MARGARETVILLE MEMORIAL HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MARGARETVILLE MEMORIAL HOSPITAL (EIN 15-0552726)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-13
IRS object ID: 202303179349310830
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-13T16:38:19+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1101 NEW YORK AVENUE NW	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	150552726	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Margaretville Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MARG	BusinessNameControlTxt
Phone	8459436084	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	42084 STATE ROUTE 28	AddressLine1Txt
City	MARGARETVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12445	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DR MICHAEL DOYLE	PersonNm
Person Title	EXEC. DIRECTOR/CMO	PersonTitleTxt
Signature	2023-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOSHUA	PersonFirstNm
Person Last	RATNER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Justin Lowe	PreparerPersonNm
PTIN	P01866796	PTIN
Phone	2023276000	PhoneNum
Preparation	2023-11-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DR MICHAEL DOYLE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	105 Marys Avenue	AddressLine1Txt
City	KINGSTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$15,769,231	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.MARGARETVILLEHOSP.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1930	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO OPERATE A CRITICAL ACCESS HOSPITAL FOR QUALITY MEDICAL CARE AND DIAGNOSTIC SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES IN THE AREA.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	117	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,640,704	PYContributionsGrantsAmt
CY Contributions Grants	$2,481,922	CYContributionsGrantsAmt
PY Program Service Revenue	$12,269,387	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,616,816	CYProgramServiceRevenueAmt
PY Investment Income	$2,452	PYInvestmentIncomeAmt
CY Investment Income	$3,654	CYInvestmentIncomeAmt
PY Other Revenue	$1,753,792	PYOtherRevenueAmt
CY Other Revenue	$1,647,244	CYOtherRevenueAmt
PY Total Revenue	$15,666,335	PYTotalRevenueAmt
CY Total Revenue	$15,749,636	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$10,231,963	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,394,417	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$7,219,768	PYOtherExpensesAmt
CY Other Expenses	$9,188,889	CYOtherExpensesAmt
PY Total Expenses	$17,451,731	PYTotalExpensesAmt
CY Total Expenses	$17,583,306	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,785,396	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,833,670	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,505,744	TotalAssetsBOYAmt
Total Assets EOY	$7,682,051	TotalAssetsEOYAmt
Total Liabilities BOY	$6,241,502	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,503,541	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,264,242	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,178,510	NetAssetsOrFundBalancesEOYAmt
Mission	TO OPERATE A CRITICAL ACCESS HOSPITAL FOR QUALITY MEDICAL CARE AND DIAGNOSTIC SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES IN THE AREA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$13,471,425	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,697,691	RevenueAmt
Desc	MARGARETVILLE MEMORIAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE HEALTH CARE SERVICES TO RESIDENTS AND VISITORS TO THE COMMUNITIES SERVICED. MARGARETVILLE MEMORIAL HOSPITAL RECORDED 1,509 PATIENT DAYS, 3,696 EMERGENCY ROOM VISITS, 107 OUTPATIENT SURGERIES, 187 DISCHARGES AND 118 INFUSION THERAPIES IN 2022.	Desc
Total Program Service Expenses	$13,471,425	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	27	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	117	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERIN NAGY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8459436084	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	105 MARYS AVENUE	AddressLine1Txt
City	KINGSTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EDWARD MCNAMARA
EXECUTIVE DIRECTOR	29.8	10.3	Yes (X)	Yes (X)	$0	$80,962	$4,154
AMY VAN HORN
TRUSTEE (RESIGNED 2/22)	1.0	1.0	Yes (X)		$0	$0	$0
ARNOLD SCHWARTZ
BOARD CHAIR	1.0	1.0	Yes (X)		$0	$0	$0
CATHERINE ALLEN MD
TRUSTEE	1.0	39.0	Yes (X)		$0	$463,831	$61,455
CONNIE JEFFERS
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
CRAIG SICKLER
TRUSTEE (EFFECTIVE 1/22)	1.0	4.0	Yes (X)		$0	$0	$0
DAVE RAMA
TRUSTEE (EFFECTIVE 4/22)	1.0	1.0	Yes (X)		$0	$0	$0
DIANA MASON
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
DIANE MUNRO
TRUSTEE (EFFECTIVE 4/22)	1.0	1.0	Yes (X)		$0	$0	$0
EMILIE ADAMS
TRUSTEE/VICE CHAIR	1.0	1.0	Yes (X)		$0	$0	$0
FRED MARGUILES
SECRETARY	1.0	2.0	Yes (X)		$0	$0	$0
JAMES HOWIE
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
JOHN RIEDL
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
MICHAEL CIOFFI
TRUSTEE (EFFECTIVE 7/22)	1.0	1.0	Yes (X)		$0	$0	$0
STEVE FINCH
TRUSTEE (EFFECTIVE 7/22)	1.0	1.0	Yes (X)		$0	$0	$0
MICHAEL DOYLE MD
EXEC DIR/CMO/EX OFFICIO TRUSTEE	2.0	38.0		Yes (X)	$0	$619,034	$8,701
ELISSA WALISZEWSKI
COO-NORTHERN REGION	2.0	38.0			$0	$357,908	$49,462	Yes (X)
AMY SMITH
EDUCATION COORDINATOR	40.0	0			$132,567	$0	$31,911		Yes (X)
CRYSTAL PARRELLA
ASST. VP OF OP. - NORTHERN REG	5.0	35.0			$0	$204,432	$46,066		Yes (X)
JANE ULRICH
SR. VP OF NURSING	1.0	39.0			$0	$210,568	$29,209		Yes (X)
SWITLANA BREIGLE
REGISTERED NURSE	40.0	0			$171,418	$0	$4,285		Yes (X)
YELENA ZABIRKO
PHARMACY SUPERVISOR	40.0	0			$150,273	$0	$12,718		Yes (X)
JOSEPH MARSICOVETE
COO (RESIGNED 6/21)	0.0	0.0			$0	$202,304	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$454,258	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,139,039	TotReportableCompRltdOrgAmt
