2017-11-15T11:15:54-06:00 2016-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2016-01-01 146049030 CATSKILL REGIONAL MEDICAL CENTER % RICHARD CARRICO CFO CATS 8457943300 PO BOX 800 HARRIS NY 12742 JONATHAN SCHILLER CEO 8453337445 2017-11-14 true MARY-EVELYN ANTONETTI P00431862 2127589700 2017-11-14 167.68.102.5 13407320173195000047 2017-11-15 P 13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9 13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9 2016 2017-02-10 21:41:12Z JONATHAN SCHILLER PO BOX 800 HARRIS NY 12742 99007054 false X WWW.CRMCNY.ORG X 1967 NY SEE SCHEDULE O 9 7 857 86 319540 -119804 2506366 3570338 95089962 94608395 14715 23764 545565 697384 98156608 98899881 11000 16833 0 0 46987424 48405232 0 0 0 47848241 46160844 94846665 94582909 3309943 4316972 73577919 77923824 35155494 32469363 38422425 45454461 X SEE SCHEDULE O false false 34717978 16833 39536231 CATSKILL REGIONAL MEDICAL CENTER IS LICENSED FOR 181 BEDS MAINTAINED ON TWO CAMPUSES IN HARRIS, NEW YORK AND CALLICOON, NEW YORK. DURING 2016,CRMC HAD 4,796 TOTAL INPATIENT DISCHARGES AND PERFORMED 399,631 OUTPATIENT PROCEDURES. 32413882 36912366 EXPENSES INCURRED WHILE PERFORMING 399,631 OUTPATIENT PROCEDURES FOR PATIENTS IN THE SURROUNDING COMMUNITY. 5916034 6737077 EXPENSES INCURRED WHILE PROVIDING SERVICES TO 150 PATIENTS IN THE SKILLED NURSING UNIT 10346133 11781994 83394027 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 true true false false true 152 0 true 857 true true true false false false false false false false false false X 9 7 false false false false true true true true true false false true true true true true true true true false NY X RICHARD CARRICO CFO 8457943300 PO BOX 800 HARRIS NY 12742 IMRAN AHMED MD BOARD MEMBER 1.0 2.0 X 0 0 0 BARBARA BLAKEY SECRETARY 1.0 2.0 X 0 0 0 RICHARD LANDER BOARD MEMBER 1.0 2.0 X 0 0 0 JOSEPH LOUGHLIN CHAIRMAN 1.0 2.0 X 0 0 0 ANDREW PAVLOFF BOARD MEMBER 1.0 3.0 X 0 0 0 JACQUELINE RICCIANI VICE CHAIRMAN 1.0 2.0 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 MICHAEL WASCHITZ TREASURER 1.0 2.0 X 0 0 0 ROLLAND BOJO VP PT CARE SVCS, CNO 40.0 0.0 X 261533 0 43702 GERARD GALARNEAU MD CEO/CMO 26.0 14.0 X 355879 192374 44028 JOSEPH M ANESI VP/GENERAL COUNSEL 10.0 50.0 X 0 439482 70550 ROSEMARY A BACZEWSKI CHIEF QUALITY OFFICER 10.0 50.0 X 0 371881 60740 SCOTT BATULIS PRESIDENT & CEO 10.0 55.0 X 0 1530926 70550 RICHARD CARRICO CFO 10.0 50.0 X 0 551255 39300 GERARD DUNLAVEY EXEC DIR GHVHS MEDICAL GROUP 0.0 55.0 X 0 349360 56475 JILL EMBLER VP FINANCIAL PLANNING 10.0 50.0 X 0 252004 47614 SANDRA IBERGER VP OPERATIONS UNTIL 10/17/16 10.0 50.0 X 0 408322 52335 JOANNE STURANS CHIEF HR OFFICER 10.0 50.0 X 0 435449 68298 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 10.0 50.0 X 0 367011 70550 BRIAN TEW CIO 10.0 20.0 X 0 463331 57300 DAVID SMITH VP MKTG & STRAT PLNG BEG 11/16 10.0 50.0 X 0 31732 0 ZAUR IBRAGIMOV PHARMACIST 40.0 0.0 X 165467 0 64764 KANITA KHANII PHARMACY SUPERVISOR 40.0 0.0 X 144475 0 27047 MARK SOIREFMAN PHARMACY DIRECTOR 40.0 0.0 X 158322 0 28009 ROY MASON PHARMACIST 40.0 0.0 X 158916 0 41080 DEBRA BLACKFORD ULTRASOUND TECH 40.0 0.0 X 143955 0 56344 1388547 5393127 898686 75 false true false CRYSTAL RUN HEALTH CARE 155 CRYSTAL RUN RD MIDDLETOWN NY 10941 PHYSICIANS 2018360 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SVC MANAGEMENT 1623769 RESTORIXHEALTH INC 155 WHITE PLAINS RD SUITE 222 TARRYTOWN NY 10591 WOUND CARE SERVICES 1648443 BOYCE EXCAVATING PO BOX 367 SLATE HILL NY 10973 EXCAVATING SERVICES 1062904 K P FACILITIES MAINTENANCE INC 46 CAMELOT RD POUGHKEEPSIE NY 12601 MAINTENANCE SERVICES 679452 31 35340 3443661 91337 3570338 NET PATIENT SERVICE REVENUE 621110 94328940 94009400 319540 MEANINGFUL USE FUNDS 900099 279455 279455 94608395 23764 23764 0 0 338111 0 338111 0 338111 338111 107173 107173 0 0 0 0 0 0 0 0 0 0 BUS INTERRUPTION CLAIM PROCEEDS 900099 175000 175000 REV FROM RELATED ENTITY 900099 72904 72904 REBATES & REFUNDS 900099 18832 18832 92537 92537 359273 98899881 94648128 319540 361875 X 16833 16833 0 0 0 678266 678266 151983 151983 35802780 33493759 2309021 2382381 2229384 152997 6258775 5856835 401940 3131047 2929971 201076 3779600 3475817 303783 173672 173672 152751 152751 12713 12713 0 0 13128337 11571210 1557127 535483 535483 3387186 894157 2493029 1083148 905834 177314 0 1816844 1588853 227991 54354 24062 30292 0 24646 12719 11927 405294 338461 66833 0 3945105 3306787 638318 1528392 1143805 384587 MEDICAL & OTHER SUPPLIES 10351248 9702732 648516 BAD DEBT EXPENSE 4823249 4823249 OTHER TAXES & ASSESSMENT 325011 325011 LICENSE FEES 173012 145310 27702 460799 234070 226729 94582909 83394027 11188882 0 15589643 11536286 1420983 1494407 130064 539964 9741537 11285760 0 0 0 0 0 0 1289687 1513563 770687 732723 147773424 112467086 30771616 35306338 932912 834174 0 0 3035003 3360808 0 0 9895787 11319801 73577919 77923824 14393620 11445347 0 0 0 0 0 0 0 0 0 0 7946310 9416786 627084 0 12188480 11607230 35155494 32469363 X 33798654 40507295 2665066 2988461 1958705 1958705 38422425 45454461 73577919 77923824 X 4316972 -570 2715634 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 12713 12713 false Part II-B LINE I, LOBBYING ACTIVITIES: LINE 1I - PERCENTAGE OF DUES PAID TO NORMET, AHA, AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1958705 1458705 500000 1958705 1.00000 false false 888426 888426 61034892 33513521 27521371 85850106 78953565 6896541 35306338 INSURANCE RECEIVABLE - MALP&WC 5139836 THIRD PARTY RECEIVABLE 4310794 DUE FROM RELATED ORG 1301234 OTHER RECEIVABLES 567937 11319801 0 DUE TO THIRD PARTY PAYORS 2241719 EST MALPRACTICE LIABILITY 6489766 EST WORKERS COMP LIABILITY 776491 DUE TO RELATED ORG 1711148 OTHER LIABILITY 388106 11607230 X SCHEDULE D, PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS THE ORGANIZATION HAS 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: FOOTNOTE 2(Q) TO CONSOLIDATED FINANCIAL STATEMENTS FOR GREATER HUDSON VALLEY HEALTH SYSTEM, INC.: GHVHS, ORMC, CRMC, AND GHVHS MEDICAL PC, HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN THE CODE SECTION 501(C)(3) AND, THREFORE, ARE GENERALLY EXEMPT FORM FEDERAL INCOME TAXES. SYNERA CORPORATION, A DORMANT CORPORATION, IS EXEMPT AS AN ORGANIZATION DESCRIBED IN 501(C)(2) OF THE CODE. EMS AND THE PHO ARE DORMANT TAXABLE CORPORATIONS. NO PROVISION 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 JUDGMENT OCCURS. THE SYSTEM DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2016 OR 2015. true true X true X true X true false true true 25482154 15688443 9793711 0.10910 25482154 15688443 9793711 0.10910 577 93258 47693 45565 0.00050 18342044 15499681 2842363 0.03170 577 18435302 15547374 2887928 0.03220 577 43917456 31235817 12681639 0.14130 true 4823249 766897 26286634 30177980 -3891346 X true true 2 1 CATSKILL REGIONAL MEDICAL CENTER-HAR 68 HARRIS-BUSHVILLE ROAD HARRIS NY 12742 5263000H X A 2 CATSKILL REGIONAL MEDICAL CENTER-GRO 8881 ROUTE 97 CALLICOON NY 12723 5263700H X A CATSKILL REGIONAL MEDICAL CENTER-HARR 12 false false true X X X X X X X 16 true true false true X WWW.CRMCNY.ORG X true 17 true WWW.CRMCNY.ORG false true X 200. 350. true true X X X true X WWW.CRMCNY.ORG X WWW.CRMCNY.ORG X WWW.CRMCNY.ORG X X X X X true X false X X X true X false false PART V, SECTION B, LINE 5: 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. PART V, SECTION B, LINE 6A: THE CHNA WAS UNDERTAKEN BY THE GREATER HUDSON VALLEY HEALTH SYSTEMS WHICH INCLUDES BOTH ORANGE REGIONAL MEDICAL CENTER AND CATSKILL REGIONAL MEDICAL CENTER. PART V, SECTION B, LINE 11: 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 SYSTEM WILL NOT FOCUS ON SEVERAL IDENTIFIED ISSUES INCLUDING, MENTAL HEALTH, SUBSTANCE ABUSE, TRANSPORTAION AND CARE COORDINATION, AMONG OTHERS. GREATER HUDSON VALLEY HEALTH SYSTEM RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES. THEY WILL CONTINUE TO SUPPORT COMMUNITY EFFORTS 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. PART I, LINE 7: CALCULATION OF COST IS DONE UTILIZING THE RATIO OF PATIENT CARE 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. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,823,249. PART II, COMMUNITY BUILDING ACTIVITIES, PART VI, LINE 2 NEEDS ASSESSMENT, AND PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: 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. PART III, LINE 2: 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. PART III, LINE 3: 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. PART III, LINE 4: 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 ANALYSES 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 $13,000 AND $7,000 FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, RESPECTIVELY, OF WHICH A SIGNIFICANT PORTION RELATE TO UNINSURED PATIENTS. PART III, LINE 8: 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 HOSPITALS MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARRDLESS OF THEIR INSURANCE COVERAGE OR ABILITY TO PAY. PART III, LINE 9B: CRMCS 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 QUALITY FOR A 100% WRITE-OFF. 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 ORGANIZATIONS WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS. PART VI, LINE 4: COMMUNITY INFORMATION: THE CATSKILL REGIONAL MEDICAL CENTERS SERVICE AREA FOR COMMUNITY/LOCAL HEALTH PLANNING INCLUDES ALL FIFTEEN TOWNSHIPS WITHIN RURAL SULLIVAN COUNTY, NEW YORK. THE HOSPITALS 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 IN THE PRIMARY SERVICE AREA ARE BETHEL, CALLICOON, COCHECTON, DELAWARE, FALLSBURG, FORESTBURGH, FREMONT, LIBERTY, NEVERSINK, ROCKLAND, THOMPSON AND TUSTEN. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE SULLIVAN COUNTYS 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 PREDOMINANTELY 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. PART VI, LINE 5: CRMC HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF SULLIVAN COUNTY IN SEVERAL WAYS. THE OVERWHELMING MAJORITY OF CRMCS BOARD OF DIRECTORS ARE COMPRISED OF LOCAL HEALTH CARE CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING SULLIVAN COUNTY HEALTH CARE NEEDS AND PRIORITIES. CRMCS 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 HOSPITALS 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. PART VI, LINE 6: 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 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. PART VI, LINE 7: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NY false CATSKILL REGIONAL MEDICAL CENTER FOUNDATION PO BOX 800 HARRIS NY 12742 141742176 501(C)(3) 16833 CATSKILL REGIONAL MEDICAL CENTER PAYS FOR SOME ADMINISTRATIVE SERVICES FOR CATSKILL REGIONAL 1 PART II, LINE 1, COLUMN (H): NAME OF ORGANIZATION OR GOVERNMENT: CATSKILL REGIONAL MEDICAL CENTER FOUNDATION (H) PURPOSE OF GRANT OR ASSISTANCE: CATSKILL REGIONAL MEDICAL CENTER PAYS FOR SOME ADMINISTRATIVE SERVICES FOR CATSKILL REGIONAL MEDICAL CENTER FOUNDATION. THE ORGANIZATION IS A RELATED ORGANIZATION. X X X X X true true false false false false false true false ROLLAND BOJO VP PT CARE SVCS, CNO 212270 0 49173 0 90 0 15574 0 28128 0 305235 0 0 0 GERARD GALARNEAU MD CEO/CMO 254571 192342 101250 0 58 32 10321 5579 18258 9870 384458 207823 0 0 JOSEPH M ANESI VP/GENERAL COUNSEL 0 344392 0 78750 0 16340 0 41850 0 28700 0 510032 0 0 ROSEMARY A BACZEWSKI CHIEF QUALITY OFFICER 0 297921 0 67500 0 6460 0 41850 0 18890 0 432621 0 0 SCOTT BATULIS PRESIDENT & CEO 0 982767 0 335200 0 212959 0 41850 0 28700 0 1601476 0 0 RICHARD CARRICO CFO 0 419017 0 95249 0 36989 0 10600 0 28700 0 590555 0 0 GERARD DUNLAVEY EXEC DIR GHVHS MEDICAL GROUP 0 277203 0 63916 0 8241 0 27775 0 28700 0 405835 0 0 JILL EMBLER VP FINANCIAL PLANNING 0 205243 0 46125 0 636 0 18914 0 28700 0 299618 0 0 SANDRA IBERGER VP OPERATIONS UNTIL 10/17/16 0 249921 0 67500 0 90901 0 23635 0 28700 0 460657 0 0 JOANNE STURANS CHIEF HR OFFICER 0 344392 0 78750 0 12307 0 39598 0 28700 0 503747 0 0 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 0 294394 0 67500 0 5117 0 41850 0 28700 0 437561 0 0 BRIAN TEW CIO 0 374387 0 85500 0 3444 0 28600 0 28700 0 520631 0 0 ZAUR IBRAGIMOV PHARMACIST 165467 0 0 0 0 0 17804 0 46960 0 230231 0 0 0 KANITA KHANII PHARMACY SUPERVISOR 144385 0 0 0 90 0 8362 0 18685 0 171522 0 0 0 MARK SOIREFMAN PHARMACY DIRECTOR 157926 0 0 0 396 0 9324 0 18685 0 186331 0 0 0 ROY MASON PHARMACIST 158916 0 0 0 0 0 0 0 41080 0 199996 0 0 0 DEBRA BLACKFORD ULTRASOUND TECH 143955 0 0 0 0 0 15490 0 40854 0 200299 0 0 0 SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE EXECUTIVE DIRECTOR WAS DETERMINED BY THE GREATER HUDSON VALLEY HEALTH SYSTEM, INC AND PAID BY THE FILING ORGANIZATION, CATSKILL REGIONAL MEDICAL CENTER. SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENT IN 2016: SANDRA IBERGER $57,694 PART I, LINE 4B: NON-QUALIFIED PAYMENTS IN 2016, AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II, COLUMN B(III): JOSEPH M ANESI $13,065 ROSEMARY BACZEWSKI $3,662 SCOTT BATULIS $210,637 RICHARD CARRICO $33,635 GERARD DUNLAVEY $6,813 SANDRA IBERGER $8,195 JOANNE STURANS $11,137 STEVEN SUGRUE $4,151 BRIAN TEW $1,650 JOANNE STURANS $11,137 STEVEN SUGRUE $4,151 BRIAN TEW $1,650 SCHEDULE J, PART I, LINE 7: 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. JOSEPH LOUGHLIN BOARD MEMBER 85525 CONTRACTED SERVICES false SUZANNE LANGE-AHMED WIFE OF BOARD MEMBER 151983 WAGES & BENEFITS false SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: JOSEPH LOUGHLIN (D) DESCRIPTION OF TRANSACTION: CONTRACTED SERVICES BOARD MEMBER AND PART OWNER OF ML ZAGER, PC, PROVIDES COLLECTIONS SERVICES FOR CRMC. (A) NAME OF PERSON: SUZANNE LANGE-AHMED (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WIFE OF BOARD MEMBER I AHMED (D) DESCRIPTION OF TRANSACTION: WAGES & BENEFITS FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: 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. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE CATSKILL REGIONAL MEDICAL CENTER (CRMC) MISSION STATEMENT IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE. CRMCS VISION IS THAT WE ARE CARING PROFESSIONALS DRIVEN BY STANDARDS OF EXCELLENCE WHO GO ABOVE AND BEYOND TO PROVIDE AN EXCEPTIONAL PATIENT CARE EXPERIENCE. FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,844 PATIENTS FROM THE SURROUNDING COMMUNITY. EXPENSES $ 10,346,133. INCLUDING GRANTS OF $ 0. REVENUE $ 11,781,994. FORM 990 PART VI, SECTION A, LINE 6: GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C) (3) IS THE SOLE MEMBER OF CATSKILL REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A: LINE 7A AND 7B - ELECTION OF MEMBERS GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE CRMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM CRMC BOARD OF DIRECTORS. GREATER HUDSON VALLEY HEALTH SYSTEMS BOARD OF DIRECTORS APPROVES DECISIONS OF CATSKILL REGIONAL MEDICAL CENTERS 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, SECTION B, LINE 11B: THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO CRMCS 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 ORGANIZATIONS 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, SECTION B, LINE 12C: CATSKILL REGIONAL MEDICAL CENTERS 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, SECTION B, LINE 15: 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 2016 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, SECTION C, LINE 19: ONCE A REQUEST IS MADE FOR THE CATSKILL REGIONAL MEDICAL CENTER TAX RETURN, A COPY IS SENT TO THE PERSON(S) REQUESTING THE DATA OR AS REQUIRED FOR VARIOUS STATE AND FEDERAL FILINGS THROUGH THE ADMINISTRATION OFFICE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE AS PART OF THE ORGANIZATIONS COMPLIANCE POLICY WHICH IS POSTED ON THE HOSPITALS WEBSITE. THIS POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G, OTHER FEES: TOTAL PROGRAM M&G PROFESSIONAL FEES - PHYSICIANS $6,265,354 $6,265,354 $0 CONTRACTED SERVICES $4,578,632 $3,502,829 $1,075,803 TEMP & AGENCY FEES $ 619,968 $ 557,133 $62,835 PURCHASED SERVICES $ 986,456 $ 567,967 $418,489 COLLECTION FEES $ 0 $ 677,927 $677,927 TOTAL OTHER FEES ON FORM 990 PART IX, LINE 11G, COL A $13,128,337. FORM 990, PART XI, LINE 9 - CHANGES IN NET ASSETS: TRANSFER FROM RELATED PARTY - GHVHS 2,400,000. CHANGE IN NET ASSETS OF CRMC FOUNDATION 325,805. CONTRIBUTION FOR FIXED ASSETS -10,171. TOTAL TO FORM 990, PART XI, LINE 9 2,715,634. GREATER HUDSON VALLEY HEALTH SYSTEM C/O ORMC 707 E MAIN ST MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(C)(3) LINE 12B,II NA false ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN ST MIDDLETOWN NY 10940 141364536 HOSPITAL NY 501(C)(3) LINE 3 GHVHS true CRMC FOUNDATION PO BOX 800 HARRIS NY 12742 133020568 FUND RAISING NY 501(C)(3) LINE 12A, I NA false GHVHS MEDICAL GROUP PC 707 E MAIN ST MIDDLETOWN NY 10940 371743537 PHYSICIANS NY 501(C)(3) LINE 12A, I GHVHS true EAST MAIN ST MGMT CORP 707 E MAIN ST MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY ORMC C Corp 0 0 false false true true false false false false false false true false true true false true true true false false GHVHS MEDICAL GROUP PC M 1334523 FMV GHVHS MEDICAL GROUP PC L 72904 FMV GHVHS MEDICAL GROUP PC Q 3301332 FMV GHVHS MEDICAL GROUP PC S 3630664 FMV GHVHS MEDICAL GROUP PC R 4249470 FMV ORANGE REGIONAL MEDICAL CENTER O 1700894 FMV ORANGE REGIONAL MEDICAL CENTER P 1782597 FMV ORANGE REGIONAL MEDICAL CENTER S 3169113 FMV GREATER HUDSON VALLEY HEALTH SYSTEM S 1796380 FMV GREATER HUDSON VALLEY HEALTH SYSTEM M 560004 FMV