Garnet Health Medical Center
Garnet Health Medical Center shows long-term financial stability with recent operating deficit.
EIN: 141364536 · Middletown, NY · NTEE: E220 · Updated: 2026-03-28
Source Check Matrix
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Garnet Health Medical Center is mapped to EIN 141364536.
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13 stored filing years available.
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85% program spend, health grade C
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| Metric | Value |
|---|---|
| Total Revenue | $742.5M |
| Total Expenses | $653.3M |
| Program Spending | 85% |
| CEO/Top Officer Pay | $600 |
| Net Assets | $98.4M |
| Transparency Score | 75/100 |
Search Intent Cockpit
Garnet Health Medical Center Form 990, Revenue, CEO Pay, and IRS Filing Signals
Garnet Health Medical Center is surfaced here as a decision-ready nonprofit financial profile, not just a charity listing. The page consolidates IRS Form 990 revenue, expenses, assets, tax-exempt classification, executive compensation, mission score, red flags, and year-by-year filing history so donors, researchers, journalists, and grant teams can answer the common search questions around Garnet Health Medical Center in one place.
Form 990 Filing Summary
13 filing years are available, with latest revenue of $586.2M and expenses of $653.3M.
Revenue and Expenses
Garnet Health Medical Center reported $586.2M in revenue and $653.3M in expenses, a deficit of $67.0M.
Executive Compensation
Top officer compensation appears as $600 in the stored analysis, with context against revenue and expenses below.
Charity Score and Red Flags
75/100 mission score, 2 red flags, and 3 strengths are shown from structured and AI review.
Is Garnet Health Medical Center Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
IRS 990 Data Cockpit
Where the Money Comes From and Where It Goes
Revenue Source Mix
Revenue-source line items are not available on the stored filing yet. Future ingestion now preserves contribution, program-revenue, and investment-income fields when ProPublica provides them.
Expense Deployment
| Program services | $555.3M (85%) |
Across stored filings, Garnet Health Medical Center shows contribution history pending. Next enrichment targets: revenue-source fields, IRS BMF classification.
Decision Cockpit
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| Decision Lens | Signal | What to Inspect Next |
|---|---|---|
| Legitimacy | Some Concerns | Good filing record; 2 red flags identified |
| Mission spend | 85% to programs | Excellent |
| Financial durability | Grade C | 13 stored filing years |
| Peer context | Compare with Healthy Capital District Initiative | New York and Health context |
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Garnet Health Medical Center directs 85% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Garnet Health Medical Center
Garnet Health Medical Center (EIN: 141364536) is a nonprofit organization based in Middletown, NY, classified under NTEE code E220. The organization reported total revenue of $742.5M and total assets of $518.0M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Garnet Health Medical Center's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Garnet Health Medical Center is a major nonprofit that has been operating for 89 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 4.5%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $586.2M |
| Total Expenses | $653.3M |
| Surplus / Deficit | $-67,013,062 |
| Total Assets | $556.3M |
| Total Liabilities | $457.9M |
| Net Assets | $98.4M |
| Operating Margin | -11.4% |
| Debt-to-Asset Ratio | 82.3% |
| Months of Reserves | 10.2 months |
Financial Health Grade: C
In 2023, Garnet Health Medical Center reported a deficit of $67.0M with expenses exceeding revenue, holds 10.2 months of operating reserves (strong position), has a debt-to-asset ratio of 82.3% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), Garnet Health Medical Center's revenue has grown at a compound annual growth rate (CAGR) of 4.5%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -4.8% | +6.0% | -6.7% |
| 2022 | +5.0% | +6.0% | -9.2% |
| 2021 | +0.8% | +1.1% | -6.0% |
| 2020 | +6.4% | +8.1% | +8.5% |
| 2019 | +4.4% | +9.2% | +7.9% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 1937 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Garnet Health Medical Center with a Mission Score of 75 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 10%
- programs: 85%
- fundraising: 5%
According to IRS 990 filings, Garnet Health Medical Center allocates its expenses as follows: admin: 10%, programs: 85%, fundraising: 5%. With 85% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $67.0M, with expenses exceeding revenue.
- Debt-to-asset ratio: 82.3%.
Executive Compensation Analysis
The reported 0% officer compensation across all available filings is highly unusual for an organization with nearly $600 million in annual revenue and suggests that executive compensation is either not reported in this specific section of the 990 or is structured differently, limiting transparency on this key aspect.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Garnet Health Medical Center's IRS 990 filings:
- Consistent reporting of 0% officer compensation, which may obscure actual executive pay.
- Operating deficit in the most recent fiscal period (2023), with expenses exceeding revenue by over $67 million.
Strengths
The following positive indicators were identified for Garnet Health Medical Center:
- Long history of consistent IRS 990 filings, indicating regulatory compliance.
- Substantial asset base ($556,304,991 in 2023) providing financial stability.
- Generally stable revenue generation over many years, exceeding $500 million annually in recent periods.
Frequently Asked Questions about Garnet Health Medical Center
Is Garnet Health Medical Center a legitimate charity?
Garnet Health Medical Center (EIN: 141364536) is a registered tax-exempt nonprofit based in New York. Our AI analysis gives it a Mission Score of 75/100. It has 13 years of IRS 990 filings on record. Total revenue: $742.5M. 2 red flags identified. 3 strengths noted. Financial health grade: C.
How does Garnet Health Medical Center spend its money?
Garnet Health Medical Center directs 85% of its spending to programs and services. Fundraising costs 5%. This exceeds the 65% industry benchmark.
Are donations to Garnet Health Medical Center tax-deductible?
Garnet Health Medical Center is registered as a tax-exempt nonprofit (EIN: 141364536). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How much does the Garnet Health Medical Center CEO make?
Garnet Health Medical Center's highest-compensated officer earns $600 annually. The organization reported $742.5M in total revenue. Executive compensation data is disclosed in IRS 990 filings.
What percentage of Garnet Health Medical Center's spending goes to programs?
Garnet Health Medical Center directs 85% to programs, 5% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.
How does Garnet Health Medical Center compare to similar nonprofits?
With a transparency score of 75/100 (Good), Garnet Health Medical Center is above average for NTEE category E220 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Garnet Health Medical Center located?
Garnet Health Medical Center is headquartered in Middletown, New York and files with the IRS under EIN 141364536. It is classified under NTEE code E220.
How many years of IRS 990 filings does Garnet Health Medical Center have?
Garnet Health Medical Center has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $742.5M in total revenue.
Why is officer compensation consistently reported as 0% on the IRS 990 filings?
This requires further investigation into the organization's compensation reporting practices, as it's uncommon for an organization of this scale to report no officer compensation in this section.
What caused the operating deficit in the 2023 fiscal period?
In 2023, expenses ($653,257,186) exceeded revenue ($586,244,124) by over $67 million. Understanding the specific drivers of this deficit is crucial for assessing future financial stability.
What are the specific program service accomplishments and their associated costs?
Without detailed functional expense breakdowns, it's difficult to ascertain the exact allocation of funds to specific programs and their impact.
Filing History
IRS 990 filing history for Garnet Health Medical Center showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Garnet Health Medical Center's revenue has grown by 70.2%, moving from $344.3M to $586.2M. Total assets increased by 7.1% over the same period, from $519.2M to $556.3M. Total functional expenses rose by 89.4%, from $344.9M to $653.3M. In its most recent filing year (2023), Garnet Health Medical Center reported a deficit of $67.0M, with expenses exceeding revenue. The organization holds $457.9M in liabilities against $556.3M in assets (debt-to-asset ratio: 82.3%), resulting in net assets of $98.4M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $586.2M | $653.3M | $556.3M | $457.9M | — | View 990 |
| 2022 | $615.6M | $616.0M | $596.5M | $438.3M | — | View 990 |
| 2021 | $586.3M | $581.2M | $657.0M | $478.3M | — | View 990 |
| 2020 | $581.4M | $574.6M | $699.0M | $537.4M | — | View 990 |
| 2019 | $546.4M | $531.5M | $644.1M | $493.7M | — | View 990 |
| 2018 | $523.5M | $486.9M | $597.0M | $472.6M | — | View 990 |
| 2017 | $501.8M | $516.4M | $573.5M | $484.0M | — | View 990 |
| 2016 | $468.4M | $461.6M | $577.7M | $474.4M | — | View 990 |
| 2015 | $432.1M | $424.1M | $570.1M | $472.4M | — | View 990 |
| 2014 | $397.7M | $391.2M | $479.3M | $389.4M | — | View 990 |
| 2013 | $371.0M | $379.3M | $486.9M | $377.9M | — | View 990 |
| 2012 | $369.1M | $373.1M | $495.5M | $400.1M | — | View 990 |
| 2011 | $344.3M | $344.9M | $519.2M | $401.6M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $586.2M, expenses of $653.3M, and assets of $556.3M (revenue -4.8% year-over-year).
- 2022: Revenue of $615.6M, expenses of $616.0M, and assets of $596.5M (revenue +5.0% year-over-year).
- 2021: Revenue of $586.3M, expenses of $581.2M, and assets of $657.0M (revenue +0.8% year-over-year).
- 2020: Revenue of $581.4M, expenses of $574.6M, and assets of $699.0M (revenue +6.4% year-over-year).
- 2019: Revenue of $546.4M, expenses of $531.5M, and assets of $644.1M (revenue +4.4% year-over-year).
- 2018: Revenue of $523.5M, expenses of $486.9M, and assets of $597.0M (revenue +4.3% year-over-year).
- 2017: Revenue of $501.8M, expenses of $516.4M, and assets of $573.5M (revenue +7.1% year-over-year).
- 2016: Revenue of $468.4M, expenses of $461.6M, and assets of $577.7M (revenue +8.4% year-over-year).
- 2015: Revenue of $432.1M, expenses of $424.1M, and assets of $570.1M (revenue +8.6% year-over-year).
- 2014: Revenue of $397.7M, expenses of $391.2M, and assets of $479.3M (revenue +7.2% year-over-year).
- 2013: Revenue of $371.0M, expenses of $379.3M, and assets of $486.9M (revenue +0.5% year-over-year).
- 2012: Revenue of $369.1M, expenses of $373.1M, and assets of $495.5M (revenue +7.2% year-over-year).
- 2011: Revenue of $344.3M, expenses of $344.9M, and assets of $519.2M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Garnet Health Medical Center:
Data Sources and Methodology
This transparency report for Garnet Health Medical Center is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.