Total Other Compensation	$247,961	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LABORATORY CORP OF AMERICA
PO Box 12140	BURLINGTON	NC	27216	Laboratory Services	$619,439
CLOVER HEALTH SERVICES LLC
1273 E Putnam Avenue 459	RIVERSIDE	CT	06878	Contract Labor	$460,444
MORRISON MANAGEMENT SPECIALISTS INC
400 Northridge Road STE 600	Sandy Springs	GA	30350	Food Services	$450,380
CROSS COUNTRY STAFFING INC
PO Box 404674	ATLANTA	GA	303844674	MANPOWER	$291,953
CROTHALL HEALTHCARE INC
1500 Liberty Ridge Dr Suite 210	WAYNE	PA	19087	Housekeeping	$288,401

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	7	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$2,481,922	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,481,922	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621300	$11,616,816	$11,616,816	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,616,816	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,654	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,654	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$129,614	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$19,595	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$110,019	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,019	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$110,019	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY REVENUE	446110	$1,287,646	$0	$0	$1,287,646
AMBULANCE REVENUE	621300	$80,875	$80,875	$0	$0
AUXILIARY REVENUE	900099	$79,788	$0	$0	$79,788

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,916	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$88,916	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,537,225	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,749,636	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,697,691	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,570,023	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$7,227,666	TotalAmt
Program Services	$6,275,628	ProgramServicesAmt
Management And General	$952,038	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$47,079	TotalAmt
Program Services	$35,309	ProgramServicesAmt
Management And General	$11,770	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$752,840	TotalAmt
Program Services	$564,630	ProgramServicesAmt
Management And General	$188,210	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$366,832	TotalAmt
Program Services	$275,124	ProgramServicesAmt
Management And General	$91,708	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$83,940	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$83,940	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,717	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,717	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,349,114	TotalAmt
Program Services	$2,917,797	ProgramServicesAmt
Management And General	$431,317	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$479,483	TotalAmt
Program Services	$281,432	ProgramServicesAmt
Management And General	$198,051	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$232,028	TotalAmt
Program Services	$10,546	ProgramServicesAmt
Management And General	$221,482	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$23,283	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$23,283	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$48,881	TotalAmt
Program Services	$1,211	ProgramServicesAmt
Management And General	$47,670	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$34,036	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$34,036	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$343,234	TotalAmt
Program Services	$343,234	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$359,339	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$359,339	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$1,525,214	$1,524,595	$619	$0
EQUIPMENT SVC CONTRACTS	$919,465	$861,950	$57,515	$0
PHYSICIAN FEES	$31,608	$9,208	$22,400	$0
CONTRACTED SERVICES	$1,316,967	$276,470	$1,040,497	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$440,580	TotalAmt
Program Services	$94,291	ProgramServicesAmt
Management And General	$346,289	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,583,306	TotalAmt
Program Services	$13,471,425	ProgramServicesAmt
Management And General	$4,111,881	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,249,512	BOYAmt
EOY	$2,124,331	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$556,111	BOYAmt
EOY	$748,527	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,654,528	BOYAmt
EOY	$1,743,491	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$460,356	BOYAmt
EOY	$502,663	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$124,162	BOYAmt
EOY	$60,066	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$23,650,378	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,030,317	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,742,685	BOYAmt
EOY	$1,620,061	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$718,390	BOYAmt
EOY	$882,912	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,505,744	BOYAmt
EOY	$7,682,051	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,142,837	BOYAmt
EOY	$4,451,818	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$131,854	BOYAmt
EOY	$257,877	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$35,573	BOYAmt
EOY	$17,180	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,931,238	BOYAmt
EOY	$776,666	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,241,502	BOYAmt
EOY	$5,503,541	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,264,242	BOYAmt
EOY	$2,178,510	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,264,242	BOYAmt
EOY	$2,178,510	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,505,744	BOYAmt
