GARNET HEALTH MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: GARNET HEALTH MEDICAL CENTER (EIN 14-1364536)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2025-11-13
IRS object ID: 202503179349311140
Schema version: 2023v6.0
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	2025-11-13T17:58:52+00:00	ReturnTs
Tax Period End	2023-12-31	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	4801 Olympia Park Plaza Suite 4000	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	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	2025-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum
Preparation	2025-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

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	$658,613,029	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	3	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	3907	TotalEmployeeCnt
Total Volunteers	221	TotalVolunteersCnt
Total Gross UBI	$146,061	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$35,997	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,105,890	PYContributionsGrantsAmt
CY Contributions Grants	$6,697,032	CYContributionsGrantsAmt
PY Program Service Revenue	$577,461,939	PYProgramServiceRevenueAmt
CY Program Service Revenue	$556,450,890	CYProgramServiceRevenueAmt
PY Investment Income	$5,346,648	PYInvestmentIncomeAmt
CY Investment Income	$5,424,723	CYInvestmentIncomeAmt
PY Other Revenue	$7,644,558	PYOtherRevenueAmt
CY Other Revenue	$9,171,479	CYOtherRevenueAmt
PY Total Revenue	$615,559,035	PYTotalRevenueAmt
CY Total Revenue	$577,744,124	CYTotalRevenueAmt
PY Grants And Similar Paid	$962,803	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,050,445	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$322,845,324	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$343,196,049	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$292,193,189	PYOtherExpensesAmt
CY Other Expenses	$310,014,516	CYOtherExpensesAmt
PY Total Expenses	$616,001,316	PYTotalExpensesAmt
CY Total Expenses	$654,261,010	CYTotalExpensesAmt
PY Revenues Less Expenses	-$442,281	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$76,516,886	CYRevenuesLessExpensesAmt
Total Assets BOY	$596,500,971	TotalAssetsBOYAmt
Total Assets EOY	$547,804,991	TotalAssetsEOYAmt
Total Liabilities BOY	$438,348,864	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$458,880,893	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$158,152,107	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$88,924,098	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	$361,774,439	ExpenseAmt
Grant	$1,050,445	GrantAmt
Revenue	$337,798,163	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 2023, GHMC HAD 21,734 INPATIENT DISCHARGES AND PERFORMED 912,406 OUTPATIENT PROCEDURES. IN ADDITION TO PROVIDING INPATIENT CARE, GHMC ALSO OPERATES A NETWORK OF OFF-SITE FACILITIES WHICH PROVIDE A FULL RANGE OF OUTPATIENT DIAGNOSTIC, THERAPEUTIC AND COMMUNITY EDUCATION SERVICES. THROUGHOUT THE YEAR, GHMC ALSO CONDUCTS AND COORDINATES A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS. THESE PROGRAMS INCLUDE HEALTH TRADE EXPOSITIONS, FACILITY TOURS, SPEAKERS BUREAU, EDUCATIONAL SEMINARS AND LECTURES, SCHOOL CAREER DAYS, COMMUNITY HEALTH SCREENINGS AND SUPPORT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$206,034,591	ExpenseAmt
Revenue	$192,379,834	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	$17,162,834	ExpenseAmt
Revenue	$16,025,383	RevenueAmt
Desc	PROVIDING REHAB SERVICES TO 530 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$15,524,412	ExpenseAmt
Revenue	$14,495,545	RevenueAmt
Desc	PROVIDING BEHAVIORAL HEALTH SERVICES TO 807 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,524,412	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$14,495,545	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$600,496,276	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	315	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3907	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	3	GoverningBodyVotingMembersCnt
Independent Voting Member	3	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 (16 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 UNTIL APRIL, 2023	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
PHILLIP MASSENGILL MD
TREASURER AS OF DECEMBER, 2023	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
RAFIK ELSABROUT MD
TREASURER AS OF MAY, 2023 / UNTIL DEC, 2023	1.0	42.0	Yes (X)	Yes (X)	$0	$683,530	$49,967
SUSAN MURRAY-TETZ
CHAIR & SECRETARY	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW PAVLOFF
BOARD MEMBER UNTIL APRIL, 2023	1.0	3.0	Yes (X)		$0	$0	$0
GERARD DUNLAVEY
GH INTERM PRESIDENT/CEO UNTIL MAY, 2023 / CEO GHMC-C AS OF JUNE, 2023	10.0	51.0		Yes (X)	$0	$758,828	$67,119
JAMES GRIGG
CHIEF FINANCIAL OFFICER	25.0	35.0		Yes (X)	$0	$981,495	$27,992
JONATHAN SCHILLER
GH PRESIDENT/CEO AS OF JUNE, 2023	40.0	21.0		Yes (X)	$0	$599,535	$34,615
PAMELA MURPHY MD
CHIEF MEDICAL OFFICER	10.0	40.0		Yes (X)	$0	$605,244	$38,396
CHRISTINE GOODHART
CHIEF HUMAN RESOURCES OFFICER as of February, 2023	40.0	20.0			$280,291	$102,185	$41,478	Yes (X)
DEBRA BEAKES
VP NURSING	40.0	0			$271,292	$0	$47,261	Yes (X)
HAI LUO
CHIEF PHYSICIST	40.0	0			$295,336	$0	$59,251	Yes (X)
JILL EMBLER
VP FINANCIAL PLANNING	40.0	0			$294,841	$0	$47,972	Yes (X)
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	40.0	0			$348,644	$0	$53,717	Yes (X)
ALFRED PILONG
FORMER GH PRESIDENT/CEO	0.0	0.0			$0	$1,032,429	$1,435		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,490,404	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,763,246	TotReportableCompRltdOrgAmt
Total Other Compensation	$469,203	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	829	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	$26,647,412
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	55485	TEMPORARY STAFFING	$12,880,177
GUIDEHOUSE
4511 PAYSPHEAR CIRCLE	CHICAGO	IL	60674	CONSULTING SERVICES	$6,014,072
K&P FACILITIES MAINTENANCE INC
20 MACFARLAND ROAD	WAPPINGERS FALLS	NY	12590	FACILITIES CLEANING & MAINTENANCE	$3,444,404
EPIC SYSTEMS CORPORATION
BOX 88314	MILWAUKEE	WI	532880314	IT SERVICES	$2,320,355

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	89	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,755,128	RelatedOrganizationsAmt
Government Grants	$4,891,904	GovernmentGrantsAmt
All Other Contributions	$50,000	AllOtherContributionsAmt
Noncash Contributions	$180,692	NoncashContributionsAmt
Total Contributions	$6,697,032	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	$555,450,890	$555,322,692	$128,198
MANAGEMENT FEE INCOME	561110	$1,000,000	$1,000,000

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	$556,450,890	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,084,696	TotalRevenueColumnAmt
Exclusion	$4,084,696	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,178,864	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,178,864	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,178,864	TotalRevenueColumnAmt
Unrelated Business Revenue	$17,863	UnrelatedBusinessRevenueAmt
Exclusion	$2,161,001	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$82,107,821	SecuritiesAmt
Other	$101,111	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$80,868,905	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,238,916	SecuritiesAmt
Other	$101,111	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,340,027	TotalRevenueColumnAmt
Exclusion	$1,340,027	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/COFFEE & GIFT SHOP REVENUE	721110	$2,616,382	$2,616,382
REBATES	900099	$1,764,179		$1,764,179
ALLOCATED OVERHEAD RELATED ORG	900099	$1,046,251		$1,046,251

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,565,803	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,565,803	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,992,615	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$577,744,124	TotalRevenueColumnAmt
Related Or Exempt Func Income	$560,698,925	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$146,061	UnrelatedBusinessRevenueAmt
Exclusion	$10,202,106	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	$1,050,445	TotalAmt
Program Services	$1,050,445	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$247,554,409	TotalAmt
Program Services	$229,073,985	ProgramServicesAmt
Management And General	$18,480,424	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,936,733	TotalAmt
Program Services	$24,925,853	ProgramServicesAmt
Management And General	$2,010,880	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$49,838,260	TotalAmt
Program Services	$46,117,736	ProgramServicesAmt
Management And General	$3,720,524	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,866,647	TotalAmt
Program Services	$17,458,215	ProgramServicesAmt
Management And General	$1,408,432	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,099,076	TotalAmt
Management And General	$1,099,076	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$406,083	TotalAmt
Management And General	$406,083	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$142,971	TotalAmt
Program Services	$142,971	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$212,713	TotalAmt
Management And General	$212,713	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$92,142,099	TotalAmt
Program Services	$85,603,881	ProgramServicesAmt
Management And General	$6,538,218	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,018,178	TotalAmt
Program Services	$927,205	ProgramServicesAmt
Management And General	$90,973	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,893,671	TotalAmt
Program Services	$14,494,003	ProgramServicesAmt
Management And General	$1,399,668	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,725,071	TotalAmt
Program Services	$7,233,798	ProgramServicesAmt
Management And General	$1,491,273	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,016,200	TotalAmt
Program Services	$8,163,914	ProgramServicesAmt
Management And General	$4,852,286	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$312,473	TotalAmt
Program Services	$292,941	ProgramServicesAmt
Management And General	$19,532	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$107,196	TotalAmt
Program Services	$91,374	ProgramServicesAmt
Management And General	$15,822	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,784,061	TotalAmt
Program Services	$9,767,023	ProgramServicesAmt
Management And General	$3,017,038	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,746,334	TotalAmt
Program Services	$21,962,199	ProgramServicesAmt
Management And General	$6,784,135	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,798,652	TotalAmt
Program Services	$5,194,170	ProgramServicesAmt
Management And General	$1,604,482	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$110,667,957	$110,667,957
NON MEDICAL SUPPLIES	$8,248,767	$8,007,292	$241,475
NET PERIODIC PENSION AND POST-RETIREMENT BENEFIT COSTS	$4,979,107	$4,607,407	$371,700
OTHER TAXES & ASSESSMENTS	$3,468,466	$3,468,466

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,245,441	TotalAmt
Program Services	$1,245,441	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$654,261,010	TotalAmt
Program Services	$600,496,276	ProgramServicesAmt
Management And General	$53,764,734	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,038	BOYAmt
EOY	$12,578	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,434,102	BOYAmt
EOY	$28,770,631	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,101,775	BOYAmt
EOY	$73,028,763	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	$15,733,766	BOYAmt
EOY	$12,115,893	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,140,140	BOYAmt
EOY	$4,954,402	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$611,997,493	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$359,409,685	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$267,722,290	BOYAmt
EOY	$252,587,808	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$120,341,115	BOYAmt
EOY	$94,076,715	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	$78,012,745	BOYAmt
EOY	$82,258,201	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$596,500,971	BOYAmt
EOY	$547,804,991	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$96,122,553	BOYAmt
EOY	$107,487,572	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$52,500	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$259,243,796	BOYAmt
EOY	$247,922,787	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	$3,528,454	BOYAmt
EOY	$18,800,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$2,333,333	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,454,061	BOYAmt
EOY	$82,284,701	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$438,348,864	BOYAmt
EOY	$458,880,893	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	$148,947,895	BOYAmt
EOY	$80,376,809	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,204,212	BOYAmt
EOY	$8,547,289	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$158,152,107	BOYAmt
EOY	$88,924,098	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$596,500,971	BOYAmt
EOY	$547,804,991	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$76,516,886	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,919,249	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$369,628	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	$77,650	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$65,322	OtherActivitiesAmt
Total Lobbying Expenditures	$142,972	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 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	$383,347	InvestmentEarningsOrLossesAmt
Other Expenditures	$383,347	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	$235,470	InvestmentEarningsOrLossesAmt
Other Expenditures	$235,470	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	$265,632	InvestmentEarningsOrLossesAmt
Other Expenditures	$265,632	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	$108,060	InvestmentEarningsOrLossesAmt
Other Expenditures	$108,060	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	$137,851	InvestmentEarningsOrLossesAmt
Other Expenditures	$137,851	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	$266,667,970	OtherCostOrOtherBasisAmt
Depreciation	$108,053,151	DepreciationAmt
Book Value	$158,614,819	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$318,887,617	OtherCostOrOtherBasisAmt
Depreciation	$237,510,154	DepreciationAmt
Book Value	$81,377,463	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,544,491	OtherCostOrOtherBasisAmt
Depreciation	$13,846,380	DepreciationAmt
Book Value	$7,698,111	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$252,587,808	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE RECOVERIES RECEIVABLE	$38,064,551
DUE FROM THIRD-PARTIES	$12,882,658
DUE FROM RELATED ORGANIZATIONS	$10,629,913
MISCELLANEOUS RECEIVABLES	$2,546,368
INTEREST IN GH FOUNDATION	$6,592,425
RIGHT OF USE ASSETS	$11,542,286

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$82,258,201	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTIES	$4,567,385
PENSION LIABILITY	$19,092,338
LT LIABILITY - WC & MALPRACTICE	$39,178,077
LEASE LIABILITIES	$12,118,032
DUE TO RELATED ORGANIZATIONS	$6,489,023
FEMA GRANT LIABILITY	$839,846

Field	Value	IRS element (for citing)
Total Liability	$82,284,701	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$584,422,028	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$6,919,249	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$6,919,249	RevenueNotReportedAmt
Revenue Subtotal	$577,502,779	RevenueSubtotalAmt
Investment Expenses Not Incld	$212,713	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$28,632	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$241,345	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$577,744,124	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$654,019,665	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$654,019,665	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$212,713	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$28,632	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$241,345	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$654,261,010	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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 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	$9,837,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,085,695	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,752,300	NetCommunityBenefitExpnsAmt
Total Expense	0.0118	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,405,369	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,504,148	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,901,221	NetCommunityBenefitExpnsAmt
Total Expense	0.0549	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	$117,243,364	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,589,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,653,521	NetCommunityBenefitExpnsAmt
Total Expense	0.0667	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,759	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,333,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,565,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,767,985	NetCommunityBenefitExpnsAmt
Total Expense	0.0134	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,102,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,277,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,825,675	NetCommunityBenefitExpnsAmt
Total Expense	0.0563	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	$127,527,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,842,892	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,684,419	NetCommunityBenefitExpnsAmt
Total Expense	0.0698	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$244,770,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$155,432,735	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,337,940	NetCommunityBenefitExpnsAmt
Total Expense	0.1365	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	$153,463,799	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$163,002,942	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,539,143	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, and 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
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. provide shelf stable meals through our food farmacy. Minimum of 3 day supply. 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 (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 5a Budgeted amounts for free or discounted care	GARNET HEALTH MEDICAL CENTER (GHMC) does not maintain a separate, formal budget line specifically designated for financial assistance under its financial assistance policy. Although a discrete budget line is not maintained, Garnet Health forecasts and tracks financial assistance expenditures to ensure adequate resources are available throughout the year, demonstrating that it remains fully committed to providing significant financial assistance and charity care to patients in need. Financial assistance is incorporated within the broader operational and community benefit planning processes, enabling flexibility to respond to patient needs as they arise. In 2023, GHMC delivered substantial financial assistance through a variety of means-tested programs, uncompensated care, and sliding-scale services. This approach ensures that patients who qualify for assistance receive appropriate care without the constraints of a rigid budget. This operational model supports the hospital's mission of serving the community and maintaining compliance with regulatory requirements. By embedding financial assistance into overall community benefit efforts rather than isolating it as a separate budget item, the hospital efficiently addresses patient needs while demonstrating transparency and accountability.
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 3 Bad Debt Expense Methodology	GHMC follows FASB ASC Topic 606 for revenue recognition, which requires that implicit price concessions be recorded as a reduction of patient service revenue rather than as bad debt expense. As a result, GHMC does not separately report bad debt expense in its financial statements. Therefore, the estimated amount of bad debt attributable to patients who may have been eligible under the financial assistance policy is considered to be zero.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Per Note 2 of the audited financials statements: 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, 2023 and 2022, was not significant.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE SHORTFALL OF $33,364,699 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 ELIGIBILITY 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 485,000 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 SURPLUS FUNDS FROM OPERATIONS, AS AVAILABLE, TO UPDATE FACILITIES AND EQUIPMENT AND TO EXPAND SERVICES PROVIDED AS NEEDS ARE IDENTIFIED. MORE SPECIFICALLY, APPROXIMATELY $2 MILLION WAS UTILIZED TO COMPLETE CONSTURCTION ON CARDIAC SURGERY SUITES. $1 MILLION WAS USED TO UPGRADE AND EXPAND OUR CATH LAB AND $2.6 MILLION WAS INVESTED IN ROUTINE EQUIPMENT REPLACEMENTS.
