dealflow
envelope $200M

← Targets

Garnet Health Medical Center - Catsk

Harris, Sullivan County, NY · CCN 330386
Licensed to Garnet Health Medical Center Catskills

Composite
54.5
rank score
Distress
78
FY2023
Fit
48
vs thesis
Estimated ticket
$5.3M–$10.6M
76 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 ratio under 1.5
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$77.7M
Operating margin -29.7%
Total margin -15.5%
Days cash on hand 7
Current ratio 1.20
Occupancy44%

Facility

Beds76
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 84 $85.1M $5.4M -29.3% 4.6% 132 1.33 56% 3,342 38
2021 84 $90.9M $-1.0M -12.3% -1.0% 102 1.25 59% 3,429 46
2022 76 $81.7M $-18.2M -26.1% -21.3% 19 1.45 53% 3,065 72
2023 76 $77.7M $-13.6M -29.7% -15.5% 7 1.20 44% 2,815 78

Owners

OwnerRole%SinceType
Alfred Pilong corporate officer 2022-01
Andrew Pavloff corporate officer 2018-01
Dory Alport corporate director 2018-01
James Grigg corporate officer 2018-01
Jill Embler w-2 managing employee 2020-01
Richard Lander corporate director 2018-01
Robert Davison w-2 managing employee 2018-01

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.

DateBuyerSellerHospitalBeds
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