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Nonprofiteer
← GARNET HEALTH MEDICAL CENTER

Form 990 for tax year 2023

Filed by GARNET HEALTH MEDICAL CENTER.

What the amendment changed

Compared with the return it replaced , filed 15 November 2024. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$586,244,124 changed to $577,744,124
Total expenses
$653,257,186 changed to $654,261,010
Program service revenue
$564,950,890 changed to $556,450,890
Total assets, end of year
$556,304,991 changed to $547,804,991
Total liabilities, end of year
$457,877,069 changed to $458,880,893
Net assets or fund balances, end of year
$98,427,922 changed to $88,924,098
Program services expenses
$599,635,422 changed to $600,496,276
Management and general expenses
$53,621,764 changed to $53,764,734
Program service expenses (Part III)
$599,635,422 changed to $600,496,276

Listed only on the earlier return

  • Gregg Geisler
  • Nicole Sewell

Listed under a different title

  • Christine Goodhart: CHIEF HUMAN RESOURCES OFFICER then CHIEF HUMAN RESOURCES OFFICER as of February, 2023

Totals

Total revenue
$577,744,124
Total expenses
$654,261,010
Contributions and grants received
$6,697,032
Grants paid
$1,050,445
Program service revenue
$556,450,890
Investment income
$5,424,723
Other revenue
$9,171,479
Total assets, end of year
$547,804,991
Total liabilities, end of year
$458,880,893
Net assets or fund balances, end of year
$88,924,098
Program services expenses (Part IX)
$600,496,276
Management and general expenses
$53,764,734
Fundraising expenses
$0
Program service expenses (Part III)
$600,496,276

Program services were 91.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $1,755,128

  • 1e · Government grants (contributions)

    $4,891,904

  • 1f · All other contributions, gifts and grants

    $50,000

  • 1g · Noncash contributions included above

    $180,692

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $555,450,890 · related or exempt $555,322,692 · unrelated business $128,198

  • 2b · Program service revenue: MANAGEMENT FEE INCOME

    total $1,000,000 · related or exempt $1,000,000

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $4,084,696 · excluded $4,084,696

  • 6a · Gross rents

    real property $2,178,864

  • 6c · Rental income or loss

    real property $2,178,864 · personal property $0

  • 6d · Net rental income or loss

    total $2,178,864 · unrelated business $17,863 · excluded $2,161,001

  • 7a · Gross sales of assets other than inventory

    securities $82,107,821 · other assets $101,111

  • 7b · Less cost or other basis and sales expenses

    securities $80,868,905 · other assets $0

  • 7c · Gain or loss

    securities $1,238,916 · other assets $101,111

  • 7d · Net gain or loss

    total $1,340,027 · excluded $1,340,027

  • 11a · Other revenue: CAFETERIA/COFFEE & GIFT SHOP REVENUE

    total $2,616,382 · excluded $2,616,382

  • 11b · Other revenue: REBATES

    total $1,764,179 · related or exempt $1,764,179

  • 11c · Other revenue: ALLOCATED OVERHEAD RELATED ORG

    total $1,046,251 · related or exempt $1,046,251

  • 11d · All other revenue

    total $1,565,803 · related or exempt $1,565,803 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $6,992,615

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,050,445 · program services $1,050,445

  • 7 · Other salaries and wages

    total $247,554,409 · program services $229,073,985 · management and general $18,480,424

  • 8 · Pension plan contributions

    total $26,936,733 · program services $24,925,853 · management and general $2,010,880

  • 9 · Other employee benefits

    total $49,838,260 · program services $46,117,736 · management and general $3,720,524

  • 10 · Payroll taxes

    total $18,866,647 · program services $17,458,215 · management and general $1,408,432

  • 11b · Fees: legal

    total $1,099,076 · management and general $1,099,076

  • 11c · Fees: accounting

    total $406,083 · management and general $406,083

  • 11d · Fees: lobbying

    total $142,971 · program services $142,971

  • 11f · Fees: investment management

    total $212,713 · management and general $212,713

  • 11g · Fees: other

    total $92,142,099 · program services $85,603,881 · management and general $6,538,218 · fundraising $0

  • 12 · Advertising and promotion

    total $1,018,178 · program services $927,205 · management and general $90,973

  • 13 · Office expenses

    total $15,893,671 · program services $14,494,003 · management and general $1,399,668

  • 14 · Information technology

    total $8,725,071 · program services $7,233,798 · management and general $1,491,273

  • 15 · Royalties

    total $0 · program services $0 · management and general $0

  • 16 · Occupancy

    total $13,016,200 · program services $8,163,914 · management and general $4,852,286

  • 17 · Travel

    total $312,473 · program services $292,941 · management and general $19,532

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0

  • 19 · Conferences, conventions and meetings

    total $107,196 · program services $91,374 · management and general $15,822

  • 20 · Interest

    total $12,784,061 · program services $9,767,023 · management and general $3,017,038

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0

  • 22 · Depreciation, depletion and amortization

    total $28,746,334 · program services $21,962,199 · management and general $6,784,135

  • 23 · Insurance

    total $6,798,652 · program services $5,194,170 · management and general $1,604,482

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $110,667,957 · program services $110,667,957

  • 24b · Other expenses: NON MEDICAL SUPPLIES

    total $8,248,767 · program services $8,007,292 · management and general $241,475

  • 24c · Other expenses: NET PERIODIC PENSION AND POST-RETIREMENT BENEFIT COSTS

    total $4,979,107 · program services $4,607,407 · management and general $371,700

  • 24d · Other expenses: OTHER TAXES & ASSESSMENTS

    total $3,468,466 · program services $3,468,466

  • 24e · All other expenses

    total $1,245,441 · program services $1,245,441 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $15,038 · end of year $12,578

  • 2 · Savings and temporary cash investments

    beginning of year $15,434,102 · end of year $28,770,631

  • 4 · Accounts receivable

    beginning of year $93,101,775 · end of year $73,028,763

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $15,733,766 · end of year $12,115,893

  • 9 · Prepaid expenses and deferred charges

    beginning of year $6,140,140 · end of year $4,954,402

  • 10a · Land, buildings and equipment: cost or other basis

    $611,997,493

  • 10b · Land, buildings and equipment: accumulated depreciation

    $359,409,685

  • 10c · Land, buildings and equipment, net

    beginning of year $267,722,290 · end of year $252,587,808

  • 11 · Investments: publicly traded securities

    beginning of year $120,341,115 · end of year $94,076,715

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $78,012,745 · end of year $82,258,201

  • 17 · Accounts payable and accrued expenses

    beginning of year $96,122,553 · end of year $107,487,572

  • 19 · Deferred revenue

    beginning of year $0 · end of year $52,500

  • 20 · Tax-exempt bond liabilities

    beginning of year $259,243,796 · end of year $247,922,787

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $3,528,454 · end of year $18,800,000

  • 24 · Unsecured notes and loans payable

    end of year $2,333,333

  • 25 · Other liabilities

    beginning of year $79,454,061 · end of year $82,284,701

  • 27 · Net assets without donor restrictions

    beginning of year $148,947,895 · end of year $80,376,809

  • 28 · Net assets with donor restrictions

    beginning of year $9,204,212 · end of year $8,547,289

Mission and programs · 2023

Mission

GARNET HEALTH MEDICAL CENTER WILL IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. WE WILL PURSUE EXCELLENCE IN ALL WE DO WITH A GOAL OF BECOMING THE PROVIDER OF CHOICE FOR OUR COMMUNITY, THE EMPLOYER OF CHOICE FOR OUR STAFF, AND THE WORKPLACE OF CHOICE FOR OUR DOCTORS. GARNET HEALTH MEDICAL CENTER BELIEVES STRONGLY THAT THE FEAR OF NOT BEING ABLE TO PAY FOR HEALTHCARE SHOULD NOT BE A DETERRENT IN SEEKING HEALTHCARE SERVICES. THEREFORE, WE WORK HARD TO ENSURE THAT HEALTHCARE REMAINS ACCESSIBLE AND AVAILABLE FOR ANY MEMBER OF THE COMMUNITY IN NEED.

Activities or mission (Part I)

THE MISSION OF GARNET HEALTH MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES.

  • 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 2023, GHMC HAD 21,734 INPATIENT DISCHARGES AND PERFORMED 912,406 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.

    Expenses $361,774,439 · Grants $1,050,445 · Revenue $337,798,163

  • PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY.

    Expenses $206,034,591 · Revenue $192,379,834

  • PROVIDING REHAB SERVICES TO 530 PATIENTS IN THE SURROUNDING COMMUNITY.

    Expenses $17,162,834 · Revenue $16,025,383

  • PROVIDING BEHAVIORAL HEALTH SERVICES TO 807 PATIENTS IN THE SURROUNDING COMMUNITY.

    Expenses $15,524,412 · Revenue $14,495,545

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Heidi Hahn-Schroeder

    BOARD MEMBER, VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Jonathan Rouis

    TREASURER UNTIL APRIL, 2023

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Phillip Massengill MD

    TREASURER AS OF DECEMBER, 2023

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Rafik Elsabrout MD

    TREASURER AS OF MAY, 2023 / UNTIL DEC, 2023

    Total calculated
    $733,497
    From this org
    $0
    From related orgs
    $683,530
    Other
    $49,967
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $463,564 related
    Bonus
    $0 + $208,500 related
    Other
    $0 + $11,466 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $36,767 related
    Filer's total
    $0 + $733,497 related
  • Susan Murray-Tetz

    CHAIR & SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Andrew Pavloff

    BOARD MEMBER UNTIL APRIL, 2023

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Gerard Dunlavey

    GH INTERM PRESIDENT/CEO UNTIL MAY, 2023 / CEO GHMC-C AS OF JUNE, 2023

    Total calculated
    $825,947
    From this org
    $0
    From related orgs
    $758,828
    Other
    $67,119
    Hours/week
    10 + 51 related

    Schedule J breakdown matched by us

    Base
    $0 + $444,117 related
    Bonus
    $0 + $247,666 related
    Other
    $0 + $67,045 related
    Deferred
    $0 + $29,700 related
    Nontaxable benefits
    $0 + $37,419 related
    Filer's total
    $0 + $825,947 related
  • James Grigg

    CHIEF FINANCIAL OFFICER

    Total calculated
    $1,009,487
    From this org
    $0
    From related orgs
    $981,495
    Other
    $27,992
    Hours/week
    25 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $608,289 related
    Bonus
    $0 + $249,608 related
    Other
    $0 + $123,598 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $14,792 related
    Filer's total
    $0 + $1,009,487 related
  • Jonathan Schiller

    GH PRESIDENT/CEO AS OF JUNE, 2023

    Total calculated
    $634,150
    From this org
    $0
    From related orgs
    $599,535
    Other
    $34,615
    Hours/week
    40 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $598,845 related
    Bonus
    $0
    Other
    $0 + $690 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $21,415 related
    Filer's total
    $0 + $634,150 related
  • Pamela Murphy MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $643,640
    From this org
    $0
    From related orgs
    $605,244
    Other
    $38,396
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $456,351 related
    Bonus
    $0 + $80,000 related
    Other
    $0 + $68,893 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $25,196 related
    Filer's total
    $0 + $643,640 related
  • Christine Goodhart

    CHIEF HUMAN RESOURCES OFFICER as of February, 2023

    Total calculated
    $423,954
    From this org
    $280,291
    From related orgs
    $102,185
    Other
    $41,478
    Hours/week
    40 + 20 related

    Schedule J breakdown matched by us

    Base
    $166,734 + $93,078 related
    Bonus
    $98,496
    Other
    $15,061 + $9,107 related
    Deferred
    $25,321 + $2,405 related
    Nontaxable benefits
    $9,733 + $4,019 related
    Filer's total
    $315,345 + $108,609 related
  • Debra Beakes

    VP NURSING

    Total calculated
    $318,553
    From this org
    $271,292
    From related orgs
    $0
    Other
    $47,261
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $238,110
    Bonus
    $29,175
    Other
    $4,007
    Deferred
    $23,090
    Nontaxable benefits
    $24,171
    Filer's total
    $318,553
  • Hai Luo

    CHIEF PHYSICIST

    Total calculated
    $354,587
    From this org
    $295,336
    From related orgs
    $0
    Other
    $59,251
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $291,968
    Bonus
    $0
    Other
    $3,368
    Deferred
    $26,973
    Nontaxable benefits
    $32,278
    Filer's total
    $354,587
  • Jill Embler

    VP FINANCIAL PLANNING

    Total calculated
    $342,813
    From this org
    $294,841
    From related orgs
    $0
    Other
    $47,972
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,789
    Bonus
    $30,814
    Other
    $18,238
    Deferred
    $10,153
    Nontaxable benefits
    $37,819
    Filer's total
    $342,813
  • Marianne Walker

    ASSOC COUNSEL/VP ENTERPRISE RISK MGMT

    Total calculated
    $402,361
    From this org
    $348,644
    From related orgs
    $0
    Other
    $53,717
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,977
    Bonus
    $63,319
    Other
    $15,348
    Deferred
    $27,924
    Nontaxable benefits
    $25,793
    Filer's total
    $402,361
  • Alfred Pilong

    FORMER GH PRESIDENT/CEO

    Total calculated
    $1,033,864
    From this org
    $0
    From related orgs
    $1,032,429
    Other
    $1,435
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $27,734 related
    Bonus
    $0
    Other
    $0 + $1,004,695 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $1,435 related
    Filer's total
    $0 + $1,033,864 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 7 · Other non-fixed payments

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION OF THE CEO WAS DETERMINED BY GARNET HEALTH AND PAID BY GARNET HEALTH. THE SALARY AND RELATED EXPENSES WERE THEN CHARGED TO GARNET HEALTH MEDICAL CENTER. GARNET HEALTH USES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF GARNET HEALTH.
Schedule J, Part I, Line 4a Severance or change-of-control payment
DURING THE TAX YEAR, SEVERANCE OF $951,155 WAS PAID TO ALFRED PILONG. THE AMOUNTS ARE REPORTED IN PART II, COLUMN B(III).
Schedule J, Part I, Line 7 Non-fixed payments
DURING THE TAX YEAR THE ORGANIZATION PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II COLUMN B(II). BONUSES ARE BASED UPON THE ATTAINMENT OF ORGANIZATIONAL GOALS THAT SUPPORT AND REINFORCE THE ORGANIZATION MISSION, VALUES AND STRATEGIC OBJECTIVES. THESE TARGETS ARE PREDETERMINED AND THE ANNUAL INCENTIVE IS BASED UPON THE PERCENTAGE OF COMPLETION IN EACH AREA. THESE BONUSES ARE PAID AT THE DISCRETION OF THE BOARD.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • EAST MAIN STREET MANAGEMENT CORP

    C Corporation · ADMIN SVCS · NY · 100% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by GARNET HEALTH MEDICAL CENTER

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2025
IRS schema version
2023v6.0
Source object
202503179349311140

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