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Garnet Health Medical Center - Catskills

PO Box 800
Harris, NY 12742
EIN: 146049030
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Garnet Health Medical Center - Catsk
8881 State Rt 97
Callicoon, NY 12742
2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count15Medicare provider number331303Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Garnet Health Medical Center - CatskillsDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
18.75%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 107,699,290
      Total amount spent on community benefits
      as % of operating expenses
      		$ 20,191,156
      18.75 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 0
        0 %
        Medicaid
        as % of operating expenses
        		$ 14,656,454
        13.61 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 15,014
        0.01 %
        Subsidized health services
        as % of operating expenses
        		$ 5,519,688
        5.13 %
        Research
        as % of operating expenses
        		$ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 0
        0 %
        Community building*
        as % of operating expenses        		$ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?NO
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          		$ 0
          Economic development
          as % of community building expenses
          		$ 0
          Community support
          as % of community building expenses
          		$ 0
          Environmental improvements
          as % of community building expenses
          		$ 0
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          Coalition building
          as % of community building expenses
          		$ 0
          Community health improvement advocacy
          as % of community building expenses
          		$ 0
          Workforce development
          as % of community building expenses
          		$ 0
          Other
          as % of community building expenses
          		$ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 0
        0 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 45443372 including grants of $ 15729) (Revenue $ 48432701)
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 2021, CATSKILLS HAD 2,957 ACUTE INPATIENT DISCHARGES.
      4B (Expenses $ 33630168 including grants of $ 0) (Revenue $ 35842409)
EXPENSES INCURRED WHILE PERFORMING 394,688 OUTPATIENT PROCEDURES FOR PATIENTS IN THE SURROUNDING COMMUNITY.
      4C (Expenses $ 3007396 including grants of $ 0) (Revenue $ 3205227)
CATSKILLS IS LICENSED FOR 64 BEDS IN ITS SKILLED NURSING UNIT LOCATED AT THE HARRIS CAMPUS. EXPENSES INCURRED WHILE PROVIDING SERVICES TO 110 PATIENTS IN THE SKILLED NURSING UNIT. IN OCTOBER, 2021 THE SNU WAS CLOSED AND PATIENTS WERE TRANSFERRED TO OTHER AREA SKILLED NURSING FACILITIES.
      4D (Expenses $ 11812117 including grants of $ 0) (Revenue $ 12589135)
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 1,581 PATIENTS FROM THE SURROUNDING COMMUNITY.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      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.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Schedule H, Part I, Line 7g Subsidized Health Services
LINE 7G DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
      Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
FOR FINANCIAL STATEMENT PURPOSES, Garnet Health Medical Center - Catskills HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
      Schedule H, Part III, Line 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, 2021 and 2020, was not significant.
      Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
MEDICARE INDIVIDUALS UTILIZE HOSPITAL SERVICES AS A PRIMARY CARE PROVIDER HOWEVER MEDICARE REIMBURSEMENT DOES NOT COVER THE ACTUAL OPERATING COSTS FOR PROVIDING CARE FOR MEDICARE PATIENTS. THEREFORE, ANY SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT IS THE HOSPITAL'S MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE OR ABILITY TO PAY.
      Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
GARNET HEALTH MEDICAL CENTER - CATSKILLS' COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, CHARITY CARE ELIGIBILITY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALIFY FOR A 100% WRITE-OFF. DURING THE FINANCIAL ASSISTANCE DETERMINATION PROCESS, COLLECTION EFFORTS WILL BE PLACED ON HOLD AND THE ACCOUNT WILL BE ASSIGNED TO A CHARITY FINANCIAL STATUS. ALSO, ACCOUNTS PENDING PAYMENT FROM MEDICAID FOR ELIGIBLE PATIENTS WILL NOT BE REFERRED TO COLLECTIONS.
      Schedule H, Part V, Section B, Line 16a FAP website
A - GARNET HEALTH MEDICAL CENTER - CATSKILLS: Line 16a URL: 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 7 State filing of community benefit report
NY
      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. More specifically, approximately $895 thousand of cash from operations was used for routine equipment replacement, $354 thousand was invested in diagnostic imaging equipment and upgrades, and $950 thousand was used to make capitalizable improvements to the facility. Approximately $207 thousand was expended for capital in response to the COVID-19 pandemic.
      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 480,000 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 3,400 EMPLOYED PROFESSIONALS AND OVER 520 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.