2025-11-14T16:24:35+00:00 2024-12-31 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-01-01 146049030 Garnet Health Medical Center - Catskills GARN 8457943300 PO BOX 800 HARRIS NY 12742 JAMES GRIGG Chief Financial Officer 2025-11-14 true RACHEL SPURLOCK P00520729 5023263996 2025-11-14 2024 2025-03-06 01:10:19Z GERARD DUNLAVEY PO BOX 800 HARRIS NY 12742 109452794 false X https://www.garnethealth.org X 1967 NY THE MISSION OF GARNET HEALTH MEDICAL CENTER - CATSKILLS IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. 3 3 702 18 26271 8414520 4001434 88291304 103505327 64280 21195 1744928 1924838 98515032 109452794 12395 12395 0 55534117 56180642 0 0 50568580 46138931 106115092 102331968 -7600060 7120826 70083244 80095555 27976679 29688549 42106565 50407006 GARNET HEALTH MEDICAL CENTER - CATSKILLS (GHMC - CATSKILLS) MISSION STATEMENT IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE. GHMC - CATSKILLS VISION IS THAT WE ARE CARING PROFESSIONALS DRIVEN BY STANDARDS OF EXCELLENCE WHO GO ABOVE AND BEYOND TO PROVIDE AN EXCEPTIONAL PATIENT CARE EXPERIENCE. false false 42292194 49921059 PERFORMING 360,550 OUTPATIENT PROCEDURES FOR PATIENTS IN THE SURROUNDING COMMUNITY. 33976043 12395 40104802 GARNET HEALTH MEDICAL CENTER - CATSKILLS IS LICENSED FOR 139 BEDS (EXCLUDING MOTHER/BABY AND MENTAL HEALTH) MAINTAINED ON TWO CAMPUSES IN HARRIS, NEW YORK AND CALLICOON, NEW YORK. DURING 2024, CATSKILLS HAD 2,178 ACUTE INPATIENT DISCHARGES. 11867240 14007909 CATSKILLS IS LICENSED FOR 12 MATERNITY AND 18 PSYCHIATRIC BEDS AT ITS HARRIS CAMPUS. EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,370 PATIENTS FROM THE SURROUNDING COMMUNITY. 88135477 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true true false false false true 117 0 true 702 true true true false false false false false false false false false false false X 3 3 false false false false true true true true true false false false true true true true true true false false false false NY X James Grigg 8457943300 PO BOX 800 HARRIS NY 12742 DORY ALPORT SECRETARY, TREASURER UNTIL APRIL 2024 1.0 2.0 X X 0 0 0 FREDERICK WATSON VICE CHAIR AND TREASURER 1.0 2.0 X X 0 0 0 TIMOTHY MCCAUSLAND CHAIR 1.0 2.0 X X 0 0 0 GERARD DUNLAVEY CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH 40.0 10.0 X 0 578193 68878 JAMES GRIGG CHIEF FINANCIAL OFFICER 10.0 50.0 X 0 713873 28723 JONATHAN SCHILLER GH PRESIDENT/CEO 10.0 51.0 X 0 1121459 51508 PAMELA MURPHY MD CHEIF MEDICAL OFFICER 10.0 50.0 X 0 557647 39301 LEROY C FLOYD III CMO UNTIL FEBRUARY 2024 15.0 35.0 X 0 461821 34016 SUZANNE LANGE AHMED CHIEF NURSING OFFICER GHMC-C 40.0 10.0 X 0 243663 34306 GLYNN D MAGILTON PHARMACIST 40.0 0 X 173998 0 0 JULIE SWENDSEN REGISTERED NURSE 40.0 0 X 173964 0 12363 MYRANTZ ASSADE REGISTERED NURSE until September 2024 40.0 0 X 179950 0 0 ROY M MASON PHARMACIST 40.0 0 X 183007 0 0 ZAUR IBRAGIMOV PHARMACIST 40.0 0 X 229102 0 0 GERARD J GALARNEAU MD PHYSICIAN / FORMER CMO 0.0 50.0 X 0 664094 51683 940021 4340750 320778 123 true true false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 PHYSICIANS 5597925 RESTORIXHEALTH INC 445 HAMILTON AVE SUITE 800 WHITE PLAINS NY 10601 WOUND CARE SERVICES 3076752 RAMAPO ANESTHESIA PC 233 LAFAYETTE AVE SUITE 204 SUFFERN NY 10901 ANESTHETIC SERVICES 1857183 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 TEMPORARY STAFFING 1658629 K&P FACILITIES MAINTENANCE 20 MACFARLAND ROAD WAPPINGERS FALLS NY 12590 FACILITIES CLEANING & MAINTENANCE 904240 26 47525 3953909 4001434 NET PATIENT SERVICE REVENUE 622110 103505327 103479056 26271 0 0 0 0 103505327 21195 21195 1007655 1007655 0 1007655 1007655 0 0 CAFETERIA/COFFEE SHOP 721110 362469 362469 ALLOCATED OVERHEAD RELATED ORG 900099 317607 317607 REBATES 900099 226832 226832 10275 10275 0 0 917183 109452794 104033770 26271 1391319 X 12395 12395 41281495 37283014 3998481 1523230 1375692 147538 10514649 9496211 1018438 2861268 2584129 277139 131759 131759 104915 104915 4950 4950 30 30 23239183 19322061 3917122 0 131722 113485 18237 1952518 1703507 249011 1230916 875365 355551 2604184 1438113 1166071 34465 25817 8648 1160 410 750 4113338 2361056 1752282 1597721 1376345 221376 MEDICAL & OTHER SUPPLIES 9782309 9666038 116271 OTHER TAXES & ASSESSMENT 414369 414369 Dues & Suscriptions 471555 268165 203390 LICENSE FEES 7800 7736 64 316037 220988 95049 0 102331968 88135477 14196491 0 1709175 608249 517830 514742 1000926 1842914 6327469 5909678 0 0 0 0 1731813 1866796 677886 742183 178959908 147469256 34162788 31490652 219251 114092 0 0 23736106 37006249 70083244 80095555 15230614 15401053 778825 0 0 12746065 13508671 27976679 29688549 X 36324683 43845569 5781882 6561437 42106565 50407006 70083244 80095555 X 7120826 1454 1178161 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4950 4950 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1I - PERCENTAGE OF DUES PAID TO NORMET, AHA, GNYHA AND HANYS AND SEIU1199 NATIONAL BENEFIT FUND THAT ARE ALLOCATED TO LOBBYING ACTIVITIES. 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1958705 0.0 1.0 0.0 false true true 2439763 2439763 62111524 36843680 25267844 107953947 105361449 2592498 6454674 5264127 1190547 31490652 INSURANCE RECEIVABLE - MALP & WC 8664416 THIRD PARTY RECEIVABLE 3707162 DUE FROM RELATED ORG 17659769 OTHER RECEIVABLES 140290 INTEREST IN GARNET HEALTH FOUNDATION - CATSKILLS 6313419 RIGHT OF USE ASSETS 521193 37006249 Federal Income Taxes DUE TO THIRD PARTY PAYORS 3864414 EST MALPRACTICE LIABILITY 6271560 EST WORKERS COMP LIABILITY 1868799 DUE TO RELATED ORG 94599 OTHER LIABILITY 388106 LEASE LIABILITIES 1021193 13508671 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION HAS AN INTEREST IN A PERMANENT ENDOWMENT FUND. THE INTEREST EARNED ON THIS FUND, IF ANY, CAN BE USED TO PURCHASE PATIENT EQUIPMENT. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote FOOTNOTE 2 (INCOME TAXES) TO CONSOLIDATED FINANCIAL STATEMENTS FOR GARNET HEALTH: GH, GHMC, GHMC - CATSKILLS, GH FOUNDATION, CATSKILLS FOUNDATION, URGENT CARE, AND THE PC, ARE SECTION 501(C)(3) ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. WITH THE EXCEPTION OF URGENT CARE AND THE PC, THE ORGANIZATIONS WITHIN THE SYSTEM ARE ALSO EXEMPT FROM NEW YORK STATE AND LOCAL INCOME TAXES. INCOME TAXES ARE IMMATERIAL TO THE FINANCIAL STATEMENTS. true true X true X true X 3969860 3908615 61245 0.00060 27530019 27950015 0 0.0 0 0.0 0 0 31499879 31858630 61245 0.00060 0 0.0 263004 192610 70394 0.00069 27147199 16552538 10594661 0.10353 0 0.0 0 0.0 0 0 27410203 16745148 10665055 0.10422 0 0 58910082 48603778 10726300 0.10482 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 22097304 27320569 -5223265 X true true 2 1 GARNET HEALTH MEDICAL CENTER - CATSKILLS 68 HARRIS-BUSHVILLE ROAD HARRIS NY 12742 WWW.GARNETHEALTH.ORG 5263000H X X X A 2 GHMC - CATSKILLS GROVER HERMANN DIV 8881 ROUTE 97 CALLICOON NY 12723 WWW.GARNETHEALTH.ORG 5263700C X X X A A 2 false false true X X X X X X X X X 22 true true true true X www.garnethealth.org/about-us/community-health-program/community-service-plans X true 22 true www.garnethealth.org/about-us/community-health-program/community-service-plans false true X 200.0 350.0 true true X X X true X www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X X X X X X true X false X X X X true X false false 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 A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. Community input for the Community Health Needs Assessment (CHNA) in Sullivan County was collected between March 14, 2022, and May 22, 2022, through a regional survey conducted by the Siena College Research Institute (SCRI) in partnership with Garnet Health and the Local Health Department Prevention Agenda Collaborative. This collaborative includes seven local health departments and sixteen hospital facilities, representing a broad cross-section of public health expertise and community stakeholders. The survey engaged 5,699 adult residents aged 18 and older across the region, including a representative subset from Sullivan County. Responses were weighted by age, gender, race/ethnicity, and socioeconomic status to ensure accurate reflection of the population. According to the U.S. Census, Sullivan County's 2024 demographic projections include a population estimate of 80,450 with approximately 2.35% Asian & Pacific Islander Non-Hispanic, 7.60% Black Non-Hispanic, 19.94% Hispanic, 67.22% White Non-Hispanic, and 5.23% identifying as other or mixed ethnicities. Age distribution includes 20.42% aged 0-17 years, 33.14% aged 18-44, 25.41% aged 45-64, and 21.03% aged 65 and older, indicating a sizable older adult population with potential access and chronic care needs. Socioeconomic indicators show that 8.42% of Sullivan County households earn less than $15,000 annually, and 21.98% earn between $25,000 and $50,000. Educational attainment data reveal that 12.77% of residents have not completed high school, including 4.71% with less than a 9th-grade