2021-11-10T17:01:02-06:00 2020-12-31 350921680 CROWE LLP 485 Lexington Avenue Floor 11 New York NY 100172619 990 2020-01-01 146049030 Garnet Health Medical Center - Catskills GARN 8457943300 PO BOX 800 HARRIS NY 12742 JONATHAN SCHILLER CEO 2021-11-10 true JONATHAN SCHILLER 999009999 RACHEL SPURLOCK P00520729 2125725500 2020 2022-09-23 18:48:47Z JONATHAN SCHILLER PO BOX 800 HARRIS NY 12742 127715086 false X https://www.garnethealth.org X 1967 NY THE MISSION OF GARNET HEALTH MEDICAL CENTER - CATSKILLS IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. 5 4 879 34 368251 0 926918 27273127 100648954 98295519 100367 157847 1533614 1777451 103209853 127503944 19145 19145 0 56310649 62106700 0 0 48555706 53624518 104885500 115750363 -1675647 11753581 102480836 116792457 46262009 59418326 56218827 57374131 X GARNET HEALTH MEDICAL CENTER - CATSKILLS (GHMC - CATSKILLS) MISSION STATEMENT IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE. GHMC - CATSKILLS VISION IS THAT WE ARE CARING PROFESSIONALS DRIVEN BY STANDARDS OF EXCELLENCE WHO GO ABOVE AND BEYOND TO PROVIDE AN EXCEPTIONAL PATIENT CARE EXPERIENCE. false false 46129142 19145 44900605 GARNET HEALTH MEDICAL CENTER - CATSKILLS IS LICENSED FOR 139 BEDS (EXCLUDING SNU, MOTHER/BABY AND MENTAL HEALTH) MAINTAINED ON TWO CAMPUSES IN HARRIS, NEW YORK AND CALLICOON, NEW YORK. DURING 2020, CATSKILLS HAD 2,915 ACUTE INPATIENT DISCHARGES. 34439053 0 33651420 EXPENSES INCURRED WHILE PERFORMING 331,867 OUTPATIENT PROCEDURES FOR PATIENTS IN THE SURROUNDING COMMUNITY. 6909915 0 6751883 CATSKILLS IS LICENSED FOR 64 BEDS IN ITS SKILLED NURSING UNIT LOCATED AT THE HARRIS CAMPUS. EXPENSES INCURRED WHILE PROVIDING SERVICES TO 155 PATIENTS IN THE SKILLED NURSING UNIT. 13739112 0 13424894 CATSKILLS IS LICENSED FOR 12 MATERNITY AND 18 PSYCHIATRIC BEDS AT ITS HARRIS CAMPUS.EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,625 PATIENTS FROM THE SURROUNDING COMMUNITY. 13739112 13424894 101217222 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false true true false false false false false true false false false true 155 0 true 879 true true true false false false false false false false false false true false X 5 4 true false false false true true true true true false false true true true true true true false false false NY X James Grigg 8457943300 PO BOX 800 HARRIS NY 12742 ANDREW PAVLOFF VICE CHAIRMAN 1.0 3.0 X X 0 0 0 DORY ALPORT TREASURER 1.0 2.0 X X 0 0 0 IMRAN AHMED MD SECRETARY 1.0 42.0 X X 0 318694 13243 RICHARD LANDER CHAIRMAN 1.0 2.0 X X 0 0 0 JOAN FARROW BOARD MEMBER 1.0 4.0 X 0 0 0 CHRISTOPHER ROMAN CMO 12.0 40.0 X 0 530049 23447 JAMES GRIGG CHIEF FINANCIAL OFFICER 10.0 65.0 X 0 777564 24985 JONATHAN SCHILLER CEO 40.0 10.0 X 0 658566 60035 SCOTT BATULIS PRESIDENT 10.0 51.0 X 0 2169252 58562 DEBRA BLACKFORD ULTRASOUND TECH 40.0 0 X 186003 0 70681 DIANA DUFFY REGISTERED NURSE 40.0 0 X 172774 0 30338 MARK SOIREFMAN PHARMACY DIRECTOR 40.0 0 X 182908 0 26005 ROY MASON PHARMACIST 40.0 0 X 182927 0 69512 ZAUR IBRAGIMOV PHARMACIST 40.0 0 X 209102 0 79459 GERARD J GALARNEAU MD Former CMO 0.0 60.0 X 0 913631 58511 933714 5367756 514778 132 true true false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 PHYSICIANS 9495635 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SVC MANAGEMENT 2061276 RESTORIXHEALTH INC 445 HAMILTON AVE SUITE 800 WHITE PLAINS NY 10601 WOUND CARE SERVICES 1872006 RAMAPO ANESTHESIOLOGISTS PC 100 ROUTE 59 SUITE 111 SUFFERN NY 10901 PHYSICIANS - ANESTHESIA 1331088 CCI CONSTRUCTION INC 70 CHESTNUT RIDGE RD MONTVALE NJ 07645 CONSTRUCTION CONTRACTOR 1224031 30 158169 27104402 10556 27273127 NET PATIENT SERVICE REVENUE 622110 98295519 97915416 380103 0 0 0 0 98295519 158989 158989 964065 964065 0 964065 -11852 975917 210000 211142 -1142 0 -1142 -1142 REV FROM RELATED ENTITY 900099 206556 206556 REBATES 900099 322506 322506 MISCELLANEOUS 900099 284324 284324 0 0 0 0 813386 127503944 98728802 368251 1133764 X 19145 19145 190070 190070 46630477 42005593 4624884 2983602 2676773 306829 8579295 7697013 882282 3723256 3340362 382894 67186 67186 84246 84246 20150 20150 546 546 26874846 24112257 2762589 0 360831 190261 170570 2803354 2239356 563998 1396054 964396 431658 2510496 1419243 1091253 32387 24103 8284 5703 4877 826 80814 46387 34427 4486648 2575336 1911312 1715225 1544428 170797 MEDICAL & OTHER SUPPLIES 12348985 12174008 174977 DUES & SUBSCRIPTIONS 77322 32946 44376 OTHER TAXES & ASSESSMENT 400711 400711 LICENSE FEES 96492 50011 46481 262522 80577 181945 0 115750363 101217222 14533141 0 7079620 6781082 8150330 33226916 11983767 292261 16815757 15179782 0 0 0 0 1748603 2007905 698811 747709 169827152 130033158 39970709 39793994 629575 2626794 0 0 15403664 16136014 102480836 116792457 12093308 21646695 0 0 11272937 35304 22895764 37736327 46262009 59418326 X 38968786 51258776 17250041 6115355 56218827 57374131 102480836 116792457 X 11753581 122589 -10720866 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 20150 20150 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1I - PERCENTAGE OF DUES PAID TO NORMET, AHA, GNYHA AND HANYS AND SEIU1199 NATIONAL BENEFIT FUND THAT ARE ALLOCATED TO LOBBYING ACTIVITIES. 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1958705 0.0 1.0 0.0 false true true 2439763 2439763 61600129 33927621 27672508 97898246 91778097 6120149 7889014 4327440 3561574 39793994 INSURANCE RECEIVABLE - MALP & WC 5712966 THIRD PARTY RECEIVABLE 2448764 DUE FROM RELATED ORG 931058 OTHER RECEIVABLES 557151 INTEREST IN Garnet Health Foundation - Catskills 4790407 RIGHT OF USE ASSETS 1695668 16136014 DUE TO THIRD PARTY PAYORS 13775737 EST MALPRACTICE LIABILITY 5459918 EST WORKERS COMP LIABILITY 1532557 DUE TO RELATED ORG 14869019 OTHER LIABILITY 388106 LEASE LIABILITIES 1710990 37736327 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION HAS AN INTEREST IN A PERMANENT ENDOWMENT FUND. THE INTEREST EARNED ON THIS FUND, IF ANY, CAN BE USED TO PURCHASE PATIENT EQUIPMENT. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote FOOTNOTE 2(INCOME TAXES) TO CONSOLIDATED FINANCIAL STATEMENTS FOR GARNET HEALTH: GH, GHMC, GHMC - CATSKILLS, GARNET HEALTH FOUNDATION, GARNET HEALTH FOUNDATION - CATSKILLS, URGENT CARE, AND THE PC, ARE SECTION 501(C)(3) ORGANIZATIONS EXEMPT FROM FEDERAL, NEW YORK STATE AND LOCAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. true true X true X true X true false true true 2762188 2195601 566587 0.0049 31998818 20583137 11415681 0.0986 0 0.0 0 0 34761006 22778738 11982268 0.1035 127448 0 127448 0.0011 104389 29155 75234 0.0006 27405516 18531779 8873737 0.0767 0 0.0 0 0.0 0 0 27637353 18560934 9076419 0.0784 0 0 62398359 41339672 21058687 0.1819 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 29667847 33314567 -3646720 X true true 2 1 GARNET HEALTH MEDICAL CENTER - CATSKILLS 68 HARRIS-BUSHVILLE ROAD HARRIS NY 12742 WWW.GARNETHEALTH.ORG 5263000H X X X A 2 GHMC - CATSKILLS GROVER HERMANN DIV 8881 ROUTE 97 CALLICOON NY 12723 WWW.GARNETHEALTH.ORG 5263700C X X X A A false false true X X X X X X X X X 19 true true true true X https://www.garnethealth.org/about-us/community-health-program/community-service-plans X true 19 true https://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 https://www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X https://www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X https://www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. In 2017, the seven Local Health Departments of the Mid-Hudson Region, including Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester Counties, and HealtheConnections created the Local Health Department Prevention Agenda Collaborative with the endeavor of creating the first regional Community Health Assessment for the Mid-Hudson Region. Shortly after, the Collaborative gained the support of 17 local hospitals. The hospitals contributed funds which allowed the Collaborative to contract with Siena College Research Institute to conduct a random digit dial regional community health survey to supplement the Regional Community Health Assessment and to gauge the perception of residents surrounding health and resources in their communities. Responses from 5,372 residents of the Mid-Hudson Region were collected. To further supplement the data collected from the community, Collaborative members held 12 focus groups with service providers to further understand the needs of specific communities and populations, and the barriers they face to achieving optimal health. This document was written by staff at HealtheConnections with the support, feedback, review and input from the collaborative's participating health departments and hospitals throughout the entire process. Along with the primary data collected by the Collaborative through the survey and focus groups, secondary data was compiled to show health indicators for the Region. A narrative was written around each health indicator to contextualize the data and outline how each indicator is related. This document is meant to serve as a reference for key health information for all stakeholders in the Region as well as assist them in identifying and prioritizing the health needs of the Mid-Hudson Region and its communities. Another goal of this project is to further collaboration in addressing key health issues in the Region and to inform the Community Health Improvement Plans of each county and hospital. Input to the Community Health Needs Assessment and Implementation Plan included focus groups, interviews, literature review, and surveys. Organizations providing input included Departments of Health from seven counties, school districts, offices of aging, offices of veteran's affairs, Federally Qualified Healthcare Centers (FQHC's), food banks of the Hudson Valley, etc. Work Groups were formed including behavioral health, workplace wellness, social determinants of health, etc. These work groups were each led by a steering committee comprised of community stakeholders and assisted in determining health priorities. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. Through the Local Health Department Prevention Agenda Collaborative, the following hospital facilities participated in the CHNA process: Bon Secours Charity Health System, a member of the Westchester Medical Center Health Network Good Samaritan Hospital Bon Secours Community Hospital St. Anthony Community Hospital Garnet Health Medical Center - Catskills (formerly, Catskill Regional Medical Center, a member of the Greater Hudson Valley Health System) HealthAlliance Hospital, a member of the Westchester Medical Center Health Network Nuvance Health: Northern Dutchess Hospital Vassar Brothers Medical Center Putnam Hospital Center Montefiore Hudson Valley Collaborative Montefiore Nyack Hospital Montefiore St. Luke's Cornwall Garnet Health Medical Center (formerly, Orange Regional Medical Center, a member of the Greater Hudson Valley Health System) St. Joseph's Medical Center Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. Siena College Research Institute The Foundation for Community Health Dutchess County Department of Behavioral & Community Health Orange County Department of Health Putnam County Department of Health Rockland County Department of Health SULLIVAN COUNTY PUBLIC HEALTH SERVICES ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH WESTCHESTER COUNTY DEPARTMENT OF HEALTH Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - GARNET HEALTH MEDICAL CENTER - CATSKILLS. The hospital is addressing the significant needs identified in its most recent CHNA in a variety of ways. First and foremost, the hospital played an active, collaborative role with the county health department to develop the Community Health Improvement Plan (CHIP) which clearly outlines the priority areas chosen and serves as the hospital's implementation strategy. By working closely with the health department and many other community based organizations, we were able to create a comprehensive plan whereby all voted on and agreed to support specific evidence based interventions from the NYS Prevention Agenda that will improve health outcomes in the priority areas of: Sullivan County - Prevent Chronic Disease & Promote Well-Being and Prevent Mental and Substance Use Disorders Throughout the plan, specific organizations, including our hospital are identified as providing support and/or leadership for individual strategies. The hospital specifically is targeting efforts towards the below strategies. CHIP Focus Area Healthy Eating and Food Security Evidenced Based Strategies * Increase the number of institutions with nutrition standards for healthy food and beverage procurement * Work with school districts to implement multi-component school-based obesity prevention interventions * Increase availability of affordable healthy foods especially in communities with limited access * Screen for food insecurity, facilitate, and actively support referral * Increase the availability of fruit and vegetable incentive programs CHIP Focus Area Physical Activity Evidenced Based Strategies * Implement obesity prevention guidelines utilizing the 5-2-1-0 model with a focus in school districts with high rates of overweight and obese school-aged children CHIP Focus Area Tobacco Prevention Evidenced Based Strategies * Use health communications targeting health care providers to encourage their involvement in their patients' quit attempts by encouraging use of available cessation benefits such as Medicaid benefits when applicable and free smoking cessation classes * Promote Medicaid benefits for tobacco cessation and available free cessation classes to residents, especially those with incomes <$25,000 per year and adults living with a disability CHIP Focus Area Preventative Care and Management Evidenced Based Strategies * Remove structural barriers to cancer screening by working with employers to provide employees with paid leave or the option to use flex time for cancer screenings * Use small media and health communications to build public awareness and demand for breast, cervical and colorectal cancer screenings * Link patients with primary care and ensure access to health insurance to reduce barriers to cancer screening * Connect pre-diabetic patients to local diabetes prevention programs. CHIP Focus Area Human Immunodeficiency Virus (HIV) Evidenced Based Strategies * Facilitate access to Pre-Exposure Prophylaxis (PReP) for high risk person to keep them HIV negative * Link and retain persons diagnosed with HIV in care to maximize viral suppression CHIP Focus Area Sexually Transmitted Infections (STIs) Evidenced Based Strategies * Increase STI testing and treatment CHIP Focus Area Promote Well-Being and Prevent Mental and Substance Use Disorders Evidenced Based Strategies * Provide Mental Health First Aid training throughout communities * Increase local providers certified in Buprenorphine * Increase parent education to decrease early education gaps among disparate populations * Increase utilization of home visiting programs and community health workers In addition, priorities of promoting a healthy and safe environment, promoting healthy women, infants and children, and preventing communicable diseases were identified during the needs assessment process. The CHIP does not focus on these areas as other community agencies are better positioned to directly address these areas in partnership with Garnet Health. 0 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 4 Bad debt expense - financial statement footnote 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, 2020 and 2019, was not significant. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE INDIVIDUALS UTILIZE HOSPITAL SERVICES AS A PRIMARY CARE PROVIDER HOWEVER MEDICARE REIMBURSEMENT DOES NOT COVER THE ACTUAL OPERATING COSTS FOR PROVIDING CARE FOR MEDICARE PATIENTS. THEREFORE, ANY SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT IS THE HOSPITAL'S MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE OR ABILITY TO PAY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance GARNET HEALTH MEDICAL CENTER - CATSKILLS' COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, CHARITY CARE ELIGIBILITY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALIFY FOR A 100% WRITE-OFF. Schedule H, Part V, Section B, Line 16a FAP website A - GARNET HEALTH MEDICAL CENTER - CATSKILLS: Line 16a URL: https://www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - GARNET HEALTH MEDICAL CENTER - CATSKILLS: Line 16b URL: https://www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - GARNET HEALTH MEDICAL CENTER - CATSKILLS: Line 16c URL: https://www.garnethealth.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE MAJORITY OF GARNET HEALTH MEDICAL CENTER - CATSKILLS' BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, GARNET HEALTH MEDICAL CENTER - CATSKILLS CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance TO INFORM OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, GARNET HEALTH MEDICAL CENTER - CATSKILLS UTILIZES SEVERAL METHODS INCLUDING PROVIDING A FINANCIAL AID SUMMARY AT REGISTRATION, POSTING SIGNS IN PATIENT AREAS, DETAILING THE INFORMATION ON THE ORGANIZATION'S WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS. Schedule H, Part VI, Line 4 Community information GARNET HEALTH MEDICAL CENTER - CATSKILLS' SERVICE AREA FOR COMMUNITY/LOCAL HEALTH PLANNING INCLUDES ALL FIFTEEN TOWNSHIPS WITHIN RURAL SULLIVAN COUNTY, NEW YORK. THE HOSPITAL'S SERVICE AREA WITHIN SULLIVAN COUNTY IS DIVIDED INTO PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS ARE THOSE SULLIVAN COUNTY TOWNSHIPS AND ZIP CODES WHICH ARE EITHER CLOSER TO GARNET HEALTH MEDICAL CENTER - CATSKILLS THAN ANY OTHER HOSPITAL FACILITY OR WHERE GARNET HEALTH MEDICAL CENTER - CATSKILLS HAS A PREDOMINANT MARKET SHARE. THE SULLIVAN COUNTY TOWNSHIPS IN THE PRIMARY SERVICE AREA ARE BETHEL, CALLICOON, COCHECTON, DELAWARE, FALLSBURG, FORESTBURGH, FREMONT, LIBERTY, NEVERSINK, ROCKLAND, THOMPSON AND TUSTEN. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE SULLIVAN COUNTY'S RURAL SERVICE AREA: 1) EXTENSIVE AND GROWING GERIATRIC POPULATION; 2) HIGHER PROPORTIONS OF BLACK AND HISPANIC POPULATIONS WHEN COMPARED WITH MOST UPSTATE NEW YORK RURAL COMMUNITIES; 3) VILLAGES OF MONTICELLO AND LIBERTY SURROUNDED BY GEOGRAPHICALLY DISPERSED RURAL POPULATIONS; 4) ECONOMIC BASE PREDOMINATELY COMPRISED OF AGRICULTURE AS WELL AS SERVICES FOCUSING UPON HEALTH CARE, TOURISM, GOVERNMENT AND EDUCATION AND; 5) EXTENSIVE MEDICALLY INDIGENT POPULATION WITH HIGH PROPORTION OF INDIVIDUALS EITHER ON MEDICAID OR TOTALLY LACKING HEALTH INSURANCE COVERAGE. Schedule H, Part VI, Line 5 Promotion of community health GARNET HEALTH MEDICAL CENTER - CATSKILLS HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF THE COMMUNITY IN SEVERAL WAYS. THE MAJORITY OF CATSKILLS' BOARD OF DIRECTORS CONSISTS OF PERSONS WHO RESIDE IN THEIR PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. AS LOCAL HEALTH CONSUMERS, THEY PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. ALSO, GHMC-C CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL. CATSKILLS' MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED PHYSICIAN IS ENCOURAGED TO APPLY FOR MEDICAL STAFF MEMBERSHIP. IN ADDITION, GHMC-C UTILIZES FUNDS FROM OPERATIONS, AS AVAILABLE, TO UPDATE FACILITIES AND EQUIPMENT AND TO EXPAND SERVICES PROVIDED AS NEEDS ARE IDENTIFIED. Schedule H, Part VI, Line 6 Affiliated health care system GARNET HEALTH IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS - GARNET HEALTH MEDICAL CENTER - CATSKILLS AND GARNET HEALTH MEDICAL CENTER. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC ARE ALSO PARTICIPANTS IN THE SYSTEM. GARNET HEALTH IS DEDICATED TO DEVELOPING SPECIALTY SERVICES, MEDICAL PROGRAM AND NEEDED HEALTHCARE SERVICES THAT ALLOW RESIDENTS TO REMAIN CLOSE TO HOME TO RECEIVE QUALITY CARE. PROVIDING HEALTHCARE TO NEARLY 450,000 RESIDENTS IN ORANGE, SULLIVAN AND ULSTER COUNTIES, GH WAS DESIGNED TO IMPROVE THE QUALITY, STABILITY AND EFFICIENCY OF HEALTHCARE SERVICES IN THE MID-HUDSON AND CATSKILL REGIONS. SERVICES PROVIDED BY MORE THAN 3,300 EMPLOYED PROFESSIONALS AND OVER 850 MEDICAL STAFF MEMBERS, MAKES GARNET HEALTH ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THE TRI-COUNTY AREA. THE SYSTEM HAS THREE HOSPITAL CAMPUSES PLUS SEVERAL OUTPATIENT FACILITIES, OFFERING A BROAD SPECTRUM OF CARE. GARNET HEALTH MEDICAL CENTER - CATSKILLS HAS TWO HOSPITAL FACILITIES SERVING PATIENTS IN SULLIVAN AND ULSTER COUNTIES. GARNET HEALTH MEDICAL CENTER - CATSKILLS - HARRIS LOCATION IS A COMMUNITY HOSPITAL; WHILE, GARNET HEALTH MEDICAL CENTER - CATSKILLS THE CALLICOON LOCATION IS A CRITICAL ACCESS HOSPITAL. GARNET HEALTH MEDICAL CENTER SERVES PATIENTS IN THE TRI-COUNTY AREA. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC HAVE OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK. Schedule H, Part VI, Line 7 State filing of community benefit report NY true GARNET HEALTH FOUNDATION - CATSKILLS PO BOX 800 HARRIS NY 12742 141742176 503(C)(3) 19145 INSTITUTIONAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. EXPENSES ARE PAID DIRECTLY BY THE ORGANIZATION TO THIRD PARTIES ON BEHALF OF THE RECIPIENT ORGANIZATION. IN THIS WAY, THE ORGANIZATION IS ABLE TO MONITOR THE USE OF THE GRANT FUNDS. false false false false