GARNET HEALTH MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GARNET HEALTH MEDICAL CENTER (EIN 14-1364536)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202523189349313982
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T16:23:43+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4801 Olympia Park Plaza Suite 4000	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141364536	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES GRIGG	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Signature	2025-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$742,544,957	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.GARNETHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF GARNET HEALTH MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	3735	TotalEmployeeCnt
Total Volunteers	217	TotalVolunteersCnt
Total Gross UBI	$65,275	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$13,784	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,697,032	PYContributionsGrantsAmt
CY Contributions Grants	$7,667,510	CYContributionsGrantsAmt
PY Program Service Revenue	$556,450,890	PYProgramServiceRevenueAmt
CY Program Service Revenue	$633,115,274	CYProgramServiceRevenueAmt
PY Investment Income	$5,424,723	PYInvestmentIncomeAmt
CY Investment Income	$13,772,217	CYInvestmentIncomeAmt
PY Other Revenue	$9,171,479	PYOtherRevenueAmt
CY Other Revenue	$9,682,408	CYOtherRevenueAmt
PY Total Revenue	$577,744,124	PYTotalRevenueAmt
CY Total Revenue	$664,237,409	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,050,445	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,029,491	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$343,196,049	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$371,983,141	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$310,014,516	PYOtherExpensesAmt
CY Other Expenses	$300,945,935	CYOtherExpensesAmt
PY Total Expenses	$654,261,010	PYTotalExpensesAmt
CY Total Expenses	$673,958,567	CYTotalExpensesAmt
PY Revenues Less Expenses	-$76,516,886	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,721,158	CYRevenuesLessExpensesAmt
Total Assets BOY	$547,804,991	TotalAssetsBOYAmt
Total Assets EOY	$517,953,729	TotalAssetsEOYAmt
Total Liabilities BOY	$458,880,893	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$447,639,082	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$88,924,098	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$70,314,647	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	GARNET HEALTH MEDICAL CENTER WILL IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. WE WILL PURSUE EXCELLENCE IN ALL WE DO WITH A GOAL OF BECOMING THE PROVIDER OF CHOICE FOR OUR COMMUNITY, THE EMPLOYER OF CHOICE FOR OUR STAFF, AND THE WORKPLACE OF CHOICE FOR OUR DOCTORS. GARNET HEALTH MEDICAL CENTER BELIEVES STRONGLY THAT THE FEAR OF NOT BEING ABLE TO PAY FOR HEALTHCARE SHOULD NOT BE A DETERRENT IN SEEKING HEALTHCARE SERVICES. THEREFORE, WE WORK HARD TO ENSURE THAT HEALTHCARE REMAINS ACCESSIBLE AND AVAILABLE FOR ANY MEMBER OF THE COMMUNITY IN NEED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$375,499,904	ExpenseAmt
Grant	$1,029,491	GrantAmt
Revenue	$388,038,327	RevenueAmt
Desc	INPATIENT CARE: GARNET HEALTH MEDICAL CENTER IS CURRENTLY LICENSED FOR 383 BEDS AT ITS LOCATION AT 707 EAST MAIN ST, MIDDLETOWN, NY AND PROVIDES A FULL RANGE OF ADULT MEDICAL/SURGICAL INTENSIVE CARE, PEDIATRIC, OBSTETRICAL, REHABILITATION AND BEHAVIORAL HEALTH SERVICES. DURING 2024, GHMC HAD 22,414 INPATIENT DISCHARGES AND PERFORMED 859,114 OUTPATIENT PROCEDURES. IN ADDITION TO PROVIDING INPATIENT CARE, GHMC ALSO OPERATES A NETWORK OF OFF-SITE FACILITIES WHICH PROVIDE A FULL RANGE OF OUTPATIENT DIAGNOSTIC, THERAPEUTIC AND COMMUNITY EDUCATION SERVICES. THROUGHOUT THE YEAR, GHMC ALSO CONDUCTS AND COORDINATES A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS. THESE PROGRAMS INCLUDE HEALTH TRADE EXPOSITIONS, FACILITY TOURS, SPEAKERS BUREAU, EDUCATIONAL SEMINARS AND LECTURES, SCHOOL CAREER DAYS, COMMUNITY HEALTH SCREENINGS AND SUPPORT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$210,809,058	ExpenseAmt
Revenue	$217,848,242	RevenueAmt
Desc	PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$15,610,098	ExpenseAmt
Revenue	$16,131,339	RevenueAmt
Desc	PROVIDING BEHAVIORAL HEALTH SERVICES TO 906 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$15,350,854	ExpenseAmt
Revenue	$15,863,439	RevenueAmt
Desc	PROVIDING REHAB SERVICES TO 526 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,350,854	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$15,863,439	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$617,269,914	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	282	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3735	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	8453331000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HEIDI HAHN-SCHROEDER
BOARD MEMBER, VICE CHAIR	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
PHILLIP MASSENGILL MD
TREASURER	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN MURRAY-TETZ
CHAIR & SECRETARY	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES GRIGG
CHIEF FINANCIAL OFFICER	25.0	35.0		Yes (X)	$0	$713,873	$28,723
JONATHAN SCHILLER
GH PRESIDENT/CEO	40.0	20.0		Yes (X)	$0	$1,121,459	$51,508
PAMELA MURPHY MD
CHIEF MEDICAL OFFICER	40.0	20.0		Yes (X)	$0	$557,647	$39,301
ANN DIAGOSTINO
ADMINISTRATOR OF PATIENT EXPERIENCE	40.0	1.0			$134,179	$0	$14,746	Yes (X)
CARMELLA PISTONE-HALPERN
NURSING DIRECTOR Until April 2024	40.0	0			$286,705	$0	$19,523	Yes (X)
HAI LUO
CHIEF PHYSICIST	40.0	0			$302,459	$0	$78,591	Yes (X)
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	40.0	0			$292,097	$0	$68,757	Yes (X)
MINMING HUANG
MED PHYSICIST until September 2024	40.0	0			$262,371	$0	$72,797	Yes (X)
GERARD DUNLAVEY
FORMER OFFICER, CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH	0.0	50.0			$0	$578,193	$68,878		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,277,811	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,971,172	TotReportableCompRltdOrgAmt
Total Other Compensation	$442,824	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1008	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GARNET HEALTH DOCTORS PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	MEDICAL SERVICES	$27,704,747
GUIDEHOUSE
4511 PAYSPHEAR CIRCLE	CHICAGO	IL	60674	CONSULTING SERVICES	$9,786,730
QUEST DIAGNOSTICS
PO BOX 829864	PHILADELPHIA	PA	19182	LAB TESTING	$6,335,402
TRUSTEES OF COLUMBIA UNIVERSITY
PO BOX 27651	NEW YORK	NY	10087	PHYSICIAN SERVICES	$3,816,848
EPIC SYSTEMS CORPORATION
BOX 88314	MILWAUKEE	WI	532880314	IT SERVICES	$3,204,998

