MARGARETVILLE MEMORIAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MARGARETVILLE MEMORIAL HOSPITAL (EIN 15-0552726)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-02
IRS object ID: 201813069349301656
Schema version: 2017v2.3
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	2018-11-02T13:26:36-05:00	ReturnTs
Tax Period End	2017-12-31	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	2017-01-01	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	DAVID SCARPINO	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8459436024	PhoneNum
Signature	2018-10-31	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	100.2.84.112	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520183065000047	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-02	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	89F31758C10140A6CE2E9E470E23FD94F177A9B4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D7645E384763AEB8339B885771554B833BC3ADBE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID SCARPINO	PrincipalOfficerNm

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

Field	Value	IRS element (for citing)
Gross Receipts	$13,068,629	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 AREAS IN THE CATSKILL MOUNTAINS.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	149	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,988,507	PYContributionsGrantsAmt
CY Contributions Grants	$2,079,901	CYContributionsGrantsAmt
PY Program Service Revenue	$9,053,829	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,440,021	CYProgramServiceRevenueAmt
PY Investment Income	$362,189	PYInvestmentIncomeAmt
CY Investment Income	$1,285	CYInvestmentIncomeAmt
PY Other Revenue	$1,347,338	PYOtherRevenueAmt
CY Other Revenue	$1,524,237	CYOtherRevenueAmt
PY Total Revenue	$13,751,863	PYTotalRevenueAmt
CY Total Revenue	$13,045,444	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	$7,076,052	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,440,097	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,799,118	PYOtherExpensesAmt
CY Other Expenses	$6,071,697	CYOtherExpensesAmt
PY Total Expenses	$12,875,170	PYTotalExpensesAmt
CY Total Expenses	$13,511,794	CYTotalExpensesAmt
PY Revenues Less Expenses	$876,693	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$466,350	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,183,706	TotalAssetsBOYAmt
Total Assets EOY	$6,058,032	TotalAssetsEOYAmt
Total Liabilities BOY	$5,048,393	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,389,069	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,135,313	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,668,963	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND DIAGNOSTIC TESTING SERVICES TO MEDICALLY UNDERSERVED AREAS IN THE CATSKILL MOUNTAINS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$10,586,773	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$9,514,946	RevenueAmt
Desc	MARGARETVILLE MEMORIAL HOSPITAL PROVIDES ACUTE HEALTH CARE SERVICES TO RESIDENTS AND VISITORS TO THE CATSKILL REGION. MARGARETVILLE MEMORIAL HOSPITAL RECORDED 1,188 PATIENT DAYS, 4,187 EMERGENCY ROOM VISITS, 124 OUTPATIENT SURGERIES, 174 DISCHARGES AND 87 INFUSION THERAPIES IN 2017.	Desc
Total Program Service Expenses	$10,586,773	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	22	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	149	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
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 (25 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	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
1st 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	1.28	38.72	Yes (X)	$0	$521,190	$23,498	Yes (X)
Kent Garrett
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Thomas Collins
EX-OFFICIO TRUSTEE	1.0	4.0	Yes (X)	$0	$0	$0
James Howie
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Paul Llobet MD
TRUSTEE (effective 5/10/17)	1.0	39.0	Yes (X)	$0	$313,939	$6,750
Rita Herbst
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
WEYMIN HAGO MD
EX-OFFICO (resigned 5/10/17)	1.0	1.0	Yes (X)	$15,000	$0	$0
MARK POHAR
TRUSTEE	19.47	20.53	Yes (X)	$0	$221,376	$22,328
CHRISTOPHER ESOLA
TRUSTEE	1.0	39.0	Yes (X)	$0	$91,962	$2,885
KRISTIN FLACHS
TRUSTEE (EFFECTIVE 3/20/17)	1.0	1.0	Yes (X)	$0	$0	$0
ARNIE SCHWARTZ
TRUSTEE (EFFECTIVE 3/2/17)	1.0	1.0	Yes (X)	$0	$0	$0
Patricia Gavis
CFO (resigned 1/20/17)	0.53	39.47		$0	$21,981	$2,137	Yes (X)
Sandra Horan
CNO (resigned 6/30/17)	1.0	39.0		$0	$150,965	$7,537		Yes (X)
Eileen King
CLINICAL COORDINATOR	40.0	0.0		$246,949	$0	$16,543		Yes (X)
Joseph Marsicovete
Chief Operating Officer	2.0	38.0		$0	$314,358	$12,201		Yes (X)
GENE EPSTEIN
NURSE PRACTITIONER	40.0	0.0		$200,253	$0	$8,070		Yes (X)
NANETTE TREADWELL
PHYSICIAN ASSISTANT	40.0	0.0		$249,113	$0	$16,953		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$711,315	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,635,771	TotReportableCompRltdOrgAmt
Total Other Compensation	$118,902	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	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	$574,858
Seco Physical Occupational Therap
Eaton Center 26 Conkey Ave Suite	NORWICH	NY	13815	CONSULTING	$190,315
Llobet Medical
PO Box 1020	MARGARETVILLE	NY	12455	Medical	$212,590
MEDICAL STAFFING NETWORK
PO Box 840292	DALLAS	TX	75284	STAFFING AGENCY	$113,718
Fusion Medical Staffing LLC
PO Box 82674	LINCOLN	NE	68501	LAB STAFFING AGENCY	$141,642

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$17,533	RelatedOrganizationsAmt
Government Grants	$1,958,068	GovernmentGrantsAmt
All Other Contributions	$104,300	AllOtherContributionsAmt
Total Contributions	$2,079,901	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$9,440,021	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,440,021	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,440,021	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,285	TotalRevenueColumnAmt
Exclusion	$1,285	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	$78,172	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$13,482	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$64,690	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,690	TotalRevenueColumnAmt
Exclusion	$64,690	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	$21,993	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$9,703	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,290	TotalRevenueColumnAmt
Exclusion	$12,290	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	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY REVENUE	446110	$1,170,825	$0	$0	$1,170,825
AMBULANCE REVENUE	621300	$74,925	$74,925	$0	$0
All other revenue	900099	$201,507	$0	$0	$201,507

Field	Value	IRS element (for citing)
Other Revenue Total	$1,447,257	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,045,444	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,514,946	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,450,597	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	$15,000	TotalAmt
Program Services	$15,000	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	$5,775,801	TotalAmt
Program Services	$4,479,001	ProgramServicesAmt
Management And General	$1,296,800	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,248	TotalAmt
Program Services	$13,116	ProgramServicesAmt
Management And General	$4,132	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,208,739	TotalAmt
Program Services	$915,815	ProgramServicesAmt
Management And General	$292,924	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$423,309	TotalAmt
Program Services	$317,482	ProgramServicesAmt
Management And General	$105,827	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	$58,577	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$58,577	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$72,756	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$72,756	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,450	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,450	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$1,637,652	TotalAmt
Program Services	$1,369,828	ProgramServicesAmt
Management And General	$267,824	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$291	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$291	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$512,190	TotalAmt
Program Services	$314,950	ProgramServicesAmt
Management And General	$197,240	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	$143,795	TotalAmt
Program Services	$8,433	ProgramServicesAmt
Management And General	$135,362	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$36,146	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$36,146	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	$16,762	TotalAmt
Program Services	$14,027	ProgramServicesAmt
Management And General	$2,735	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$38,121	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$38,121	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	$556,382	TotalAmt
Program Services	$556,382	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$125,054	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$125,054	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$1,220,784	$1,217,406	$3,378	$0
EQUIPMENT SVC CONTRACTS	$954,394	$909,473	$44,921	$0
PHYSICIAN FEES	$411,877	$365,477	$46,400	$0
CONTRACTED SERVICES	$160,040	$0	$160,040	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$125,426	TotalAmt
Program Services	$90,383	ProgramServicesAmt
Management And General	$35,043	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,511,794	TotalAmt
Program Services	$10,586,773	ProgramServicesAmt
Management And General	$2,925,021	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,763,237	BOYAmt
EOY	$707,407	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	$40,362	BOYAmt
EOY	$90,278	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$872,399	BOYAmt
EOY	$1,122,876	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	$248,866	BOYAmt
EOY	$316,628	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$133,304	BOYAmt
EOY	$118,218	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$22,026,665	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,072,001	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,137,109	BOYAmt
EOY	$1,954,664	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	$1,988,429	BOYAmt
EOY	$1,747,961	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,183,706	BOYAmt
EOY	$6,058,032	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,191,385	BOYAmt
EOY	$2,757,450	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	$1,536,554	BOYAmt
EOY	$570,729	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	$109,528	BOYAmt
EOY	$36,761	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	$1,210,926	BOYAmt
EOY	$1,024,129	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,048,393	BOYAmt
EOY	$4,389,069	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,135,313	BOYAmt
EOY	$1,668,963	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	$2,135,313	BOYAmt
EOY	$1,668,963	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,183,706	BOYAmt
EOY	$6,058,032	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$466,350	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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

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
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,450	OtherActivitiesAmt
Total Lobbying Expenditures	$1,450	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 2017 IHA ANNUAL DUES WERE $1,450.	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	$4,670,114	OtherCostOrOtherBasisAmt
Depreciation	$3,921,908	DepreciationAmt
Book Value	$748,206	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$457,978	OtherCostOrOtherBasisAmt
Depreciation	$383,748	DepreciationAmt
Book Value	$74,230	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,875,445	OtherCostOrOtherBasisAmt
Depreciation	$15,766,345	DepreciationAmt
Book Value	$1,109,100	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$1,954,664	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$1,180,134
INTEREST IN MH FOUNDATION	$362,131
OTHER RECEIVABLE	$201,338
ASSETS LIMITED AS TO USE	$4,358

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,747,961	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER NON-CURRENT LIABILITIES	Desc
Amt	$1,024,129	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,024,129	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Harvest Moon	Event1Nm
Gross Receipts Event1	$11,196	GrossReceiptsEvent1Amt
Gross Revenue Event1	$11,196	GrossRevenueEvent1Amt
Food And Beverage Event1	$4,240	FoodAndBeverageEvent1Amt
Entertainment Event1	$925	EntertainmentEvent1Amt
Other Direct Expenses Event1	$2,025	OtherDirectExpensesEvent1Amt
Event2	Flea Market.	Event2Nm
Gross Receipts Event2	$10,797	GrossReceiptsEvent2Amt
Gross Revenue Event2	$10,797	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$230	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$713	FoodAndBeverageEvent2Amt
Entertainment Event2	$400	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,170	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$21,993	GrossReceiptsTotalAmt
Gross Revenue Total Events	$21,993	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$230	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$4,953	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,325	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$3,195	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$9,703	DirectExpenseSummaryEventsAmt
Net Income Summary	$12,290	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	$107,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,738	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,056,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,333,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$722,888	NetCommunityBenefitExpnsAmt
Total Expense	0.05350	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,163,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,357,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$806,626	NetCommunityBenefitExpnsAmt
Total Expense	0.05970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,381	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,463,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,186,049	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,277,449	NetCommunityBenefitExpnsAmt
Total Expense	0.09450	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,467,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,186,049	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,281,830	NetCommunityBenefitExpnsAmt
Total Expense	0.09480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,631,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,543,324	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,088,456	NetCommunityBenefitExpnsAmt
Total Expense	0.15450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$408,201	BadDebtExpenseAmt
Reimbursed By Medicare	$4,047,755	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,332,091	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$715,664	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: 2016-2018 CHNA Implementation Plan	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 hospitals CHNA report is widely available to the public at the below website URL: https://hahv.org/hahv/community-service-plan.aspx
PART V, SECTION B, LINE 10:	The Hospitals most recently adopted implementation strategy is posted at the below website URL: https://hahv.org/hahv/community-service-plan.aspx
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 collaborative dialogue 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 Preventing Chronic Disease and Promoting Mental Health/ Preventing 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 healthy food and beverage choices, and physical activity. Outcome Objective: Reduce the percentage of adults ages 18 and older who are obese. Margaretville Hospital works with the communities in their service area to increase retail availability of affordable healthy foods that meet the needs of communities, especially those with limited access to nutritious foods. The Margaretville Hospital Wellness Committee will recommend 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 begun to implement an evidence-based wellness program for all 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 begun to implement 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 CDPHP 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 will 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 will 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: -Delaware County Public Health will share data on gender, age and means of suicide deaths with the Delaware County Suicide Prevention Network; -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 -Margaretville Hospital, Tri-Town Regional Medical Center and Delaware Valley Hospital will report the numbers 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. 2017 Progress Update Goal #1: Create community environments that promote and support healthy food and beverage choices and physical activity. We have started to introduce healthy snacks in the vending machines at Margaretville Hospital and Mountainside RCC. We will continue to introduce more healthy foods this quarter. Goal #2: Expand the role of public and private employers in obesity prevention. 51% of employees at HAHV Delaware County Facilities engaged in this initiative. This initiative involves a systems change approach to employee health. We are using a Health Risk Assessment (HRA), known to us as a Personal Health Assessment PHA (Reference of evidence base taken from CDC Healthier Worksite Initiative https://www.cdc.gov/workplacehealthpromotion/initiatives/healthscorecard/i ndex.html). Capital District Physicians Health Program (CDPHP) provides the software to our employees to collect data on healthy behaviors they have completed. For engaging in three healthy behaviors - including completing a Personal Health Assessment, employees who carry health insurance through CDPHP from HealthAlliance get a $15 deduction each pay period on their health insurance premiums. Financial incentive to employees encourages them to know their weight and heart disease risk numbers and see their healthcare provider for a regular checkup. They are also required to engage in two healthy behaviors in order to qualify for the $15 premium deduction each pay period. Priority Area 4: Promote Mental Health and Prevent Substance Abuse Focus Area 3: Strengthen infrastructure across systems. Goal #1: Strengthen infrastructure for MEB health promotion and MEB disorder prevention. Outcome Objective: Enhance telemedicine and referral systems to build infrastructure of psychiatric services. In general the program is going very well. At the present time, services are being rendered in four local schools. Psychiatric help is now accessible to students in an underserved county. Currently there are two grants that provide funding to bring mental health services to the community for both behavioral health and psychological health. The psychiatrist was the missing component, but the services are now available through telemedicine technology. Four schools (Margaretville, Andes, Roxbury and Downsville School Districts) are streamlining students into the program. The schools' guidance counselors are a source of referrals to behavioral health professionals. A clinical psychologist working in Margaretville/Roxbu
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://hahv.org/hahv/financial-assistance.aspx

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 2017, Margaretville Memorial Hospital received $262,000 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 which has caused the direct offsetting revenue to increase in Part I, Line 7B, Column D.
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 AFS.
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 2017, 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, a total of 43 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://hahv.org/hahv/financial-assistance.aspx. Financial counselors, both internal staff and a paid external vendor, 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 hospital has onsite representatives from Fidelis Insurance Company to help patients who are in need of insurance coverage navigate through the application process. 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. Fidelis screens the patient to see which plan will fit them and they are certified to enroll the patients in many different insurance policies based on their insurance needs. 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/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 of The Hudson Valley 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. 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 do not want to provide the necessary financial information to initiate the financial aid process. Continual outreach and education is occurring 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.
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 include 20 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 multiple 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 2010 Census, the population of Delaware County is 47,840, 50.2% male and 49.8% female. In 2013, the population decreased to 46,772, representing a 2.3% reduction in population (Table 1). At the time of the 2010 Census, 9,405 people were less than 18 (19.6%), 38,575 were 18 and over (80.4%) and 9,331, were 65 and over (19.4%). It is estimated that 46.5% of the total population is 45 years of age or older. 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). In 2015, the median family income in Delaware County, $44,617, is less than New York States at $58,687. According to the NYS Poverty Report released in March 2015, the population below the poverty line was 16.4%, higher than the rate of 15.9% for New York. Notably, the percentage of children living below the poverty line has increased between 2000 and 2013 from 18% to 22%. The communities of Davenport (33.8%) and Walton (35.1%) have the highest rates of child poverty in Delaware County (U.S. Census Bureau, 2009-2013 American Community Survey). Based on the NYS Department of Health Behavioral Health Survey from 2013-2014, 83.9% of the population has healthcare coverage compared to 88.7% in the Southern Tier and 84.7% in the Mohawk Valley region, with only 62.2% of Delaware County adults aged 18-64 visiting a doctor for a routine checkup. Accordingly, 8.7% of residents reported not receiving medical care in the past year because of cost, compared to 10.0% in the Southern Tier, 12.2% in the Mohawk Valley region, and 13.1% in New York State.
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 furthers 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 HA Mary's Avenue Campus and Broadway Campus, in Kingston, NY, 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 in 2014 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. On March 30, 2016, Westchester County Healthcare Corp, through its wholly owned subsidiary, WMCHealth Ulster, Inc. (WMCHealth-Ulster), became 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 NY

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 (8 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
Sandra Horan
CNO (resigned 6/30/17)	$0	$145,514	$0	$0	$0	$5,451	$0	$3,367	$0	$4,170	$0	$158,502	$0	$0
David Scarpino
CEO/Trustee	$0	$512,037	$0	$0	$0	$9,153	$0	$6,750	$0	$16,748	$0	$544,688	$0
Eileen King
CLINICAL COORDINATOR	$246,187	$0	$0	$0	$762	$0	$240	$0	$16,303	$0	$263,492	$0	$0	$0
Joseph Marsicovete
Chief Operating Officer	$0	$306,957	$0	$0	$0	$7,401	$0	$6,750	$0	$5,451	$0	$326,559	$0	$0
Paul Llobet MD
TRUSTEE (effective 5/10/17)	$0	$308,999	$0	$0	$0	$4,940	$0	$6,750	$0	$0	$0	$320,689	$0	$0
MARK POHAR
TRUSTEE	$0	$202,423	$0	$0	$0	$18,953	$0	$1,000	$0	$21,328	$0	$243,704	$0	$0
GENE EPSTEIN
NURSE PRACTITIONER	$199,491	$0	$0	$0	$762	$0	$240	$0	$7,830	$0	$208,323	$0	$0	$0
NANETTE TREADWELL
PHYSICIAN ASSISTANT	$248,351	$0	$0	$0	$762	$0	$240	$0	$16,713	$0	$266,066	$0	$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) 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 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.	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	$212,590	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 OUR TAX ADVISORS TOGETHER WITH THE FINANCE DEPARTMENT WITH THE ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY INTERNAL LEADERSHIP. 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, LINES 15A & 15B	The determination of the CEO's compensation involves the engagement of an independent compensation consultant to perform a compensation study/survey. Once completed, the findings and recommendations from the consultant are brought to the compensation committee of the board of directors. Upon the committee's review and approval, the CEO's employment contract is developed. For other top management officials, the same process is used with the exception that the findings are used to develop and execute a letter of employment versus a contract.
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:OTHER MANPOWER TOTAL FEES:317092
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:53955
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING & MGT TOTAL FEES:88632
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1133119
FORM 990 PART IX LINE 11G	DESCRIPTION:BIOMEDICAL SERVICES TOTAL FEES:26344
FORM 990 PART IX LINE 11G	DESCRIPTION:WASTE DISPOSAL TOTAL FEES:18510

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)	10	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	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE (BARBADOS)
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	000000000	CAP INSURANCE	BB	BSCHSI	C CORP	Yes (true)
KINGSTON INSURANCE (BARBADOS) LIMITED
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	000000000	CAP INSURANCE	BB	HEALTHALLIANCE	C CORP	Yes (true)
NORTHEAST PROVIDER SOLUTIONS INC
			133991673	MSO & HEARING AID		NA	c corp	Yes (true)	100 WOODS ROAD	VALHALLA	NY	10595	NY
WMC ADVANCED PHYSICIAN SERVICES PC
			264709927	PHYSICIAN OFFICES		NA	c corp	Yes (true)	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	NY
WESTCHESTER MEDICAL REGIONAL PHYS SVCS
			465522536	PHYSICIAN OFFICES		NA	c corp	Yes (true)	241 NORTH ROAD	POUGHKEEPSIE	NY	10532	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET	HAMILTON	BD	000000000	CAP INSURANCE	BD	NA	c corp	Yes (true)
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
			161514994	INVESTMENT		HAH BWAY	c corp	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	NY
MID HUDSON PHYSICIANS PC
			203564769	MEDICAL SVCS		na	c corp	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	NY
bschs medical group pc
			821632215	physician offices		bschs	c corp	Yes (true)	10 franklin turnpike	mahwah	NJ	07430	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	$784,175	COST
MARGARETVILLE NURSING HOME INC
p	$80,242	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