GARNET HEALTH MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: GARNET HEALTH MEDICAL CENTER (EIN 14-1364536)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-13
IRS object ID: 202323179349304097
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-13T10:33:11+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	485 Lexington Avenue Floor 11	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100172619	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141364536	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Garnet Health Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GARN	BusinessNameControlTxt
Phone	8453331000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES GRIGG	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Signature	2023-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	GRIGG	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	2125725500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JONATHAN SCHILLER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$650,653,527	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.GARNETHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	3735	TotalEmployeeCnt
Total Volunteers	228	TotalVolunteersCnt
Total Gross UBI	$28,249	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$13,247	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,759,467	PYContributionsGrantsAmt
CY Contributions Grants	$25,105,890	CYContributionsGrantsAmt
PY Program Service Revenue	$555,574,949	PYProgramServiceRevenueAmt
CY Program Service Revenue	$577,461,939	CYProgramServiceRevenueAmt
PY Investment Income	$10,239,246	PYInvestmentIncomeAmt
CY Investment Income	$5,346,648	CYInvestmentIncomeAmt
PY Other Revenue	$6,765,852	PYOtherRevenueAmt
CY Other Revenue	$7,644,558	CYOtherRevenueAmt
PY Total Revenue	$586,339,514	PYTotalRevenueAmt
CY Total Revenue	$615,559,035	CYTotalRevenueAmt
PY Grants And Similar Paid	$852,634	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$962,803	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$300,403,596	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$322,845,324	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$279,922,831	PYOtherExpensesAmt
CY Other Expenses	$292,193,189	CYOtherExpensesAmt
PY Total Expenses	$581,179,061	PYTotalExpensesAmt
CY Total Expenses	$616,001,316	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,160,453	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$442,281	CYRevenuesLessExpensesAmt
Total Assets BOY	$656,957,744	TotalAssetsBOYAmt
Total Assets EOY	$596,500,971	TotalAssetsEOYAmt
Total Liabilities BOY	$478,309,966	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$438,348,864	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$178,647,778	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$158,152,107	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$340,595,314	ExpenseAmt
Grant	$962,803	GrantAmt
Revenue	$356,427,842	RevenueAmt
Desc	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 2022, GHMC HAD 21,281 INPATIENT DISCHARGES AND PERFORMED 916,509 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$187,870,172	ExpenseAmt
Revenue	$196,673,307	RevenueAmt
Desc	PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$14,192,600	ExpenseAmt
Revenue	$14,858,496	RevenueAmt
Desc	PROVIDING REHAB SERVICES TO 487 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$12,253,789	ExpenseAmt
Revenue	$12,828,719	RevenueAmt
Desc	PROVIDING BEHAVIORAL HEALTH SERVICES TO 834 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$12,253,789	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$12,828,719	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$554,911,875	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	302	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3735	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES GRIGG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8453331000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HEIDI HAHN SCHROEDER
BOARD MEMBER, VICE CHAIR	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JONATHAN ROUIS
TREASURER	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN MURRAY TETZ
CHAIR & SECRETARY	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW PAVLOFF
BOARD MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
ALFRED PILONG
GH PRESIDENT/CEO AS OF JANUARY 2022 UNTIL DECEMBER 2022	40.0	21.0		Yes (X)	$0	$1,053,701	$32,137
GERARD DUNLAVEY
GH INTERM PRESIDENT/CEO AS OF DEC, 2022	10.0	61.0		Yes (X)	$0	$555,732	$65,020
JAMES GRIGG
CHIEF FINANCIAL OFFICER	40.0	35.0		Yes (X)	$0	$880,879	$25,154
PAMELA MURPHY MD
CMO	10.0	40.0		Yes (X)	$0	$468,381	$33,377
SCOTT BATULIS
GH PRESIDENT/CEO UNTIL JANUARY, 2022	40.0	21.0		Yes (X)	$0	$1,949,341	$39,487
CHRISTINE GOODHART
SR ADMINISTRATOR HR/PAYROLL OPERATIONS	40.0	0			$286,140	$0	$36,684	Yes (X)
HAI LUO
CHIEF PHYSICIST	40.0	0			$285,031	$0	$74,939	Yes (X)
JILL EMBLER
VP FINANCIAL PLANNING	40.0	0			$299,915	$0	$45,746	Yes (X)
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	40.0	0			$326,654	$0	$60,591	Yes (X)
SAMUEL PAGLIANITE
VP REAL ESTATE DEV & FACILITIES	40.0	0			$314,629	$0	$20,796	Yes (X)
BRIAN TEW
FORMER CEO	0.0	0.0			$0	$541,415	$0		Yes (X)
JAMES OXLEY DO
Former CMO	0.0	0.0			$0	$650,773	$9,921		Yes (X)
JONATHAN SCHILLER
FORMER COO, GH PRESIDENT/CEO AS OF JUNE, 2023	0.0	50.0			$0	$860,511	$41,022		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,512,369	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,960,733	TotReportableCompRltdOrgAmt
Total Other Compensation	$484,874	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	659	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GARNET HEALTH DOCTORS PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	MEDICAL SERVICES	$35,211,347
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	55485	TEMPORARY STAFFING	$6,843,893
K&P FACILITIES MAINTENANCE INC
46 CAMELOT ROAD	POUGHKEEPSIE	NY	12601	FACILITIES CLEANING & MAINTENANCE	$4,713,190
CLAYCO INC
2199 INNERBELT BUSINESS CENTER DR	ST LOUIS	MO	63114	CONSTRUCTION CONTRACTOR	$4,109,013
THE PIKE COMPANY INC
ONE CIRCLE STREET	ROCHESTER	NY	14607	CONSTRUCTION CONTRACTOR	$4,069,656

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	90	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,781,355	RelatedOrganizationsAmt
Government Grants	$20,287,534	GovernmentGrantsAmt
All Other Contributions	$37,001	AllOtherContributionsAmt
Noncash Contributions	$96,820	NoncashContributionsAmt
Total Contributions	$25,105,890	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$576,461,936	$576,450,476	$11,460
MGMT FEE FROM RELATED ORG	561110	$1,000,003	$1,000,003

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$577,461,939	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,099,632	TotalRevenueColumnAmt
Exclusion	$4,099,632	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,170,391	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,170,391	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,170,391	TotalRevenueColumnAmt
Unrelated Business Revenue	$16,789	UnrelatedBusinessRevenueAmt
Exclusion	$2,153,602	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,333,408	SecuritiesAmt
Other	$8,100	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$35,094,492	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,238,916	SecuritiesAmt
Other	$8,100	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,247,016	TotalRevenueColumnAmt
Exclusion	$1,247,016	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/COFFEE & GIFT SHOP REVENUE	721110	$2,136,282	$2,136,282
ALLOCATED OVERHEAD RELATED ORG	900099	$810,408		$810,408
REBATES	900099	$1,856,150		$1,856,150

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$671,327	TotalRevenueColumnAmt
Related Or Exempt Func Income	$671,327	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,474,167	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$615,559,035	TotalRevenueColumnAmt
Related Or Exempt Func Income	$580,788,364	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$28,249	UnrelatedBusinessRevenueAmt
Exclusion	$9,636,532	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$962,803	TotalAmt
Program Services	$962,803	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$231,472,158	TotalAmt
Program Services	$206,588,651	ProgramServicesAmt
Management And General	$24,883,507	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,414,325	TotalAmt
Program Services	$20,004,761	ProgramServicesAmt
Management And General	$2,409,564	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$51,657,983	TotalAmt
Program Services	$46,104,694	ProgramServicesAmt
Management And General	$5,553,289	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,300,858	TotalAmt
Program Services	$15,440,997	ProgramServicesAmt
Management And General	$1,859,861	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$977,014	TotalAmt
Management And General	$977,014	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$369,500	TotalAmt
Management And General	$369,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$141,092	TotalAmt
Program Services	$141,092	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$259,047	TotalAmt
Management And General	$259,047	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$87,931,606	TotalAmt
Program Services	$81,507,880	ProgramServicesAmt
Management And General	$6,423,726	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$959,875	TotalAmt
Program Services	$878,286	ProgramServicesAmt
Management And General	$81,589	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,970,485	TotalAmt
Program Services	$12,674,231	ProgramServicesAmt
Management And General	$1,296,254	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,761,787	TotalAmt
Program Services	$6,436,600	ProgramServicesAmt
Management And General	$1,325,187	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,765,697	TotalAmt
Program Services	$6,677,778	ProgramServicesAmt
Management And General	$4,087,919	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$333,682	TotalAmt
Program Services	$274,927	ProgramServicesAmt
Management And General	$58,755	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$144,856	TotalAmt
Program Services	$108,096	ProgramServicesAmt
Management And General	$36,760	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,089,068	TotalAmt
Program Services	$9,236,048	ProgramServicesAmt
Management And General	$2,853,020	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,368,838	TotalAmt
Program Services	$20,909,792	ProgramServicesAmt
Management And General	$6,459,046	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,974,601	TotalAmt
Program Services	$5,328,595	ProgramServicesAmt
Management And General	$1,646,006	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$107,010,855	$107,010,855
NON MEDICAL SUPPLIES	$8,036,664	$7,791,444	$245,220
OTHER TAXES & ASSESSMENTS	$3,610,253	$3,610,253
NET PERIODIC PENSION AND POST-RETIREMENT BENEFIT COSTS	$2,457,438	$2,193,261	$264,177

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,030,831	TotalAmt
Program Services	$1,030,831	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$616,001,316	TotalAmt
Program Services	$554,911,875	ProgramServicesAmt
Management And General	$61,089,441	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$35,038	BOYAmt
EOY	$15,038	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$33,114,869	BOYAmt
EOY	$15,434,102	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,046,356	BOYAmt
EOY	$93,101,775	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,166,910	BOYAmt
EOY	$15,733,766	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,115,105	BOYAmt
EOY	$6,140,140	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$598,768,067	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$331,045,777	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$273,000,488	BOYAmt
EOY	$267,722,290	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$159,610,412	BOYAmt
EOY	$120,341,115	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$96,868,566	BOYAmt
EOY	$78,012,745	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$656,957,744	BOYAmt
EOY	$596,500,971	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$89,982,673	BOYAmt
EOY	$96,122,553	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$160,529	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$269,407,489	BOYAmt
EOY	$259,243,796	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,731,792	BOYAmt
EOY	$3,528,454	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$117,027,483	BOYAmt
EOY	$79,454,061	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$478,309,966	BOYAmt
EOY	$438,348,864	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$165,006,304	BOYAmt
EOY	$148,947,895	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,641,474	BOYAmt
EOY	$9,204,212	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$178,647,778	BOYAmt
EOY	$158,152,107	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$656,957,744	BOYAmt
EOY	$596,500,971	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$442,281	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$20,603,115	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$549,725	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$72,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$69,092	OtherActivitiesAmt
Total Lobbying Expenditures	$141,092	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1i DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LINE 1I - PERCENTAGE OF DUES PAID TO GNYHA, AHA, AND HEP AND CONTRIBUTIONS TO 1199SEIU BENEFIT FUND THAT ARE ALLOCATED TO LOBBYING ACTIVITIES.
Schedule C, Part II-B, Line 1g DETAILED DESCRIPTION OF LOBBYING ACTIVITY	PAYMENTS TO CAPITAL HEALTH CONSULTING, LLC, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY. The purpose of the agreement with Capital Health Consulting is to "advise and represent Greater Hudson Valley Health System (now Garnet Health) before the Executive, Legislative, and Administrative branches of New York State Government".

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	$235,470	InvestmentEarningsOrLossesAmt
Other Expenditures	$235,470	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	$265,632	InvestmentEarningsOrLossesAmt
Other Expenditures	$265,632	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	$108,060	InvestmentEarningsOrLossesAmt
Other Expenditures	$108,060	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	$137,851	InvestmentEarningsOrLossesAmt
Other Expenditures	$137,851	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	$78,881	InvestmentEarningsOrLossesAmt
Other Expenditures	$78,881	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,897,415	OtherCostOrOtherBasisAmt
Book Value	$4,897,415	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,062,157	OtherCostOrOtherBasisAmt
Depreciation	$97,614,016	DepreciationAmt
Book Value	$145,448,141	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,611,603	OtherCostOrOtherBasisAmt
Depreciation	$220,420,144	DepreciationAmt
Book Value	$92,191,459	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,196,892	OtherCostOrOtherBasisAmt
Depreciation	$13,011,617	DepreciationAmt
Book Value	$25,185,275	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$267,722,290	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE RECOVERIES RECEIVABLE	$29,921,517
DEFERRED REVENUE
DUE FROM THIRD-PARTIES	$9,744,634
DUE FROM RELATED ORGANIZATIONS	$6,184,748
MISCELLANEOUS RECEIVABLES	$11,124,419
INTEREST IN GH FOUNDATION	$7,249,348
RIGHT OF USE ASSETS	$13,788,079

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$78,012,745	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTIES	$7,239,798
PENSION LIABILITY	$16,504,711
LT LIABILITY - WC & MALPRACTICE	$33,459,431
LEASE LIABILITIES	$14,763,131
DUE TO RELATED ORGANICATION	$6,647,144
FEMA GRANT LIABILITY	$839,846

Field	Value	IRS element (for citing)
Total Liability	$79,454,061	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$590,413,698	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$20,603,115	NetUnrealizedGainsInvstAmt
Other Revenue	-$4,254,543	OtherRevenueAmt
Revenue Not Reported	-$24,857,658	RevenueNotReportedAmt
Revenue Subtotal	$615,271,356	RevenueSubtotalAmt
Investment Expenses Not Incld	$259,047	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$28,632	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$287,679	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$615,559,035	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$615,713,637	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$615,713,637	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$259,047	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$28,632	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$287,679	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$616,001,316	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS (PERMANENTLY RESTRICTED) ARE INVESTED IN ACCOUNTS IN GARNET HEALTH MEDICAL CENTER'S NAME. THE PRINCIPAL BALANCES ARE TO BE HELD AND ALL EARNINGS ARE TO BE USED FOR THE BENEFIT AND SUPPORT OF THE ORGANIZATION'S PROGRAMS AND SERVICES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE HOSPITAL IS A SECTION 501(C)(3) ORGANIZATION EXEMPT FROM FEDERAL, NEW YORK STATE AND LOCAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	CONTRIBUTIONS FOR PP&E - -4254690 RESTRICTED FUND INCOME - 147
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENT AND ADMIN FEE FROM GH FOUNDATION - 28632
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	RENT AND ADMIN FEE FROM GH FOUNDATION - 28632

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,099,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,007,497	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,092,196	NetCommunityBenefitExpnsAmt
Total Expense	0.0099	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$105,641,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,686,017	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,955,428	NetCommunityBenefitExpnsAmt
Total Expense	0.0519	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$113,741,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,693,514	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,047,624	NetCommunityBenefitExpnsAmt
Total Expense	0.0618	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$170,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$169,930	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,212,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,971,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,241,215	NetCommunityBenefitExpnsAmt
Total Expense	0.0150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,976,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,313,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,662,964	NetCommunityBenefitExpnsAmt
Total Expense	0.0449	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$121,359,263	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,285,154	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,074,109	NetCommunityBenefitExpnsAmt
Total Expense	0.0602	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$235,100,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$159,978,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,121,733	NetCommunityBenefitExpnsAmt
Total Expense	0.1220	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$148,588,478	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$173,351,777	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$24,763,299	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	HUDSON VALLEY AMBULATORY SURGERY LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.26	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.74	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GARNET HEALTH MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GARNETHEALTH.ORG	WebsiteAddressTxt
