Margaretville Nursing Home Inc
Nonprofit profile at a glance
- EIN
- 223143565
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024
- Location
- Margaretville, NY, USA
- Phone
- 8459436084
- Rating
- 71
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Nursing, Convalescent Facilities
Reported finances
- Revenue
- $5,341,106
- Expenses
- $10,905,987
- Assets
- $4,453,009
- Liabilities
- $6,640,720
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
27 people listed
Executive titles in this filing
- JOSHUA RATNER (CEO (THRU 11/2024)/TRUSTEE (EFF. 11/2024))
- Michael Hochman (EXECUTIVE DIRECTOR (BEG 7/2024))
- FRANCES DAVIS (REGIONAL VICE PRESIDENT, NURSE EXECUTIVE)
- MEGHAN WEYGANT (VICE PRESIDENT, OPERATIONS (THRU 11/2024))
Highest reported compensation
- JOSHUA RATNER (CEO (THRU 11/2024)/TRUSTEE (EFF. 11/2024)): $1,262,969 total reported compensation
- MICHAEL DOYLE MD (CMO): $600,030 total reported compensation
- Elissa Waliszewski CHESSARI (COO-NORTHERN REGION): $565,238 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
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.
What it reported doing in 2024
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 2024 were 19,363 with an average occupancy percentage of 64.5%.
Operating model
- Revenue model
- Other-operating. 100% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 81
- Transparency & Controls: 65
- Accountability: 83
- Sustainability: 8
- Growth: 40
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 75.9%; rating input score 76
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.9%; rating input score 93; 13th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 85.7%; rating input score 86; 17th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -104.2%; rating input score 1; 1st percentile among comparable filings
- Total-asset coverage ratio: 0.41; rating input score 14; 14th percentile among comparable filings
- Liabilities to assets ratio: 1.49; rating input score 2; 2nd percentile among comparable filings
- Officer compensation ratio: 9.8%; rating input score 30; 30th percentile among comparable filings
Growth
- Program expense growth: 5.1% per year; rating input score 100; 40th percentile among comparable filings
- Revenue growth: -1.7% per year; rating input score 0; 7th percentile among comparable filings
- Asset growth: -3.3% per year; rating input score 0; 5th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 75.9% of spending went to programs
- Governance: 12 of 14 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $8.3M in reported program spending
- Leadership: top reported pay $1.3M · 27 people listed · 0 of 6 pay-setting controls reported
- Consistency: 31 of 32 current checks pass · 1 finding to review
- Schedules: 6 filed schedules · includes major donors and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Related organizations: 22 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- High — Sustainability: Operating margin scored 1/100.
- High — Growth: Revenue growth scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Sustainability: Total-asset coverage ratio scored 14/100.
- High — Growth: Asset growth scored 0/100.
- High — Sustainability: Liabilities to assets ratio scored 2/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
- Moderate — Sustainability: Officer compensation ratio scored 30/100.