2019-11-07T14:01:48-06:00 2018-12-31 350921680 CROWE LLP 488 Madison Avenue Floor 3 New York NY 100225702 990 2018-01-01 146049030 Catskill Regional Medical Center CATS 8457943300 PO BOX 800 HARRIS NY 12742 JONATHAN SCHILLER CEO 2019-11-07 true RACHEL SPURLOCK P00520729 2125725500 2018 2020-01-14 16:20:31Z JONATHAN SCHILLER PO BOX 800 HARRIS NY 12742 95271495 false X WWW.CRMCNY.ORG X 1967 NY THE MISSION OF CATSKILL REGIONAL MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. 10 7 842 51 312119 -161490 982268 3758689 96224849 90234254 49529 97452 755709 1073927 98012355 95164322 12279 20262 0 51615277 53107947 0 0 0 46128651 42803680 97756207 95931889 256148 -767567 83194770 83633933 36543414 38183913 46651356 45450020 X THE CATSKILL REGIONAL MEDICAL CENTER (CRMC) MISSION STATEMENT IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE. CRMC'S 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 32431649 35832506 EXPENSES INCURRED WHILE PERFORMING 360,732 OUTPATIENT PROCEDURES FOR PATIENTS IN THE SURROUNDING COMMUNITY. 31907334 20262 34925361 CATSKILL REGIONAL MEDICAL CENTER IS LICENSED FOR 181 BEDS. MAINTAINED ON TWO CAMPUSES IN HARRIS, NEW YORK AND CALLICOON, NEW YORK. DURING 2018, CRMC HAD 3,028 ACUTE INPATIENT DISCHARGES. 5980466 6607592 EXPENSES INCURRED WHILE PROVIDING SERVICES TO 155 PATIENTS IN THE SKILLED NURSING UNIT. 11623582 12842457 EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,696 PATIENTS FROM THE SURROUNDING COMMUNITY. 11623582 12842457 81943031 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 159 0 true 842 true true true false false false false false true false false false true false X 10 7 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 JOSEPH LOUGHLIN CHAIRMAN 1.0 2.0 X X 0 0 0 JACQUELINE RICCIANI VICE CHAIR 1.0 2.0 X X 0 0 0 MICHAEL WASCHITZ TREASURER 1.0 2.0 X X 0 0 0 RICHARD LANDER BOARD MEMBER/ SECRETARY AS OF 3/2018 1.0 2.0 X X 0 0 0 BARBARA BLAKEY SECRETARY UNTIL 3/21/18 1.0 2.0 X X 0 0 0 IMRAN AHMED MD BOARD MEMBER 1.0 2.0 X 0 0 0 JOAN FARROW BOARD MEMBER 1.0 4.0 X 0 0 0 ANDREW PAVLOFF BOARD MEMBER 1.0 3.0 X 0 0 0 GERALD SKODA BOARD MEMBER 1.0 2.0 X 0 0 0 DARREL SUPAK BOARD MEMBER 1.0 2.0 X 0 0 0 DORY ALPORT BOARD MEMBER 1.0 2.0 X 0 0 0 JOANNE STURANS CHIEF HR OFFICER 10.0 50.0 X 0 512795 56754 STEPHEN SUGRUE VP SUPPORT SERVICES & REAL ESTATE 10.0 50.0 X 0 476921 50948 BRIAN TEW CIO 10.0 50.0 X 0 587822 42954 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 10.0 50.0 X 0 643777 44145 JOSEPH ANESI VP/GENERAL COUNSEL 10.0 50.0 X 0 533790 54104 DAVID L SMITH VP MKTG & STRATEGIC PLANNING 10.0 50.0 X 0 372767 42554 JAMES GRIGG CHIEF FINANCIAL OFFICER 10.0 65.0 X 0 471038 19022 JONATHAN SCHILLER CEO 40.0 10.0 X 0 578396 55530 ROLLAND V BOJO VP PT CARE SVCS/CNO 40.0 10.0 X 0 330024 56945 GERARD J GALARNEAU MD CEO/CMO 12.0 48.0 X 0 656786 54104 SCOTT BATULIS PRESIDENT 10.0 51.0 X 0 1449753 55304 ZAUR IBRAGIMOV PHARMACIST 40.0 0 X 174746 0 41970 MARK SOIREFMAN PHARMACY DIRECTOR 40.0 0 X 167320 0 22189 ROY MASON PHARMACIST 40.0 0 X 164872 0 0 HILDA MAXIMO REGISTERED NURSE 40.0 0 X 178435 0 28414 HELEN BURKE REGISTERED NURSE 40.0 0 X 153830 0 27807 839203 6613869 652744 80 false true false GARNET HEALTH DOCTORS PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 PHYSICIANS 1823889 CRYSTAL RUN HEALTH CARE 155 CRYSTAL RUN RD MIDDLETOWN NY 10941 PHYSICIANS 1747592 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SVC MANAGEMENT 1626970 RESTORIXHEALTH INC 155 WHITE PLAINS RD SUITE 222 TARRYTOWN NY 10591 WOUND CARE SERVICES 1531759 NAPP ELECTRIC INC 249 COTTAGE STREET MIDDLETOWN NY 10940 ELECTRICAL CONTRACTOR 1230023 28 X 23743 3486651 248295 3758689 NET PATIENT SERVICE REVENUE 621110 90234254 89922135 312119 0 0 0 0 90234254 97452 97452 729864 729864 0 729864 729864 107173 107173 0 0 REV FROM RELATED ENTITY 900099 58282 58282 REBATES 900099 39743 39743 MISCELLANEOUS 900099 95412 95412 150626 150626 0 0 344063 95164322 90207916 312119 885598 X 20262 20262 173158 173158 39651648 35142127 4509521 2533894 2296984 236910 7539421 6784174 755247 3209826 2844777 365049 92803 92803 18154 18154 20618564 18110918 2507646 0 330174 252910 77264 1735035 1245447 489588 1540034 969626 570408 2039478 1226706 812772 60095 47212 12883 15767 12136 3631 493138 283061 210077 4507969 2587574 1920395 1338549 940109 398440 MEDICAL & OTHER SUPPLIES 9150449 8988078 162371 OTHER TAXES & ASSESSMENT 392642 392642 LICENSE FEES 148575 94043 54532 Dues and Subscriptions 138066 41139 96927 184188 37594 146594 0 95931889 81943031 13988858 0 2868804 6331381 9044964 8069983 308196 670837 11456320 11909453 0 0 0 1533859 1646873 818559 725859 163177785 121013780 41980312 42164005 803131 713595 0 0 14380625 11401947 83194770 83633933 11633303 12543300 0 12862549 12065351 12047562 13575262 36543414 38183913 X 41230315 40579652 3462336 2911663 1958705 1958705 46651356 45450020 83194770 83633933 X -767567 -11019 -422750 X false true X true false X false false false false false false false false true 18154 18154 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 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 58877345 32203841 26673504 94522428 85040594 9481834 7338249 3769345 3568904 42164005 INSURANCE RECEIVABLE - MALP & WC 4235182 THIRD PARTY RECEIVABLE 3145075 DUE FROM RELATED ORG 3712 OTHER RECEIVABLES 131492 INTEREST IN CRMC FOUNDATION 3886486 11401947 DUE TO THIRD PARTY PAYORS 1120150 EST MALPRACTICE LIABILITY 3929284 EST WORKERS COMP LIABILITY 1656251 DUE TO RELATED ORG 6481471 OTHER LIABILITY 388106 13575262 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 GREATER HUDSON VALLEY HEALTH SYSTEM, INC.: GHVHS, ORMC, CRMC, ORMC FOUNDATION, 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. URGENT CARE WAS NOT OPERATIONAL UNTIL 2019. DURING 2019 AN APPLICATION FOR EXEMPT STATUS WAS FILED. 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 SERVICES (IRS) IN 2019. THE EFFECTS OF INCOME TAXES ARE NOT MATERIALTO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true true X true X true X true false true true 2786248 3042153 0 0.0 25567355 18960308 6607047 0.0689 0 0.0 0 0 28353603 22002461 6607047 0.0689 164177 164177 0.0017 0 0.0 20527044 14186294 6340750 0.0661 0 0.0 0 0.0 0 0 20691221 14186294 6504927 0.0678 0 0 49044824 36188755 13111974 0.1367 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 28094944 33281159 -5186215 X true true 2 1 CATSKILL REGIONAL MEDICAL CENTER-HAR 68 HARRIS-BUSHVILLE ROAD HARRIS NY 12742 5263000H X X X A 2 CATSKILL REGIONAL MEDICAL CENTER-GRO 8881 ROUTE 97 CALLICOON NY 12723 5263700C X X X A A false false true X X X X X X X 16 true true false true X www.crmcny.org/about-us/community-service-plan true 17 true www.crmcny.org/about-us/community-service-plan false true X 200.0 350.0 true true X X X true X www.crmcny.org/for-patients/financial-and-insurance-information X www.crmcny.org/for-patients/financial-and-insurance-information X www.crmcny.org/for-patients/financial-and-insurance-information 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 A, 1 Facility A, 1 - CATSKILL REGIONAL MEDICAL CENTER-HAR. 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 A, 1 Facility A, 1 - CATSKILL REGIONAL MEDICAL CENTER-HAR. THE CHNA WAS UNDERTAKEN BY THE GREATER HUDSON VALLEY HEALTH SYSTEM WHICH INCLUDES BOTH ORANGE REGIONAL MEDICAL CENTER AND CATSKILL REGIONAL MEDICAL CENTER. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - CATSKILL REGIONAL MEDICAL CENTER-HAR. 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, COMTINUOUS 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. 0 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 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 CRMC'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 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 - CATSKILL REGIONAL MEDICAL CENTER-HAR: Line 16a URL: www.crmcny.org/for-patients/financial-and-insurance-information; Schedule H, Part V, Section B, Line 16b FAP Application website A - CATSKILL REGIONAL MEDICAL CENTER-HAR: Line 16b URL: www.crmcny.org/for-patients/financial-and-insurance-information; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - CATSKILL REGIONAL MEDICAL CENTER-HAR: Line 16c URL: www.crmcny.org/for-patients/financial-and-insurance-information; Schedule H, Part VI, Line 2 Needs assessment THE MAJORITY OF CRMC'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, CRMC 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, CATSKILL 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 THE CATSKILL REGIONAL MEDICAL CENTER'S 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 CRMC THAN ANY OTHER HOSPITAL FACILITY OR WHERE CRMC HAS A PREDOMINANT MARKET SHARE. THE SULLIVAN COUNTY TOWNSHIPS INT HE 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 CRMC HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF SULLIVAN COUNTY IN SEVERAL WAYS. THE OVERWHELMING MAJORITY OF CRMC'S BOARD OF DIRECTORS ARE COMPRISED OF LOCAL HEALTH CARE CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING SULLIVAN COUNTY HEALTH CARE NEEDS AND PRIORITIES. CRMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED SULLIVAN COUNTY PHYSICIAN IS ENCOURAGED TO APPLY, AND OVER 90% OF LOCAL PHYSICIANS RETAIN MEDICAL STAFF MEMBERSHIP. THE HOSPITAL'S HEALTH SCIENCE LIBRARY SUBSIDIZED FROM CRMC OPERATIONAL FUNDING PROVIDES BOTH COMMUNITY HEALTH EDUCATION TO SULLIVAN COUNTY CONSUMERS AND PATIENTS, AS WELL AS MEDICAL EDUCATION TO LOCAL PHYSICIANS. 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. 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 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, 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 CATSKILL REGIONAL MEDICAL CENTER FOUNDATION PO BOX 800 HARRIS NY 12742 141742176 501(C)(3) 20262 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. X X X X X false false false false false false false true false JOANNE STURANS CHIEF HR OFFICER 0 375630 0 134848 0 2317 0 24750 0 32004 0 569549 0 0 STEPHEN SUGRUE VP SUPPORT SERVICES & REAL ESTATE 0 344861 0 129972 0 2088 0 24750 0 26198 0 527869 0 0 BRIAN TEW CIO 0 436968 0 149060 0 1794 0 11000 0 31954 0 630776 0 0 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 0 463425 0 171150 0 9202 0 24750 0 19395 0 687922 0 0 JOSEPH ANESI VP/GENERAL COUNSEL 0 388887 0 141549 0 3354 0 24750 0 29354 0 587894 0 0 DAVID L SMITH VP MKTG & STRATEGIC PLANNING 0 277039 0 82503 0 13225 0 11000 0 31554 0 415321 0 0 JAMES GRIGG CHIEF FINANCIAL OFFICER 0 431747 0 30000 0 9291 0 8539 0 10483 0 490060 0 0 JONATHAN SCHILLER CEO 0 422056 0 155170 0 1170 0 26176 0 29354 0 633926 0 0 ROLLAND V BOJO VP PT CARE SVCS/CNO 0 254792 0 73620 0 1612 0 24243 0 32702 0 386969 0 0 GERARD J GALARNEAU MD CEO/CMO 0 506979 0 148637 0 1170 0 24750 0 29354 0 710890 0 0 SCOTT BATULIS PRESIDENT 0 1093685 0 335739 0 20329 0 24750 0 30554 0 1505057 0 0 ZAUR IBRAGIMOV PHARMACIST 174746 0 0 0 0 0 0 0 41970 0 216716 0 0 0 MARK SOIREFMAN PHARMACY DIRECTOR 157158 0 9766 0 396 0 10220 0 11969 0 189509 0 0 0 ROY MASON PHARMACIST 164872 0 0 0 0 0 0 0 0 0 164872 0 0 0 HILDA MAXIMO REGISTERED NURSE 155470 0 1460 0 21505 0 10735 0 17679 0 206849 0 0 0 HELEN BURKE REGISTERED NURSE 148527 0 1140 0 4163 0 9410 0 18397 0 181637 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 THE GREATER HUDSON VALLEY HEALTH SYSTEM INC AND PAID BY THE GREATER HUDSON VALLEY HEALTH SYSTEM. THE SALARY AND RELATED BENEFIT EXPENSES WERE ALLOCATED TO THE FILING ORGANIZATION, CATSKILL REGIONAL MEDICAL CENTER. SEE PART VI LINE 15A FOR DETAILS. 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 173158 WAGES & BENEFITS false RACHEL ROBINSON FAMILY MEMBER OF BOARD MEMBER ANDREW PAVLOFF 14565 WAGES false Form 990, Part III, Line 4d Description of other program services (Expenses $ 11,623,582 including grants of $)(Revenue $ 12,842,457) EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,696 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 Form 990, Part VI, Line 6 Classes of members or stockholders GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) IS THE SOLE MEMBER OF CATSKILL REGIONAL MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body GREATER HUDSON VALLEY HEALTH SYSTEMS, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE CRMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM CRMC 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 CRMC'S TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER OF GHVHS, 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 CATSKILL REGIONAL MEDICAL CENTER'S CONFLICT OF INTEREST (COI) POLICY APPLIES TO ALL DIRECTORS, COMMITTEE MEMBERS AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE HOSPITAL OR ANY ENTITY CONTROLLED BY THE HOSPITAL. THE HOSPITAL HAS ADOPTED GHVHS'S CORPORATE COMPLIANCE WITH APPLICABLE CIVIL AND CRIMINAL LAWS, RULES AND REGULATIONS. THE CONFLICT POLICY REQUIRES ALL DIRECTORS 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 HOSPITAL POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE GHVHS COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND IS PRESENT AT ALL BOARD MEETINGS TO ASSIST WITH ANY POTENTIAL CONFLICT ISSUE AND PROVIDE ADVICE ON ABSTENTION, RECUSAL, ETC. 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 THE CATSKILL REGIONAL MEDICAL CENTER TAX RETURN OR GOVERNING DOCUMENTS, A COPY IS SENT TO THE PERSON(S) REQUESTING THE DATA AS REQUIRED THROUGH THE ADMINISTRATION OFFICE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE AS PART OF THE ORGANIZATION'S COMPLIANCE PLAN WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THIS POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue DISTRIBUTION FROM MLMIC - Total Revenue: 150626, Related or Exempt Function Revenue: 150626, 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: 8072481, Program Service Expense: 8072481, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 5276947, Program Service Expense: 4082557, Management and General Expenses: 1194390, Fundraising Expenses: ; TEMP & AGENCY FEES - Total Expense: 1268026, Program Service Expense: 1268026, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3005446, Program Service Expense: 2012945, Management and General Expenses: 992501, Fundraising Expenses: ; Nutrition & Food Service - Total Expense: 1617937, Program Service Expense: 1617937, Management and General Expenses: , Fundraising Expenses: ; COLLECTION FEES - Total Expense: 876469, Program Service Expense: 876469, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 433442, Program Service Expense: 128074, Management and General Expenses: 305368, Fundraising Expenses: ; ALL OTHER PURCHASED SVRS - Total Expense: 67816, Program Service Expense: 52429, Management and General Expenses: 15387, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM RELATED PARTY - GHVHS - 372938; CHANGE IN NET ASSETS OF CRMC FOUNDATION - 39365; NET ASSETS RELEASED FOR FIXED ASSETS - -835053; PART VI, SECTION B, LINE 15a PROCESS FOR DETERMINING COMPENSATION OF CEO THE CRMC CEO IS EMPLOYED AND COMPENSATED BY GREATER HUDSON VALLEY HEALTH SYSTEM. COMPENSATION FOR THE CRMC 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. PART VI, SECTION B, LINE 15B PROCESS FOR DETERMINING COMPENSATION OF KEY EMPLOYEES CRMC KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY GREATER HUDSON VALLEY HEALTH SYSTEM. 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 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. GREATER HUDSON VALLEY HEALTH SYSTEM C/O ORMC 707 E MAIN ST MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(c)(3) Type II NA false ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN ST MIDDLETOWN NY 10940 141364536 HOSPITAL NY 501(c)(3) 3 GHVHS false CRMC FOUNDATION PO BOX 800 HARRIS NY 12742 141742176 FUNDRAISING NY 501(c)(3) Type I NA false GARNET HEALTH DOCTORS PC 707 E MAIN ST MIDDLETOWN NY 10940 371743537 PHYSICIANS NY 501(c)(3) Type I GHVHS false ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 FUND RAISING NY 501(c)(3) Type I ORMC false GARNET HEALTH URGENT CARE PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 824251331 HEALTHCARE NY 501(c)(3) Type I GHVHS true false true true false false false false false false true false true true false true true true false false