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	85	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,923,722	RelatedOrganizationsAmt
Government Grants	$4,709,445	GovernmentGrantsAmt
All Other Contributions	$34,343	AllOtherContributionsAmt
Noncash Contributions	$39,580	NoncashContributionsAmt
Total Contributions	$7,667,510	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$632,115,274	$632,069,301	$45,973
MANAGEMENT FEE INCOME	561110	$1,000,000	$1,000,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$633,115,274	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,221,073	TotalRevenueColumnAmt
Exclusion	$2,221,073	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,184,994	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,184,994	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,184,994	TotalRevenueColumnAmt
Unrelated Business Revenue	$19,302	UnrelatedBusinessRevenueAmt
Exclusion	$2,165,692	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$89,777,135	SecuritiesAmt
Other	$81,557	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$77,956,553	SecuritiesAmt
Other	$350,995	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,820,582	SecuritiesAmt
Other	-$269,438	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,551,144	TotalRevenueColumnAmt
Exclusion	$11,551,144	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/COFFEE & GIFT SHOP REVENUE	721110	$2,685,368	$2,685,368
REBATES	900099	$2,165,059		$2,165,059
ALLOCATED OVERHEAD RELATED ORG	900099	$1,093,435		$1,093,435

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,553,552	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,553,552	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,497,414	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$664,237,409	TotalRevenueColumnAmt
Related Or Exempt Func Income	$637,881,347	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$65,275	UnrelatedBusinessRevenueAmt
Exclusion	$18,623,277	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,029,491	TotalAmt
Program Services	$1,029,491	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$259,836,713	TotalAmt
Program Services	$239,769,279	ProgramServicesAmt
Management And General	$20,067,434	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,135,326	TotalAmt
Program Services	$25,962,408	ProgramServicesAmt
Management And General	$2,172,918	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$64,208,834	TotalAmt
Program Services	$59,249,925	ProgramServicesAmt
Management And General	$4,958,909	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,802,268	TotalAmt
Program Services	$18,272,920	ProgramServicesAmt
Management And General	$1,529,348	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,322,796	TotalAmt
Management And General	$1,322,796	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$399,981	TotalAmt
Management And General	$399,981	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$120,651	TotalAmt
Program Services	$120,651	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$169,443	TotalAmt
Management And General	$169,443	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$80,332,258	TotalAmt
Program Services	$73,973,123	ProgramServicesAmt
Management And General	$6,359,135	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,027,143	TotalAmt
Program Services	$958,785	ProgramServicesAmt
Management And General	$68,358	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,706,727	TotalAmt
Program Services	$15,802,580	ProgramServicesAmt
Management And General	$1,904,147	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,091,676	TotalAmt
Program Services	$7,547,628	ProgramServicesAmt
Management And General	$1,544,048	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,989,129	TotalAmt
Program Services	$8,368,594	ProgramServicesAmt
Management And General	$4,620,535	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$352,939	TotalAmt
Program Services	$336,691	ProgramServicesAmt
Management And General	$16,248	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$123,326	TotalAmt
Program Services	$100,080	ProgramServicesAmt
Management And General	$23,246	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,504,622	TotalAmt
Program Services	$9,553,531	ProgramServicesAmt
Management And General	$2,951,091	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,839,394	TotalAmt
Program Services	$21,269,297	ProgramServicesAmt
Management And General	$6,570,097	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,276,358	TotalAmt
Program Services	$4,795,138	ProgramServicesAmt
Management And General	$1,481,220	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$113,898,227	$113,898,227
NON MEDICAL SUPPLIES	$8,285,979	$8,092,130	$193,849
NET PERIODIC PENSION AND POST-RETIREMENT BENEFIT COSTS	$4,348,646	$4,012,796	$335,850
OTHER TAXES & ASSESSMENTS	$3,581,974	$3,581,974	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$574,666	TotalAmt
Program Services	$574,666	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$673,958,567	TotalAmt
Program Services	$617,269,914	ProgramServicesAmt
Management And General	$56,688,653	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,578	BOYAmt
EOY	$11,378	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,770,631	BOYAmt
EOY	$46,726,139	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,028,763	BOYAmt
EOY	$81,062,019	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,115,893	BOYAmt
EOY	$11,465,264	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,954,402	BOYAmt
EOY	$7,036,918	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$615,219,263	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$386,424,893	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$252,587,808	BOYAmt
EOY	$228,794,370	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$94,076,715	BOYAmt
EOY	$62,063,163	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$82,258,201	BOYAmt
EOY	$80,794,478	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$547,804,991	BOYAmt
EOY	$517,953,729	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$107,487,572	BOYAmt
EOY	$115,018,924	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$247,922,787	BOYAmt
EOY	$235,699,644	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,800,000	BOYAmt
EOY	$15,200,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,333,333	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,284,701	BOYAmt
EOY	$81,720,514	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$458,880,893	BOYAmt
EOY	$447,639,082	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,376,809	BOYAmt
EOY	$63,955,069	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,547,289	BOYAmt
EOY	$6,359,578	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$88,924,098	BOYAmt
EOY	$70,314,647	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$547,804,991	BOYAmt
EOY	$517,953,729	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,721,158	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,861,597	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,026,696	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$74,400	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$46,251	OtherActivitiesAmt
Total Lobbying Expenditures	$120,651	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$28,396	InvestmentEarningsOrLossesAmt
Other Expenditures	-$28,396	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	$383,347	InvestmentEarningsOrLossesAmt
Other Expenditures	$383,347	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$267,077,114	OtherCostOrOtherBasisAmt
Depreciation	$118,727,924	DepreciationAmt
Book Value	$148,349,190	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$320,444,771	OtherCostOrOtherBasisAmt
Depreciation	$253,114,153	DepreciationAmt
Book Value	$67,330,618	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,799,963	OtherCostOrOtherBasisAmt
Depreciation	$14,582,816	DepreciationAmt
Book Value	$8,217,147	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$228,794,370	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE RECOVERIES RECEIVABLE	$35,265,817
DUE FROM THIRD-PARTIES	$13,268,137
DUE FROM RELATED ORGANIZATIONS	$11,797,996
MISCELLANEOUS RECEIVABLES	$5,321,764
INTEREST IN GH FOUNDATION	$4,404,714
RIGHT OF USE ASSETS	$10,736,050

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$80,794,478	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Federal Income Taxes
DUE TO THIRD-PARTIES	$5,758,576
PENSION LIABILITY	$17,155,105
LT LIABILITY - WC & MALPRACTICE	$34,418,384
LEASE LIABILITIES	$11,128,091
DUE TO RELATED ORGANIZATIONS	$12,420,512
FEMA GRANT LIABILITY	$839,846

Field	Value	IRS element (for citing)
Total Liability	$81,720,514	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$661,177,737	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,861,597	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	-$2,861,597	RevenueNotReportedAmt
Revenue Subtotal	$664,039,334	RevenueSubtotalAmt
Investment Expenses Not Incld	$169,443	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$28,632	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$198,075	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$664,237,409	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$673,760,492	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$673,760,492	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$169,443	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$28,632	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$198,075	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$673,958,567	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,903,346	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,623,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,279,448	NetCommunityBenefitExpnsAmt
Total Expense	0.01377	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,925,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,558,001	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,367,692	NetCommunityBenefitExpnsAmt
Total Expense	0.03170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$114,829,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,181,899	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,647,140	NetCommunityBenefitExpnsAmt
Total Expense	0.04547	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$131,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$131,470	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,856,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,937,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,918,649	NetCommunityBenefitExpnsAmt
Total Expense	0.01175	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,104,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,492,085	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,612,619	NetCommunityBenefitExpnsAmt
Total Expense	0.05581	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$137,092,619	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,429,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,662,738	NetCommunityBenefitExpnsAmt
Total Expense	0.06775	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$251,921,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$175,611,780	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,309,878	NetCommunityBenefitExpnsAmt
Total Expense	0.11323	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$158,238,360	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$183,882,523	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,644,163	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

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

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. Community input for the Community Health Needs Assessment (CHNA) in Orange 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 906 respondents from Orange County. Responses were weighted by age, gender, race/ethnicity, and socioeconomic status to ensure accurate representation. Among Orange County's 2024 demographic projections show approximately 3.41% Asian and Pacific Islander Non-Hispanic, 11.64% Black Non-Hispanic, 26.33% Hispanic, 52.02% White Non-Hispanic, and 6.60% other ethnicities. Age groups included 24.59% aged 0-17 years, 35.25% aged 18-44, 24.25% aged 45-65, and 15.71% aged 65 and older. Socioeconomic data indicate that 8.12% of households earn less than $15,000 annually, and 14.81% earn between $25,000 and $50,000. The median household income is $95,298, which is higher than some surrounding areas; however, certain communities remain economically vulnerable, particularly in rural or underserved regions. Education data reveal that 10.67% of residents have not completed high school, including 3.57% with less than high school and 7.10% with some high school education, highlighting potential health literacy and access barriers. To capture voices from medically underserved and vulnerable populations, The Orange County Department of Health led two focus groups with service providers representing low-income individuals, veterans, seniors, people with disabilities, and members of the LGBTQ community. These focus groups provided qualitative insights into barriers to care and health disparities experienced by these groups. Organizations that actively provided input during the CHNA process include 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), HealthAlliance Hospital, Nuvance Health, Montefiore Hudson Valley Collaborative, Montefiore Nyack Hospital, Montefiore St. Luke's Cornwall, Putnam Hospital Center, Vassar Brothers Medical Center, St. Joseph's Medical Center, as well as local health departments, federally qualified health centers (FQHCs), offices of aging, veterans' affairs, school districts, and food banks. Additional key 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. The organizations that provided input represent specific vulnerable populations as follows. The Orange County Department of Health and local federally qualified health centers represent low-income, uninsured and medically underserved populations, contributing data and perspectives on access barriers faced by households earning less than $15,000 annually (approximately 8.12% of the households) and those limited health literacies. Veterans affairs offices; provided insights into health and social needs or veterans, who comprise a significant portion of the county's medically underserved population. Offices of the aging focused on senior (15.71% of the population aged 65 and older), emphasizing challenges related to chronic disease management and healthcare access. Disability service providers represented individuals with physical and cognitive disabilities, highlighting mobility and communication barriers. LGBTQ advocacy groups contributed perspectives on health disparities affecting sexual and gender minorities. Food banks and social service organizations emphasized the impact of food insecurity and poverty, which affects approximately 10.4% of residents living below the Federal Poverty Guidelines (FPG). This diverse and inclusive input process ensured that the CHNA reflects the health needs and disparities experiences by medically underserved, low-income, minority, veteran, senior, disabled and LGBTQ populations across Orange County.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. Through the Local Health Department Prevention Agenda Collaborative, the following hospital facilities participated in the CHNA process: - Bon Secours Charity Health System, a member of the Westchester Medical Center Health Network Good Samaritan Hospital - Bon Secours Community Hospital - St. Anthony Community Hospital - Garnet Health Medical Center - Catskills (formerly, Catskill Regional Medical Center, a member of the Greater Hudson Valley Health System) - HealthAlliance Hospital, a member of the Westchester Medical Center Health Network - Nuvance Health - Northern Dutchess Hospital - Vassar Brothers Medical Center - Putnam Hospital Center - Montefiore Hudson Valley Collaborative - Montefiore Nyack Hospital - Montefiore St. Luke's Cornwall - Garnet Health Medical Center (formerly, Orange Regional Medical Center, a member of the Greater Hudson Valley Health System) - St. Joseph's Medical Center
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. Siena College Research Institute The Foundation for Community Health Dutchess County Department of Behavioral & Community Health Orange County Department of Health Putnam County Department of Health Rockland County Department of Health Sullivan County Public Health Services Ulster County Department of Health and Mental Health Westchester County Department of Health
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GARNET HEALTH MEDICAL CENTER. In 2024, Garnet Health Medical Center (GHMC) continued its commitment to addressing significant health needs identified in the CHNA, including prevention of chronic disease, improved mental health, substance abuse prevention, and increased access to care. As a multi-campus health system serving the Mid-Hudson region, GHMC and GHMCC made substantial progress on initiatives that directly supported vulnerable populations through targeted, measurable programs. Middletown Campus: In 2024, net community benefits totaled $76.3 million (11.32% of hospital expenses). This includes: - $30.6 million (4.55%) in financial assistance and means tested government programs - $45.7 million (6.78%) in other community benefits These efforts supported initiatives such as: i) Diabetes education, school wellness programming, and chronic disease screenings, including the Know Your Numbers campaign, which screened 600+ participants for key cardiovascular indicators between 2023-2025. ii) Behavioral health services and youth mental health training, with new investments in group support and outreach. iii)Food insecurity interventions, including: -- Food Farmacy, which screened 4,000+ patients and distributed 500+ diet-friendly food bags in 2024. -- FreshRx Produce Prescription Program, an ongoing partnership with Cornell Cooperative Extension serving both Sullivan and Orange counties. New and expanded 2024 programs include: i) "Just Breathtaking" Lung Disease Support Group: A free educational and peer support group launched to help patients cope with chronic lung disease and associated mental health concerns. ii) Warrior Kids: In partnership with Snap-Ed and Eat Smart NY - Cornell Cooperative Extension, this program engaged 379 children from 2023-2025 in healthy lifestyle education and physical activity. iii) Free prostate and breast cancer screenings: Ongoing outreach events targeted to uninsured and underinsured populations. iv) Speakers Bureau: Provided expert-led health education throughout the year on priority topics such as substance abuse, mental wellness, nutrition, and chronic disease prevention. v) Cardiovascular Care Expansion: GHMC launched a new open-heart surgery program and unveiled a state-of-the-art hybrid surgical suite at its Middletown campus, advancing care access for complex cardiac conditions. While workforce shortages remain a challenge, GHMC continued to expand its telehealth services and pursue provider recruitment to maintain access to care across rural and underserved communities. These 2024-specific actions reflect GHMC's sustained implementation of its CHIP and its dedication to transparency, accountability, and meaningful community health impact. In addition, other identified health needs including Access to Medical Providers, Cancer, Obesity, Preventative Care, Women's and Children's Health have not been specifically addressed through the development of the Implementation Strategy. However, many of these needs are covered through Garnet Health's provision of comprehensive services or through the above-mentioned priority areas to be focused on over the next three years. Finally, identified health needs including Affordable Housing, Domestic Violence, Lack of Affordable/Reliable Transportation are Outside the scope of services provided by Garnet Health Medical Center, but opportunities may exist for Garnet Health to support organizations addressing these needs.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	75 CRYSTAL RUN ROAD	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10941	ZIPCd

Field	Value	IRS element (for citing)
Facility	WOUND CARE, SLEEP CENTER, SUBSTANCE ABUSE & COUNSELING CNTR	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 5a Budgeted amounts for free or discounted care	GARNET HEALTH MEDICAL CENTER (GHMC) does not maintain a separate, formal budget line specifically designated for financial assistance under its financial assistance policy. Although a discrete budget line is not maintained, Garnet Health forecasts and tracks financial assistance expenditures to ensure adequate resources are available throughout the year, demonstrating that it remains fully committed to providing significant financial assistance and charity care to patients in need. Financial assistance is incorporated within the broader operational and community benefit planning processes, enabling flexibility to respond to patient needs as they arise. In 2024, GHMC delivered substantial financial assistance through a variety of means-tested programs, uncompensated care, and sliding-scale services. This approach ensures that patients who qualify for assistance receive appropriate care without the constraints of a rigid budget. This operational model supports the hospital's mission of serving the community and maintaining compliance with regulatory requirements. By embedding financial assistance into overall community benefit efforts rather than isolating it as a separate budget item, the hospital efficiently addresses patient needs while demonstrating transparency and accountability.
Schedule H, Part I, Line 7g Subsidized Health Services	LINE 7G DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, GHMC HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	GHMC follows FASB ASC Topic 606 for revenue recognition, which requires that implicit price concessions be recorded as a reduction of patient service revenue rather than as bad debt expense. As a result, GHMC does not separately report bad debt expense in its financial statements. Therefore, the estimated amount of bad debt attributable to patients who may have been eligible under the financial assistance policy is considered to be zero.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Per Note 2 of the audited financials statements: Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to net patient service revenue in the period of the change. Portfolio collection estimates are updated monthly based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the periods ended December 31, 2024 and 2023, was not significant.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE SHORTFALL OF $25,644,163 COULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE TO THE EXTENT THAT IT IS IN EFFECT A SUBSIDY OF A GOVERNMENTAL HEALTHCARE PLAN, WHICH ENABLES THE RECIPIENTS OF THESE BENEFITS TO RECEIVE HEALTHCARE. THE AMOUNT INDICATED ON LINE 6, AS MEDICARE ALLOWABLE COSTS RELATED TO MEDICARE PAYMENTS, HAS BEEN CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO GROSS CHARGES FOR MEDICARE AND MEDICARE ADVANTAGE PLAN, LESS PAYMENTS. THIS RATIO IS CONSISTENT WITH THAT USED FOR MEDICAID AND OTHER PROVIDERS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	GHMC'S COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, CHARITY CARE ELIGIBILITY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME, AND DO NOT QUALIFY FOR A 100% WRITE-OFF. DURING THE FINANCIAL ASSISTANCE DETERMINATION PROCESS, COLLECTION EFFORTS WILL BE PLACED ON HOLD, AND THE ACCOUNT WILL BE ASSIGNED TO A CHARITY FINANCIAL STATUS. ALSO, ACCOUNTS PENDING PAYMENT FROM MEDICAID FOR ELIGIBLE PATIENTS WILL NOT BE REFERRED TO COLLECTIONS.
Schedule H, Part V, Section B, Line 16a FAP website	- GARNET HEALTH MEDICAL CENTER: Line 16a URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GARNET HEALTH MEDICAL CENTER: Line 16b URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GARNET HEALTH MEDICAL CENTER: Line 16c URL: www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	THE MAJORITY OF GHMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, GHMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	TO INFORM AND EDUCATE OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, GARNET HEALTH MEDICAL CENTER UTILIZES SEVERAL METHODS, INCLUDING PROVIDING A FINANCIAL AID SUMMARY AT REGISTRATION, POSTING SIGNS IN PATIENT AREAS, DETAILING THE INFORMATION ON THE ORGANIZATION'S WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS.
Schedule H, Part VI, Line 4 Community information	Garnet Health Medical Center (GHMC) defines its community as its broader service area, which includes portions of Orange, Sullivan, and Ulster Counties in New York State. Approximately 87% of GHMC's patients reside within this service area, and approximately 70% of patients reside specifically in Orange County. For purposes of this Community Health Needs Assessment (CHNA), GHMC has placed emphasis on Orange 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 Sullivan and Ulster Counties is included in the CHNA report when available, to provide regional context. As of 2024, the population of Orange County is projected to be approximately 400,016 residents. The racial and ethnic composition reflects significant diversity, with 26.3% of the population identifying as Hispanic, 11.6% as Black Non-Hispanic, 3.4% as Asian and Pacific Islander Non-Hispanic, and 52.0% as White Non-Hispanic. The age distribution in Orange County includes 24.6% of residents under age 18, 35.3% aged 18 to 44, 24.5% aged 45 to 64, and 15.7% aged 65 and older. This distribution indicates a need for health services across all age groups. Household income data highlights socioeconomic diversity. As of 2024, 8.1% of Orange County households earn less than $15,000 annually, and 14.8% earn between $25,000 and $50,000. The median household income in Orange County is $95,298, which is higher than some surrounding areas; however, certain communities remain economically vulnerable, particularly in rural or underserved regions. Approximately 10.4% of Orange County residents live below the Federal Poverty Guidelines, with higher concentrations of poverty in specific census tracts that may experience limited access to healthcare and other services. Regarding education, 10.7% of Orange County residents have not completed high school, which may contribute to barriers in health literacy, employment, and access to healthcare services. In addition, approximately 4.0% of Orange County residents are uninsured, which presents ongoing barriers to accessing preventive services, managing chronic conditions, and receiving timely care. While this rate is lower than national averages, pockets of underinsurance and lack of coverage persist, particularly in rural areas and among low-income populations. Poverty data indicates that multiple census tracts in Orange County exceed state benchmarks for the percentage of residents living below the Federal Poverty Guidelines. This comprehensive demographic and geographic data are essential to Garnet Health's efforts to reduce health disparities, identify service gaps, and align resources with the evolving needs of the communities it serves, with an emphasis on Orange County.
Schedule H, Part VI, Line 5 Promotion of community health	GARNET HEALTH MEDICAL CENTER (GHMC) HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF THE COMMUNITY IN SEVERAL WAYS. THE MAJORITY OF GHMC'S GOVERNING BODY CONSISTS OF PERSONS WHO RESIDE IN GHMC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. AS LOCAL HEALTH CONSUMERS, THEY PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. ALSO, GHMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL. GHMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED PHYSICIAN IS ENCOURAGED TO APPLY FOR MEDICAL STAFF MEMBERSHIP. During the 2024 tax year, GHMC allocated surplus funds totaling over $4.9 million to initiatives aligned with the health priorities identified in its most recent Community Health Needs Assessment (CHNA). These investments were not limited to routine capital improvements but were directed toward addressing gaps in care, expanding access, and supporting medically underserved populations throughout the service region. More specifically, approximately $1.6 million was utilized to complete targeted updates to the pharmacy and laboratory service lines. These upgrades improved diagnostic accuracy and timely access to medications, both of which are essential for managing chronic conditions such as diabetes and cardiovascular disease. These needs were directly identified in the CHNA, particularly among low-income and rural populations with limited access to primary and specialty care. Enhanced lab and pharmacy capacity support early detection and treatment adherence, improving outcomes for patients who may face transportation, affordability, or health literacy barriers. An additional $3.3 million was invested in routine equipment replacements, including imaging systems, surgical tools, and patient monitoring equipment. While some of these expenditures are part of standard hospital operations, many were strategically selected to reduce wait times and support continuity of care in key service lines identified as high-need in the CHNA, such as maternal health, behavioral health, and emergency services. These upgrades enable Garnet Health to provide more timely and effective care to vulnerable populations, including seniors, individuals with disabilities, and those experiencing housing or economic insecurity. Surplus funds were also used to strengthen telehealth infrastructure and care coordination, particularly benefiting rural patients and those with transportation barriers in Sullivan and Orange Counties. Additional resources supported partnerships with local organizations addressing social determinants of health, such as housing, nutrition, and behavioral health services. These targeted investments reflect Garnet Health Medical Center's ongoing and measurable commitment to advancing health equity and improving access to high-quality care. The use of surplus funds is intentionally aligned with CHNA results and community-defined priorities, ensuring that both capital and operational expenditures support the GHMC's charitable mission and benefit populations most at risk of poor health outcomes.
Schedule H, Part VI, Line 6 Affiliated health care system	GARNET HEALTH (GH) IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS- GARNET HEALTH MEDICAL CENTER -CATSKILLS AND GARNET HEALTH MEDICAL CENTER, AND ALSO FOR THE GARNET HEALTH FOUNDATION AND GARNET HEALTH FOUNDATION - CATSKILLS. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC ARE ALSO PARTICIPANTS IN THE SYSTEM. GARNET HEALTH IS DEDICATED TO DEVELOPING SPECIALTY SERVICES, MEDICAL PROGRAMS AND NEEDED HEALTHCARE SERVICES THAT ALLOW RESIDENTS TO REMAIN CLOSE TO HOME TO RECEIVE QUALITY CARE. PROVIDING HEALTHCARE TO NEARLY 487,000 RESIDENTS IN ORANGE, SULLIVAN AND ULSTER COUNTIES, GARNET HEALTH WAS DESIGNED TO IMPROVE THE QUALITY, STABILITY AND EFFICIENCY OF HEALTHCARE SERVICES IN THE MID-HUDSON AND CATSKILL REGIONS. SERVICES PROVIDED BY MORE THAN 3,480 EMPLOYED PROFESSIONALS AND OVER 460 MEDICAL STAFF MEMBERS, MAKES GARNET HEALTH ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THE TRI-COUNTY AREA. THE SYSTEM HAS THREE HOSPITAL CAMPUSES PLUS SEVERAL OUTPATIENT FACILITIES, OFFERING A BROAD SPECTRUM OF CARE. GARNET HEALTH MEDICAL CENTER - CATSKILLS HAS TWO HOSPITAL FACILITIES SERVING PATIENTS IN SULLIVAN AND ULSTER COUNTIES. GHMC - CATSKILLS IN HARRIS, NY IS A COMMUNITY HOSPITAL; WHILE, THE CALLICOON, NY FACILITY IS A CRITICAL ACCESS HOSPITAL. GARNET HEALTH MEDICAL CENTER SERVES PATIENTS IN THE TRI-COUNTY AREA. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC HAVE OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Recipient EIN	133020568	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,029,491	CashGrantAmt
Purpose Of Grant	INSTITUTIONAL SUPPORT	PurposeOfGrantTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GERARD DUNLAVEY
FORMER OFFICER, CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH	$0	$546,666	$0	$0	$0	$31,527	$0	$31,050	$0	$37,828	$0	$647,071	$0	$0
JAMES GRIGG
CHIEF FINANCIAL OFFICER	$0	$660,788	$0	$0	$0	$53,085	$0	$13,800	$0	$14,923	$0	$742,596	$0	$0
PAMELA MURPHY MD
CHIEF MEDICAL OFFICER	$0	$524,957	$0	$0	$0	$32,690	$0	$13,800	$0	$25,501	$0	$596,948	$0	$0
JONATHAN SCHILLER
GH PRESIDENT/CEO	$0	$1,096,665	$0	$0	$0	$24,794	$0	$13,800	$0	$37,708	$0	$1,172,967	$0	$0
HAI LUO
CHIEF PHYSICIST	$300,161	$0	$0	$0	$2,298	$0	$47,281	$0	$31,310	$0	$381,050	$0	$0	$0
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	$289,942	$0	$0	$0	$2,155	$0	$41,478	$0	$27,279	$0	$360,854	$0	$0	$0
CARMELLA PISTONE-HALPERN
NURSING DIRECTOR Until April 2024	$58,013	$0	$0	$0	$228,692	$0	$5,469	$0	$14,054	$0	$306,228	$0	$189,310	$0
MINMING HUANG
MED PHYSICIST until September 2024	$148,032	$0	$0	$0	$114,339	$0	$44,286	$0	$28,511	$0	$335,168	$0	$94,401	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

