2018-11-14T17:32:55-06:00 2017-12-31 350921680 CROWE LLP 488 Madison Avenue Floor 3 New York NY 100225702 990 2017-01-01 146049030 CATSKILL REGIONAL MEDICAL CENTER CATS 8457943300 PO BOX 800 HARRIS NY 12742 JONATHAN SCHILLER CEO 2018-11-14 true RACHEL SPURLOCK P00520729 2125725500 2017 2019-02-21 02:37:17Z JONATHAN SCHILLER PO BOX 800 HARRIS NY 12742 98119528 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 8 850 60 338886 -158429 3570338 982268 94608395 96224849 23764 49529 697384 755709 98899881 98012355 16833 12279 0 48405232 51615277 0 0 46160844 46128651 94582909 97756207 4316972 256148 77923824 83194770 32469363 36543414 45454461 46651356 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 34793195 38661814 CATSKILL REGIONAL MEDICAL CENTER IS LICENSED FOR 181 BEDS. MAINTAINED ON TWO CAMPUSES IN HARRIS, NEW YORK AND CALLICOON, NEW YORK. DURING 2017, CRMC HAD 4,862 TOTAL INPATIENT DISCHARGES AND PERFORMED 346,381 OUTPATIENT PROCEDURES. 34251342 12279 38059712 EXPENSES INCURRED WHILE PERFORMING 346,381 OUTPATIENT PROCEDURES FOR PATIENTS IN THE SURROUNDING COMMUNITY. 6368869 7077016 EXPENSES INCURRED WHILE PROVIDING SERVICES TO 180 PATIENTS IN THE SKILLED NURSING UNIT. 11065459 12295815 EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,684 PATIENTS FROM THE SURROUNDING COMMUNITY. 11065459 12295815 86478865 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 false false false false false false true true false false false false false true false false false true 165 0 true 850 true true true false false false false false true false false false X 10 8 true false false false true true true true true false false true true true true true true true true false NY X James Grigg CFO 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 BARBARA BLAKEY SECRETARY 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 RICHARD LANDER BOARD MEMBER 1.0 2.0 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 JILL EMBLER VP FINANCIAL PLANNING 10.0 50.0 X 0 259459 37406 JOANNE STURANS CHIEF HR OFFICER 10.0 50.0 X 0 497860 53093 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 10.0 50.0 X 0 494101 53093 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 10.0 50.0 X 0 532150 43324 JOSEPH ANESI VP/GENERAL COUNSEL 10.0 50.0 X 0 512873 85493 DAVID L SMITH VP MKTG & STRATEGIC PLANNING 10.0 50.0 X 0 272800 27617 MARY ELLEN CRITTENDEN VP QUALITY/PT SAFETY OFFICER 10.0 50.0 X 0 193745 46510 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 10.0 50.0 X 0 258819 51071 ROLLAND V BOJO VP PT CARE SVCS/CNO 40.0 0 X 311310 0 42756 JONATHAN SCHILLER CEO 40.0 40.0 X 270978 270978 54391 SCOTT BATULIS PRESIDENT 10.0 60.0 X 0 2203038 53093 JAMES GRIGG CFO as of Oct. 2017; Interim CFO Prior 10.0 50.0 X 0 183352 3437 RICHARD CARRICO CFO UNTIL 4/25/2017 10.0 50.0 X 0 401499 15031 GERARD J GALARNEAU MD CEO/CMO 40.0 40.0 X 306881 339185 42756 BRIAN TEW CIO 10.0 50.0 X 0 552224 39593 ZAUR IBRAGIMOV PHARMACIST 40.0 0 X 164647 0 46101 KANITA KHANII PHARMACY SUPERVISOR 40.0 0 X 143848 0 17729 MARK SOIREFMAN PHARMACY DIRECTOR 40.0 0 X 165151 0 27844 ROY MASON PHARMACIST 40.0 0 X 159685 0 44712 SUZANNE LANGE AHMED ADMIN NURSING OPS & CARE MGMT SVCS 40.0 0 X 147040 0 18881 1669540 6972083 803931 80 false true false HOLT CONSTRUCTION CORPORATION 50 EAST WASHINGTON AVE PEARL RIVER NY 10965 CONSTRUCTION CONTRACTOR 4391458 CRYSTAL RUN HEALTH CARE 155 CRYSTAL RUN RD MIDDLETOWN NY 10941 PHYSICIANS 2059650 RESTORIXHEALTH INC 155 WHITE PLAINS RD SUITE 222 TARRYTOWN NY 10591 WOUND CARE SERVICES 1508003 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SVC MANAGEMENT 1429685 GHVHS MEDICAL GROUP PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 PHYSICIANS 1057917 33 65685 850882 65701 982268 NET PATIENT SERVICE REVENUE 621110 96224849 95885963 338886 0 0 0 0 96224849 49529 49529 547315 547315 0 547315 547315 107173 0 107173 0 0 0 0 REV FROM RELATED ENTITY 900099 58282 58282 REBATES 900099 53892 53892 MISCELLANEOUS 900099 96220 96220 0 0 0 0 208394 98012355 96094357 338886 596844 X 12279 12279 966433 966433 164489 164489 37053342 33785568 3267774 2396897 2131108 265789 7845022 6975097 869925 3189094 2835459 353635 3362510 3147705 214805 84652 84652 89765 89765 18928 18928 15776402 13981463 1794939 0 368065 368065 1623314 976739 646575 1322476 978254 344222 1897515 1487898 409617 50422 32935 17487 27545 22684 4861 424857 354798 70059 4170931 3496074 674857 1423031 1028856 394175 MEDICAL & OTHER SUPPLIES 9663408 9628447 34961 BAD DEBT EXPENSE 4654998 4654998 OTHER TAXES & ASSESSMENT 399920 399920 LICENSE FEES 178513 149961 28552 591399 247060 344339 0 97756207 86478865 11277342 0 11536286 2868804 1494407 9044964 539964 308196 11285760 11456320 0 0 0 1513563 1533859 732723 818559 158514407 116534095 35306338 41980312 834174 803131 0 3360808 11319801 14380625 77923824 83194770 11445347 11633303 0 9416786 12862549 0 11607230 12047562 32469363 36543414 X 40507295 41230315 2988461 3462336 1958705 1958705 45454461 46651356 77923824 83194770 X 256148 -5141 945888 X false true X true false X false false false false false false false false true 18928 18928 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 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 true true 2439763 2439763 57175264 31277363 25897901 91507749 81793274 9714475 7391631 3463458 3928173 41980312 INSURANCE RECEIVABLE - MALP & WC 6155261 THIRD PARTY RECEIVABLE 3316625 DUE FROM RELATED ORG 970436 OTHER RECEIVABLES 91182 INTEREST IN CRMC FOUNDATION 3847121 14380625 DUE TO THIRD PARTY PAYORS 1375151 EST MALPRACTICE LIABILITY 6241047 EST WORKERS COMP LIABILITY 1133514 DUE TO RELATED ORG 2909744 OTHER LIABILITY 388106 12047562 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(Q) TO CONSOLIDATED FINANCIAL STATEMENTS FOR GREATER HUDSON VALLEY HEALTH SYSTEM, INC.: GHVHS, ORMC, CRMC, ORMC FOUNDATION AND GHVHS MEDICAL GROUP PC, HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN THE CODE SECTION 501(C)(3) AND, THEREFORE, ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES. SYNERA CORPORATION, A DORMANT CORPORATION, IS EXEMPT AS AN ORGANIZATION DESCRIBED IN 501(C)(2) OF THE CODE. EAST MAIN STREET MANAGEMENT CORPORATION AND THE ALPHA NETWORK ARE DORMANT TAXABLE CORPORATIONS. NO PROVISIONS FOR INCOME TAXES HAS BEEN RECORDED. THE SYSTEM 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 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. true true X true X true X true false true true 0 0.0 25741388 19878519 5862869 0.0630 0 0.0 0 0 25741388 19878519 5862869 0.0630 108122 24180 83942 0.0009 0 0.0 25345484 20920177 4425307 0.0476 0 0.0 0 0.0 0 0 25453606 20944357 4509249 0.0485 0 0 51194994 40822876 10372118 0.1115 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 4654998 679630 25900187 32678716 -6778529 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 X 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 true X false X X X true X false false 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, 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 4654998 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance CALCULATION OF COST IS DONE UTILIZING THE RATIO OF PATIENT COST TO CHARGES DEVELOPED ON WORKSHEET 2. THIS AMOUNT IS APPLIED TO THE GROSS CHARGES IDENTIFIED FROM ALLOWANCE CODES USED IN THE PATIENT ACCOUNTING SYSTEM. COMMUNITY HEALTH IMPROVEMENT SERVICES ARE ACTUAL EXPENDITURES. 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 CONDUCTIBILITY 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 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 CATSKILL REGIONAL MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR GREATER HUDSON VALLEY HEALTH SYSTEM, INC., THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT IS AS FOLLOWING: THE SYSTEM HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENTS 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 BALANCE SHEETS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, GHVHS 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, THE SYSTEM 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. GHVHS WROTE OFF APPROXIMATELY $28,500 AND $13,000 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 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. 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. 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) 12279 ADMINISTRATIVE SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. INSTITUTIONAL SUPPORT IS PROVIDED TO THE CRMC FOUNDATION, A RELATED ORGANIZATION X X X X X false false false false false false false true false JILL EMBLER VP FINANCIAL PLANNING 0 210870 0 47394 0 1195 0 8613 0 28793 0 296865 0 0 JOANNE STURANS CHIEF HR OFFICER 0 355040 0 126002 0 16818 0 24300 0 28793 0 550953 0 0 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 0 323904 0 158003 0 12194 0 24300 0 28793 0 547194 0 0 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 0 409965 0 108003 0 14182 0 24300 0 19024 0 575474 0 0 JOSEPH ANESI VP/GENERAL COUNSEL 0 365340 0 126003 0 21530 0 56700 0 28793 0 598366 0 0 DAVID L SMITH VP MKTG & STRATEGIC PLANNING 0 269409 0 0 0 3391 0 1269 0 26348 0 300417 0 0 MARY ELLEN CRITTENDEN VP QUALITY/PT SAFETY OFFICER 0 170571 0 22532 0 642 0 17717 0 28793 0 240255 0 0 MARIANNE WALKER ASSOC COUNSEL/VP ENTERPRISE RISK MGMT 0 227900 0 29492 0 1427 0 22278 0 28793 0 309890 0 0 ROLLAND V BOJO VP PT CARE SVCS/CNO 229272 0 78676 0 3362 0 16200 0 26556 0 354066 0 0 0 JONATHAN SCHILLER CEO 189854 189852 71270 71271 9854 9855 12799 12799 14397 14396 298174 298173 0 0 SCOTT BATULIS PRESIDENT 0 1061982 0 923450 0 217606 0 24300 0 28793 0 2256131 0 0 JAMES GRIGG CFO as of Oct. 2017; Interim CFO Prior 0 182324 0 0 0 1028 0 0 0 3437 0 186789 0 0 RICHARD CARRICO CFO UNTIL 4/25/2017 0 145936 0 152399 0 103164 0 5959 0 9072 0 416530 0 0 GERARD J GALARNEAU MD CEO/CMO 229888 254087 76950 85051 43 47 7695 8505 12614 13942 327190 361632 0 0 BRIAN TEW CIO 0 400335 0 136800 0 15089 0 10800 0 28793 0 591817 0 0 ZAUR IBRAGIMOV PHARMACIST 164647 0 0 0 0 0 0 0 46101 0 210748 0 0 0 KANITA KHANII PHARMACY SUPERVISOR 143710 0 0 0 138 0 0 0 17729 0 161577 0 0 0 MARK SOIREFMAN PHARMACY DIRECTOR 152969 0 11786 0 396 0 10115 0 17729 0 192995 0 0 0 ROY MASON PHARMACIST 159685 0 0 0 0 0 0 0 44712 0 204397 0 0 0 SUZANNE LANGE AHMED ADMIN NURSING OPS & CARE MGMT SVCS 127715 0 19067 0 258 0 9050 0 9831 0 165921 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 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 164489 WAGES & BENEFITS false Form 990, Part III, Line 4d Description of other program services (Expenses $ 11,065,459 including grants of $)(Revenue $ 12,295,815) EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,684 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. GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF CATSKILL 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 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 15a Process to establish compensation of top management official IN DETERMINING COMPENSATION FOR CEO, CRMC 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, CRMC 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 CEO SALARY WAS PERFORMED IN 2017 BASED ON THE 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, CRMC 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, CRMC 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 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 IX, Line 11g Other Fees PROFESSIONAL FEES - PHYSICIANS - Total Expense: 7602681, Program Service Expense: 7602681, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 4722969, Program Service Expense: 3839672, Management and General Expenses: 883297, Fundraising Expenses: ; TEMP & AGENCY FEES - Total Expense: 1129870, Program Service Expense: 1129870, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1510451, Program Service Expense: 598809, Management and General Expenses: 911642, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 810431, Program Service Expense: 810431, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM RELATED PARTY - GHVHS - 461725; CHANGE IN NET ASSETS OF CRMC FOUNDATION - 486313; NET ASSETS RELEASED FOR FIXED ASSETS - -2150; 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 GHVHS MEDICAL GROUP 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 false true true false false false false false false true false true true false true true true false false