Garnet Health

Nonprofit profile at a glance

EIN
061488219
IRS 990 coverage
2011–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Middletown, NY, USA
Phone
8453331000
Rating
83
Verdict
STRONG
Rating confidence
Moderate
Sector
Health, General and Financing

Official website

Reported finances

Revenue
$11,287,844
Expenses
$11,378,758
Assets
$11,219,432
Liabilities
$9,029,606

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

29 people listed

Executive titles in this filing

  • JONATHAN SCHILLER (PRESIDENT/CEO)
  • GERARD DUNLAVEY (CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH)
  • IZABELA NOWOSIELSKI (PRESIDENT & CHIEF MEDICAL OFFICER OF GHD AND GHUC)
  • WILLIAM DAUSTER (CHIEF DEVELOPMENT OFFICER / GH FOUNDATION PRESIDENT)
  • GERARD J GALARNEAU MD (FORMER PRESIDENT GHD & GHUC)

Highest reported compensation

  • JONATHAN SCHILLER (PRESIDENT/CEO): $1,172,967 total reported compensation
  • IZABELA NOWOSIELSKI (PRESIDENT & CHIEF MEDICAL OFFICER OF GHD AND GHUC): $747,237 total reported compensation
  • JAMES GRIGG (CHIEF FINANCIAL OFFICER): $742,596 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2024

Garnet health (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. Providing healthcare to nearly 487,000 residents in orange, sullivan, and ulster counties in New York, gh was designed to improve the quality, stability and efficiency of healthcare services in the mid-hudson and catskill regions. Services provided by more than 3,480 employed professionals and over 460 medical staff members makes gh one of the largest healthcare providers in the tri-state area. The system's three hospital campuses (garnet health medical center - catskills - harris, garnet health medical center - catskills - callicoon, garnet health medical center), plus physican practices, urgent care, and outpatient locations offer a broad spectrum of care.

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

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Program spending has declined or grown slowly and revenue has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 94
  • Accountability: 100
  • Sustainability: 25
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 96%; rating input score 96
  • Program expense ratio: 95.2%; rating input score 95
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.8%; rating input score 27; 27th percentile among comparable filings
  • Total-asset coverage ratio: 0.99; rating input score 36; 36th percentile among comparable filings
  • Liabilities to assets ratio: 0.8; rating input score 14; 14th percentile among comparable filings
  • Officer compensation ratio: 70.8%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: -1.7% per year; rating input score 0; 7th percentile among comparable filings
  • Revenue growth: -1.1% per year; rating input score 0; 6th percentile among comparable filings
  • Asset growth: -7.6% per year; rating input score 0; 2nd percentile among comparable filings

Details

  • Where the money goes: 96% of revenue deployed · 95.2% of spending went to programs
  • Governance: 14 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $10.8M in reported program spending
  • Leadership: top reported pay $1.2M · 29 people listed · 5 of 6 pay-setting controls reported
  • Consistency: 22 of 22 current checks pass
  • Schedules: 5 filed schedules · includes executive pay and related organizations
  • Filing history: 12 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 16 filed money-flow records
  • Related organizations: 8 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 — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 27/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 36/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 14/100.