ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC (EIN 13-3020568)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201823199349308562
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T12:59:02-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9600 Brownsboro Road Suite 400 | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402411122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133020568 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ORAN | BusinessNameControlTxt |
| Phone | 8453332333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 EAST MAIN STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM DAUSTER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rachel Spurlock | PreparerPersonNm |
| PTIN | P00520729 | PTIN |
| Phone | 5023263996 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM DAUSTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 EAST MAIN STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,810,920 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ORMC.ORG/GIVING/FOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF ORMC FOUNDATION IS TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC SUPPORT FROM THE COMMUNITY FOR THE BENEFIT OF ORANGE REGIONAL MEDICAL CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 28 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 24 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,155,490 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,344,796 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $154,115 | PYInvestmentIncomeAmt |
| CY Investment Income | $160,276 | CYInvestmentIncomeAmt |
| PY Other Revenue | $57,631 | PYOtherRevenueAmt |
| CY Other Revenue | -$16,952 | CYOtherRevenueAmt |
| PY Total Revenue | $3,367,236 | PYTotalRevenueAmt |
| CY Total Revenue | $1,488,120 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,991,535 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $866,306 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $590,890 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $627,332 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $195,469 | PYOtherExpensesAmt |
| CY Other Expenses | $209,186 | CYOtherExpensesAmt |
| PY Total Expenses | $2,777,894 | PYTotalExpensesAmt |
| CY Total Expenses | $1,702,824 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $589,342 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$214,704 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,239,657 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,280,692 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,507 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,236,150 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,280,692 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ENHANCE AND SUSTAIN ORANGE REGIONAL MEDICAL CENTER'S CAPABILITY TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY RESPONDING TO THE DEMANDS OF GROWTH AND TECHNOLOGY THROUGH PHILANTHROPY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $866,306 | ExpenseAmt |
| Grant | $866,306 | GrantAmt |
| Desc | SUPPORTING THE MEDICAL, CHARITABLE, SCIENTIFIC, RESEARCH, AND HEALTH RELATED PURPOSES, OPERATIONS, AND ACTIVITIES OF ORANGE REGIONAL MEDICAL CENTER. | Desc |
| Total Program Service Expenses | $866,306 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 28 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 24 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES GRIGG CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8453332306 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 EAST MAIN STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| SAL BELFIGIO | |||||||
| TRUSTEE | 5.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DEBRA BOGDANSKI | |||||||
| TRUSTEE | 11.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| RONA HEUBLUM-COLTON | |||||||
| TRUSTEE | 0.0 | 0 | Yes (X) | $0 | $236,586 | $18,000 | |
| TONIA CROWN | |||||||
| TRUSTEE | 3.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA DUKE | |||||||
| TRUSTEE | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL FLYNN | |||||||
| TRUSTEE | 3.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| JESSICA GARDNER | |||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL GILFEATHER | |||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| FRANK GIORDANO III | |||||||
| TRUSTEE | 3.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| THOMAS HUGHES | |||||||
| TRUSTEE | 3.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| JAKE KRINEY | |||||||
| TRUSTEE | 8.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| SCOTT LASK | |||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| CLEVELAND LEWIS | |||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| STEVE MIILLIGRAM | |||||||
| TRUSTEE | 6.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| PAMELA MURPHY MD | |||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $47,942 | $0 | |
| TERRENCE OLIVO | |||||||
| TRUSTEE | 0.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| J MIGUEL RODRIGUES | |||||||
| TRUSTEE | 4.0 | 40.0 | Yes (X) | $0 | $110,131 | $35,591 | |
| ELIZABETH ROWLEY | |||||||
| TRUSTEE | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| CATHERINE SUEHNHOLZ | |||||||
| TRUSTEE | 3.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| STEVEN VAN POUKE | |||||||
| TRUSTEE | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| SCOTT BATULIS | |||||||
| ORMC PRESIDENT/CEO | 10.0 | 60.0 | $0 | $2,203,038 | $53,093 | Yes (X) | |
| WILLIAM DAUSTER | |||||||
| PRESIDENT | 40.0 | 0 | $324,114 | $0 | $38,475 | Yes (X) | |
| JAY ANTHONY | |||||||
| TREASURER | 11.0 | 0 | $0 | $0 | $0 | Yes (X) | |
| JANET FORMISANO | |||||||
| SECRETARY | 3.0 | 0 | $0 | $0 | $0 | Yes (X) | |
| SCOTT KENDRICK | |||||||
| VICE CHAIRMAN | 6.0 | 0 | $0 | $0 | $0 | Yes (X) | |
| JONATHAN ROUIS CPA | |||||||
| CHAIRMAN | 10.0 | 0 | $0 | $0 | $0 | Yes (X) | |
| PAT SASSI | |||||||
| TRUSTEE | 3.0 | 0 | $0 | $0 | $0 | Yes (X) | |
| MARGARET R SMITH | |||||||
| TRUSTEE | 9.0 | 0 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $324,114 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,597,698 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $145,159 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $266,017 | FundraisingAmt |
| Related Organizations | $813,275 | RelatedOrganizationsAmt |
| All Other Contributions | $265,504 | AllOtherContributionsAmt |
| Total Contributions | $1,344,796 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,799 | TotalRevenueColumnAmt |
| Exclusion | $101,799 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $289,355 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $230,878 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $58,477 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,477 | TotalRevenueColumnAmt |
| Exclusion | $58,477 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $74,970 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $266,017 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $91,922 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,952 | TotalRevenueColumnAmt |
| Exclusion | -$16,952 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,488,120 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,324 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,306 | TotalAmt |
| Program Services | $864,306 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,465 | TotalAmt |
| Management And General | $351,465 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,045 | TotalAmt |
| Management And General | $131,045 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,822 | TotalAmt |
| Management And General | $144,822 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,950 | TotalAmt |
| Management And General | $19,950 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,243 | TotalAmt |
| Management And General | $23,243 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,694 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $120,694 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,388 | TotalAmt |
| Management And General | $7,388 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,632 | TotalAmt |
| Management And General | $22,632 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242 | TotalAmt |
| Management And General | $242 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| FOOD | $13,357 | $13,357 |
| TELEPHONE | $1,680 | $1,680 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,702,824 | TotalAmt |
| Program Services | $866,306 | ProgramServicesAmt |
| Management And General | $836,518 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,870,520 | BOYAmt |
| EOY | $3,764,655 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $966,890 | BOYAmt |
| EOY | $541,428 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,396,655 | BOYAmt |
| EOY | $2,974,609 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,592 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,239,657 | BOYAmt |
| EOY | $7,280,692 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,507 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,507 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,365,312 | BOYAmt |
| EOY | $2,016,325 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,565,559 | BOYAmt |
| EOY | $4,959,088 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,279 | BOYAmt |
| EOY | $305,279 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,236,150 | BOYAmt |
| EOY | $7,280,692 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,239,657 | BOYAmt |
| EOY | $7,280,692 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$214,704 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $259,246 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORANGE REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141364536 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $864,306 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $864,306 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,826,076 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,785,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,035,111 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,155,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,344,796 | CurrentTaxYearAmt |
| Total | $11,146,537 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,826,076 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,785,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,035,111 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,155,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,344,796 | CurrentTaxYearAmt |
| Total | $11,146,537 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $11,146,537 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,521 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69,237 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $76,975 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,562 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,799 | CurrentTaxYearAmt |
| Total | $381,094 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,434 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,631 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $74,970 | CurrentTaxYearAmt |
| Total | $179,035 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,706,666 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.9522 | PublicSupportCY170Pct |
| Public Support PY170 | 0.8081 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | false | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (true) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Test | Yes (X) | ActivitiesTestInd |
| Activities Further Exempt Prps | Yes (true) | ActivitiesFurtherExemptPrpsInd |
| Activities Engaged Org Invlmnt | false | ActivitiesEngagedOrgInvlmntInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part IV, Section D, Line 2 Officers Appointed Or Serving Supported Org. | THE FOUNDATION COMPLETES SCHEDULE A, PART II - PUBLIC SUPPORT UNDER SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). THE FOUNDATION DEMONSTRATES THAT IT MEETS THE 33 1/3% SUPPORT TEST AND IT QUALIFIES FOR THE SCHEDULE B SPECIAL RULE OF REPORTING CONTRIBUTIONS THAT ARE 2% OR MORE THE AMOUNT ON FORM 990, PART VIII, LINE 1H. THE ORGANIZATIONS BY-LAWS STATE THAT THEY ARE TO RENDER ASSISTANCE AND MAKE GRANTS TO ORANGE REGIONAL MEDICAL CENTER THROUGH SOLICITATION, RECEIPT AND DISBURSEMENT OF FUNDS, INCOME AND REAL OR TANGIBLE PERSONAL PROPERTY OBTAINED BY BEQUESTS, GIFTS OR DONATIONS. ALL ACTIVITIES DURING THE YEAR ARE PERFORMED IN FURTHERANCE OF THIS STATED PURPOSE, AND FOR THE BENEFIT OF ORMC ONLY. |
| Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies | REGULAR MONTHLY MEETINGS OF THE GHVHS BOARD ARE ATTENDED BY THE ORMC CEO, WHO IS ALSO A MEMBER OF THE FOUNDATION GOVERNING BODY. IN THIS MANNER THE FOUNDATION MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ORMC, AND ORMC MAINTAINS A SIGNIFICANT VOICE IN THE FOUNDATION'S POLICIES AND USE OF ASSETS. |
| Schedule A, Part II, Line 10 Other Income | DESCRIPTION - OTHER INCOME - FUNDRAISING, COLUMN A - , COLUMN B - , COLUMN C - 46434.0, COLUMN D - 57631.0, COLUMN E - 74970.0, COLUMN F - 179035.0; |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,870,838 | BeginningYearBalanceAmt |
| Contributions | $657,421 | ContributionsAmt |
| Investment Earnings Or Losses | $259,246 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $523,138 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $5,264,367 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,756,105 | BeginningYearBalanceAmt |
| Contributions | $2,185,002 | ContributionsAmt |
| Investment Earnings Or Losses | $160,049 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,208,696 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $21,622 | AdministrativeExpensesAmt |
| End Year Balance | $4,870,838 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,321,802 | BeginningYearBalanceAmt |
| Contributions | $1,248,220 | ContributionsAmt |
| Investment Earnings Or Losses | $74,987 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $870,468 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $18,436 | AdministrativeExpensesAmt |
| End Year Balance | $4,756,105 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,391,464 | BeginningYearBalanceAmt |
| Contributions | $987,711 | ContributionsAmt |
| Investment Earnings Or Losses | $189,692 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,228,808 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $18,257 | AdministrativeExpensesAmt |
| End Year Balance | $4,321,802 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,007,056 | BeginningYearBalanceAmt |
| Contributions | $1,075,362 | ContributionsAmt |
| Investment Earnings Or Losses | $407,728 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,082,214 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $16,468 | AdministrativeExpensesAmt |
| End Year Balance | $4,391,464 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.058 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.942 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | THE FOUNDATION'S FIDUCIARY RESPONSIBILITY IS TO ENSURE THAT THE DONOR DESIGNATED FUNDS ARE RELEASED IN ACCORDANCE WITH THE DONOR'S INTENTION. THE FOUNDATION HAS AN ACCOUNT THAT HOLDS THESE FUNDS UNTIL THEY ARE RELEASED FROM RESTRICTION. EACH YEAR THE FOUNDATION PRESIDENT RECEIVES A LIST OF THE CAPITAL BUDGET REQUESTS FOR THE COMING YEAR. THE LIST IS REVIEWED TO SEE IF THERE ARE PROGRAMS OR EQUIPMENT THAT MAY BE CONSIDERED TO MEET THE CRITERIA OF THE DONOR'S INTENTIONS. IN ADDITION, RECOMMENDATIONS ARE SOLICITED FROM THE FOUNDATION BOARD AND RESOURCE ALLOCATION COMMITTEE. THROUGHOUT THE YEAR, IN ADDITION TO THE ANNUAL CAPITAL REVIEW, THE HOSPITAL IDENTIFIES EXPENSES AND PROGRAMS THAT MAY BE ELIGIBLE FOR THESE TEMPORARILY RESTRICTED FUNDS AND PROCESSES A REQUEST THROUGH A DONOR DESIGNATED FUND FORM (DDFF) THAT IS SUBMITTED TO THE FOUNDATION PRESIDENT FOR APPROVAL. ANY REQUEST OVER $10,000 NEEDS TO BE APPROVED BY THE FOUNDATION PRESIDENT AND TWO OFFICERS. REQUESTS UNDER $10,000 NEED THE FOUNDATION PRESIDENT'S SIGNATURE ONLY. THE APPROVED DDFF IS THEN PRESENTED TO THE CEO OF ORANGE REGIONAL MEDICAL CENTER FOR APPROVAL AND SIGNATURE ON THE FORM. ONCE THE APPROVALS ARE OBTAINED, THE REQUEST IS SENT TO EITHER THE PURCHASING DEPT. (FOR A PURCHASE ORDER) OR THE ACCOUNTS PAYABLE DEPT. (CHECK REQUEST) FOR PROCESSING. WHEN THE ITEM IS RECEIVED AND PAID FOR BY THE HOSPITAL, THEN THE NET ASSETS ARE RELEASED FROM RESTRICTION AND THE HOSPITAL IS REIMBURSED FOR THE DOLLARS APPROVED ON THE DDFF. |
| 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 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 THEALPHA 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. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | 2017 Golf | Event1Nm |
| Gross Receipts Event1 | $340,987 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $266,017 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $74,970 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $9,075 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $3,475 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $56,213 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $23,159 | OtherDirectExpensesEvent1Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $340,987 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $266,017 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $74,970 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $9,075 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $3,475 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $56,213 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,159 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $91,922 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$16,952 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORANGE REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 EAST MAIN | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 141364536 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $864,306 | CashGrantAmt |
| Purpose Of Grant | SUPPORT OF HOSPITAL | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE ORMC FOUNDATION HAS A RESOURCE ALLOCATION COMMITTEE WHICH MONITORS THE PROCESS AND THE DISTRIBUTION OF GRANT FUNDS IN THE UNITED STATES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONA HEUBLUM-COLTON | ||||||||||||||
| TRUSTEE | $0 | $236,586 | $0 | $0 | $0 | $0 | $0 | $18,000 | $0 | $0 | $0 | $254,586 | $0 | $0 |
| SCOTT BATULIS | ||||||||||||||
| ORMC PRESIDENT/CEO | $0 | $1,061,982 | $0 | $923,450 | $0 | $217,606 | $0 | $24,300 | $0 | $28,793 | $0 | $2,256,131 | $0 | $0 |
| WILLIAM DAUSTER | ||||||||||||||
| PRESIDENT | $238,932 | $0 | $81,000 | $0 | $4,182 | $0 | $9,682 | $0 | $28,793 | $0 | $362,589 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | FormAndLineReferenceDesc |
| Explanation | THE COMPENSATION OF THE INDIVIDUALS LISTED ON SCHEDULE J IS PAID BY ORANGE REGIONAL MEDICAL CENTER (ORMC). ORMC USES 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 WHEN DETERMINING THE COMPENSATION REPORTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 4 Significant changes to organizational documents | EFFECTIVE OCTOBER 19, 2017, GREATER HUDSON VALLEY HEALTH SYSTEM, INC. BECAME THE SOLE CORPORATE MEMBER OF THE FOUNDATION. |
| 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 FOUNDATIOM |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | GREATER HUDSON VALLEY HEALTH SYSTEM, INC, AS SOLE MEMBER, MUST APPROVE ANY AMENDMENTS TO THE FOUNDATION'S CERTIFICATE OF INCORPORATION OR BYLAWS, AND ANY MERGER, CONSOLIDATION, REORGANIZATION, OR NON-JUDICIAL DISSOLUTION OF THE FOUNDATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ORANGE REGIONAL MEDICAL CENTER AND REVIEWED BY THE PRESIDENT AND TREASURER OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION. THE DRAFT FORM 990 AND WORKPAPER SUPPORT IS PROVIDED TO THE FOUNDATION'S TAX PREPARER FOR REVIEW. THE FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO THE FOUNDATION'S EXECUTIVE COMMITTEE, ALL VOTING MEMBERS OF THE GOVERNING BOARD OF TRUSTEES AND THE ORANGE REGIONAL MEDICAL CENTER CORPORATE COMPLIANCE OFFICER, FOR REVIEW PRIOR TO SUBMISSION TO THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE FOUNDATION WORKS CLOSELY WITH THE CORPORATE COMPLIANCE OFFICER OF ORANGE REGIONAL MEDICAL CENTER. AN ANNUAL REVIEW OF ORMC'S PROCEDURES AND DOCUMENTATION REGARDING THE CONFLICT OF INTEREST POLICY IS PERFORMED AND A RENEWAL FORM IS REQUIRED. BOARD MEMBERS, EXECUTIVE TEAM, ADMINISTRATORS, DIRECTORS, MANAGERS AND SUPERVISORS ARE REQUIRED TO FILL OUT THE CONFLICT OF INTEREST SURVEY. IN ADDITION, ALL NEW TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM UPON BECOMING A MEMBER OF THE FOUNDATION BOARD. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | ACCORDING TO THE BYLAWS, TRUSTEES ARE NOT COMPENSATED. COMPENSATION FOR THE PRESIDENT IS REMUNERATED THROUGH ORANGE REGIONAL MEDICAL CENTER, A RELATED PARTY. THE COMPENSATION IS DERIVED IN ACCORDANCE WITH THE HUMAN RESOURCE POLICY AND PROCEDURE AS ADOPTED BY GHVHS' GOVERNING BOARD WHICH IS AS FOLLOWS - 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 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. 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 | NO OTHER OFFICERS OR KEY EMPLOYEES OF THE ORMC FOUNDATION RECEIVE COMPENSATION |
| Form 990, Part VI, Line 19 Required documents available to the public | ONCE A REQUEST IS MADE FOR ORANGE REGIONAL MEDICAL CENTER FOUNDATION'S FORM 990, GOVERNING DOCUMENTS, FINANCIAL STATEMENTS OR CONFLICT OF INTEREST POLICY, A COPY IS SENT TO THE REQUESTING PARTY THROUGH THE ADMINISTRATION OFFICES OF ORANGE REGIONAL MEDICAL CENTER. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ORANGE REGIONAL MEDICAL CENTER | ||||||||||
| 707 EAST MAIN STREET | MIDDLETOWN | NY | 10940 | 141364536 | HOSPITAL | NY | 501(c)(3) | 3 | GHVHS | false |
| GREATER HUDSON VALLEY HEALTH SYSTEM INC | ||||||||||
| C/O ORMC 707 EAST MAIN ST | MIDDLETOWN | NY | 10940 | 061488219 | HEALTHCARE | NY | 501(c)(3) | Type II | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part II RELATED ORGANIZATIONS | FormAndLineReferenceDesc |
| Explanation | ORMC FOUNDATION IS ORGANIZED AND OPERATED TO SUPPORT THE EXEMPT MISSIONS AND PROGRAMS OF ORANGE REGIONAL MEDICAL CENTER WHOSE SOLE MEMBER IS GREATER HUDSON VALLEY HEALTH SYSTEM, A TAX EXEMPT ORGANIZATION. ORMC FOUNDATION IS AN INDEPENDENT ORGANIZATION THAT IS NOT CONTROLLED AS A RESULT OF COMMON HOSPITAL MEMBERSHIP, BOARD OVERLAP, OR SHARED MANAGEMENT. | ExplanationTxt |
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