SULLIVAN COUNTY — Garnet Health has announced its plans to pursue an affiliation with Montefiore Health System, Inc., an academic health system based in the Bronx, Westchester and the Hudson Valley.

The two healthcare systems said they signed a Letter of Intent on Wednesday. When finalized, this new affiliation is anticipated to result in expanded access and resources. 

“Today’s announcement reflects our continued commitment to ensuring the long-term strength and sustainability of healthcare in our region,” said Jonathan Schiller, President and CEO, Garnet Health. “Joining Montefiore Health System will enable us to bring expanded resources and clinical capabilities to our patients while preserving the community-focused care that has defined Garnet Health for generations.”

Garnet Health currently serves more than 500,000 residents throughout Orange and Sullivan counties and surrounding areas.

The two organizations plan to conduct due diligence and finalize definitive agreements by the end of 2025, followed by the pursuit of required regulatory approvals, which could take up to 24 months.

Garnet Health said it’s uncertain, as of yet, when and if any name changes will take place, and what services would be added.

“Garnet Health has always been deeply committed to meeting the healthcare needs of our community,” states Virginia Rizzo, Board Chair, Garnet Health. “Our affiliation with Montefiore Health System will only help to strengthen that commitment by expanding access to high-quality, exceptional care close to home. This offers us the opportunity to build upon our shared dedication to improving the health and well-being of the region we proudly serve.” 

In June, Garnet Health announced a reduction in its services due to “consistent underutilization”, including cutting the Outpatient Diabetes Services at its Middletown and Catskills locations.

At the time President and CEO Schiller said the move was a direct result of diminishing federal reimbursement and cuts.

In August, U.S. Senate Minority Leader Chuck Schumer visited Garnet Health Medical Center - Catskills to announce new legislation to make healthcare more affordable and reverse GOP cuts, which are expected to go into effect at the end of 2025.

The press release states that the partnership will include Montefiore’s “advanced specialty capabilities and resources.”

“Montefiore Health System knows what it takes to deliver excellent care at a community level while offering access to world-class, academic medical expertise,” said Dr. Phillip Ozuah, President and CEO, Montefiore Einstein. “We look forward to the opportunity to welcome Garnet Health into the Montefiore family. Together, we share a deep commitment to local healthcare access, clinical excellence, and community care.”