MARGARETVILLE MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MARGARETVILLE MEMORIAL HOSPITAL (EIN 15-0552726)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-05
IRS object ID: 201943099349302354
Schema version: 2018v3.1
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 G
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-05T14:14:54-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	5 TIMES SQUARE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10036	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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)
In Care Of	% ERIN NAGY	InCareOfNm
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	ROBERT ROSS	PersonNm
Person Title	exec. vice president	PersonTitleTxt
Phone	8459436024	PhoneNum
Signature	2019-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAURA KIELCZEWSKI	PreparerPersonNm
PTIN	P00740769	PTIN
Phone	2127733000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520193095000015	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-05	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	770194AAF055F9EA87E64CA02E08FE540289067F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	42D26865FF540D3EA6F803EEB3CCA5BB79F92251	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	robert ross	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	396 broadway	AddressLine1Txt
City	kingston	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$14,327,419	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 PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND DIAGNOSTIC TESTING SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES IN THE AREA.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	141	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,079,901	PYContributionsGrantsAmt
CY Contributions Grants	$1,731,638	CYContributionsGrantsAmt
PY Program Service Revenue	$9,440,021	PYProgramServiceRevenueAmt
CY Program Service Revenue	$10,522,404	CYProgramServiceRevenueAmt
PY Investment Income	$1,285	PYInvestmentIncomeAmt
CY Investment Income	$2,395	CYInvestmentIncomeAmt
PY Other Revenue	$1,524,237	PYOtherRevenueAmt
CY Other Revenue	$2,049,061	CYOtherRevenueAmt
PY Total Revenue	$13,045,444	PYTotalRevenueAmt
CY Total Revenue	$14,305,498	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	$7,440,097	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,570,991	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,071,697	PYOtherExpensesAmt
CY Other Expenses	$6,186,385	CYOtherExpensesAmt
PY Total Expenses	$13,511,794	PYTotalExpensesAmt
CY Total Expenses	$14,757,376	CYTotalExpensesAmt
PY Revenues Less Expenses	-$466,350	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$451,878	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,058,032	TotalAssetsBOYAmt
Total Assets EOY	$5,391,412	TotalAssetsEOYAmt
Total Liabilities BOY	$4,389,069	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,174,327	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,668,963	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,217,085	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND DIAGNOSTIC TESTING SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES IN THE AREA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$11,588,223	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$10,597,329	RevenueAmt
Desc	MARGARETVILLE MEMORIAL HOSPITAL PROVIDES ACUTE HEALTH CARE SERVICES TO RESIDENTS AND VISITORS TO THE CATSKILL REGION. MARGARETVILLE MEMORIAL HOSPITAL RECORDED 1,566 PATIENT DAYS, 3,901 EMERGENCY ROOM VISITS, 128 OUTPATIENT SURGERIES, 245 DISCHARGES AND 274 INFUSION THERAPIES IN 2018.	Desc
Total Program Service Expenses	$11,588,223	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	Yes (true)	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 With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	141	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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

Field	Value	IRS element (for citing)
Person	ERIN NAGY	PersonNm
Phone	8459436084	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	741 GRANT AVENUE	AddressLine1Txt
City	LAKE KATRINE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12449	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Carey Wagner
CHAIR	1.0	4.0	Yes (X)	$0	$0	$0
JANE Piasek
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Fred Marguiles
Secretary	1.0	1.0	Yes (X)	$0	$0	$0
Arthur Martello
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Jenny Morrill-Liddle
Vice Chair	1.0	1.0	Yes (X)	$0	$0	$0
Thomas O'Brien
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
David Riordan
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Nancy Slauson
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
David Scarpino
CEO/Trustee	2.0	38.0	Yes (X)	$0	$530,999	$50,301	Yes (X)
Kent Garrett
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Thomas Collins
EX-OFFICIO TRUSTEE	1.0	4.25	Yes (X)	$0	$0	$0
James Howie
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Paul Llobet MD
TRUSTEE	1.0	39.0	Yes (X)	$0	$313,996	$6,750
MARK POHAR
EXEC DIR/ex-officio trustee	20.0	20.0	Yes (X)	$0	$226,326	$28,461	Yes (X)
CHRISTOPHER ESOLA
trustee	1.0	39.0	Yes (X)	$0	$107,416	$3,257
KRISTIN FLACHS
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
KAREN KOLAR
TRUSTEE (effective 1/2018)	1.0	1.0	Yes (X)	$0	$0	$0
ARNIE SCHWARTZ
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
ROBERT ROSS
EXECUTIVE VICE PRESIDENT	1.0	39.0		$0	$322,361	$93,462		Yes (X)
Eileen King
CLINICAL COORDINATOR	40.0	0.0		$238,509	$0	$24,218			Yes (X)
Joseph Marsicovete
Chief Operating Officer	1.0	39.0		$0	$315,251	$15,316			Yes (X)
GENE EPSTEIN
NURSE PRACTITIONER	40.0	0.0		$205,578	$0	$9,082			Yes (X)
NANETTE TREADWELL
PHYSICIAN ASSISTANT	40.0	0.0		$235,696	$0	$19,068			Yes (X)
JANE ULRICH
SR. VP OF NURSING	2.0	38.0		$0	$192,299	$21,799			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$679,783	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,008,648	TotReportableCompRltdOrgAmt
Total Other Compensation	$271,714	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	11	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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	$599,016
Seco Physical Occupational Therap
Eaton Center 26 Conkey Ave Suite	NORWICH	NY	13815	CONSULTING	$231,258
Llobet Medical
PO Box 1020	MARGARETVILLE	NY	12455	Medical	$181,569
MEDICAL STAFFING NETWORK
PO Box 840292	DALLAS	TX	75284	STAFFING AGENCY	$177,649
Fusion Medical Staffing LLC
PO Box 82674	LINCOLN	NE	68501	LAB STAFFING AGENCY	$125,542

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$15,000	RelatedOrganizationsAmt
Government Grants	$1,690,022	GovernmentGrantsAmt
All Other Contributions	$26,616	AllOtherContributionsAmt
Total Contributions	$1,731,638	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$10,522,404	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,522,404	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$10,522,404	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,395	TotalRevenueColumnAmt
Exclusion	$2,395	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$73,096	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$8,444	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$64,652	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,652	TotalRevenueColumnAmt
Exclusion	$64,652	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$37,300	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$13,477	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,823	TotalRevenueColumnAmt
Exclusion	$23,823	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY REVENUE	446110	$1,454,469	$1,454,469
AMBULANCE REVENUE	621300	$74,925		$74,925
PROCEEDS FROM LIABILITY INSURANCE CONV.	524298	$282,578	$282,578

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$148,614	TotalRevenueColumnAmt
Exclusion	$148,614	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,960,586	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,305,498	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,597,329	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,976,531	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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$732,150	TotalAmt
Program Services	$732,150	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,813,657	TotalAmt
Program Services	$4,448,075	ProgramServicesAmt
Management And General	$1,365,582	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,852	TotalAmt
Program Services	$11,889	ProgramServicesAmt
Management And General	$3,963	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,587,905	TotalAmt
Program Services	$1,190,929	ProgramServicesAmt
Management And General	$396,976	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$421,427	TotalAmt
Program Services	$316,070	ProgramServicesAmt
Management And General	$105,357	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,007	TotalAmt
Management And General	$3,007	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$90,920	TotalAmt
Management And General	$90,920	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,620	TotalAmt
Management And General	$1,620	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,930,620	TotalAmt
Program Services	$1,668,428	ProgramServicesAmt
Management And General	$262,192	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,706	TotalAmt
Management And General	$1,706	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$477,301	TotalAmt
Program Services	$256,950	ProgramServicesAmt
Management And General	$220,351	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$177,644	TotalAmt
Program Services	$8,225	ProgramServicesAmt
Management And General	$169,419	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$23,328	TotalAmt
Management And General	$23,328	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$25,835	TotalAmt
Program Services	$21,736	ProgramServicesAmt
Management And General	$4,099	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,417	TotalAmt
Management And General	$5,417	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$499,650	TotalAmt
Program Services	$499,650	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$147,615	TotalAmt
Management And General	$147,615	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$1,389,207	$1,379,675	$9,532	$0
EQUIPMENT SVC CONTRACTS	$969,063	$932,237	$36,826	$0
CONTRACTED SERVICES	$272,418		$272,418	$0
INPATIENT ALLOWANCES	$106,458	$106,458	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,576	TotalAmt
Program Services	$15,751	ProgramServicesAmt
Management And General	$48,825	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,757,376	TotalAmt
Program Services	$11,588,223	ProgramServicesAmt
Management And General	$3,169,153	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$707,407	BOYAmt
EOY	$250,785	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	$90,278	BOYAmt
EOY	$613,541	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,122,876	BOYAmt
EOY	$1,277,479	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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	$316,628	BOYAmt
EOY	$332,443	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$118,218	BOYAmt
EOY	$74,915	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$22,268,614	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,555,451	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,954,664	BOYAmt
EOY	$1,713,163	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,747,961	BOYAmt
EOY	$1,129,086	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,058,032	BOYAmt
EOY	$5,391,412	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,757,450	BOYAmt
EOY	$2,589,907	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$570,729	BOYAmt
EOY	$141,188	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$36,761	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,024,129	BOYAmt
EOY	$1,443,232	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,389,069	BOYAmt
EOY	$4,174,327	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,668,963	BOYAmt
EOY	$1,217,085	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,668,963	BOYAmt
EOY	$1,217,085	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,058,032	BOYAmt
EOY	$5,391,412	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$451,878	ReconcilationRevenueExpnssAmt
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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$1,620	OtherActivitiesAmt
Total Lobbying Expenditures	$1,620	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	MARGARETVILLE MEMORIAL HOSPITAL PAYS DUES TO THE IROQUOIS HEALTHCARE ALLIANCE OF NEW YORK STATE (IHA). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY IHA, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2018 IHA ANNUAL DUES WERE $1,620.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,128	OtherCostOrOtherBasisAmt
Book Value	$23,128	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,701,478	OtherCostOrOtherBasisAmt
Depreciation	$3,918,929	DepreciationAmt
Book Value	$782,549	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,050,521	OtherCostOrOtherBasisAmt
Depreciation	$16,231,403	DepreciationAmt
Book Value	$819,118	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$493,487	OtherCostOrOtherBasisAmt
Depreciation	$405,119	DepreciationAmt
Book Value	$88,368	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,713,163	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$435,320
INTEREST IN MH FOUNDATION	$361,973
OTHER RECEIVABLE	$327,435
ASSETS LIMITED AS TO USE	$4,358

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,129,086	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER NON-CURRENT LIABILITIES	Desc
Amt	$1,443,232	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,443,232	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	harvest moon	Event1Nm
Gross Receipts Event1	$28,198	GrossReceiptsEvent1Amt
Gross Revenue Event1	$28,198	GrossRevenueEvent1Amt
Food And Beverage Event1	$5,760	FoodAndBeverageEvent1Amt
Entertainment Event1	$800	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,533	OtherDirectExpensesEvent1Amt
Event2	flea market	Event2Nm
Gross Receipts Event2	$9,101	GrossReceiptsEvent2Amt
Gross Revenue Event2	$9,101	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$100	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$1,583	FoodAndBeverageEvent2Amt
Entertainment Event2	$400	EntertainmentEvent2Amt
Other Direct Expenses Event2	$300	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$37,299	GrossReceiptsTotalAmt
Gross Revenue Total Events	$37,299	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$100	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$7,343	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,200	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$4,833	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$13,476	DirectExpenseSummaryEventsAmt
Net Income Summary	$23,823	NetIncomeSummaryAmt

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	$141,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,025	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$118,827	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,225,643	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,569,109	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$656,534	NetCommunityBenefitExpnsAmt
Total Expense	0.04450	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,367,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,592,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$775,361	NetCommunityBenefitExpnsAmt
Total Expense	0.05260	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,831	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,559,189	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,933,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,625,390	NetCommunityBenefitExpnsAmt
Total Expense	0.11010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,578,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,933,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,644,221	NetCommunityBenefitExpnsAmt
Total Expense	0.11140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,945,515	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,525,933	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,419,582	NetCommunityBenefitExpnsAmt
Total Expense	0.16400	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$694,582	BadDebtExpenseAmt
Reimbursed By Medicare	$4,045,508	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,476,313	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$569,195	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	HTTPs://WWW.HAHV.ORG/HAHV/HOME.ASPX	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	16	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	SEE SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	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	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B, Line 5:	IN ACCORDANCE WITH THE AFFORDABLE CARE ACT (ACA) OF 2010 AND THE NEW YORK STATE (NYS) HEALTH IMPROVEMENT PLANS PREVENTION AGENDA REQUIREMENTS, HEALTHALLIANCE OF THE HUDSON VALLEY (HEALTHALLIANCE), A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK (WMCHEALTH), PARTICIPATED WITH OTHER AREA HOSPITALS (UHS DELAWARE VALLEY HOSPITAL, OCONNOR HOSPITAL AND TRI-TOWN REGIONAL HOSPITAL), PUBLIC AND GOVERNMENT AGENCIES, COMMUNITY PARTNERS AND THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT TO PARTICIPATE IN A COMMUNITY HEALTH ASSESSMENT AND DEVELOP A LOCAL COMMUNITY HEALTH IMPROVEMENT PLAN. A WORK GROUP CONSISTING OF THE SOUTHERN TIER HEALTH ACTIONS PRIORITIES NETWORK (HAPN), DELAWARE COUNTY PUBLIC HEALTH, THE REGIONAL POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) AND LOCAL AREA HOSPITALS MET REGULARLY BEGINNING IN FEBRUARY 2016 TO PRIORITIZE PREVIOUSLY IDENTIFIED COMMUNITY HEALTH NEEDS. THE IDENTIFIED COMMUNITY HEALTH NEEDS WERE BASED ON A VARIETY OF DATA SOURCES, INCLUDING STAKEHOLDER INTERVIEWS AND CONSUMER FOCUS GROUPS CONDUCTED BY HAPN, REGIONAL ASSESSMENTS COVERING DELAWARE COUNTY CONDUCTED BY THE PERFORMING PROVIDER SYSTEMS (PPS) AND DATA FROM THE NYS DEPARTMENT OF HEALTH (NYSDOH) PREVENTION AGENDA DASHBOARD. PARTNERS MET ON A MONTHLY BASIS TO ANALYZE DATA SETS AND COMMUNITY STRENGTHS. THE COMMUNITY PARTICIPATED IN THE PROCESS BY MEANS OF FOCUS GROUPS AND STAKEHOLDER INTERVIEWS CONDUCTED FROM JANUARY TO MARCH OF 2016 BY POPULATION HEALTH COORDINATORS. HEALTHALLIANCES CONTINUING PROGRESS AND MONITORING OF GOALS IDENTIFIED IN THIS ASSESSMENT IS MANAGED BY HEALTHALLIANCE COMMUNITY HEALTH LEADERSHIP, MARGARETVILLE HOSPITALS EXECUTIVE DIRECTOR, AND THE MARGARETVILLE HOSPITAL WELLNESS COMMITTEE. CURRENT AND NEW OUTREACH STRATEGIES WILL BE MODIFIED, IF NEEDED, AND DEVELOPED DURING THE CURRENT TERM OF THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
PART V, SECTION B, LINE 6A:	the chna was conducted with the following other hospital facilities: UHS Delaware Valley Hospital, O'Connor Hospital and Tri-town Regional Hospital.
PART V, SECTION B, LINE 6B:	THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL FACILITIES: DELAWARE COUNTY PUBLIC HEALTH AND HEALTHLINK NY COMMUNITY NETWORK.
PART V, SECTION B, LINE 7:	THE HOSPITAL'S CHNA REPORT IS WIDELY AVAILABLE TO THE PUBLIC AT THE BELOW WEBSITE URL: https://www.margaretvillehosp.org/Uploads/Public/Documents/HealthAlliance% 20PDFs/CHSP_NEW/Margaretville%20Hospital-Community%20Health%20Needs%20Asse ssment%20and%20Implementation%202016-2018.pdf
PART V, SECTION B, LINE 10:	THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS POSTED AT THE BELOW WEBSITE URL: https://www.margaretvillehosp.org/Uploads/Public/Documents/HealthAlliance% 20PDFs/CHSP_NEW/Margaretville%20Hospital-Community%20Health%20Needs%20Asse ssment%20and%20Implementation%202016-2018.pdf
PART V, SECTION B, LINE 11	HEALTH NEEDS ADDRESSED BY HEALTHALLIANCE THE HEALTH NEEDS WERE IDENTIFIED THROUGH AN EXTENSIVE PROCESS THAT INCLUDED A REVIEW OF EXISTING DATA SETS FROM STATE AND NATIONAL SOURCES, REGIONAL COMMUNITY NEEDS ASSESSMENTS AND EXTENSIVE COLLABORATION WITH LOCAL FOCUS GROUPS AND HEALTH PROFESSIONALS. THROUGH COLLABORATION WITH COUNTY PUBLIC HEALTH AND COMMUNITY-BASED ORGANIZATIONS, MARGARETVILLE HOSPITAL ALIGNED TOGETHER WITH OTHER AREA HOSPITALS AND THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT TO SELECT THE TWO PREVENTION AGENDA PRIORITIES OF PREVENT CHRONIC DISEASE AND PROMOTE MENTAL HEALTH/PREVENT SUBSTANCE ABUSE. PRIORITY AREA 1: PREVENT CHRONIC DISEASES FOCUS AREA 1: REDUCE OBESITY IN CHILDREN AND ADULTS. GOAL 1: CREATE COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTH FOOD AND BEVERAGE CHOICES, AND PHYSICAL ACTIVITY. OUTCOME OBJECTIVE: REDUCE THE PERCENTAGE OF ADULTS AGES 18 AND OLDER WHO ARE OBESE FROM 24.5% TO 23.2% BY THE END OF 2018. MARGARETVILLE HOSPITAL WORKED WITH THE COMMUNITIES IN THEIR SERVICE AREA TO INCREASE RETAIL AVAILABILITY OF AFFORDABLE HEALTHY FOODS THAT MET THE NEEDS OF COMMUNITIES, ESPECIALLY THOSE WITH LIMITED ACCESS TO NUTRITIOUS FOODS. THE MARGARETVILLE HOSPITAL WELLNESS COMMITTEE RECOMMENDED HEALTHY VENDING GUIDELINES THAT WILL BE ADOPTED BY THE HOSPITAL AND IMPACT EMPLOYEES, PATIENTS AND VISITORS AT THE MARGARETVILLE HOSPITAL AND MOUNTAINSIDE RESIDENTIAL CARE CENTER. CURRENTLY UNDER REVIEW ARE VENDING POLICIES IMPLEMENTED IN OTHER LOCALES. ULSTER COUNTY AND THE CITY OF KINGSTON, THE PRIMARY HOME OF HEALTHALLIANCE, HAVE ADOPTED A HEALTHY VENDING POLICY. THROUGH THIS ACTION, MARGARETVILLE HOSPITAL EXPECTS THAT THE PERCENTAGE OF ADULTS WHO ARE OBESE, AGES 18 YEARS AND OLDER, WILL HAVE THE OPTION TO SELECT LOWER CALORIE FOODS WHEN DINING AT MARGARETVILLE HOSPITAL AND MOUNTAINSIDE RESIDENTIAL CARE CENTER. THIS STRATEGY WILL HELP TO DRIVE A REDUCTION IN OBESITY STATISTICS. MARGARETVILLE HOSPITAL STAFF WILL ASSESS THE FOOD THAT IS BEING OFFERED TO ENSURE ADHERENCE WITH NEWLY ADOPTED NUTRITION VENDING STANDARDS. GOAL 2: EXPAND THE ROLE OF PUBLIC AND PRIVATE EMPLOYERS IN OBESITY PREVENTION. OUTCOME OBJECTIVE: INCREASE THE PERCENTAGE OF SMALL AND MEDIUM WORKSITES THAT OFFER A COMPREHENSIVE WORKSITE WELLNESS PROGRAM FOR ALL EMPLOYEES. THE HOSPITAL HAS IMPLEMENTED AN EVIDENCE-BASED WELLNESS PROGRAM FOR ALL ITS EMPLOYEES IN COOPERATION WITH THE PARTICIPATING HEALTH PLAN AND COMMUNITY PARTNERSHIPS THAT INCLUDE BUT ARE NOT LIMITED TO INCREASED OPPORTUNITIES FOR PHYSICAL ACTIVITY; ACCESS TO AND PROMOTION OF HEALTHFUL FOODS AND BEVERAGES, AND HEALTH BENEFIT COVERAGE AND/OR INCENTIVES FOR OBESITY PREVENTION. THE HOSPITAL WILL IMPLEMENT NUTRITION AND BEVERAGE STANDARDS IN PUBLIC INSTITUTIONS, WORKSITES AND OTHER KEY LOCATIONS SUCH AS MARGARETVILLE HOSPITAL AND MOUNTAINSIDE NURSING HOME. AS A ROLE MODEL, HEALTHALLIANCE HAS IMPLEMENTED SYSTEM-WIDE CHANGES THAT INCENTIVIZE EMPLOYEE PARTICIPATION IN A PERSONAL HEALTH ASSESSMENT (PHA), ANNUAL PHYSICAL AND THE ADOPTION OF AT LEAST ONE HEALTHY BEHAVIOR BY STRUCTURING HEALTH INSURANCE RATES FAVORABLY FOR THOSE THAT PARTICIPATE IN WELLNESS ACTIVITIES. THIS MAY SERVE AS A TEMPLATE FOR OTHER COMMUNITY ORGANIZATIONS THAT ARE INTERESTED IN CREATING WORKSITE WELLNESS PROGRAMS. THE HEALTHALLIANCE ADMINISTRATION WILL REVIEW AND REPORT DATA AGGREGATED BY THE PARTICIPATING HEALTH PLAN ON EMPLOYEE PARTICIPATION AND SUCCESS. IN PARTNERSHIP WITH THE HEALTHALLIANCE EMPLOYEE WELLNESS COMMITTEE, HEALTHALLIANCE WILL OFFER HEALTHY EATING CLASSES AND GYM MEMBERSHIPS AT REDUCED RATES. PRIORITY AREA 4: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE. FOCUS AREA 3: STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS. GOAL 1: STRENGTHEN INFRASTRUCTURE FOR MENTAL EMOTIONAL BEHAVIOR ("MEB") HEALTH PROMOTION AND MEB DISORDER PREVENTION. OUTCOME OBJECTIVE: ENHANCE TELEMEDICINE AND REFERRAL SYSTEMS TO BUILD INFRASTRUCTURE OF PSYCHIATRIC SERVICES. FOCUS AREA 2: PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS. GOAL 2: PREVENT SUICIDES AMONG YOUTH AND ADULTS. OUTCOME OBJECTIVE: DECREASE AGE-ADJUSTED SUICIDE RATES. OUTCOME OBJECTIVE: DECREASE THE NUMBER OF SUICIDE ATTEMPTS. MARGARETVILLE HOSPITAL CONTINUES TO WORK WITH THE FOLLOWING ENTITIES TO ACHIEVE THE GOAL OF PREVENTING SUICIDE AMONG YOUTH AND ADULTS DELAWARE COUNTY PUBLIC HEALTH, OCONNOR HOSPITAL, TRI-TOWN REGIONAL HOSPITAL AND DELAWARE VALLEY HOSPITAL. THESE ENTITIES SHARE DATA ON SUICIDES, ATTEMPTED SUICIDES AND SUICIDAL IDEATION. MARGARETVILLE HOSPITAL WILL ESTABLISH TELEMEDICINE CAPABILITIES WITH INPUT FROM WMCHEALTH TO BRING PSYCHIATRIC SERVICES TO THE DELAWARE COUNTY COMMUNITY. UTILIZING RESOURCES FROM HEALTHALLIANCE AND WMCHEALTH AND WITH REFERRALS PROVIDED TO THE MARGARETVILLE AND ROXBURY SCHOOLS, MARGARETVILLE HOSPITAL FORESEES HIGH VALUE AND POTENTIAL IN MEETING THE NEEDS OF THE IDENTIFIED DISPARATE POPULATION. IN REGARDS TO SUICIDE PREVENTION, THE ENTITIES DESCRIBED ABOVE WILL TAKE RESPONSIBILITY FOR THE FOLLOWING: 1. DELAWARE COUNTY PUBLIC HEALTH WILL SHARE DATA ON GENDER, AGE AND MEANS OF SUICIDE DEATHS WITH THE DELAWARE COUNTY SUICIDE PREVENTION NETWORK; 2. OCONNOR HOSPITAL WILL COLLECT THE NUMBERS OF SUICIDE ATTEMPTS AND IDEATION STATISTICS FROM ALL EMERGENCY DEPARTMENTS IN DELAWARE COUNTY. THIS DATA WILL ALSO BE REPORTED TO THE DELAWARE COUNTY SUICIDE PREVENTION NETWORK; AND 3. MARGARETVILLE HOSPITAL, TRI-TOWN REGIONAL MEDICAL CENTER AND DELAWARE VALLEY HOSPITAL WILL REPORT THE NUMBER OF SUICIDE ATTEMPTS AND SUICIDE IDEATION TO OCONNOR HOSPITAL, WHERE THE COMPLETE DATA WILL BE AGGREGATED. THE INTENDED IMPACT BEHIND THE COLLABORATION OF RESOURCES WILL BE TO DECREASE THE AGE-ADJUSTED SUICIDE RATE IN DELAWARE COUNTY BY 10% (FROM 17.2 TO 15.5) PER 100,000, AND TO DECREASE THE NUMBER OF SUICIDE ATTEMPTS IN DELAWARE COUNTY BY DECEMBER 31, 2018. TO STRENGTHEN INFRASTRUCTURE FOR MEB HEALTH PROMOTION AND MEB BEHAVIOR PREVENTION, MARGARETVILLE HOSPITAL WILL PARTNER WITH COMMUNITY ORGANIZATIONS AND COALITIONS, AS WELL AS THE MARGARETVILLE HOSPITAL WELLNESS COMMITTEE, WESTCHESTER MEDICAL CENTER PSYCHIATRY AND PSYCHOLOGY DEPARTMENTS, THE MARGARETVILLE AND ROXBURY SCHOOLS AND POTENTIALLY OTHER SCHOOL DISTRICTS. ALSO INCLUDED IN THIS PARTNERSHIP WILL BE DELAWARE COUNTY PUBLIC HEALTH AND MENTAL HEALTH. TELEMEDICINE EQUIPMENT WILL BE OPERATIONAL, AND A SYSTEM FOR GATHERING REFERRALS FROM THE DELAWARE COUNTY COMMUNITY WILL BE IN PLACE. A STAFF PERSON AT MARGARETVILLE HOSPITAL WILL BE DEDICATED TO THIS WORK. 2018 Progress Update PRIORITY AREA 1: PREVENT CHRONIC DISEASES FOCUS AREA 1: REDUCE OBESITY IN CHILDREN AND ADULTS. GOAL 1: CREATE COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES, AND PHYSICAL ACTIVITY. OUTCOME OBJECTIVE: REDUCE THE PERCENTAGE OF ADULTS AGES 18 AND OLDER WHO ARE OBESE FROM 24.5% TO 23.2% BY THE END OF 2018. - THERE ARE NO UPDATES OUTSIDE OF WHAT WAS TAKING PLACE IN 2017. WE CONTINUE TO INTRODUCE HEALTHY SNACKS IN VENDING MACHINES INCLUDING IN BOTH MARGARETVILLE HOSPITAL AND MOUNTAINSIDE RESIDENTIAL CARE CENTER. GOAL 2: EXPAND THE ROLE OF PUBLIC AND PRIVATE EMPLOYERS IN OBESITY PREVENTION. OUTCOME OBJECTIVE: INCREASE THE PERCENTAGE OF SMALL AND MEDIUM WORKSITES THAT OFFER A COMPREHENSIVE WORKSITE WELLNESS PROGRAM FOR ALL EMPLOYEES. - DUE TO THE COMPLEXITIES OF A TRANSITION FROM A FULL-INSURED TO A NEW SELF-INSURED HEALTH INSURANCE PROGRAM IN 2018, WE WERE UNABLE TO PROCEED WITH A WELLNESS PROGRAM FOR OUR EMPLOYEES. HEALTHALLIANCE WILL RESUME AN EMPLOYEE WELLNESS INITIATIVE IN 2019. PRIORITY AREA 4: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE. FOCUS AREA 3: STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS. GOAL 1: STRENGTHEN INFRASTRUCTURE FOR MENTAL EMOTIONAL BEHAVIOR ("MEB") HEALTH PROMOTION AND MEB DISORDER PREVENTION. OUTCOME OBJECTIVE: ENHANCE TELEMEDICINE AND REFERRAL SYSTEMS TO BUILD INFRASTRUCTURE OF PSYCHIATRIC SERVICES. - THE EXISTING DISPARITY FOR THE 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN IS "LOW INCOME RESIDENTS IN RURAL AREAS IN DELAWARE COUNTY." THIS CAN BENEFIT A LARGE PORTION OF THE MARGARETVILLE HOSPITAL SERVICE AREA, AS THE AVERAGE WEEKLY WAGE RATE FOR DELAWARE COUNTY IS $775 (2015), WHICH IS 34% BELOW THE NYS RATE OF $1,180. TELEHEALTH SERVICES AVAILABLE IN 4 SCHOOL SYSTEMS IN DELAWARE COUNTY. COORDINATION EXISTS BETWEEN PSYCHOLOGIST AND LCSW ASSESSMENTS, EVALUATIONS AND INTERVENTIONS COLLABORATED WITH THE BEHAVIORAL HEALTH TEAM IN THE SCHOOLS AND A PSYCHIATRIST VIA TELE-PSYCHIATRY. THIRD LCSW/RN HIRED TO SUPPORT THE GROWING NEEDS OF THE PROGRAM. TOTAL VISITS - SCHEDULED 1214 - SEEN 1020 (84%) - CANCELLED 119 (9%) - NO-SHOW 85 (7%) FACE-TO-FACE VISITS (WITH SOCIAL WORKER OR PSYCHOLOGIST) - SCHEDULED 1113 - SEEN 928 (83%) - CANCELLED 116 (10%) - NO SHOW 79 (7%) TELEPSYCHIATRY VISITS (WITH PSYCHIATRIST) - SCHEDULED 101 - SEEN 92 (91%) - CANCELLED 3 (3%) - NO SHOW 6 (6%) HEALTH NEEDS NOT ADDRESSED BY HEALTHALLIANCE AFTER A REVIEW OF THE COMMUNITY NEEDS ASSESSMENT DON
PART V, SECTION B, LINE 16A, B AND C:	THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ("FAP") AND FAP APPLICATION ARE AVAILABLE AT THE FOLLOWING WEBSITE: https://www.hahv.org/Uploads/Public/Documents/HealthAlliance%20PDFs/Health Alliance%20Financial%20Assistance%20Policy_3.2018.pdf

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	MARGARETVILLE MEMORIAL HOSPITALS COSTING METHODOLOGY WAS BASED ON WORKSHEET S-10 OF THE MEDICARE COST REPORT. THE COST-TO-CHARGE RATIO WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7. PART I, LINE 7B: COLUMN D - MEDICAID IN 2018, MARGARETVILLE MEMORIAL HOSPITAL RECEIVED $1.2M IN VITAL ACCESS PROVIDER AND SAFETY NET PROGRAM PROJECT (VAP) FUNDING WHILE IN 2017 MARGARETVILLE ONLY RECEIVED $600K IN THIS FUNDING. THIS INCREASE IN FUNDING WAS OFFSET SLIGHTLY BY THE FACT THAT IN 2017 MARGARETVILLE MEMORIAL HOSPITAL RECEIVED $262K FROM THE DEPARTMENT OF HEALTH. THE STATE FISCAL YEAR 2017/18 ENACTED BUDGET APPROPRIATED $20M FOR CRITICAL ACCESS HOSPITALS (CAHS). THERE WERE NO RESTRICTIONS ON THIS FUNDING AND THIS WAS NEW FUNDING FOR THE HOSPITAL IN 2017 WITH NO SIMILAR FUNDING IN 2018. THIS ADDITIONAL VAP FUNDING HAS CAUSED THE DIRECT OFFSETTING REVENUE TO INCREASE IN PART I, LINE 7B, COLUMN D. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES THE COSTS ON LINE 7G INCLUDE no COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
Part III, Line 2: 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 (AFS). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE #2 ON PAGES 18-19 OF THE ATTACHED Audited Financial Statements.
Part III, Line 4: Description of Bad Debt Expense	THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 18-19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Part III, Line 8: Costing Methodology	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 2018, MARGARETVILLE MEMORIAL HOSPITAL DOES NOT HAVE A LOSS FROM MEDICARE THEREFORE IT IS NOT CONSIDERED A COMMUNITY BENEFIT.
PART III LINE 9B: Collection Practices	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 GUARANTORS GROSS MONTHLY INCOME.
PART VI, LINE 2: NEEDS ASSESSMENT	THE COMMUNITY SERVICE PLAN HAS TAKEN INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY MARGARETVILLE HOSPITAL. THROUGH COLLABORATION WITH DELAWARE COUNTY PUBLIC HEALTH, THE THREE OTHER HOSPITALS REPRESENTING DELAWARE COUNTY, AND THE SOUTHERN TIER POPULATION HEALTH IMPROVEMENT PROGRAM, MARGARETVILLE HOSPITAL ALIGNED TOGETHER TO ADDRESS TWO PREVENTION AGENDA PRIORITIES. THE PRIMARY PROACTIVE MEANS FOR RECEIVING COMMUNITY INPUT WAS THROUGH THE REGIONAL ASSESSMENT CONDUCTED BY THE SOUTHERN TIER POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP). IN THE SOUTHERN TIER, PHIP COVERS FIVE COUNTIES INCLUDING DELAWARE COUNTY. IN ORDER TO INFORM THE DIRECTION OF THE SOUTHERN TIER PHIP, ALSO KNOWN AS HEALTH ACTION PRIORITIES NETWORK (HAPN), THE TEAM CONDUCTED A REGIONAL HEALTH ASSESSMENT UTILIZING STAKEHOLDER INTERVIEWS AND CONSUMER FOCUS GROUPS. THE INFORMATION FROM THIS ASSESSMENT THAT SPECIFICALLY REFERS TO DELAWARE COUNTY WAS UTILIZED TO DIRECT THE SELECTION OF THE PUBLIC HEALTH PRIORITIES FOR MARGARETVILLE HOSPITAL. AFTER IDENTIFICATION OF THE CRITERIA FOR PRIORITY SELECTION, A WORK GROUP WAS CONVENED BY THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT WHICH INCLUDED MARGARETVILLE HOSPITAL, DELAWARE VALLEY HOSPITAL, OCONNOR HOSPITAL AND TRI-TOWN REGIONAL HOSPITAL, AS WELL AS THE SOUTHERN TIER 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 2014-2016 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. METHODOLOGY AND PROCESS FROM JUNE 2015 THROUGH JANUARY 2016, NUMEROUS ONE-ON-ONE STRUCTURED INTERVIEWS IN DELAWARE COUNTY WERE CONDUCTED WITH PROFESSIONALS WORKING IN DIVERSE FIELDS SUCH AS HEALTH CARE, EDUCATION, TRANSPORTATION, ECONOMIC DEVELOPMENT, MENTAL HEALTH, LAW ENFORCEMENT AND ELECTED OFFICIALS, AMONG OTHERS. THE INTERVIEW QUESTIONS, 10 KEY QUESTIONS AND FIVE SECONDARY QUESTIONS CENTERED ON HEALTH DISPARITIES, KEY BARRIERS TO ADDRESSING THEM, AND GAPS IN SERVICE PROVISION. CONSUMERS INPUT WAS SOUGHT THROUGH FOCUS GROUPS WHICH WERE CONDUCTED FROM JANUARY THROUGH MARCH OF 2016. POPULATION HEALTH COORDINATORS MET WITH PRE-EXISTING GROUPS INCLUDING SUPPORT GROUPS, SERVICE CLUBS, PARENT GROUPS AND SENIOR MEALS. HAPN/PHIP SOUTHERN TIER CONDUCTED FIVE FOCUS GROUPS WITH 37 PARTICIPANTS IN DELAWARE COUNTY. THEY WERE ASKED ABOUT THEIR EXPERIENCES WITH HEALTH AND HEALTH CARE DELIVERY. RESPONSES FROM THE FOCUS GROUPS WERE COLLECTED BY NOTE-TAKERS AND SUMMARIZED QUALITATIVELY BY THE POPULATION HEALTH COORDINATORS. IN ADDITION, MARGARETVILLE HOSPITAL IS AN ACTIVE PARTICIPANT IN DELAWARE COUNTYS COMMUNITY HEALTH IMPROVEMENT PLAN PROCESS. THIS PROCESS INCLUDED INPUT AND SUGGESTIONS FROM DELAWARE COUNTY PUBLIC HEALTH, DELAWARE VALLEY HOSPITAL, MARGARETVILLE HOSPITAL, OCONNOR HOSPITAL, AND THE SOUTHERN TIER PHIP. FOLLOWING THE PUBLIC PARTICIPATION AND INPUT PERIOD, THE HEALTH PRIORITIES WERE CHOSEN BASED UPON THE APPLICATION OF THE FOLLOWING FIVE CRITERIA: 1. THE PRIORITY AREA WAS IDENTIFIED BY AT LEAST TWO OF THREE PRIMARY INFORMATION SOURCES: MARGARETVILLE HOSPITAL COMMUNITY SERVICE PLAN, DELAWARE COUNTYS COMMUNITY HEALTH ASSESSMENTS OR THE WESTCHESTER MEDICAL CENTER PERFORMING PROVIDER SYSTEM COMMUNITY NEEDS ASSESSMENT; 2. THE PRIORITY AREA WAS CONSISTENT WITH THE CURRENT NYS DEPARTMENT OF HEALTH PREVENTION AGENDA AREAS; 3. THE PRIORITY AREA WAS SUPPORTED BY DATA SHOWING HEALTH STATUS INDICATORS OR HEALTH NEEDS WERE EITHER BELOW THE AVERAGES FOR NEW YORK STATE OR FOR THE MARGARETVILLE SERVICE AREA BASED ON THE WESTCHESTER PPS COMMUNITY NEEDS ASSESSMENT; 4. THE DEGREE OF ABERRATION FROM NATIONAL HEALTHY PEOPLE 2020 GOALS AND/OR FROM NYS PREVENTION AGENDA OBJECTIVES; AND 5. THE PRIORITY AREA WAS IDENTIFIED/ RECOMMENDED DURING THE PUBLIC INPUT PROCESS.
PART VI, LINE 3:	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 (AHA) 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. OUR 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 HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE. 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 PATIENTS ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENTS 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 HTTPS://WWW.HAHV.ORG/FINANCIAL-ASSISTANCE 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 RECEIVES 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. OFTEN UTILIZED, 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. HEALTHALLIANCE IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE AND IS VERY SENSITIVE TO LOW INCOME PATIENTS ABILITY TO PAY. OUR CALL CENTER OFFERS THE CONVENIENCE OF CALLING ONE TELEPHONE NUMBER FOR ALL BILLING INQUIRIES REGARDLESS OF WHICH HOSPITAL THE PATIENT IS CALLING ABOUT.
PART VI, LINE 4: Community Description	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 HOSPITALS MARYS 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. MARGARETVILLE HOSPITAL SERVICE AREA OTHER COMMUNITY HEALTH SERVICES AND RESOURCES AVAILABLE IN DELAWARE COUNTY INCLUDES 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 OCONNOR HOSPITAL AND TRI-TOWN HOSPITAL, BOTH AFFILIATED WITH THE BASSETT HEALTHCARE NETWORK. ADDITIONALLY, THERE ARE TWO 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 FOUR LOCATIONS WITHIN THE COUNTY. DELAWARE COUNTY COVERS 1,446 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 32.3 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 COUNTYS LAND AREA AND 11 OF ITS 19 TOWNSHIPS. APPROXIMATELY 55% OF DELAWARE COUNTYS POPULATION LIES WITHIN THE WATERSHED. BASED ON THE MOST RECENT CENSUS (2010), THE POPULATION OF DELAWARE COUNTY IS 47,963, 50.2% MALE AND 49.8% FEMALE. IN 2018, THE POPULATION DECREASED TO 44,527, REPRESENTING A 7.2% REDUCTION IN POPULATION. AT THE TIME OF THE 2018 CENSUS, 16.5% OF THE POPULATION IS UNDER 18 YEARS WITH 24.5% WERE 65 AND OVER. A MAJORITY OF DELAWARE COUNTY RESIDENTS OVER THE AGE OF 15 ARE MARRIED (72.5%), FOLLOWED BY NEVER MARRIED (42%); SEPARATED (2.8%), WIDOWED (2%), AND DIVORCED (1.8%) MAKE UP A SMALLER PORTION OF THE POPULATION. DELAWARE COUNTYS POPULATION IS 95% WHITE, 1.9% AFRICAN-AMERICAN, 0.2% AMERICAN INDIAN/ESKIMO, 0.8% ASIAN, AND 3.4% OF HISPANIC ORIGIN (U.S. CENSUS BUREAU, 2010-2014 AMERICAN COMMUNITY SURVEY). THE MEDIAN FAMILY INCOME IN DELAWARE COUNTY FOR 2018 WAS $47,921, OBVIOUSLY LESS THAN NEW YORK STATE. ACCORDING TO THE NYS POVERTY REPORT RELEASED IN MARCH 2019, THE POPULATION BELOW THE POVERTY LINE WAS 16.5%, HIGHER THAN THE RATE OF 15.1% FOR NEW YORK. NOTABLY, THE PERCENTAGE OF CHILDREN LIVING BELOW THE POVERTY LINE HAS INCREASED TO 30.7%. IN ADDITION, 9.4% OF EMPLOYED INDIVIDUALS HAD NO HEALTH INSURANCE COMPARED TO 14.4% FOR THOSE UNEMPLOYED.
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 ORGANIZATIONS HOSPITAL FACILITIES FURTHER ITS EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY.
PART VI, LINE 6: Affiliated Health Care System	HAHV IS THE PARENT COMPANY TO AFFILIATE MEMBERS HeAlthalliance MARYS AVENUE CAMPUS, BROADWAY CAMPUS, MARGARETVILLE MEMORIAL HOSPITAL, A RURAL CRITICAL ACCESS HOSPITAL AND 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. DESPITE SIGNIFICANT OPERATIONAL IMPROVEMENT AND AT THE SUGGESTION OF NYS DEPARTMENT OF HEALTH, HAHV JOINED WITH THE WESTCHESTER MEDICAL HEALTH PERFORMING PROVIDER SYSTEM IN THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) AGAIN SEEKING TO TRANSFORM HEALTHCARE DELIVERY TO A MORE EFFECTIVE AND EFFICIENT MODEL THAT WILL BENEFIT ULSTER COUNTY ON MANY LEVELS. WESTCHESTER COUNTY HEALTHCARE CORP, THROUGH ITS WHOLLY OWNED SUBSIDIARY, WMCHEALTH ULSTER, INC. (WMCHEALTH-ULSTER), IS THE SOLE CORPORATE MEMBER OF HEALTHALLIANCE, INC. HEALTHALLIANCE REMAINS AN ACTIVE PARTICIPANT IN THE WMCHEALTH PERFORMING PROVIDER SYSTEM (PPS) WITHIN THE NEW YORK STATE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP). WMCHEALTH-ULSTER OVERSEES OPERATIONS AT THE HEALTHALLIANCE CAMPUSES. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT NEW YORK

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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
David Scarpino
CEO/Trustee	$0	$525,005	$0	$0	$0	$5,994	$0	$26,704	$0	$23,597	$0	$581,300	$0	$0
Eileen King
CLINICAL COORDINATOR	$237,717	$0	$0	$0	$792	$0	$240	$0	$23,978	$0	$262,727	$0	$0	$0
Joseph Marsicovete
Chief Operating Officer	$0	$307,472	$0	$0	$0	$7,779	$0	$6,750	$0	$8,566	$0	$330,567	$0	$0
Paul Llobet MD
TRUSTEE	$0	$308,999	$0	$0	$0	$4,997	$0	$6,750	$0	$0	$0	$320,746	$0	$0
MARK POHAR
EXEC DIR/ex-officio trustee	$0	$207,237	$0	$0	$0	$19,089	$0	$5,316	$0	$23,145	$0	$254,787	$0	$0
GENE EPSTEIN
NURSE PRACTITIONER	$204,786	$0	$0	$0	$792	$0	$240	$0	$8,842	$0	$214,660	$0	$0	$0
NANETTE TREADWELL
PHYSICIAN ASSISTANT	$234,904	$0	$0	$0	$792	$0	$240	$0	$18,828	$0	$254,764	$0	$0	$0
ROBERT ROSS
EXECUTIVE VICE PRESIDENT	$0	$322,361	$0	$0	$0	$0	$0	$50,750	$0	$42,712	$0	$415,823	$0	$0
JANE ULRICH
SR. VP OF NURSING	$0	$184,164	$0	$0	$0	$8,135	$0	$3,434	$0	$18,365	$0	$214,098	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, line 3	FormAndLineReferenceDesc
Explanation	The organization's top management official (CEO & Executive Director) received compensation from a related organization. In order to establish compensation payments, the related organization typically completes a compensation study or engages an independent consultant. The results of said study orconsultant's findings are INCORPORATED into a written employment contract. All actions above are approved by the Board of directors/compensation committee prior to finalization.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	LLOBET MEDICAL	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	35% OR GREATER THAN OWNERSHIP BY THE trustee of MMH	RelationshipDescriptionTxt
Transaction	$181,569	TransactionAmt
Transaction	Physician on Call Payments	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 6	healthalliance, inc. is the sole corporate member of margaretville memorial hospital. FORM 990, PART VI, LINE 7A 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	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	THE FORM 990 WAS PREPARED BY THE ORGANIZATIONS TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATIONS 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	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	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1095883
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER MANPOWER TOTAL FEES:407919
FORM 990 PART IX LINE 11G	DESCRIPTION:BIOMEDICAL SERVICES TOTAL FEES:57204
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:33864
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING & MGT TOTAL FEES:23297
FORM 990 PART IX LINE 11G	DESCRIPTION:WASTE DISPOSAL TOTAL FEES:18810
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:293643

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	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 ROAD	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(C)(3)	12A	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY	115	N/A	NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(C)(3)	12A	WCHCC	false
NORTH ROAD LHCSA INC
100 WOODS ROAD	VALHALLA	NY	10595	465293268	HOMECARE SVCS	NY	501(C)(3)	10	WCHCC	false
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS ROAD	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(C)(3)	7	WCHCC	false
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROAD	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(C)(3)	7	WCHCC	false
HEALTHALLIANCE INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	261850453	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	Yes (true)
HEALTHALLIANCE HOSP MARY'S AVE CAMPUS
105 MARYS AVENUE	KINGSTON	NY	12401	141338470	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	Yes (true)
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(C)(3)	10	MMH	Yes (true)
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(C)(3)	12A	MMH	Yes (true)
FASC FOUNDATION
741 GRANT AVENUE	LAKE KATRINE	NY	12449	264201295	SUPPORT FDN	NY	501(C)(3)	7	HAH BWAY	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	Yes (true)
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	Yes (true)
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(C)(3)	12C, III-FI	WCHCC	false
HealthAlliance Foundation Inc
741 GRANT AVENUE	LAKE KATRINE	NY	12449	222511450	FUNDRAISING	NY	501(C)(3)	7	HA INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE (BARBADOS)
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	CAP INSURANCE	BB	BSCHSI	C CORP	Yes (true)
KINGSTON INSURANCE (BARBADOS) LIMITED
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	CAP INSURANCE	BB	HEALTHALLIANCE	C CORP	Yes (true)
NORTHEAST PROVIDER SOLUTIONS INC
			MSO & HEARING		NA	c corp	Yes (true)	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
			PHYSICIAN OFFices		NA	c corp	Yes (true)	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WESTCHESTER MEDICAL REGIONAL PHYS SVCS
			PHYSICIAN OFFices		NA	c corp	Yes (true)	241 NORTH ROAD	POUGHKEEPSIE	NY	10532	465522536	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET	HAMILTON	BD	CAP INSURANCE	BD	NA	c corp	Yes (true)
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
			INVESTMENT		HAH BWAY	c corp	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
			MEDICAL SVCS		na	c corp	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	203564769	NY
bschs medical group pc
			physician offices		bschs	c corp	Yes (true)	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	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARGARETVILLE NURSING HOME INC
o	$905,117	COST
MARGARETVILLE NURSING HOME INC
p	$262,965	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART II, Bon Secours Charity Health System, Inc. (BSCHS)	FormAndLineReferenceDesc
Explanation	Margaretville Memorial Hospital has a brother-sister relationship with BSCHS's six subordinates in a group exemption within BSCHS.	ExplanationTxt