State License	3523000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GARNET HEALTH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.garnethealth.org/about-us/community-health-program/community-service-plans	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.garnethealth.org/about-us/community-health-program/community-service-plans	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. Garnet Health worked with the Local Health Department Prevention Agenda Collaborative, established in 2017, that includes 7 local health departments and 16 other local hospitals to develop the second regional Community Health Assessment for the Mid-Hudson Region that contributed to the development of the Garnet Health Medical Center and Garnet Health Medical Center- Catskills Community Health Needs Assessments. The hospitals contributed funds which allowed the Collaborative to contract with Siena College Research Institute to conduct a random digit dial regional community health survey to supplement the Regional Community Health Assessment and to gauge the perception of residents surrounding health and resources in their communities. Responses from 5,699 residents of the Mid-Hudson Region were collected. Residents aged 18 and older were interviewed from the Mid-Hudson Region to ensure representative county-wide samples. The overall sample of 5,699 was weighted by age, gender, reported race/ethnicity, income and county using the 2015-2020 American Community Survey 5-year estimates to ensure statistical representativeness. A total of 906 surveys were completed for Orange County. To further supplement the data collected from the community, the Collaborative members held focus groups with service providers to further understand the needs of specific communities and populations, and the barriers they face to achieving optimal health. Additionally, focus groups were conducted by the Orange County Health Department with providers that serve underrepresented populations such as those who are low-income, veterans, seniors, people experiencing homelessness, LGBTQ members, and people with a mental health diagnosis. The Orange County Health Department conducted two focus groups. The first was with the Joint Membership of Health and Community Agencies. Their focus is on providing residents of Orange County with a welcoming, comprehensive, and seamless service delivery system for recovery, health, and wellness. The second was with the Changing the Orange County Addiction Treatment Ecosystem. Orange County Health department took the lead in pulling the Mid-Hudson Region assessment together with the support, feedback, review and input from the collaborative's participating health departments and hospitals throughout the entire process. Along with the primary data collected by the Collaborative through the survey and focus groups, secondary data was compiled to show health indicators for the area a narrative was written around each health indicator to contextualize the data and outline how each indicator is related. Input to the Community Health Needs Assessment and Implementation Plan included focus groups, interviews, literature review, and surveys. Organizations providing input included Departments of Health from seven counties, school districts, offices of aging, offices of veteran's affairs, Federally Qualified Healthcare Centers (FQHC's), food banks of the Hudson Valley, etc. Work Groups were formed including behavioral health, workplace wellness, social determinants of health, etc. These work groups were each led by a steering committee comprised of community stakeholders and assisted in determining health priorities. While Garnet Health participated in the collaborative process, data collected along the way was also used to develop the health systems Community Health Assessment and improvement plans and were developed with the assistance of Crowe LLP.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. Through the Local Health Department Prevention Agenda Collaborative, the following hospital facilities participated in the CHNA process: Bon Secours Charity Health System, a member of the Westchester Medical Center Health Network Good Samaritan Hospital Bon Secours Community Hospital St. Anthony Community Hospital Garnet Health Medical Center - Catskills (formerly, Catskill Regional Medical Center, a member of the Greater Hudson Valley Health System) HealthAlliance Hospital, a member of the Westchester Medical Center Health Network Nuvance Health: Northern Dutchess Hospital Vassar Brothers Medical Center Putnam Hospital Center Montefiore Hudson Valley Collaborative Montefiore Nyack Hospital Montefiore St. Luke's Cornwall Garnet Health Medical Center (formerly, Orange Regional Medical Center, a member of the Greater Hudson Valley Health System) St. Joseph's Medical Center
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. Siena College Research Institute The Foundation for Community Health Dutchess County Department of Behavioral & Community Health Orange County Department of Health Putnam County Department of Health Rockland County Department of Health Sullivan County Public Health Services Ulster County Department of Health and Mental Health Westchester County Department of Health Crowe LLP
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. The hospital is addressing the significant needs identified in its most recent CHNA in a variety of ways. First and foremost, the hospital played an active, collaborative role with the county health department to develop the Community Health Improvement Plan (CHIP) which clearly outlines the priority areas chosen and serves as the hospital's implementation strategy. By working closely with the health department and many other community-based organizations, we were able to create a comprehensive plan whereby all voted on and agreed to support specific evidence-based interventions from the NYS Prevention Agenda that will improve health outcomes in Orange and Sullivan County. The priority areas include - Prevent Chronic Disease & Improve Mental Health and Prevent Substance Use Throughout the plan, specific organizations, including our hospital are identified as providing support and/or leadership for individual strategies. Garnet Health specifically is targeting efforts towards the below strategies. CHIP goal Healthy Eating and Food Security Evidenced Based Strategies Provide resources for local food pantries upon discharge Develop and refer potential participants to the FreshRx Nutrition Incentive Program. CHIP goal Increase early detection of cardiovascular disease diabetes, prediabetes and obesity Evidenced Based Strategies Remove Structural barriers for screenings by increasing primary care provider connections by developing a system to refer patients without primary care when presenting to the emergency department or urgent care setting Provide Community based preventative program opportunities relaunch the health heart program to reach local businesses and local Community events provide the Diabetes prevention program through multiple media platforms and onsite location to improve accessibility Remove structural barriers to cancer screening by working with employers to provide employees with paid leave or the option to use flex time for cancer screenings. CHIP goal increase cancer screening rates for breast, cervical and colorectal cancers Evidenced Based Strategies Remove structural barriers to cancer screening by increasing primary care provider connections by developing a system to refer patients without primary care when presenting to the emergency department or urgent care setting remove economic barrier to cancer screening by ensuring access to health insurance by developing a system to connect insurance patient navigators to patients waiting for care in the emergency department. CHIP goal Prevent opioid and other substance misuse and deaths Evidenced Based Strategies increase the availability of/access and linages to medication-assisted treatment (MAT) including Buprenorphine by developing internal policies/procedures for the initiation of MAT administration in the emergency department increase the availability of access to MAT including Buprenorphine by organizing and funding MAT implementation trainings for healthcare providers prescribing Buprenorphine promote and support the expansion of the Peer RX application for peer referrals at the emergency department by organize and fund MAT implementation training for health care providers prescribing Buprenorphine. In addition, other identified health needs including Access to Medical Providers, Cancer, Food Insecurity/Lack of Nutritious Food, Health Literacy, Heart Disease, Obesity, Preventative Care, Women's and Children's Health have not been specifically addressed through the development of the Implementation Strategy However, many of these needs are covered through Garnet Health Medical Center's provision of comprehensive services or through the above-mentioned priority areas to be focused on over the next three years. Finally, identified health needs including Affordable Housing, Domestic Violence, Lack of Affordable/Reliable Transportation are Outside the scope of services provided by Garnet Health Medical Center, but opportunities may exist for Garnet to support organizations addressing these needs.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HUDSON VALLEY AMBULATORY SURGERY LLC
75 CRYSTAL RUN RD SUITE 225	MIDDLETOWN	NY	10941	JOINT VENTURE AMBULATORY SURGERY CENTER
GARNET HEALTH MEDICAL PAVILION
75 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10941	WOUND CARE, SLEEP CENTER, SUBSTANCE ABUSE & COUNSELING CNTR

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7g Subsidized Health Services	LINE 7G DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, GHMC HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to net patient service revenue in the period of the change. Portfolio collection estimates are updated monthly based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the periods ended December 31, 2022 and 2021, was not significant.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE SHORTFALL OF $24,763,299 COULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE TO THE EXTENT THAT IT IS IN EFFECT A SUBSIDY OF A GOVERNMENTAL HEALTHCARE PLAN WHICH ENABLES THE RECIPIENTS OF THESE BENEFITS TO RECEIVE HEALTHCARE. THE AMOUNT INDICATED ON LINE 6 AS MEDICARE ALLOWABLE COSTS RELATED TO MEDICARE PAYMENTS HAS BEEN CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO GROSS CHARGES FOR MEDICARE AND MEDICARE ADVANTAGE PLAN LESS PAYMENTS. THIS RATIO IS CONSISTENT WITH THAT USED FOR MEDICAID AND OTHER PROVIDERS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	GHMC'S COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, CHARITY CARE ELIGIBILTY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALIFY FOR A 100% WRITE-OFF. DURING THE FINANCIAL ASSISTANCE DETERMINATION PROCESS, COLLECTION EFFORTS WILL BE PLACED ON HOLD AND THE ACCOUNT WILL BE ASSIGNED TO A CHARITY FINANCIAL STATUS. ALSO, ACCOUNTS PENDING PAYMENT FROM MEDICAID FOR ELIGIBLE PATIENTS WILL NOT BE REFERRED TO COLLECTIONS.
Schedule H, Part V, Section B, Line 16a FAP website	- GARNET HEALTH MEDICAL CENTER: Line 16a URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GARNET HEALTH MEDICAL CENTER: Line 16b URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GARNET HEALTH MEDICAL CENTER: Line 16c URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	THE MAJORITY OF GHMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, GHMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	TO INFORM AND EDUCATE OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, GARNET HEALTH MEDICAL CENTER UTILIZES SEVERAL METHODS, INCLUDING PROVIDING A FINANCIAL AID SUMMARY AT REGISTRATION, POSTING SIGNS IN PATIENT AREAS, DETAILING THE INFORMATION ON THE ORGANIZATION'S WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS.
Schedule H, Part VI, Line 4 Community information	GARNET HEALTH MEDICAL CENTER IS A MEMBER OF THE GARNET HEALTH SYSTEM. GHMC, IN MIDDLETOWN, NY, EXPANDED ITS SERVICE AREA TO REFLECT ITS RELATIONSHIP WITH GARNET HEALTH MEDICAL CENTER -CATSKILLS (ALSO A MEMBER OF GARNET HEALTH). THE GARNET HEALTH SERVICE AREA INCLUDES ALL OF ORANGE COUNTY AND SULLIVAN COUNTY; AN AREA THAT ENCOMPASSES 1,828 SQUARE MILES AND APPROXIMATELY 480,000 RESIDENTS. WHEN IT COMES TO HEALTH PLANNING FOR PRIMARY CARE AND CORE SECONDARY LEVEL SERVICES, GHMC FOCUSES ON 29 ZIP CODES THAT COMPRISE ITS LOCAL HEALTH SERVICE AREA. THIS SERVICE AREA WAS DETERMINED BY IDENTIFYING THE ZIP CODES FROM WHICH 85% OF GHMC'S DISCHARGES ORIGINATE. PLANNING FOR SPECIALTY CARE SERVICES TAKES A MORE REGIONAL PERSPECTIVE AND ENCOMPASSES ALL OF ORANGE AND SULLIVAN COUNTIES AND THE NEEDS OF THEIR RESIDENTS.
Schedule H, Part VI, Line 5 Promotion of community health	GARNET HEALTH MEDICAL CENTER HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF THE COMMUNITY IN SEVERAL WAYS. THE MAJORITY OF GHMC'S BOARD OF DIRECTORS CONSISTS OF PERSONS WHO RESIDE IN GHMC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. AS LOCAL HEALTH CONSUMERS, THEY PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. ALSO, GHMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL. GHMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED PHYSICIAN IS ENCOURAGED TO APPLY FOR MEDICAL STAFF MEMBERSHIP. IN ADDITION, GHMC UTILIZES FUNDS FROM OPERATIONS, AS AVAILABLE, TO UPDATE FACILITIES AND EQUIPMENT AND TO EXPAND SERVICES PROVIDED AS NEEDS ARE IDENTIFIED. More specifically, approximately $12.3 million was utilized to construct two cardiac surgery suites and to enlarge an elevator for cardiac patients. $1.8 million was used to upgrade and expand our cooling capacity and $5.1 million was invested in routine equipment replacements. Approximately $86 thousand was expended for capital in response to the COVID-19 pandemic.
Schedule H, Part VI, Line 6 Affiliated health care system	GARNET HEALTH (GH) IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS- GARNET HEALTH MEDICAL CENTER -CATSKILLS AND GARNET HEALTH MEDICAL CENTER, AND ALSO FOR THE GARNET HEALTH FOUNDATION AND GARNET HEALTH FOUNDATION - CATSKILLS. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC ARE ALSO PARTICIPANTS IN THE SYSTEM. GARNET HEALTH IS DEDICATED TO DEVELOPING SPECIALTY SERVICES, MEDICAL PROGRAMS AND NEEDED HEALTHCARE SERVICES THAT ALLOW RESIDENTS TO REMAIN CLOSE TO HOME TO RECEIVE QUALITY CARE. PROVIDING HEALTHCARE TO NEARLY 480,000 RESIDENTS IN ORANGE, SULLIVAN AND ULSTER COUNTIES, GARNET HEALTH WAS DESIGNED TO IMPROVE THE QUALITY, STABILITY AND EFFICIENCY OF HEALTHCARE SERVICES IN THE MID-HUDSON AND CATSKILL REGIONS. SERVICES PROVIDED BY MORE THAN 3,400 EMPLOYED PROFESSIONALS AND OVER 520 MEDICAL STAFF MEMBERS, MAKES GARNET HEALTH ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THE TRI-COUNTY AREA. THE SYSTEM HAS THREE HOSPITAL CAMPUSES PLUS SEVERAL OUTPATIENT FACILITIES, OFFERING A BROAD SPECTRUM OF CARE. GARNET HEALTH MEDICAL CENTER - CATSKILLS HAS TWO HOSPITAL FACILITIES SERVING PATIENTS IN SULLIVAN AND ULSTER COUNTIES. GHMC - CATSKILLS IN HARRIS, NY IS A COMMUNITY HOSPITAL; WHILE, THE CALLICOON, NY FACILITY IS A CRITICAL ACCESS HOSPITAL. GARNET HEALTH MEDICAL CENTER SERVES PATIENTS IN THE TRI-COUNTY AREA. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC HAVE OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GARNET HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	133020568	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$962,803	CashGrantAmt
Purpose Of Grant	INSTITUTIONAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	INSTITUTIONAL SUPPORT IS PROVIDED TO THE GARNET HEATLH FOUNDATION - A RELATED ORGAINZATION. THE MANAGEMENT TEAM OF GHMC IS ALSO PART OF THE MANAGEMENT TEAM AT GARNET HEALTH FOUNDATION, SO GHMC IS ABLE TO DIRECTLY MONITOR USE OF THE GRANT FUNDS FOR THE EXPENSES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES OXLEY DO
Former CMO	$0	$0	$0	$219,470	$0	$431,303	$0	$9,846	$0	$75	$0	$660,694	$0	$357,854
JONATHAN SCHILLER
FORMER COO, GH PRESIDENT/CEO AS OF JUNE, 2023	$0	$198,395	$0	$188,678	$0	$473,438	$0	$26,078	$0	$14,944	$0	$901,533	$0	$296,763
JAMES GRIGG
CHIEF FINANCIAL OFFICER	$0	$609,066	$0	$222,840	$0	$48,973	$0	$12,200	$0	$12,954	$0	$906,033	$0	$0
SCOTT BATULIS
GH PRESIDENT/CEO UNTIL JANUARY, 2022	$0	$344,738	$0	$1,143,402	$0	$461,201	$0	$27,450	$0	$12,037	$0	$1,988,828	$0	$405,218
GERARD DUNLAVEY
GH INTERM PRESIDENT/CEO AS OF DEC, 2022	$0	$383,792	$0	$144,602	$0	$27,338	$0	$32,356	$0	$32,664	$0	$620,752	$0	$0
PAMELA MURPHY MD
CMO	$0	$397,765	$0	$58,671	$0	$11,945	$0	$12,200	$0	$21,177	$0	$501,758	$0	$0
ALFRED PILONG
GH PRESIDENT/CEO AS OF JANUARY 2022 UNTIL DECEMBER 2022	$0	$958,333	$0	$67,190	$0	$28,178	$0	$0	$0	$32,137	$0	$1,085,838	$0	$0
BRIAN TEW
FORMER CEO	$0	$0	$0	$0	$0	$541,415	$0	$0	$0	$0	$0	$541,415	$0	$145,175
JILL EMBLER
VP FINANCIAL PLANNING	$238,164	$0	$44,984	$0	$16,767	$0	$9,860	$0	$35,886	$0	$345,661	$0	$0	$0
HAI LUO
CHIEF PHYSICIST	$263,628	$0	$0	$0	$21,403	$0	$43,622	$0	$31,317	$0	$359,970	$0	$0	$0
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	$273,963	$0	$50,479	$0	$2,212	$0	$26,342	$0	$34,249	$0	$387,245	$0	$0	$0
CHRISTINE GOODHART
SR ADMINISTRATOR HR/PAYROLL OPERATIONS	$227,326	$0	$44,412	$0	$14,402	$0	$24,448	$0	$12,236	$0	$322,824	$0	$0	$0
SAMUEL PAGLIANITE
VP REAL ESTATE DEV & FACILITIES	$267,278	$0	$45,617	$0	$1,734	$0	$9,260	$0	$11,536	$0	$335,425	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $398,548 was paid to Brian Tew. The amounts are reported in Part II, Column B(iii). At the end of the year, Alfred Pilong entered into a severance agreement. No payments were made under the agreement in 2022.
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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A	146000293	64990BHF3	2015-05-13	$70,060,402	CONSTRUCT A PROFESSIONAL OFFICE BUILDING & CANCER CENTER	false	false	false
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B	146000293	64990CQC8	2017-02-28	$253,825,171	DEFEASANCE OF THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK SERIES 2008 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$8,000,000	$70,369,579	$4,381,177	$65,715,402	$273,000	2016	false	false	Yes (true)	Yes (true)
B	$45,300,000	$254,806,942	$0	$18,866,771	$232,899,386	2017	false	Yes (true)	Yes (true)	Yes (true)	$3,040,785

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0048	0.0048	false	false	false
B	false	false	false		false		0.0	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	false
B	false	false	false	Yes (true)	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 Total proceeds of issue - COLUMN A	If the total proceeds of the issue exceeds the issue price of the respective bond, the difference is due to investment earnings. Earnings are included in the total proceeds of each issue.
Schedule K, Part II, Line 3 Total proceeds of issue - COLUMN B	If the total proceeds of the issue exceeds the issue price of the respective bond, the difference is due to investment earnings. Earnings are included in the total proceeds of each issue.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: DORMITORY AUTHORITY OF THE STATE OF NEW YORK The calculation for computing no rebate due was performed on 07/10/2020
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: DORMITORY AUTHORITY OF THE STATE OF NEW YORK The calculation for computing no rebate due was performed on 10/28/2022

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	TOYS, BLANKETS, CLOTHING, BOOKS, CARE PACKAGES, FOOD, PHYSICAL REHABILITATION EQUIPMENT	Desc
Contribution	74	ContributionCnt
Noncash Contributions Rpt F990	$96,820	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - TOYS, BLANKETS, CLOTHING, BOOKS, CARE PACKAGES, FOOD, PHYSICAL REHABILITATION EQUIPMENT GARNET HEALTH FOUNATION IS REPORTING TOTAL NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 12,253,789 including grants of $)(Revenue $ 12,828,719) PROVIDING BEHAVIORAL HEALTH SERVICES TO 834 PATIENTS IN THE SURROUNDING COMMUNITY.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	GARNET HEALTH MEDICAL CENTER CEO IS EMPLOYED AND COMPENSATED BY GARNET HEALTH. COMPENSATION FOR THE GARNET HEALTH MEDICAL CENTER CEO IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE CEO WAS PERFORMED IN 2021 FOR THE 2022 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GARNET HEALTH COMPENSATION COMMITTEE. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	KEY EMPLOYEES OF GARNET HEALTH MEDICAL CENTER ARE EMPLOYED AND COMPENSATED BY GARNET HEALTH. COMPENSATION FOR THE KEY EMPLOYEES IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE GARNET HEALTH BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE PRESIDENT/CEO WAS PERFORMED IN 2021 FOR THE 2022 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GARNET HEALTH COMPENSATION COMMITTEE. THESE POSITIONS INCLUDED CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, CHIEF INNOVATION OFFICER, CHIEF HR OFFICER, VP SUPPORT SERVICES & REAL ESTATE, CHIEF QUALITY OFFICER, VP/GENERAL COUNSEL, VP MARKETEING & STRATEGIC PLANNING, AND CHIEF NURSING OFFICER. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	EXCEPT AS OTHERWISE PROHIBITED BY THE NPCL, THE EXECUTIVE COMMITTEE MAY EXERCISE THE POWERS OF THE BOARD OF DIRECTORS, PROVIDED SUCH ACTION IS NOT INCONSISTENT WITH THE PROVISIONS OF GARNET HEALTH MEDICAL CENTER'S (GHMC) CERTIFICATE OF INCORPORATION, THESE BYLAWS, OR ANY LAW OR STATUTE GOVERNING GHMC. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED FULLY TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	GARNET HEALTH, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) IS THE SOLE MEMBER OF GARNET HEALTH MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	GARNET HEALTH, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) IS THE SOLE MEMBER OF GARNET HEALTH MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	GARNET HEALTH'S BOARD OF DIRECTORS APPROVES DECISIONS OF GARNET HEALTH MEDICAL CENTER'S BOARD OF DIRECTORS INCLUDING: * APPOINTMENT OF DIRECTORS * APPROVAL OF CERTIFICATE OF NEED APPLICATIONS * APPROVAL OF ANNUAL STRATEGIC PLAN * APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION * APPROVAL OF OPERATING AND CAPITAL BUDGETS * APPROVAL OF ANY BORROWINGS, GUARANTEES OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE * APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION * APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE FINAL DRAFT RETURN IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE GARNET HEALTH BOARD OF DIRECTORS. A COPY OF THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c Conflict of interest policy	AS A PARTICIPANT IN THE GARNET HEALTH SYSTEM, GARNET HEALTH MEDICAL CENTER IS SUBJECT TO THE GARNET HEALTH CONFLICT OF INTEREST (COI) POLICY WHICH APPLIES TO ALL MANAGEMENT PERSONNEL, INCLUSIVE OF DIRECTORS, MANAGERS AND SUPERVISORS, COMMITTEE MEMBERS, TRUSTEES AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE ORGANIZATION OR ANY ENTITY CONTROLLED BY THE ORGANIZATION. THE CONFLICTS POLICY REQUIRES MANAGEMENT AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO GARNET HEALTH POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE GARNET HEALTH CORPORATE COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND PRESENTS ANY CONFLICTS TO THE BOARD AUDIT AND COMPLIANCE COMMITTEE SO THAT ANY IDENTIFIED INDIVIDUAL WITH A POTENTIAL CONFLICT IS RECUSED FROM PARTICIPATING IN THE CONSIDERATION OR DETERMINATION OF THE MATTER. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER - Total Revenue: 671327, Related or Exempt Function Revenue: 671327, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PROFESSIONAL FEES - PHYSICIANS - Total Expense: 44349255, Program Service Expense: 44332005, Management and General Expenses: 17250, Fundraising Expenses: ; TEMP AND AGENCY FEES - Total Expense: 10145456, Program Service Expense: 10092494, Management and General Expenses: 52962, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 4916769, Program Service Expense: 1473686, Management and General Expenses: 3443083, Fundraising Expenses: ; RECRUITMENT FEES - Total Expense: 88203, Program Service Expense: 64545, Management and General Expenses: 23658, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 22867494, Program Service Expense: 19982721, Management and General Expenses: 2884773, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 5205009, Program Service Expense: 5205009, Management and General Expenses: 0, Fundraising Expenses: ; ALL OTHER PURCHASED SERVICES - Total Expense: 359420, Program Service Expense: 357420, Management and General Expenses: 2000, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	POST RETIREMENT-RELATED CHANGES - 4798770; PENSION-RELATED CHANGES - 638908; CHANGES IN NET ASSETS OF GARNET HEALTH FOUNDATION - -4250161; TRANSFER TO GARNET HEALTH - -474220; TRANSFER TO GARNET HEALTH FOUNDATION - -163572;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GARNET HEALTH
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	061488219	HEALTHCARE	NY	501(c)(3)	Type II	NA	false
GARNET HEALTH MEDICAL CENTER - CATSKILLS
PO BOX 800	HARRIS	NY	12742	146049030	HOSPITAL	NY	501(c)(3)	3	GARNET HEALTH	false
GARNET HEALTH DOCTORS PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	371743537	HEALTHCARE	NY	501(c)(3)	Type I	GARNET HEALTH	false
GARNET HEALTH URGENT CARE PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	824251331	HEALTHCARE	NY	501(c)(3)	Type I	GARNET HEALTH	false
GARNET HEALTH FOUNDATION
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	133020568	FUNDRAISING	NY	501(c)(3)	Type II	GARNET HEALTH	false
GARNET HEALTH FOUNDATION - CATSKILLS
PO BOX 800	HARRIS	NY	12742	141742176	FUNDRAISING	NY	501(c)(3)	Type II	GARNET HEALTH	false
ORMC AUXILIARY
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	205223843	SUPPORT ORG	NY	501(c)(3)	9	NA	false
SYNERA CORP
C/O 707 EAST MAIN STREET	MIDDLETOWN	NY	10940	743070072	REAL PROPERTY HOLDING COMPANY	NY	501(c)(2)		GARNET HEALTH MEDICAL CENTER	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	EAST MAIN STREET MANAGEMENT CORP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
EIN	203168346	EIN
Primary Activities	ADMIN SVCS	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GARNET HEALTH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd