Putnam Hospital Center
Nonprofit profile at a glance
- EIN
- 146019179
- IRS 990 coverage
- 2011–2024
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Carmel, NY, USA
- Phone
- 8454759500
- Rating
- 72
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $125,557,405
- Expenses
- $163,593,213
- Assets
- $215,374,044
- Liabilities
- $178,714,960
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
52 people listed
Executive titles in this filing
- JOHN M MURPHY MD (NUVANCE PRESIDENT & CEO; DIRECTOR (FROM 05/25))
- MARK K HIRKO MD (FORMER PRESIDENT SHARON HOSPITAL; PRESIDENT PH; DIRECTOR (TO 04/25))
- MICHAEL DOWLING (PRESIDENT/CEO OF NORTHWELL; DIRECTOR (FROM 05/25))
Highest reported compensation
- MICHAEL DOWLING (PRESIDENT/CEO OF NORTHWELL; DIRECTOR (FROM 05/25)): $5,943,362 total reported compensation
- JOHN M MURPHY MD (NUVANCE PRESIDENT & CEO; DIRECTOR (FROM 05/25)): $5,305,723 total reported compensation
- MARK SOLAZZO (NORTHWELL PRES. STRATEGIC INITIATIVES & COO; DIRECTOR (FROM 05/25)): $3,816,311 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 every person in our community through the efficient delivery of excellent, innovative and compassionate care.
What it reported doing in 2024
Putnam hospital is a 164-bed acute care hospital serving communities in putnam county and the surrounding hudson valley region. The hospital is committed to delivering high-quality, patient-centered, and mission-driven care to the populations it serves. Putnam hospital is part of nuvance health, which in may 2025 joined northwell health, creating an expanded integrated health system that enhances access to coordinated, high-quality care across New York's hudson valley and western Connecticut. As part of northwell health, New York's largest health system, patients benefit from expanded clinical coordination, enhanced specialty expertise, and access to system-wide best practices, while maintaining a strong focus on community-based care. Through its integrated system, putnam hospital offers a comprehensive range of services, including bariatric surgery and medical weight loss, critical care, diabetes education, emergency services, heart and vascular care, imaging and radiology, infusion therapy, neurology and neurosurgery, orthopedic care, physical rehabilitation, primary care, rheumatology, sleep medicine, urgent care, women's health, behavioral health, cancer care, dentistry, digestive health, endocrinology, genetic counseling, home health services, infectious disease care, nephrology, occupational medicine, patient blood management, pediatrics, podiatry, pulmonary care, geriatric care, surgical services, urology, and wound care and hyperbaric medicine. Putnam hospital offers advanced clinical and surgical services, including orthopedic, spine, and bariatric surgery, as well as stroke care, cardiac care, oncology services (including medical and radiation oncology), comprehensive imaging, behavioral health services including a partial hospitalization program, maternity care, and outpatient rehabilitation services. These offerings support access to specialized care close to home for the communities served. Putnam hospital maintains a strong commitment to clinical quality and patient safety and has been recognized by several national organizations. The hospital has been designated as a robotic center of excellence by the surgical review corporation and has received an "a" hospital safety grade from the leapfrog group for quality and safety. U.s. News & world report has recognized putnam hospital as "high performing" in areas including heart failure and maternity care. The hospital also maintains key accreditations, including metabolic and bariatric surgery accreditation and quality improvement program (mbsaqip) accreditation, designation as a comprehensive community cancer program by the american college of surgeons commission on cancer, accreditation by the national accreditation program for breast centers, and accreditation for radiation oncology by the american college of radiology. These recognitions reflect the hospital's commitment to quality improvement, patient safety, and evidence-based care delivery. Putnam hospital conducts a community health needs assessment (chna) every three years to identify the health needs, barriers, and priorities of the communities it serves. The findings inform the development of the community health improvement plan (chip), which outlines targeted strategies and measurable actions to address identified needs. Based on the most recent chna, putnam hospital focused its community benefit activities on two priority areas: preventing chronic disease and promoting well-being while addressing mental health and substance use. In support of addressing social determinants of health and improving access to care, putnam hospital implemented the roundtrip transportation program in 2024, which provides transportation for vulnerable populations who may otherwise miss appointments due to lack of access to reliable transportation. Putnam hospital also supports mental health first aid, a nationally recognized, evidence-based program designed to teach individuals how to recognize and respond to signs of mental i
Operating model
- Revenue model
- Other-operating. 99% 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 most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and the filing does not identify recipients for some grant dollars.
Rating breakdown
- Financial Efficiency: 86
- Transparency & Controls: 58
- Accountability: 78
- Sustainability: 23
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 91%; rating input score 91
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 85.7%; rating input score 86; 1st 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: 46.9%; rating input score 47; 9th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 78.3%; rating input score 78; 26th 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: Fail
- CEO compensation review process: Fail
- 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: -30.3%; rating input score 2; 2nd percentile among comparable filings
- Total-asset coverage ratio: 1.32; rating input score 49; 49th percentile among comparable filings
- Liabilities to assets ratio: 0.83; rating input score 16; 16th percentile among comparable filings
- Officer compensation ratio: 2.2%; rating input score 52; 52nd percentile among comparable filings
Growth
- Program expense growth: 2.2% per year; rating input score 100; 16th percentile among comparable filings
- Revenue growth: -3% per year; rating input score 0; 2nd percentile among comparable filings
- Asset growth: 1% per year; rating input score 100; 10th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 91% of spending went to programs
- Governance: 18 of 23 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $148.9M in reported program spending
- Leadership: top reported pay $5.9M · 52 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.8M reported
- Consistency: 36 of 38 current checks pass · 2 findings to review
- Schedules: 11 filed schedules · includes major donors, grants, and executive pay
- Filing history: 13 filing years from 2011 to 2024
- Contacts: How to reach this organization
- Money network: 6 filed money-flow records
- Related organizations: 272 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.
- Moderate — Transparency & Controls: Grant itemization coverage scored 47/100.
- High — Sustainability: Operating margin scored 2/100.
- High — Growth: Revenue growth scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 49/100.
- High — Sustainability: Liabilities to assets ratio scored 16/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- Review — Sustainability: Officer compensation ratio scored 52/100.