2025-11-14T16:23:43+00:00 2024-12-31 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-01-01 141364536 Garnet Health Medical Center GARN 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 JAMES GRIGG CHIEF FINANCIAL OFFICER 2025-11-14 true Rachel Spurlock P00520729 5023263996 2025-11-14 2024 2025-03-06 01:10:19Z JONATHAN SCHILLER 707 EAST MAIN STREET MIDDLETOWN NY 10940 742544957 false X HTTPS://WWW.GARNETHEALTH.ORG X 1908 NY 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. 3 3 3735 217 65275 13784 6697032 7667510 556450890 633115274 5424723 13772217 9171479 9682408 577744124 664237409 1050445 1029491 0 343196049 371983141 0 0 310014516 300945935 654261010 673958567 -76516886 -9721158 547804991 517953729 458880893 447639082 88924098 70314647 X 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. false false 375499904 1029491 388038327 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. 210809058 217848242 PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY. 15610098 16131339 PROVIDING BEHAVIORAL HEALTH SERVICES TO 906 PATIENTS IN THE SURROUNDING COMMUNITY. 15350854 15863439 PROVIDING REHAB SERVICES TO 526 PATIENTS IN THE SURROUNDING COMMUNITY. 15350854 15863439 617269914 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false true false false false false true true true false false true 282 0 true 3735 true true true false false false false false false false false false false false X 3 3 false false false false true true true true true false false false true true true true true true false false false false NY X JAMES GRIGG 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 HEIDI HAHN-SCHROEDER BOARD MEMBER, VICE CHAIR 1.0 2.0 X X 0 0 0 PHILLIP MASSENGILL MD TREASURER 1.0 2.0 X X 0 0 0 SUSAN MURRAY-TETZ CHAIR & SECRETARY 1.0 2.0 X X 0 0 0 JAMES GRIGG CHIEF FINANCIAL OFFICER 25.0 35.0 X 0 713873 28723 JONATHAN SCHILLER GH PRESIDENT/CEO 40.0 20.0 X 0 1121459 51508 PAMELA MURPHY MD CHIEF MEDICAL OFFICER 40.0 20.0 X 0 557647 39301 ANN DIAGOSTINO ADMINISTRATOR OF PATIENT EXPERIENCE 40.0 1.0 X 134179 0 14746 CARMELLA PISTONE-HALPERN NURSING DIRECTOR Until April 2024 40.0 0 X 286705 0 19523 HAI LUO CHIEF PHYSICIST 40.0 0 X 302459 0 78591 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 40.0 0 X 292097 0 68757 MINMING HUANG MED PHYSICIST until September 2024 40.0 0 X 262371 0 72797 GERARD DUNLAVEY FORMER OFFICER, CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH 0.0 50.0 X 0 578193 68878 1277811 2971172 442824 1008 true true false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 MEDICAL SERVICES 27704747 GUIDEHOUSE 4511 PAYSPHEAR CIRCLE CHICAGO IL 60674 CONSULTING SERVICES 9786730 QUEST DIAGNOSTICS PO BOX 829864 PHILADELPHIA PA 19182 LAB TESTING 6335402 TRUSTEES OF COLUMBIA UNIVERSITY PO BOX 27651 NEW YORK NY 10087 PHYSICIAN SERVICES 3816848 EPIC SYSTEMS CORPORATION BOX 88314 MILWAUKEE WI 532880314 IT SERVICES 3204998 85 2923722 4709445 34343 39580 7667510 NET PATIENT SERVICE REVENUE 622110 632115274 632069301 45973 MANAGEMENT FEE INCOME 561110 1000000 1000000 0 0 0 0 633115274 2221073 2221073 2184994 2184994 0 2184994 19302 2165692 89777135 81557 77956553 350995 11820582 -269438 11551144 11551144 CAFETERIA/COFFEE & GIFT SHOP REVENUE 721110 2685368 2685368 REBATES 900099 2165059 2165059 ALLOCATED OVERHEAD RELATED ORG 900099 1093435 1093435 1553552 1553552 0 0 7497414 664237409 637881347 65275 18623277 X 1029491 1029491 259836713 239769279 20067434 28135326 25962408 2172918 64208834 59249925 4958909 19802268 18272920 1529348 1322796 1322796 399981 399981 120651 120651 169443 169443 80332258 73973123 6359135 0 1027143 958785 68358 17706727 15802580 1904147 9091676 7547628 1544048 0 0 0 12989129 8368594 4620535 352939 336691 16248 0 0 0 123326 100080 23246 12504622 9553531 2951091 0 0 0 27839394 21269297 6570097 6276358 4795138 1481220 MEDICAL SUPPLIES 113898227 113898227 NON MEDICAL SUPPLIES 8285979 8092130 193849 NET PERIODIC PENSION AND POST-RETIREMENT BENEFIT COSTS 4348646 4012796 335850 OTHER TAXES & ASSESSMENTS 3581974 3581974 0 574666 574666 0 0 673958567 617269914 56688653 0 12578 11378 28770631 46726139 73028763 81062019 0 0 0 0 12115893 11465264 4954402 7036918 615219263 386424893 252587808 228794370 94076715 62063163 0 0 82258201 80794478 547804991 517953729 107487572 115018924 52500 0 247922787 235699644 0 0 18800000 15200000 2333333 0 82284701 81720514 458880893 447639082 X 80376809 63955069 8547289 6359578 88924098 70314647 547804991 517953729 X -9721158 -2861597 -6026696 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 74400 false true 46251 120651 false 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". 2257688 -28396 -28396 2257688 2257688 383347 383347 2257688 2257688 235470 235470 2257688 2257688 265632 265632 2257688 2257688 108060 108060 2257688 0.0 1.0 0.0 false false 4897415 4897415 267077114 118727924 148349190 0 0 0 320444771 253114153 67330618 22799963 14582816 8217147 228794370 INSURANCE RECOVERIES RECEIVABLE 35265817 DUE FROM THIRD-PARTIES 13268137 DUE FROM RELATED ORGANIZATIONS 11797996 MISCELLANEOUS RECEIVABLES 5321764 INTEREST IN GH FOUNDATION 4404714 RIGHT OF USE ASSETS 10736050 80794478 Federal Income Taxes DUE TO THIRD-PARTIES 5758576 PENSION LIABILITY 17155105 LT LIABILITY - WC & MALPRACTICE 34418384 LEASE LIABILITIES 11128091 DUE TO RELATED ORGANIZATIONS 12420512 FEMA GRANT LIABILITY 839846 81720514 X 661177737 -2861597 0 -2861597 664039334 169443 28632 198075 664237409 673760492 0 0 673760492 169443 28632 198075 673958567 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 true true X true X true X 10903346 1623898 9279448 0.01377 103925693 82558001 21367692 0.03170 0 0.0 0 0 114829039 84181899 30647140 0.04547 131470 0 131470 0.00020 20856445 12937796 7918649 0.01175 116104704 78492085 37612619 0.05581 0 0.0 0 0.0 0 0 137092619 91429881 45662738 0.06775 0 0 251921658 175611780 76309878 0.11323 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 158238360 183882523 -25644163 X true true 1 1 GARNET HEALTH MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 WWW.GARNETHEALTH.ORG 3523000H X X X X GARNET HEALTH MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true true true X www.garnethealth.org/about-us/community-health-program/community-service-plans X true 22 true www.garnethealth.org/about-us/community-health-program/community-service-plans false true X 200.0 350.0 true true X X X true X www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 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. 1 GARNET HEALTH MEDICAL PAVILION 75 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 WOUND CARE, SLEEP CENTER, SUBSTANCE ABUSE & COUNSELING CNTR 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 true GARNET HEALTH FOUNDATION 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 501(C)(3) 1029491 INSTITUTIONAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. false false false false false false false true false GERARD DUNLAVEY FORMER OFFICER, CEO - GHMC-CATSKILLS & VP OF OPERATIONS - GH 0 546666 0 0 0 31527 0 31050 0 37828 0 647071 0 0 JAMES GRIGG CHIEF FINANCIAL OFFICER 0 660788 0 0 0 53085 0 13800 0 14923 0 742596 0 0 PAMELA MURPHY MD CHIEF MEDICAL OFFICER 0 524957 0 0 0 32690 0 13800 0 25501 0 596948 0 0 JONATHAN SCHILLER GH PRESIDENT/CEO 0 1096665 0 0 0 24794 0 13800 0 37708 0 1172967 0 0 HAI LUO CHIEF PHYSICIST 300161 0 0 0 2298 0 47281 0 31310 0 381050 0 0 0 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 289942 0 0 0 2155 0 41478 0 27279 0 360854 0 0 0 CARMELLA PISTONE-HALPERN NURSING DIRECTOR Until April 2024 58013 0 0 0 228692 0 5469 0 14054 0 306228 0 189310 0 MINMING HUANG MED PHYSICIST until September 2024 148032 0 0 0 114339 0 44286 0 28511 0 335168 0 94401 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION OF THE CEO WAS DETERMINED BY GARNET HEALTH AND PAID BY GARNET HEALTH. THE SALARY AND RELATED EXPENSES WERE THEN CHARGED TO GARNET HEALTH MEDICAL CENTER. 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. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990BHF3 2015-05-13 70060402 CONSTRUCT A PROFESSIONAL OFFICE BUILDING & CANCER CENTER false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990CQC8 2017-02-28 253825171 DEFEASANCE OF THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK SERIES 2008 BONDS false false false A 10900000 70802150 4393748 65715402 693000 2016 false false true true B 63500000 254806942 0 3040785 18866771 232899386 2017 false true true true A false true true 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 A false false false true false false 0 false false false 0 false false false B false false false true false false 0 false false false 0 false false false A false B false 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 X TOYS, BLANKETS, CLOTHING, BOOKS, CARE PACKAGES, FOOD 57 39580 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - TOYS, BLANKETS, CLOTHING, BOOKS, CARE PACKAGES, FOOD - GARNET HEALTH MEDICAL CENTER IS REPORTING TOTAL NUMBER OF CONTRIBUTIONS 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 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 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 true EAST MAIN STREET MANAGEMENT CORP 707 EAST MAIN STREET MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY GARNET HEALTH MEDICAL CENTER C Corporation 0 0 1 true false true true false false false false false false true true true true true true true true true true GARNET HEALTH FOUNDATION B 1029491 ACTUAL GARNET HEALTH FOUNDATION C 2923722 ACTUAL