HealthAlliance Hospital

HealthAlliance Hospital, located at 105 Mary's Avenue in Kingston, NY, is a 162-bed acute care facility. We offer a new emergency care center, a state-of-the-art intensive care unit, a family-centered birthing center, and advanced imaging services. As a Level III Trauma Center, Level I Perinatal Center, and Primary Stroke Center, we provide comprehensive services including cardiology, women's health, and more. We are also recognized as a Community Cancer Hospital by the American College of Surgeons' Commission on Cancer, demonstrating our commitment to high-quality, compassionate care.

Identifiers

Hospital Name HealthAlliance Hospital
Facility ID 330224

Location

Address 105 MARY'S AVENUE
City/Town Kingston
State NY
ZIP Code 12401
County/Parish ULSTER

Health System

Health System Westchester Medical Center Health Network
Health System Website Domain wmchealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 5
Health System Total Beds 1587
Health System Hospital Locations New York

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Westchester Medical Center Health Network
Emergency Services Yes

Josh Ratner

Chief Executive Officer of HealthAlliance of the Hudson Valley, Executive Vice President and Chief Strategy Officer of WMCHealth

Continues to serve as WMCHealth Executive Vice President and Chief Strategy Officer in addition to taking on duties of newly created leadership position in the northern region. [4] Returns to work directly with the northern region, where he spent more than a decade prior to joining the WMCHealth executive leadership team. [4] In his current leadership role, Ratner oversaw and led the effort to deliver on the vision of a new HealthAlliance Hospital in Kingston, and the forthcoming walkable health village as part of the Ulster County Healthcare Advancement Plan. [4]

Michael J. Doyle, MD, MBA, CPE

Executive Director and Chief Medical Officer of HealthAlliance Hospital

Also named as Executive Director and Chief Medical Officer of HealthAlliance of the Hudson Valley. [10] WMC veteran administrator, a licensed psychiatrist with more than three decades of healthcare experience, will serve as the regional associate medical director of psychiatry for WMCHealth. [12]

Elissa Chessari

Executive Director, Northern Region, WMC Health

NA

Residency Programs

Allopathic Residency Program Yes
Dental Residency Program No
Osteopathic Residency Program Yes
Other Residency Programs No
Pediatric Residency Program Yes

Capacity & Services

Licensed Beds 222

Staffing & Personnel

FTE Employees on Payroll 721.5
FTE Interns & Residents 20.56

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 12698
Inpatient Days (Title XIX) 1014
Total Inpatient Days 28910
Bed Count 111
Available Bed Days 54048
Discharges (Title V) NA
Discharges (Title XVIII) 2218
Discharges (Title XIX) 152
Total Discharges 5493

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 11898
Inpatient Days (Title XIX; Adults & Peds) 898
Total Inpatient Days (Adults & Peds) 26483
Bed Count (Adults & Peds) 101
Available Bed Days (Adults & Peds) 46928
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 2218
Discharges (Title XIX; Adults & Peds) 152
Total Discharges (Adults & Peds) 5493

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns Very low overall patient satisfaction. Patients report challenges with nurse communication. Patients report significant challenges with Staff responsiveness to their needs. Patients report challenges with communication about their medications. Patients reported challenges with communication about thei discharge and follow up instructions. Patients reported significant challenges with transitions between departments in the hospital. Patients report challenges the cleanliness of the hospital. Patients reported concerns with being abel to have quiet rest in the hospital Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 43%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 207

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -0.3
Readmission Score Hospital Return Days for Pneumonia Patients 14.9
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.6
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.2
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.8
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.3
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.7
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 17.1
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.8
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.6
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.529
CAUTI SIR (Standardized Infection Ratio) 0.208
SSI SIR (Standardized Infection Ratio) 0.428
CDI SIR (Standardized Infection Ratio) 0.691
MRSA SIR (Standardized Infection Ratio) 0.284

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $2,754
Bad Debt Expense $514
Uncompensated Care Cost $2,934
Total Uncompensated Care $18,648

Operating Expenses ($ thousands)

Total Salaries $66,092
Overhead Expenses (Non-Salary) $112,395
Depreciation Expense $4,061
Total Operating Costs $157,938

Charges ($ thousands)

Inpatient Charges $478,224
Outpatient Charges $399,117
Total Patient Charges $877,341

Wage-Related Details ($ thousands)

Core Wage Costs $15,466
Wage Costs (RHC/FQHC)
Adjusted Salaries $66,092
Contract Labor (Patient Care) $10,856
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents) $78

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $426
Short-Term Investments
Notes Receivable
Accounts Receivable $36,069
Allowance for Doubtful Accounts $-19,347
Inventory
Prepaid Expenses
Other Current Assets $10,031
Total Current Assets $27,709

Balance Sheet – Fixed Assets ($ thousands)

Land Value $311
Land Improvements Value $2,238
Building Value $135,230
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $158,314
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $129,600

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $13,106
Total Other Assets $13,106
Total Assets $170,415

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $43,414
Salaries & Wages Payable $11,122
Payroll Taxes Payable
Short-Term Debt $66
Deferred Revenue
Other Current Liabilities $28,443
Total Current Liabilities $83,046

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $76
Unsecured Loans
Other Long-Term Liabilities $47,031
Total Long-Term Liabilities $47,107
Total Liabilities $130,153

Balance Sheet – Equity ($ thousands)

General Fund Balance $39,834
Total Fund Balances $40,262
Total Liabilities & Equity $170,415

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $17,330
DRG (Post-Oct 1) $5,926
Outlier Payments
DSH Adjustment $433
Eligible DSH % $0
Simulated MC Payments $12,962
Total IME Payments $1,570

Revenue & Income Statement ($ thousands)

Inpatient Revenue $478,224
Outpatient Revenue $399,117
Total Patient Revenue $877,341
Contractual Allowances & Discounts $740,215
Net Patient Revenue $137,127
Total Operating Expenses $178,487
Net Service Income $-41,360
Other Income $36,589
Total Income $-4,772
Other Expenses $-724
Net Income $-4,048

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $15,404
Medicaid Charges $173,324
Net CHIP Revenue $251
CHIP Charges $2,428

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP SAP
ERP Version NA
EHR is Changing No