2023-11-13T16:39:04+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW Washington DC 20005 990 2022-01-01 223143565 Margaretville Nursing Home Inc MARG 8459436084 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 DR MICHAEL DOYLE EXEC. DIRECTOR/CMO 2023-11-13 true JOSHUA RATNER 999009999 Justin Lowe P01866796 2023276000 2023-11-07 2022 2023-04-26 12:10:37Z MOUNTAINSIDE RESIDENTIAL CARE CENTER DR MICHAEL DOYLE 105 Marys Avenue KINGSTON NY 12401 4496368 false X HTTP://WWW.HAHV.ORG/ASSISTED-LIVING.ASPX X 1991 NY TO OPERATE A LONG-TERM CARE FACILITY ORGANIZED TO SERVE THE AGED, DISABLED AND CHRONICALLY IMPAIRED PERSONS OF THE COMMUNITY WE SERVE. 14 12 75 2 0 0 354375 74861 5864970 4404850 1161 2331 16517 14326 6237023 4496368 0 0 5492350 4524827 0 0 3725422 6355949 9217772 10880776 -2980749 -6384408 4523054 3923923 16820717 5277578 -12297663 -1353655 MARGARETVILLE NURSING HOME, INC. D/B/A MOUNTAINSIDE RESIDENTIAL CARE CENTER IS A CORPORATION ORGANIZED UNDER THE NOT-FOR-PROFIT CORPORATION LAW OF NEW YORK STATE WHICH OPERATES AN 82 BED TAX EXEMPT LONG-TERM CARE FACILITY ORGANIZED TO SERVE THE AGED, DISABLED AND CHRONICALLY IMPAIRED PERSONS. false false 8373704 0 4404850 MARGARETVILLE NURSING HOME, INC. D/B/A MOUNTAINSIDE RESIDENTIAL CARE CENTER IS AN 82-BED LONG-TERM CARE FACILITY SPONSORED BY MARGARETVILLE HOSPITAL, INC., A NOT-FOR-PROFIT CORPORATION THAT OPERATES AN ADJOINING CRITICAL ACCESS HOSPITAL. TOTAL RESIDENT DAYS IN 2022 WERE 19,523 WITH AN AVERAGE OCCUPANCY PERCENTAGE OF 65.23%. 8373704 true true false false false false false false false true false false true true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 13 0 true 75 true false false false false false false false false false false false false X 14 12 false false false false true true true true true false false true true true true true true false false false NY X ERIN NAGY 8459436084 105 MARYS AVENUE KINGSTON NY 12401 EDWARD MCNAMARA EXECUTIVE DIRECTOR 9.8 30.3 X X 0 80962 4154 AMY VAN HORN TRUSTEE (RESIGNED 2/22) 1.0 1.0 X 0 0 0 ARNOLD SCHWARTZ BOARD CHAIR 1.0 1.0 X 0 0 0 CATHERINE ALLEN MD TRUSTEE 1.0 39.0 X 0 463831 61455 CONNIE JEFFERS TRUSTEE 1.0 1.0 X 0 0 0 CRAIG SICKLER TRUSTEE (EFFECTIVE 1/22) 1.0 4.0 X 0 0 0 DAVE RAMA TRUSTEE (EFFECTIVE 4/22) 1.0 1.0 X 0 0 0 DIANA MASON TRUSTEE 1.0 1.0 X 0 0 0 DIANE MUNRO TRUSTEE (EFFECTIVE 4/22) 1.0 1.0 X 0 0 0 EMILIE ADAMS TRUSTEE/VICE CHAIR 1.0 1.0 X 0 0 0 FRED MARGUILES SECRETARY 1.0 2.0 X 0 0 0 JAMES HOWIE TRUSTEE 1.0 1.0 X 0 0 0 JOHN RIEDL TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL CIOFFI TRUSTEE (EFFECTIVE 7/22) 1.0 1.0 X 0 0 0 STEVE FINCH TRUSTEE (EFFECTIVE 7/22) 1.0 1.0 X 0 0 0 MICHAEL DOYLE MD EXEC DIR/CMO 2.0 38.0 X 0 619034 8701 ELISSA WALISZEWSKI COO-NORTHERN REGION 2.0 38.0 X 0 357908 49462 CRYSTAL PARRELLA ASST. VP OF OP. - NORTHERN REG 5.0 35.0 X 0 204432 46066 JANE ULRICH SR. VP OF NURSING 1.0 39.0 X 0 210568 29209 JODI GURLEY REGISTERED NURSE 40.0 0 X 127904 0 11490 KAREN PALLAGROSI REGISTERED NURSE 40.0 0 X 115399 0 13663 MICHAEL MCDERMOTT REGISTERED NURSE 40.0 0 X 132287 0 15221 JOSEPH MARSICOVETE CHIEF OPERATING OFFICER (RESIGNED JUNE 2021) 0.0 0.0 X 0 202304 0 375590 2139039 239421 5 true true false 0 14039 60822 74861 NET PATIENT SERVICE REVENUE 623000 4404850 4404850 0 0 0 0 0 0 4404850 2331 0 0 2331 0 0 0 0 CAFETERIA & VENDING 900099 5312 0 0 5312 TELEVISION RENTAL INCOME 900002 4660 0 0 4660 MISCELLANEOUS INCOME 900099 4354 0 0 4354 0 0 0 0 14326 4496368 4404850 0 16657 X 3357270 2636213 721057 0 20015 15011 5004 0 936701 702526 234175 0 210841 158131 52710 0 58266 0 58266 0 4353329 4147188 206141 0 225170 15995 209175 0 100974 0 100974 0 932 0 932 0 20550 19936 614 0 92887 0 92887 0 173956 173956 0 0 165497 0 165497 0 NYS DOH ASSESSMENT 278633 278633 0 0 CONTRACTED SERVICES 278716 115294 163422 0 MEDICAL SUPPLIES 117947 117947 0 0 BAD DEBT EXPENSE -67816 -67816 0 0 556908 60690 496218 0 10880776 8373704 2507072 0 3351 4590 589037 142635 151478 195516 0 0 0 0 35689 13315 72201 17345 9739105 8618121 1255633 1120984 0 0 2415665 2429538 4523054 3923923 1459360 2075884 0 0 2719648 2575969 12641709 625725 16820717 5277578 X -12297663 -1353655 -12297663 -1353655 4523054 3923923 X -6384408 17328416 X false true X true false X 52546 78620 493741 354375 74861 1054143 6642261 6760371 6916071 5864970 4404850 30588523 0 0 0 6694807 6838991 7409812 6219345 4479711 31642666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31642666 7723 8827 2180 1161 2331 22222 0 7723 8827 2180 1161 2331 22222 0 168268 27014 16082 16517 14326 242207 6870798 6874832 7428074 6237023 4496368 31907095 0.9917 0.9911 0 0.0008 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 3347.0, COLUMN B - 5566.0, COLUMN C - 6679.0, COLUMN D - 7990.0, COLUMN E - 4353.0, COLUMN F - 27935.0; DESCRIPTION - CAFETERIA & VENDING INCOME, COLUMN A - 25598.0, COLUMN B - 15668.0, COLUMN C - 5963.0, COLUMN D - 4547.0, COLUMN E - 5313.0, COLUMN F - 57089.0; DESCRIPTION - TELEVISION RENTAL INCOME, COLUMN A - 5928.0, COLUMN B - 5780.0, COLUMN C - 3440.0, COLUMN D - 3980.0, COLUMN E - 4660.0, COLUMN F - 23788.0; DESCRIPTION - GAIN ON SALE OF INS. CO., COLUMN A - 133395.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 133395.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26154 26154 7571688 6812835 758853 1992258 1679969 312289 149005 125317 23688 1120984 ASSETS LIMITED AS TO USE 2429538 2429538 DUE TO RELATED ORGANIZATIONS 63780 RESIDENT DEPOSITS 185787 OTHER LIABILITIES 376158 625725 4564184 0 0 4564184 -67816 -67816 4496368 10948592 0 0 10948592 -67816 -67816 10880776 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements BAD DEBT EXPENSE REPORTED ON PART IX - -67816 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE REPORTED ON PART IX - -67816 true false false false false false false false false CATHERINE ALLEN MD TRUSTEE 0 463831 0 0 0 0 0 31700 0 29755 0 525286 0 0 JOSEPH MARSICOVETE CHIEF OPERATING OFFICER (RESIGNED JUNE 2021) 0 0 0 0 0 202304 0 0 0 0 0 202304 0 0 MICHAEL DOYLE MD EXEC DIR/CMO 0 509142 0 109336 0 556 0 8115 0 586 0 627735 0 0 ELISSA WALISZEWSKI COO-NORTHERN REGION 0 357908 0 0 0 0 0 20500 0 28962 0 407370 0 0 CRYSTAL PARRELLA ASST. VP OF OP. - NORTHERN REG 0 204432 0 0 0 0 0 16645 0 29421 0 250498 0 0 JANE ULRICH SR. VP OF NURSING 0 209189 0 0 0 1379 0 5273 0 23936 0 239777 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment JOSEPH MARSICOVETE, FORMER CHIEF OPERATING OFFICER FOR HEALTHALLIANCE, INC., RECEIVED SEVERANCE PAYMENTS OF $161,112 IN 2022 FROM A RELATED ORGANIZATION. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE ORGANIZATION'S EXECUTIVE DIRECTOR/CMO RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. IN ORDER TO ESTABLISH COMPENSATION PAYMENTS, THE ORGANIZATION TYPICALLY COMPLETES A COMPENSATION STUDY OR ENGAGES AN INDEPENDENT CONSULTANT. THE RESULTS OF SAID STUDY OR CONSULTANT'S FINDINGS ARE IMPLEMENTED INTO A WRITTEN EMPLOYMENT CONTRACT. ALL ACTIONS ABOVE ARE APPROVED BY THE BOARD OF DIRECTORS/COMPENSATION COMMITTEE PRIOR TO FINALIZATION. Form 990, Part VI, Line 6 Classes of members or stockholders MARGARETVILLE MEMORIAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF MARGARETVILLE NURSING HOME, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MARGARETVILLE MEMORIAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF MARGARETVILLE NURSING HOME AND HAS THE POWER TO ELECT ONE OR MORE MEMBERS OF THE LOCAL GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders AMENDMENTS TO THE BYLAWS, AS SUGGESTED BY THE GOVERNING BODY, MUST BE EXPRESSLY APPROVED BY MARGARETVILLE MEMORIAL HOSPITAL, THE SOLE MEMBER, BEFORE BECOMING EFFECTIVE. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATION'S FINANCE DEPARTMENT AND OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER OF WESTCHESTER MEDICAL CENTER, AN AFFILIATED ORGANIZATION. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMCHEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) DISCLOSURE OF THE CONFLICT, 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT, 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees CONTRACTED SERVICES - Total Expense: 441684, Program Service Expense: 253186, Management and General Expenses: 188498, Fundraising Expenses: 0; MANPOWER - Total Expense: 3387447, Program Service Expense: 3387447, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 474028, Program Service Expense: 474028, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACTED DENTAL FEES - Total Expense: 32527, Program Service Expense: 32527, Management and General Expenses: , Fundraising Expenses: 0; COLLECTION FEES - Total Expense: 17643, Program Service Expense: 0, Management and General Expenses: 17643, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM RELATED PARTIES - 17328416; WMC HEALTH NETWORK - ROCKLAND INC 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 320467873 SUPPORTING NY 501(c)(3) Type I NA false WMC HEALTH NETWORK - ULSTER INC 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 320477183 SUPPORTING NY 501(c)(3) Type I WCHCC false WESTCHESTER COUNTY HEALTH CARE CORP 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 133964321 HEALTHCARE NY NA false WMC NEW YORK INC 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 134107894 FUNDRAISING NY 501(c)(3) Type I WCHCC false NORTH ROAD LHCSA INC 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 465293268 HOMECARE SVCS NY 501(c)(3) 10 WCHCC false MID-HUDSON VALLEY EARLY EDUCATION CENTER 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 465534882 PRESCHOOL NY 501(c)(3) 7 WCHCC false WESTCHESTER MEDICAL CENTER FOUNDATION 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 134095845 FUNDRAISING NY 501(c)(3) 7 WCHCC false HEALTHALLIANCE INC 105 MARYS AVENUE KINGSTON NY 12401 261850453 SUPPORTING NY 501(c)(3) Type I WCHCC false HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS 396 BROADWAY KINGSTON NY 12401 141349558 EXEMPT HOSP NY 501(c)(3) 3 HA INC false Healthalliance Hospital 105 MARYS AVENUE KINGSTON NY 12401 141338470 EXEMPT HOSP NY 501(c)(3) 3 HA INC false MARGARETVILLE MEMORIAL HOSPITAL 42084 STATE ROUTE 28 MARGARETVILLE NY 12455 150552726 EXEMPT HOSP NY 501(c)(3) 3 HA INC false MARGARETVILLE HEALTH FOUNDATION 42084 STATE HIGHWAY 28 MARGARETVILLE NY 12455 261998454 SUPPORT FDN NY 501(c)(3) Type I MMH false GOOD SAMARITAN FDN FOR BETTER HEALTH 255 LAFAYETTE AVE SUFFERN NY 10901 133400353 SUPPORT FDN NY 501(c)(3) 7 BSCHSI false BON SECOURS COMMUNITY HOSPITAL FDN 255 LAFAYETTE AVE SUFFERN NY 10901 810667395 SUPPORT FDN NY 501(c)(3) 7 BSCHSI false BON SECOURS WARWICK HEALTH FOUNDATION 255 LAFAYETTE AVE SUFFERN NY 10901 141972807 SUPPORT FDN NY 501(c)(3) 7 BSCHSI false BON SECOURS CHARITY HEALTH SYSTEM INC 255 LAFAYETTE AVE SUFFERN NY 10901 912135195 SUPPORTING NY 501(c)(3) Type III-FI WCHCC false HEALTHALLIANCE FOUNDATION INC 105 MARYS AVENUE KINGSTON NY 12401 222511450 FUNDRAISING NY 501(c)(3) 7 HA INC false HUDSON RIVER WEST INSURANCE LIMITED 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ CAP INSURANCE CJ BSCHSI C Corporation false HUDSON RIVER NORTH INSURANCE LIMITED 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ CAP INSURANCE CJ HA INC C Corporation false NORTHEAST PROVIDER SOLUTIONS INC 100 WOODS RD TAYLOR PAVILION M222 VALHALLA NY 10595 133991673 MSO & HEARING NY NA C Corporation false WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFF NY NA C Corporation false WCHCC (BERMUDA) LIMITED VICTORIA HALL 11 VICTORIA STREET HAMILTON BD CAP INSURANCE BD NA C Corporation false KINGSTON REGIONAL HEALTH CARE ENTERPRISE 105 Marys Avenue KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY C Corporation false MID HUDSON PHYSICIANS PC 105 Marys Avenue KINGSTON NY 12401 203564769 MEDICAL SVCS NY NA C Corporation false BSCHS MEDICAL GROUP PC 10 FRANKLIN TURNPIKE MAHWAH NJ 07430 821632215 PHYSICIAN OFF NJ BSCHSI C Corporation false false false true false false false false false false false false true false true true false true false false Schedule R, Part II BON SECOURS CHARITY HEALTH SYSTEM, INC. (BSCHS) MARGARETVILLE NURSING HOME HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS.