Civic Intelligence

Margaretville Memorial Hospital

EIN 15-0552726 • 501(c)3 • Margaretville, NY

Profile

Margaretville memorial hospital ("mmh") 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. Mmh provides linkages to high tech and specialty medical care through an active relationship with the health alliance hospitals.

42084 State Route 28Margaretville, NY 12445

www.hahv.org/MARGARETVILLEHOSPITAL

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

95th percentile

2.56x

Higher debt load relative to assets than 95% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

80th percentile

0.94x

Higher debt load relative to revenue than 80% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Net Margin

17th percentile

-23%

Higher net margin than 17% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

82nd percentile

$1,301,516

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 7.9% of source-year revenue.

NTEE E • $10M-$25M nonprofits • Source year 2024

Asset Growth

20th percentile

-9.3%

Faster asset growth than 20% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

33rd percentile

-0.9%

Faster revenue growth than 33% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$5,998,150

Down $612,671 (-9.3%) from 2023

Liabilities

Up

$15,343,571

Up $5,620,806 (+58%) from 2023

Net Assets

Down

-$9,345,421

Down $6,233,477 (-200%) from 2023

Revenue

Down

$16,394,651

Down $150,110 (-0.9%) from 2023

Expenses

Up

$20,092,783

Up $1,563,527 (+8.4%) from 2023

Net Income

Down

-$3,698,132

Down $1,713,637 (-86%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$10M$0-$10MAssets 2010: $10,677,428Liabilities 2010: $7,624,841Net Assets 2010: $3,052,5872010Assets 2011: $12,773,254Liabilities 2011: $8,381,086Net Assets 2011: $4,392,1682011Assets 2012: $13,266,107Liabilities 2012: $8,237,052Net Assets 2012: $5,029,0552012Assets 2013: $17,306,528Liabilities 2013: $13,880,996Net Assets 2013: $3,425,5322013Assets 2014: $11,720,057Liabilities 2014: $8,861,176Net Assets 2014: $2,858,8812014Assets 2015: $9,166,004Liabilities 2015: $8,212,354Net Assets 2015: $953,6502015Assets 2016: $7,183,706Liabilities 2016: $5,048,393Net Assets 2016: $2,135,3132016Assets 2017: $6,058,032Liabilities 2017: $4,389,069Net Assets 2017: $1,668,9632017Assets 2018: $5,391,412Liabilities 2018: $4,174,327Net Assets 2018: $1,217,0852018Assets 2019: $4,988,619Liabilities 2019: $5,617,160Net Assets 2019: -$628,5412019Assets 2020: $7,939,977Liabilities 2020: $4,890,339Net Assets 2020: $3,049,6382020Assets 2021: $7,505,744Liabilities 2021: $6,241,502Net Assets 2021: $1,264,2422021Assets 2022: $7,682,051Liabilities 2022: $5,503,541Net Assets 2022: $2,178,5102022Assets 2023: $6,610,821Liabilities 2023: $9,722,765Net Assets 2023: -$3,111,9442023Assets 2024: $5,998,150Liabilities 2024: $15,343,571Net Assets 2024: -$9,345,4212024

Highlighted filing

2024

Assets$5,998,150
Liabilities$15,343,571
Net Assets-$9,345,421

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $10,688,4042010Expenses 2011: $10,996,6212011Revenue 2012: $11,168,594Expenses 2012: $10,614,596Net Income 2012: $553,9982012Revenue 2013: $10,666,159Expenses 2013: $12,415,677Net Income 2013: -$1,749,5182013Revenue 2014: $12,066,991Expenses 2014: $12,697,366Net Income 2014: -$630,3752014Revenue 2015: $11,612,559Expenses 2015: $13,401,545Net Income 2015: -$1,788,9862015Revenue 2016: $13,751,863Expenses 2016: $12,875,170Net Income 2016: $876,6932016Revenue 2017: $13,045,444Expenses 2017: $13,511,794Net Income 2017: -$466,3502017Revenue 2018: $14,305,498Expenses 2018: $14,757,376Net Income 2018: -$451,8782018Revenue 2019: $13,935,274Expenses 2019: $15,480,960Net Income 2019: -$1,545,6862019Revenue 2020: $19,031,311Expenses 2020: $15,353,011Net Income 2020: $3,678,3002020Revenue 2021: $15,666,335Expenses 2021: $17,451,731Net Income 2021: -$1,785,3962021Revenue 2022: $15,749,636Expenses 2022: $17,583,306Net Income 2022: -$1,833,6702022Revenue 2023: $16,544,761Expenses 2023: $18,529,256Net Income 2023: -$1,984,4952023Revenue 2024: $16,394,651Expenses 2024: $20,092,783Net Income 2024: -$3,698,1322024

Highlighted filing

2024

Revenue$16,394,651
Expenses$20,092,783
Net Income-$3,698,132

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.00$15.3$9.35$16.4$20.1$3.70
2023Summary only. Only limited summary data is available for this year.$6.61$9.72$3.11$16.5$18.5$1.98
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.68$5.50$2.18$15.7$17.6$1.83
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.51$6.24$1.26$15.7$17.5$1.79
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.94$4.89$3.05$19.0$15.4$3.68
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.99$5.62$0.63$13.9$15.5$1.55
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.39$4.17$1.22$14.3$14.8$0.45
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.06$4.39$1.67$13.0$13.5$0.47
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.18$5.05$2.14$13.8$12.9$0.88
2015Detailed filing. Detailed filing data is available for this year.$9.17$8.21$0.95$11.6$13.4$1.79
2014Detailed filing. Detailed filing data is available for this year.$11.7$8.86$2.86$12.1$12.7$0.63
2013Summary only. Only limited summary data is available for this year.$17.3$13.9$3.43$10.7$12.4$1.75
2012Summary only. Only limited summary data is available for this year.$13.3$8.24$5.03$11.2$10.6$0.55
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.8$8.38$4.39$11.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.7$7.62$3.05$10.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.1
Gross Receipts
$16,401,408
Mission and Program Overview

Mission

To provide immediate access to high quality medical care and diagnostic testing services to medically underserved areas in the catskill mountains.

To operate a critical access hospital for quality medical care and diagnostic services to medically underserved communities in the area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,352,940$1,664,144▲ $311,204
Accounts Receivable$1,318,566$1,432,366▲ $113,800
Inventories for Sale or Use$651,550$743,387▲ $91,837
Cash and Non-Interest-Bearing Accounts$1,544,924$607,616▼ $937,308
Pledges and Grants Receivable$496,440$590,879▲ $94,439
Prepaid Expenses and Deferred Charges$369,584$41,520▼ $328,064
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$6,610,821$5,998,150▼ $612,671
Other Assets Total$876,817$918,238▲ $41,421
Liabilities
Other Liabilities$4,705,014$10,931,408▲ $6,226,394
Accounts Payable and Accrued Expenses$4,889,161$4,246,519▼ $642,642
Deferred Revenue$128,590$140,142▲ $11,552
Mortgage Notes Payable Secured by Investment Property$0$25,502▲ $25,502
Total Liabilities$9,722,765$15,343,571▲ $5,620,806
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-3,111,944$-9,345,421▼ $6,233,477
Total Net Assets Fund Balance$-3,111,944$-9,345,421▼ $6,233,477
Total Liabilities and Net Assets / Fund Balance$6,610,821$5,998,150▼ $612,671

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$936,538$17,541,962$18,478,500
Buildings$638,458$4,484,947$5,123,405
Other Land Buildings$66,021$555,701$621,722
Land$23,127-$23,127
Leasehold Improvements$0$0$0
Other Assets Org$4,358--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Yelena ZabirkoPharmacy SupervisorFT$174,160$17,331$191,491
Amy SmithEducation CoordinatorFT$153,787$35,737$189,524
Kimberly CoppageDepartment HeadFT$142,190$29,947$172,137
Susan SkovsendeLaboratory TechnologistFT$139,495$14,273$153,768
Aleta HunterDirector Ambulatory SurgeryFT$129,801$14,425$144,226
John EdwardsFacility Administrator (resigned 1/2024)PT-$31,448$31,448

Board Members and Trustees

NameTitle
Emily AdamsChair
Dave RamaVice Chair
Frances DavisRegional Vice President, Nurse Executive
Meghan WeygantVice President, Operations (resigned 11/16/24)
Joshua RatnerCEO (thru 11/2024) / Trustee (eff. 11/2024)
Michael HochmanExecutive Director (AS OF 7/2024)
Arnold SchwartzTrustee
Catherine Allen MdTrustee
Colleen McdanielTrustee
Diana MasonTrustee
Diane MunroTrustee
Fred MarguilesTrustee
Michael CioffiTrustee
Steve FinchTrustee
Richard SiegelTrustee (AS OF 1/2024)
James HowieTRUSTEE (resigned 12/31/24)
Connie JeffersTRUSTEE (resigned 5/2024)
Craig SicklerTRUSTEE Ex Officio
Elissa Waliszewski ChessariChief Operating Officer Northern Region
Michael Doyle MdCMO
John RiedlSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Cross Country StaffingManpowerPO BOX 404674, Atlanta, GA 30384-4674$1,438,224
Ny Medical Physicians AssociatesPhysicians2100 POWELL STREET SUITE 400, Emeryville, CA 94608$293,295
Seco Physical & Occup Therapy PCContract Labor26 CONKEY AVE SUITE 136, Norwich, CT 13815$276,247
Rtg MedicalContracted Services22ND STREET, Freemont, NE 60825$171,238
Crothall Healthcare INCHousekeeping3028 COLLECTION CENTER DRIVE, Chicago, IL 60693$168,934
Revenue and Support

Revenue Composition

Contributions and Grants
$1,461,530
Program Service Revenue
$13,444,780
Investment Income
$2,042
Other Revenue
$1,486,299
Change in Net Assets
$-3,698,132

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$10,629,289
Other Expenses$9,463,494
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,238,015$1,093,008-$8,331,023
Fees for Services Other$2,304,012$552,249$0$2,856,261
Other Employee Benefits$1,295,986$436,366-$1,732,352
Payroll Taxes$343,244$114,415-$457,659
Other Expenses$380,442$69,338-$449,780
Insurance$0$391,551-$391,551
All Other Expenses$123,763$214,751$0$338,514
Office Expenses$109,413$177,651-$287,064
Depreciation Depletion$259,699$0-$259,699
Occupancy$11,153$248,265-$259,418
Pension Plan Contributions$81,191$27,064-$108,255
Fees for Services Accounting$0$106,424-$106,424
Conferences and Meetings$0$63,810-$63,810
Travel$0$37,867-$37,867
Interest$0$6,379-$6,379
Fees for Services Lobbying$0$3,039-$3,039
Total Functional Expenses$14,982,377$5,110,406$0$20,092,783

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Non-current Liabilities$10,662,342
Federal Income Taxes$269,066
Due to Related Parties-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 Classes of members or stockholders

Healthalliance, inc. Is the sole corporate member of margaretville memorial hospital.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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 Decisions requiring approval by members or stockholders

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 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 and then was presented to the finance committee of the sole member's board of directors for review and approval for filing; the finance committee reports out to the sole member's full board.

Form 990, Part VI, Line 12C Conflict of interest policy

The sole member monitors and enforces compliance with the conflict of interest policy by means of a survey developed and approved by the chief compliance officer of the sole member. 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) further 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 4) removal of the individual from their position

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 VIII, Line 11D Other Miscellaneous Revenue

MISCELLANEOUS - Total Revenue: 103685, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 103685;

Filing and Contact Details

Filer

Filer Name
Margaretville Memorial Hospital
EIN
15-0552726
Phone
8459436084
Address
42084 STATE ROUTE 28, MARGARETVILLE, NY 12445

Signing Officer

Name
Elissa Waliszewski Chessari
Title
COO Northern Region
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Formed
1930
Legal Domicile
Ny
Voting Board Members
14
Independent Board Members
12
Employees
122
Volunteers
2

Preparer

Firm
Ernst & Young US Llp
Address
ONE MANHATTAN WEST, NEW YORK, NY 10001-8604
Preparer
Yucen Zhong
Phone
2127733000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

CONTRACTED SERVICES - Total Expense: 1348930, Program Service Expense: 1088515, Management and General Expenses: 260415, Fundraising Expenses: ; OTHER MANPOWER - Total Expense: 1485248, Program Service Expense: 1198935, Management and General Expenses: 286313, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 22083, Program Service Expense: 16562, Management and General Expenses: 5521, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

TRANSFER TO HEALTHALLIANCE INC - -3027491; TRANSFER TO HA MARYS AVE CAMPUS - -2432832; TRANSFER TO MOUNTAINSIDE RCC - -3818831; TRANSFER FROM HEALTHALLIANCE INC - 884257; TRANSFER FROM HA MARYS AVE CAMPUS - 5612713; TRANSFER FROM MOUNTAINSIDE RCC - 246839; Total - -2535345;

Raw XML AppendixShowing 400 of 1,399 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsPayableAccrExpnssGrp/BOYAmt04889161
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt04246519
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IRS990/AccountsReceivableGrp/EOYAmt01432366
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TO OPERATE A CRITICAL ACCESS HOSPITAL FOR QUALITY MEDICAL CARE AND DIAGNOSTIC SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES IN THE AREA.
IRS990/AllOtherExpensesGrp/FundraisingAmt00
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0214751
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0123763
IRS990/AllOtherExpensesGrp/TotalAmt0338514
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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0105 MARYS AVENUE
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IRS990/CYContributionsGrantsAmt01461530
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IRS990/CYInvestmentIncomeAmt02042
IRS990/CYOtherExpensesAmt09463494
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IRS990/Desc0MARGARETVILLE 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 1,756 PATIENT DAYS, 3,616 EMERGENCY ROOM VISITS, 113 OUTPATIENT SURGERIES, 228 DISCHARGES AND 218 INFUSION THERAPIES IN 2024.
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