2013-02-01T15:42:31-06:00 2011-12-31 HUR SANDY FEMA 4085-DR Charles A Barragato & Co LLP 950 Third Avenue - 20th FL New York NY 10022 990 2011-01-01 141349558 The Kingston Hospital % DAVID SCARPINO KING 8459436033 396 BROADWAY KINGSTON NY 12401 David Scarpino 2013-01-17 true Angelo Pirozzi CPA 2123714446 2011 2016-02-25 16:41:14Z DAVID LUNDQUIST 396 BROADWAY KINGSTON NY 12401 115920372 false X www.hahv.org/kingstonhospital X 1891 NY 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. 9 7 1189 123 0 1221294 1386803 104227573 111660500 228648 111163 2895857 2641912 108573372 115800378 0 0 0 0 49105834 55860410 0 0 0 54676972 57215398 103782806 113075808 4790566 2724570 97112511 99270614 58220157 70689544 38892354 28581070 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. false false 93520122 0 113393850 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 2011, The Kingston Hospital recorded 45,871 patient days, 45,341 Emergency Room visits and 2,637 Surgeries (IP & 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 2011 were approximately 41,468. 93520122 true true false true false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false false true 91 0 true 1189 true false false false false false false false false false false X 9 7 false false false false true true true true true false false true true true true true true true true false NY X DAVID SCARPINO 8459436033 741 GRANT AVE LAKE KATRINE NY 12449 X Thomas Jacobi 1.0 X X 0 0 0 Stephanie Murphy 1.0 X X 0 0 0 Joseph Christiana 1.0 X X 0 0 0 Thomas Collins 1.0 X 0 0 0 Judith Greenfield 1.0 X 0 0 0 Mark Josefski MD 1.0 X 0 0 0 Donald Louie MD 1.0 X 0 0 0 Donna Moss MD 1.0 X 0 0 0 Ronald Myers 1.0 X 0 0 0 Robert Seidman 18.0 X X 0 265773 26428 David Lundquist 16.5 X 548683 0 15558 David Scarpino 16.0 X 278269 0 18898 Frank Ehrlich MD 17.5 X 306565 0 7911 Charles Flinn 17.5 X 273569 0 11149 Joseph Marsicovete 18.75 X 232753 0 170 Joshua Ratner 19.0 X 206851 0 17048 Margo McGilvrey 19.0 X 204321 0 14385 Steven Haas 17.0 X 207295 0 17331 John Finch 17.25 X 0 219141 24572 Dennis Pignato 12.0 X 187433 0 12136 Greg Howard 24.7 X 181350 0 16976 Sandra Horan 19.0 X 171195 0 9100 Kathleen Lunney 20.7 X 162361 0 3910 Priti Shah 28.85 X 154460 0 18222 3115105 484914 213794 39 false true false Nistel Inc PO Box 544 LAKE KATRINE NY 12449 Staffing Agency 2944665 Institute for Urban Family Health 22 W 19th Street 8th Floor NEW YORK NY 10011 Physicians 2400994 Laboratory Corporation of America 20 Johnson Drive RARITAN NJ 08869 Laboratory Services 2600000 Orthopedic Associates of Dutchess C 1910 South Road POUGHKEEPSIE NY 12601 Physicians 946025 Stat Staff Professionals Inc PO Box 823424 PHILADELPHIA PA 191823424 Staffing Agency 826357 20 1312985 73818 1386803 NET PATIENT SERV. REVENUE 621300 111660500 111660500 111660500 93410 93410 0 0 348665 348665 348665 348665 135972 1775 119994 0 15978 1775 17753 17753 0 0 0 CONTRACTED SERVICES 900099 1718132 1718132 OTHER REVENUE 900099 575115 15218 559897 2293247 115800378 113393850 1019725 0 0 0 0 2360756 0 2360756 0 0 42690921 35280135 7410786 0 539355 461544 77811 0 6849779 5466747 1383032 0 3419599 2734061 685538 0 0 150147 0 150147 0 219800 0 219800 0 0 0 0 7607490 6907421 700069 0 182858 0 182858 0 2471305 1450881 1020424 0 0 0 1130886 937875 193011 0 138347 60731 77616 0 0 77451 70559 6892 0 880499 0 880499 0 0 5649198 5649198 0 0 1232241 1213392 18849 0 MEDICAL SUPPLIES 13628203 13584492 43711 0 PURCHASED SERVICES 7590689 6082201 1508488 0 BAD DEBT 7096825 7096825 0 0 NISTEL EXPENSES 3257885 3257885 0 0 5901574 3266175 2635399 113075808 93520122 19555686 0 14766879 13499001 4037093 4077782 115749 107616 11499691 11852010 0 0 0 0 0 0 1713057 1778099 1223010 826797 126584130 84522743 43088539 42061387 547775 479642 0 0 0 0 0 0 20120718 24588280 97112511 99270614 11526299 14376740 0 0 413940 792752 12500000 11905000 0 0 0 0 9771275 10727449 0 0 24008643 32887603 58220157 70689544 X 37887010 27213721 416499 778504 588845 588845 38892354 28581070 97112511 99270614 X 2724570 -13035854 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 4903 false true 11693 16596 false false PART II-B, LINE 1I - OTHER ACTIVITIES DESCRIPTION The Kingston Hospital pays dues to The Healthcare Association of New York State (HANYS). In accordance with section 6033 (e) of the Internal Revenue Code, and as reported by HANYS, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2011 HANYS annual dues was $11,693. Additionally, the organization has a contract with a lobbyist who was engaged to lobby legislators on behalf of the organization regarding policies which impact the organization's exempt purpose and which pertain to public health care. During 2011 The Kingston Hospital paid $4,903 in connection with these services. 588845 588845 588845 588845 513845 75000 588845 513845 513845 1.00000 false true true 1389152 1389152 61388258 33102729 28285529 4532492 4247691 284801 39610289 33505681 6104608 19663939 13666642 5997297 42061387 INTEREST IN NA- TKH FOUNDATION 2227571 DUE FROM RELATED PARTIES 15390516 DUE FROM THIRD PARTIES 1286608 OTHER RECEIVABLE 91935 INSURANCE RECEIVABLE - LT 5591650 24588280 0 POST RETIREMENT/SUPPLE. EXEC. PLANS 2296613 OTHER NONCURRENT LIABILITIES 3663542 DUE TO THIRD PARTY PAYORS 15532453 DUE TO RELATED PARTIES 6001603 INSURANCE LIABILITY - LONG-TERM 5393392 32887603 PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND 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. true true X true X true X true true false true true 2983961 2342290 641671 0.00610 13981465 11482210 2499255 0.02360 16965426 13824500 3140926 0.02970 69252 69252 0.00070 2483300 1562296 921004 0.00870 17841110 14125203 3715907 0.03510 900 900 20394562 15687499 4707063 0.04450 37359988 29511999 7847989 0.07420 true 7096825 41246278 32791063 8455215 X true true 1 1 The Kingston Hospital

396 Broadway Kingston NY 12401

X X X The Kingston Hospital 1 true true 100 true 300. true X X X true true X X X X X true false true X false false PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY The Kingston Hospital's costing methodology was based upon the 2011 New York State Institutional Cost Report and the 2011 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 4 - BAD DEBT EXPENSE A/F/S Footnote - Receivables for Patient Care and Allowances for Doubtful Accounts: Patient accounts receivable result from the health services provided by the Hospital. Additions to the allowance for doubtful accounts are recorded to the provision for bad debts. Accounts written-off as uncollectible are deducted from the allowance for doubtful accounts. The amount of the allowance for doubtful accounts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. A/F/S Footnote - Charity Care: Federal and state law requires that hospitals provide emergency services regardless of a patient's ability to pay. Uninsured patients seen in the emergency department, including patients subsequently admitted for inpatient services, often do not provide information necessary to allow the Hospital to qualify such patients for charity care. Uncollectible amounts due from such uninsured patients represent a portion of the provision for bad debts reflected in the accompanying consolidated statements of operations. Uncompensated care reported as provision for bad debts for the years ended December 31, 2011 and 2010 approximated $7.1 million and $6.4 million, respectively. Bad debt expense per the audited financial statement is $7,096,825. PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT The amount reported on Line 6 was derived by using the Medicare allowable costs as reported on the Hospital's New York State Institutional Cost Report and the applicable adjustments from Worksheet B. 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 FY11, 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 2011, 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 Medicaid vendor and county Medicaid workers also provide guidance regarding the financial assistance program when necessary. Information regarding the financial assistance program is provided by the collection agency working with our patient accounting department as well. 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 Medicaid eligibility representatives through ACH and also has representatives from Fidelis Insurance Company on site 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, in hospital welcome packages located in patient rooms, 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 (305 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 2011, 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 has 127 on their active service list with 123 volunteers contributing their time in 2011. 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 2011, for TKH, this included nearly $2.4 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, TVs with VCR/DVD 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 Dia STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI NY, X X X X X false false false false false false false false false Robert Seidman 0 256616 0 0 0 9157 0 13720 0 12708 0 292201 0 0 David Lundquist 533119 0 0 0 15564 0 8973 0 6585 0 564241 0 0 0 David Scarpino 271898 0 0 0 6371 0 6875 0 12023 0 297167 0 0 0 Frank Ehrlich MD 292177 0 0 0 14388 0 0 0 7911 0 314476 0 0 0 Charles Flinn 268416 0 0 0 5153 0 6611 0 4538 0 284718 0 0 0 Joseph Marsicovete 221172 0 0 0 11581 0 0 0 170 0 232923 0 0 0 Joshua Ratner 202057 0 0 0 4794 0 5375 0 11673 0 223899 0 0 0 Margo McGilvrey 197841 0 0 0 6480 0 5000 0 9385 0 218706 0 0 0 Steven Haas 201479 0 0 0 5816 0 5082 0 12249 0 224626 0 0 0 John Finch 0 210860 0 0 0 8281 0 12232 0 12340 0 243713 0 0 Dennis Pignato 181738 0 0 0 5695 0 3796 0 