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Nonprofiteer
← MARGARETVILLE MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by MARGARETVILLE MEMORIAL HOSPITAL.

Totals

Total revenue
$15,749,636
Total expenses
$17,583,306
Contributions and grants received
$2,481,922
Grants paid
$0
Program service revenue
$11,616,816
Investment income
$3,654
Other revenue
$1,647,244
Total assets, end of year
$7,682,051
Total liabilities, end of year
$5,503,541
Net assets or fund balances, end of year
$2,178,510
Program services expenses (Part IX)
$13,471,425
Management and general expenses
$4,111,881
Fundraising expenses
$0
Program service expenses (Part III)
$13,471,425

Program services were 76.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $2,481,922

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $11,616,816 · related or exempt $11,616,816 · unrelated business $0 · excluded $0

  • 2b · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2c · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2d · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2e · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $3,654 · related or exempt $0 · unrelated business $0 · excluded $3,654

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $129,614 · personal property $0

  • 6b · Less rental expenses

    real property $19,595 · personal property $0

  • 6c · Rental income or loss

    real property $110,019 · personal property $0

  • 6d · Net rental income or loss

    total $110,019 · related or exempt $0 · unrelated business $0 · excluded $110,019

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $0

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 7d · Net gain or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11a · Other revenue: PHARMACY REVENUE

    total $1,287,646 · related or exempt $0 · unrelated business $0 · excluded $1,287,646

  • 11b · Other revenue: AMBULANCE REVENUE

    total $80,875 · related or exempt $80,875 · unrelated business $0 · excluded $0

  • 11c · Other revenue: AUXILIARY REVENUE

    total $79,788 · related or exempt $0 · unrelated business $0 · excluded $79,788

  • 11d · All other revenue

    total $88,916 · related or exempt $0 · unrelated business $0 · excluded $88,916

  • 11e · Other revenue, total

    $1,537,225

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $7,227,666 · program services $6,275,628 · management and general $952,038 · fundraising $0

  • 8 · Pension plan contributions

    total $47,079 · program services $35,309 · management and general $11,770 · fundraising $0

  • 9 · Other employee benefits

    total $752,840 · program services $564,630 · management and general $188,210 · fundraising $0

  • 10 · Payroll taxes

    total $366,832 · program services $275,124 · management and general $91,708 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11c · Fees: accounting

    total $83,940 · program services $0 · management and general $83,940 · fundraising $0

  • 11d · Fees: lobbying

    total $1,717 · program services $0 · management and general $1,717

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $3,349,114 · program services $2,917,797 · management and general $431,317 · fundraising $0

  • 12 · Advertising and promotion

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $479,483 · program services $281,432 · management and general $198,051 · fundraising $0

  • 14 · Information technology

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $232,028 · program services $10,546 · management and general $221,482 · fundraising $0

  • 17 · Travel

    total $23,283 · program services $0 · management and general $23,283 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $48,881 · program services $1,211 · management and general $47,670 · fundraising $0

  • 20 · Interest

    total $34,036 · program services $0 · management and general $34,036 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $343,234 · program services $343,234 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $359,339 · program services $0 · management and general $359,339 · fundraising $0

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,525,214 · program services $1,524,595 · management and general $619 · fundraising $0

  • 24b · Other expenses: EQUIPMENT SVC CONTRACTS

    total $919,465 · program services $861,950 · management and general $57,515 · fundraising $0

  • 24c · Other expenses: PHYSICIAN FEES

    total $31,608 · program services $9,208 · management and general $22,400 · fundraising $0

  • 24d · Other expenses: CONTRACTED SERVICES

    total $1,316,967 · program services $276,470 · management and general $1,040,497 · fundraising $0

  • 24e · All other expenses

    total $440,580 · program services $94,291 · management and general $346,289 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,249,512 · end of year $2,124,331

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $556,111 · end of year $748,527

  • 4 · Accounts receivable

    beginning of year $1,654,528 · end of year $1,743,491

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $460,356 · end of year $502,663

  • 9 · Prepaid expenses and deferred charges

    beginning of year $124,162 · end of year $60,066

  • 10a · Land, buildings and equipment: cost or other basis

    $23,650,378

  • 10b · Land, buildings and equipment: accumulated depreciation

    $22,030,317

  • 10c · Land, buildings and equipment, net

    beginning of year $1,742,685 · end of year $1,620,061

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $718,390 · end of year $882,912

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,142,837 · end of year $4,451,818

  • 19 · Deferred revenue

    beginning of year $131,854 · end of year $257,877

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $35,573 · end of year $17,180

  • 25 · Other liabilities

    beginning of year $2,931,238 · end of year $776,666

  • 27 · Net assets without donor restrictions

    beginning of year $1,264,242 · end of year $2,178,510

Mission and programs · 2022

Mission

TO OPERATE A CRITICAL ACCESS HOSPITAL FOR QUALITY MEDICAL CARE AND DIAGNOSTIC SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES IN THE AREA.

  • MARGARETVILLE MEMORIAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE HEALTH CARE SERVICES TO RESIDENTS AND VISITORS TO THE COMMUNITIES SERVICED. MARGARETVILLE MEMORIAL HOSPITAL RECORDED 1,509 PATIENT DAYS, 3,696 EMERGENCY ROOM VISITS, 107 OUTPATIENT SURGERIES, 187 DISCHARGES AND 118 INFUSION THERAPIES IN 2022.