EOY	$7,682,051	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,833,670	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$2,747,938	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,717	OtherActivitiesAmt
Total Lobbying Expenditures	$1,717	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	MARAGARETVILLE HOSPITAL PAYS DUES TO IROQUOIS HEALTHCARE ALLIANCE AND HEALTHCARE ASSOCIATION OF NEW YORK STATE. IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY IROQUOIS HEALTHCARE ALLIANCE AND HEALTHCARE ASSOCIATION OF NEW YORK STATE, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTABLE TO LOBBYING ACTIVITIES APPLICABLE TO 2022 IROQUOIS HEALTHCARE ALLIANCE AND HEALTHCARE ASSOCIATION OF NEW YORK STATE WAS $1,717.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,127	OtherCostOrOtherBasisAmt
Book Value	$23,127	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,438,899	OtherCostOrOtherBasisAmt
Depreciation	$4,290,333	DepreciationAmt
Book Value	$1,148,566	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,620,044	OtherCostOrOtherBasisAmt
Depreciation	$17,277,257	DepreciationAmt
Book Value	$342,787	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$568,308	OtherCostOrOtherBasisAmt
Depreciation	$462,727	DepreciationAmt
Book Value	$105,581	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,620,061	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLE	$878,554
ASSETS LIMITED AS TO USE	$4,358

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$882,912	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER NON-CURRENT LIABILITIES	$675,718
DUE TO RELATED PARTIES	$100,948

Field	Value	IRS element (for citing)
Total Liability	$776,666	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$244,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,341	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$234,024	NetCommunityBenefitExpnsAmt
Total Expense	0.0133	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,253,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,621,914	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,632,007	NetCommunityBenefitExpnsAmt
Total Expense	0.0928	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,498,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,632,255	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,866,031	NetCommunityBenefitExpnsAmt
Total Expense	0.1061	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,390	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,390	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,801,295	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,002,335	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,798,960	NetCommunityBenefitExpnsAmt
Total Expense	0.1592	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,806,685	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,002,335	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,804,350	NetCommunityBenefitExpnsAmt
Total Expense	0.1595	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,304,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,634,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,670,381	NetCommunityBenefitExpnsAmt
Total Expense	0.2656	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,559,125	BadDebtExpenseAmt
Reimbursed By Medicare	$3,607,742	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,164,427	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,443,315	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARGARETVILLE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	42084 STATE ROUTE 28	AddressLine1Txt
City	MARGARETVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12455	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HAHV.ORG	WebsiteAddressTxt
State License	1226701C	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARGARETVILLE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	The CHNA has been widely available to the public through the website at HTTPS://WWW.HAHV.ORG/COMMUNI	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	Margaretville Hospital has adopted an implementation strategy that will address the significant comm	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THROUGH THE COLLABORATION AND PARTNERSHIP WITH DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT, MARGARETVILLE HOSPITAL, IN ACCORDANCE WITH NEW YORK STATE PREVENTION AGENDA MANDATE, HAS CHOSEN TO ALIGN WITH OUR COMMUNITY PARTNERS IN FOCUSING ON TWO PRIORITY AREAS: A. PREVENT CHRONIC DISEASES B. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN MARGARETVILLE HOSPITAL INVOLVED KEY MEMBERS OF THE HOSPITAL TEAM IN THE ASSESSMENT AND SELECTION OF ITS HEALTH PRIORITIES. AFTER IDENTIFICATION OF THE CRITERIA FOR PRIORITY SELECTION, A WORK GROUP WAS CONVENED BY THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT WHICH INCLUDED MARGARETVILLE HOSPITAL AFFILIATED WITH HEALTH ALLIANCE OF THE HUDSON VALLEY AND WESTCHESTER MEDICAL CENTER HEALTH, DELAWARE VALLEY HOSPITAL AFFILIATED WITH UNITED HEALTH SERVICES, BASSETT HEALTHCARE NETWORK O'CONNOR HOSPITAL, AS WELL AS THE SOUTHERN TIER POPULATION HEALTH IMPROVEMENT PROGRAM ("PHIP"). THROUGH THIS WORK GROUP, THE DATA FROM THE COMMUNITY ENGAGEMENT SESSIONS, AS WELL AS THE HOSPITAL AND COUNTY HEALTH DEPARTMENT COMMUNITY HEALTH ASSESSMENTS, WERE ALIGNED WITH THE PRIORITIES OUTLINED BY THE NYS 2019-2024 PREVENTION AGENDA. ADDITIONALLY, THE RATIONALE FOR CHOICE OF PRIORITIES WAS BASED ON AVAILABLE RESOURCES AND CAPACITY TO ADDRESS THE PRIORITY. OPPORTUNITY FOR DEVELOPMENT OF COLLABORATIVE INTERVENTIONS BY MARGARETVILLE HOSPITAL, THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT AND OTHER COMMUNITY PARTNERS, WAS ALSO CONSIDERED. THROUGH THE COLLABORATION DESCRIBED ABOVE WITH COUNTY PUBLIC HEALTH AND COMMUNITY-BASED ORGANIZATIONS, MARGARETVILLE HOSPITAL ALIGNED TOGETHER TO SELECT TWO PREVENTION AGENDA PRIORITIES: A. PREVENT CHRONIC DISEASES B. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS BOTH OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2019 PRIORITIES ARE FROM THE NYS PREVENTION AGENDA 2019-2024. MARGARETVILLE HOSPITAL PARTICIPATED IN A WORKGROUP CONSISTING OF THE THREE LOCAL HEALTH SYSTEMS AND THE COUNTY PUBLIC HEALTH DEPARTMENT TO IDENTIFY FOCUS AREAS, AND OBJECTIVES FOR EACH OF THE AGENDA PRIORITIES JOINTLY IDENTIFIED BY THE HOSPITAL AND COLLABORATORS: THE NEW YORK STATE PREVENTION AGENDA OUTLINES THREE OTHER PRIORITY AREAS THAT WERE NOT SELECTED AS PRIORITIES FOR THE MARGARETVILLE HOSPITAL 2022-2024 COMMUNITY SERVICE PLAN: PROMOTE A HEALTHY AND SAFE ENVIRONMENT, PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN, AND PREVENT COMMUNICABLE DISEASES. ALTHOUGH ALL OF THESE MERIT FOCUS FOR IMPROVING POPULATION HEALTH, THEY WERE NOT SELECTED DUE TO THE LIMITED AMOUNT OF RESOURCES AVAILABLE TO ADDRESS THESE ISSUES AND THE RELATIVE SEVERITY OF NEED DEMONSTRATED FOR THE PRIORITY AREAS THAT WERE CHOSEN.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MARGARETVILLE MEMORIAL HOSPITAL. MARGARETVILLE MEMORIAL HOSPITAL (MARGARETVILLE HOSPITAL), AN AFFILIATE OF HEALTHALLIANCE OF THE HUDSON VALLEY, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK (WMCHEALTH) WAS AN ACTIVE MEMBER OF A COMPREHENSIVE DELAWARE COUNTY COMMUNITY HEALTH ASSESSMENT WHICH INCLUDES 3 HOSPITALS AND THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT. PRIMARY DATA WERE COLLECTED AND ANALYZED VIA TWO SURVEYS, THE STAKEHOLDER AND THE COMMUNITY ENGAGEMENT SURVEYS. BOTH SURVEYS WERE ELECTRONICALLY DISSEMINATED WITH THE FORMER SENT TO THE COUNTY'S HEALTH AND HUMAN SERVICES PROVIDERS TO GAIN THEIR PERSPECTIVES ON THE NYS PREVENTION AGENDA PRIORITIES AND THE RELATED FOCUS AREAS MOST IN NEED OF IMPROVEMENT. THE LATTER WAS DISSEMINATED TO COMMUNITY MEMBERS TO IDENTIFY PRIMARY STRENGTHS AND WEAKNESSES OF SERVICE PROVISION, SOCIAL DETERMINANTS OF HEALTH IN NEED OF ADDRESSING, AND GENERAL QUALITY OF HEALTH AND LIFE IN THE COUNTY. MARGARETVILLE HOSPITAL (MH), ALONG WITH OTHER HOSPITALS' REPRESENTATIVES, FURTHER FACILITATED SURVEY DISTRIBUTION EFFORTS TO ENSURE ALL SEGMENTS OF THE COUNTY'S POPULATION WERE PROVIDED A CHANCE TO VOICE THEIR HEALTH NEEDS AND CONCERNS, ESPECIALLY THOSE UNDERSERVED AND UNDERREPRESENTED. THE HOSPITAL POSTED THE COMMUNITY ENGAGEMENT SURVEY LINK ON ITS PUBLIC FACING WEBPAGE AND PUBLICIZED THE SURVEY OPPORTUNITY THROUGH ITS SOCIAL MEDIA PLATFORMS, INCLUDING INSTAGRAM AND TWITTER. MH ALSO DISSEMINATED THE SURVEY TO ALL EMPLOYEES FOR THEIR PARTICIPATION AND INPUT, CONDUCTED COMMUNITY OUTREACH AT COMMUNITY EVENTS, AND PROMOTED THE SURVEY LINK VIA A QR CODE FOR EASE OF PARTICIPATION. THROUGH COLLABORATIVE EFFORTS, THE SURVEY WAS ANNOUNCED ACROSS DELAWARE COUNTY IN LATE SPRING OF 2022, FROM MAY 17 - JUNE 23, RECEIVING 442 RESPONSES. FOR THE STAKEHOLDER SURVEY, MH SHARED THE SURVEY LINK VIA EMAIL TO ENCOURAGE PARTICIPATION AMONG ITS PROVIDER PARTNERS. THE DATA COLLECTION PHASE FOR THE STAKEHOLDER SURVEY WAS COMPLETED IN SEPTEMBER, 2022 AND YIELDED 16 RESPONSES, REPRESENTING THE EDUCATION SECTOR, EMERGENCY SERVICE PROVIDERS, HEALTH CARE PROVIDERS, LAW ENFORCEMENT, SOCIAL SERVICES, SENIOR/ELDERLY SERVICE PROVIDERS, MENTAL HEALTH PROVIDERS, AND SUBSTANCE USE, PREVENTION, TREATMENT, AND RECOVERY SERVICE PROVIDERS.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - MARGARETVILLE MEMORIAL HOSPITAL. THE CHNA WAS CONDUCTED WITH DELAWARE VALLEY HOSPITAL (DVH), AN AFFILIATE OF UNITED HEALTH SERVICES (UHS) SYSTEM; MARGARETVILLE HOSPITAL (MH), WHICH IS A PART OF THE HEALTH ALLIANCE OF THE HUDSON VALLEY AND A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; AND O'CONNOR HOSPITAL (OCH), OF THE BASSETT HEALTHCARE NETWORK.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - MARGARETVILLE MEMORIAL HOSPITAL. MARGARETVILLE HOSPITAL WORKED VERY CLOSELY WITH DELAWARE COUNTY PUBLIC HEALTH.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - MARGARETVILLE MEMORIAL HOSPITAL. THROUGH THE COLLABORATION AND PARTNERSHIP WITH DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT, MARGARETVILLE HOSPITAL, IN ACCORDANCE WITH NEW YORK STATE PREVENTION AGENDA MANDATE, HAS CHOSEN TO ALIGN WITH OUR COMMUNITY PARTNERS IN FOCUSING ON TWO PRIORITY AREAS: I. PREVENT CHRONIC DISEASES FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT II. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION FOR PRIORITY I, MH PLANS TO 1) PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC LOWER RESPIRATORY DISEASES (CLRD), INCLUDING ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND 2) IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CLRD IN THE COMMUNITY SETTING. TO ACHIEVE THESE GOALS BY DECEMBER 2024, MH WILL IDENTIFY, TRACK, AND PROVIDE PULMONARY SCREENING AND CARE COORDINATION TO 100 NEW CLRD PATIENTS, PROVIDE EDUCATION AND TRAINING TO FOUR COHORTS OF CLRD PATIENTS, AND HOST COMMUNITY WORKSHOPS AND HEALTH FAIRS TO INCREASE THE PUBLIC KNOWLEDGE IN THE PREVENTION AND SELF-MANAGEMENT OF CLRD CONDITIONS. MH WILL ALSO PROVIDE TRAINING TO A MINIMUM OF 80% OF ALL NURSING AND PROVIDER STAFF MEMBERS TO GENERATE A WELL-INFORMED WORKFORCE IN THE RECOGNITION AND REFERRAL PROCESS FOR PATIENTS TO BE SCREENED FOR CLRD AT MH. FOR PRIORITY II, BY DECEMBER 2024, MH'S GOALS ARE TO 1) PREVENT OPIOID OVERDOSE DEATHS BY REDUCING OVERDOSE DEATHS BY 7% AND 2) REDUCING ALL EMERGENCY DEPARTMENT VISITS FOR OPIOID OVERDOSE BY 5%. MH WILL ACHIEVE THESE GOALS BY INCREASING THE AVAILABILITY OF/ACCESS TO OVERDOSE REVERSAL (NALOXONE) TRAININGS TO PRESCRIBERS, PHARMACISTS AND CONSUMERS, PROMOTING AND ENCOURAGING PRESCRIBER EDUCATION AND FAMILIARITY WITH OPIOID PRESCRIBING GUIDELINES, ESTABLISHING ADDITIONAL PERMANENT SAFE DISPOSAL SITES FOR PRESCRIPTION DRUGS AND ORGANIZING TAKE-BACK DAYS, AND INTEGRATING TRAUMA-INFORMED APPROACHES IN TRAINING STAFF. THE NYS PREVENTION AGENDA OUTLINES THREE OTHER PRIORITY AREAS THAT WERE NOT SELECTED AS PRIORITIES FOR THE MARGARETVILLE HOSPITAL 2022-2024 CSP: PROMOTE A HEALTHY AND SAFE ENVIRONMENT, PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN, AND PREVENT COMMUNICABLE DISEASES, AS A RESULT OF THE PUBLIC INPUT AND RANKING SYSTEM PROCESS. WITHIN THE SELECTED PRIORITIES, MARGARETVILLE HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED BUT CANNOT BE ADDRESSED BY THE HOSPITAL'S FOCUS AREAS DUE TO THE LACK OF RESOURCES, EXPERTISE, OR LEVEL OF PRIORITY. PRESENTLY THERE ARE VARIOUS INSTITUTIONS, ORGANIZATIONS, AND PROGRAMS IN DELAWARE COUNTY THAT ARE ACTIVELY WORKING TO ADVANCE THE PREVENTION OF CHRONIC DISEASES, SUCH AS CARDIOVASCULAR DISEASE AND STROKE. TWO FOUNDATIONS IN THE AREA, THE A. LINDSAY AND OLIVE B. O'CONNOR FOUNDATION AND THE ROBINSON BROADHURST FOUNDATION, FOCUS ON PROVIDING FUNDING FOR QUALITY-OF-LIFE PROGRAMS WHICH SUPPORT OBESITY AND CHRONIC DISEASE PREVENTION EFFORTS. AREAS OF FOCUS: MARGARETVILLE DECIDED TO ADDRESS THE COUNTY'S HEALTH NEEDS THROUGH THE FOLLOWING IMPLEMENTATION PLAN IN GUIDANCE OF NYS PREVENTION AGENDA. NYS PREVENTION AGENDA PRIORITY AREA: PREVENT CHRONIC DISEASES FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT PREVENTION AGENDA GOAL 4.3: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.3.1: INCREASE EARLY DETECTION OF CHRONIC LOWER RESPIRATORY DISEASE (CLRD), WHICH INCLUDES ASTHMA AND COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) BY 100 NEW PATIENTS, BASED ON 2022 BASELINE EVIDENCE BASED INTERVENTION: IDENTIFY, TRACK, AND PROVIDE PULMONARY SCREENING AND CARE COORDINATION TO CLRD PATIENTS DISPARITIES ADDRESSED: LOW-INCOME, RACIAL/ETHNIC MINORITIES, SENIORS AND DISADVANTAGED URBAN AND RURAL COMMUNITIES NYS PREVENTION AGENDA PRIORITY AREA: PREVENT CHRONIC DISEASES FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT PREVENTION AGENDA GOAL 4.4: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.4.1: INCREASE THE PERCENTAGE OF ADULTS WITH CHRONIC CONDITIONS (ARTHRITIS, ASTHMA, CVD, DIABETES, CKD, CANCER) WHO HAVE TAKEN A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION (70% OF THOSE DIAGNOSED/SCREENED POSITIVE FOR CLRD, STARTING IN 2023) EVIDENCE BASED INTERVENTION: - PROVIDE EDUCATION AND TRAINING TO CLRD PATIENTS TO INCREASE THEIR KNOWLEDGE IN SELF-MANAGING CLRD CONDITIONS - PROVIDE TRAINING TO NURSING AND PROVIDER STAFF MEMBERS, INCLUDING FUTURE STAFF, TO GENERATE A WELL-INFORMED AND CONFIDENT PROVIDER WORKFORCE DISPARITIES ADDRESSED: LOW-INCOME, RACIAL/ETHNIC MINORITIES, SENIORS AND DISADVANTAGED URBAN AND RURAL COMMUNITIES NYS PREVENTION AGENDA PRIORITY AREA: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: PREVENT MENTAL AND SUBSTANCE USER DISORDERS PREVENTION AGENDA GOAL 2.2: PREVENT OPIOID OVERDOSE DEATHS OBJECTIVE 2.2.1: REDUCE THE AGE-ADJUSTED OVERDOSE DEATHS INVOLVING ANY OPIOID BY 7% USING 2022 BASELINE EVIDENCE BASED INTERVENTION: - INCREASE AVAILABILITY OF/ACCESS TO OVERDOSE REVERSAL (NALOXONE) TRAININGS TO PRESCRIBERS, PHARMACISTS AND CONSUMERS - DISPARITIES ADDRESSED: LOW-INCOME, RACIAL/ETHNIC MINORITIES, AND DISADVANTAGED URBAN AND RURAL COMMUNITIES NYS PREVENTION AGENDA PRIORITY AREA: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: PREVENT MENTAL AND SUBSTANCE USER DISORDERS PREVENTION AGENDA GOAL 2.2: PREVENT OPIOID OVERDOSE DEATHS OBJECTIVE 2.2.4: REDUCE ALL EMERGENCY DEPARTMENT VISITS (INCLUDING OUTPATIENTS AND ADMITTED PATIENTS) INVOLVING ANY OPIOID OVERDOSE BY 5%, USING 2022 BASELINE EVIDENCE BASED INTERVENTION: - PROMOTE AND ENCOURAGE PRESCRIBER EDUCATION AND FAMILIARITY WITH OPIOID PRESCRIBING GUIDELINES AND LIMITS AS IMPOSED BY NYS STATUTES AND REGULATIONS - ESTABLISH ADDITIONAL PERMANENT SAFE DISPOSAL SITES FOR PRESCRIPTION DRUGS AND ORGANIZED TAKE-BACK DAYS - INTEGRATE TRAUMA INFORMED APPROACHED IN TRAINING STAFF AND IMPLEMENTING PROGRAM AND POLICY - DISPARITIES ADDRESSED: LOW-INCOME, RACIAL/ETHNIC MINORITIES, AND DISADVANTAGED URBAN AND RURAL COMMUNITIES

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7g Subsidized Health Services	THE COSTS ON LINE 7G DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	MARGARETVILLE MEMORIAL HOSPITAL'S COSTING METHODOLOGY WAS BASED UPON WORKSHEET S-10 OF THE MEDICARE COST REPORT. THE COST-TO-CHARGE RATIO WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE # 7.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	METHODOLOGY USED TO ESTIMATE AMOUNT OF BAD DEBT EXPENSE THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE #2 ON PAGES 19-20 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	DESCRIPTION OF BAD DEBT EXPENSE THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 19-20 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	SINCE MARGARETVILLE MEMORIAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL, THE HOSPITAL RECEIVES 101% OF ITS COST FOR MOST OF ITS SERVICES; THEREFORE, MARGARETVILLE SHOULD ALWAYS HAVE A SURPLUS FROM MEDICARE. THE AMOUNT REPORTED ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE MEDICARE COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET A. FOR 2022, MARGARETVILLE MEMORIAL HOSPITAL DOES NOT HAVE A LOSS FROM MEDICARE THEREFORE IT IS NOT CONSIDERED A COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 APPLICATIONS 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 GUARANTOR'S GROSS MONTHLY INCOME.
Schedule H, Part V, Section B, Line 16a FAP website	- MARGARETVILLE MEMORIAL HOSPITAL: Line 16a URL: HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MARGARETVILLE MEMORIAL HOSPITAL: Line 16b URL: HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MARGARETVILLE MEMORIAL HOSPITAL: Line 16c URL: HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	PROCESS TO MAINTAIN ENGAGEMENT, TRACK PROGRESS, AND MAKE MID-COURSE CORRECTIONS FOR THE COMMUNITY-BASED STRATEGIES, MARGARETVILLE HOSPITAL WILL CONTINUE TO ACTIVELY PARTICIPATE IN A WORK GROUP CONSISTING OF THE PUBLIC HEALTH DEPARTMENT AND THREE OTHER LOCAL HOSPITALS FOR THE PURPOSES OF MAINTAINING ENGAGEMENT WITH LOCAL PARTNERS OVER THE NEXT THREE-YEAR PERIOD. INITIALLY, MEETINGS WILL BE HELD ON A QUARTERLY BASIS; HOWEVER, FREQUENCY WILL BE REVISITED THROUGHOUT THE TIMEFRAME TO ENSURE THAT THE MEETINGS ARE MEETING THE NEEDS OF ALL PARTNERS. PROGRESS WILL BE TRACKED BY THE WORK GROUP MARGARETVILLE HOSPITAL IS ACTIVELY PARTICIPATING IN. ANNUALLY HOSPITAL LEADERSHIP PRESENTS AN UPDATE TO THE HOSPITAL'S BOARD OF TRUSTEES NOTING SPECIFIC ACHIEVEMENTS AND BARRIERS TO IMPLEMENTATION. ANECDOTAL FEEDBACK WILL BE IN WORK GROUP MEETINGS, MEETINGS INVOLVING HEALTH AND WELLNESS GROUPS SUCH AS THE SUICIDE PREVENTION NETWORK OF DELAWARE COUNTY, AND FROM PATIENTS AND INDIVIDUALS PARTICIPATING IN INTERVENTIONS, ALLOWING CONTINUAL REVIEW OF THE COMMUNITY SERVICE PLAN TASKS AND MID-COURSE CORRECTIONS WHEN REQUIRED. PERIODIC PUBLIC NOTICES WILL BE POSTED ON THE HOSPITAL WEBSITE. FINALLY, AS AVAILABLE, LOCAL, STATE AND NATIONAL HEALTH STATUS INDICATORS WILL BE REVIEWED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL INFORMS THE PATIENT OF THE AVAILABILITY OF CHARITY CARE SEVERAL WAYS: 1. NOTICE IS ON EVERY PATIENT BILL WITH AN APPLICATION ON THE BACK OF THE BILL 2. ON THE HOSPITAL WEBSITE 3. ALL MEMBERS OF THE PATIENT ACCOUNTING DEPARTMENT ARE TRAINED TO SCREEN PATIENTS FOR CHARITY CARE WHEN DISCUSSING BILLS AND CONCERNS REGARDING INABILITY TO PAY 4. FLIERS ARE POSTED IN REGISTRATION AREAS OF THE HOSPITAL 5. REGISTRATION CLERKS WILL IDENTIFY PATIENTS WITHOUT A PAY SOURCE AND REFER THE PATIENT TO A FINANCIAL COUNSELOR AND HAND THE PATIENT A FINANCIAL ASSISTANCE FORM 6. FINANCIAL COUNSELORS ASSIST PATIENTS IN SECURING MEDICAID AND SCREEN FOR CHARITY CARE 7. THE COLLECTION AGENCIES THAT HAHV ENGAGES WITH ARE AWARE OF THE CHARITY CARE POLICY AND ASSIST PATIENTS IN APPLYING UP TO 180 POST-PLACEMENT WITH THEM HEALTHALLIANCE 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 AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, HEALTHALLIANCE 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 HEALTHALLIANCE 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. FINANCIAL COUNSELORS AND COUNTY MEDICAID WORKERS ALSO PROVIDE GUIDANCE REGARDING THE FINANCIAL ASSISTANCE PROGRAM WHEN NECESSARY. FINANCIAL ASSISTANCE IS AVAILABLE ON THE BACK OF EVERY HOSPITAL BILL AS WELL AS THE HOSPITAL WEBSITE AT WWW.HAHV.ORG. FINANCIAL COUNSELORS 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 PATIENT DOES NOT NEED TO HAVE AN ACCOUNT WITH THE HOSPITAL; THEY JUST HAVE TO BE IN A SITUATION WHERE THEY ARE IN NEED OF INSURANCE COVERAGE. 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. HEALTHALLIANCE 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, HOSPITAL POSTERS AND FLYERS, FINANCIAL ASSISTANCE APPLICATIONS AND HOSPITAL STATEMENTS. THE FINANCIAL ASSISTANCE POLICY (FAP) AND APPLICATION ARE AVAILABLE ON OUR WEBSITE AT HTTP://WWW.HAHV.ORG/HAHV/FINANCIAL-ASSISTANCE.ASPX AND ARE SUPPLIED IN BOTH ENGLISH AND SPANISH AS WELL AS PLAIN LANGUAGE SUMMARY FORMAT. IF ADDITIONAL ASSISTANCE IS NEEDED, HEALTHALLIANCE OFFERS TRANSLATION SERVICES FOR PATIENTS. HEALTHALLIANCE HAS AN ESTABLISHED WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. THE ORGANIZATION 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. EDUCATED STAFF MEMBERS 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 RECEIVE 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. HEALTHALLIANCE PROVIDES SEVERAL OPTIONS FOR PATIENTS WHO EITHER DO NOT HAVE INSURANCE COVERAGE OR WHO HAVE INADEQUATE INSURANCE COVERAGE. OUR MANY PROGRAMS HAVE BEEN VERY SUCCESSFUL AND MANY HAVE TAKEN ADVANTAGE OF OUR OFFERINGS. FINANCIAL COUNSELING OFFERS A PATIENT THE OPPORTUNITY TO SPEAK TO A FINANCIAL COUNSELOR TO DETERMINE WHAT ASSISTANCE CAN BE ACCESSIBLE BASED ON FAMILY INCOME. PATIENTS OFTEN SHOP AROUND FOR THE MOST ECONOMICAL HEALTHCARE AND WE OFFER PRICE QUOTES. THIS ALLOWS THE PATIENT TO KNOW THEIR FINANCIAL OBLIGATION UP FRONT AND UNDERSTAND THE COMPETITIVE PRICING BEING OFFERED. DESPITE MILLIONS OF DOLLARS OF CHARITY CARE DISTRIBUTED TO NEEDY PATIENTS EVERY YEAR, A CONSISTENT CHALLENGE IS PATIENTS NOT UTILIZING THE PROGRAMS WE OFFER. OFTEN, THEY DON'T WANT TO PROVIDE THE NECESSARY FINANCIAL INFORMATION TO INITIATE THE FINANCIAL AID PROCESS. CONTINUAL OUTREACH AND EDUCATION IS ONGOING TO MINIMIZE CONFUSION AND IMPROVE UTILIZATION. HEALTHALLIANCE IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE AND IS VERY SENSITIVE TO LOW INCOME PATIENTS' ABILITY TO PAY. THE CALL CENTER OFFERS THE CONVENIENCE OF CALLING ONE TELEPHONE NUMBER FOR ALL BILLING INQUIRIES REGARDLESS OF WHICH HOSPITAL THE PATIENT IS CALLING ABOUT.
Schedule H, Part VI, Line 4 Community information	MARGARETVILLE MEMORIAL HOSPITAL (MARGARETVILLE HOSPITAL), A MEMBER OF HEALTHALLIANCE OF THE HUDSON VALLEY AND THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK (WMCHEALTH) IS A RURAL CRITICAL ACCESS HOSPITAL WHOSE MISSION IS TO PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND DIAGNOSTIC TESTING SERVICES TO MEDICALLY UNDERSERVED AREAS IN THE CATSKILL MOUNTAINS. MARGARETVILLE HOSPITAL PROVIDES LINKAGES TO HIGH TECH AND SPECIALTY MEDICAL CARE THROUGH AN ACTIVE RELATIONSHIP WITH HEALTHALLIANCE AND WMCHEALTH. MARGARETVILLE HOSPITAL IS THE DELAWARE COUNTY AFFILIATE OF HEALTHALLIANCE OF THE HUDSON VALLEY (HEALTHALLIANCE), A MULTI-CAMPUS HEALTH CARE SYSTEM CONSISTING OF HEALTHALLIANCE HOSPITAL'S MARY'S AVE. AND BROADWAY CAMPUSES IN KINGSTON, NY, AND MARGARETVILLE HOSPITAL, WHICH IS CO-LOCATED ON A SINGLE CAMPUS IN MARGARETVILLE, NY (DELAWARE COUNTY), WITH THE MOUNTAINSIDE RESIDENTIAL CARE CENTER, A SKILLED NURSING FACILITY. HEALTHALLIANCE DEFINES ITS PRIMARY SERVICE AREA BY A FEDERAL DEFINITION THAT CONSISTS OF THE TOP 75% OF HOSPITAL DISCHARGES FROM THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES. MARGARETVILLE HOSPITAL SERVES THE COMMUNITIES OF MARGARETVILLE, ARKVILLE, ANDES, FLEISCHMANNS, ROXBURY, HALCOTT CENTER, HALCOTTSVILLE, AND NEW KINGSTON. DUE TO THE GEOGRAPHICAL LOCATION OF ACUTE CARE HOSPITALS AFFILIATED WITH HEALTHALLIANCE, THERE ARE TWO DISTINCT PRIMARY SERVICES AREAS WITHIN ULSTER AND DELAWARE COUNTIES, THOUGH NOT ENCOMPASSING ALL OF EACH COUNTY. FOR OPERATIONAL AND COMMUNITY NEEDS DEVELOPMENT, HEALTHALLIANCE REGARDS THESE TWO SERVICE AREAS AS A SINGLE PRIMARY SERVICE AREA WITH THE PREDOMINANT POPULATION IN ULSTER COUNTY. HOWEVER, FOR THE PURPOSES OF THIS DOCUMENT, WHICH WILL ALIGN WITH THE DELAWARE COUNTY COMMUNITY HEALTH ASSESSMENT AND THE COMMUNITY HEALTH IMPROVEMENT PLAN, WE WILL PRESENT THE INFORMATION PERTAINING TO THE MARGARETVILLE HOSPITAL SERVICE AREA, LOCATED IN DELAWARE COUNTY AND DESCRIBED IN THE BEGINNING OF THIS SECTION. OTHER COMMUNITY HEALTH SERVICES AND RESOURCES AVAILABLE IN DELAWARE COUNTY INCLUDE 23 AMBULANCE SERVICES, MOSTLY CONSISTING OF VOLUNTEER MEMBERSHIP. IN ADDITION TO MARGARETVILLE HOSPITAL, THERE ARE THREE OTHER HOSPITALS, OPERATED BY TWO OTHER HEALTHCARE SYSTEMS: DELAWARE VALLEY HOSPITAL AFFILIATED WITH UNITED HEALTH SERVICES, AS WELL AS O'CONNOR HOSPITAL AFFILIATED WITH THE BASSETT HEALTHCARE NETWORK. ADDITIONALLY, THERE ARE THREE NURSING HOMES IN THE COUNTY, 15 PRIMARY CARE OFFICES INCLUDING HEALTH CENTERS AND PRIVATE PHYSICIAN OFFICES, 15 LOCATIONS AND 9 FULL-TIME EQUIVALENT DENTISTS, AND TWO MENTAL HEALTH CLINICS WITH MULTIPLE LOCATIONS WITHIN THE COUNTY. DELAWARE COUNTY COVERS 1,442 SQUARE MILES IN UPSTATE NEW YORK, BELONGING TO BOTH THE SOUTHERN TIER REGION AND THE CATSKILL MOUNTAIN RANGE. DELAWARE COUNTY IS THE FOURTH LARGEST COUNTY IN NEW YORK BY AREA AND IS THE SIXTH MOST RURAL WITH A POPULATION DENSITY OF 31 PERSONS PER SQUARE MILE. THE COUNTY INCLUDES THE CATSKILL/DELAWARE WATERSHED, WHICH IS THE LARGEST UNFILTERED DRINKING WATER SUPPLY IN THE UNITED STATES. THE WATERSHED REGION ENCOMPASSES THE CENTRAL AND EASTERN SECTIONS OF DELAWARE COUNTY AND INCLUDES ROUGHLY 65% OF THE COUNTY'S LAND AREA AND 11 OF ITS 19 TOWNSHIPS. APPROXIMATELY 55% OF DELAWARE COUNTY'S POPULATION LIES WITHIN THE WATERSHED. BASED ON THE 2020 CENSUS, THE POPULATION OF DELAWARE COUNTY IS 44,676, AND IS SPLIT EVENLY AT 50% MALE AND 50%% FEMALE. THIS REPRESENTS A 6.6% DECREASE IN POPULATION FROM THE 2010 CENSUS WHICH HAD THE POPULATION AT 47,840. AT THE TIME OF THE 2020 CENSUS THE AGE OF THE POPULATION WAS FOUND TO B:, 20% OF THE PEOPLE WERE LESS THAN 18, 80% WERE 18 AND OVER AND 41% WERE 65 AND OVER, WITH A MEDIAN AVERAGE AGE OF 48.3.
Schedule H, Part VI, Line 5 Promotion of community health	PLEASE SEE NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 11 FOR A COMPLETE DESCRIPTION OF HOW THE ORGANIZATION'S HOSPITAL FACILITIES WORK TO FURTHER ITS EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY. IN ADDITION, 2022 AND THE ONGOING COVID-19 PANDEMIC CREATED A GREATER NEED AND FOCUS ON COMMUNITY HEALTH CARE. MARGARETVILLE HOSPITAL AND HEALTHALLIANCE OF THE HUDSON VALLEY AND THE WMCHEALTH NETWORK TOOK A LEADING ROLE IN THE HUDSON VALLEY ON THE DISSEMINATION OF INFORMATION SURROUNDING COVID-19, EDUCATING THE COMMUNITY, PROVIDING COMMUNITY TESTING, AND VACCINATION. IN ALL OF OUR EFFORTS WE FOCUSED ON THE HARDEST TO REACH INDIVIDUALS AND COMMUNITIES. WE COORDINATED CLOSELY ON ALL OF OUR COVID-19 MESSAGING, OUTREACH, AND DIRECT CARE WITH NEW YORK STATE DEPARTMENT OF HEALTH, DELAWARE COUNTY DEPARTMENT OF HEALTH, AND ULSTER COUNTY DEPARTMENT OF HEALTH. WE PROVIDED DETAILED AND ONGOING INFORMATION AND MESSAGING FOR COMMUNITY ORGANIZATIONS, EMPLOYERS, AND MUNICIPAL GOVERNMENTS. WE PARTICIPATED AT ALL LEVELS OF GOVERNMENTS AND WITH NUMEROUS COMMUNITY ORGANIZATIONS ON COVID-19 PLANNING, PREPAREDNESS, AND RESPONSE EFFORTS.
Schedule H, Part VI, Line 6 Affiliated health care system	HEALTH ALLIANCE IS THE PARENT COMPANY TO AFFILIATE MEMBERS HA MARY'S AVENUE CAMPUS, BROADWAY CAMPUS, MARGARETVILLE MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL; MOUNTAINSIDE RESIDENTIAL CARE CENTER, A SKILLED NURSING FACILITY. THIS INTEGRATED HEALTHCARE SYSTEM IS COMMITTED TO PROVIDING QUALITY AND COMPASSIONATE MEDICAL CARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY. IN ADDITION TO SERVICE CONSOLIDATION BETWEEN THE TWO KINGSTON HOSPITALS, HAHV ALSO COMMITTED TO STREAMLINING OPERATIONS AND IMPROVING CARE AT THE OTHER AFFILIATE LOCATIONS.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CATHERINE ALLEN MD
TRUSTEE	$0	$463,831	$0	$0	$0	$0	$0	$31,700	$0	$29,755	$0	$525,286	$0	$0
JOSEPH MARSICOVETE
COO (RESIGNED 6/21)	$0	$0	$0	$0	$0	$202,304	$0	$0	$0	$0	$0	$202,304	$0	$0
MICHAEL DOYLE MD
EXEC DIR/CMO/EX OFFICIO TRUSTEE	$0	$509,142	$0	$109,336	$0	$556	$0	$8,115	$0	$586	$0	$627,735	$0	$0
ELISSA WALISZEWSKI
COO-NORTHERN REGION	$0	$357,908	$0	$0	$0	$0	$0	$20,500	$0	$28,962	$0	$407,370	$0	$0
SWITLANA BREIGLE
REGISTERED NURSE	$160,235	$0	$11,000	$0	$183	$0	$3,721	$0	$564	$0	$175,703	$0	$0	$0
CRYSTAL PARRELLA
ASST. VP OF OP. - NORTHERN REG	$0	$204,432	$0	$0	$0	$0	$0	$16,645	$0	$29,421	$0	$250,498	$0	$0
AMY SMITH
EDUCATION COORDINATOR	$132,447	$0	$0	$0	$120	$0	$645	$0	$31,266	$0	$164,478	$0	$0	$0
JANE ULRICH
SR. VP OF NURSING	$0	$209,189	$0	$0	$0	$1,379	$0	$5,273	$0	$23,936	$0	$239,777	$0	$0
YELENA ZABIRKO
PHARMACY SUPERVISOR	$150,162	$0	$0	$0	$111	$0	$2,542	$0	$10,176	$0	$162,991	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4a Severance or change-of-control payment

JOSEPH MARSICOVETE, FORMER CHIEF OPERATING OFFICER FOR HEALTHALLIANCE, INC., RECEIVED SEVERANCE PAYMENTS OF $161,112 IN 2022 FROM A RELATED ORGANIZATION.

Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION

THE ORGANIZATION'S EXECUTIVE DIRECTOR/CMO RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. IN ORDER TO ESTABLISH COMPENSATION PAYMENTS, THE ORGANIZATION TYPICALLY COMPLETES A COMPENSATION STUDY OR ENGAGES AN INDEPENDENT CONSULTANT. THE RESULTS OF SAID STUDY OR CONSULTANT'S FINDINGS ARE IMPLEMENTED INTO A WRITTEN EMPLOYMENT CONTRACT. ALL ACTIONS ABOVE ARE APPROVED BY THE BOARD OF DIRECTORS/COMPENSATION COMMITTEE PRIOR TO FINALIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholders	HEALTHALLIANCE, INC. IS THE SOLE CORPORATE MEMBER OF MARGARETVILLE MEMORIAL HOSPITAL.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	HEALTHALLIANCE, INC., THE SOLE CORPORATE MEMBER OF MARGARETVILLE MEMORIAL HOSPITAL, HAS THE POWER TO ELECT ONE OR MORE MEMBERS OF THE LOCAL GOVERNING BODY OF THE HOSPITAL.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	ALL DECISIONS MADE AT THE LOCAL BOARD LEVEL OF MARGARETVILLE MEMORIAL HOSPITAL, OTHER THAN THOSE RELATED TO QUALITY ASSURANCE AND BUILDING AND GROUNDS, ARE SUBJECT TO APPROVAL BY MEMBERS OF HEALTHALLIANCE, INC. BOARD OF TRUSTEES. THESE DECISIONS INCLUDE ELECTION AND REMOVAL OF MEMBERS OF THE LOCAL LEVEL GOVERNING BODY, APPOINTMENT/REMOVAL OF CORPORATE OFFICERS, APPROVAL OF BYLAW AMENDMENTS, REVIEW OF ANNUAL CAPITAL AND OPERATING BUDGETS, REVIEW AND/OR MODIFICATIONS 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 19 Required documents available to the public	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISCELLANEOUS REVENUE - Total Revenue: 88916, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 88916;
Form 990, Part IX, Line 11g Other Fees	CONTRACTED SERVICES - Total Expense: 1892404, Program Service Expense: 1548122, Management and General Expenses: 344282, Fundraising Expenses: 0; OTHER MANPOWER - Total Expense: 1365875, Program Service Expense: 1365875, Management and General Expenses: 0, Fundraising Expenses: 0; BIOMEDICAL SERVICES - Total Expense: 25766, Program Service Expense: 0, Management and General Expenses: 25766, Fundraising Expenses: 0; COLLECTION FEES - Total Expense: 12428, Program Service Expense: 0, Management and General Expenses: 12428, Fundraising Expenses: 0; WASTE DISPOSAL - Total Expense: 26965, Program Service Expense: 1800, Management and General Expenses: 25165, Fundraising Expenses: 0; CONSULTING & MGT - Total Expense: 25676, Program Service Expense: 2000, Management and General Expenses: 23676, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO RELATED PARTIES - 2747938;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS RD	TAYLOR PAVILLION M222	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(c)(3)	Type I	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS RD	TAYLOR PAVILLION M222	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(c)(3)	Type I	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS RD	TAYLOR PAVILLION M222	VALHALLA	NY	10595	133964321	HEALTHCARE	NY			NA	false
WMC NEW YORK INC
100 WOODS RD	TAYLOR PAVILLION M222	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(c)(3)	Type I	WCHCC	false
NORTH ROAD LHCSA INC
100 WOODS RD	TAYLOR PAVILION M222	VALHALLA	NY	10595	465293268	HOMECARE SVCS	NY	501(c)(3)	10	WCHCC	false
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS RD	TAYLOR PAVILION M222	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(c)(3)	7	WCHCC	false
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS RD	TAYLOR PAVILLION M222	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(c)(3)	7	WCHCC	false
HEALTHALLIANCE INC
105 MARYS AVENUE		KINGSTON	NY	12401	261850453	SUPPORTING	NY	501(c)(3)	Type I	WCHCC	false
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY		KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
HEALTHALLIANCE HOSPITAL
105 MARYS AVENUE		KINGSTON	NY	12401	141338470	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
MARGARETVILLE HEALTH FOUNDATION
42084 STATE ROUTE 28		MARGARETVILLE	NY	12455	261998454	SUPPORTING FDN	NY	501(c)(3)	Type I	MMH	Yes (true)
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28		MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(c)(3)	10	MMH	Yes (true)
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVE		SUFFERN	NY	10901	133400353	SUPPORT FDN	NY	501(c)(3)	7	BSCHSI	false
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVE		SUFFERN	NY	10901	810667395	SUPPORT FDN	NY	501(c)(3)	7	BSCHSI	false
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE		SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(c)(3)	7	BSCHSI	false
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE		SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(c)(3)	Type III-FI	WCHCC	false
HEALTHALLIANCE FOUNDATION INC
105 MARYS AVENUE		KINGSTON	NY	12401	222511450	FUNDRAISING	NY	501(c)(3)	7	HA INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE LIMITED
23 LIME TREE BAY AVE	PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	BSCHSI	C Corporation	false
HUDSON RIVER NORTH INSURANCE LIMITED
23 LIME TREE BAY AVE	PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	HA INC	C Corporation	false
NORTHEAST PROVIDER SOLUTIONS INC
				MSO & HEARING		NA	C Corporation	false	100 WOODS RD	TAYLOR PAVILLION M222	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
				PHYSICIAN OFF		NA	C Corporation	false	19 BRADHURST AVENUE		HAWTHORNE	NY	10595	264709927	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET		HAMILTON	BD	CAP INSURANCE	BD	NA	C Corporation	false
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
				INVESTMENT		HAH BWAY	C Corporation	false	105 Marys Avenue		KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
				MEDICAL SVCS		NA	C Corporation	false	105 Marys Avenue		KINGSTON	NY	12401	203564769	NY
BSCHS MEDICAL GROUP PC
				PHYSICIAN OFF		BSCHSI	C Corporation	false	10 FRANKLIN TURNPIKE		MAHWAH	NJ	07430	821632215	NJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part II	FormAndLineReferenceDesc
Explanation	BON SECOURS CHARITY HEALTH SYSTEM, INC. (BSCHS) MARGARETVILLE MEMORIAL HOSPITAL HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS.	ExplanationTxt