ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC (EIN 13-3020568)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201743199349307824
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T12:00:09-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AvenueAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP101540102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133020568EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ORANGE REGIONAL MEDICAL CENTER FOUNDATIONBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% LINDA GONSKAInCareOfNm
Business Name ControlORANBusinessNameControlTxt
Phone8453332333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST MAIN STREETAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10940ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM DAUSTERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8453427349PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY-EVELYN ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone2127589700PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13407320173195000061FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9AtSubmissionCreationDeviceId
At Submission Filing Device Id864472CFA5603F93919C1814BAA1FB0991BE5F91AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM DAUSTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST MAIN STREETAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10940ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,782,748GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressORMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE 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 Body25VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,035,111PYContributionsGrantsAmt
CY Contributions Grants$3,155,490CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$329,964PYInvestmentIncomeAmt
CY Investment Income$154,115CYInvestmentIncomeAmt
PY Other Revenue$46,434PYOtherRevenueAmt
CY Other Revenue$57,631CYOtherRevenueAmt
PY Total Revenue$3,411,509PYTotalRevenueAmt
CY Total Revenue$3,367,236CYTotalRevenueAmt
PY Grants And Similar Paid$1,185,327PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,991,535CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$555,335PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$590,890CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$183,401PYOtherExpensesAmt
CY Other Expenses$195,469CYOtherExpensesAmt
PY Total Expenses$1,924,063PYTotalExpensesAmt
CY Total Expenses$2,777,894CYTotalExpensesAmt
PY Revenues Less Expenses$1,487,446PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$589,342CYRevenuesLessExpensesAmt
Total Assets BOY$6,742,386TotalAssetsBOYAmt
Total Assets EOY$7,239,657TotalAssetsEOYAmt
Total Liabilities BOY$4,848TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,507TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,737,538NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,236,150NetAssetsOrFundBalancesEOYAmt
MissionTO 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,991,535ExpenseAmt
Grant$1,991,535GrantAmt
DescSUPPORTING THE MEDICAL, CHARITABLE, SCIENTIFIC, RESEARCH, AND HEALTH RELATED PURPOSES, OPERATIONS, AND ACTIVITIES OF ORANGE REGIONAL MEDICAL CENTER.Desc
Total Program Service Expenses$1,991,535TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLINDA GONSKAPersonNm
Phone8453332333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST MAIN STREETAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10940ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DEBRA BOGDANSKI
MEMBER AT LARGE11.00.0Yes (X)$0$0$0
TONIA CROWN
BOARD MEMBER2.00.0Yes (X)$0$0$0
PATRICIA DUKE
BOARD MEMBER1.00.0Yes (X)$0$0$0
MICHAEL FLYNN
BOARD MEMBER3.00.0Yes (X)$0$0$0
JANET FORMISANO
BOARD MEMBER3.00.0Yes (X)$0$0$0
JESSICA GARDNER
BOARD MEMBER2.00.0Yes (X)$0$0$0
MICHAEL GILFEATHER
BOARD MEMBER2.00.0Yes (X)$0$0$0
FRANK GIORDANO III
MEMBER AT LARGE3.00.0Yes (X)$0$0$0
THOMAS HUGHES
BOARD MEMBER3.00.0Yes (X)$0$0$0
SCOTT KENDRICK
BOARD MEMBER6.00.0Yes (X)$0$0$0
JACK KRINEY
MEMBER AT LARGE8.00.0Yes (X)$0$0$0
CLEVELAND LEWIS
BOARD MEMBER2.00.0Yes (X)$0$0$0
STEVE MILLIGRAM
BOARD MEMBER6.00.0Yes (X)$0$0$0
PAMELA MURPHY MD
BOARD MEMBER2.00.0Yes (X)$0$0$0
J MIGUEL RODRIGUES
BOARD MEMBER4.00.0Yes (X)$0$0$0
JONATHAN ROUIS CPA
CHAIRMAN10.00.0Yes (X)$0$0$0
MARGARET R SMITH
VICE CHAIRMAN9.00.0Yes (X)$0$0$0
CATHERINE SUEHNHOLZ
BOARD MEMBER3.00.0Yes (X)$0$0$0
SCOTT LASK
BOARD MENBER AS OF 5/20162.00.0Yes (X)$0$0$0
ELIZABETH ROWLEY
BOARD MEMBER AS OF 5/20161.00.0Yes (X)$0$0$0
STEVEN VAN POUKE
BOARD MEMBER AS OF 5/20161.00.0Yes (X)$0$0$0
LARRY E MCDOWELL JR
BOARD MEMBER UNTIL 4/20161.00.0Yes (X)$0$0$0
HOWARD PROTTER ESQ
SECRETARY UNTIL 10/20166.00.0Yes (X)$0$0$0
TERRENCE OLIVO
BOARD MEMBER0.00.0Yes (X)$0$0$0
SCOTT BATULIS
ORMC PRESIDENT CEO5.060.0Yes (X)$0$1,530,926$70,550
JAY ANTHONY
BOARD MEMBER11.00.0Yes (X)$0$0$0
SAL BELFIGIO
BOARD MEMBER5.00.0Yes (X)$0$0$0
WILLIAM DAUSTER
FOUNDATION PRESIDENT39.01.0$275,812$0$50,231Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$275,812TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,530,926TotReportableCompRltdOrgAmt
Total Other Compensation$120,781TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNONEPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$271,688FundraisingAmt
Related Organizations$762,737RelatedOrganizationsAmt
All Other Contributions$2,121,065AllOtherContributionsAmt
Total Contributions$3,155,490TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,562TotalRevenueColumnAmt
Exclusion$68,562ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$484,569SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$399,016SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$85,553SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,553TotalRevenueColumnAmt
Exclusion$85,553ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$74,127FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$271,688ContriRptFundraisingEventAmt
Fundraising Direct Expenses$16,496FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,631TotalRevenueColumnAmt
Exclusion$57,631ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,367,236TotalRevenueColumnAmt
Exclusion$211,746ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,991,535TotalAmt
Program Services$1,991,535ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$326,043TotalAmt
Management And General$326,043ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$264,847TotalAmt
Management And General$264,847ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,200TotalAmt
Management And General$19,200ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,622TotalAmt
Management And General$21,622ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$112,610TotalAmt
Management And General$112,610ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,656TotalAmt
Management And General$10,656ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,807TotalAmt
Management And General$1,807ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,632TotalAmt
Management And General$22,632ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,133TotalAmt
Management And General$1,133ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
FOOD$4,163$4,163
TELEPHONE$1,646$1,646

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,777,894TotalAmt
Program Services$1,991,535ProgramServicesAmt
Management And General$786,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,040,579BOYAmt
EOY$3,870,520EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$505,973BOYAmt
EOY$966,890EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,192,018BOYAmt
EOY$2,396,655EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,816BOYAmt
EOY$5,592EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,742,386BOYAmt
EOY$7,239,657EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,848BOYAmt
EOY$3,507EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,848BOYAmt
EOY$3,507EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,981,433BOYAmt
EOY$2,365,312EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,714,750BOYAmt
EOY$4,565,559EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,355BOYAmt
EOY$305,279EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,737,538BOYAmt
EOY$7,236,150EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,742,386BOYAmt
EOY$7,239,657EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$589,342ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,934NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$96,664OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ORANGE REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN141364536EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$1,991,535SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,991,535SupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,312,959CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,826,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,785,064CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,035,111CurrentTaxYearMinus1YearAmt
Current Tax Year$3,155,490CurrentTaxYearAmt
Total$11,114,700TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,312,959CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,826,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,785,064CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,035,111CurrentTaxYearMinus1YearAmt
Current Tax Year$3,155,490CurrentTaxYearAmt
Total$11,114,700TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,776,382SubstantialContributorsTotAmt
Public Support Total170$9,338,318PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$58,045CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,237CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,975CurrentTaxYearMinus1YearAmt
Current Tax Year$68,562CurrentTaxYearAmt
Total$337,340TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$46,434CurrentTaxYearMinus1YearAmt
Current Tax Year$57,631CurrentTaxYearAmt
Total$104,065TotalAmt
FieldValueIRS element (for citing)
Total Support$11,556,105TotalSupportAmt
Public Support CY1700.80809PublicSupportCY170Pct
Public Support PY1700.73210PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipfalseOfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Activities Further Exempt PrpsYes (true)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntfalseActivitiesEngagedOrgInvlmntInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, Part IV, Section D , LINE 2ATHE 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.
SCHEDULE A, Part IV, Section D , LINE 2ATHE 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 VI, SECTION D, LINES 2 & 3REGULAR 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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,737,538BeginningYearBalanceAmt
Contributions$3,132,953ContributionsAmt
Investment Earnings Or Losses$160,049InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,010,031GrantsOrScholarshipsAmt
Administrative Expenses$784,359AdministrativeExpensesAmt
End Year Balance$7,236,150EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,482,241BeginningYearBalanceAmt
Contributions$3,119,408ContributionsAmt
Investment Earnings Or Losses$74,987InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,200,362GrantsOrScholarshipsAmt
Administrative Expenses$738,736AdministrativeExpensesAmt
End Year Balance$6,737,538EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,298,206BeginningYearBalanceAmt
Contributions$1,789,652ContributionsAmt
Investment Earnings Or Losses$189,692InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,181,773GrantsOrScholarshipsAmt
Administrative Expenses$613,536AdministrativeExpensesAmt
End Year Balance$5,482,241EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,614,982BeginningYearBalanceAmt
Contributions$1,816,996ContributionsAmt
Investment Earnings Or Losses$407,728InvestmentEarningsOrLossesAmt
Grants Or Scholarships$864,943GrantsOrScholarshipsAmt
Administrative Expenses$676,557AdministrativeExpensesAmt
End Year Balance$5,298,206EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,460,047BeginningYearBalanceAmt
Contributions$1,115,291ContributionsAmt
Investment Earnings Or Losses$198,054InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,532,807GrantsOrScholarshipsAmt
Administrative Expenses$625,603AdministrativeExpensesAmt
End Year Balance$4,614,982EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.32690BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.04220PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.63090TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,368,044TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,934NetUnrealizedGainsInvstAmt
Other Revenue$16,496OtherRevenueAmt
Revenue Not Reported$22,430RevenueNotReportedAmt
Revenue Subtotal$3,345,614RevenueSubtotalAmt
Investment Expenses Not Incld$21,622InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$21,622RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,367,236TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,869,432TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$113,160OtherExpensesIncludedAmt
Expenses Not Reported$113,160ExpensesNotReportedAmt
Expenses Subtotal$2,756,272ExpensesSubtotalAmt
Investment Expenses Not Incld2$21,622InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$21,622ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,777,894TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS DONOR DESIGNATED DONATIONS: 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 ORANGE REGIONAL MEDICAL CENTER FOUNDATION, INC. (THE FOUNDATION) IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES AND OTHER RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION HAS NO MATERIAL UNCERTAIN TAX POSITIONS.
SCHEDULE D, PART XI, LINE 2DRECLASS OF DIRECT EXPENSES FROM SPECIAL EVENTS 16,496
SCHEDULE D, PART XII, LINE 2DPROVISION FOR UNCOLLECTIBLE PLEDGES 96,664 RECLASS OF DIRECT EXPENSES FROM SPECIAL EVENTS 16,496 ---------- 113,160

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$345,815GrossReceiptsEvent1Amt
Charitable Contri Event1$271,688CharitableContriEvent1Amt
Gross Revenue Event1$74,127GrossRevenueEvent1Amt
Non Cash Prizes Event1$10,000NonCashPrizesEvent1Amt
Rent Facility Costs Event1$1,304RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$5,192OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$345,815GrossReceiptsTotalAmt
Charitable Contributions Tot$271,688CharitableContributionsTotAmt
Gross Revenue Total Events$74,127GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$10,000NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$1,304RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$5,192OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$16,496DirectExpenseSummaryEventsAmt
Net Income Summary$57,631NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ORANGE REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST MAIN STREETAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10940ZIPCd
FieldValueIRS element (for citing)
Recipient EIN141364536RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$1,991,535CashGrantAmt
Purpose Of GrantSUPPORT FOR HOSPITALPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationMONITORING PROCESS 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

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT BATULIS
ORMC PRESIDENT CEO$0$982,767$0$335,200$0$212,959$0$41,850$0$28,700$0$1,601,476$0$0
WILLIAM DAUSTER
FOUNDATION PRESIDENT$222,017$0$50,625$0$3,170$0$21,898$0$28,333$0$326,043$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE 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.
SCHEDULE J, PART I, LINE 4BTHE INDIVIDUAL LISTED BELOW RECEIVED NON-QUALIFIED RETIREMENT PLAN PAYMENTS IN 2016 FROM A THE RELATED ORGANIZATION. THE AMOUNT IS PROPERLY DISCLOSED IN SCHEDULE J, PART II, COLUMN B(III): SCOTT BATULIS $210,637

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 TO PREPARE A FINAL VERSION OF THE FORM 990. 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, SECTION B, LINE 12CTHE 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, SECTION B, LINE 15AACCORDING TO THE BYLAWS, TRUSTEES ARE NOT COMPENSATED. COMPENSATION FOR THE PRESIDENT IS RENUMERATED THROUGH ORANGE REGIONAL MEDICAL CENTER, A RELATED PARTY. THE COMPENSATION IS DERIVED IN ACCORDANCE WITH THE HUMAN RESOURCE POLICY AND PROCEDURE AS ADOPTED BY ORMC'S 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 2013. 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 19ANNUAL SIGNED CONFLICT OF INTEREST FORMS ARE FILED WITH THE FOUNDATION BOA POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9CHANGES IN NET ASSETS PROVISION FOR UNCOLLECTIBLE PLEDGES $(96,664).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ORANGE REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST MAIN STREETAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10940ZIPCd
FieldValueIRS element (for citing)
EIN141364536EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501 (C)(3)ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GHVHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIFormAndLineReferenceDesc
ExplanationRELATED ORGANIZATIONS 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

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.