2023-11-13T16:44:35+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW Washington DC 20005 990 2022-01-01 141338470 HealthAlliance Hospital HEAL 8459436084 105 MARYS AVENUE KINGSTON NY 12401 Joshua Ratner President & CEO 8459436084 2023-11-13 true Joshua Ratner 999009999 Justin Lowe P01866796 2023276000 2023-11-07 2022 2023-04-26 12:10:37Z X DR MICHAEL DOYLE 105 MARYS AVENUE KINGSTON NY 12401 200633334 false X HTTPS://WWW.HAHV.ORG X 1902 NY THE MISSION OF HEALTHALLIANCE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN THE COMMUNITIES WE SERVE. 18 14 1092 14 0 0 71551601 44700418 141894791 149618712 2951353 3160641 3310556 2946540 219708301 200426311 0 0 103732463 97818147 0 0 77014216 101323557 180746679 199141704 38961622 1284607 117788749 171215836 71770933 129969881 46017816 41245955 X THE MISSION OF HEALTHALLIANCE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN THE COMMUNITIES WE SERVE. true false 163380071 0 151228001 TO PROVIDE EXCELLENT HEALTH CARE SERVICES TO ALL PATIENTS. THIS IS ACHIEVED THROUGH THE HOSPITAL'S COMMITMENT OF THE VALUES OF HOSPITALITY, COMMUNITY, STEWARDSHIP, RESPECT, PEACE, EXCELLENCE, INTEGRITY AND FISCAL RESPONSIBLITY. HEALTHALLIANCE HOSPITAL RECORDED 29,092 PATIENT DAYS AND 3,157 SURGERIES (INPATIENT 791 & AMBULATORY 2,366). HEALTHALLIANCE HOSPITAL OFFERS VARIOUS OUTPATIENT SERVICES SUCH AS SLEEP LAB, CHEMOTHERAPY, PSYCH SERVICES, BREAST CENTER AND ALL RADIOLOGIC SERVICES (CT, ULTRASOUND & CARDIAC CATH). TOTAL VISITS FOR THESE SERVICES IN 2022 WERE APPROXIMATELY 102,302 (INCLUDING COVID LABS AND VACCINATIONS). 163380071 true false false true false false false false true true false false false true false false true false false false false false false false false true true false false true false true false false false false false false false false false false false true true false false false true 50 0 true 1092 true false false false false false false false false false false false false false X 18 14 false false false false true true true true true false false true true true true true true false true true true NY X ERIN NAGY 8459436084 105 MARYS AVENUE KINGSTON NY 12401 GARY BRUDNICKI TRUSTEE/CFO 1.0 39.0 X X 0 2333526 70137 CRAIG SICKLER CHAIR 1.0 4.0 X 0 0 0 FALAK SHAH MD VP MEDICAL STAFF (EFFECTIVE JANUARY 2022) 1.0 2.0 X 0 646158 60408 J CHRISTOPHER SMAILER TRUSTEE 1.0 3.0 X 0 0 0 JAMAL MAHDAVIAN MD PRESIDENT MEDICAL STAFF 1.0 2.0 X 0 630937 44011 JEROME SIMONETTY TRUSTEE 1.0 2.0 X 0 0 0 JOHN BONAVITA-GOLDMAN MD TRUSTEE 1.0 3.0 X 0 0 0 JOHN HEIMERDINGER TRUSTEE 1.0 7.0 X 0 0 0 JOSHUA RATNER TRUSTEE 1.0 39.0 X 0 1068839 80357 JULIE SWITZER TRUSTEE/SECRETARY 1.0 39.0 X 0 1062607 47287 MICHAEL DOYLE MD EXECUTIVE DIRECTOR & CMO 33.0 7.0 X 619034 0 8701 MICHAEL ISRAEL VICE CHAIR 1.0 39.0 X 0 3405987 57096 RICHARD WISHNIE VICE CHAIR 1.0 5.0 X 0 0 0 STEPHANIE TURCO TRUSTEE 1.0 2.0 X 0 0 0 THOMAS COLLINS TRUSTEE 1.0 2.3 X 0 0 0 WILLIAM FRISHMAN MD TRUSTEE 1.0 39.0 X 0 39845 0 ELISSA WALISZEWSKI CHIEF OPERATING OFFICER - NORTHERN REGION 36.0 4.0 X 0 357908 49462 DEREK TOMPKINS CHIEF MRI TECHNOLOGIST 40.0 0 X 203754 0 16613 ELIZABETH STANZIONE PHARMACIST 40.0 0 X 179491 0 16169 JANE ULRICH SR. VP OF NURSING 36.0 4.0 X 210568 0 29209 LOWELL FLEY ASSISTANT DIRECTOR, RADIOLOGY 40.0 0 X 210424 0 34191 MICHAEL SCHAFF DIRECTOR OF PHARMACY 40.0 0 X 185941 0 16170 JOSEPH MARSICOVETE FORMER CHIEF OPERATING OFFICER (RESIGNED JUNE 2021) 40.0 1.0 X 202304 0 0 1811516 9545808 529811 200 true true false CONSIGLI CONSTRUCTION CO INC 72 SUMMER STREET MILFORD MA 01757 CONSTRUCTION 7929236 TURNER SANORUBIN JOINT VENTURE 1 COMPUTER DRIVE SOUTH ALBANY NY 12205 CONSTRUCTION 7497407 INSTITUTE FOR FAMILY HEALTH 2006 MADISON AVENUE 5TH FLOOR NEW YORK NY 10035 PHYSICIANS 3039778 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 CONTRACT LABOR 1848158 OTIS ELEVATOR PO BOX 13716 NEWARK NJ 07188 BUILDING MAINTENANCE/UPGRADES 1044916 17 0 0 0 0 44700418 0 0 44700418 NET PATIENT REVENUE 621300 149618712 149618712 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149618712 3160641 0 0 3160641 0 0 0 0 0 0 0 0 1211630 0 207023 0 1004607 0 1004607 0 0 1004607 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 1026091 1026091 0 0 FOOD SERVICE 900099 332644 0 0 332644 CONTRACTED SERVICES 900099 583198 583198 0 0 0 0 0 0 1941933 200426311 151228001 0 4497892 X 79647021 71480260 8166761 1162677 872008 290669 12699376 9525269 3174107 4309073 3231805 1077268 181380 185 181195 22744 22744 43355460 35257607 8097853 0 245437 245437 4634247 3099964 1534283 2623802 3123 2620679 43598 43598 850021 36434 813587 814671 814671 4061104 4061104 3333062 3333062 EQUIPMENT SERVICE CONTRAC 3375670 3005623 370047 CONTRACTED SERVICES 6811517 2155666 4655851 MEDICAL SUPPLIES 29285308 29157432 127876 ADMINISTRATIVE EXPENSES 89730 85275 4455 1595806 1408316 187490 0 199141704 163380071 35761633 0 3187096 1977138 0 647136 0 0 15816827 16721977 0 0 0 0 0 28790 2195212 1442942 1647139 307089943 171457701 83939253 135632242 4605361 3839599 0 0 0 0 8768480 8555393 117788749 171215836 23696597 56181937 0 0 4196921 5031903 0 0 0 0 0 0 5536495 6317413 0 0 38340920 62438628 71770933 129969881 X 45983401 40817820 34415 428135 0 0 0 0 0 0 46017816 41245955 117788749 171215836 X 1284607 -150581 -5905887 X false true X true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 false false false false false false false false true 22744 22744 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY HEALTHALLIANCE HOSPITAL PAYS DUES TO GREATER NY HOSPITAL ASSOCIATION AND HEALTHCARE ASSOCIATION OF NEW YORK STATE. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GREATER NY HOSPITAL ASSOCIATION AND HEALTHCARE ASSOCIATION OF NEW YORK STATE, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTABLE TO LOBBYING ACTIVITIES APPLICABLE TO 2022 HEALTHCARE ASSOCIATION OF NEW YORK STATE AND GREATER NY HOSPITAL ASSOCIATION WAS $22,744 0 779613 -125596 6881 647136 0 0 0 0 0 0 0 0 0 0.0 1.0 0.0 true false 310791 310791 135230404 40775985 94454419 2626048 2613246 12802 155688398 120961594 34726804 13234302 7106876 6127426 135632242 DUE TO REALTED PARTIES 3302603 OTHER NON-CURRENT LIABILITIES 30073879 POST RETIREMENT BENEFIT OBLIGATION 1415678 ENVIRONMENTAL REMEDIATION 492141 SECURITY DEPOSITS PAYABLE 25450 PHILIPS LIABILITY 27128877 62438628 Schedule D, Part V, Line 1b THE OPERATIONS OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS WERE MERGED WITH HEALTHALLIANCE HOSPITAL IN 2022. WE HAVE INCLUDED A 2022 CONTRIBUTION AMOUNT OF $779,613. THIS REPRESENTS THE ENDOWMENT FUNDS BEGINNING OF YEAR BALANCE OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS THAT WAS TRANSFERRED TO HEALTHALLIANCE HOSPITAL. Schedule D, Part V, Line 4 Intended uses of endowment funds INTENDED USE OF THE ENDOWMENT FUNDS. THESE FUNDS ARE TO BE HELD IN PERPETUITY AS RESTRICTED BY THE DONORS. FUNDS ARE MEANT TO EARN INTEREST WHICH SHOULD BE USED TO FUND PROGRAMS AND SERVICES AT HEALTHALLIANCE HOSPITAL. true true X true X true X true true false true true 3957294 827449 3129845 0.0157 38373837 15429072 22944765 0.1152 0 0.0 0 0 42331131 16256521 26074610 0.1309 112603 112603 0.0006 3776988 2426698 1350290 0.0068 42759661 20017123 22742538 0.1142 0 0.0 0 0.0 0 0 46649252 22443821 24205431 0.1215 0 0 88980383 38700342 50280041 0.2525 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 407696 40930870 36755818 4175052 X true true 1 1 HEALTHALLIANCE HOSPITAL 105 MARYS AVENUE KINGSTON NY 12401 WWW.HAHV.ORG 5501001H X X X HEALTHALLIANCE HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X HTTPS://WWW.HAHV.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS X true 22 true HTTPS://WWW.HAHV.ORG/ false true X 250.0 500.0 X X true true X X X true X https://www.hahv.org/financial-assistance X https://www.hahv.org/financial-assistance X https://www.hahv.org/financial-assistance X X X X X X true X false X X true X false false Schedule H, Part V, Section B, Line 3E THE PRIORITIES CONSIST OF FOCUS AREAS THAT IMPACT 6 OF THE 8 HEALTH CONCERNS FOR ULSTER COUNTY OUTLINED IN THE MID-HUDSON REGIONAL COMMUNITY HEALTH ASSESSMENT 2022-2024. THE NEW YORK STATE PREVENTION AGENDA OUTLINES TWO OTHER PRIORITY AREAS THAT WERE NOT SELECTED AS PRIORITIES FOR HEALTHALLIANCE HOSPITAL 2022-2024 COMMUNITY SERVICE PLAN: PROMOTE A HEALTHY AND SAFE ENVIRONMENT AND PREVENT COMMUNICABLE DISEASES. ALTHOUGH ALL OF THESE MERIT FOCUS FOR IMPROVING POPULATION HEALTH, THEY WERE NOT SELECTED DUE TO THE LIMITED AMOUNT OF RESOURCES AVAILABLE TO ADDRESS THESE ISSUES AND THE RELATIVE SEVERITY OF NEED DEMONSTRATED FOR THE PRIORITY AREAS THAT WERE CHOSEN. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HEALTHALLIANCE HOSPITAL. HealthAlliance Hospital participated in two community health needs assessment workgroups. The first, led by the Ulster County Departments of Health and Mental Health (UCHMH), includes members of the established Healthy Ulster Council. Representatives from UCHMH, HealthAlliance Hospital, Ellenville Regional Hospital, Cornell Cooperative Extension, Live Well Kingston, American Lung Association, TFAC (Tobacco Free Action Communities) in Ulster, Dutchess, and Sullivan, and the Institute for Family Health, regularly meet to build on existing strengths, share services with one another, and create an integrated system of chronic disease prevention. The focus for 2022, however, has been on the community health assessment (CHA) and the monthly meetings were spent discussing assessment timeline, survey distribution strategies, data review, Prevention Agenda priority selection, and best-practices intervention presentations to be included in the members' community health improvement plan (CHIP) or community service plan (CSP). While all members reviewed and analyzed secondary data sources, e.g., federal, state, regional and local data, to identify trends and patterns that influence or result in poor physical and behavioral health outcomes for Ulster County residents, primary data collection and analysis activities were conducted by Siena College Research Institute (SCRI) under contract with the seven counties' Departments of Health, including Ulster County. SCRI conducted a Mid-Hudson Regional Community Health Assessment survey and collected 5,699 responses from the region's adult residents from March - May 2022. The overall sample was weighted by age, gender, reported race/ethnicity, income and county using the 2015-2020 American Community Survey (ACS) 5-year estimates to ensure statistical representativeness. Respondents were contacted in English and Spanish via landline telephone, cell phone, an online panel, online recruitment from each county and at various in-person events, and other community partnerships to enhance representation. HealthAlliance Hospital further facilitated survey distribution efforts to ensure all segments of the county's population were provided a chance to voice their health needs and concerns, especially those underserved and underrepresented. The hospital posted the community survey link on its public-facing webpage and publicized the survey opportunity through its social media platforms, including Instagram and Twitter. HealthAlliance also disseminated the survey to all employees for their participation and input; partnered with Ulster County Chamber of Commerce and utilized the snow-ball method to distribute to all of their members, who in turn encouraged their employees to complete the survey; conducted community outreach at community events, including the popular Hudson Valley Renegades baseball games in the Minor League, the Dutchess/Ulster Heart Walk, and the Kingston Women's Bike Fest; partnered with People's Place, a not-for-profit agency in Ulster County, to ask their patrons to participate in the survey as the agency serves a traditionally underserved and low-income population; and promoted the survey link via a QR code (e.g. printed and publicly posted large posters with the QR code) for ease of participation. Over a two-month period, a total of 647 Ulster County adult residents completed the community survey. The county-wide sample of 647 was also weighted by age, gender, reported race/ethnicity, and income to ensure statistical representativeness. In addition to participating in the Mid-Hudson Regional Community Health survey, a Community Partner Survey was also conducted by Siena College in the spring and early summer of 2022. The survey collected data from health and human services providers who serve underrepresented populations, including low-income, veterans, persons experiencing homelessness, the aging population, the LGBTQIA+ community, and people with a mental health diagnosis or those with a substance use disorder (SUD). HealthAlliance Hospital participated as a respondent among the final sample of 40. HealthAlliance Hospital also joined the Greater New York Hospital Association's (GNYHA) 2022 Community Health Needs Assessment (CHNA) Collaborative, which supported participating hospital members' primary data collection efforts to meet the requirements of the NYS CSP by gathering information on community health needs and engaging with community members. A diverse group of GNYHA member hospitals across the state participated in the Collaborative, including community and safety net hospitals, small health systems, and large academic medical centers. GNYHA developed the CHNA survey with members' input in multiple stages through a collaborative and iterative process, made the survey available in 11 languages on paper and online, collected the data and analyzed the results, and created custom reports for each participating hospital. The survey used validated questions from existing surveys such as the CDC, BRFSS (Behavioral Risk Factor Surveillance System), and the NYC Department of Health and Mental Hygiene's Community Health Survey (NYC CHS). Once the CHNA survey was designed, all recruitment activities were tasked among participating hospital members. HealthAlliance Hospital, along with other participating collaborative members, engaged and enlisted adult participants using similar strategies as the Mid-Hudson Regional Community Health survey mentioned above. The Collaborative efforts resulted in a final sample of more than 17,600 responses; 331 of which were from Ulster County. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - HEALTHALLIANCE HOSPITAL. The CHNA was conducted with HealthAlliance Hospital (both Broadway and Mary's Avenue Campuses) and Ellenville Hospital. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - HEALTHALLIANCE HOSPITAL. HealthAlliance Hospital participated in two community health needs assessment workgroups. The first, led by the Ulster County Departments of Health and Mental Health (UCHMH), includes members of the established Healthy Ulster Council. Representatives from UCHMH, HealthAlliance Hospital, Ellenville Regional Hospital, Cornell Cooperative Extension, Live Well Kingston, American Lung Association, TFAC (Tobacco Free Action Communities) in Ulster, Dutchess, and Sullivan, and the Institute for Family Health. HealthAlliance Hospital also joined the Greater New York Hospital Association's (GNYHA) 2022 Community Health Needs Assessment (CHNA) Collaborative, which supported participating hospital members' primary data collection efforts to meet the requirements of the NYS CSP by gathering information on community health needs and engaging with community members. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HEALTHALLIANCE HOSPITAL. Based on the findings at the conclusion of the two CHNA workgroup assessments, along with an internal review process to determine HealthAlliance's areas of expertise and available resources, HealthAlliance Hospital aligned its action plans with the NYS 2019-2024 Prevention Agenda by targeting two public health prevention priorities: I. Prevent Chronic Diseases Focus Area 4: Chronic Disease Preventive Care and Management II. Promote Healthy Women, Infants and Children Focus Area 1: Maternal and Women's Health For Priority I, HealthAlliance Hospital, through its outpatient Diabetes Education Center, plans to promote an evidence-based care intervention to prevent and manage diabetes and prediabetes patients by 1) increasing the proportion of people with diabetes who get formal diabetes education by 10% by December 2024 and 2) decreasing the percentage of adult members with diabetes whose most recent HbA1c (hemoglobin A1C) level indicated poor control (>9%) by 10% by December 2024. To achieve these goals, the Center, which is recognized by the American Diabetes Association (ADA), will provide the Intensive Lifestyle Interventions education program for patients with type 2 diabetes to improve their glycemic control and reduce their risk factors for cardiovascular disease. By 6 December 2024, the Center's Certified Diabetes Care and Education Specialists (CDCES) will serve a minimum of 220 patients annually and will develop individualized management plans that fit their patients' lifestyles, beliefs, and culture. The CDCES will also integrate the ADCES' (Association of Diabetes Care & Education Specialists) seven self-care behaviors: Healthy Coping, Healthy Eating, Being Active, Taking Medication, Monitoring, Reducing Risk, and Problem Solving, into the intervention. The program will also focus on providing additional support to Medicaid patients to address their social determinants of health (SDOH) needs. For Priority II, by December 2024, HealthAlliance Hospital's goal is to reduce low-risk C-section (Cesarean delivery) to less than 25% from the current rate of 30%. Through WMCHealth Institute for Women's Health and Wellness, the new Comprehensive Women's Health Center and HealthAlliance Hospital will attain this goal with a multi-strategic approach. Those strategies include: 1) train all Obstetrics staff with the Relias performance modules, which promote vaginal birth and fetal heart rate monitoring; 2) offer expectant mothers prenatal obstetrics consultations and patient education opportunities to raise awareness about how to prepare for a healthy pregnancy and promote natural childbirth; 3) implement an updated workflow process among providers to utilize the revised C-section checklists to enable prenatal record and ultrasonography review; 4) implement Peer-to-Peer Discussions prior to any unscheduled, non-urgent C-sections; and 5) collaborate with community partners and enhance community outreach efforts to increase the number of enrolled expectant mothers into prenatal care, as well as linking Substance Use Disorders (SUD) mothers through HealthAlliance Hospital's widely successful Neonatal Abstinence Syndrome (NAS) program to address their SUD and SDOH needs. The NYS Prevention Agenda outlines three other priority areas that were not selected as public health priorities for the HealthAlliance Hospital 2022-2024 CSP: Promote a Healthy and Safe Environment, Promote Well-Being and Prevent Mental and Substance Use Disorders, and Prevent Communicable Diseases, as a result of the public input and internal ranking system process. Beyond the two selected public health priorities, HealthAlliance Hospital acknowledges the wide range of significant health needs that were identified but cannot be addressed by the hospital due to the level of priority and the lack of expertise and resources. 