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 485,000 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 3,500 EMPLOYED PROFESSIONALS AND OVER 450 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	$1,050,445	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 (11 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
RAFIK ELSABROUT MD
TREASURER AS OF MAY, 2023 / UNTIL DEC, 2023	$0	$463,564	$0	$208,500	$0	$11,466	$0	$13,200	$0	$36,767	$0	$733,497	$0	$0
ALFRED PILONG
FORMER GH PRESIDENT/CEO	$0	$27,734	$0	$0	$0	$1,004,695	$0	$0	$0	$1,435	$0	$1,033,864	$0	$21,682
GERARD DUNLAVEY
GH INTERM PRESIDENT/CEO UNTIL MAY, 2023 / CEO GHMC-C AS OF JUNE, 2023	$0	$444,117	$0	$247,666	$0	$67,045	$0	$29,700	$0	$37,419	$0	$825,947	$0	$36,875
JAMES GRIGG
CHIEF FINANCIAL OFFICER	$0	$608,289	$0	$249,608	$0	$123,598	$0	$13,200	$0	$14,792	$0	$1,009,487	$0	$71,103
PAMELA MURPHY MD
CHIEF MEDICAL OFFICER	$0	$456,351	$0	$80,000	$0	$68,893	$0	$13,200	$0	$25,196	$0	$643,640	$0	$37,500
JONATHAN SCHILLER
GH PRESIDENT/CEO AS OF JUNE, 2023	$0	$598,845	$0	$0	$0	$690	$0	$13,200	$0	$21,415	$0	$634,150	$0	$0
DEBRA BEAKES
VP NURSING	$238,110	$0	$29,175	$0	$4,007	$0	$23,090	$0	$24,171	$0	$318,553	$0	$0	$0
JILL EMBLER
VP FINANCIAL PLANNING	$245,789	$0	$30,814	$0	$18,238	$0	$10,153	$0	$37,819	$0	$342,813	$0	$0	$0
CHRISTINE GOODHART
CHIEF HUMAN RESOURCES OFFICER as of February, 2023	$166,734	$93,078	$98,496	$0	$15,061	$9,107	$25,321	$2,405	$9,733	$4,019	$315,345	$108,609	$0	$0
HAI LUO
CHIEF PHYSICIST	$291,968	$0	$0	$0	$3,368	$0	$26,973	$0	$32,278	$0	$354,587	$0	$0	$0
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	$269,977	$0	$63,319	$0	$15,348	$0	$27,924	$0	$25,793	$0	$402,361	$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 $951,155 WAS PAID TO ALFRED PILONG. THE AMOUNTS ARE REPORTED IN PART II, COLUMN B(III).
Schedule J, Part I, Line 7 Non-fixed payments	DURING THE TAX YEAR THE ORGANIZATION PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II COLUMN B(II). BONUSES ARE BASED UPON THE ATTAINMENT OF ORGANIZATIONAL GOALS THAT SUPPORT AND REINFORCE THE ORGANIZATION MISSION, VALUES AND STRATEGIC OBJECTIVES. THESE TARGETS ARE PREDETERMINED AND THE ANNUAL INCENTIVE IS BASED UPON THE PERCENTAGE OF COMPLETION IN EACH AREA. THESE BONUSES ARE PAID AT THE DISCRETION OF THE BOARD.

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	$9,400,000	$70,580,686	$4,422,284	$65,715,402	$443,000	2016	false	false	Yes (true)	Yes (true)
B	$54,200,000	$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	Desc
Contribution	57	ContributionCnt
Noncash Contributions Rpt F990	$180,692	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 - GARNET HEALTH MEDICAL CENTER IS REPORTING TOTAL NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a-4c Description of program services	(Expenses $ 15,524,412 including grants of $)(Revenue $ 14,495,545) PROVIDING BEHAVIORAL HEALTH SERVICES TO 807 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, A RELATED ORGANIZATION. 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 2022 FOR THE 2023 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 OFFICERS OR KEY EMPLOYEES	OFFICERS AND KEY EMPLOYEES OF GARNET HEALTH MEDICAL CENTER ARE EMPLOYED AND COMPENSATED BY GARNET HEALTH, A RELATED ORGANIZATION. 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 2022 FOR THE 2023 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GH COMPENSATION COMMITTEE. THESE POSITIONS INCLUDED CEO - GHMC-CATSKILLS, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, CHIEF DEVELOPMENT OFFICER & FOUNDATION PRESIDENT OF GH, CHIEF QUALITY OFFICER, CHIEF LEGAL OFFICER & GENERAL COUNSEL, PRESIDENT & CHIEF MEDICAL OFFICER OF GHD, CHIEF INFORMATION OFFICER, AND CHIEF STRATEGIC PLANNING 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	MISC. REVENUE - Total Revenue: 1000000, Related or Exempt Function Revenue: 1000000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS REVENUE - Total Revenue: 565803, Related or Exempt Function Revenue: 565803, 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: 39208841, Program Service Expense: 39191778, Management and General Expenses: 17063, Fundraising Expenses: ; TEMP AND AGENCY FEES - Total Expense: 12479655, Program Service Expense: 12387798, Management and General Expenses: 91857, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 11074571, Program Service Expense: 7610431, Management and General Expenses: 3464140, Fundraising Expenses: ; RECRUITMENT FEES - Total Expense: 91583, Program Service Expense: 44964, Management and General Expenses: 46619, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 23545012, Program Service Expense: 20626473, Management and General Expenses: 2918539, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 5420717, Program Service Expense: 5420717, Management and General Expenses: , Fundraising Expenses: ; ALL OTHER PURCHASED SERVICES - Total Expense: 321720, Program Service Expense: 321720, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	POST RETIREMENT-RELATED CHANGES - 2176945; PENSION-RELATED CHANGES - -857953; CHANGES IN NET ASSETS OF GARNET HEALTH FOUNDATION - -656923; TRANSFER TO GARNET HEALTH - -292441;
Form 990, Page 1, Section B Amended Return	This amended Form 990 is being filed to update certain amounts and disclosures previously reported. The revisions are based on finalized audited financial statements and updated information received after the original filing. Part IV, Line 20b - Audited Financial Statements - Final audited financial statements have been attached with this amended return. The audited financials statements were not yet finalized at the time of the original filing. Part I, Part VIII, Part IX, Part X, and Part XI - Financial revisions were made to contributions, patient service revenue, program service expenses, reclassification of compensation expense and balance sheet items. These adjustments reflect updated audited financial information. Part III, Line 4 - Program Service Accomplishments - Revisions were made to reported expenses, revenue, and service statistics for inpatient care, outpatient/emergency services, and rehabilitation programs. Schedule D - Supplemental Financial Statements - Adjusted to reconcile with the audited financial statements, including endowment disclosures, other receivables/payables, and pension/post-retirement adjustments. Part VII - Compensation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees - Updates were made for two individuals previously reported as key employees who do not meet the IRS definition. One of these individuals was reclassified as a highest compensated employee because their compensation exceeded that of the originally reported fifth highest compensated employee, who was removed from the listing. Schedule H, Part I, Line 7 - Financial Assistance and Certain Other Community Benefits at Cost - revised to exclude self-pay discounts that were included in the originally filed amounts. Additionally, the financial data reported in Schedule H was updated to conform to the final numbers reflected throughout the amended return and the finalized audited financial statements. Additional narrative disclosures were added for: - Part I, Line 5a, describing the hospital's budgeting for financial-assistance activities; and - Part III, Line 3, explaining the methodology used to estimate bad-debt amounts attributable to patients eligible under the organization's financial-assistance policy. Schedule R - Related Organizations and Unrelated Partnerships - Revised in Part II to update the direct-controlling-entity information for several related organizations and to designate the Garnet Health Foundation as a controlled entity. As a result, Schedule R, Part V was completed to disclose applicable intercompany transactions, and the corresponding questions in Form 990, Part IV were marked accordingly.

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	NA	false
GARNET HEALTH URGENT CARE PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	824251331	HEALTHCARE	NY	501(c)(3)	Type I	NA	false
GARNET HEALTH FOUNDATION
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	133020568	FUNDRAISING	NY	501(c)(3)	Type II	GARNET HEALTH MEDICAL CENTER	Yes (true)
GARNET HEALTH FOUNDATION - CATSKILLS
PO BOX 800	HARRIS	NY	12742	141742176	FUNDRAISING	NY	501(c)(3)	Type II	GARNET HEALTH MEDICAL CENTER - CATSKILLS	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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GARNET HEALTH FOUNDATION
B	$1,050,445	ACTUAL
GARNET HEALTH FOUNDATION
C	$1,755,128	ACTUAL