2025-11-14T16:25:53+00:00 2024-12-31 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-01-01 371743537 Garnet Health Doctors PC GARN 8453337575 707 EAST MAIN STREET MIDDLETOWN NY 10940 IZABELA NOWOSIELSKI PRESIDENT & CHIEF MEDICAL OFFICER 8463337425 2025-11-14 true Rachel Spurlock P00520729 5023263996 2025-11-14 2024 2025-03-06 01:10:19Z IZABELA NOWOSIELSKI 707 EAST MAIN STREET MIDDLETOWN NY 10940 66856280 false X https://www.garnethealth.org/doctors X 2013 NY DELIVERY OF PRIMARY CARE AND NUMEROUS SPECIALTY MEDICAL CARE SERVICES TO PATIENTS IN THE HUDSON VALLEY OF NEW YORK. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. 2 0 409 2 0 65128 9150 69533837 66847130 0 0 69598965 66856280 0 0 61758660 62030681 0 0 20180856 24596769 81939516 86627450 -12340551 -19771170 35143227 32977548 51746771 59209352 -16603544 -26231804 DELIVERY OF PRIMARY CARE AND NUMEROUS SPECIALTY MEDICAL CARE SERVICES TO PATIENTS IN THE HUDSON VALLEY OF NEW YORK. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. false false 82506064 0 66847130 GARNET HEALTH DOCTORS PC IS DEDICATED TO ATTRACTING AND HIRING PROVIDERS OF SPECIALTY AND PRIMARY CARE MEDICAL SERVICES TO TREAT NEARLY 487,000 RESIDENTS WITHIN THE PRIMARY SERVICE AREA OF GARNET HEALTH IN ORANGE AND SULLIVAN COUNTIES IN THE STATE OF NEW YORK. GARNET HEALTH OPERATES THREE HOSPITAL CAMPUSES IN THIS PRIMARY SERVICE AREA AND OFFERS A BROAD SPECTRUM OF CARE. (Continued on Schedule O) 82506064 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false true 34 0 true 409 true false false false false false false false false false false false false X 2 0 false false false false true true true true false false false false true true true true true true false false false false NY X JAMES GRIGG CFO GARNET HEALTH 8453331000 707 EAST MAIN ST MIDDLETOWN NY 10940 GERARD J GALARNEAU MD DIRECTOR, SECRETARY, TREASURER 40.0 10.0 X X 664094 0 51683 IZABELA NOWOSIELSKI DIRECTOR, PRESIDENT & CHIEF MEDICAL OFFICER OF GHD AND GHUC 40.0 20.0 X X 0 695729 51508 JAMES GRIGG CHIEF FINANCIAL OFFICER 10.0 50.0 X 0 713873 28723 EMMANUEL NKETIAH PHYSICIAN 40.0 0 X 867397 0 59880 JOSE TORO MD PHYSICIAN 40.0 0 X 931955 0 37883 PARAMJEET SINGH PHYSICIAN 40.0 0 X 769433 0 48368 RAGHURAM GORTI PHYSICIAN 40.0 0 X 1147428 0 71197 SAMUEL ABOURBIH PHYSICIAN 40.0 0 X 727575 0 51683 GERARD DUNLAVEY FORMER EXECUTIVE DIRECTOR 0.0 50.0 X 0 578193 68878 5107882 1987795 469803 151 true true false DR WANTED COM LLC PO BOX 386 WORCESTER MA 01615 TEMPORARY STAFFING 1798980 JACKSON AND COKER LOCUM TENENS LLC PO BOX 277638 ATLANTA GA 30384 TEMPORARY STAFFING 1463221 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 TEMPORARY STAFFING 1234010 MEDI METRIX LLC 9 ENTIN ROAD 3RD FLOOR PARSIPPANY NJ 07054 COLLECTION AGENCY 1177164 INDERPAL SINGH MD 92 RALPHIE LANE MONROE NY 10950 PHYSICIAN SERVICES 454255 14 9150 9150 PATIENT & PROFESSIONAL SVC REVENUE 621110 66420750 66420750 QUALITY INCENTIVES 900099 426380 426380 0 0 0 0 66847130 0 0 0 0 0 0 0 0 0 66856280 66847130 0 0 X 716387 716387 51288434 49114457 2173977 1356124 1298799 57325 5408102 5180187 227915 3261634 3125149 136485 56311 56311 15615 15615 13699814 13466174 233640 0 188927 188927 482089 464839 17250 241272 237709 3563 2973886 2970821 3065 13220 13214 6 252498 250259 2239 495959 495959 3810901 3806276 4625 SERVICE FEE - RELATED ORG 1170020 1170020 MEDICAL SUPPLIES 977022 977022 OTHER TAXES 149653 149653 NON MEDICAL SUPPLIES 35298 32149 3149 34284 18083 16201 0 86627450 82506064 4121386 0 305170 217081 1982597 2200248 0 0 0 0 183626 183626 917256 706933 3003749 594684 2905024 2409065 0 0 28849554 27260595 35143227 32977548 10698216 16186409 0 0 41048555 43022943 51746771 59209352 -16603544 -26231804 -16603544 -26231804 35143227 32977548 X -19771170 10142910 X false true true true true X X X 2 GARNET HEALTH MEDICAL CENTER - CATSKILLS 146049030 3 true 0 5597925 GARNET HEALTH MEDICAL CENTER 141364536 3 true 0 27704747 2 0 33302672 true false false false false false false false false false false false false false false false false Schedule A, Part IV, Section B, Line 1 Power to elect or appoint GARNET HEALTH, THE ACTIVE PARENT OF BOTH GARNET HEALTH MEDICAL CENTER AND GARNET HEALTH MEDICAL CENTER - CATSKILLS MAINTAINS LETTER AGREEMENTS WITH EACH SHAREHOLDER, OFFICER, AND DIRECTOR OF GARNET HEALTH DOCTORS PC THAT REQUIRE EACH SUCH SHAREHOLDER, OFFICER, AND DIRECTOR TO "(I) CONSULT WITH THE GARNET HEALTH PRESIDENT AND CEO (OR HIS DESIGNEE) IN CONNECTION WITH, AND IN ADVANCE OF, ALL ACTIONS TAKEN IN [HIS/HER] CAPACITY AS A SHAREHOLDER, OFFICER, OR DIRECTOR OF THE PC; AND (II) FOLLOW SUCH INSTRUCTIONS AND TAKE SUCH ACTIONS AS ARE DEEMED REASONABLE AND NECESSARY BY GARNET HEALTH WITH RESPECT TO THE OPERATION AND ACTIVITIES OF THE PC." IN THIS MANNER, THE SUPPORTED ORGANIZATIONS EFFECTIVELY OPERATED, SUPERVISED OR CONTROLLED THE ACTIVITIES OF GARNET HEALTH DOCTORS PC. GARNET HEALTH HAS THE POWER TO REMOVE DIRECTORS FROM THE BOARD. 1855852 485224 1370628 1147897 109460 1038437 2409065 DUE FROM RELATED ORG 1836592 INSURANCE CLAIMS RECEIVABLE 18501689 MISC A/R 172700 RIGHT OF USE ASSETS 6697948 OTHER ASSETS 51666 27260595 Federal Income Taxes DUE TO RELATED ORG 17281454 MALPRACTICE LIABILITY 18501689 LEASE LIABILITIES 7239800 43022943 X 0 0 0 0 0 0 0 0 0 0 0 0 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. false false false false false false false true false GERARD J GALARNEAU MD DIRECTOR, SECRETARY, TREASURER 616165 0 45607 0 2322 0 13800 0 37883 0 715777 0 0 0 IZABELA NOWOSIELSKI DIRECTOR, PRESIDENT & CHIEF MEDICAL OFFICER OF GHD AND GHUC 0 671559 0 0 0 24170 0 13800 0 37708 0 747237 0 0 GERARD DUNLAVEY FORMER EXECUTIVE DIRECTOR 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 SAMUEL ABOURBIH PHYSICIAN 627035 0 100000 0 540 0 13800 0 37883 0 779258 0 0 0 RAGHURAM GORTI PHYSICIAN 1057864 0 86000 0 3564 0 33314 0 37883 0 1218625 0 0 0 EMMANUEL NKETIAH PHYSICIAN 660137 0 206720 0 540 0 36800 0 23080 0 927277 0 0 0 PARAMJEET SINGH PHYSICIAN 630762 0 137429 0 1242 0 33300 0 15068 0 817801 0 0 0 JOSE TORO MD PHYSICIAN 930713 0 0 0 1242 0 0 0 37883 0 969838 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION OF THE PRESIDENT & CHIEF MEDICAL OFFICER WAS DETERMINED BY GARNET HEALTH AND PAID BY GARNET HEALTH. GARNET HEALTH UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION COMMITTEE, REVIEW OF 990S OF OTHER SIMILAR ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY, AND COMPENSATION REQUIRES APPROVAL OF THE BOARD AND COMPENSATION COMMITTEE. 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 ORGANIZATIONAL 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 III, Line 4a Program Service Accomplishments MEDICAL GROUP - EDUCATION/MARKETING EFFORTS: THE GARNET HEALTH DOCTORS PC AS AN AFFILIATE OF THE GARNET HEALTH SYSTEM (GH), MIRRORS THE MISSION, VISION, AND VALUES OF THE HEALTH SYSTEM. THE MEDICAL GROUP WAS CREATED TO SUPPORT SEVERAL MISSION CRITICAL INITIATIVES OF THE HEALTH SYSTEM INCLUDING ACCESS TO PRIMARY CARE, SUPPORT OF MEDICAL EDUCATION AND STAFFING OF CRITICAL HOSPITAL SERVICES INCLUDING BEHAVIORAL HEALTH, TRAUMA, CRITICAL CARE, SURGERY, AND HOSPITALIST SERVICES. THE MEDICAL GROUP PROVIDES CARE TO OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. THE GROUP HAS POLICIES AND PROTOCOLS IN PLACE WHERE PATIENTS ARE TREATED FIRST, REGARDLESS OF THEIR ABILITY TO PAY. THESE PATIENTS ARE THEN CONNECTED WITH A FINANCIAL ADVOCATE WHO CAN ASSIST WITH DETERMINING THEIR ABILITY TO QUALIFY FOR MEDICAID BENEFITS. THE MEDICAL GROUP ALSO OFFERS CHARITABLE CARE WITH THE SAME DISCOUNTED SCALE TO THAT OF GH. THE GARNET HEALTH DOCTORS PC CURRENTLY OFFERS MEDICAL SERVICES IN SEVEN LOCATIONS THROUGHOUT ORANGE AND SULLIVAN COUNTIES. SERVICES PROVIDED AT THE GROVER HERMAN CRITICAL ACCESS HOSPITAL LOCATED IN CALLICOON, NY INCLUDE PRIMARY CARE AND EMERGENCY MEDICAL SERVICES FOR THIS MEDICALLY UNDERSERVED SECTION OF SULLIVAN COUNTY. SIMILARLY, THE MEDICAL GROUP OPERATES PRIMARY CARE OFFICES IN LIVINGSTON MANOR, NY AND MONTICELLO, NY - ALL UNDERSERVED AREAS OF SULLIVAN COUNTY. THE MEDICAL GROUP'S HARRIS, NY LOCATION, SITUATED ON THE MAIN CAMPUS OF GARNET HEALTH MEDICAL CENTER - CATSKILLS, PROVIDES A NUMBER OF DIFFICULT TO ACCESS MEDICAL SPECIALTY SERVICES INCLUDING GENERAL SURGERY, ORTHOPEDIC SURGERY, UROLOGY, WOUND CARE AND CARDIOLOGY. FINALLY, THE MEDICAL GROUP'S 11,000 SQ. FT. MEDICAL OFFICE BUILDING IN MONTICELLO PROVIDES PRIMARY CARE AND URGENT CARE SERVICES. ORANGE COUNTY IS THE HOME TO THE GARNET HEALTH DOCTORS PC'S THREE REMAINING LOCATIONS IN MIDDLETOWN, GOSHEN AND MONROE. THE GOSHEN AND MONROE LOCATION WERE ESTABLISHED TO PROVIDE RESIDENTS OF ORANGE COUNTY WITH A CONVENIENT LOCATION TO ACCESS PRIMARY CARE SERVICES. IT ALSO OFFERS AREA PATIENTS WHO ARE DISCHARGED FROM GARNET HEALTH MEDICAL CENTER AN ACCESSIBLE LOCATION TO RECEIVE THEIR FOLLOW UP CARE. FINALLY, GARNET HEALTH DOCTORS PC'S, LARGEST PRESENCE IS LOCATED IN MIDDLETOWN, NY ON THE MAIN CAMPUS OF GARNET HEALTH MEDICAL CENTER. SERVICES OFFERED INCLUDE PRIMARY CARE, BEHAVIORAL HEALTH, CARDIOLOGY, CRITICAL CARE, FAMILY MEDICINE, HOSPITALISTS, INFESTIOUS DISEASES, NEROLOGY, ORTHOPEDIC CARE, PEDIATRIC CARE, PHYSICAL MEDICINE AND REHABILITATION, GENERAL SURGERY, TRAMUA SURGERY, UROLOGY, VEIN TREATMENT AND WOUND CARE AS PART OF OUR MISSION, WE ARE COMMITTED TO DEVELOPING "GRASS ROOTS" CONNECTIONS TO THE COMMUNITIES WE SERVE. OUR PHYSICIANS AND SUPPORT STAFF GIVE GENEROUSLY OF THEIR TIME AT SEVERAL COMMUNITY EVENTS THROUGHOUT THE YEAR. GARNET HEALTH DOCTORS PC COLLABORATES WITH ORGANIZATIONS, SCHOOLS, PUBLIC AGENCIES AND BUSINESSES TO EDUCATE THE PUBLIC, AND CREATE A CULTURE OF HEALTH FOR THE COMMUNITIES WE SERVE. IT IS OUR GOAL TO ENGAGE AND INFLUENCE OTHER SECTORS WHILE PROVIDING LEADERSHIP FOR DYNAMIC, LARGE SCALE CHANGE. GARNET HEALTH DOCTORS WORKS CLOSELY WITH SEVERAL CLINICAL SERVICE LINE LEADERS WITHIN GH TO PROVIDE FREE EDUCATION AND MEDICAL SERVICES TO THE COMMUNITY. AS AN EXAMPLE, OUR PARTNERSHIP WITH THE ONCOLOGY SERVICE LINE HAS ALLOWED GARNET HEALTH DOCTORS PC PHYSICIANS TO PROVIDE FREE PROSTATE, BREAST, AND LUNG CANCER SCREENINGS. FINALLY, GARNET HEALTH DOCTORS PC WORKS IN COLLABORATION WITH THE GH COMMUNITY SERVICE ADVOCATE, THE DIRECTOR OF COMMUNITY HEALTH. THIS WORKING PARTNERSHIP RESULTED IN MANY JOINT MEDICAL GROUP / HEALTH SYSTEM COMMUNITY ACTIVITIES. GARNET HEALTH DOCTORS PC COLLABORATES WITH LOCAL ORGANIZATIONS, SCHOOLS, PUBLIC AGENCIES AND BUSINESSES TO EDUCATE THE PUBLIC, SHIFT POLICY, AND CREATE A CULTURE OF HEALTH FOR THE COMMUNITIES WE SERVE. IT IS OUR GOAL TO ENGAGE AND INFLUENCE OTHER SECTORS WHILE PROVIDING LEADERSHIP FOR DYNAMIC, LARGE SCALE CHANGE. OUR COMMITMENT TO GIVING BACK TO THE COMMUNITY IS EVIDENT IN THE NUMEROUS DRIVES AND COLLABORATIVE PROGRAMS WE HOLD THROUGHOUT THE YEAR. GARNET HEALTH DOCTORS PC EDUCATES THE COMMUNITY THROUGH PHYSICIAN-LED SEMINARS. IN ADDITION, WE PUT FORTH A MONTHLY HEALTH TIPS NEWSLETTER THAT IS SENT TO OVER 5,000 PEOPLE VIA EMAIL. 1. ATTRACTING AND RETAINING TOP-QUALITY PROVIDERS CONTINUES TO BE A PRIORITY FOR GHD. THE PRIMARY FOCUS WILL BE PRIMARY CARE, PSYCHIATRY, AND URGENT CARE AS WELL AS SELECTIVE SUBSPECIALTIES. GHD RECRUITMENT PLAN WILL BE ALIGNED WITH CURRENT OR ANTICIPATED GAPS IN CLINICAL SERVICES AT GARNET HEALTH, WHICH ARE NOT SUPPORTED BY STRATEGIC PARTNERSHIPS; ANY ANTICIPATED SHORTAGE OF MEDICAL STAFF AT ORANGE AND SULLIVAN COUNTY, AS WELL AS ANY REQUIREMENTS OF GRADUATE MEDICAL EDUCATION. 2. DATA ANALYTICS AND CONTINUOUS IMPROVEMENT METHODOLOGIES WILL BE UTILIZED TO HELP DRIVE BETTER HEALTH OUTCOMES FOR OUR PATIENTS. OUR FOCUS WILL BE PREVENTATIVE CARE AS WELL AS ENHANCED INFORMATION SHARING WITH OUTSIDE ORGANIZATIONS, AIMED AT REDUCING MEDICAL ERRORS. GHD PROVIDERS WILL ALSO CONTINUE TO SUPPORT HOSPITAL INITIATIVES AIMED AT IMPROVING THROUGHPUT, REDUCING READMISSIONS, IMPROVING THE LENGTH OF STAY, AND REDUCING ANY ADVERSE OUTCOMES RELATED TO HOSPITALIZATIONS. 3. PROVIDING ACCESS TO CARE TO THE COMMUNITIES WE SERVE CONTINUES TO BE THE PRIORITY. CREATING AVAILABILITY IN PRIMARY CARE AND SPECIALTY CARE ACROSS ALL AREAS IN ORDER TO ACCOMMODATE A GREATER NUMBER OF PATIENTS. 4. IMPLEMENTED WORKFLOWS TO ALLOW FOR BETTER PATIENT EXPERIENCE AND EASE OF ACCESS TO HEALTH CARE NEEDS. 5. OPTIMIZING WORKFLOWS BETWEEN PHYSICIANS AND ADVANCED PRACTICE PROVIDERS TO INCREASE CAPACITY AND AVAILABILITY ACROSS ALL AREAS. 6. IMPROVING REFERRAL MANAGEMENT AND SCHEDULING TO OPTIMIZE PATIENT RETENTION. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE GARNET HEALTH DOCTORS PC PRESIDENT IS COMPENSATED BY GARNET HEALTH, A RELATED ORGANIZATION. COMPENSATION FOR THE GARNET HEALTH DOCTORS PC PRESIDENT IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF GARNET HEALTH 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 GH EXECUTIVE TEAM SALARIES, INCLUDING THE PRESIDENT WAS PERFORMED IN 2023 FOR THE 2024 CALENDAR YEAR BY A 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 OF GARNET HEALTH DOCTORS PC ARE COMPENSATED BY GARNET HEALTH, A RELATED ORGANIZATION. OFFICERS OF GARNET HEALTH MEDICAL CENTER ARE EMPLOYED AND COMPENSATED BY GARNET HEALTH. COMPENSATION FOR THE OFFICERS 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 2023 FOR THE 2024 CALENDAR YEAR BY A 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 HR OFFICER, CHIEF QUALITY OFFICER, CHIEF LEGAL OFFICER & GENERAL COUNCEL, PRESIDENT & CHIEF MEDICAL OFFICER OF GHD, CHIEF INFORMATION OFFICER, CHIEF STRATEGIC PLANNING OFFICER, AND CHIEF NURSING OFFICER. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES. Form 990, Part VI, Line 6 Classes of members or stockholders GERARD J GALARNEAU, MD IS THE SOLE SHAREHOLDER OF GARNET HEALTH DOCTORS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SHAREHOLDER HAS THE POWER TO APPOINT MEMBERS TO THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders GARNET HEALTH HAS THE RIGHT TO REMOVE DIRECTORS. FOR ADDITIONAL INFORMATION, SEE SCHEDULE A, PART VI. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body GARNET HEALTH DOCTORS PC DOES NOT HAVE COMMITTEES. 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 GARNET HEALTH 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 DOCTORS PC 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 ORGANIZATION HAS ADOPTED GARNET HEALTH'S CORPORATE COMPLIANCE PROGRAM TO ENSURE THAT ALL OF ITS BUSINESS PRACTICES ARE IN COMPLIANCE WITH APPLICABLE CIVIL AND CRIMINAL LAWS, RULES AND REGULATIONS. 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. POA SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS ARE ANNUAL UPDATES TO THE COI POLICY. Form 990, Part VI, Line 19 Required documents available to the public ONCE A REQUEST IS MADE FOR THE GARNET HEALTH DOCTORS PC FORM 990 OR GOVERNING DOCUMENTS, A COPY IS SENT TO THE REQUESTING PARTY THROUGH THE ADMINISTRATION OFFICE OF GARNET HEALTH MEDICAL CENTER. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE ORGANIZATION WAS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS FOR THE TAX YEAR. THESE STATEMENTS ARE KEPT ON FILE IN THE FINANCE DEPARTMENT AT GARNET HEALTH. Form 990, Part IX, Line 11g Other Fees PROFESSIONAL FEES - Total Expense: 1953459, Program Service Expense: 1953459, Management and General Expenses: , Fundraising Expenses: ; TEMPORARY AGENCY FEES - Total Expense: 8782096, Program Service Expense: 8782096, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1045671, Program Service Expense: 824349, Management and General Expenses: 221322, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 1625891, Program Service Expense: 1625891, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 281487, Program Service Expense: 269169, Management and General Expenses: 12318, Fundraising Expenses: ; MGMT & CONTRACT FEES - Total Expense: 2524, Program Service Expense: 2524, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 8686, Program Service Expense: 8686, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM FROM RELATED PARTY - GARNET HEALTH MEDICAL CENTER - 10000000; TRANSFER FROM FROM RELATED PARTY - GARNET HEALTH - 142910; Total - 10142910; 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 MEDICAL CENTER - CATSKILLS PO BOX 800 HARRIS NY 12742 146049030 HOSPITAL NY 501(c)(3) 3 GARNET HEALTH 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 false false false false false false false false false false false true true true false true true true false true