false false false true false IMRAN AHMED MD SECRETARY 0 291903 0 13500 0 13291 0 0 0 13243 0 331937 0 0 GERARD J GALARNEAU MD Former CMO 0 637465 0 254872 0 21294 0 25650 0 32861 0 972142 0 0 JAMES GRIGG CHIEF FINANCIAL OFFICER 0 523763 0 208483 0 45318 0 11400 0 13585 0 802549 0 0 JONATHAN SCHILLER CEO 0 447963 0 189933 0 20670 0 27174 0 32861 0 718601 0 0 SCOTT BATULIS PRESIDENT 0 1161260 0 967123 0 40869 0 25650 0 32912 0 2227814 0 0 CHRISTOPHER ROMAN CMO 0 497764 0 31475 0 810 0 0 0 23447 0 553496 0 0 ZAUR IBRAGIMOV PHARMACIST 202815 0 3500 0 2787 0 0 0 79459 0 288561 0 0 0 MARK SOIREFMAN PHARMACY DIRECTOR 165037 0 17109 0 762 0 11153 0 14852 0 208913 0 0 0 DEBRA BLACKFORD ULTRASOUND TECH 180600 0 5153 0 250 0 0 0 70681 0 256684 0 0 0 ROY MASON PHARMACIST 179427 0 3500 0 0 0 0 0 69512 0 252439 0 0 0 DIANA DUFFY REGISTERED NURSE 166424 0 6050 0 300 0 10525 0 19813 0 203112 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION OF THE CEO WAS DETERMINED BY GARNET HEALTH AND PAID BY GARNET HEALTH. THE SALARY AND RELATED EXPENSES WERE THEN CHARGED TO GARNET HEALTH MEDICAL CENTER - CATSKILLS. GARNET HEALTH USES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF GARNET HEALTH. Schedule J, Part I, Line 7 Non-fixed payments DURING THE TAX YEAR THE ORGANIZATION AND ALL RELATED ORGANIZATIONS PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J. BONUSES ARE BASED UPON THE ATTAINMENT OF ORGANIZATIONAL GOALS THAT SUPPORT AND REINFORCE THE ORGANIZATION MISSION, VALUES AND STRATEGIC OBJECTIVES. THESE TARGETS ARE PREDETERMINED AND THE ANNUAL INCENTIVE IS BASED UPON THE PERCENTAGE OF COMPLETION IN EACH AREA. THESE BONUSES ARE PAID AT THE DISCRETION OF THE BOARD. SUZANNE LANGE-AHMED SPOUSE OF BOARD MEMBER IMRAN AHMED, MD 190070 WAGES & BENEFITS false Form 990, Part III, Line 4d Description of other program services (Expenses $ 13,739,112 including grants of $ 0)(Revenue $ 13,424,894) CATSKILLS IS LICENSED FOR 12 MATERNITY AND 18 PSYCHIATRIC BEDS AT ITS HARRIS CAMPUS.EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,625 PATIENTS FROM THE SURROUNDING COMMUNITY. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons ANDREW PAVLOFF - Business relationship, MICHAEL WASCHITZ - Business relationship, DORY ALPORT - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders GARNET HEALTH AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) IS THE SOLE MEMBER OF GARNET HEALTH MEDICAL CENTER - CATSKILLS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body GARNET HEALTH AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE GARNET HEALTH MEDICAL CENTER - CATSKILLS BOARD OF DIRECTORS UPON RECOMMENDATION FROM GARNET HEALTH MEDICAL CENTER - CATSKILLS BOARD OF DIRECTORS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO GARNET HEALTH MEDICAL CENTER - CATSKILLS' TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL VERSION OF THE ORGANIZATION'S FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Line 12c Conflict of interest policy AS A PARTICIPANT IN THE GARNET HEALTH SYSTEM, GARNET HEALTH MEDICAL CENTER - CATSKILLS IS SUBJECT TO THE GARNET HEALTH CONFLICT OF INTEREST (COI) POLICY WHICH APPLIES TO ALL MANAGEMENT PERSONNEL, INCLUSIVE OF DIRECTORS, MANAGERS AND SUPERVISORS, COMMITTEE MEMBERS, TRUSTEES AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE ORGANIZATION OR ANY ENTITY CONTROLLED BY THE ORGANIZATION. THE CONFLICTS POLICY REQUIRES MANAGEMENT AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO GARNET HEALTH POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE GARNET HEALTH CORPORATE COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND PRESENTS ANY CONFLICTS TO THE BOARD AUDIT AND COMPLIANCE COMMITTEE SO THAT ANY IDENTIFIED INDIVIDUAL WITH A POTENTIAL CONFLICT IS RECUSED FROM PARTICIPATING IN THE CONSIDERATION OR DETERMINATION OF THE MATTER. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY. Form 990, Part VI, Line 19 Required documents available to the public ONCE A REQUEST IS MADE FOR GARNET HEALTH MEDICAL CENTER - CATSKILL'S FORM 990, GOVERNING DOCUMENTS, FINANCIAL STATEMENTS OR CONFLICT OF INTEREST POLICY, A COPY IS SENT TO THE REQUESTING PARTY THROUGH THE ADMINISTRATION OFFICES Form 990, Part IX, Line 11g Other Fees PROFESSIONAL FEES - PHYSICIANS - Total Expense: 12379247, Program Service Expense: 12379247, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 6271659, Program Service Expense: 4924740, Management and General Expenses: 1346919, Fundraising Expenses: ; TEMP & AGENCY FEES - Total Expense: 1347818, Program Service Expense: 1347818, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3368378, Program Service Expense: 2440649, Management and General Expenses: 927729, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 963042, Program Service Expense: 963042, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 583790, Program Service Expense: 128525, Management and General Expenses: 455265, Fundraising Expenses: ; ALL OTHER PURCHASED SVRS - Total Expense: 58280, Program Service Expense: 25604, Management and General Expenses: 32676, Fundraising Expenses: ; MANAGEMENT FEES - NUTRITION SVCS - Total Expense: 1902632, Program Service Expense: 1902632, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM RELATED PARTY - GH - 419692; CHANGE IN NET ASSETS OF GARNET HEALTH FOUNDATION - CATSKILLS - 534225; NET ASSETS RELEASED FROM RESTRICTIONS - -11674783; PART VI, SECTION B, LINE 15a PROCESS FOR DETERMINING COMPENSATION OF CEO THE GARNET HEALTH MEDICAL CENTER - CATSKILLS CEO IS EMPLOYED AND COMPENSATED BY GARNET HEALTH. COMPENSATION FOR THE GHMC-C CEO IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE CEO WAS PERFORMED IN 2019 FOR THE 2020 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GH COMPENSATION COMMITTEE. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES. PART VI, SECTION B, LINE 15B PROCESS FOR DETERMINING COMPENSATION OF KEY EMPLOYEES GARNET HEALTH MEDICAL CENTER - CATSKILLS KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY GARNET HEALTH. COMPENSATION IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE CEO WAS PERFORMED IN 2019 FOR THE 2020 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GH COMPENSATION COMMITTEE. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES. GARNET HEALTH 707 EAST MAIN STREET MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(c)(3) Type II NA false GARNET HEALTH MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 141364536 HOSPITAL NY 501(c)(3) 3 GARNET HEALTH false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 371743537 HEALTHCARE NY 501(c)(3) Type I GARNET HEALTH false GARNET HEALTH URGENT CARE PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 824251331 HEALTHCARE NY 501(c)(3) Type I GARNET HEALTH false GARNET HEALTH FOUNDATION 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 FUNDRAISING NY 501(c)(3) Type III-FI GARNET HEALTH false GARNET HEALTH FOUNDATION - CATSKILLS PO BOX 800 HARRIS NY 12742 141742176 FUNDRAISING NY 501(c)(3) Type III-FI GARNET HEALTH false false true true false false false false false false true false true true false true true true false false