HealthAlliance Hospital
Overview
Mission
The mission of healthalliance hospital is to provide the highest quality health care services to all people in the communities we serve.
What it reported doing in 2024
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 36,7820 patient days and 3,999 surgeries (inpatient 990 & ambulatory 3,009). 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 2024 were approximately 97,771 (including covid labs and vaccinations).
Operating model
- Revenue model
- Other-operating. 92% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
Nonprofit profile at a glance
- EIN
- 141338470
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024
- Location
- Kingston, NY, USA
- Phone
- 8459436084
- Rating
- 71
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospitals and Related Primary Medical Care Facilities
Reported finances
- Revenue
- $189,424,895
- Expenses
- $229,667,506
- Assets
- $180,012,411
- Liabilities
- $258,070,835
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.
Rating breakdown
- Financial Efficiency: 82
- Transparency & Controls: 64
- Accountability: 66
- Sustainability: 19
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 98.5%; rating input score 99
- Program expense ratio: 81.2%; rating input score 81
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 50%; rating input score 50; 12th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -21.2%; rating input score 3; 3rd percentile among comparable filings
- Total-asset coverage ratio: 0.78; rating input score 30; 30th percentile among comparable filings
- Liabilities to assets ratio: 1.43; rating input score 2; 2nd percentile among comparable filings
- Officer compensation ratio: 1.2%; rating input score 71; 71st percentile among comparable filings
Growth
- Program expense growth: 17.3% per year; rating input score 100; 90th percentile among comparable filings
- Revenue growth: 10.4% per year; rating input score 100; 78th percentile among comparable filings
- Asset growth: 11.4% per year; rating input score 100; 76th percentile among comparable filings
Details
- Where the money goes: 98.5% of revenue deployed · 81.2% of spending went to programs
- Governance: 6 of 12 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $186.6M in reported program spending
- Leadership: top reported pay $3.4M · 28 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $18.9M reported
- Consistency: 42 of 43 current checks pass · 1 finding to review
- Schedules: 8 filed schedules · includes major donors and executive pay
- Filing history: 13 annual filings from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 7 filed money-flow records
- Related organizations: 22 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Independent voting board scored 50/100.
- High — Sustainability: Operating margin scored 3/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 30/100.
- Review — Accountability: Governance controls: CEO compensation review process not reported.
- High — Sustainability: Liabilities to assets ratio scored 2/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
Leadership & pay
28 people listed
Highest reported compensation
- MICHAEL ISRAEL (VICE CHAIR): $3,408,373 total reported compensation
- ANTHONY COSTELLO (COO): $1,452,306 total reported compensation
- JOSHUA RATNER (CEO HEALTHALLIANCE (THRU 11/2024)/TRUSTEE (EFF. 11/2024)): $1,301,516 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024.