2017-11-15T12:20:00-06:00 2016-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2016-01-01 141364536 ORANGE REGIONAL MEDICAL CENTER % JAMES GRIGG INTERIM CFO - ORAN 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 SCOTT BATULIS PRESIDENT/CEO 8453427349 2017-11-14 true MARY-EVELYN ANTONETTI P00431862 2127589700 2017-11-14 167.68.102.5 13407320173195000063 2017-11-15 P 13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9 13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9 2016 2017-02-10 21:41:12Z SCOTT BATULIS 707 EAST MAIN STREET MIDDLETOWN NY 10940 752389082 false X WWW.ORMC.ORG X 1908 NY THE MISSION OF ORANGE REGIONAL MED CTR IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. 7 7 3380 537 5598 1832 1610457 2635786 425800702 460090035 1097561 1050945 3601211 4602512 432109931 468379278 720300 762737 0 0 205178033 229856276 0 0 0 218172266 231026587 424070599 461645600 8039332 6733678 570124151 577716056 472357374 474379104 97766777 103336952 X SEE SCHEDULE O. false false 229529974 762737 294183929 ORANGE REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 383 BEDS AT ITS LOCATION AT 707 EAST MAIN ST, MIDDLETOWN, NY AND PROVIDES A FULL RANGE OF ADULT MEDICAL/SURGICAL INTENSIVE CARE, PEDIATRIC, OBSTETRICAL, REHABILITATION AND BEHAVIORAL HEALTH SERVICES. SEE SCHEDULE O. 112569307 144277806 EXPENSES INCURRED WHILE PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY. 9764178 12514550 EXPENSES INCURRED WHILE PROVIDING REHABILITATION MEDICAL SERVICES TO 1045 PATIENTS IN THE SURROUNDING COMMUNITY. 8515392 10914005 360378851 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false true true true false false false false false true true true false false true 420 0 true 3380 true true true false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true true true true true NY X JAMES GRIGG INTERIM CFO - 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 LON MERIN MD BOARD MEMBER 1.0 2.0 X 0 0 0 TERENCE OLIVO CHAIRMAN 1.0 2.0 X 0 0 0 ROLLAND PEACOCK III BOARD MEMBER 1.0 6.0 X 0 0 0 JONATHAN ROUIS SECRETARY 1.0 8.0 X 0 0 0 SHER SINGH BOARD MEMBER 1.0 2.0 X 0 0 0 ANDREW PAVLOFF TREASURER 1.0 3.0 X 0 0 0 DONALD BEELER VICE CHAIRMAN 1.0 2.0 X 0 0 0 JOSEPH M ANESI VP/GENERAL COUNSEL 40.0 20.0 X 439482 0 70550 ROSEMARY A BACZEWSKI CHIEF QUALITY OFFICER 40.0 20.0 X 371881 0 60740 SCOTT BATULIS PRESIDENT & CEO 40.0 25.0 X 1530926 0 70550 RICHARD CARRICO CFO 40.0 20.0 X 551255 0 39300 WILLIAM DAUSTER PRESIDENT ORMC FOUNDATION 1.0 39.0 X 0 275812 50231 GERARD DUNLAVEY EXEC DIR GHVHS MEDICAL GROUP 0.0 45.0 X 0 349360 56475 JILL EMBLER VP FINANCIAL PLANNING 40.0 20.0 X 252004 0 47614 SANDRA IBERGER VP OPERATIONS UNTIL 10/17/16 40.0 20.0 X 408322 0 52335 JAMES OXLEY MD VP MEDICAL AFFAIRS 40.0 5.0 X 584068 0 60740 JOANNE RITTER-TEITEL VP PATIENT CARE SVCS/CNO 40.0 0.0 X 549947 0 70550 JONATHAN SCHILLER COO 40.0 0.0 X 449178 0 71773 DAVID SMITH VP MKTG & STRAT PLNG BEG 11/16 40.0 20.0 X 31732 0 0 JOANNE STURANS CHIEF HR OFFICER 40.0 20.0 X 435449 0 68298 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 40.0 20.0 X 367011 0 70550 BRIAN TEW CIO 40.0 20.0 X 463331 0 57300 HAI LUO CHIEF PHYSICIST 40.0 0.0 X 259641 0 55551 MARIANNE WALKER ASSOC COUNSEL/DIRECTOR RISK 40.0 20.0 X 230625 0 48843 CHRISTINE GOODHART HR OPERATIONS ADMINISTRATOR 40.0 20.0 X 212275 0 27866 DANIEL PAGANO DIRECTOR LABOR & EMPL RELATION 40.0 20.0 X 194714 0 20639 ASHOK KUMAR DIRECTOR IT 40.0 20.0 X 192422 0 34391 7524263 625172 1034296 345 false true false SKANSKA USA