education and 8.06% with some high school but no diploma. These indicators reflect potential challenges related to health literacy, economic vulnerability, and access to services. To gather qualitative input from medically underserved and vulnerable populations, the Sullivan County Department of Health through the leadership of the Orange County Department of Health as part of the regional collaborative conducted focus groups with service providers who represent low-income individuals, veterans, seniors, people with disabilities, and members of the LGBTQ+ community. These focus groups provided firsthand insight into disparities in health outcomes and barriers to care across Sullivan County. Organizations that actively provided input during the CHNA process included Bon Secours Charity Health System (Good Samaritan Hospital), Bon Secours Community Hospital, St. Anthony Community Hospital, Garnet Health Medical Center (formerly Orange Regional Medical Center), Garnet Health Medical Center - Catskills, HealthAlliance Hospital, Nuvance Health, Montefiore Hudson Valley Collaborative, Montefiore Nyack Hospital, Montefiore St. Luke's Cornwall, Putnam Hospital Center, Vassar Brothers Medical Center, and St. Joseph's Medical Center. Additional community input came from local health departments, and community partners including offices of aging, veterans' affairs, school districts, food banks, and other key stakeholders. Additional collaborators that provided input or were invited to participate include 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, and Westchester County Department of Health. These organizations represent the interests of Sullivan County's medically underserved and vulnerable populations. Local business partners and public health departments contributed perspectives on healthcare barriers for low-income and uninsured populations, including the 8.42% of households earning less than $15,000 annually and those facing low health literacy. Veterans' services organizations provided insight into the unique needs of local veterans. Offices for the aging highlighted access challenges and chronic disease concerns among the 21.03% of residents aged 65 and older. Disability service providers represented those with mobility, sensory, or cognitive challenges. LGBTQ+ advocacy groups shared input on barriers to care for sexual and gender minorities. Food banks and social service agencies described the effects of food insecurity and poverty, which continue to impact significant portions of the population. This diverse and inclusive input process ensured that the CHNA accurately reflects the health needs, disparities, and service gaps experienced by medically underserved, low-income, minority, senior, disabled, veteran, and LGBTQ populations across Sullivan County Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. 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 A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. 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 A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. Garnet Health Medical Center - Catskills (GHMCC) is actively addressing the significant health needs identified in its most recent Community Health Needs Assessment (CHNA) through a collaborative and multi-faceted approach. GHMCC played a key leadership role in partnering with the County Health Department and other community-based organizations to develop the Community Health Improvement Plan (CHIP), which outlines priority areas aligned with the New York State Prevention Agenda. The hospital and its partners selected evidence-based strategies to address the following priority areas: prevent chronic disease, improve mental health, and prevent substance use. In 2024, GHMCC reported $10.7 million in net community benefits, representing 10.48% of total hospital expenses. This included financial assistance and means-tested programs (0.06%) and $10.6 million (10.42%) in other community benefit initiatives. These efforts supported a wide range of programs and services addressing the identified health needs. To promote healthy eating and food security, GHMC-C continued to provide resources for local food pantries at discharge, offered shelf-stable meals through its Food Farmacy (screening over 4,000 patients and distributing 500+ food bags in 2024), and referred patients to the FreshRx nutrition incentive program in collaboration with Cornell Cooperative Extension. To support early detection of cardiovascular disease, diabetes, and obesity, the hospital enhanced referrals to primary care for patients presenting in emergency or urgent care settings, provided community-based prevention opportunities, relaunched the Healthy Heart program at local events and businesses, and delivered the Diabetes Prevention Program through multiple platforms to increase accessibility. GHMCC also partnered with employers to reduce barriers to cancer screening, including promotion of paid leave or flexible scheduling for preventive care. GHMCC expanded access to cancer services with targeted breast and prostate cancer screenings for uninsured and underinsured individuals, and implemented systems to connect patients to insurance navigators while awaiting care. Behavioral health and substance use were also key areas of focus. GHMCC supported the expansion of youth mental health training, group therapy, and community outreach. The hospital implemented policies and training for the initiation of medication-assisted treatment (MAT) in emergency settings, funded MAT training for prescribers, and, in collaboration with Catholic Charities, supported the PeerRx application to enhance peer referrals for individuals in need of substance use treatment. New or expanded programs in 2024 included "Just Breathtaking," a support group for individuals with chronic lung disease; "Warrior Kids," which engaged 379 children in nutrition and physical activity education; a Speakers Bureau offering community education on topics such as mental health, nutrition, and substance use; and a major expansion of cardiovascular care, including the launch of an open-heart surgery program and the introduction of a hybrid surgical suite at the Middletown campus to increase access to advanced cardiac care. In addition to the CHIP's primary focus areas, other identified health needs-such as access to medical providers, cancer care, obesity, preventive care, and women's and children's health were not specifically prioritized in the Implementation Strategy. However, many of these needs are being addressed through the hospital's delivery of comprehensive services and will continue to be integrated into strategic efforts over the next three years. Finally, certain community concerns such as affordable housing, domestic violence, and lack of affordable or reliable transportation fall outside the hospital's direct scope of clinical services. While these issues are not addressed through the Implementation Strategy, Garnet Health remains committed to exploring opportunities to support local organizations that are actively working to improve these important social determinants of health. 0 Schedule H, Part I, Line 5a Budgeted amounts for free or discounted care Garnet Health Medical Center - Catskills (GHMCC) 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 2024, GHMCC 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, GARNET HEALTH MEDICAL CENTER - CATSKILLS (GHMCC) 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 GHMCC 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, GHMCC 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 financial 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, 2024 and 2023, was not significant. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE INDIVIDUALS UTILIZE HOSPITAL SERVICES AS A PRIMARY CARE PROVIDER, HOWEVER MEDICARE REIMBURSEMENT DOES NOT COVER THE ACTUAL OPERATING COSTS FOR PROVIDING CARE FOR MEDICARE PATIENTS. THEREFORE, ANY SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT IS THE HOSPITAL'S MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE OR ABILITY TO PAY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance GARNET HEALTH MEDICAL CENTER - CATSKILLS' 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 A - GARNET HEALTH MEDICAL CENTER - CATSKILLS: Line 16a URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - GARNET HEALTH MEDICAL CENTER - CATSKILLS: 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 A - GARNET HEALTH MEDICAL CENTER - CATSKILLS: Line 16c URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE MAJORITY OF GARNET HEALTH MEDICAL CENTER - CATSKILLS' BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, GARNET HEALTH MEDICAL CENTER - CATSKILLS 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 OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, GARNET HEALTH MEDICAL CENTER - CATSKILLS 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 - Catskills (GHMCC) defines its community as its broader service area, which includes portions of Orange, Sullivan, and Ulster Counties in New York State. Approximately 87% of GHMCC's patients reside within this service area, and approximately 20% of patients reside specifically in Sullivan County. For purposes of this Community Health Needs Assessment (CHNA), GHMCC has placed emphasis on Sullivan County to more effectively focus its resources on addressing significant health needs, targeting areas of greatest need and health disparities within its primary patient population. Comparative data from Orange and Ulster Counties is included in the CHNA report when available, to provide regional context. As of 2024, the population of Sullivan County is projected to be approximately 80,450 residents. with a racial and ethnic composition of approximately 2.35% Asian & Pacific Islander Non-Hispanic, 7.60% Black Non-Hispanic, 19.94% Hispanic, 67.22% White Non-Hispanic, and 5.23% identifying as other or mixed ethnicities. The age distribution includes 20.42% of residents aged 0 to 17 years, 33.14% aged 18 to 44, 25.41% aged 45 to 64, and 21.03% aged 65 and older. This demographic profile underscores the importance of a diverse range of health and social services, from pediatric and preventive care to chronic disease management and support for the older adult population. Economically, Sullivan County reflects both opportunity and ongoing challenges. According to the U.S. Census Bureau. The median household income is approximately $69,826, with a county-wide poverty rate near 14.5%. Gender disparities exist in earnings, with men earning a median income of $51,418 compared to $40,762 for women. The county's labor force numbers about 35,500 employed individuals, with the largest employment sectors being Health Care and Social Assistance (6,234 workers), Educational Services (4,100 workers), and Retail Trade (3,521 workers). The highest-paying industries include Utilities ($85,867 median earnings), Professional, Scientific, and Technical Services ($71,447), and Public Administration ($65,943). This economic diversity reflects a workforce engaged in both professional and service-based sectors, many sensitive to seasonal and market fluctuations typical of rural regions. Household income data highlights economic challenges within the county. Approximately 8.4% of Sullivan County households earn less than $15,000 annually, and 22.0% earn between $25,000 and $50,000. The median household income in Sullivan County is approximately $69,826. Approximately 14.5% of residents live below the Federal Poverty Guidelines, with economic vulnerability concentrated in specific rural and underserved communities. Healthcare access capacity in Sullivan County remains limited. Primary care physicians see an average of 3,069 patients annually-a 13.4% increase from the previous year-highlighting growing demand on an already stretched system. Dentists serve approximately 2,414 patients annually, and mental health providers see about 450 patients per year. These figures point to provider shortages and systemic challenges in attracting and retaining health professionals in rural areas. Educational attainment further highlights structural barriers to health and economic equity. Among adults aged 25 and older, approximately 12.35% have not completed high school, 29.81% are high school graduates without college, 28.16% have some college or an associate degree, 16.99% hold a bachelor's degree, and 12.69% have graduate or professional degrees. Males are more likely than females to lack a high school diploma and less likely to hold advanced degrees, trends that intersect with employment and insurance disparities. This comprehensive demographic, economic, healthcare, and educational profile informs Garnet Health - Catskills' efforts to identify service gaps, reduce health disparities, and align healthcare resources with Sullivan County residents' evolving needs. Emphasis is placed on targeting communities facing significant barriers-including high poverty, low educational attainment, inadequate insurance, and poor access to primary and behavioral health providers-to enhance health equity and outcomes across the region. Schedule H, Part VI, Line 5 Promotion of community health Garnet health medical center-Catskills (GHMCC) has demonstrated its ongoing commitment to improving the health status of the Sullivan county community through strategic reinvestment of surplus funds directly aligned with priorities identified in its most recent community health needs assessment (CHNA). The majority of CHMCC governing body consist of residents from the primary service area who are neither employees nor contractors of the hospital, nor family members thereof. These local health consumers provide essential insights into the healthcare needs and priorities of the communities served. In addition, GHMCC conducts and participates in extensive community outreach programs. Offering residents opportunities to engage directly with hospital representatives and voice their concerns. GHMCC maintains an open medical staff model, encouraging all qualified physicians to apply for membership, which expands specialty care access within the community. During the 2024 tax year, GHMCC allocated approximately $1.67 million in surplus funds towards targeted capital improvements and program expansions that address specific health needs identified through the CHNA. These investments have been purposefully directed to improve accessibility, affordability and quality of care for vulnerable populations including low-income residents, older adults and rural communities. More specifically, approximately $1.2 million was used to upgrade outpatient services and diagnostic capabilities, including advanced imaging equipment and laboratory technology. These upgrades enable earlier and more accurate diagnosis of chronic conditions such as diabetes, cardiovascular disease, and respiratory illnesses priority areas in the CHNA reducing the need for emergency care and hospital readmissions. As a result, wait times for crucial testing have decreased by 15% enhancing timely intervention for patients with limited transportation options or financial barriers. An additional $470,000 was invested in facility renovations and technology upgrades to improve patient flow and expand capacity in emergency and specialty care departments. These targeted improvements have led to a 10% increase in patient volume capacity and shorter waiting times, particularly benefiting seniors and individuals with disabilities who face transportation and mobility challenges. GHMCC also strengthened its telehealth infrastructure with funds allocated to expand virtual care series. This expansion has increased telehealth visits by 25% during the tax year, providing rural and homebound patients with greater access to primary and specialty care without the burden of travel. Furthermore, GHMCC partnered with local organizations to deliver community education and preventative services focused on social determinants of health such as housing, nutrition and behavioral health. These programs have engaged over 1,000 residents in 2024, targeting high-risk groups and improving health literacy, which is critical for managing chronic diseases and reducing health disparities. Through these strategic investments, CHMCC reinvest surplus funds to make a meaningful impact on access, affordability and quality of care, directly responding identified community health needs and supporting the well-being of the most vulnerable populations in Sullivan county. Schedule H, Part VI, Line 6 Affiliated health care system GARNET HEALTH IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS - GARNET HEALTH MEDICAL CENTER - CATSKILLS AND GARNET HEALTH MEDICAL CENTER. 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 PROGRAM 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, GH 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. GARNET HEALTH MEDICAL CENTER - CATSKILLS - HARRIS LOCATION IS A COMMUNITY HOSPITAL; WHILE, GARNET HEALTH MEDICAL CENTER - CATSKILLS THE CALLICOON LOCATION 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 true GARNET HEATLH FOUNDATION - CATSKILLS PO BOX 800 HARRIS NY 12742 141742176 501(C)(3) 12395 FMV INSTITUTIONAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds EXPENSES ARE PAID DIRECTLY BY THE ORGANIZATION TO THIRD PARTIES ON BEHALF OF THE RECIPIENT ORGANIZATION. IN THIS WAY, THE ORGANIZATION IS ABLE TO MONITOR THE USE OF THE GRANT FUNDS. false false false false false false false true false GERARD J GALARNEAU MD PHYSICIAN / FORMER CMO 0 616165 0 45607 0 2322 0 13800 0 37883 0 715777 0 0 GERARD DUNLAVEY CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH 0 546666 0 0 0 31527 0 31050 0 37828 0 647071 0 0 JAMES GRIGG CHIEF FINANCIAL OFFICER 0 660788 0 0 0 53085 0 13800 0 14923 0 742596 0 0 PAMELA