Civic Intelligence

Garnet Health

EIN 06-1488219 • 501(c)3 • Middletown, NY

Profile

To maintain an integrated health delivery system of providers and hospitals resulting in improved health for our community by providing exceptional healthcare to our patients.

707 East Main StreetMiddletown, NY 10940

www.garnethealth.org

Siviq Scores

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

Liabilities / Assets

72nd percentile

0.80x

Higher debt load relative to assets than 72% of similar nonprofits.

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

Liabilities / Revenue

77th percentile

0.80x

Higher debt load relative to revenue than 77% of similar nonprofits.

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

Net Margin

44th percentile

-0.8%

Higher net margin than 44% of similar nonprofits.

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

Top Officer Pay

79th percentile

$1,172,967

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 10.4% of source-year revenue.

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

Asset Growth

67th percentile

9.8%

Faster asset growth than 67% of similar nonprofits.

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

Revenue Growth

97th percentile

196%

Faster revenue growth than 97% of similar nonprofits.

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

Assets

Up

$11,219,432

Up $997,336 (+9.8%) from 2023

Liabilities

Up

$9,029,606

Up $1,328,907 (+17%) from 2023

Net Assets

Down

$2,189,826

Down $331,571 (-13%) from 2023

Revenue

Up

$11,287,844

Up $7,472,169 (+196%) from 2023

Expenses

Up

$11,378,758

Up $7,325,752 (+181%) from 2023

Net Income

Up

-$90,914

Up $146,417 (+62%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0-$10MAssets 2010: $758,748Liabilities 2010: $888,677Net Assets 2010: -$129,9292010Assets 2011: $23,073,924Liabilities 2011: $12,291,583Net Assets 2011: $10,782,3412011Assets 2012: $24,667,595Liabilities 2012: $9,703,627Net Assets 2012: $14,963,9682012Assets 2013: $19,892,007Liabilities 2013: $6,975,441Net Assets 2013: $12,916,5662013Assets 2014: $16,452,919Liabilities 2014: $5,582,226Net Assets 2014: $10,870,6932014Assets 2015: $12,702,802Liabilities 2015: $6,114,070Net Assets 2015: $6,588,7322015Assets 2016: $5,502,160Liabilities 2016: $2,655,330Net Assets 2016: $2,846,8302016Assets 2017: $5,520,686Liabilities 2017: $2,075,571Net Assets 2017: $3,445,1152017Assets 2018: $6,248,581Liabilities 2018: $2,742,023Net Assets 2018: $3,506,5582018Assets 2019: $7,543,219Liabilities 2019: $4,298,214Net Assets 2019: $3,245,0052019Assets 2020: $11,714,204Liabilities 2020: $7,794,497Net Assets 2020: $3,919,7072020Assets 2021: $12,609,046Liabilities 2021: $9,025,895Net Assets 2021: $3,583,1512021Assets 2022: $8,954,394Liabilities 2022: $5,950,187Net Assets 2022: $3,004,2072022Assets 2023: $10,222,096Liabilities 2023: $7,700,699Net Assets 2023: $2,521,3972023Assets 2024: $11,219,432Liabilities 2024: $9,029,606Net Assets 2024: $2,189,8262024

Highlighted filing

2024

Assets$11,219,432
Liabilities$9,029,606
Net Assets$2,189,826

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2010: $568,0002010Expenses 2011: $5,240,4932011Expenses 2012: $7,192,7352012Revenue 2013: $7,859,784Expenses 2013: $7,545,162Net Income 2013: $314,6222013Revenue 2014: $7,656,723Expenses 2014: $7,417,026Net Income 2014: $239,6972014Revenue 2015: $7,651,756Expenses 2015: $7,404,119Net Income 2015: $247,6372015Revenue 2016: $8,343,050Expenses 2016: $7,728,064Net Income 2016: $614,9862016Revenue 2017: $4,126,286Expenses 2017: $3,654,724Net Income 2017: $471,5622017Revenue 2018: $4,121,606Expenses 2018: $3,303,487Net Income 2018: $818,1192018Revenue 2019: $3,927,549Expenses 2019: $3,686,670Net Income 2019: $240,8792019Revenue 2020: $4,095,066Expenses 2020: $3,478,392Net Income 2020: $616,6742020Revenue 2021: $3,323,792Expenses 2021: $3,385,232Net Income 2021: -$61,4402021Revenue 2022: $3,869,547Expenses 2022: $4,390,398Net Income 2022: -$520,8512022Revenue 2023: $3,815,675Expenses 2023: $4,053,006Net Income 2023: -$237,3312023Revenue 2024: $11,287,844Expenses 2024: $11,378,758Net Income 2024: -$90,9142024

Highlighted filing

2024

Revenue$11,287,844
Expenses$11,378,758
Net Income-$90,914

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.2$9.03$2.19$11.3$11.4$0.09
2023Detailed filing. Detailed filing data is available for this year.$10.2$7.70$2.52$3.82$4.05$0.24
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.95$5.95$3.00$3.87$4.39$0.52
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.6$9.03$3.58$3.32$3.39$0.06
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.7$7.79$3.92$4.10$3.48$0.62
2019Summary only. Only limited summary data is available for this year.$7.54$4.30$3.25$3.93$3.69$0.24
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.25$2.74$3.51$4.12$3.30$0.82
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.52$2.08$3.45$4.13$3.65$0.47
2016Detailed filing. Detailed filing data is available for this year.$5.50$2.66$2.85$8.34$7.73$0.61
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.7$6.11$6.59$7.65$7.40$0.25
2014Detailed filing. Detailed filing data is available for this year.$16.5$5.58$10.9$7.66$7.42$0.24
2013Detailed filing. Detailed filing data is available for this year.$19.9$6.98$12.9$7.86$7.55$0.31
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.7$9.70$15.0$7.19
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.1$12.3$10.8$5.24
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.76$0.89$0.13$0.57
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.1
Gross Receipts
$11,559,899
Mission and Program Overview

Mission

To maintain an integrated health delivery system of providers and hospitals resulting in improved health for our community by providing exceptional healthcare to our patients.

Garnet health (gh) is a new york state, not-for-profit corporation headquartered in middletown, new york, approximately 60 miles north of new york city. It is currently the active parent company for two member hospitals - garnet health medical center - catskills and garnet health medical center . Garnet health is also the active parent company for the garnet health foundation and garnet health medical center - catskills foundation. Garnet health doctors pc and garnet health urgent care pc are also participants in the system. Gh is dedicated to developing specialty services, medical programs and needed healthcare services that allow residents to remain close to home to receive quality care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,219,758$1,917,676▼ $302,082
Cash and Non-Interest-Bearing Accounts$160,060$1,627,179▲ $1,467,119
Prepaid Expenses and Deferred Charges$15,258$14,606▼ $652
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$10,222,096$11,219,432▲ $997,336
Other Assets Total$7,827,020$7,659,971▼ $167,049
Liabilities
Other Liabilities$5,944,425$7,298,460▲ $1,354,035
Mortgage Notes Payable Secured by Investment Property$983,048$921,864▼ $61,184
Accounts Payable and Accrued Expenses$773,226$809,282▲ $36,056
Total Liabilities$7,700,699$9,029,606▲ $1,328,907
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,521,397$2,189,826▼ $331,571
Total Net Assets Fund Balance$2,521,397$2,189,826▼ $331,571
Total Liabilities and Net Assets / Fund Balance$10,222,096$11,219,432▲ $997,336