COMPENSATION OF THE CEO WAS DETERMINED BY GARNET HEALTH AND PAID BY GARNET HEALTH. THE SALARY AND RELATED EXPENSES WERE THEN CHARGED TO GARNET HEALTH MEDICAL CENTER. GARNET HEALTH USES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF GARNET HEALTH.

Schedule J, Part I, Line 7 Non-fixed payments

DURING THE TAX YEAR THE ORGANIZATION PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II COLUMN B(II). BONUSES ARE BASED UPON THE ATTAINMENT OF ORGANIZATIONAL GOALS THAT SUPPORT AND REINFORCE THE ORGANIZATION MISSION, VALUES AND STRATEGIC OBJECTIVES. THESE TARGETS ARE PREDETERMINED AND THE ANNUAL INCENTIVE IS BASED UPON THE PERCENTAGE OF COMPLETION IN EACH AREA. THESE BONUSES ARE PAID AT THE DISCRETION OF THE BOARD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$10,900,000	$70,802,150	$4,393,748	$65,715,402	$693,000	2016	false	false	Yes (true)	Yes (true)
B	$63,500,000	$254,806,942	$0	$18,866,771	$232,899,386	2017	false	Yes (true)	Yes (true)	Yes (true)	$3,040,785

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	false	0	0.0048	0.0048	false	false	0	false	false
B	false	false	false	false	false	false	0	0	0.0	false	false	0	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	0	false	false	false	0	false	false	false
B	false	false	false	Yes (true)	false	false	0	false	false	false	0	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 Total proceeds of issue - COLUMN A	If the total proceeds of the issue exceeds the issue price of the respective bond, the difference is due to investment earnings. Earnings are included in the total proceeds of each issue.
Schedule K, Part II, Line 3 Total proceeds of issue - COLUMN B	If the total proceeds of the issue exceeds the issue price of the respective bond, the difference is due to investment earnings. Earnings are included in the total proceeds of each issue.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: DORMITORY AUTHORITY OF THE STATE OF NEW YORK The calculation for computing no rebate due was performed on 05/13/2025
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: DORMITORY AUTHORITY OF THE STATE OF NEW YORK The calculation for computing no rebate due was performed on 10/28/2022

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	TOYS, BLANKETS, CLOTHING, BOOKS, CARE PACKAGES, FOOD	Desc
Contribution	57	ContributionCnt
Noncash Contributions Rpt F990	$39,580	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a-4c Description of program services	(Expenses $ 15,350,854 including grants of $)(Revenue $ 15,863,439) PROVIDING REHAB SERVICES TO 526 PATIENTS IN THE SURROUNDING COMMUNITY.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	GARNET HEALTH MEDICAL CENTER CEO IS EMPLOYED AND COMPENSATED BY GARNET HEALTH, A RELATED ORGANIZATION. COMPENSATION FOR THE GARNET HEALTH MEDICAL CENTER CEO IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE CEO WAS PERFORMED IN 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 AND KEY EMPLOYEES OF GARNET HEALTH MEDICAL CENTER ARE EMPLOYED AND COMPENSATED BY GARNET HEALTH, A RELATED ORGANIZATION. COMPENSATION FOR THE KEY EMPLOYEES IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE GARNET HEALTH BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE PRESIDENT/CEO WAS PERFORMED IN 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 1a Delegate broad authority to a committee	EXCEPT AS OTHERWISE PROHIBITED BY THE NPCL, THE EXECUTIVE COMMITTEE MAY EXERCISE THE POWERS OF THE BOARD OF DIRECTORS, PROVIDED SUCH ACTION IS NOT INCONSISTENT WITH THE PROVISIONS OF GARNET HEALTH MEDICAL CENTER'S (GHMC) CERTIFICATE OF INCORPORATION, THESE BYLAWS, OR ANY LAW OR STATUTE GOVERNING GHMC. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED FULLY TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	GARNET HEALTH, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) IS THE SOLE MEMBER OF GARNET HEALTH MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	GARNET HEALTH, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) IS THE SOLE MEMBER OF GARNET HEALTH MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	GARNET HEALTH'S BOARD OF DIRECTORS APPROVES DECISIONS OF GARNET HEALTH MEDICAL CENTER'S BOARD OF DIRECTORS INCLUDING: * APPOINTMENT OF DIRECTORS * APPROVAL OF CERTIFICATE OF NEED APPLICATIONS * APPROVAL OF ANNUAL STRATEGIC PLAN * APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION * APPROVAL OF OPERATING AND CAPITAL BUDGETS * APPROVAL OF ANY BORROWINGS, GUARANTEES OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE * APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION * APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE FINAL DRAFT RETURN IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE GARNET HEALTH BOARD OF DIRECTORS. A COPY OF THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c Conflict of interest policy	AS A PARTICIPANT IN THE GARNET HEALTH SYSTEM, GARNET HEALTH MEDICAL CENTER IS SUBJECT TO THE GARNET HEALTH CONFLICT OF INTEREST (COI) POLICY WHICH APPLIES TO ALL MANAGEMENT PERSONNEL, INCLUSIVE OF DIRECTORS, MANAGERS AND SUPERVISORS, COMMITTEE MEMBERS, TRUSTEES AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE ORGANIZATION OR ANY ENTITY CONTROLLED BY THE ORGANIZATION. THE CONFLICTS POLICY REQUIRES MANAGEMENT AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO GARNET HEALTH POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE GARNET HEALTH CORPORATE COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND PRESENTS ANY CONFLICTS TO THE BOARD AUDIT AND COMPLIANCE COMMITTEE SO THAT ANY IDENTIFIED INDIVIDUAL WITH A POTENTIAL CONFLICT IS RECUSED FROM PARTICIPATING IN THE CONSIDERATION OR DETERMINATION OF THE MATTER. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	CARIDIAC SURGERY PROFESSIONAL FEE REVENUE - Total Revenue: 669563, Related or Exempt Function Revenue: 669563, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; ALL OTHER REVENUE - Total Revenue: 577922, Related or Exempt Function Revenue: 577922, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MEDICAL EDUCATION - Total Revenue: 306067, Related or Exempt Function Revenue: 306067, 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: 39277298, Program Service Expense: 39277298, Management and General Expenses: 0, Fundraising Expenses: ; TEMP AND AGENCY FEES - Total Expense: 1662792, Program Service Expense: 1626931, Management and General Expenses: 35861, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 9687317, Program Service Expense: 5464404, Management and General Expenses: 4222913, Fundraising Expenses: ; RECRUITMENT FEES - Total Expense: 37171, Program Service Expense: 0, Management and General Expenses: 37171, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 25040124, Program Service Expense: 23019484, Management and General Expenses: 2020640, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 4015758, Program Service Expense: 4015758, Management and General Expenses: 0, Fundraising Expenses: ; ALL OTHER PURCHASED SERVICES - Total Expense: 611798, Program Service Expense: 569248, Management and General Expenses: 42550, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	POST RETIREMENT-RELATED CHANGES - 6872378; PENSION-RELATED CHANGES - -381705; CHANGES IN NET ASSETS OF GARNET HEALTH FOUNDATION - -2187711; TRANSFER TO RELATED PARTIES - GARNET HEALTH DOCTORS PC - -10000000; TRANSFER TO RELATED PARTIES - GARNET HEALTH - -329658; Total - -6026696;
Schedule B, Part I and II DONOR ADDRESS	NO 2: MACVEAN LEWIS SHERWIN & MCDERMOOT, PC, 34 GROVE STREET

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

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

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GARNET HEALTH FOUNDATION
B	$1,029,491	ACTUAL
GARNET HEALTH FOUNDATION
C	$2,923,722	ACTUAL