Garnet Health
Legal name: Garnet Health Medical Center
Nonprofit profile at a glance
- EIN
- 141364536
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Middletown, NY, USA
- Phone
- 845-333-7575
- Rating
- 82
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $664,237,409
- Expenses
- $673,958,567
- Assets
- $517,953,729
- Liabilities
- $447,639,082
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
12 people listed
Executive titles in this filing
- JONATHAN SCHILLER (GH PRESIDENT/CEO)
- GERARD DUNLAVEY (FORMER OFFICER, CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH)
Highest reported compensation
- JONATHAN SCHILLER (GH PRESIDENT/CEO): $1,172,967 total reported compensation
- JAMES GRIGG (CHIEF FINANCIAL OFFICER): $742,596 total reported compensation
- GERARD DUNLAVEY (FORMER OFFICER, CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH): $647,071 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Improve the health of our community by providing exceptional healthcare. Family and Friends Involved in Your Care:** If you do not object, subject to New York law, we may share your health information with a family member, relative, or close personal friend who is involved in your care as the surrogate decision maker for your care. We may also share information with a family member, relative, or close personal friend who is involved in payment for that care. We may also notify a family member, personal representative or another person responsible for your care about your location and general condition here at Garnet Health. In some cases, we may need to share your information with a disaster relief organization that will help us notify these persons. Research:.
What it reported doing in 2024
Inpatient care: garnet health medical center is currently licensed for 383 beds at its location at 707 east main st, middletown, ny and provides a full range of adult medical/surgical intensive care, pediatric, obstetrical, rehabilitation and behavioral health services. During 2024, ghmc had 22,414 inpatient discharges and performed 859,114 outpatient procedures. In addition to providing inpatient care, ghmc also operates a network of off-site facilities which provide a full range of outpatient diagnostic, therapeutic and community education services. Throughout the year, ghmc also conducts and coordinates a broad range of community outreach programs. These programs include health trade expositions, facility tours, speakers bureau, educational seminars and lectures, school career days, community health screenings and support.
Operating model
- Revenue model
- Other-operating. 98% 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.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 83
- Transparency & Controls: 80
- Accountability: 91
- Sustainability: 31
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 94.6%; rating input score 95
- Program expense ratio: 91.6%; rating input score 92
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 1 of 6 controls in place; rating input score 17
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 77th 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: -1.5%; rating input score 21; 21st percentile among comparable filings
- Total-asset coverage ratio: 0.77; rating input score 30; 30th percentile among comparable filings
- Liabilities to assets ratio: 0.86; rating input score 15; 15th percentile among comparable filings
- Officer compensation ratio: 0.3%; rating input score 89; 89th percentile among comparable filings
Growth
- Program expense growth: 7.3% per year; rating input score 100; 60th percentile among comparable filings
- Revenue growth: 4.9% per year; rating input score 100; 42nd percentile among comparable filings
- Asset growth: 1.1% per year; rating input score 100; 11th percentile among comparable filings
Details
- What they do: 4 programs and campaigns described on the official site
- Where the money goes: 94.6% of revenue deployed · 91.6% of spending went to programs
- Governance: 3 of 3 board members independent · 7 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $617.3M in reported program spending
- Leadership: top reported pay $1.2M · 12 people listed · 1 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $50.8M reported
- Consistency: 40 of 40 current checks pass
- Schedules: 11 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 13 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 6 filed money-flow records
- Related organizations: 10 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.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 21/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 30/100.
- High — Sustainability: Liabilities to assets ratio scored 15/100.