BUILDING INC 350 5TH AVE 32ND FLOOR NEW YORK NY 10118 GENERAL CONSTR 43148566 GHVHS MEDICAL GROUP PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 MEDICAL SERVICES 10376337 BOYCE EXCAVATING PO BOX 367 SLATE HILL NEW YORK NY 10973 EXCAVATING SVCS 3284513 RESTORIXHEALTH INC 155 WHITE PLAINS RD STE 222 TARRYTOWN NY 10591 PROFESSIONAL SVCS 3088220 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT SERVICES 2619322 67 108 1991535 40500 603643 2635786 NET PATIENT SERVICE REVENUE 541900 458071332 458071320 12 INCOME FROM JOINT VENTURE 900099 1458699 1458699 MGMT FEE FROM RELATED ORG 900099 560004 560004 460090035 2071937 2071937 0 0 487903 89319 398584 0 398584 5586 392998 282899133 360 283473366 447119 -574233 -446759 -1020992 -1020992 0 0 0 0 0 0 0 0 0 CAFETERIA/COFFEE & GIFT SHOP REVENUE 721110 2403673 2403673 LLOCATED OVERHEAD RELATED ORG 900099 656004 656004 REBATES 900099 489410 489410 654841 654841 4203928 468379278 461890278 5598 3847616 762737 762737 0 0 0 7800907 7800907 0 155914528 114082596 41831932 17046993 12223759 4823234 36952787 26198198 10754589 12141061 8498743 3642318 21268 21268 797623 797623 375405 375405 132178 132178 0 219021 219021 50434447 44253314 6181133 1639485 1639485 15095413 10566789 4528624 4888541 3421979 1466562 0 9932882 5959729 3973153 522211 365548 156663 0 227902 159531 68371 16166330 16166330 0 26358940 15815364 10543576 5431779 3802245 1629534 MEDICAL SUPPLIES 73628103 73628103 BAD DEBT EXPENSE 13809462 13809462 NON MEDICAL SUPPLIES 6948914 4864240 2084674 OTHER TAXES & ASSESSMENTS 3118815 3118815 1277868 909706 368162 461645600 360378851 101266749 0 41429322 25027226 1650519 1065389 0 0 39856209 51002654 0 0 0 0 0 0 9371374 10038908 3594463 2807901 483040787 162303672 272851868 320737115 153979664 115037154 0 0 8181391 8727344 0 0 39209341 43272365 570124151 577716056 60238095 59711713 0 0 2865435 1881031 300588676 294610162 0 0 0 0 0 6750011 0 0 108665168 111426187 472357374 474379104 X 88655287 93669315 7117726 7673873 1993764 1993764 97766777 103336952 570124151 577716056 X 6733678 1610892 -2774395 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 78000 false true 54178 132178 false SCHEDULE C, PART II-B, LINE 1, LOBBYING ACTIVITIES: LINE 1G - PAYMENTS TO ROFFEE GROUP, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY LINE 1I - PERCENTAGE OF DUES PAID TO NORMET, GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES. 1993764 83239 83239 1993764 1993764 90031 90031 1993764 1993764 229660 229660 1993764 1993764 1717429 1717429 1993764 1993764 84434 84434 1993764 1.00000 false false 4897415 4897415 203232949 47626068 155606881 256271872 109116981 147154891 18638551 5560623 13077928 320737115 INSURANCE RECOVERIES RECEIV. 26399574 DEFERRED REVENUE 1668029 DUE FROM THIRD-PARTIES 8499585 DUE FROM RELATED ORGANIZATION 6487656 MISCELLANEOUS RECEIVABLES 217521 43272365 0 DUE TO THIRD-PARTIES 23889391 PENSION LIABILITY 53805466 LT LIABILITY - WC & MALPRACTIC 33731330 111426187 X 453331000 1610892 -16529468 -14918576 468249576 219021 -89319 129702 468379278 447679000 447679000 219021 13747579 13966600 461645600 SCHEDULE D, PART V, LINE 4: USE OF ENDOWMENT FUNDS ENDOWMENT FUNDS (PERMANENTLY RESTRICTED) ARE INVESTED IN ACCOUNTS IN ORMC'S NAME. THE PRINCIPAL BALANCES ARE TO BE HELD AND ALL EARNINGS ARE TO BE USED FOR THE BENEFIT AND SUPPORT OF THE ORGANIZATION'S PROGRAMS AND SERVICES. SCHEDULE D, PART X, LINE 2: THE HOSPITAL AND SYNERA, A DORMANT CORPORATION, HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND 501(C)(2), RESPECTIVELY; THEREFORE, ARE GENERALLY EXEMPT FROM FEDERAL INCOME. EAST MAIN STREET MANAGEMENT CORPORATION AND THE ALPHA NETWORK, INC. ARE DORMANT TAXABLE CORPORATIONS. NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON SETTLEMENT. CHARNGES IN RECOGNITION IN MEASUREMENT ARE RELFECTED 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. SCHEDULE D, PART XI LINE 2D: OTHER ADJUSTMENTS BAD DEBT EXPENSE -13,809,462 POST RETIREMENT-RELATED CHANGES 118,212 PENSION-RELATED CHANGES -5,490,628 CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. 643,180 TRANSFER TO RELATED PARTY 1,954,841 ROUNDING 54,389 ----------- TOTAL TO FORM 990, PART XI, LINE 9 -16,529,468 SCHEDULE D, PART XI, LINE 4B: OTHER ADJUSTMENTS RENTAL EXPENSES -89,319 ----------- TOTAL TO SCHEDULE D, PART XI, LINE 4B -89,319 SCHEDULE D, PART XII, LINE 4B: OTHER ADJUSTMENTS BAD DEBT EXPENSE 13,809,462 CONTRIBUTION TO FOUNDATION 28,632 RENTAL EXPENSES -89,319 ROUNDING -1,196 ----------- TOTAL TO SCHEDULE D, PART XII, LINE 4B 13,747,579 true true true X true X true false true true 7582338 1247496 6334842 0.01410 74951645 43723001 31228644 0.06970 82533983 44970497 37563486 0.08380 201 6106 206650 10909 195741 0.00040 7445273 2277669 5167604 0.01150 47515582 38519143 8996439 0.02010 201 6106 55167505 40807721 14359784 0.03200 201 6106 137701488 85778218 51923270 0.11580 true 13809462 2168086 127274728 167317955 -40043227 X true true CRYSTAL RUN AMBULATORY SURGERY CENTER AMBULATORY SURGERY CENTER OF MIDDLETOWN 0.4 0.6 HUDSON VALLEY AMBULATORY SURGERY CENTER AMBULATORY SURGERY LLC 0.26 0.74 1 1 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 WWW.ORMC.ORG 35230004 X ORANGE REGIONAL MEDICAL CENTER 1 false false true X X X X X X X 16 true true false true X SEE DISCLOSURE IN PART V X true 17 true SEE DISCLOSURE IN PART V false true X 200. 350. true true X X X true X SEE DISCLOSURE IN PART V X SEE DISCLOSURE IN PART V X 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 7A & 10A: http://www.ormc.org/about-us/community-health/community-service-plans 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 SYSTEMS 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 V, SECTION B, LINE 16A & B: https://www.ormc.org/patients-visitors/billing insurance/financial- assistance 5 CRYSTAL RUN AMBULATORY SURGERY CNTR 95 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 JOINT VENTURE AMBULATORY SURGERY CENTER HUDSON VALLEY AMBULATORY SURGERY LLC 75 CRYSTAL RUN RD SUITE 225 MIDDLETOWN NY 10941 JOINT VENTURE AMBULATORY SURGERY CENTER ORANGE REGIONAL MEDICAL PAVILION 75 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 OUTPATIENT SERVICES CENTER GOSHEN PATIENT SERVICE CENTER 70 HATFIELD LANE GOSHEN NY 10942 OUTPATIENT ANCILLARY SERVICE CENTER GOSHEN RADIATION ONCOLOGY CENTER 70 HATFIELD LANE GOSHEN NY 10942 RADIATION ONCOLOGY TREATMENT CENTER 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 COL (F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST, WAS $13,809,462. PART II, COMMUNITY BUILDING ACTIVITIES, PART VI, LINE 2 NEEDS ASSESSMENT, AND PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF ORMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, ORMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL. 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 THE BAD DEBT FOR THE YEAR. IF THESE PATIENTS HAD COMPLETED THE CHARITY CARE APPLICATION PROCESS, THEIR BALANCES WOULD MOST LIKELY HAVE BEEN ADJUSTED FOR A CHARITY CARE ALLOWANCE, AND THEREFORE WOULD HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. PART III, LINE 4: AFS FOOTNOTE - PARAGRAPH 2D ORMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. MANAGEMENT REGULARLY REVIEWS ACCOUNTS AND CONTRACTS AND PROVIDES APPROPRIATE CONTRACTUAL ALLOWANCES AND DISCOUNTS THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, ORMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, ORMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH UNINSURED PATIENTS, MANAGEMENT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ORMC WROTE OFF APPROXIMATELY $6,200 AND $5,200 (IN THOUSANDS) FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, RESPECTIVELY, OF WHICH A SIGNIFICANT PORTION RELATE TO UNINSURED PATIENTS. PART III, LINE 8: THE MEDICARE SHORTFALL OF $40,043,227 COULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE TO THE EXTENT THAT IT IS IN EFFECT A SUBSIDY OF A GOVERNMENTAL HEALTHCARE PLAN WHICH ENABLES THE RECIPIENTS OF THESE BENEFITS TO RECEIVE HEALTHCARE. THE AMOUNT INDICATED ON LINE 6 AS MEDICARE ALLOWABLE COSTS RELATED TO MEDICARE PAYMENTS HAS BEEN CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO GROSS CHARGES FOR MEDICARE AND MEDICARE ADVANTAGE PLAN LESS PAYMENTS. THIS RATIO IS CONSISTENT WITH THAT USED FOR MEDICAID AND OTHER PROVIDERS. PART III, LINE 9B: ORMC'S COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, CHARITY CARE ELIGIBILTY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALITY FOR A 100% WRITE-OFF. PART VI, LINE 3: TO INFORM AND EDUCATE OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, ORANGE REGIONAL MEDICAL CENTER UTILIZES SEVERAL METHODS, INCLUDING PROVIDING A FINANCIAL AID SUMMARY AT REGISTRATION, POSTING SIGNS IN PATIENT AREAS, DETAILING THE INFORMATION ON THE ORGANIZATION'S WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS. PART VI, LINE 4: ORANGE REGIONAL MEDICAL CENTER IS A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM. ORMC, IN MIDDLETOWN, NY, EXPANDED ITS SERVICE AREA TO REFLECT ITS RELATIONSHIP WITH CATSKILL REGIONAL MEDICAL CENTER (ALSO A MEMBER OF GHVHS). THE GHVHS SERVICE AREA INCLUDED ALL OF ORANGE COUNTY AND SULLIVAN COUNTY; AN AREA THAT ENCOMPASSES 1,828 SQUARE MILES AND APPROXIMATELY 450,000 RESIDENTS. WHEN IT COMES TO HEALTH PLANNING FOR PRIMARY CARE AND CORE SECONDARY LEVEL SERVICES, ORMC FOCUSES ON 29 ZIP CODES THAT COMPRISE ITS LOCAL HEALTH SERVICE AREA. THIS SERVICE AREA WAS DETERMINED BY IDENTIFYING THE ZIP CODES FROM WHICH 85% OF ORANGE REGIONAL'S DISCHARGES ORIGINATE. PLANNING FOR SPECIALTY CARE SERVICES TAKES A MORE REGIONAL PERSPECTIVE AND ENCOMPASSES ALL OF ORANGE AND SULLIVAN COUNTIES AND THE NEEDS OF THEIR RESIDENTS. 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. GHVHS MEDICAL GROUP PC IS ALSO A PARTICIPANT IN THE SYSTEM. THE GHVHS IS DEDICATED TO DEVELOPING SPECIALTY SERVICES, MEDICAL PROGRAMS AND NEEDED HEALTHCARE SERVICES THAT ALLOW RESIDENTS TO REMAIN CLOSE TO HOME TO RECEIVE QUALITY CARE. PROVIDING HEALTHCARE TO NEARLY 450,000 RESIDENTS IN ORANGE, SULLIVAN AND ULSTER COUNTIES, THE GHVHS WAS DESIGNED TO IMPROVE THE QUALITY, STABILITY AND EFFICIENCY OF HEALTHCARE SERVICES IN THE MID-HUDSON AND CATSKILL REGIONS. SERVICES PROVIDED BY MORE THAN 3,300 EMPLOYED PROFESSIONALS AND OVER 850 MEDICAL STAFF MEMBERS, MAKES THE GHVHS ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THE TRI-COUNTY AREA. THE SYSTEM HAS THREE HOSPITAL CAMPUSES PLUS SEVERAL OUTPATIENT FACILITIES, OFFERING A BROAD SPECTRUM OF CARE. CATSKILL REGIONAL MEDICAL CENTER HAS TWO