2025-11-13T18:03:03+00:00 2023-12-31 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2023-01-01 146049030 Garnet Health Medical Center - Catskills GARN 8457943300 PO BOX 800 HARRIS NY 12742 JAMES GRIGG Chief Financial Officer 2025-11-14 true true RACHEL SPURLOCK P00520729 5023263996 2025-11-14 2023 2025-03-06 01:10:19Z X GERARD DUNLAVEY PO BOX 800 HARRIS NY 12742 98645798 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 3 723 18 64811 0 2807905 8414520 94081608 88291304 -405074 64280 1440953 1744928 97925392 98515032 12395 12395 0 55376825 55534117 0 0 53050180 50568580 108439400 106115092 -10514008 -7600060 77491969 70083244 27907571 27976679 49584398 42106565 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 42130188 0 41053416 PERFORMING 393,380 OUTPATIENT PROCEDURES FOR PATIENTS IN THE SURROUNDING COMMUNITY. 38293448 12395 36986450 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 2023, CATSKILLS HAD 2,398 ACUTE INPATIENT DISCHARGES. 10929952 0 10650603 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 1,357 PATIENTS FROM THE SURROUNDING COMMUNITY. 91353588 true true false true 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 true true true false false true 126 0 true 723 true true true false false false false false false false false false false false X 3 3 true false false false true true true true true false false true true true true true true false false false NY X James Grigg 8457943300 PO BOX 800 HARRIS NY 12742 ANDREW PAVLOFF VICE CHAIR UNTIL APRIL, 2023 1.0 3.0 X X 0 0 0 DORY ALPORT TREASURER, SECRETARY 1.0 2.0 X X 0 0 0 FRED WATSON VICE CHAIR AS OF MAY, 2023 1.0 2.0 X X 0 0 0 RICHARD LANDER CHAIR UNTIL APRIL, 2023 1.0 2.0 X X 0 0 0 TIMOTHY MCCAUSLAND CHAIR AS OF MAY, 2023 1.0 2.0 X X 0 0 0 GERARD DUNLAVEY GH INTERM PRESIDENT/CEO UNTIL MAY, 2023 / CEO GHMC-C AS OF JUNE 2023 40.0 21.0 X 0 758828 67119 JAMES GRIGG CHIEF FINANCIAL OFFICER 10.0 50.0 X 0 981495 27992 JONATHAN SCHILLER GH PRESIDENT/CEO AS OF JUNE, 2023 10.0 51.0 X 0 599535 34615 LEROY C FLOYD III CMO 15.0 25.0 X 0 409910 26033 SUZANNE LANGE AHMED CHIEF NURSING OFFICER GHMC-C 40.0 10.0 X 0 284343 37863 AWLATOU BARRY REGISTERED NURSE 40.0 0 X 199128 0 18127 HELEN BURKE REGISTERED NURSE 40.0 0 X 182078 0 36696 JULIE SWENDSEN REGISTERED NURSE 40.0 0 X 175835 0 36266 ROY M MASON PHARMACIST 40.0 0 X 183092 0 0 ZAUR IBRAGIMOV PHARMACIST 40.0 0 X 225140 0 0 ALFRED PILONG FORMER GH PRESIDENT/CEO 0.0 0.0 X 0 1032429 1435 GERARD J GALARNEAU MD FORMER CMO 0.0 50.0 X 0 773208 49988 PAMELA MURPHY MD FORMER CMO 0.0 50.0 X 0 605244 38396 965273 5444992 374530 117 true true false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 PHYSICIANS 5330930 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 TEMPORARY STAFFING 5244701 RAMAPO ANESTHESIA PC 233 LAFAYETTE AVE SUITE 204 SUFFERN NY 10901 ANESTHETIC SERVICES 1653945 K&P FACILITIES MAINTENANCE 20 MACFARLAND ROAD WAPPINGERS FALLS NY 12590 FACILITIES CLEANING & MAINTENANCE 1336675 RESTORIXHEALTH INC 445 HAMILTON AVE SUITE 800 WHITE PLAINS NY 10601 WOUND CARE SERVICES 1316063 30 273706 8140814 8414520 NET PATIENT SERVICE REVENUE 622110 88291304 88226493 64811 0 0 0 0 88291304 36046 36046 952665 952665 0 952665 952665 105000 54000 104843 25923 157 28077 28234 28234 CAFETERIA/COFFEE SHOP 721110 328287 328287 ALLOCATED OVERHEAD RELATED ORG 900099 302165 302165 REBATES 900099 90652 90652 71159 71159 0 0 792263 98515032 88690469 64811 1345232 X 12395 12395 40516781 36402696 4114085 1439457 1291099 148358 10338994 9273406 1065588 3238885 2905069 333816 186597 186597 110790 110790 10795 10795 30 30 24902893 20915494 3987399 0 146226 112238 33988 2583816 2164175 419641 1330178 918633 411545 3130131 1766495 1363636 38400 30105 8295 1039 1039 51 29 22 4331784 2486444 1845340 1710431 1502402 208029 MEDICAL & OTHER SUPPLIES 11579273 11486835 92438 OTHER TAXES & ASSESSMENT 403526 0 403526 Freight 70868 43408 27460 LICENSE FEES 9954 9759 195 21798 21072 726 0 106115092 91353588 14761504 0 4982187 1709175 517035 517830 0 1000926 9127879 6327469 0 0 0 0 2601478 1731813 647215 677886 177518706 143355918 37255943 34162788 321688 219251 0 0 22038544 23736106 77491969 70083244 13524672 15230614 0 0 0 14382899 12746065 27907571 27976679 X 44559116 36324683 5025282 5781882 49584398 42106565 77491969 70083244 X -7600060 768 121459 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10795 10795 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 62098324 36132762 25965562 107049796 102101157 4948639 5930823 5121999 808824 34162788 INSURANCE RECEIVABLE - MALP & WC 7676001 THIRD PARTY RECEIVABLE 2205315 DUE FROM RELATED ORG 7537509 OTHER RECEIVABLES 31064 INTEREST IN GARNET HEALTH FOUNDATION - CATSKILLS 5530242 RIGHT OF USE ASSETS 755975 23736106 DUE TO THIRD PARTY PAYORS 2721506 EST MALPRACTICE LIABILITY 5827537 EST WORKERS COMP LIABILITY 2603648 DUE TO RELATED ORG 449293 OTHER LIABILITY 388106 LEASE LIABILITIES 755975 12746065 X 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 true false true true 3178055 3390426 0 0.0 30513679 17228436 13285243 0.1252 0 0.0 0 0 33691734 20618862 13285243 0.1252 0 0.0 315417 199489 115928 0.0011 25139112 18072581 7066531 0.0666 0 0.0 0 0.0 0 0 25454529 18272070 7182459 0.0677 0 0 59146263 38890932 20467702 0.1929 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 22839636 29334116 -6494480 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. 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. 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. GHMC-C obtained input through five focus groups conducted during June and July 2022 whose participants were leaders representing public health, healthcare organizations, social services, seniors and community leaders. Primary input was also obtained by conducting community health survey with members of the community. 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 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 Crowe LLP Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. 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 GHMC-C'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 GHMC-C, but opportunities may exist for Garnet to support organizations addressing these needs. 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 2023, 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 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, 2023 and 2022, 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' SERVICE AREA FOR COMMUNITY/LOCAL HEALTH PLANNING INCLUDES ALL FIFTEEN TOWNSHIPS WITHIN RURAL SULLIVAN COUNTY, NEW YORK. THE HOSPITAL'S SERVICE AREA WITHIN SULLIVAN COUNTY IS DIVIDED INTO PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS ARE THOSE SULLIVAN COUNTY TOWNSHIPS AND ZIP CODES WHICH ARE EITHER CLOSER TO GARNET HEALTH MEDICAL CENTER - CATSKILLS THAN ANY OTHER HOSPITAL FACILITY OR WHERE GARNET HEALTH MEDICAL CENTER - CATSKILLS HAS A PREDOMINANT MARKET SHARE. THE SULLIVAN COUNTY TOWNSHIPS IN THE PRIMARY SERVICE AREA ARE BETHEL, CALLICOON, COCHECTON, DELAWARE, FALLSBURG, FORESTBURGH, FREMONT, LIBERTY, NEVERSINK, ROCKLAND, THOMPSON, AND TUSTEN. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE SULLIVAN COUNTY'S RURAL SERVICE AREA: 1) EXTENSIVE AND GROWING GERIATRIC POPULATION; 2) HIGHER PROPORTIONS OF BLACK AND HISPANIC POPULATIONS WHEN COMPARED WITH MOST UPSTATE NEW YORK RURAL COMMUNITIES; 3) VILLAGES OF MONTICELLO AND LIBERTY SURROUNDED BY GEOGRAPHICALLY DISPERSED RURAL POPULATIONS; 4) ECONOMIC BASE PREDOMINATELY COMPRISED OF AGRICULTURE AS WELL AS SERVICES FOCUSING UPON HEALTH CARE, TOURISM, GOVERNMENT AND EDUCATION AND; 5) EXTENSIVE MEDICALLY INDIGENT POPULATION WITH HIGH PROPORTION OF INDIVIDUALS EITHER ON MEDICAID OR TOTALLY LACKING HEALTH INSURANCE COVERAGE. Schedule H, Part VI, Line 5 Promotion of community health GARNET HEALTH MEDICAL CENTER - CATSKILLS HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF THE COMMUNITY IN SEVERAL WAYS. THE MAJORITY OF CATSKILLS' BOARD OF DIRECTORS CONSISTS OF PERSONS WHO RESIDE IN THEIR 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-C 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-C'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED PHYSICIAN IS ENCOURAGED TO APPLY FOR MEDICAL STAFF MEMBERSHIP. IN ADDITION, GHMC-C UTILIZES SURPLUS FUNDS FROM OPERATIONS, AS AVAILABLE, TO UPDATE FACILITIES AND EQUIPMENT, AND TO EXPAND SERVICES PROVIDED AS NEEDS ARE IDENTIFIED. More specifically, approximately $740 thousand of cash from operations was used for equipment replacement and $1.04 million was used to make capitalizable improvements to the facility. 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 HEALTH FOUNDATION - CATSKILLS PO BOX 800 HARRIS NY 12742 141742176 503(C)(3) 12395 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. true false false false false false false true false GERARD J GALARNEAU MD FORMER CMO 0 596666 0 175231 0 1311 0 13200 0 36788 0 823196 0 0 PAMELA MURPHY MD FORMER CMO 0 456351 0 80000 0 68893 0 13200 0 25196 0 643640 0 37500 ALFRED PILONG FORMER GH PRESIDENT/CEO 0 27734 0 0 0 1004695 0 0 0 1435 0 1033864 0 21682 GERARD DUNLAVEY GH INTERM PRESIDENT/CEO UNTIL MAY, 2023 / CEO GHMC-C AS OF JUNE 2023 0 444117 0 247666 0 67045 0 29700 0 37419 0 825947 0 36875 JAMES GRIGG CHIEF FINANCIAL OFFICER 0 608289 0 249608 0 123598 0 13200 0 14792 0 1009487 0 71103 JONATHAN SCHILLER GH PRESIDENT/CEO AS OF JUNE, 2023 0 598845 0 0 0 690 0 13200 0 21415 0 634150 0 0 LEROY C FLOYD III CMO 0 338268 0 71290 0 352 0 13200 0 12833 0 435943 0 0 SUZANNE LANGE AHMED CHIEF NURSING OFFICER GHMC-C 0 209158 0 41200 0 33985 0 21923 0 15940 0 322206 0 8400 AWLATOU BARRY REGISTERED NURSE 110808 0 81323 0 6997 0 0 0 18127 0 217255 0 0 0 HELEN BURKE REGISTERED NURSE 129421 0 41495 0 11162 0 11105 0 25591 0 218774 0 0 0 ZAUR IBRAGIMOV PHARMACIST 178244 0 32283 0 14613 0 0 0 0 0 225140 0 0 0 ROY M MASON PHARMACIST 175443 0 6044 0 1605 0 0 0 0 0 183092 0 0 0 JULIE SWENDSEN REGISTERED NURSE 106295 0 62262 0 7278 0 10675 0 25591 0 212101 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 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 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 2022 FOR THE 2023 CALENDAR YEAR BY OUR 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 2022 FOR THE 2023 CALENDAR YEAR BY OUR 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 2 Family/business relationships amongst interested persons ANDREW PAVLOFF AND DORY ALPORT - Business relationship 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 MISCELLANEOUS - Total Revenue: 71159, Related or Exempt Function Revenue: 71159, 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: 8248901, Program Service Expense: 8248901, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 5108644, Program Service Expense: 3272769, Management and General Expenses: 1835875, Fundraising Expenses: ; TEMP & AGENCY FEES - Total Expense: 4731075, Program Service Expense: 4330487, Management and General Expenses: 400588, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3852134, Program Service Expense: 2999948, Management and General Expenses: 852186, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 1211368, Program Service Expense: 1211368, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 1623846, Program Service Expense: 741086, Management and General Expenses: 882760, Fundraising Expenses: ; ALL OTHER PURCHASED SVRS - Total Expense: 126925, Program Service Expense: 110935, Management and General Expenses: 15990, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO/FROM RELATED PARTIES - -634762; CHANGE IN NET ASSETS OF GARNET HEALTH FOUNDATION - CATSKILLS - 756221; 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. SCHEDULE H PART I LINE 7a - Financial Assistance and Certain Other Community Benefits at Cost - Revised to exclude self-pay discounts that were included in the originally filed amount. 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 - Catskills 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. 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 GARNET HEALTH FOUNDATION - CATSKILLS C 273706 ACTUAL