Garnet Health Medical Center
Middletown, Orange County, NY
· CCN 330126
Licensed to Garnet Health Medical Center
Composite
60.7
rank score
Distress
82
FY2023
Fit
60
vs thesis
Estimated ticket
$23.0M–$46.1M
329 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current liabilities exceed current assets
- debt above 70% of assets
- margin deteriorating sharply
- rural — cheaper but limited density
- large — ticket likely stretches the envelope
- small ticket — deploys little of the available capital
- strong occupancy — good iteration surface
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $567M |
| Operating margin | -14.8% |
| Total margin | -9.3% |
| Days cash on hand | 17 |
| Current ratio | 0.82 |
| Occupancy | 83% |
Facility
| Beds | 329 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 329 | $499M | $15.1M | -14.6% | 2.6% | 81 | 1.23 | 79% | 20,363 | 46 |
| 2021 | 329 | $553M | $6.8M | -4.7% | 1.2% | 22 | 0.87 | 85% | 19,340 | 54 |
| 2022 | 329 | $574M | $-25.3M | -6.8% | -4.3% | 10 | 0.94 | 83% | 18,318 | 70 |
| 2023 | 329 | $567M | $-55.1M | -14.8% | -9.3% | 17 | 0.82 | 83% | 18,905 | 82 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Brian Tew | corporate officer | 100 | 2020-01 | |
| Andrew Pavloff | corporate director | 2020-01 | ||
| Don Beeler | corporate officer | 2018-01 | ||
| Edison Guzman | corporate officer | 2018-01 | ||
| Heidi Hahn-Schroeder | corporate director | 2018-01 | ||
| James Grigg | corporate officer | 2018-11 | ||
| Jill Embler | w-2 managing employee | 2020-01 | ||
| Jonathan Rouis | corporate director | 2018-01 | ||
| Rolland Peacock | corporate director | 2018-01 | ||
| Susan Murray-Tetz | corporate director | 2018-01 | ||
| Yvonne Rosado | w-2 managing employee | 2018-11 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.
Who has been buying in NY
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2025-03-01 | Nyu Langone Hospitals | Brookhaven Memorial Hospital... | Long Island Community Hospital | 157 |
| 2022-10-01 | The New York And Presbyterian Hospital | Newyork-Presbyterian... | New York Presbyterian Hospital | 2,850 |
| 2021-02-27 | New York City Health And Hospitals... | New York City Health And Hospitals... | Jacobi Medical Center | 440 |
| 2021-01-01 | The Brookdale Hospital Medical Center | Kingsbrook Jewish Medical Center | Brookdale Hospital Medical Center | 450 |
| 2020-10-01 | Samaritan Hospital Of Troy, New York | Burdett Care Center, Inc. | Samaritan Hospital | 252 |
| 2020-09-23 | Healthalliance Hospital Marys Avenue Campus | Healthalliance Hospital Broadway Campus | Healthalliance Hospital Marys Ave Ca | 111 |
| 2020-01-01 | Samaritan Hospital Of Troy, New York | Memorial Hospital, Albany N.y. | Samaritan Hospital | 252 |
| 2019-07-01 | University Hospital At Stony Brook | Eastern Long Island Hospital Assoc Inc | Stony Brook University Hospital | 725 |
| 2019-01-01 | Samaritan Hospital Of Troy, New York | Seton Health System, Inc | Samaritan Hospital | 252 |
| 2016-01-14 | Long Island Jewish Medical Center | Forest Hills Hospital | Long Island Jewish Medical Center | 1,153 |