8340 0 199569 0 0 0 Greg Howard 176459 0 0 0 4891 0 4453 0 12523 0 198326 0 0 0 Sandra Horan 164784 0 0 0 6411 0 4153 0 4947 0 180295 0 0 0 Kathleen Lunney 156399 0 0 0 5962 0 3910 0 0 0 166271 0 0 0 Priti Shah 153928 0 0 0 532 0 4086 0 14136 0 172682 0 0 0 Ulster County Capital Resource Corporation 273282033 2010-12-29 12500000 see part VI false false false 595000 0 12500000 0 0 0 250000 0 0 4067217 0 0 1999 true true false true 0 false false false 0 false false false 0 false false PART I, COL (F) - DESCRIPTION OF PURPOSE 0 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. MARK JOSEFSKI MD CURRENT TRUSTEE 2100000 PHYSICIAN RESIDENCY CONTRACT false PART IV 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 $2,100,000 for the contract in 2011. 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 CONFLICTS 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 EQUITY TRANSFER TO RELATED ORGANIZATIONS. . . . . . . $ -12,756,641. CHANGE IN POSTRETIREMENT BENEFITS . . . . . . . . . . -610,927. CHANGE IN NA OF THE KINGSTON HOSPITAL FOUNDATION. . . 362,005. NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS . . . . -30,291. TOTAL $ -13,035,854. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Thomas Jacobi TITLE:Chairman HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Stephanie Murphy TITLE:Treasurer thru 6/30/11 HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joseph Christiana TITLE:Med Staff - Quality HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Thomas Collins TITLE:Trustee HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Judith Greenfield TITLE:Trustee HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mark Josefski, MD TITLE:Trustee HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Donald Louie, MD TITLE:VP Med Staff HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Donna Moss, MD TITLE:Trustee HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ronald Myers TITLE:Trustee from 9/1/11 HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert Seidman TITLE:Chief Admin Officer HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Lundquist TITLE:Chief Executive Officer HOURS:21 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Scarpino TITLE:Chief Financial Officer HOURS:22 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Frank Ehrlich, MD TITLE:Chief Medical Officer HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Charles Flinn TITLE:Chief Operating Officer HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joseph Marsicovete TITLE:Chief Quality Officer HOURS:19 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joshua Ratner TITLE:Chief Strategy Officer HOURS:19 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Margo McGilvrey TITLE:Chief Nursing Officer HOURS:19 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Steven Haas TITLE:VP of Finance HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Finch TITLE:Chief Inf. & Comm. Officer HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dennis Pignato TITLE:VP of Support Services HOURS:26 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Greg Howard TITLE:VP of Human Resources HOURS:13 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sandra Horan TITLE:Executive Director HOURS:19 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kathleen Lunney TITLE:VP of Nsg. Services HOURS:17 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Priti Shah TITLE:Director of Pharmacy HOURS:9 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 The Kingston Hospital Foundation 745 Grant Avenue Lake Katrine NY 12449 222511450 SUPPORT FOUND NY 501(c)(3) 7 na false Kingston Regional Senior Living Corp 396 Broadway Kingston NY 12401 300164277 OPERATE CCRC NY 501(c)(3) 9 KCSC false Margaretville Memorial Hospital 42084 State Route 28 Margaretville NY 12455 150552726 EXEMPT HOSP NY 501(c)(3) 3 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 Benedictine Medical PC 105 Marys Avenue Kingston NY 12401 141764537 INACTIVE NY 501(c)(3) 11A BENEDICTINE false Margaretville Health Foundation 42084 State Highway 28 Margaretville NY 12455 261998454 SUPPORT FOUND NY 501(c)(3) 11A MMH false ULSTER RADIATION & ONCOLOGY CENTER 117 MARYS AVENUE KINGSTON NY 12401 RADIATION ONCOLOG NY NA RELATED 0 0 false 0 false COMPREHENSIVE SUPPORT SERVICES LLC 45 PINE GROVE AVENUE KINGSTON NY 12401 141805027 DIAGNOSTIC IMAGIN NY NA RELATED 0 0 false 0 false MULTI PROVIDER SUPPORT SERVICES LLC 105 MARYS AVENUE KINGSTON NY 12401 141811898 OFFICE SUPPORT NY NA RELATED 0 0 false 0 false MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SERVICES NY NA C CORP 2709767 2347522 0.50000 Kingston Regional Health Care Enterprise 396 Broadway Kingston NY 12401 161514994 RE INVESTMENT NY NA C CORP 55650 434969 1.00000 false false true false false false false false true false false true false true true true true true