HOSPITAL FACILITIES SERVING PATIENTS IN SULLIVAN AND ULSTER COUNTIES. CATSKILL REGIONAL MEDICAL CENTER-HARRIS IS A COMMUNITY HOSPITAL; WHILE, CATSKILL REGIONAL MEDICAL CENTER- CALLICOON IS A CRITICAL ACCESS HOSPITAL. ORANGE REGIONAL MEDICAL CENTER OPENED A NEW HOSPITAL FACILITY DURING 2011 AND SERVES PATIENTS IN THE TRI-COUNTY AREA. GHVHS MEDICAL GROUP PC HAS OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK. PART VI, LINE 7: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NY ORANGE REGIONAL MEDICAL CENTER FOUNDATION 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 501(C)(3) 762737 INSTITUTIONAL SUPPORT 1 X X X X X true true false false false false false true false JOSEPH M ANESI VP/GENERAL COUNSEL 344392 0 78750 0 16340 0 41850 0 28700 0 510032 0 0 0 ROSEMARY A BACZEWSKI CHIEF QUALITY OFFICER 297921 0 67500 0 6460 0 41850 0 18890 0 432621 0 0 0 SCOTT BATULIS PRESIDENT & CEO 982767 0 335200 0 212959 0 41850 0 28700 0 1601476 0 0 0 RICHARD CARRICO CFO 419017 0 95249 0 36989 0 10600 0 28700 0 590555 0 0 0 WILLIAM DAUSTER PRESIDENT ORMC FOUNDATION 0 222017 0 50625 0 3170 0 21898 0 28333 0 326043 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 205243 0 46125 0 636 0 18914 0 28700 0 299618 0 0 0 SANDRA IBERGER VP OPERATIONS UNTIL 10/17/16 249921 0 67500 0 90901 0 23635 0 28700 0 460657 0 0 0 JAMES OXLEY MD VP MEDICAL AFFAIRS 447915 0 101250 0 34903 0 41850 0 18890 0 644808 0 0 0 JOANNE RITTER-TEITEL VP PATIENT CARE SVCS/CNO 423738 0 96042 0 30167 0 41850 0 28700 0 620497 0 0 0 JONATHAN SCHILLER COO 351166 0 79713 0 18299 0 43073 0 28700 0 520951 0 0 0 JOANNE STURANS CHIEF HR OFFICER 344392 0 78750 0 12307 0 39598 0 28700 0 503747 0 0 0 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 294394 0 67500 0 5117 0 41850 0 28700 0 437561 0 0 0 BRIAN TEW CIO 374387 0 85500 0 3444 0 28600 0 28700 0 520631 0 0 0 HAI LUO CHIEF PHYSICIST 250809 0 7756 0 1076 0 37645 0 17906 0 315192 0 0 0 MARIANNE WALKER ASSOC COUNSEL/DIRECTOR RISK 209364 0 20407 0 854 0 20143 0 28700 0 279468 0 0 0 CHRISTINE GOODHART HR OPERATIONS ADMINISTRATOR 193357 0 18654 0 264 0 17421 0 10445 0 240141 0 0 0 DANIEL PAGANO DIRECTOR LABOR & EMPL RELATION 185415 0 7500 0 1799 0 1749 0 18890 0 215353 0 0 0 ASHOK KUMAR DIRECTOR IT 178889 0 13163 0 370 0 5691 0 28700 0 226813 0 0 0 SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CHIEF EXECUTIVE OFFICER WAS DETERMINED BY THE GREATER HUDSON VALLEY HEALTH SYSTEM, INC AND PAID BY THE FILING ORGANIZATION, ORANGE REGIONAL MEDICAL CENTER. SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENT IN 2016: SANDRA IBERGER $57,694 SCHEDULE J, 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 JAMES OXLEY $28,731 JOANNE RITTER-TEITEL $26,603 JONATHAN SCHILLER $17,759 JOANNE STURANS $11,137 STEVEN SUGRUE $4,151 BRIAN TEW $1,650 SCHEDULE J, PART I, LINE 7: DURING THE TAX YEAR THE ORGANIZATION PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II COLUMN B(ii). A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2008-05-07 260106200 CONSTRUCT A REPLACEMENT HOSPITAL false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2015-05-13 70060402 CONSTRUCT A PROFESSIONAL OFFICE false false false A 27840000 0 260106200 20230063 50673656 0 3397126 0 0 185805355 0 0 2011 false false true true B 1000000 0 70060402 4345000 0 0 0 0 0 57968735 0 7746667 2016 false false false true A false false false false 0 false false false false B false true true true false 0 0.00485 0.00485 false false false false A false false false true false 0 false 0 