Civic Intelligence

Healthalliance Hospital Mary'S Avenue Campus

EIN 14-1338470 • 501(c)3 • Kingston, NY

Profile

The mission of the healthalliance hospital mary's avenue campus is to provide the highest quality health care services to all people in our communities.

105 Marys AvenueKingston, NY 12401

www.hahv.org/marys-ave-campus

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

92nd percentile

1.43x

Higher debt load relative to assets than 92% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

85th percentile

1.36x

Higher debt load relative to revenue than 85% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Net Margin

11th percentile

-21%

Higher net margin than 11% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

84th percentile

$3,408,373

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 1.8% of source-year revenue.

NTEE E • $100M-$250M nonprofits • Source year 2024

Asset Growth

29th percentile

-0.3%

Faster asset growth than 29% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

16th percentile

-1.2%

Faster revenue growth than 16% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$180,012,411

Down $593,789 (-0.3%) from 2023

Liabilities

Up

$258,070,835

Up $89,612,386 (+53%) from 2023

Net Assets

Down

-$78,058,424

Down $90,206,175 (-743%) from 2023

Revenue

Down

$189,424,895

Down $2,346,917 (-1.2%) from 2023

Expenses

Up

$229,667,506

Up $11,003,332 (+5.0%) from 2023

Net Income

Down

-$40,242,611

Down $13,350,249 (-50%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0-$100MAssets 2011: $60,165,062Liabilities 2011: $45,639,197Net Assets 2011: $14,525,8652011Assets 2012: $57,310,182Liabilities 2012: $44,386,925Net Assets 2012: $12,923,2572012Assets 2013: $52,461,624Liabilities 2013: $38,844,087Net Assets 2013: $13,617,5372013Assets 2014: $48,324,193Liabilities 2014: $34,319,544Net Assets 2014: $14,004,6492014Assets 2015: $39,960,855Liabilities 2015: $31,805,595Net Assets 2015: $8,155,2602015Assets 2016: $39,443,510Liabilities 2016: $36,493,563Net Assets 2016: $2,949,9472016Assets 2017: $38,537,866Liabilities 2017: $41,485,180Net Assets 2017: -$2,947,3142017Assets 2018: $38,128,586Liabilities 2018: $43,852,665Net Assets 2018: -$5,724,0792018Assets 2019: $39,038,683Liabilities 2019: $36,542,780Net Assets 2019: $2,495,9032019Assets 2020: $55,047,780Liabilities 2020: $48,032,529Net Assets 2020: $7,015,2512020Assets 2021: $117,788,749Liabilities 2021: $71,770,933Net Assets 2021: $46,017,8162021Assets 2022: $171,215,836Liabilities 2022: $129,969,881Net Assets 2022: $41,245,9552022Assets 2023: $180,606,200Liabilities 2023: $168,458,449Net Assets 2023: $12,147,7512023Assets 2024: $180,012,411Liabilities 2024: $258,070,835Net Assets 2024: -$78,058,4242024

Highlighted filing

2024

Assets$180,012,411
Liabilities$258,070,835
Net Assets-$78,058,424

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0-$100MExpenses 2011: $72,728,0082011Expenses 2012: $69,793,9212012Revenue 2013: $60,282,148Expenses 2013: $72,492,986Net Income 2013: -$12,210,8382013Revenue 2014: $60,930,170Expenses 2014: $67,796,114Net Income 2014: -$6,865,9442014Revenue 2015: $54,735,564Expenses 2015: $64,327,112Net Income 2015: -$9,591,5482015Revenue 2016: $52,291,313Expenses 2016: $61,455,246Net Income 2016: -$9,163,9332016Revenue 2017: $56,951,696Expenses 2017: $62,851,293Net Income 2017: -$5,899,5972017Revenue 2018: $61,574,755Expenses 2018: $64,276,827Net Income 2018: -$2,702,0722018Revenue 2019: $76,125,945Expenses 2019: $67,658,666Net Income 2019: $8,467,2792019Revenue 2020: $98,947,944Expenses 2020: $93,588,893Net Income 2020: $5,359,0512020Revenue 2021: $219,708,301Expenses 2021: $180,746,679Net Income 2021: $38,961,6222021Revenue 2022: $200,426,311Expenses 2022: $199,141,704Net Income 2022: $1,284,6072022Revenue 2023: $191,771,812Expenses 2023: $218,664,174Net Income 2023: -$26,892,3622023Revenue 2024: $189,424,895Expenses 2024: $229,667,506Net Income 2024: -$40,242,6112024

Highlighted filing

2024

Revenue$189,424,895
Expenses$229,667,506
Net Income-$40,242,611

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$180$258$78.1$189$230$40.2
2023Summary only. Only limited summary data is available for this year.$181$168$12.1$192$219$26.9
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$171$130$41.2$200$199$1.28
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$118$71.8$46.0$220$181$39.0
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$55.0$48.0$7.02$98.9$93.6$5.36
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.0$36.5$2.50$76.1$67.7$8.47
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.1$43.9$5.72$61.6$64.3$2.70
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$38.5$41.5$2.95$57.0$62.9$5.90
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.4$36.5$2.95$52.3$61.5$9.16
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$40.0$31.8$8.16$54.7$64.3$9.59
2014Detailed filing. Detailed filing data is available for this year.$48.3$34.3$14.0$60.9$67.8$6.87
2013Summary only. Only limited summary data is available for this year.$52.5$38.8$13.6$60.3$72.5$12.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$57.3$44.4$12.9$69.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$60.2$45.6$14.5$72.7
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 13, 2023
Return Version
2022v5.0
Gross Receipts
$200,633,334
Mission and Program Overview

Mission

THE MISSION OF HEALTHALLIANCE HOSPITAL MARY'S AVENUE IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL PEOPLE IN THE COMMUNITIes we serve.

The mission of healthalliance hospital is to provide the highest quality health care services to all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$83,939,253$135,632,242▲ $51,692,989
Accounts Receivable$15,816,827$16,721,977▲ $905,150
Investments in Publicly Traded Securities$4,605,361$3,839,599▼ $765,762
Inventories for Sale or Use$28,790$2,195,212▲ $2,166,422
Cash and Non-Interest-Bearing Accounts$3,187,096$1,977,138▼ $1,209,958
Prepaid Expenses and Deferred Charges$1,442,942$1,647,139▲ $204,197
Savings and Temporary Cash Investments$0$647,136▲ $647,136
Other Notes and Loans Receivable, Net$0--
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$117,788,749$171,215,836▲ $53,427,087
Other Assets Total$8,768,480$8,555,393▼ $213,087
Liabilities
Other Liabilities$38,340,920$62,438,628▲ $24,097,708
Accounts Payable and Accrued Expenses$23,696,597$56,181,937▲ $32,485,340
Mortgage Notes Payable Secured by Investment Property$5,536,495$6,317,413▲ $780,918
Deferred Revenue$4,196,921$5,031,903▲ $834,982
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$71,770,933$129,969,881▲ $58,198,948
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$45,983,401$40,817,820▼ $5,165,581
Net Assets With Donor Restrictions$34,415$428,135▲ $393,720
Total Net Assets Fund Balance$46,017,816$41,245,955▼ $4,771,861
Total Liabilities and Net Assets / Fund Balance$117,788,749$171,215,836▲ $53,427,087

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$34,726,804$120,961,594$155,688,398
Buildings$94,454,419$40,775,985$135,230,404
Other Land Buildings$6,127,426$7,106,876$13,234,302
Leasehold Improvements$12,802$2,613,246$2,626,048
Land$310,791-$310,791

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2022$0$779,613▼ $125,596-$647,136
2021$0-→ $0-$0
2020$0---$0
2019$0---$0
2018$0---$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Executive Director & CMOPT$509,142$118,593$627,735
-Assistant Director, RadiologyFT$207,304$37,311$244,615
-Sr. VP of NursingFT$209,189$30,588$239,777
-Chief Mri TechnologistFT$203,646$16,721$220,367
-Former Chief Operating Officer (resigned June 2021)FT$202,304$202,304$202,304
-Director of PharmacyFT$185,845$16,266$202,111
-PharmacistFT$177,967$17,693$195,660

Board Members and Trustees

NameTitle
-Chair
-President Medical Staff
-Vice Chair
-Trustee
-Trustee/CFO
-Trustee/secretary
-Chief Operating Officer - Northern Region
-VP Medical Staff (effective January 2022)

Highest Paid Contractors

ContractorServicesLocationCompensation
Consigli Construction Co INCConstruction72 SUMMER STREET, Milford, MA 01757$7,929,236
Turner Sanorubin Joint VentureConstruction1 COMPUTER DRIVE SOUTH, Albany, NY 12205$7,497,407
Institute For Family HealthPhysicians2006 MADISON AVENUE 5TH FLOOR, New York, NY 10035$3,039,778
Aya Healthcare INCContract LaborPO BOX 123519, Dallas, TX 75312$1,848,158
Otis ElevatorBuilding Maintenance/upgradesPO BOX 13716, Newark, NJ 07188$1,044,916
Revenue and Support

Revenue Composition

Contributions and Grants
$44,700,418
Program Service Revenue
$149,618,712
Investment Income
$3,160,641
Other Revenue
$2,946,540
All Other Contributions
$0
Change in Net Assets
$1,284,607
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$101,323,557
Salaries, Compensation, and Employee Benefits$97,818,147
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$71,480,260$8,166,761-$79,647,021
Fees for Services Other$35,257,607$8,097,853$0$43,355,460
Other Employee Benefits$9,525,269$3,174,107-$12,699,376
Office Expenses$3,099,964$1,534,283-$4,634,247
Payroll Taxes$3,231,805$1,077,268-$4,309,073
Depreciation Depletion$4,061,104--$4,061,104
Insurance-$3,333,062-$3,333,062
Occupancy$3,123$2,620,679-$2,623,802
All Other Expenses$1,408,316$187,490$0$1,595,806
Pension Plan Contributions$872,008$290,669-$1,162,677
Conferences and Meetings$36,434$813,587-$850,021
Interest-$814,671-$814,671
Advertising-$245,437-$245,437
Fees for Services Legal$185$181,195-$181,380
Other Expenses$85,275$4,455-$89,730
Travel-$43,598-$43,598
Fees for Services Lobbying-$22,744-$22,744
Total Functional Expenses$163,380,071$35,761,633$0$199,141,704
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Non-current Liabilities$30,073,879
Philips Liability$27,128,877
Due to Realted Parties$3,302,603
Post Retirement Benefit Obligation$1,415,678
Environmental Remediation$492,141
Security Deposits Payable$25,450
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
HealthAlliance Hospital
EIN
14-1338470
Phone
8459436084
Address
105 MARYS AVENUE, KINGSTON, NY 12401

Signing Officer

Name
Joshua Ratner
Title
President & CEO
Phone
8459436084
Signed
2023-11-13
Discuss with paid preparer
Yes

Organization Details

Formed
1902
Legal Domicile
Ny
Voting Board Members
18
Independent Board Members
14
Employees
1,092
Volunteers
14

Preparer

Firm
Ernst & Young US Llp
Address
1101 NEW YORK AVENUE NW, Washington, DC 20005
Preparer
Justin Lowe
Phone
2023276000
Supplemental Narrative

Additional Explanations

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 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;

Financial Statement Notes

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.

Raw XML AppendixShowing 400 of 1,585 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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