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN NYS prevention agenda priority area: Prevent chronic diseases Focus area 4: Chronic Disease Preventive Care and Management Prevention agenda goal 4.3: Promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and prediabetes and obesity. Objective 4.3.1: Increase the proportion of people with diabetes who get formal diabetes education (Healthy People 2030 - D-06) by 10% by December 2024 Evidence based intervention: Diabetes Management: Intensive Lifestyle Interventions for Patients with type 2 Diabetes to improve glycemic control and reduce risk factors for cardiovascular disease (https://www.thecommunityguide.org/findings/diabetes-intensive-lifestyle-interventions-patients-type-2-diabetes). Disparities Addressed: Low-income, racial/ethnic minorities, seniors and disadvantaged urban and rural communities NYS prevention agenda priority area: Prevent chronic diseases Focus area 4: Chronic Disease Preventive Care and Management Prevention agenda goal 4.3: Promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and prediabetes and obesity. Objective 4.3.2: Decrease the percentage of adult members with diabetes whose most recent HbA1c level indicated poor control (>9%) by 10% by December 2024 Evidence based intervention: Diabetes care and education specialists (DCES) will serve approximately 220 participants annually by December 2024 and develop individualized management plans that fit their lifestyles, beliefs and cultures. The DCES will ensure participants understand how to use various diabetic prevention devices like glucometers, insulin pens, pumps and continuous glucose monitoring devices; and use the information from these devices and participants' lifestyles to identify patterns and opportunities for better diabetic management. Furthermore, the specialists will help participants to develop coping skills to address the daily challenges of the disease, reduce the risks for complications, decrease costs by reducing or eliminating the need for medications and emergency room visits, and help find and access cost-savings programs. Disparities Addressed: Low-income, racial/ethnic minorities, seniors and disadvantaged urban and rural communities NYS prevention agenda priority area: Promote Healthy Women, Infants and Children Focus area 1: Maternal & Women's Health Prevention agenda goal 1.2.1: Reduce Maternal Mortality and Morbidity Objective 1.2.1: Decrease low-risk C-section (Cesarean delivery) rate to less than 25%. Evidence based intervention: * Enroll and train Obstetrics (OB) staff in an interactive online training platform, Relias Performance Modules, which promote vaginal birth and fetal heart rate monitoring; * Offer expectant mothers prenatal obstetrics consultations, including anesthesia consultation to evaluate high-risk stratified patients, as well as patient educations opportunities to raise awareness about how to prepare for a healthy pregnancy and to promote natural, vaginal childbirth; * Necessitate the usage of the revised C-section (Cesarean section) checklists, such as the labor induction and C-section scheduling forms, as part of a standardized process and workflow among providers to enable prenatal record and ultrasonography review; * Implement peer-to-peer discussion prior to unscheduled, non-urgent C-sections to ensure evidence-based care practice guidelines, in accordance with the American College of Obstetricians and Gynecologists (ACOG), are properly followed; and * Collaborate with community partners and enhance community outreach efforts to increase the number of expectant mothers enrolls into prenatal care, as well as linking opioid use disorders patients through HealthAlliance Hospital's successful Neonatal Abstiencne Syndrome (NAS) Project to address some of their SDOH needs Disparities Addressed: Low-income, racial/ethnic minorities 2 ULSTER RADIATION & ONCOLOGY 117 MARYS AVENUE KINGSTON NY 12401 OUTPATIENT RADIATION CENTER COMPREHENSIVE SUPPORT SERVICES LLC 45 PINE GROVE AVENUE KINGSTON NY 12401 OUTPATIENT DIAGNOSTIC IMAG CTR Schedule H, Part I, Line 7 FINANCIAL ASSISTANCE AT COST The hospitals' costing methodology was based upon worksheet 2 of the IRS 990 instructions. The cost-to-charge ratio was used for the various sub-line items of line # 7. Schedule H, Part I, Line 7g SUBSIDIZED SERVICES The costs on line 7g do not include any costs attributable to physician clinics. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The amount reported on line 2 is equal to the provision for bad debt expense per the audited financial statements (AFS). The explanation of the methodology used to estimate this amount can be found in footnote #2 on pages 19-20 of the attached Audited Financial Statements. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The text of the footnote that describes bad debt expense can be found on pages 19-20 of the attached Audited Financial Statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The costs on line 6 were taken directly from the cost report costs (D & E & I-series, where applicable) plus lab fee schedule costs and payments less subsidized services & Medicare losses which were taken from Exhibit 46 of the New York State Institutional Cost Report. For both hospital campuses, there were no shortfalls from Medicare for 2022, therefore, there is no consideration for a community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The credit and collection policy for self-pay balances provides that, in some cases, non-insured patients that do not qualify for Medicaid qualify for charity care. In those instances, the credit and collection department will follow the guidelines as set forth in the charity care policy. The charity care policy provides that the financial counselor evaluates the information provided in patients' charity care applications in conjunction with federal income poverty guidelines to determine the write-off percentage. If the patient/guarantor qualifies for charity care based on the sliding scale, the patient will be required to pay the outstanding amount. A payment plan is established not to exceed 10% of the guarantor's gross monthly income. Schedule H, Part V, Section B, Line 16a FAP website - HEALTHALLIANCE HOSPITAL: Line 16a URL: https://www.hahv.org/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - HEALTHALLIANCE HOSPITAL: Line 16b URL: https://www.hahv.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HEALTHALLIANCE HOSPITAL: Line 16c URL: https://www.hahv.org/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment For the community-based strategies, HealthAlliance will continue to actively participate in a work group consisting of the public health department and health partners for the purposes of maintaining engagement with local partners over the during the period of this CHNA. Initially, meetings will be held throughout the year; however, frequency will be revisited throughout the timeframe to ensure that the meetings are meeting the needs of all partners. METHODOLOGY AND PROCESS HealthAlliance Hospital participated in two community health needs assessment workgroups. The first, led by the Ulster County Departments of Health and Mental Health (UCHMH), includes members of the established Healthy Ulster Council. Representatives from UCHMH, HealthAlliance Hospital, Ellenville Regional Hospital, Cornell Cooperative Extension, Live Well Kingston, American Lung Association, TFAC (Tobacco Free Action Communities) in Ulster, Dutchess, and Sullivan, and the Institute for Family Health, regularly meet to build on existing strengths, share services with one another, and create an integrated system of chronic disease prevention. The focus for 2022, however, has been on the community health assessment (CHA) and the monthly meetings were spent discussing assessment timeline, survey distribution strategies, data review, Prevention Agenda priority selection, and best-practices intervention presentations to be included in the members' community health improvement plan (CHIP) or community service plan (CSP). While all members reviewed and analyzed secondary data sources, e.g., federal, state, regional and local data, to identify trends and patterns that influence or result in poor physical and behavioral health outcomes for Ulster County residents, primary data collection and analysis activities were conducted by Siena College Research Institute (SCRI) under contract with the seven counties' Departments of Health, including Ulster County. SCRI conducted a Mid-Hudson Regional Community Health Assessment survey and collected 5,699 responses from the region's adult residents from March - May 2022. The overall sample was weighted by age, gender, reported race/ethnicity, income and county using the 2015-2020 American Community Survey (ACS) 5-year estimates to ensure statistical representativeness. Respondents were contacted in English and Spanish via landline telephone, cell phone, an online panel, online recruitment from each county and at various in-person events, and other community partnerships to enhance representation. HealthAlliance Hospital further facilitated survey distribution efforts to ensure all segments of the county's population were provided a chance to voice their health needs and concerns, especially those underserved and underrepresented. The hospital posted the community survey link on its public-facing webpage and publicized the survey opportunity through its social media platforms, including Instagram and Twitter. HealthAlliance also disseminated the survey to all employees for their participation and input; partnered with Ulster County Chamber of Commerce and utilized the snow-ball method to distribute to all of their members, who in turn encouraged their employees to complete the survey; conducted community outreach at community events, including the popular Hudson Valley Renegades baseball games in the Minor League, the Dutchess/Ulster Heart Walk, and the Kingston Women's Bike Fest; partnered with People's Place, a not-for-profit agency in Ulster County, to ask their patrons to participate in the survey as the agency serves a traditionally underserved and low-income population; and promoted the survey link via a QR code (e.g. printed and publicly posted large posters with the QR code) for ease of participation. Over a two-month period, a total of 647 Ulster County adult residents completed the community survey. The county-wide sample of 647 was also weighted by age, gender, reported race/ethnicity, and income to ensure statistical representativeness. In addition to participating in the Mid-Hudson Regional Community Health survey, a Community Partner Survey was also conducted by Siena College in the spring and early summer of 2022. The survey collected data from health and human services providers who serve underrepresented populations, including low-income, veterans, persons experiencing homelessness, the aging population, the LGBTQIA+ community, and people with a mental health diagnosis or those with a substance use disorder (SUD). HealthAlliance Hospital participated as a respondent among the final sample of 40. HealthAlliance Hospital also joined the Greater New York Hospital Association's (GNYHA) 2022 Community Health Needs Assessment (CHNA) Collaborative, which supported participating hospital members' primary data collection efforts to meet the requirements of the NYS CSP by gathering information on community health needs and engaging with community members. A diverse group of GNYHA member hospitals across the state participated in the Collaborative, including community and safety net hospitals, small health systems, and large academic medical centers. GNYHA developed the CHNA survey with members' input in multiple stages through a collaborative and iterative process, made the survey available in 11 languages on paper and online, collected the data and analyzed the results, and created custom reports for each participating hospital. The survey used validated questions from existing surveys such as the CDC, BRFSS (Behavioral Risk Factor Surveillance System), and the NYC Department of Health and Mental Hygiene's Community Health Survey (NYC CHS). Once the CHNA survey was designed, all recruitment activities were tasked among participating hospital members. HealthAlliance Hospital, along with other participating collaborative members, engaged and enlisted adult participants using similar strategies as the Mid-Hudson Regional Community Health survey mentioned above. The Collaborative efforts resulted in a final sample of more than 17,600 responses; 331 of which were from Ulster County. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The hospital informs the patient of the availability of charity care several ways: 1. notice is on every patient bill with an application on the back of the bill 2. on the hospital website 3. all members of the patient accounting department are trained to screen patients for charity care when discussing bills and concerns regarding inability to pay 4. fliers are posted in registration areas of the hospital 5. registration clerks will identify patients without a pay source and refer the patient to a financial counselor and hand the patient a financial assistance form 6. financial counselors assist patients in securing Medicaid and screen for charity care 7. the collection agencies that HAHV engages with are aware of the charity care policy and assist patients in applying up to 180 post-placement with them HealthAlliance is committed to: * providing access to quality healthcare services with compassion, dignity and respect for those we serve, particularly the poor and the underserved in our communities. * caring for all persons, regardless of their ability to pay for services. * assisting patients who cannot pay for part or all of the care they receive. * balancing needed financial assistance for some patients with broader fiscal responsibilities in order to sustain viability and provide the quality and quantity of services for all who may need care in a community. In accordance with American Hospital Association recommendations, HealthAlliance adopted the following guiding principles when handling the billing, collection and financial support functions for our patients: * provide effective communications with patients regarding hospital bills * make affirmative efforts to help patients apply for public and private financial support programs * offer financial support to patients with limited means * implement policies for assisting low-income patients in a consistent manner * implement fair and consistent billing and collection practices for all patients with patient payment obligations HealthAlliance effectively communicates with patients regarding patient payment obligations. Financial counseling is provided to patients about their payment obligation and hospital bills. Information on hospital-based financial support policies and external programs that provide coverage for services are made available to patients during the pre-registration and registration processes and in response to patients seeking financial assistance. Information regarding the financial assistance is also provided by the onsite financial counseling staff in both inpatient and outpatient areas. Patient accounting also supports the financial counseling program by providing patients with information and applications while handling customer service calls. Our financial counselors and county Medicaid workers also provide guidance regarding the financial assistance program when necessary. Financial assistance is available on the back of every hospital bill as well as the hospital website at www.hahv.org. Financial counselors make affirmative efforts to help patients apply for public and private programs for which they may qualify and that may help them obtain and pay for healthcare services. The patient does not need to have an account with the hospital; they just have to be in a situation in which they are in need of insurance coverage. 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. HealthAlliance offers financial support to patients with limited means. This support is available to uninsured and underinsured patients who do not qualify for public programs or other assistance. Notification about financial assistance, including contact information, is available through the hospital website, hospital posters and flyers, financial assistance applications and hospital statements. The financial assistance policy (FAP) and application are available on our website at https://www.hahv.org/financial-assistance and are supplied in both English and Spanish as well as plain language summary format. If additional assistance is needed, HealthAlliance offers translation services for patients. HealthAlliance has an established written policy for the billing, collection and support for patients with payment obligations. The organization makes every effort to adhere to the policy and is committed to implementing and applying the policy for assisting patients with limited means in a professional, consistent manner. Educated staff members work closely with patients (including those working in patient registration and admitting, financial assistance, customer service, billing and collections) about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance status or their ability to pay for services. All patient registration staff 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. HealthAlliance provides several options for patients who either do not have insurance coverage or who have inadequate insurance coverage. Our many programs have been very successful and many have taken advantage of our offerings. Financial counseling offers a patient the opportunity to speak to a financial counselor to determine what assistance can be accessible based on family income. Patients often shop around for the most economical healthcare and we offer price quotes. This allows the patient to know their financial obligation up front and understand the competitive pricing being offered. Despite millions of dollars of charity care distributed to needy patients every year, a consistent challenge is patients not utilizing the programs we offer. Often, they don't want to provide the necessary financial information to initiate the financial aid process. Continual outreach and education will be ongoing to minimize confusion and improve utilization. HealthAlliance is committed to providing the best possible healthcare and is very sensitive to low income patients' ability to pay. The call center offers the convenience of calling one telephone number for all billing inquiries regardless of which hospital the patient is calling about. Schedule H, Part VI, Line 4 Community information In 2022, HealthAlliance of the Hudson Valley, a member of the Westchester Medical Center Health Network (WMCHealth), operated a 315-hospital-bed health care system comprising HealthAlliance Hospital Mary's Avenue campus and HealthAlliance hospital Broadway campus in Kingston, NY, and the Margaretville Hospital in Margaretville, NY. It also operated Mountainside Residential Care Center, an 82-bed nursing home in Margaretville adjacent to Margaretville Hospital. In December 2022, HAH Mary's Avenue Campus and HAH Broadway Campus merged into one hospital at the Mary's Avenue location, completing a 113 million dollar expansion and enhancement. The HealthAlliance Broadway will be transformed into a Health Village for outpatient services. HealthAlliance is guided by the needs of its patients and their families. HealthAlliance delivers the best health care of the highest value in a safe, compassionate environment; invests in innovative technologies and leading-edge therapies to advance health care delivery; and improves the overall health and well-being of the diverse communities it serves. HealthAlliance defines its primary service area (PSA) by a federal definition that consists of the top 75% of hospital discharges from the lowest number of contiguous zip codes. Due to the geographical location of acute care hospitals under HealthAlliance, there are two distinct primary service areas that lie within Ulster and Delaware counties, though not encompassing all of each county. Although defined as two service areas, HealthAlliance regards it as a single primary service area for operational community need development. According to the 2020 Census, the population for Ulster County was 178,371 with populations concentrated in the cities of Kingston, New Paltz and Saugerties. Patients from adjacent counties also visit the hospital or one of our outpatient locations for services that may not be available in their respective communities. Ulster County's percentage of adult smokers from 2013 to 2016 decreased from 21.1% to 15.2%. In addition, Ulster County reported a higher percentage of cigarette smoking among those with poor mental health compared to those who indicated not having poor mental health (24.5% vs 15.2%). Although cigarette use has been decreasing over time, the use of electronic vapor products, also known as e-cigarettes, has increased dramatically. Ulster County is monitoring the use of vaping, especially among the young people of the county. According to the NYSDOH, the use of e-cigarettes among high school youth increased 160% over the past 4 years. The data show a surge in binge drinking, going from 10.5% of adults reporting binge drinking in 2013-2014, to more than double that at 22.2% in 2016. Ulster County continues to show the highest rates of binge drinking compared to the region and New York State. Lastly, authorities in Ulster County have recently been focusing attention on the increasing incidence of opioid-related overdoses and deaths. Overdoses have more than doubled in the most recent five-year span measured. Overdose deaths have increased 447% since 2010, and most deaths occur in those aged 18-44 years. Schedule H, Part VI, Line 5 Promotion of community health Please see narrative for Schedule H, Part V, Section B, Line 11 for a complete description of how the organization's hospital facilities further its exempt purposes by promoting the health of the community. In addition, the ongoing COVID-19 pandemic created a greater need and focus on community health care. HealthAlliance of the Hudson Valley and the WMCHealth Network continued the leading role in the Hudson Valley on the dissemination of information surrounding COVID-19, educating the community, providing community testing, and vaccination. In all of our efforts we focused on the hardest to reach individuals and communities. We coordinated closely in all of our COVID-19 messaging, outreach, and direct care with New York State Department of Health, Delaware County Department of Health, and Ulster County Department of Health, other hospitals, healthcare providers, and Federally Qualified Health Centers. We provided detailed and ongoing information and messaging for community organizations, employers, and municipal governments. We participated at all levels of governments and with numerous community organizations on COVID-19 planning, preparedness, and response efforts. Additionally, HAHV's clinical and community relations teams provide ongoing outreach, education and programming services to the communities it serves. HAHV participated in dozens of community events in 2022 which included such things as: hosting a wide variety of cancer support groups, providing bike helmet safety fittings, lending clinical expertise to community meetings and roundtables on health care issues (i.e. substance abuse, behavioral health care, pre-natal care, diabetes, etc.). Free health screenings were offered at public events including Prostate Cancer screening and Cervical Cancer screening. We also distributed information on public health issues such as Lyme Disease and Wound Care at numerous community events. Healthy cooking classes were offered to our patients and the communities to assist individuals in taking an active role in their ongoing health and wellness. HAHV also supports local charities in their mission of health and wellness in the communities. Schedule H, Part VI, Line 6 Affiliated health care system HealthAlliance of the Hudson Valley (HAHV) is the parent company to affiliate members HealthAlliance Mary's Avenue Campus, Broadway Campus, Margaretville Memorial Hospital, a rural critical access hospital and Mountainside Residential Care Center, a skilled nursing facility. This integrated healthcare system is committed to providing quality and compassionate medical care for our patients, their families and our community. In addition to service consolidation between the two Kingston hospitals, HAHV also committed to streamlining operations and improving care at the other affiliate locations. In September of 2020, the consolidation of HAHV Broadway Campus to the Mary's Ave Campus' operating license. The newly renovated, consolidated hospital opened at Mary's Ave in December of 2022. The Broadway campus will be transformed into a Health Village for outpatient services. On the reimagined Broadway campus, in the heart of Kingston, HealthAlliance will collaborate with community partners in the health village to provide preventative and primary care services in one convenient destination. Schedule H, Part VI, Line 7 State filing of community benefit report NY false false false false false false false false false GARY BRUDNICKI TRUSTEE/CFO 0 1556526 0 750000 0 27000 0 0 0 70137 0 2403663 0 0 MICHAEL DOYLE MD EXECUTIVE DIRECTOR & CMO 509142 0 109336 0 556 0 8115 0 586 0 627735 0 0 0 MICHAEL ISRAEL VICE CHAIR 0 2013987 0 1365000 0 27000 0 0 0 57096 0 3463083 0 0 JAMAL MAHDAVIAN MD PRESIDENT MEDICAL STAFF 0 630937 0 0 0 0 0 31700 0 12311 0 674948 0 0 JOSHUA RATNER TRUSTEE 0 791139 0 264950 0 12750 0 42700 0 37657 0 1149196 0 0 FALAK SHAH MD VP MEDICAL STAFF (EFFECTIVE JANUARY 2022) 0 646158 0 0 0 0 0 31700 0 28708 0 706566 0 0 JULIE SWITZER TRUSTEE/SECRETARY 0 776327 0 259280 0 27000 0 0 0 47287 0 1109894 0 0 JOSEPH MARSICOVETE FORMER CHIEF OPERATING OFFICER (RESIGNED JUNE 2021) 0 0 0 0 202304 0 0 0 0 0 202304 0 0 0 ELISSA WALISZEWSKI CHIEF OPERATING OFFICER - NORTHERN REGION 0 357908 0 0 0 0 0 20500 0 28962 0 407370 0 0 LOWELL FLEY ASSISTANT DIRECTOR, RADIOLOGY 207304 0 3000 0 120 0 3191 0 31000 0 244615 0 0 0 MICHAEL SCHAFF DIRECTOR OF PHARMACY 185845 0 0 0 96 0 4680 0 11490 0 202111 0 0 0 ELIZABETH STANZIONE PHARMACIST 177967 0 0 0 1524 0 4499 0 11670 0 195660 0 0 0 DEREK TOMPKINS CHIEF MRI TECHNOLOGIST 203646 0 0 0 108 0 5123 0 11490 0 220367 0 0 0 JANE ULRICH SR. VP OF NURSING 209189 0 0 0 1379 0 5273 0 23936 0 239777 0 0 0 15 9 Form 990, Part III, Line 2 New program services AS PART OF HA'S PLAN TO TRANSITION TO A SINGLE HOSPITAL CAMPUS IN KINGSTON, NEW YORK, AS APPROVED BY THE NYS DEPARTMENT OF HEALTH, THE MEDICARE PROVIDER NUMBER FOR THE BROADWAY HOSPITAL CAMPUS WAS MERGED INTO THE PROVIDER NUMBER FOR THE MARY'S AVE HOSPITAL CAMPUS. THE MAJORITY OF THE BROADWAY HOSPITAL CAMPUS PATIENT CARE SERVICES HAVE BEEN CONSOLIDATED INTO MARY'S AVE. HEALTHALLIANCE, INC, THE PARENT ORGANIZATION, WILL BE REDEVELOPING THE BROADWAY HOSPITAL CAMPUS INTO A "MEDICAL VILLAGE" FOCUSED ON PROVIDING CRITICAL OUTPATIENT SERVICES TO THE COMMUNITIES SERVED. Form 990, Part VI, Line 6 Classes of members or stockholders HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL ("HAH"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL AND HAS THE POWER TO ELECT AND APPOINT MEMBERS OF THE BOARDS OF DIRECTORS AND BOARD OFFICERS OF THE HOSPITALS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL DECISIONS WITH RELATION TO HEALTHALLIANCE HOSPITAL ARE MADE AT THE HEALTHALLIANCE, INC. BOARD LEVEL. THESE DECISIONS INCLUDE APPROVAL/REMOVAL OF CORPORATE OFFICERS, APPROVAL OF BYLAW AMENDMENTS, REVIEW OF ANNUAL CAPITAL AND OPERATING BUDGETS, REVIEW AND/OR MODIFICATION OF ANY CERTIFICATE OF NEED APPLICATIONS, REVIEW INCURRENCE OF DEBT AND DEVELOP AND IMPLEMENT JOINT MEDICAL STAFF APPOINTMENTS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATION'S FINANCE DEPARTMENT AND OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMCHEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) DISCLOSURE OF THE CONFLICT, 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT, 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE DETERMINATION OF THE CEO'S COMPENSATION INVOLVES THE ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A COMPENSATION STUDY/SURVEY. ONCE COMPLETED, THE FINDINGS AND RECOMMENDATIONS FROM THE CONSULTANT ARE BROUGHT TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. UPON THE COMMITTEE'S REVIEW AND APPROVAL, THE CEO'S EMPLOYMENT CONTRACT IS DEVELOPED. FOR OTHER TOP MANAGEMENT OFFICIALS, THE SAME PROCESS IS USED WITH THE EXCEPTION THAT THE FINDINGS ARE USED TO DEVELOP AND EXECUTE A LETTER OF EMPLOYMENT VERSUS A CONTRACT. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees CONTRACTED SERVICES - Total Expense: 22504869, Program Service Expense: 18699926, Management and General Expenses: 3804943, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 3194839, Program Service Expense: 3194839, Management and General Expenses: 0, Fundraising Expenses: 0; MANPOWER - Total Expense: 12238705, Program Service Expense: 12208099, Management and General Expenses: 30606, Fundraising Expenses: 0; OTHER FEES - Total Expense: 5417047, Program Service Expense: 1154743, Management and General Expenses: 4262304, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances ASSET IMPAIRMENT - -967173; TRANSFER TO RELATED PARTIES - 24486810; HOSPITAL CONSOLIDATION - -29425524; WMC HEALTH NETWORK - ROCKLAND INC 100 WOODS ROAD VALHALLA NY 10595 320467873 SUPPORTING NY 501(c)(3) NA false WMC HEALTH NETWORK - ULSTER INC 100 WOODS ROAD VALHALLA NY 10595 320477183 SUPPORTING NY 501(c)(3) WCHCC false WESTCHESTER COUNTY HEALTH CARE CORP 100 WOODS ROAD VALHALLA NY 10595 133964321 HEALTHCARE NY NA false WMC NEW YORK INC 100 WOODS ROAD VALHALLA NY 10595 134107894 FUNDRAISING NY 501(c)(3) WCHCC false NORTH ROAD LHCSA INC 100 WOODS ROAD VALHALLA NY 10595 465293268 HOMECARE SVCS NY 501(c)(3) 10 WCHCC false MID-HUDSON VALLEY EARLY EDUCATION CENTER 100 WOODS ROAD VALHALLA NY 10595 465534882 PRESCHOOL NY 501(c)(3) 10 WCHCC false WESTCHESTER MEDICAL CENTER FOUNDATION 100 WOODS ROAD VALHALLA NY 10595 134095845 FUNDRAISING NY 501(c)(3) 7 WCHCC false HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS 396 BROADWAY KINGSTON NY 12401 141349558 EXEMPT HOSP NY 501(c)(3) 3 HA INC false MARGARETVILLE MEMORIAL HOSPITAL 42084 STATE ROUTE 28 MARGARETVILLE NY 12455 150552726 EXEMPT HOSP NY 501(c)(3) 3 HA INC false MARGARETVILLE NURSING HOME INC 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 223143565 NURSING HOME NY 501(c)(3) 10 MMH false MARGARETVILLE HEALTH FOUNDATION 42084 STATE HIGHWAY 28 MARGARETVILLE NY 12455 261998454 SUPPORT FDN NY 501(c)(3) MMH false GOOD SAMARITAN FDN FOR BETTER HEALTH 255 LAFAYETTE AVE SUFFERN NY 10901 133400353 SUPPORT FDN NY 501(c)(3) 7 BSCHSI false BON SECOURS COMMUNITY HOSPITAL FDN 255 LAFAYETTE AVE SUFFERN NY 10901 810667395 SUPPORT FDN NY 501(c)(3) 7 BSCHSI false BON SECOURS WARWICK HEALTH FOUNDATION 255 LAFAYETTE AVE SUFFERN NY 10901 141972807 SUPPORT FDN NY 501(c)(3) 7 BSCHSI false BON SECOURS CHARITY HEALTH SYSTEM INC 255 LAFAYETTE AVE SUFFERN NY 10901 912135195 SUPPORTING NY 501(c)(3) Type III-FI WCHCC false HEALTH ALLIANCE INC 105 MARYS AVENUE KINGSTON NY 12401 261850453 SUPPORTING NY 501(c)(3) WCHCC false HEALTHALLIANCE FOUNDATION INC 105 MARYS AVENUE KINGSTON NY 12401 222511450 FUNDRAISING NY 501(c)(3) 7 HA INC false HUDSON RIVER WEST INSURANCE LIMITED 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ CAP INSURANCE CJ BSCHSI C Corporation false HUDSON RIVER NORTH INSURANCE LIMITED 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ CAP INSURANCE CJ HA Inc C Corporation false NORTHEAST PROVIDER SOLUTIONS INC 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING NY NA C Corporation false WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFF NY NA C Corporation false WCHCC (BERMUDA) LIMITED VICTORIA HALL 11 VICTORIA STREET HAMILTON BD CAP INSURANCE BD NA C Corporation false KINGSTON REGIONAL HEALTH CARE ENTERPRISE 105 MARYS AVENUE KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY C Corporation false MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY NA C Corporation false BSCHS MEDICAL GROUP PC 10 FRANKLIN TURNPIKE MAHWAH NJ 07430 821632215 PHYSICIAN OFF NJ BSCHSI C Corporation false false false false false false false false false false false false false false false false false false false false Schedule R, Part II BON SECOURS CHARITY HEALTH SYSTEM, INC. (BSCHS) HEALTHALLIANCE HOSPITAL MARY'S AVE CAMPUS HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS.