2018-11-14T17:32:19-06:00 2017-12-31 350921680 CROWE LLP 488 Madison Avenue Floor 3 New York NY 100225702 990 2017-01-01 141364536 ORANGE REGIONAL MEDICAL CENTER ORAN 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 SCOTT BATULIS PRESIDENT/CEO 2018-11-14 true Rachel Spurlock P00520729 2125725500 2017 2019-02-21 02:37:17Z SCOTT BATULIS 707 EAST MAIN STREET MIDDLETOWN NY 10940 741868672 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 3483 463 17914 13329 2635786 1403263 460090035 488541718 1050945 5777586 4602512 6068456 468379278 501791023 762737 813274 0 229856276 239091621 0 0 231026587 276534162 461645600 516439057 6733678 -14648034 577716056 573492393 474379104 484046184 103336952 89446209 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 241634164 508911 307094748 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 2017, ORMC HAD 24,091 INPATIENT DISCHARGES AND PERFORMED 822,248 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. 125018384 263304 158886843 EXPENSES INCURRED WHILE PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY 10465785 22042 13301049 OTHER PROGRAM SERVICES: EXPENSES INCURRED WHILE PROVIDING REHAB SERVICES TO 601 PATIENTS IN THE SURROUNDING COMMUNITY. 9029245 19017 11475338 EXPENSES INCURRED WHILE PROVIDING BEHAVIORAL HEALTH SERVICES TO 1,132 PATIENTS IN THE SURROUNDING COMMUNITY 9029245 19017 11475338 386147578 true true false true false 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 415 0 true 3483 true true true false false false false false true false false false X 7 7 false false false false true true true true true false false true true true true true true true true true true NY X JAMES GRIGG CFO 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 2.0 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 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 1.0 2.0 X 0 0 0 JILL EMBLER VP FINANCIAL PLANNING 40.0 20.0 X 259459 0 37406 JOANNE STURANS CHIEF HR OFFICER 40.0 20.0 X 497860 0 53093 STEPHEN SUGRUE VP COMPLIANCE, REAL EST, AUDIT 40.0 20.0 X 494101 0 53093 BRIAN TEW CIO 40.0 20.0 X 552224 0 39593 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 40.0 20.0 X 532150 0 43324 JOSEPH ANESI VP/GENERAL COUNSEL 40.0 20.0 X 512873 0 85493 DAVID L SMITH VP MKTG & STRATEGIC PLANNING 40.0 20.0 X 272800 0 27617 MARY ELLEN CRITTENDEN VP QUALITY/PT SAFETY OFFICER 40.0 20.0 X 193745 0 46510 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 40.0 20.0 X 258819 0 51071 JAMES OXLEY DO CMO 40.0 5.0 X 678789 0 43324 JOANNE RITTER-TEITEL VP PATIENT CARE SVCS/CNO 40.0 0 X 628913 0 55720 JONATHAN SCHILLER VP HOSPITAL OPERATIONS 40.0 40.0 X 270978 270978 54391 SCOTT BATULIS PRESIDENT/CEO 40.0 30.0 X 2203038 0 53093 JAMES GRIGG CFO as of Oct. 2017; Interim CFO Prior 40.0 20.0 X 183352 0 3437 RICHARD CARRICO CFO UNTIL 4/25/2017 40.0 20.0 X 401499 0 15031 HAI LUO CHIEF PHYSICIST 40.0 0 X 259599 0 55881 CHRISTINE GOODHART HR OPERATIONS ADMINISTRATOR 40.0 0 X 233428 0 29968 ASHOK KUMAR CHIEF MED INFO OFFICER 40.0 0 X 208532 0 37309 EUGENE BERNIERI ADMINISTRATOR DI 40.0 0 X 199661 0 27495 FREDERICK IBITOYE PHARMACIST 40.0 0 X 198099 0 26895 SANDRA IBERGER FORMER VP OP SERVICES 0.0 0 X 277759 0 27479 9317678 270978 867223 405 true true false GHVHS MEDICAL GROUP PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 MEDICAL SERVICES 5988656 SKANSKA USA BUILDING INC 350 5TH AVE 32ND FLOOR NEW YORK NY 10118 GENERAL CONSTR 4201650 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT SERVICES 3382321 RESTORIXHEALTH INC 155 WHITE PLAINS RD STE 222 TARRYTOWN NY 10591 WOUND CARE SVCS 2717050 CRYSTAL RUN HEALTHCARE LLP 155 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 MEDICAL SERVICES 2138692 67 X 826985 219378 356900 1403263 NET PATIENT SERVICE REVENUE 541900 486910330 486909421 909 Ambulatory Services Income 900099 1071384 1071384 MGMT FEE FROM RELATED ORG 900099 560004 560004 0 0 0 0 488541718 2035956 2035956 1332548 76760 1255788 0 1255788 17005 1238783 243740555 1964 240000889 3739666 1964 3741630 3741630 CAFETERIA/COFFEE & GIFT SHOP REVENUE 721110 2595499 2595499 ALLOCATED OVERHEAD RELATED ORG 900099 969289 969289 REBATES 900099 545506 545506 702374 702374 0 0 4812668 501791023 490757978 17914 9611868 X 813274 813274 7653658 0 7653658 0 166516778 121510552 45006226 15419200 10977039 4442161 36503569 25841216 10662353 12998416 9098891 3899525 748005 748005 412271 412271 104941 104941 320636 320636 57173644 51372885 5800759 0 1547596 1547596 12513310 8759317 3753993 4869394 3408576 1460818 9215746 5529448 3686298 556043 389230 166813 228300 159810 68490 14525374 14525374 26928680 16157208 10771472 5041273 3528891 1512382 MEDICAL SUPPLIES 83965926 83965926 BAD DEBT EXPENSE 19578033 19578033 NON MEDICAL SUPPLIES 7303830 5113685 2190145 OTHER TAXES & ASSESSMENTS 2988290 2988290 28512870 777396 27735474 0 516439057 386147578 130291479 0 25027226 401625 1065389 47080957 51002654 52017078 0 0 0 10038908 9964828 2807901 3582042 492660719 189369297 320737115 303291422 115037154 108857970 0 1497164 8727344 43272365 46799307 577716056 573492393 59711713 65727159 1881031 1547281 294610162 308913283 0 6750011 5343040 111426187 102515421 474379104 484046184 X 93669315 79690411 7673873 7498110 1993764 2257688 103336952 89446209 577716056 573492393 X -14648034 20361 736930 X false true X true false X false false false false false false true 45700 false true 59241 104941 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1G - PAYMENTS TO ROFFEE GROUP, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY LINE 1I - PERCENTAGE OF DUES PAID TO GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVISTS Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1G - PAYMENTS TO ROFFEE GROUP, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY LINE 1I - PERCENTAGE OF DUES PAID TO GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVISTS 1993764 263924 319612 319612 2257688 1993764 83239 83239 1993764 1993764 90031 90031 1993764 1993764 229660 229660 1993764 1993764 1717429 1717429 1993764 0.0 1.0 0.0 false false 4897415 4897415 204586942 55895012 148691930 264633598 126416076 138217522 18542764 7058209 11484555 303291422 INSURANCE RECOVERIES RECEIVABLE 24398276 DEFERRED REVENUE 1323029 DUE FROM THIRD-PARTIES 9810328 DUE FROM RELATED ORGANIZATIONS 3676408 MISCELLANEOUS RECEIVABLES 310574 INTEREST IN ORMC FOUNDATION 7280692 46799307 DUE TO THIRD-PARTIES 22771682 PENSION LIABILITY 46602320 LT LIABILITY - WC & MALPRACTICE 33141419 102515421 X 481268595 20361 -20298913 -20278552 501547147 320636 -76760 243876 501791023 469241621 76760 76760 469164861 320636 46953560 47274196 516439057 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 AND SYNERA, A DORMANT CORPORATION, HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND 501(C)(2), RESPECTIVELY; THEREFORE, ARE GENERALLY EXEMPT FROM FEDERAL INCOME. EAST MAIN STREET MANAGEMENT CORPORATION AND THE ALPHA NETWORK, INC. ARE DORMANT TAXABLE CORPORATIONS. NO PROVISION FOR INCOME TAX HAS BEEN RECORDED. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION OR IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. THE SYSTEM DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2017 OR 2016. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSE - -19578033 RELEASED OF RESTRICTED FUNDS - -689219 RESTRICTED FUND INCOME - -3029 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 EXPENSES - -76760 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 76760 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 19578033 CONTRIBUTION TO FOUNDATION - 28632 LOSS ON EXTINGUISHMENT OF DEBT - 27346895 true true X true X true X true false true true 7688990 333317 7355673 0.0148 83304255 60952599 22351656 0.0450 0 0.0 0 0 90993245 61285916 29707329 0.0598 207 6342 134191 14170 120021 0.0002 12854989 4854766 8000223 0.0161 71912143 53749738 18162405 0.0366 0 0.0 0 0.0 207 6342 84901323 58618674 26282649 0.0529 207 6342 175894568 119904590 55989978 0.1127 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 19578033 1977381 133652008 168167041 -34515033 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/FINANCIALASSISTANCE X HTTPS://WWW.ORMC.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIALASSISTANCE X https://www.ormc.org/wp-content/uploads/2017/03/ormc-financial-assistance-summary-2017.pdf 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, Line 7g Subsidized Health Services Line 7g does not include any costs attributable to a physician clinic Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 19578033 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE WAS CALCULATED BASED ON AN ANALYSIS OF PATIENT ACCOUNTS RECEIVABLE BY FINANCIAL CLASS AND AGE OF ACCOUNT. HISTORIC COLLECTIBILITY PERCENTAGES ARE APPLIED TO THESE BALANCES TO CALCULATE THE BAD DEBT EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology AN ANALYSIS WAS COMPLETED OF CREDIT SCORING RESULTS FOR ACCOUNTS HELD BY A SECONDARY COLLECTION AGENCY. USING THEIR INTERNAL SCORE MODEL, SCORE DECILES WERE IDENTIFIED WHERE CONSUMERS WERE LEAST LIKELY TO PAY AND MOST LIKELY TO QUALIFY FOR CHARITY CARE. THIS PERCENTAGE WAS THEN APPLIED TO THE COST OF THE BAD DEBT FOR THE YEAR. IF THESE PATIENTS HAD COMPLETED THE CHARITY CARE APPLICATION PROCESS, THEIR BALANCES WOULD MOST LIKELY HAVE BEEN ADJUSTED FOR A CHARITY CARE ALLOWANCE, AND THEREFORE WOULD HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote AFS FOOTNOTE - PARAGRAPH 2D ORMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. MANAGEMENT REGULARLY REVIEWS ACCOUNTS AND CONTRACTS AND PROVIDES APPROPRIATE CONTRACTUAL ALLOWANCES AND DISCOUNTS THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, ORMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, ORMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH UNINSURED PATIENTS, MANAGEMENT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ORMC WROTE OFF APPROXIMATELY $6,200 AND $5,200 (IN THOUSANDS) FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, RESPECTIVELY, 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 $34,515,033 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/FINANCIALASSISTANCE; 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/FINANCIALASSISTANCE; 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. GHVHS MEDICAL GROUP PC IS ALSO A PARTICIPANT 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. GHVHS MEDICAL GROUP 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 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 501(C)(3) 813275 FMV INSTITUTIONAL SUPPORT 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. X X X X X true false false false false false false true false SANDRA IBERGER FORMER VP OP SERVICES 0 0 10000 0 267759 0 500 0 26979 0 305238 0 0 0 JILL EMBLER VP FINANCIAL PLANNING 210870 0 47394 0 1195 0 8613 0 28793 0 296865 0 0 0 JOANNE STURANS CHIEF HR OFFICER 355040 0 126002 0 16818 0 24300 0 28793 0 550953 0 0 0 STEPHEN SUGRUE VP COMPLIANCE, REAL EST, AUDIT 323904 0 158003 0 12194 0 24300 0 28793 0 547194 0 0 0 BRIAN TEW CIO 400335 0 136800 0 15089 0 10800 0 28793 0 591817 0 0 0 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 409965 0 108003 0 14182 0 24300 0 19024 0 575474 0 0 0 JOSEPH ANESI VP/GENERAL COUNSEL 365340 0 126003 0 21530 0 56700 0 28793 0 598366 0 0 0 DAVID L SMITH VP MKTG & STRATEGIC PLANNING 269409 0 0 0 3391 0 1269 0 26348 0 300417 0 0 0 MARY ELLEN CRITTENDEN VP QUALITY/PT SAFETY OFFICER 170571 0 22532 0 642 0 17717 0 28793 0 240255 0 0 0 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 227900 0 29492 0 1427 0 22278 0 28793 0 309890 0 0 0 JAMES OXLEY DO CMO 470623 0 162001 0 46165 0 24300 0 19024 0 722113 0 0 0 JOANNE RITTER-TEITEL VP PATIENT CARE SVCS/CNO 435341 0 153667 0 39905 0 26927 0 28793 0 684633 0 0 0 JONATHAN SCHILLER VP HOSPITAL OPERATIONS 189852 189854 71271 71270 9855 9854 12799 12799 14396 14397 298173 298174 0 0 SCOTT BATULIS PRESIDENT/CEO 1061982 0 923450 0 217606 0 24300 0 28793 0 2256131 0 0 0 JAMES GRIGG CFO as of Oct. 2017; Interim CFO Prior 182324 0 0 0 1028 0 0 0 3437 0 186789 0 0 0 RICHARD CARRICO CFO UNTIL 4/25/2017 145936 0 152399 0 103164 0 5959 0 9072 0 416530 0 0 0 HAI LUO CHIEF PHYSICIST 258523 0 0 0 1076 0 38673 0 17208 0 315480 0 0 0 CHRISTINE GOODHART HR OPERATIONS ADMINISTRATOR 199229 0 33783 0 416 0 20635 0 9333 0 263396 0 0 0 ASHOK KUMAR CHIEF MED INFO OFFICER 184687 0 23460 0 385 0 8516 0 28793 0 245841 0 0 0 EUGENE BERNIERI ADMINISTRATOR DI 178124 0 20508 0 1029 0 17212 0 10283 0 227156 0 0 0 FREDERICK IBITOYE PHARMACIST 197362 0 0 0 737 0 0 0 26895 0 224994 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 THE FILING ORGANIZATION, ORANGE REGIONAL MEDICAL CENTER. Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE PAYMENT IN 2017: SANDRA IBERGER $267,759 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 2015-05-13 70060402 CONSTRUCT A PROFESSIONAL OFFICE BUILDING & CANCER CENTER false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2017-02-28 237100000 DEFEASANCE OF THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK SERIES 2008 BONDS false false false A 2000000 70060402 4345000 65715402 2016 false false true true B 252075357 18520000 231489386 2029718 36252 false true true true A false true true true false 0.0048 0.0048 false false false B false false false false 0.0 false false false A false true false false false false false false false B false true false false false false false false false A false B false Schedule K, Part II, Line 3 DASNY ISSUE DATE 2/28/2017 PRINCICPAL AMOUNT OF BONDS $237,100,000 ORIGINAL ISSUE PREMIUM 16,725,171 UNDERWRITERS DISCOUNT (1,749,815) TOTAL PROCEEDS OF ISSUE $252,075,357 Form 990, Part III, Line 4d Description of other program services (Expenses $ 9,029,245 including grants of $ 19,017)(Revenue $ 11,475,338) EXPENSES INCURRED WHILE PROVIDING BEHAVIORAL HEALTH SERVICES TO 1,132 PATIENTS IN THE SURROUNDING COMMUNITY 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 PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO ORMC'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 ORANGE 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 HOSPIAL HAS ADOPTED GHVHS'S CORPORATE COMPLIANCE TO ENSURE THAT ALL OF ITS BUSINESS PRACTICES ARE IN 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 ISSUES 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 15a Process to establish compensation of top management official IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 2017 BASED ON THESE PARAMETERS. IN ADDITION, THE CHIEF EXECUTIVE OFFICER AND HIS COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE COMPENSATION COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees IN DETERMINING COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 2017 BASED ON THESE PARAMETERS. IN ADDITION, THE COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public 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 AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 702374, Related or Exempt Function Revenue: 702374, 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: 32144364, Program Service Expense: 32144364, Management and General Expenses: , Fundraising Expenses: ; TEMP AND AGENCY FEES - Total Expense: 1711375, Program Service Expense: 1369100, Management and General Expenses: 342275, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 2304033, Program Service Expense: 1612823, Management and General Expenses: 691210, Fundraising Expenses: ; RECRUITMENT FEES - Total Expense: 398522, Program Service Expense: 278965, Management and General Expenses: 119557, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 15397876, Program Service Expense: 10778513, Management and General Expenses: 4619363, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 5122614, Program Service Expense: 5122614, Management and General Expenses: , Fundraising Expenses: ; ALL OTHER PURCHASED SERVICES - Total Expense: 94860, Program Service Expense: 66506, Management and General Expenses: 28354, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances POST RETIREMENT-RELATED CHANGES - 816049; PENSION-RELATED - 440545; CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. - 85130; TRANSFER TO GREATER HUDSON VALLEY HEALTH SYSTEM - -604794; 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 MEDICAL CENTER FOUND 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 GHVHS MEDICAL GROUP 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 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 false true false true true true