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$446,336$32,204,118$32,650,454
Buildings$1,389,485$675,355$2,064,840
Other Land Buildings$0$144,463$144,463
Land$81,855-$81,855
Other Assets Org$562--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jonathan SchillerPresident/CEOPT$1,096,665$76,302$1,172,967
Izabela NowosielskiPresident & Chief Medical Officer of Ghd and GhucPT$671,559$75,678$747,237
James GriggChief Financial OfficerPT$660,788$81,808$742,596
Gerard DunlaveyCEO - Ghmc-catskills & VP of Operations - GhPT$546,666$100,405$647,071
Rosemary BaczewskiCHIEF CLINICAL OFFICER until February 2024PT$80,034$533,674$613,708
Pamela Murphy MdChief Medical OfficerPT$524,957$71,991$596,948
Joseph AnesiChief Legal Officer & General CounselPT$472,737$115,337$588,074
Christine GoodhartChief Human Resources OfficerPT$379,962$123,765$503,727
Craig FilippiniChief Information OfficerPT$455,500$40,066$495,566
David L SmithChief Strategic Planning OfficerPT$351,595$89,960$441,555
William DausterChief Development Officer / Gh Foundation PresidentPT$346,776$68,260$415,036
Nicole SewellChief Nursing OfficerPT$282,251$103,885$386,136
Leroy C Floyd IiiChief Clinical Transformation Officer as of February 2024PT$342,022$29,047$371,069
Suzanne Lange AhmedChief Nursing Officer Ghmc-cPT$217,558$60,411$277,969

Board Members and Trustees

NameTitle
Phillip Massengill MdBoard Member, Chair Until April 2024
Virginia RizzoChair as of May 2024
Gerard J Galarneau MdFormer President Ghd & Ghuc
Frederick WatsonBoard Member, Vice Chair Until April 2024
Bonnie OrrTreasurer and Vice Chair
BHARGAV VYAS EdDBoard Member
Dory AlportBoard Member
Ronald Israelski MdBoard Member
Susan Murray-tetzBoard Member
Timothy MccauslandBoard Member
Elizabeth SassiBoard Member as of May 2024
Stephen ScottBoard Member as of May 2024
Jay AnthonyBoard Member as of November 2024
Russ HeymanBoard Member as of November 2024
Heidi Hahn-schroederSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,052,380
Investment Income
$0
Other Revenue
$7,235,464
Change in Net Assets
$-90,914

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$7,312,721
Other Expenses$4,066,037
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$6,551,684$509,531-$7,061,215
Information Technology$2,811,723--$2,811,723
Fees for Services Other$1,000,000$0$0$1,000,000
Payroll Taxes$233,358$18,148-$251,506
Depreciation Depletion$240,657--$240,657
Office Expenses-$8,087-$8,087
Fees for Services Legal-$5,570-$5,570
Total Functional Expenses$10,837,422$541,336$0$11,378,758

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
No
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
Security Deposits Payable$7,293,121
Federal Income Taxes$5,339
Due to Related Organizations-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A Delegate broad authority to A committee

Except as otherwise prohibited by the npcl, the executive committee may exercise the powers of the board of directors, provided such action is not inconsistent with the provisions of the gh certificate of incorporation, the by-laws, or any law or statute governing gh. Any action taken by the executive committee shall be reported fully to the board of directors at the next regular or special meeting of the board.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is reviewed by an independent accounting firm. The final draft return is reviewed by members of executive management, the corporate compliance officer, and the audit and compliance committee of the board of directors. A copy of the form 990 is provided to all voting members of the board of directors prior to submission to the internal revenue service.

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

Garnet health's conflict of interest (coi) policy applies to all management personnel (inclusive of directors, managers, and supervisors), board members, and all employees who are in a position to influence any substantive business decision by gh or any entity controlled by gh. The conflicts policy requires all management and covered employees to read and understand the policy and review it at least annually in order to be alert to situations that could create a conflict of interest or otherwise be contrary to policy. They are also required annually to sign a conflicts policy disclosure form. The corporate compliance officer monitors the coi disclosures and presents any conflicts to the board audit and compliance committee so that any identified individual with a potential conflict is recused from participating in the consideration or determination of the matter. A summary of the coi disclosures is produced for the board, as are annual updates to the coi policy.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

Compensation for the gh president/ceo is determined utilizing a compensation committee made up of independent members of the executive committee of the board with input from an independent compensation consultant who reviews compensation surveys, studies and market data. These surveys include healthcare systems with comparable net revenue and geographic regions. A full review of all executive team salaries, including the president/ceo was performed in 2023 for the 2024 calendar year by a compensation consultant (sullivan cotter) and presented to the gh compensation committee. Any changes in compensation were reviewed and approved by the committee and documented in the committee minutes.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

Compensation for the key employees is determined utilizing a compensation committee made up of independent members of the executive committee of the board with input from an independent compensation consultant who reviews compensation surveys, studies and market data. These surveys include healthcare systems with comparable net revenue and geographic regions. A full review of all executive team salaries, including the president/ceo was performed in 2023 for the 2024 calendar year by our compensation consultant (sullivan cotter) and presented to the gh compensation committee. These positions included ceo - ghmc-catskills & vp of operations - gh, chief financial officer, chief medical officer, chief development officer & foundation president of gh, chief hr officer, chief clinical transformation officer, chief legal officer & general councel, president & chief medical officer of ghd, chief information officer, chief strategic planning officer, chief clinical officer and chief nursing officer. Any changes in compensation were reviewed and approved by the committee and documented in the committee minutes.

Form 990, Part VI, Line 19 Required documents available to the public

Once a request is made for the gh form 990 or governing documents, a copy is sent to the requesting party through the administration office of garnet health medical center. A summary of the conflict of interest policy is available via the garnet health medical center website in the code of ethical conduct document and corporate compliance plan document. A copy is available on request. The organization was included in consolidated financial statements for the tax year. These statements are kept on file in the finance department at garnet health.

Filing and Contact Details

Filer

Filer Name
Garnet Health
EIN
06-1488219
Phone
8453331000
Address
707 East Main Street, Middletown, NY 10940

Signing Officer

Name
James Grigg
Title
Chief Financial Officer
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
1997
Legal Domicile
Ny
Voting Board Members
14
Independent Board Members
14
Employees
16
Volunteers
14

Preparer

Firm
Crowe Llp
Address
4801 Olympia Park Plaza Suite 4000, Louisville, KY 40241-2098
Preparer
Rachel Spurlock
Phone
5023263996
Supplemental Narrative

Additional Explanations

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

EQUITY TRANSFER TO RELATED PARTY - GARNET HEALTH MEDICAL CENTER - CATSKILLS - -394984; EQUITY TRANSFER FROM RELATED PARTY - GARNET HEALTH MEDICAL CENTER - 329658; EQUITY TRANSFER TO RELATED PARTY - GARNET HEALTH DOCTORS PC - -142911; EQUITY TRANSFER TO RELATED PARTY - GARNET HEALTH URGENT CARE PC - -32420; Total - -240657;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Footnote 2 (income taxes) to consolidated financial statements for garnet health: gh, ghmc, ghmc - catskills, gh foundation, catskills foundation, urgent care, and the pc, are section 501(c)(3) organizations exempt from federal income taxes under section 501(a) of the internal revenue code. With the exception of urgent care and the pc, the organizations within the system are also exempt from new york state and local income taxes. Income taxes are immaterial to the financial statements.

Raw XML AppendixShowing 400 of 1,020 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.

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IRS990/ActivityOrMissionDesc0GARNET HEALTH (GH) IS A NEW YORK STATE, NOT-FOR-PROFIT CORPORATION HEADQUARTERED IN MIDDLETOWN, NEW YORK, APPROXIMATELY 60 MILES NORTH OF NEW YORK CITY. IT IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS - GARNET HEALTH MEDICAL CENTER - CATSKILLS AND GARNET HEALTH MEDICAL CENTER . GARNET HEALTH IS ALSO THE ACTIVE PARENT COMPANY FOR THE GARNET HEALTH FOUNDATION AND GARNET HEALTH MEDICAL CENTER - CATSKILLS FOUNDATION. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC ARE ALSO PARTICIPANTS IN THE SYSTEM. GH IS DEDICATED TO DEVELOPING SPECIALTY SERVICES, MEDICAL PROGRAMS AND NEEDED HEALTHCARE SERVICES THAT ALLOW RESIDENTS TO REMAIN CLOSE TO HOME TO RECEIVE QUALITY CARE.
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