2019-11-07T14:00:48-06:00 2018-12-31 350921680 CROWE LLP 488 Madison Avenue Floor 3 New York NY 100225702 990 2018-01-01 141364536 Orange Regional Medical Center ORAN 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 SCOTT BATULIS PRESIDENT/CEO 2019-11-07 true Rachel Spurlock P00520729 2125725500 2018 2020-01-14 16:20:31Z SCOTT BATULIS 707 EAST MAIN STREET MIDDLETOWN NY 10940 654662679 false X WWW.ORMC.ORG X 1908 NY THE MISSION OF ORANGE REGIONAL MED CTR IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. 7 7 3449 425 17050 13131 1403263 1257383 488541718 499181566 5777586 3496876 6068456 19611881 501791023 523547706 813274 1019942 0 239091621 246769443 0 0 276534162 239087926 516439057 486877311 -14648034 36670395 573492393 597024116 484046184 472577078 89446209 124447038 X ORANGE REGIONAL 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. ORANGE REGIONAL 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 270827645 1019942 321301211 INPATIENT CARE: ORANGE REGIONAL 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 2018, ORMC HAD 24,741 INPATIENT DISCHARGES AND PERFORMED 913,694 OUTPATIENT PROCEDURES. IN ADDITION TO PROVIDING INPATIENT CARE, ORMC ALSO OPERATES A NETWORK OF OFF-SITE FACILITIES WHICH PROVIDE A FULL RANGE OF OUTPATIENT DIAGNOSTIC, THERAPEUTIC AND COMMUNITY EDUCATION SERVICES. THROUGHOUT THE YEAR, ORMC 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. 140717848 167090805 PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY 12208105 14496115 OTHER PROGRAM SERVICES: PROVIDING REHAB SERVICES TO 631 PATIENTS IN THE SURROUNDING COMMUNITY. 10038243 11919583 PROVIDING BEHAVIORAL HEALTH SERVICES TO 1,045 PATIENTS IN THE SURROUNDING COMMUNITY 10038243 11919583 433791841 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 true false false false false false false false false false false false false false false false true false false false true 418 0 true 3449 true true true false false false false false true false false false true false X 7 7 false false false false true true true true true false false true true true true true true false false true true NY X JAMES GRIGG 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 DONALD BEELER CHAIRMAN 1.0 2.0 X X 0 0 0 JONATHAN ROUIS VICE CHAIR 1.0 6.5 X X 0 0 0 ANDREW PAVLOFF TREASURER 1.0 3.0 X X 0 0 0 EDISON GUZMAN SECRETARY 1.0 2.0 X X 0 0 0 LON MERIN MD BOARD MEMBER UNTIL 4/30/18 1.0 2.0 X 0 0 0 ROLLAND PEACOCK III BOARD MEMBER 1.0 2.0 X 0 0 0 SHER SINGH BOARD MEMBER UNTIL 8/31/18 1.0 2.0 X 0 0 0 HEIDI HAHN SCHROEDER BOARD MEMBER 1.0 2.0 X 0 0 0 SUSAN MURRAY TETZ BOARD MEMBER 1.0 2.0 X 0 0 0 JAMES GRIGG CHIEF FINANCIAL OFFICER 40.0 35.0 X 0 471038 19022 JAMES OXLEY DO CMO 40.0 20.0 X 0 687517 44845 SCOTT BATULIS PRESIDENT/CEO 40.0 21.0 X 0 1449753 55304 HAI LUO CHIEF PHYSICIST 40.0 0 X 259505 0 56911 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 40.0 0 X 286806 0 52937 CHRISTINE GOODHART HR OPERATIONS ADMINISTRATOR 40.0 0 X 260073 0 31769 PAMELA MURPHY MD VP EMERGENCY MED & OBSERVATION 40.0 1.0 X 244691 61633 20258 DEBORA SNYDER SR ADMINISTRATOR - EMER SVCS 40.0 0 X 227146 0 19706 JONATHAN SCHILLER Former COO 50.0 X 0 578396 55530 1278221 3248337 356282 403 true true false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 MEDICAL SERVICES 12896079 RESTORIXHEALTH INC 155 WHITE PLAINS RD STE 222 TARRYTOWN NY 10591 WOUND CARE SVCS 2955190 WASHINGTON & WEST 1 OLYMPIC PLACE SUITE 500 BALTIMORE MD 21204 DENIAL MANAGEMENT 2667951 CRYSTAL RUN HEALTHCARE LLP 155 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 MEDICAL SERVICES 2089913 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 AGENCY STAFFING 1896673 77 X 680429 224454 352500 1257383 NET PATIENT SERVICE REVENUE 541900 497701808 497701639 169 Ambulatory Services Income 900099 919754 919754 MGMT FEE FROM RELATED ORG 900099 560004 560004 0 0 0 0 499181566 3213661 3213661 1337090 25353 1311737 0 1311737 16881 1294856 131372915 0 131077501 12119 295414 -12119 283215 283215 CAFETERIA/COFFEE & GIFT SHOP REVENUE 721110 2673827 2673827 ALLOCATED OVERHEAD RELATED ORG 900099 969289 969289 DIST FROM MEDICAL LIAB MUTUAL INSUR CO 900099 13196588 13196588 1460440 1460440 0 0 18300144 523547706 514807714 17050 7465559 X 1019942 1019942 177745030 164958652 12786378 16912102 15302475 1609627 38685744 34708673 3977071 13426567 11970052 1456515 788049 788049 480249 480249 64283 64283 151810 151810 65847784 52333947 13513837 0 1656095 1295281 360814 13497446 11550498 1946948 4011816 3065027 946789 9195838 5759859 3435979 611434 490852 120582 241262 193137 48125 13953168 10660220 3292948 27253015 20821303 6431712 5329422 4071678 1257744 MEDICAL SUPPLIES 84249106 84249106 NON MEDICAL SUPPLIES 7704176 7223883 480293 OTHER TAXES & ASSESSMENTS 2954221 2954221 ADMINISTRATION EXPENSES 514978 514978 583774 583774 0 0 486877311 433791841 53085470 0 401625 139549 47080957 65509634 52017078 55070497 0 0 0 9964828 11585400 3582042 4793945 505390270 216672356 303291422 288717914 108857970 115679765 0 1497164 1610418 46799307 53916994 573492393 597024116 65727159 60039992 1547281 1198531 308913283 299519639 0 5343040 4818535 102515421 107000381 484046184 472577078 X 79690411 114576579 7498110 7612771 2257688 2257688 89446209 124447038 573492393 597024116 X 36670395 -3586384 1916818 X false true X true false X false false false false false false false false true 64283 64283 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1I - PERCENTAGE OF DUES PAID TO GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1I - PERCENTAGE OF DUES PAID TO GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES 2257688 78881 78881 2257688 1993764 263924 319612 319612 2257688 1993764 83239 83239 1993764 1993764 90031 90031 1993764 1993764 229660 229660 1993764 0.0 1.0 0.0 false false 4897415 4897415 207403907 64206793 143197114 274955839 143898967 131056872 18133109 8566596 9566513 288717914 INSURANCE RECOVERIES RECEIVABLE 26272996 DEFERRED REVENUE 985529 DUE FROM THIRD-PARTIES 9600964 DUE FROM RELATED ORGANIZATIONS 9088697 MISCELLANEOUS RECEIVABLES 549873 INTEREST IN ORMC FOUNDATION 7418935 53916994 DUE TO THIRD-PARTIES 33266773 PENSION LIABILITY 39609963 LT LIABILITY - WC & MALPRACTICE 34123645 107000381 X 517856898 -3586384 -462387 -4048771 521905669 151810 1490227 1642037 523547706 485206642 -1490227 -1490227 486696869 151810 28632 180442 486877311 Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS (PERMANENTLY RESTRICTED) ARE INVESTED IN ACCOUNTS IN ORMC'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 The Tax Cuts and Jobs Act (TCJA) was enacted on December 22, 2017. For tax exempt entities, TCJA requires organizations to categorize certain fringe benefit expenses as a source of unrelated business income subject to tax, pay an excise tax on compensation above certain thresholds, and record income or losses for tax determination purposes from unrelated business activities on an activity-by-activity basis, among other provisions. Regulations necessary to implement certain aspects of TCJA are expected to be promulgated by the Internal Revenue Service (IRS) in 2019. The effects of income taxes are not material to the accompanying consolidated financial statements. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 CONTRIBUTIONS FOR P P & E - -457337 RESTRICTED FUND INCOME - 23582 RENT AND ADMIN FEE FROM FOUNDATION - -28632 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EPXENSES - -25353 BAD DEBT RECOVERY - 1515580 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSE - 25353 BAD DEBT RECOVERY - -1515580 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements CONTRIBUTION TO FOUNDATION - 28632 true true X true X true X true false true true 7695921 225128 7470793 0.0153 74559081 61888644 12670437 0.0260 0 0.0 0 0 82255002 62113772 20141230 0.0414 197043 13640 183403 0.0004 18278313 6948693 11329620 0.0233 81889069 63678351 18210718 0.0374 0 0.0 0 0.0 0 0 100364425 70640684 29723741 0.0610 0 0 182619427 132754456 49864971 0.1024 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 146381672 171276808 -24895136 X true true CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN AMBULATORY SURGERY CENTER 0.4 0.6 HUDSON VALLEY AMBULATORY SURGERY LLC AMBULATORY SURGERY CENTER 0.26 0.74 1 1 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 WWW.ORMC.ORG 3523000H X X X X ORANGE REGIONAL MEDICAL CENTER 1 false false true X X X X X X X 16 true true false true X HTTP://WWW.ORMC.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-SERVICE-PLANS X true 17 true HTTP://WWW.ORMC.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-SERVICE-PLANS false true X 200.0 350.0 true true X X X true X https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance X https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance X https://www.ormc.org/wp-content/uploads/2017/03/ormc-financial-assistance-summary-2017.pdf X X X X X X true X false 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 - ORANGE REGIONAL MEDICAL CENTER. COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. COMMUNITY INPUT WAS SOUGHT THROUGH KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS AND PARTNERS, FOCUS GROUP DISCUSSIONS WITH COMMUNITY RESIDENTS, AN ONLINE COMMUNITY MEMBER SURVEY AVAILABLE TO ALL RESIDENTS, AND INCLUSION OF COMMUNITY LEADERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ORANGE REGIONAL MEDICAL CENTER. THE CHNA WAS UNDERTAKEN BY THE GREATER HUDSON VALLEY HEALTH SYSTEMS WHICH INCLUDES BOTH ORANGE REGIONAL MEDICAL CENTER AND CATSKILL REGIONAL MEDICAL CENTER. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ORANGE REGIONAL MEDICAL CENTER. BASED ON FEEDBACK FROM COMMUNITY PARTNERS, INCLUDING HEALTH CARE PROVIDERS, PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE AGENCIES, AND OTHER COMMUNITY REPRESENTATIVES, GREATER HUDSON VALLEY HEALTH SYSTEM PLANS TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING HEALTH PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: * PREVENT CHRONIC DISEASES/REDUCE OBESITY * PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN/REDUCE TEEN PREGNANCY AN IMPLEMENTATION STRATEGY WAS DEVELOPED TO ILLUSTRATE THE SYSTEM'S SPECIFIC PROGRAMS AND RESOURCES THAT SUPPORT ONGOING EFFORTS TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. IN ADDITION, THE SYSTEM HAS APPOINTED ITS FIRST DIRECTOR OF COMMUNITY HEALTH WHO WILL PLAY AN ACTIVE ROLE IN DEVELOPING PARTNERSHIPS WITH OUTSIDE ORGANIZATIONS AND INTEGRATING PROGRAMS THAT ARE IN LINE WITH THE CORPORATE COMMUNITY HEALTH PLAN. THE GROWTH AND SUPPORT OF A STRONG COMMUNITY HEALTH PROGRAM IN THE SYSTEM HAS BEEN IDENTIFIED IN THE ORGANIZATION'S STRATEGIC PLAN AND REMAINS A PRIORITY OF THE BOARD OF DIRECTORS. THE COMMUNITY HEALTH PLAN IS FOCUSED ON THE TWO PRIORITY AREAS IDENTIFIED ABOVE AND ADOPTED THE THIRD PRIORITY AREA OF MENTAL HEALTH/SUBSTANCE ABUSE IN THE SYSTEM'S MOST RECENT COMMUNITY SERVICE PLAN UPDATE DUE TO THE SEVERE IMPACT OF THE OPOID CRISIS IN OUR AREA. FOR THOSE IDENTIFIED COMMUNITY HEALTH NEEDS NOT ADDRESSED BY THE MOST RECENT IMPLEMENTATION PLAN, GREATER HUDSON VALLEY HEALTH SYSTEM RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES AND EMPLOYS THE ROBERT WOOD JOHNSON MODEL OF COLLECTIVE IMPACT TO IMPROVE HEALTH. THIS ALLOWS MULTIPLE STAKEHOLDERS TO WORK TOGETHER ON A COMMON AGENDA WITH SHARED MEASUREMENT. MUTUALLY REINFORCING ACTIVITIES, CONTINUOUS COMMUNICATION AND BACKBONE SUPPORT. LASTLY, THE GHVHS COMMUNITY HEALTH TEAM ACTIVELY ENGAGES IN LOCAL HEALTH COMMITTEES, COALITIONS, NETWORKS AND TASK FORCES THAT WORK TO DECREASE HEALTH DISPARITIES AND IMPROVE THE HEALTH EQUITY OF OUR POPULATION. THE GREATER HUDSON VALLEY HEALTH SYSTEM WILL CONTINUE TO UTILIZE ITS ROLE AS AN ANCHOR INSTITUTION TO LEAD, ROLE MODEL AND GROW A CULTURE OF HEALTH IN THE COMMUNITIES WE SERVE. TO IMPROVE ALL HEALTH ISSUES IDENTIFIED THROUGH THE CHNA AS RESOURCES ARE AVAILABLE AND WILL ALSO CONTINUE TO PLAY A LEADERSHIP ROLE IN ADDRESSING THE HEALTH NEEDS OF THE RESIDENTS IN THE COMMUNITIES IT SERVES. 3 CRYSTAL RUN AMBULATORY SURGERY CNTR 95 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 JOINT VENTURE AMBULATORY SURGERY CENTER HUDSON VALLEY AMBULATORY SURGERY LLC 75 CRYSTAL RUN RD SUITE 225 MIDDLETOWN NY 10941 JOINT VENTURE AMBULATORY SURGERY CENTER ORANGE REGIONAL MEDICAL PAVILION 75 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 WOUND CARE, SLEEP CENTER, SUBSTANCE ABUSE & COUNSELING CNTR Schedule H, Part I Rev. Proc. 2015-21 Disclosure IN NOVEMBER 2018, THE ORGANIZATION ENGAGED AN OUTSIDE CONSULTANT TO REVIEW AND REVISE ITS FINANCIAL ASSISTANCE & CREDIT AND COLLECTIONS POLICY TO MEET THE REQUIREMENTS OF TREASURY REGULATIONS ISSUED UNDER SECTION 501(R). THE POLICIES WERE FORMALLY ADOPTED BY THE GOVERNING BODY IN NOVEMBER 2019, AT WHICH TIME THEY WERE WIDELY PUBLICIZED WITHIN THE MEANING OF TREAS. REG. SECTION 1.501(R)-4(B)(5). TO ENSURE FULL COMPLIANCE WITH SECTION 501(R) AND THE TREASURY REGULATIONS ISSUED THEREUNDER, THE OUTSIDE CONSULTANT ALSO REVIEWED ALL OPERATIONAL ASPECTS OF SECTION 501(R). THE ORGANIZATION CONTINUES TO MONITOR COMPLIANCE WITH 501(R) ON A REGULAR BASIS. 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 AFS FOOTNOTE - AMOUNTS IN THOUSANDS BAD DEBT EXPENSE FOR THE PERIOD ENDED DECEMBER 31, 2018 WAS NOT SIGNIFICANT. FOR SERVICES PROVIDED THROUGH DECEMBER 31, 2017, NET PATIENT SERVICE REVENUE AND THE RELATED ACCOUNTS RECEIVABLE ESTIMATES ARE SUBJECT TO THE ACCOUNTING REQUIREMENTS PRIOR TO THE ADOPTION OF ASU 2014-09. ESTIMATES FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS PERTAINING TO THIS SERVICE PERIOD ARE REEVALUATED MONTHLY AND CERTAIN REVISIONS TO SUCH ESTIMATES CONTINUE TO BE MADE BASED ON RECENT COLLECTION TRENDS AND MANAGEMENT'S EXPECTATIONS FOR THE ULTIMATE COLLECTION OF ACCOUNTS RECEIVABLE BALANCES EXISTING AT DECEMBER 31, 2017. FOR THE YEAR ENDED DECEMBER 31, 2018, THE HOSPITAL RECORDED BAD DEBT RECOVERIES OF $1,516 RELATED TO PRE-2018 NET PATIENT SERVICE REVENUE.ORMC WROTE OFF APPROXIMATELY $21,500 AND $22,700 FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY, RELATED TO PATIENT ACCOUNT BALANCES WITH DATES OF SERVICE PRIOR TO 2018, OF WHICH A SIGNIFICANT PORTION RELATE TO UNINSURED PATIENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICARE SHORTFALL OF $24,895,136 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 ORMC'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 ELIGIBILTY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALITY FOR A 100% WRITE-OFF. Schedule H, Part V, Section B, Line 16a FAP website - ORANGE REGIONAL MEDICAL CENTER: Line 16a URL: https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ORANGE REGIONAL MEDICAL CENTER: Line 16b URL: https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ORANGE REGIONAL MEDICAL CENTER: Line 16c URL: https://www.ormc.org/wp-content/uploads/2017/03/ormc-financial-assistance-summary-2017.pdf; Schedule H, Part VI, Line 2 Needs assessment THE MAJORITY OF ORMC'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, ORMC 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, ORANGE REGIONAL 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 ORANGE REGIONAL MEDICAL CENTER IS A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM. ORMC, IN MIDDLETOWN, NY, EXPANDED ITS SERVICE AREA TO REFLECT ITS RELATIONSHIP WITH CATSKILL REGIONAL MEDICAL CENTER (ALSO A MEMBER OF GHVHS). THE GHVHS SERVICE AREA INCLUDED ALL OF ORANGE COUNTY AND SULLIVAN COUNTY; AN AREA THAT ENCOMPASSES 1,828 SQUARE MILES AND APPROXIMATELY 450,000 RESIDENTS. WHEN IT COMES TO HEALTH PLANNING FOR PRIMARY CARE AND CORE SECONDARY LEVEL SERVICES, ORMC FOCUSES ON 29 ZIP CODES THAT COMPRISE ITS LOCAL HEALTH SERVICE AREA. THIS SERVICE AREA WAS DETERMINED BY IDENTIFYING THE ZIP CODES FROM WHICH 85% OF ORANGE REGIONAL'S DISCHARGES ORIGINATE. PLANNING FOR SPECIALTY CARE SERVICES TAKES A MORE REGIONAL PERSPECTIVE AND ENCOMPASSES ALL OF ORANGE AND SULLIVAN COUNTIES AND THE NEEDS OF THEIR RESIDENTS. Schedule H, Part VI, Line 5 Promotion of community health THE MAJORITY OF ORMC'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, ORMC 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. ORMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED PHYSICIAN IS ENCOURAGED TO APPLY FOR MEDICAL STAFF MEMBERSHIP. Schedule H, Part VI, Line 6 Affiliated health care system THE GREATER HUDSON VALLEY HEALTH SYSTEM (GHVHS) IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS-CATSKILL REGIONAL MEDICAL CENTER AND ORANGE REGIONAL MEDICAL CENTER, AND ALSO FOR THE ORANGE REGIONAL MEDICAL CENTER FOUNDATION. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC ARE ALSO PARTICIPANTS IN THE SYSTEM. THE GHVHS 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 450,000 RESIDENTS IN ORANGE, SULLIVAN AND ULSTER COUNTIES, THE GHVHS 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 THE GHVHS 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. CATSKILL REGIONAL MEDICAL CENTER HAS TWO HOSPITAL FACILITIES SERVING PATIENTS IN SULLIVAN AND ULSTER COUNTIES. CATSKILL REGIONAL MEDICAL CENTER-HARRIS IS A COMMUNITY HOSPITAL; WHILE, CATSKILL REGIONAL MEDICAL CENTER- CALLICOON IS A CRITICAL ACCESS HOSPITAL. ORANGE REGIONAL MEDICAL CENTER OPENED A NEW HOSPITAL FACILITY DURING 2011 AND SERVES PATIENTS IN THE TRI-COUNTY AREA. GARNET HEALTH DOCTORS PC HAS OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK. Schedule H, Part VI, Line 7 State filing of community benefit report NY true ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 501(C)(3) 1019942 FMV EXPENSES INCURRED AND PAID ON BEHALF OF THE ORANGE REGIONAL MEDICAL CENTER FOUNDATION 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Institutional support is provided to the ORMC Foundation - a related organization. true false false false false false false true false JONATHAN SCHILLER Former COO 0 422056 0 155170 0 1170 0 26176 0 29354 0 633926 0 0 JAMES GRIGG CHIEF FINANCIAL OFFICER 0 431747 0 30000 0 9291 0 8539 0 10483 0 490060 0 0 JAMES OXLEY DO CMO 0 485072 0 188853 0 13592 0 24750 0 20095 0 732362 0 0 SCOTT BATULIS PRESIDENT/CEO 0 1093685 0 335739 0 20329 0 24750 0 30554 0 1505057 0 0 HAI LUO CHIEF PHYSICIST 257850 0 0 0 1655 0 39368 0 17543 0 316416 0 0 0 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 242486 0 42763 0 1557 0 23583 0 29354 0 339743 0 0 0 CHRISTINE GOODHART HR OPERATIONS ADMINISTRATOR 212161 0 47455 0 457 0 22254 0 9515 0 291842 0 0 0 PAMELA MURPHY MD VP EMERGENCY MED & OBSERVATION 243147 61633 0 0 1544 0 9775 0 10483 0 264949 61633 0 0 DEBORA SNYDER SR ADMINISTRATOR - EMER SVCS 191833 0 34910 0 403 0 9223 0 10483 0 246852 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION OF THE CHIEF EXECUTIVE OFFICER WAS DETERMINED BY THE GREATER HUDSON VALLEY HEALTH SYSTEM, INC AND PAID BY GREATHER HUDSON VALLEY HEALTH SYSTEM, INC. THE SALARY AND RELATED EXPENSES WERE THEN CHARGED TO ORANGE REGIONAL MEDICAL CENTER. Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE PAID IN 2018: JOANNE RITTER-TEITEL $311,931 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 3100000 70060402 4345000 65715402 2016 false false true true B 13400000 253825171 18520000 231489386 3040785 775000 2017 false true true true A false true true true false 0.0048 0.0048 false false true B false false false false 0.0 false false true A false true false false false false false false false B false true false false false false false false false A false B false Form 990, Part III, Line 4d Description of other program services (Expenses $ 10,038,243 including grants of $)(Revenue $ 11,919,583) PROVIDING BEHAVIORAL HEALTH SERVICES TO 1,045 PATIENTS IN THE SURROUNDING COMMUNITY Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ORMC CEO IS EMPLOYED AND COMPENSATED BY GREATER HUDSON VALLEY HEALTH SYSTEM. COMPENSATION FOR THE ORMC 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 2018 FOR THE 2019 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GHVHS COMPENSATION COMMITTEE. 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 THE GHVHS CERTIFICATE OF INCORPORATION, THESE BYLAWS, OR ANY LAW OR STATUTE GOVERNING GHVHS. 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 GREATER HUDSON VALLEY HEALTH SYSTEM INC, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) IS THE SOLE MEMBER OF ORANGE REGIONAL MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE ORMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM ORMC BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF ORANGE REGIONAL 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 GHVHS 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 GREATER HUDSON VALLEY HEALTH SYSTEM, ORANGE REGIONAL MEDICAL CENTER IS SUBJECT TO THE GHVHS 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 GHVHS POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE GHVHS 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 REBATES - Total Revenue: 792224, Related or Exempt Function Revenue: 792224, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISC REVENUE - Total Revenue: 668216, Related or Exempt Function Revenue: 668216, 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: 28934046, Program Service Expense: 28934046, Management and General Expenses: , Fundraising Expenses: ; TEMP AND AGENCY FEES - Total Expense: 2878948, Program Service Expense: 2878948, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 3873123, Program Service Expense: 572020, Management and General Expenses: 3301103, Fundraising Expenses: ; RECRUITMENT FEES - Total Expense: 85805, Program Service Expense: 48946, Management and General Expenses: 36859, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 16239447, Program Service Expense: 13934904, Management and General Expenses: 2304543, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 5961514, Program Service Expense: 5961514, Management and General Expenses: , Fundraising Expenses: ; ALL OTHER PURCHASED SERVICES - Total Expense: 89858, Program Service Expense: 3569, Management and General Expenses: 86289, Fundraising Expenses: ; CONTRACTED EMPLOYEES - RELATED ORG - Total Expense: 7785043, Program Service Expense: , Management and General Expenses: 7785043, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances POST RETIREMENT-RELATED CHANGES - 530379; PENSION-RELATED - 974672; CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. - 138243; TRANSFER FROM GREATER HUDSON VALLEY HEALTH SYSTEM - 273524; PART VI, SECTION B, LINE 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES KEY EMPLOYEES OF ORMC ARE EMPLOYED AND COMPENSATED BY GREATER HUDSON VALLEY HEALTH SYSTEM. COMPENSATION FOR THE KEY EMPLOYEES IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE GHVHS 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 2018 FOR THE 2019 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GHVHS COMPENSATION COMMITTEE. THESE POSITIONS INCLUDED CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, CHIEF INNOVATION OFFICER, CHIEF HR OFFICER, VP SUPPORT SERVICES & REAL ESTATE, CHIEF QUALITY OFFICER, VP/GENERAL COUNSEL, VP MARKETEING & STRATEGIC PLANNING, AND CHIEF NURSING OFFICER. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES. GREATER HUDSON VALLEY HEALTH SYSTEM INC C/O ORMC 707 EAST MAIN STREET MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(c)(3) Type II NA false CATSKILL REGIONAL MEDICAL CENTER PO BOX 800 HARRIS NY 12742 146049030 HOSPITAL NY 501(c)(3) 3 GHVHS false ORANGE REGIONAL MED CENTER FOUNDATION C/O ORMC 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 FUNDRAISING NY 501(c)(3) Type I GHVHS false ORMC AUXILIARY 707 EAST MAIN STREET MIDDLETOWN NY 10940 205223843 SUPPORT ORG NY 501(c)(3) 9 NA false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 371743537 HEALTHCARE NY 501(c)(3) Type I GHVHS false SYNERA CORP C/O 707 EAST MAIN STREET MIDDLETOWN NY 10940 743070072 REAL PROPERTY HOLDING COMPANY NY 501(c)(2) ORANGE REGIONAL MEDICAL CENTER true GARNET HEALTH URGENT CARE PC 707 EAST MAIN ST MIDDLETOWN NY 10940 824251331 HEALTHCARE NY 501(c)(3) Type I GHVHS false EAST MAIN STREET MANAGEMENT CORP 707 EAST MAIN STREET MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY ORMC C Corporation 0 0 1 true false true true false false false false false false true false true true true true true true true true