MURPHY MD CHEIF MEDICAL OFFICER 0 524957 0 0 0 32690 0 13800 0 25501 0 596948 0 0 JONATHAN SCHILLER GH PRESIDENT/CEO 0 1096665 0 0 0 24794 0 13800 0 37708 0 1172967 0 0 LEROY C FLOYD III CMO UNTIL FEBRUARY 2024 0 408695 0 52080 0 1046 0 16431 0 17585 0 495837 0 0 SUZANNE LANGE AHMED CHIEF NURSING OFFICER GHMC-C 0 217558 0 0 0 26105 0 19863 0 14443 0 277969 0 0 ZAUR IBRAGIMOV PHARMACIST 220400 0 0 0 8702 0 0 0 0 0 229102 0 0 0 ROY M MASON PHARMACIST 182697 0 0 0 310 0 0 0 0 0 183007 0 0 0 JULIE SWENDSEN REGISTERED NURSE 173554 0 0 0 410 0 10563 0 1800 0 186327 0 0 0 GLYNN D MAGILTON PHARMACIST 173738 0 0 0 260 0 0 0 0 0 173998 0 0 0 MYRANTZ ASSADE REGISTERED NURSE until September 2024 179950 0 0 0 0 0 0 0 0 0 179950 0 0 0 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 - CATSKILLS. 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 7 Non-fixed payments DURING THE TAX YEAR THE ORGANIZATION AND ALL RELATED ORGANIZATIONS PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J. 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. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE GARNET HEALTH MEDICAL CENTER - CATSKILLS CEO IS EMPLOYED AND COMPENSATED BY GARNET HEALTH. COMPENSATION FOR THE GHMC-C 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 2023 FOR THE 2024 CALENDAR YEAR BY A COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GH 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 GARNET HEALTH MEDICAL CENTER - CATSKILLS KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY GARNET HEALTH. COMPENSATION 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 2023 FOR THE 2024 CALENDAR YEAR BY A COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GH COMPENSATION COMMITTEE. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES. Form 990, Part VI, Line 6 Classes of members or stockholders GARNET HEALTH, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) IS THE SOLE MEMBER OF GARNET HEALTH MEDICAL CENTER - CATSKILLS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body GARNET HEALTH AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE GARNET HEALTH MEDICAL CENTER - CATSKILLS BOARD OF DIRECTORS UPON RECOMMENDATION FROM GARNET HEALTH MEDICAL CENTER - CATSKILLS BOARD OF DIRECTORS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO GARNET HEALTH MEDICAL CENTER - CATSKILLS' TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL VERSION OF THE ORGANIZATION'S 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 - CATSKILLS 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 ONCE A REQUEST IS MADE FOR GARNET HEALTH MEDICAL CENTER - CATSKILL'S FORM 990, GOVERNING DOCUMENTS, FINANCIAL STATEMENTS OR CONFLICT OF INTEREST POLICY, A COPY IS SENT TO THE REQUESTING PARTY THROUGH THE ADMINISTRATION OFFICES. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue . . . . . - Total Revenue: 10275, Related or Exempt Function Revenue: 10275, 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: 8354376, Program Service Expense: 8354376, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 6790328, Program Service Expense: 4713612, Management and General Expenses: 2076716, Fundraising Expenses: ; TEMP & AGENCY FEES - Total Expense: 1453046, Program Service Expense: 1222873, Management and General Expenses: 230173, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 4512849, Program Service Expense: 3696264, Management and General Expenses: 816585, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 842279, Program Service Expense: 842279, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 1271264, Program Service Expense: 490088, Management and General Expenses: 781176, Fundraising Expenses: ; ALL OTHER PURCHASED SVRS - Total Expense: 15041, Program Service Expense: 2569, Management and General Expenses: 12472, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO/FROM RELATED PARTIES - 394984; CHANGE IN NET ASSETS OF GARNET HEALTH FOUNDATION - CATSKILLS - 783177; Total - 1178161; GARNET HEALTH 707 EAST MAIN STREET MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(c)(3) Type II NA false GARNET HEALTH MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 141364536 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 false GARNET HEALTH FOUNDATION - CATSKILLS PO BOX 800 HARRIS NY 12742 141742176 FUNDRAISING NY 501(c)(3) Type II GARNET HEALTH MEDICAL CENTER - CATSKILLS true false true true false false false false false false true false true true false true true true true false