false false B false false false true false 0 false 0 false false A false B false SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK (F) DESCRIPTION OF PURPOSE: CONSTRUCT A REPLACEMENT HOSPITAL (A) ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK (F) DESCRIPTION OF PURPOSE: CONSTRUCT A PROFESSIONAL OFFICE BUILDING & CANCER CENTER ORANGE PATHOLOGY ASSOCIATES S NEWMAN FORMER BOARD MEMBER 390807 PATHOLOGY SERVICES false HISTOPATHOLOGY SERVICES LLC S NEWMAN FORMER BOARD MEMBER 1887371 PATHOLOGY SERVICES false FORM 990, PART III, LINE 1: DESCRIPTION OF ORGANIZATION MISSION ORANGE REGIONAL MEDICAL CENTER WILL IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. WE WILL PURSUE EXCELLENCE IN ALL WE DO WITH A GOAL OF BECOMING THE PROVIDER OF CHOICE FOR OUR COMMUNITY, THE EMPLOYER OF CHOICE FOR OUR STAFF, AND THE WORKPLACE OF CHOICE FOR OUR DOCTORS. ORANGE REGIONAL BELIEVES STRONGLY THAT THE FEAR OF NOT BEING ABLE TO PAY FOR HEALTHCARE SHOULD NOT BE A DETERENT IN SEEKING HEALTHCARE SERVICES. THEREFORE, WE WORK HARD TO ENSURE THAT HEALTHCARE REMAINS ACCESSIBLE AND AVAILABLE FOR ANY MEMBER OF THE COMMUNITY IN NEED. FORM 990, PART III, LINE 4A/4B: DURING 2016, ORMC HAD 23,520 INPATIENT DISCHARGES AND PERFORMED 829,524 OUTPATIENT PROCEDURES. IN ADDITION TO PROVIDING INPATIENT CARE, ORMC ALSO OPERATES A NETWORK OF OFF-SITE FACILITIES WHICH PROVIDE A FULL RANGE OF OUTPATIENT DIAGNOSTIC, THERAPEUTIC AND COMMUNITY EDUCATION SERVICES. THROUGHOUT THE YEAR, ORMC ALSO CONDUCTS AND COORDINATES A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS. THESE PROGRAMS INCLUDE HEALTH TRADE EXPOSITIONS, FACILITY TOURS, SPEAKERS BUREAU, EDUCATIONAL SEMINARS AND LECTURES, SCHOOL CAREER DAYS, COMMUNITY HEALTH SCREENINGS AND SUPPORT. FORM 990, PART III, LINE 4D: OTHER PROGRAM SERVICES EXPENSES INCURRED WHILE PROVIDING REHAB SERVICES TO 594 PATIENTS IN THE SURROUNDING COMMUNITY. EXPENSES $ 8,515,392. INCLUDING GRANTS OF $ 0. REVENUE $ 10,914,005. 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 ORANGE REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A: GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE ORMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM ORMC BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B: GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF ORANGE REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS INCLUDING: * APPOINTMENT OF DIRECTORS * APPROVAL OF CERTIFICATE OF NEED APPLICATIONS * APPROVAL OF ANNUAL STRATEGIC PLAN * APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION * APPROVAL OF OPERATING AND CAPITAL BUDGETS * APPROVAL OF ANY BORROWINGS, GUARANTEES OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE * APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION * APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY FORM 990, PART VI, SECTION B, LINE 11: THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO ORMCS 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 ORANGE REGIONAL MEDICAL CENTER'S CONFLICT OF INTEREST (COI) POLICY APPLIES TO ALL DIRECTORS, COMMITTEE MEMBERS AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE HOSPITAL OR ANY ENTITY CONTROLLED BY THE HOSPITAL. The hospial has adopted GHVHS's corporate compliance TO ENSURE THAT ALL OF ITS BUSINESS PRACTICES ARE IN COMPLIANCE WITH APPLICABLE CIVIL AND CRIMINAL LAWS, RULES AND REGULATIONS. THE CONFLICT POLICY REQUIRES ALL DIRECTORS AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO HOSPITAL POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. The GHVHS Compliance officer MONITORS THE COI DISCLOSURES, AND IS PRESENT AT ALL BOARD MEETINGS TO ASSIST WITH ANY POTENTIAL CONFLICT ISSUES AND PROVIDE ADVICE ON ABSTENTION, RECUSAL, ETC. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY. FORM 990, PART VI, SECTION B, LINE 15: IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 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: THE CONFLICT OF INTEREST POLICY IS AVAILABLE AS PART OF THE ORGANIZATION'S COMPLIANCE POLICY WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THIS POLICY AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G, OTHER FEES: PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 23,412,921. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,412,921. TEMP AND AGENCY FEES: PROGRAM SERVICE EXPENSES 2,720,742. MANAGEMENT AND GENERAL EXPENSES 680,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,400,927. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,572,385. MANAGEMENT AND GENERAL EXPENSES 673,879. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,246,264. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 110,031. MANAGEMENT AND GENERAL EXPENSES 47,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 157,187. AMBULANCE COSTS: PROGRAM SERVICE EXPENSES 141,225. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,225. COLLECTION FEES: PROGRAM SERVICE EXPENSES 5,142,882. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,142,882. ALL OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,153,128. MANAGEMENT AND GENERAL EXPENSES 4,779,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,933,041. TOTAL OTHER FEES ON FORM 990, PART IX, LINE 11G, COL A 50,434,447. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: POST RETIREMENT-RELATED CHANGES 118,212 PENSION-RELATED -5,490,628 CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. 643,180 TRANSFER TO GREATER HUDSON VALLEY HEALTH SYSTEM 1,954,841 ----------- TOTAL TO FORM 990, PART XI, LINE 9 -2,774,395 GREATER HUDSON VALLEY HEALTH SYSTEM INC C/O ORMC 707 EAST MAIN STREET MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(C)(3) Line 12B,II NA false CATSKILL REGIONAL MEDICAL CENTER PO BOX 800 HARRIS NY 12742 146049030 HOSPITAL NY 501(C)(3) LINE 3 GHVHS true ORANGE REGIONAL MEDICAL CENTER FOUND C/O ORMC 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 FUND RAISING NY 501(C)(3) LINE I2A, I NA false ORMC AUXILIARY 707 EAST MAIN STREET MIDDLETOWN NY 10940 205223843 SUPPORT ORG NY 501(C)(3) LINE 9 NA false GHVHS MEDICAL GROUP PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 371743537 HEALTHCARE NY 501(C)(3) LINE 12A, I GHVHS true THE ALPHA NETWORK INC 707 EAST MAIN STREET MIDDLETOWN NY 10940 061509147 MGD CARE NY ORMC C Corp 0 0 0.50000 false EAST MAIN STREET MANAGEMENT CORP 707 EAST MAIN STREET MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY ORMC C CORP 0 0 1.00000 true false false true false false false false false false true false true true false true false true true true GHVHS MEDICAL GROUP PC M 4434230 FMV GHVHS MEDICAL GROUP PC L 656004 FMV GHVHS MEDICAL GROUP PC Q 11262701 FMV GHVHS MEDICAL GROUP PC S 10552967 FMV GHVHS MEDICAL GROUP PC R 18814651 FMV CATSKILL REGIONAL MEDICAL CENTER O 17100894 FMV CATSKILL REGIONAL MEDICAL CENTER Q 1782597 FMV CATSKILL REGIONAL MEDICAL CENTER S 3169113 FMV GREATER HUDSON VALLEY HEALTH SYSTEM S 4000000 FMV GREATER HUDSON VALLEY HEALTH SYSTEM L 560004 FMV GREATER HUDSON VALLEY HEALTH SYSTEM S 1954860 ACTUAL EXPENSE