2017-10-30T10:26:00-05:00 2016-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2016-01-01 261998454 MARGARETVILLE HEALTH FOUNDATION % ERIN NAGY DIRECTOR OF FINAN MARG 8455862631 42084 STATE HIGHWAY 28 MARGARETVILLE NY 124552820 MARK POHAR Executive Director 8455862631 2017-10-25 true LAURA KIELCZEWSKI P00740769 2127733000 164.57.159.254 26308520173035000014 2017-10-30 P 050F75853A9F423F493495C03CDD05FDA32C01D0 050F75853A9F423F493495C03CDD05FDA32C01D0 2016 2021-01-29 14:40:06Z HEATHER BRIGHTON 42084 STATE HIGHWAY 28 MARGARETVILLE NY 124552820 74787 false X www.margaretvillehealthfoundation.org/ X 2008 NY To fundraise to support the critical access healthcare services Margaretville Memorial Hospital provides to the community it serves. 3 3 0 3 0 68677 48681 0 0 8207 7355 16173 9560 93057 65596 0 10750 0 0 25713 32586 0 0 43562 54189 15576 79902 58912 13155 6684 311331 331654 2296 1876 309035 329778 TO BE A STRATEGIC & PROACTIVE FUNDRAISING CENTER THAT COMMUNICATES THE HOSPITAL AND NURSING HOME GOALS TO FURTHER RAISE AWARENESS OF THE ESSENTIAL ROLE THEY PLAY IN THE COMMUNITY WHILE FOSTERING GOOD WILL IN THE AREA. false false 10750 0 0 MARGARETVILLE HEALTH FOUNDATION (THE "FOUNDATION") Performs FUNDRAISING ACTIVITIES TO BENEFIT AND SUPPORT MARGARETVILLE MEMORIAL HOSPITAL (THE "HOSPITAL"). DURING 2016, THE FOUNDATION DISTRIBUTED THE FOLLOWING TO THE HOSPITAL: $7,750 FOR OPERATIONS (UNRESTRICTED), $1,500 FOR EMPLOYEE CARES, AND $1,500 FOR SCHOLARSHIPS. 10750 true true false false false false false false false false false false false false true false false true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 1 0 true 0 false false false false false false false false false false X 3 3 false false false false true true true true true false false true true true true true true false false false NY X ERIN NAGY DIRECTOR OF FINAN 8459436024 741 GRANT AVENUE LAKE KATRINE NY 12449 HEATHER BRIGHTON CHAIRPERSON 1.0 0.0 X X 0 0 0 DONALD BRAMLEY TRUSTEE (RESIGNED 8/15/16) 1.0 0.0 X 0 0 0 KATHLEEN MOORE TRUSTEE (RESIGNED 8/31/16) 1.0 0.0 X 0 0 0 MICHAEL MORIARITY TRUSTEE (RESIGNED 11/28/16) 1.0 0.0 X 0 0 0 Carmen Lopez First Chair 1.0 0.0 X X 0 0 0 Susan Hohenhaus Trustee (RESIGNED 11/28/16) 1.0 0.0 X 0 0 0 Amy McCann Trustee (RESIGNED 9/20/16) 1.0 0.0 X 0 0 0 Merle Ann Parker Trustee 1.0 0.0 X 0 0 0 Paul Llobet MD Chief Med.Officer (EFF. 5/16) 0.5 37.0 X 0 312458 1783 Mark Pohar Executive Director (Eff. 5/16) 0.5 37.0 X 0 140335 19876 SANDRA HORAN FORMER EXECUTIVE DIRECTOR 0.0 0.0 X 0 200755 12950 0 653548 34609 0 true true false 0 0 48681 0 48681 0 7355 7355 0 0 0 0 0 0 18751 0 9191 9560 9560 0 0 0 0 0 0 0 65596 16915 0 0 10750 10750 0 0 0 0 0 0 0 0 0 0 0 0 26671 0 4600 22071 0 0 0 0 5915 0 0 5915 0 0 0 0 0 0 0 0 0 0 0 0 2125 0 0 2125 0 0 0 0 0 0 1769 0 0 1769 0 10499 0 0 10499 1183 0 0 1183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58912 10750 4600 43562 90708 92082 0 0 1368 799 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219255 238773 0 0 0 0 0 0 0 0 311331 331654 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2087 1876 2296 1876 X 243495 223495 65540 106283 0 0 309035 329778 311331 331654 X 6684 14023 36 X false true X true false X X X 1 MARGARETVILLE MEMORIAL HOSPITAL 150552726 3 true 10750 0 1 10750 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED ORGANIZATIONS 1876 1876 GOLF OUTING 12050 0 12050 0 0 2240 1624 0 2376 DONOR CULTIVAT. 5650 0 5650 0 299 0 1510 0 1017 2 1051 0 1051 0 0 0 0 0 125 18751 0 18751 0 299 2240 3134 0 3518 9191 9560 true Margaretville Memorial Hospital 42084 St Route 28 Margaretville NY 12445 150552726 501(c)(3) 10750 General Support 1 false false false false false false false false false Paul Llobet MD Chief Med.Officer (EFF. 5/16) 0 307465 0 0 0 4993 0 1783 0 0 0 314241 0 0 Mark Pohar Executive Director (Eff. 5/16) 0 128672 0 0 0 11663 0 0 0 19876 0 160211 0 0 SANDRA HORAN FORMER EXECUTIVE DIRECTOR 0 192355 0 0 0 8400 0 4879 0 8071 0 213705 0 0 SCHEDULE J, PART I, LINE 3 The Organization's top management official (CEO/Executive Director) receives 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. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS MARGARETVILLE MEMORIAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE MARGARETVILLE HEALTH FOUNDATION. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS MARGARETVILLE MEMORIAL HOSPITAL HAS THE POWER TO ELECT THE TRUSTEES OF THE FOUNDATION. FORM 990, PART VI, LINE 7B 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 PROCESS USED TO REVIEW THE FORM 990: The Form 990 was prepared by our tax advisors together with our 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 presented 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 WMCHealth 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 alleviate the conflict, or 4) removal of the individual from employment. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS REVERSAL OF UNCOLLECTABLE PLEDGES $36 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 241 NORTH ROAD POUGHKEEPSIE NY 12601 465293268 HOMECARE SVCS NY 501(C)(3) 10 WCHCC false MID-HUDSON VALLEY EARLY EDUCATION CENTER 241 NORTH ROAD POUGHKEEPSIE NY 12601 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 false HEALTHALLIANCE HOSP MARY'S AVE CAMPUS 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 HEALTHALLIANCE SENIOR LIVING CORP 396 BROADWAY KINGSTON NY 12401 300164277 RTMNT COMM NY 501(C)(3) 10 HA INC false MARGARETVILLE NURSING HOME INC 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 223143565 NURSING HOME NY 501(C)(3) 10 MMH true FASC FOUNDATION 741 GRANT AVENUE LAKE KATRINE NY 12449 264201295 SUPPORT FDN NY 501(C)(3) 7 HAH BWAY 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 true BON SECOURS WARWICK HEALTH FOUNDATION 255 LAFAYETTE AVE SUFFERN NY 10901 141972807 SUPPORT FDN NY 501(C)(3) 7 BSCHSI true BON SECOURS CHARITY HEALTH SYSTEM INC 255 LAFAYETTE AVE SUFFERN NY 10901 912135195 SUPPORTING NY 501(C)(3) 12C, III-FI WCHCC false HUDSON RIVER WEST INSURANCE (BARBADOS) 38 PINE ROAD BELLEVILLE ST MICHAEL BB CAP INSURANCE BB BSCHSI C CORP true KINGSTON INSURANCE (BARBADOS) LIMITED 38 PINE ROAD BELLEVILLE ST MICHAEL BB CAP INSURANCE BB HEALTHALLIANCE c corp true NORTHEAST PROVIDER SOLUTIONS INC 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING AID NY NA c corp true WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFFICES NY NA c corp true WESTCHESTER MEDICAL REGIONAL PHYS SVCS 241 NORTH ROAD POUGHKEEPSIE NY 10532 465522536 PHYSICIAN OFFICES NY NA c corp true WCHCC (BERMUDA) LIMITED VICTORIA HALL 11 VICTORIA STREET HAMILTON BD CAP INSURANCE BD NA c corp true KINGSTON REGIONAL HEALTH CARE ENTERPRISE 396 BROADWAY KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY c corp true MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY HAH BWAY C CORP true false true false false false false false false false false false true false true true false false false false SCHEDULE R, PART II BON SECOURS CHARITY HEALTH SYSTEM, INC. (BSCHS) MARGARETVILLE HEALTH FOUNDATION HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS.