2022-11-11T12:01:58-06:00 2021-12-31 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW WASHINGTON DC 20005 990 2021-01-01 141349558 HealthAlliance Hospital Broadway Campus % ERIN NAGY DIRECTOR OF FINAN HEAL 8459436084 396 Broadway Kingston NY 12401 DR MICHAEL DOYLE EXECUTIVE DIR./CMO 8459436024 2022-11-10 true DR MICHAEL DOYLE XXX-XX-XXXX justin lowe P01866796 2023276000 2022-11-08 2 2021 2022-09-23 18:48:47Z DR Michael Doyle 396 Broadway Kingston NY 12401 0 false X https://www.hahv.org X 1891 NY PROVIDE HIGH QUALITY HEALTHCARE, WITH COMPASSION AND COMPETENCE, TO PERSONS WHO LIVE, WORK, AND VISIT THE COMMUNITIES SERVED. 16 9 547 13 0 19856872 0 70084364 0 66895 0 1802318 0 91810449 0 0 0 0 0 62059457 0 0 0 0 40929064 0 102988521 0 -11178072 0 33229896 28481462 47459651 42711217 -14229755 -14229755 X THE MISSION OF HEALTHALLIANCE BROADWAY CAMPUS IS TO PROVIDE, THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN OUR, COMMUNITIES. false true SEE SCHEDULE O 0 true false false false false false false false false true true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 4 0 true 547 true false false false false false false false false false false false false X 16 9 false false false false true true true true true false false true true true true true true true true false NY X ERIN NAGY DIRECTOR OF FINAN 8459436024 105 MARYS AVENUE KINGSTON NY 12401 Michael Israel VICE CHAIR 1.0 39.0 X 0 3408429 68425 Gary Brudnicki TRUSTEE 1.0 39.0 X X 0 2321755 60979 Julie Switzer TRUSTEE 1.0 39.0 X 0 1021437 43120 Joshua Ratner Trustee 1.0 39.0 X 0 854106 74122 Michael Doyle Executive Director & CMO 20.0 20.0 X X 0 593697 7498 Jamal Mahdavian MD PRES. OF Medical Staff/TRUSTEE 1.0 2.0 X 0 508492 43105 William Frishman MD TRUSTEE 1.0 39.0 X 0 461043 27751 Joseph Marsicovete COO (RESIGNED 6/21) 20.0 20.0 X 0 320958 10343 John Heimerdinger TRUSTEE 1.0 7.0 X 0 0 0 Jerome Simonetty TRUSTEE 1.0 2.0 X 0 0 0 Richard Wishnie VICE CHAIR 1.0 5.0 X 0 0 0 Carey Wagner TRUSTEE (thru 9/21) 1.0 4.0 X 0 0 0 Beth Stefanchik DO Trustee 1.0 2.0 X 0 0 0 John Bonavita-Goldman MD TRUSTEE 1.0 3.0 X 0 0 0 J Christopher Smailer TRUSTEE 1.0 3.0 X 0 0 0 Stephanie Turco TRUSTEE 1.0 2.0 X 0 0 0 Thomas Collins CHAIR 1.0 4.25 X 0 0 0 Craig Sickler TREASURER 1.0 2.0 X 0 0 0 0 9489917 335343 0 false true false 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 2409189 0 4338027 4854741 341523 265083 1251762 -23802 0 0 0 0 0 0 1924767 2053352 639454 757110 143450021 123723219 21482768 19726802 693813 763497 0 0 0 0 0 0 148593 84679 33229896 28481462 20804666 19022512 0 0 533633 533633 0 0 0 0 0 0 2194101 1497043 0 0 23927251 21658029 47459651 42711217 X -14623475 -14229755 393720 0 -14229755 -14229755 33229896 28481462 0 X false true X true false X 713348 73656 7391 779613 653733 66208 6593 713348 570855 97024 14146 653733 617235 0 -32769 0 0 13611 570855 556971 75670 15406 617235 1.00000 true false 1065048 1065048 64242528 49296471 14946057 2300258 2298039 2219 69805414 68152578 1652836 6036773 3976131 2060642 19726802 0 DUE TO RELATED PARTIES/AFFILIATES -9578712 DUE TO THIRD PARTY PAYORS 24779064 OTHER NON-CURRENT LAIBILITIES 5178872 POST RETIREMENT BENEFITS 1214058 LEASE LAIBILITIES 64747 21658029 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THESES 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 BROADWAY CAMPUS. true false false false false false false false false Michael Israel VICE CHAIR 0 2017429 0 1365000 0 26000 0 0 0 68425 0 3476854 0 0 Gary Brudnicki TRUSTEE 0 1545755 0 750000 0 26000 0 0 0 60979 0 2382734 0 0 Julie Switzer TRUSTEE 0 748503 0 246934 0 26000 0 0 0 43120 0 1064557 0 0 William Frishman MD TRUSTEE 0 424343 0 0 0 36700 0 0 0 27751 0 488794 0 0 Joshua Ratner Trustee 0 657082 0 197024 0 0 0 40600 0 33522 0 928228 0 0 Michael Doyle Executive Director & CMO 0 481125 0 112036 0 536 0 7250 0 248 0 601195 0 0 Joseph Marsicovete COO (RESIGNED 6/21) 0 142774 0 0 0 178184 0 4028 0 6315 0 331301 0 0 Jamal Mahdavian MD PRES. OF Medical Staff/TRUSTEE 0 508492 0 0 0 0 0 30700 0 12405 0 551597 0 0 Schedule J, Part I, Line 3 The organization's Executive Director/cmo received compensation from a RELATED organization. In order to establish compensation payments, the related organization typically completes a compensation study or engages an independent consultant. The results of said study or consultant's findings are implemented into a written employment contract. All actions above are approved by the Board of Directors / Compensation Committee prior to finalization. Schedule J, Part I, Line 4a JOSEPH MARSICOVETE, FORMER CHIEF OPERATING OFFICER FOR HEALTHALLIANCE, INC., RECEIVED SEVERANCE PAYMENTS OF $171,342 IN 2021 FROM A RELATED ORGANIZATION. FORM 990, PART III, LINE 3 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 HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS. FORM 990, PART VI, LINE 7A HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE HOSPITAL: BROADWAY CAMPUS AND HAS THE POWER TO ELECT AND APPOINT MEMBERS OF THE BOARDS OF DIRECTORS AND BOARD OFFICERS OF THE HOSPITALS. FORM 990, PART VI, LINE 7B ALL DECISIONS WITH RELATION TO THE BROADWAY CAMPUS ARE MADE AT THE HEALTHALLIANCE, INC. BOARD LEVEL. THESE DECISIONS INCLUDE APPROVAL/REMOVAL OF CORPORATE OFFICERS, APPROVAL OF BYLAW AMENDMENTS, REVIEW OF ANNUAL CAPITAL AND OPERATING BUDGETS, REVIEW AND/OR MODIFICATION OF ANY CON APPLICATIONS, REVIEW INCURRENCE OF DEBT AND DEVELOP AND IMPLEMENT JOINT MEDICAL STAFF APPOINTMENTS. FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY 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, LINES 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMCHEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) DISCLOSURE OF THE CONFLICT, 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT, 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT. FORM 990, PART VI, LINES 15A & 15B THE DETERMINATION OF THE CEO'S COMPENSATION INVOLVES THE ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A COMPENSATION STUDY/SURVEY. ONCE COMPLETED, THE FINDINGS AND RECOMMENDATIONS FROM THE CONSULTANT ARE BROUGHT TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. UPON THE COMMITTEE'S REVIEW AND APPROVAL, THE CEO'S EMPLOYMENT CONTRACT IS DEVELOPED. FOR OTHER TOP MANAGEMENT OFFICIALS, THE SAME PROCESS IS USED WITH THE EXCEPTION THAT THE FINDINGS ARE USED TO DEVELOP AND EXECUTE A LETTER OF EMPLOYMENT VERSUS A CONTRACT. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. WMC HEALTH NETWORK - ROCKLAND INC 100 WOODS ROAD VALHALLA NY 10595 320467873 SUPPORTING NY 501(C)(3) 12A NA false WMC HEALTH NETWORK - ULSTER INC 100 WOODS ROAD VALHALLA NY 10595 320477183 SUPPORTING NY 501(C)(3) 12A WCHCC false WESTCHESTER COUNTY HEALTH CARE CORP 100 WOODS ROAD VALHALLA NY 10595 133964321 HEALTHCARE NY 115 N/A NA false WMC NEW YORK INC 100 WOODS ROAD VALHALLA NY 10595 134107894 FUNDRAISING NY 501(C)(3) 12A WCHCC false NORTH ROAD LHCSA INC 100 WOODS ROAD VALHALLA NY 10595 465293268 HOMECARE SVCS NY 501(C)(3) 10 WCHCC false MID-HUDSON VALLEY EARLY EDUCATION CENTER 100 WOODS ROAD VALHALLA NY 10595 465534882 PRESCHOOL NY 501(C)(3) 7 WCHCC false WESTCHESTER MEDICAL CENTER FOUNDATION 100 WOODS ROAD VALHALLA NY 10595 134095845 FUNDRAISING NY 501(C)(3) 7 WCHCC false HEALTHALLIANCE INC 741 GRANT AVENUE LAKE KATRINE NY 12449 261850453 SUPPORTING NY 501(C)(3) 12A WCHCC false HEALTHALLIANCE HOSP MARY'S AVE CAMPUS 105 MARYS AVENUE KINGSTON NY 12401 141338470 EXEMPT HOSP NY 501(C)(3) 3 HA INC 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) 12A 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) 12C, III-FI WCHCC false HealthAlliance Foundation Inc 741 GRANT AVENUE LAKE KATRINE NY 12449 222511450 FUNDRAISING NY 501(C)(3) 7 HA INC false HUDSON RIVER WEST INSURANCE limited 23 LIME TREE BAY AVE po box CJ ky1-1102 CAP INSURANCE CJ BSCHSI C CORP false Hudson River North insurance Limited 23 LIME TREE BAY AVE po box CJ ky1-1102 CAP INSURANCE CJ HEALTHALLIANCE C CORP false NORTHEAST PROVIDER SOLUTIONS INC 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING NY NA c corp false WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFF NY NA c corp false WCHCC (BERMUDA) LIMITED 11 VICTORIA STREET HAMILTON BD CAP INSURANCE BD NA c corp false kingston regional health care enterprise 396 BROADWAY KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY c corp 643555 0 1.00000 true MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY na c corp false bschs medical group pc 10 franklin turnkpike mahwah NJ 07430 821632215 PHYSICIAN OFF NJ bschs c corp false false false false false false false false false false true false false true false true true true false false SCHEDULE R, PART II, Bon Secours Charity Health System, Inc. (BSCHS) HealthAlliance Hospital Broadway Campus has a brother-sister relationship with BSCHS's six subordinates in a group exemption within BSCHS.