    Expenses $13,471,425 · Revenue $11,697,691

As filed on the 2022 return.

Listed in Part VII

  • Edward McNamara

    EXECUTIVE DIRECTOR

    Total calculated
    $85,116
    From this org
    $0
    From related orgs
    $80,962
    Other
    $4,154
    Hours/week
    29.8 + 10.3 related
  • Amy Van Horn

    TRUSTEE (RESIGNED 2/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Arnold Schwartz

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Catherine Allen MD

    TRUSTEE

    Total calculated
    $525,286
    From this org
    $0
    From related orgs
    $463,831
    Other
    $61,455
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $463,831 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $31,700 related
    Nontaxable benefits
    $0 + $29,755 related
    Filer's total
    $0 + $525,286 related
  • Connie Jeffers

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Craig Sickler

    TRUSTEE (EFFECTIVE 1/22)

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Dave Rama

    TRUSTEE (EFFECTIVE 4/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Diana Mason

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Diane Munro

    TRUSTEE (EFFECTIVE 4/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Emilie Adams

    TRUSTEE/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Fred Marguiles

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • James Howie

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • John Riedl

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Michael Cioffi

    TRUSTEE (EFFECTIVE 7/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Steve Finch

    TRUSTEE (EFFECTIVE 7/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Michael Doyle MD

    EXEC DIR/CMO/EX OFFICIO TRUSTEE

    Total calculated
    $627,735
    From this org
    $0
    From related orgs
    $619,034
    Other
    $8,701
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $509,142 related
    Bonus
    $0 + $109,336 related
    Other
    $0 + $556 related
    Deferred
    $0 + $8,115 related
    Nontaxable benefits
    $0 + $586 related
    Filer's total
    $0 + $627,735 related
  • Elissa Waliszewski

    COO-NORTHERN REGION

    Total calculated
    $407,370
    From this org
    $0
    From related orgs
    $357,908
    Other
    $49,462
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,908 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $28,962 related
    Filer's total
    $0 + $407,370 related
  • Amy Smith

    EDUCATION COORDINATOR

    Total calculated
    $164,478
    From this org
    $132,567
    From related orgs
    $0
    Other
    $31,911
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $132,447
    Bonus
    $0
    Other
    $120
    Deferred
    $645
    Nontaxable benefits
    $31,266
    Filer's total
    $164,478
  • Crystal Parrella

    ASST. VP OF OP. - NORTHERN REG

    Total calculated
    $250,498
    From this org
    $0
    From related orgs
    $204,432
    Other
    $46,066
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $204,432 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $16,645 related
    Nontaxable benefits
    $0 + $29,421 related
    Filer's total
    $0 + $250,498 related
  • Jane Ulrich

    SR. VP OF NURSING

    Total calculated
    $239,777
    From this org
    $0
    From related orgs
    $210,568
    Other
    $29,209
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $209,189 related
    Bonus
    $0
    Other
    $0 + $1,379 related
    Deferred
    $0 + $5,273 related
    Nontaxable benefits
    $0 + $23,936 related
    Filer's total
    $0 + $239,777 related
  • Switlana Breigle

    REGISTERED NURSE

    Total calculated
    $175,703
    From this org
    $171,418
    From related orgs
    $0
    Other
    $4,285
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,235
    Bonus
    $11,000
    Other
    $183
    Deferred
    $3,721
    Nontaxable benefits
    $564
    Filer's total
    $175,703
  • Yelena Zabirko

    PHARMACY SUPERVISOR

    Total calculated
    $162,991
    From this org
    $150,273
    From related orgs
    $0
    Other
    $12,718
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,162
    Bonus
    $0
    Other
    $111
    Deferred
    $2,542
    Nontaxable benefits
    $10,176
    Filer's total
    $162,991
  • Joseph Marsicovete

    COO (RESIGNED 6/21)

    Total calculated
    $202,304
    From this org
    $0
    From related orgs
    $202,304
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $202,304 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $202,304 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HUDSON RIVER WEST INSURANCE LIMITED

    C Corporation · CAP INSURANCE · CJ

    Directly controlled by BSCHSI

  • HUDSON RIVER NORTH INSURANCE LIMITED

    C Corporation · CAP INSURANCE · CJ

    Directly controlled by HA INC

  • NORTHEAST PROVIDER SOLUTIONS INC

    C Corporation · MSO & HEARING · NY

    Directly controlled by NA

  • WMC ADVANCED PHYSICIAN SERVICES PC

    C Corporation · PHYSICIAN OFF · NY

    Directly controlled by NA

  • WCHCC (BERMUDA) LIMITED

    C Corporation · CAP INSURANCE · BD

    Directly controlled by NA

  • KINGSTON REGIONAL HEALTH CARE ENTERPRISE

    C Corporation · INVESTMENT · NY

    Directly controlled by HAH BWAY

  • MID HUDSON PHYSICIANS PC

    C Corporation · MEDICAL SVCS · NY

    Directly controlled by NA

  • BSCHS MEDICAL GROUP PC

    C Corporation · PHYSICIAN OFF · NJ

    Directly controlled by BSCHSI

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202303179349310830

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