Israeli soldiers inspect the Al Shifa hospital complex, amid their ground operation against Palestinian terrorist group Hamas, in Gaza City, Nov. 15, 2023 in this handout image. Photo: Israel Defense Forces/Handout via REUTERS

Internal documents from Hamas’s Ministry of Interior and National Security dating back to 2020 reveal the Palestinian terrorist group has long used Gaza’s medical facilities for military purposes, according to a new report.

On Wednesday, NGO Monitor — an independent, Jerusalem-based research institute that tracks anti-Israel bias among nongovernmental organizations — released two documents declassified by the Israel Defense Forces (IDF), revealing how Hamas has weaponized Gaza’s hospitals for years to shelter its operatives and leaders.

Translated from Arabic, the documents also reveal that international organizations — including the Red Cross and Doctors Without Borders — are aware of Hamas’s presence in Gaza’s medical facilities, even as they publicly deny or downplay it.

“While repeatedly echoing Hamas allegations and condemning Israel’s operations to end the exploitation of hospitals for terror, these groups clearly knew that Hamas exploited these facilities and chose to remain silent,” Gerald Steinberg, president of NGO Monitor, said in a statement.

‼️BREAKING: Leaked docs show Hamas admits to using Gaza hospitals as terror infrastructure, in files authored by its Interior Security Mechanism and obtained by NGO Monitor. Hospitals served as command hubs while NGOs went along under Hamas rules.

Here’s what they reveal 🧵➡️ pic.twitter.com/HXI6hULYTG

— NGO Monitor (@NGOmonitor) September 10, 2025

Since the start of the war in Gaza, Hamas’s exploitation of hospitals has drawn heightened attention, with Israel facing international criticism for its operations near medical facilities as it seeks to crack down on the terrorist group.

According to NGO Monitor, the internal Hamas documents show a deliberate strategy of “embedding its military infrastructure, fighters, and leadership within hospitals and medical facilities in Gaza … thereby violating international law and endangering civilian lives.”

The documents also show that foreign NGOs have not only been aware of Hamas’s presence in Gaza’s medical facilities but also have sometimes worked alongside them.

For example, one internal memo notes that the Red Cross occupied a wing in the Al-Shifa medical complex directly adjacent to offices used by Hamas.

Despite international claims to the contrary, the documents show that the Palestinian terrorist group views medical facilities not as neutral spaces but as integral parts of its infrastructure.

“These facilities are considered to be of interest to hostile security parties and an important source for intelligence gathering, especially in times of war, since these health facilities are a place of gathering for the wounded during times of escalation, and these wounded cases hold sensitive positions in the resistance,” one of the internal memos reads.

“Furthermore, these health facilities are a place of gathering for numerous leaders of the movement and the government during times of escalation,” it continues.

The documents also reveal how Hamas closely monitors and controls foreign NGOs working in hospitals due to fears that they might serve as channels for Israeli intelligence.

“Do not let these associations have their own locations to work inside health facilities. When a location is allocated for these associations, it shall be outside the main building of the clinic or hospital, and far away from movement locations, and following security authorization,” one of the internal memos reads.

“Medical members from the Gaza Strip must join incoming delegations, whether the delegations work in hospitals or their own locations,” it adds.

Under this structured oversight, NGO Monitor explains that foreign organizations had to operate according to Hamas’s rules, “making them complicit in a system” that exploits medical centers for terrorist purposes.

“The internal Hamas documents reviewed in this report expose a systematic Hamas strategy to militarize Gaza’s health-care system, using hospitals and medical facilities as extensions of its military and security apparatus,” NGO Monitor says.

“This arrangement is fundamentally inconsistent with the principle of medical neutrality in Gaza, transforming humanitarian spaces into dual-use facilities that serve both medical and military purposes,” it continues.