic analysis reveals that almost 22% earn less than $25,000 and 47% less than $50,000. The area also has a significant number of women of childbearing age (17%) and Adults 55+ (30%). Within our service area, zip codes to the South (New Paltz and Ulster Park), East (Highland), and North (Saugerties) of Kingston Hospital are the fastest growing zip codes, however Kingston still accounts for largest population density. Based on the NYS Interim Expanded Behavioral Risk Factor Surveillance System report for the period July 2008 - June 2009, The Ulster County Community Health Assessment reports that Ulster County's rate (13.4%) of uninsured adults is slightly below the estimated NYS average rate (13.3%).
PART VI, Line 5 - Promotion of community health	The Kingston Hospital has a 10 member community board comprised of a majority of community members. Only one of the 10 Board members is employed by The Kingston Hospital or HealthAlliance, the Hospital's parent corporation (one HealthAlliance Executive). The medical staff of The Kingston Hospital is organized in the public interest. Medical staff privileges in the Hospital are open and available to all qualified physicians and we have a large, diverse medical and dental staff (356 members) in which most share joint privileges with Benedictine Hospital. No part of the income of The Kingston Hospital insures to the benefit of any private individual nor is any private interest being served. All surplus funds are reinvested into the facility, equipment or programs of the hospital to improve the quality of patient care, expand our facilities, and advance our medical training, education and research programs. The Kingston Hospital actively advocates on behalf of poor and vulnerable individuals, especially for healthcare coverage for all persons and improved community health. During 2012, we encouraged our employees, as healthcare workers, to write to their local senators and congressional representatives about the need for healthcare reform. The Kingston Hospital has a vibrant volunteer program, offering varied opportunities to members of the community to volunteer. Currently, Kingston Hospital had 89 volunteers contributing their time in 2012.
PART VI, Line 6 - AFFILATED HEALTH CARE SYSTEM	The Kingston Hospital is a member organization of HealthAlliance. Fellow member organizations include Benedictine Hospital, Margaretville Memorial Hospital (including Mountainside Residential Care Center) and Woodland Pond at New Paltz. As a not-for-profit health system, HealthAlliance reinvests its profits back into the community through programs to serve the poor and uninsured, manage chronic conditions like diabetes, health education and promotion initiatives, and outreach for the elderly. In Fiscal Year 2012, for TKH, this included nearly $2.7 million in such community benefits. Therefore, HealthAlliance takes a systems approach in its community benefit planning and implementation, and is consequently able to ensure that its member hospitals and other entities/affiliates are helping promote and address the health needs of their respective communities. Consolidation of Services: The HealthAlliance of the Hudson Valley is the active parent company to affiliate members Benedictine Hospital, a Catholic hospital, The Kingston Hospital, a secular 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 Benedictine Hospital and The Kingston Hospital to bring down the costs of hospital-based care. In addition to service consolidation between the two Kingston based 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 improvements since 2008, HealthAlliance made the difficult decision to close and repurpose one of two acute care hospital campuses in the city of Kingston. 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. Despite all of the transition of services in and among the two hospital campuses, many services the community still needs and depend on are still growing and thriving on the Kingston campus, such as the following: Outpatient Addiction Therapy: The hospital's out-patient clinic, BridgeBack, offers eight different programs, at various levels of care, including day rehab, family, gender adolescent programs and a "special needs" group and intensive outpatient. The "Special Needs" group is fast becoming very popular in the treatment community, especially with the local courts and social services departments. The program has been successful at reducing recidivism, as its primary target population is the client who traditionally has been difficult to engage and keep in treatment. BridgeBack continues to offer an adolescent program and works closely with local schools like Kingston High School who will send a student for an intake assessment they suspect needs a substance abuse program. A second location, Bridgeback North in Saugerties, was added to accommodate the growing need for Outpatient Addiction Therapy in the area. TKH's Methadone Treatment Program ("MTP") is located on the opposite side of the same building, which makes it very convenient for those clients who participate in both programs. Both BridgeBack and Methadone are licensed by the NYS Office of Alcoholism and Substance Abuse Services (OASAS). In order to meet its clients' special needs, the treatment team has been paying close attention to providing more individualized treatment. This has been effective in the adolescent program where the retention rate is varied. All of the substance abuse programs accept most insurance carriers. Charity applications and a sliding fee scale are provided to all clients who do not have an ability to pay for substance abuse services. The Kingston Hospital continues to sponsor an annual "Recovery Conference" for all professionals in the community and engages well-known presenters in the field of substance abuse. Stroke Designation Program: The Kingston Hospital administrative and clinical staff continues to place priority on keeping the hospital current with the best practices in disease management of the stroke patient. Our stroke patient management program offers a continuum of care from onset of stroke symptoms to long-term recovery. Four beds have been designated as a Stroke Step Down Unit. Staffs are telemetry and ACLS trained. All requirements for Stroke Designation have been fulfilled. Our Stroke Center is accredited by the New York State Department of Health. The Stroke Center is accredited by the New York State Department of Health. The Stroke Center participated in the American Stroke Association "Get with the Guidelines" Stroke Program and regularly inputs data resulting from efforts to improve acute stroke treatment and prevent secondary events. TKH received the 2012 American Heart Association/American Stroke Association's Get With The Guidelines Stroke Gold Plus Performance Achievement Award. The award recognizes TKH's commitment and success in implementing excellent care for stroke patients, according to evidence-based guidelines. To receive the award, Kingston Hospital achieved significant adherence to all Get With The Guidelines-Stroke Performance Achievement indicators for two or more consecutive 12-month intervals as well as compliance with six of 10 Get With The Guidelines-Stroke Quality Measures, which are reporting initiatives to measure quality of care. These measures include aggressive use of medications, such as tPA, antithrombotics, anticoagulation therapy, DVT prophylaxis, cholesterol reducing drugs and smoking cessation, all aimed at reducing death and disability, and improving the lives of stroke patients. Dialysis & Diabetes Education: The Kingston Hospital Dialysis Center offers Hemodialysis, Home Peritoneal Dialysis and Acute Dialysis Services. Our Kingston outpatient site currently operates 30 stations with three patient shifts on Monday, Wednesday, Friday and two patient shifts on Tuesday, and Thursday. We offer state of the art Dialysis machines and water treatment, beautiful and comfortable surroundings, TV capability, comfortable conference and waiting areas and beautiful art work. In addition, the in-hospital unit provides dialysis services for the in-house and acutely ill patients. Pre-dialysis and chronic kidney disease education is provided for community patients and families. We also continue to offer a Home Peritoneal Dialysis (CAPD) program. The Kingston Hospital Diabetes Center p
STATE FILING OF COMMUNITY BENEFIT REPORT	NY,	990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert Seidman
Chief Admin Officer	0	252252	0	0	0	11846	0	14000	0	16775	0	294873	0	0
David Lundquist
Chief Executive Officer	527106	0	0	0	15564	0	6250	0	12161	0	561081	0	0	0
David Scarpino
Chief Financial Officer	267461	0	0	0	6334	0	6250	0	13207	0	293252	0	0	0
Frank Ehrlich MD
Chief Medical Officer	288408	0	0	0	14196	0	0	0	5924	0	308528	0	0	0
Charles Flinn
Chief Operating Officer	266200	0	0	0	9260	0	6250	0	6722	0	288432	0	0	0
Joseph Marsicovete
Chief Quality Officer	223792	0	0	0	5979	0	5611	0	464	0	235846	0	0	0
Joshua Ratner
Chief Strategy Officer	202283	0	0	0	4788	0	5282	0	15774	0	228127	0	0	0
Kathleen Lunney
Chief Nursing Officer	165834	0	0	0	6075	0	4148	0	0	0	176057	0	0	0
Margo McGilvrey
CNO through 6/30/2012	134793	0	0	0	80061	0	2692	0	12386	0	229932	0	0	0
Steven Haas
VP of Finance	200162	0	0	0	5804	0	5105	0	16213	0	227284	0	0	0
John Finch
Chief Inf. & Comm. Officer	0	242075	0	0	0	8837	0	12020	0	16475	0	279407	0	0
Dennis Pignato
VP of Support Services	178633	0	0	0	6317	0	4657	0	12292	0	201899	0	0	0
Greg Howard
VP of Human Resources	175415	0	0	0	4888	0	4473	0	16487	0	201263	0	0	0
Sandra Horan
Executive Director	168557	0	0	0	7616	0	4290	0	6428	0	186891	0	0	0
Priti Shah
Director of Pharmacy	152803	0	0	0	533	0	4054	0	16238	0	173628	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT, EQUITY-BASED COMPENSATION	Identifier
Return Reference	PART I, LINE 4	ReturnReference
Explanation	Margo McGilvrey RECEIVED SEVERANCE PAYMENTS OF $76,928 IN 2012.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Ulster County Capital Resource Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	273282033	IssuerEIN
Date Issued	2010-12-29	DateIssued
Issue Price	12500000	IssuePrice
Description Of Purpose	see part VI	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	595000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	12500000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	250000	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	4067217	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	1999	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	true	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	false	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Superintegrated Hedge	false	SuperintegratedHedge
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART I, COL (F) - DESCRIPTION OF PURPOSE	Identifier
Return Reference	0	ReturnReference
Explanation	The primary purpose of the Series 2010A Revenue Bonds was to refinance the Series 1999 Revenue Bonds. The remaining $4,000,000 will be held by the new trustee, M & T Bank, and will be used to acquire various items of machinery and equipment.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	MARK JOSEFSKI MD	NamePerson

Field	Value	IRS element (for citing)
Relationship	CURRENT TRUSTEE	Relationship
Amount Of Transaction	2056250	AmountOfTransaction
Description Of Transaction	PHYSICIAN RESIDENCY CONTRACT	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	PART IV	Identifier
Explanation	Mark Josefski, MD is a current trustee on The Kingston Hospital Board of Directors. He is a physician employed by the Institute for Urban Family Health, Inc. (IUFH) The Kingston Hospital has a contract with the Institute for Urban Family Health to run its Residency Program. IUFH was paid $2,056,250 for the contract in 2012.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PRESENTATION OF PROVISION FOR BAD DEBTS	FORM 990, PART VIII, LINE 2B - PROGRAM SERVICE REVENUE	In July 2011, the FASB issued the Accounting Standards Update ("ASU") No. 2011-07, Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. The amendments require Kingston to change the presentation of its consolidated statement of operations and changes in net assets by reclassifying the provision for bad debts associated with patient service revenue from an operating expense to a deduction from patient service revenue (net of contractual allowances and discounts). Additionally, the amendments require enhanced disclosure about Kingston's policies for recognizing revenue and assessing bad debts, patient service revenue (net of contractual allowances and discounts), and qualitative and quantitative information about changes in the allowance for doubtful accounts. This guidance is effective for Kingston on January 1, 2012, with early adoption permitted. Kingston adopted and is reporting results under this guidance as of January 1, 2012.
EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDER	FORM 990, PART VI, LINE 6	Health Alliance, Inc. is the sole corporate member of The Kingston Hospital.
HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY	FORM 990, PART VI, LINE 7A	Health Alliance, Inc. is the sole corporate member of The Kingston Hospital and has the power to elect one or more members of the local governing body of the Hospital.
DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS	FORM 990, PART VI, LINE 7B	All decisions made at the local board level of The Kingston Hospital, 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 REVIEW PROCESS	FORM 990, PART VI, LINE 11B	The 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.
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	Annual 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.
COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC. DIR., OR TOP MGTMENT	FORM 990, PART VI, LINE 15A	Reviewed through Internal Compensation Committee along with verification of all external fair market value analysis and data.
COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES	FORM 990, PART VI, LINE 15B	Reviewed through Internal Compensation Committee along with verification of all external fair market value analysis and data.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE	FORM 990, PART VI, LINE 19	Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws.
COMPENSATION EXPLANATION	FORM 990, PART VII, Section A	MARK JOSEFSKI, MD: THE KINGSTON HOSPITAL ENGAGED THE SERVICES OF INSTITUTE FOR URBAN FAMILY HEALTH ("IUH"), AN UNRELATED COMPANY, TO ADMINISTER THE RESIDENCY PROGRAM. REMUNERATION PAID TO IUH DURING 2012 IS REPORTED IN PART VII, SECTION B - INDEPENDENT CONTRACTORS AND DISCLOSED ON SCHEDULE L.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9	EQUITY TRANSFER TO RELATED ORGANIZATIONS. . . . . . . . $ -6,358,790. CHANGE IN POSTRETIREMENT BENEFITS . . . . . . . . . . . -209,171. CHANGE IN NET ASSETS OF THE KINGSTON HOSPITAL FOUNDATION -50,630. TOTAL $ -6,618,591.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Health Alliance Inc
741 Grant Avenue	Lake Katrine	NY	12449	261850453	SUPPORT	NY	501(C)(3)	11A	NA	false
FASC Foundation
741 Grant Avenue	Lake Katrine	NY	12449	264201295	SUPPORT FOUND	NY	501(C)(3)	7	KINGSTON HOS	false
HealthAlliance Senior Living Corp
396 Broadway	Kingston	NY	12401	300164277	OPERATE CCRC	NY	501(C)(3)	9	Health Allia	false
Benedictine Hospital
105 Marys Avenue	Kingston	NY	12401	141338470	EXEMPT HOSP	NY	501(C)(3)	3	HEALTH ALLIA	false
Kingston Community Services Corp
396 Broadway	Kingston	NY	12401	141684383	NON-OPER PF	NY	501(C)(3)	PF	HEALTH ALLIA	false
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	223143565	NURSING FACIL	NY	501(C)(3)	9	MMH	false
Margaretville Health Foundation
42084 State Highway 28	Margaretville	NY	12455	261998454	SUPPORT FOUND	NY	501(C)(3)	11A	MMH	false
Margaretville Memorial Hospital
42084 State Route 28	Margaretville	NY	12455	150552726	EXEMPT HOSP	NY	501(c)(3)	3	HEALTH ALLIA	false

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	EINEIN
ULSTER RADIATION & ONCOLOGY CENTER
117 MARYS AVENUE	KINGSTON	NY	12401	RADIATION ONCOLOG	NY	NA	N/A	false	false
COMPREHENSIVE SUPPORT SERVICES LLC
45 PINE GROVE AVENUE	KINGSTON	NY	12401	DIAGNOSTIC IMAGIN	NY	NA	N/A	false	false	141805027
MULTI PROVIDER SUPPORT SERVICES LLC
105 MARYS AVENUE	KINGSTON	NY	12401	OFFICE SUPPORT	NY	NA	N/A	false	false	141811898

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
MID HUDSON PHYSICIANS PC
396 BROADWAY	KINGSTON	NY	12401	203564769	MEDICAL SERVICES	NY	NA	C CORP	3008334	4192023	0.50000	false
Kingston Regional Health Care Enterprise
396 Broadway	Kingston	NY	12401	161514994	RE INVESTMENT	NY	NA	C CORP	57727	479515	1.00000	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg