Healthalliance Inc
Nonprofit profile at a glance
- EIN
- 261850453
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024
- Location
- Kingston, NY, USA
- Phone
- 8459436084
- Rating
- 61
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Community Health Systems
Reported finances
- Revenue
- $1,455,569
- Expenses
- $1,963,067
- Assets
- $920,202
- Liabilities
- $3,233,969
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
21 people listed
Executive titles in this filing
- JOSHUA RATNER (CEO HealthAlliance (THRU 11/2024)/TRUSTEE (EFF. 11/2024))
- JAMAL MAHDAVIAN MD (PRESIDENT MEDICAL STAFF/TRUSTEE)
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. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To plan, operate and manage a not-for-profit healthcare system which provides healthcare services to the hudson valley region.
What it reported doing in 2024
Manage various healthcare related entities that operate inpatient and outpatient healthcare services in the hudson valley region.
Operating model
- Revenue model
- Other-operating. 100% 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.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and most filed governance safeguards are in place. 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: 89
- Transparency & Controls: 37
- Accountability: 62
- Sustainability: 10
- Growth: 20
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 100%; rating input score 100
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 90.9%; rating input score 91; 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: Scored; rating input score 0
- Grant itemization coverage: Scored; rating input score 0
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 50%; rating input score 50; 11th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -34.9%; rating input score 5; 5th percentile among comparable filings
- Total-asset coverage ratio: 0.47; rating input score 22; 22nd percentile among comparable filings
- Liabilities to assets ratio: 3.51; rating input score 1; 1st percentile among comparable filings
- Officer compensation ratio: 24.7%; rating input score 10; 10th percentile among comparable filings
Growth
- Program expense growth: -4.4% per year; rating input score 0; 8th percentile among comparable filings
- Revenue growth: -1.3% per year; rating input score 0; 11th percentile among comparable filings
- Asset growth: 15.8% per year; rating input score 100; 74th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 100% of spending went to programs
- Governance: 6 of 12 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2M in reported program spending
- Leadership: top reported pay $3.4M · 21 people listed · 0 of 6 pay-setting controls reported
- Consistency: 41 of 42 current checks pass · 1 finding to review
- Schedules: 6 filed schedules · includes foreign activity and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Related organizations: 23 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 — Transparency & Controls: Foreign activity oversight scored 0/100.
- High — Transparency & Controls: Grant itemization coverage scored 0/100.
- High — Sustainability: Operating margin scored 5/100.
- High — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Sustainability: Total-asset coverage ratio scored 22/100.
- High — Sustainability: Liabilities to assets ratio scored 1/100.
- High — Sustainability: Officer compensation ratio scored 10/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.