2016-11-15T15:43:00-06:00 2015-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2015-01-01 133020568 ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC % LINDA GONSKA CONTROLLER ORAN 8453332333 707 EAST MAIN STREET MIDDLETOWN NY 10940 WILLIAM DAUSTER PRESIDENT 8453332333 2016-11-14 true MARY-EVELYN ANTONETTI P00431862 2127589700 2015 2017-02-10 21:41:12Z WILLIAM DAUSTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 3614230 false X ORMC.ORG X 1979 NY THE MISSION OF ORMC FOUNDATION IS TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC SUPPORT FROM THE COMMUNITY FOR THE BENEFIT OF ORANGE REGIONAL MEDICAL CENTER. 23 22 0 22 0 0 1797842 3035111 0 0 104387 329964 -29890 46434 1872339 3411509 1151883 1185327 0 0 499655 555335 0 0 0 122070 183401 1773608 1924063 98731 1487446 5486919 6742386 4678 4848 5482241 6737538 TO ENHANCE AND SUSTAIN ORANGE REGIONAL MEDICAL CENTER'S CAPABILITY TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY RESPONDING TO THE DEMANDS OF GROWTH AND TECHNOLOGY THROUGH PHILANTHROPY. false false 1185327 1185327 SUPPORTING THE MEDICAL, CHARITABLE, SCIENTIFIC, RESEARCH, AND HEALTH RELATED PURPOSES, OPERATIONS, AND ACTIVITIES OF ORANGE REGIONAL MEDICAL CENTER. 1185327 true true false false false false false false false true false false false false false true true false false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false X 23 22 false false false false false false false true true false false true true true true true true true true false NY X LINDA GONSKA CONTROLLER 8453427349 707 EAST MAIN STREET MIDDLETOWN NY 10940 JAY ANTHONY TREASURER 4.0 0.0 X 0 0 0 DEBRA BOGDANSKI MEMBER-AT-LARGE 5.0 0.0 X 0 0 0 JANET FORMISANO BOARD MEMBER 5.0 0.0 X 0 0 0 FRANK GIORDANO III BOARD MEMBER 3.0 0.0 X 0 0 0 SAL BELFIGIO BOARD MEMBER 3.0 0.0 X 0 0 0 TONIA CROWN BOARD MEMBER AS OF 5/2015 3.0 0.0 X 0 0 0 MICHAEL FLYNN BOARD MEMBER 4.0 0.0 X 0 0 0 JESSICA GARDNER BOARD MEMBER AS OF 5/2015 3.0 0.0 X 0 0 0 MICHAEL GILFEATHER BOARD MEMBER AS OF 5/2015 3.0 0.0 X 0 0 0 THOMAS HUGHES BOARD MEMBER 3.0 0.0 X 0 0 0 SCOTT KENDRICK BOARD MEMBER 3.0 0.0 X 0 0 0 JACK KRINEY MEMBER-AT-LARGE 4.0 0.0 X 0 0 0 CLEVELAND LEWIS BOARD MEMBER 4.0 0.0 X 0 0 0 LARRY E MCDOWELL JR BOARD MEMBER 1.0 0.0 X 0 0 0 STEVE MILLIGRAM BOARD MEMBER 4.0 0.0 X 0 0 0 PAMELA MURPHY MD BOARD MEMBER 2.0 0.0 X 0 0 0 TERRENCE OLIVO BOARD MEMBER AS OF 5/2015 2.0 0.0 X 0 0 0 HOWARD PROTTER ESQ SECRETARY 3.0 0.0 X 0 0 0 JONATHAN ROUIS CPA CHAIRMAN 5.0 0.0 X 0 0 0 ELIZABETH ROWLEY BOARD MEMBER UNTIL 5/2015 3.0 0.0 X 0 0 0 WILLIAM RUGGLES BOARD MEMBER UNTIL 9/2015 1.0 0.0 X 0 0 0 MARGARET R SMITH VICE CHAIRMAN 5.0 0.0 X 0 0 0 CATHERINE SUEHNHOLZ BOARD MEMBER 5.0 0.0 X 0 0 0 J MIGUEL RODRIQUES BOARD MEMBER 2.0 40.0 X 0 0 0 SCOTT BATULIS ORMC PRESIDENT/CEO 4.0 60.0 X 0 1534674 68064 PATRICIA DUKE BOARD MEMBER 3.0 0.0 X 0 0 0 ROLLAND B PEACOCK III BOARD MEMBER UNTIL 5/2015 3.0 0.0 X 0 0 0 WILLIAM C QUACKENBUSH BOARD MEMBER UNTIL 5/2015 2.0 0.0 X 0 0 0 WILLIAM DAUSTER FOUNDATION PRESIDENT 39.0 1.0 X 0 216693 39854 0 1751367 107918 0 false true false NONE 0 265185 720300 2049626 3035111 0 76975 76975 0 0 0 0 0 440675 187686 252989 252989 252989 61469 315082 15035 46434 46434 0 0 0 3411509 376398 1185327 1185327 0 0 0 219727 219727 0 335608 335608 0 0 0 0 0 21000 21000 0 0 18436 18436 106902 106902 0 5399 5399 6227 6227 0 22632 22632 365 365 0 0 0 0 0 0 TELEPHONE 1690 1690 FOOD 750 750 1924063 1185327 738736 0 0 0 2679526 4040579 756358 505973 0 0 0 0 0 0 0 0 0 0 0 0 0 2049161 2192018 0 0 0 0 0 0 1874 3816 5486919 6742386 4678 4848 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4678 4848 X 1160439 1981433 4280447 4714750 41355 41355 5482241 6737538 5486919 6742386 X 1487446 -254977 22828 X false true X true false X X 1 ORANGE REGIONAL MEDICAL CENTER 141364536 3 true 1185327 0 1 1185327 true false false false false false false false false false false false false false false false true false true X true false false false SCHEDULE A, PART IV, SECTION E, LINE 2A THE ORGANIZATIONS BY-LAWS STATE THAT THEY ARE TO RENDER ASSISTANCE AND MAKE GRANTS TO ORANGE REGIONAL MEDICAL CENTER THROUGH THE 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, LINE 2 REGULAR MONTHLY MEETINGS OF THE GHVHS BOARD ARE ATTENDED BY THE ORMC CEO. IN THIS MANNER THE FOUNDATION MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ORMC, AND ORMC MAINTAINS A SIGNIFICANT VOICE IN THE FOUNDATION'S POLICIES AND USE OF ASSETS. SCHEDULE A, PART VI, SECTION D, LINE 3 REGULAR MONTHLY MEETINGS OF THE GHVHS BOARD ARE ATTENDED BY THE ORMC CEO. IN THIS MANNER THE FOUNDATION MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATINOSHIP WITH ORMC, AND ORMC MAINTAINS A SIGNIFICANT VOICE IN THE FOUNDATION'S POLICIES AND USE OF ASSETS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5482241 3119408 74987 1200362 738736 6737538 5298206 1789652 189692 1181773 613536 5482241 4614982 1816996 407728 864943 676557 5298206 5460047 1115291 198054 1532807 625603 4614982 6830091 2832906 4297 3554632 652615 5460047 0.29410 0.00610 0.69980 false false 0 0 X 3175959 -254977 22828 15035 -217114 3393073 18436 18436 3411509 1920662 15035 15035 1905627 18436 18436 1924063 SCHEDULE D, PART V, LINE 4 INTENDED 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 2D RECONCILIATION OF REVENUE DIRECT EXPENSES FROM SPECIAL EVENTS..................15,035 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSE DIRECT EXPENSES FROM SPECIAL EVENTS........................15,035 GOLF OUTING 326654 265185 61469 10917 4118 0 326654 265185 61469 10917 4118 15035 46434 true ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 141364536 501(c)(3) 1185327 SUPPORT FOR HOSPITAL 1 SCHEDULE I, PART I, LINE 2 MONITORING PROCESS THE ORMC FOUNDATION HAS A RESOURCE ALLOCATION COMMITTEE WHICH MONITORS THE PROCESS AND THE DISTRIBUTION OF GRANT FUNDS IN THE UNITED STATES. false true false false false false false false false WILLIAM DAUSTER FOUNDATION PRESIDENT 0 198980 0 14850 0 2863 0 13640 0 26214 0 256547 0 0 SCOTT BATULIS ORMC PRESIDENT/CEO 0 954132 0 371715 0 208827 0 41850 0 26214 0 1602738 0 0 SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE INDIVIDUALS LISTED ON SCHEDULE J IS PAID BY ORANGE REGIONAL MEDICAL CENTER (ORMC). ORMC USES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS WHEN DETERMINING THE COMPENSATION REPORTED. SCHEDULE J, PART I, LINE 4B THE FOLLOWING AMOUNTS WERE PAID BY THE RELATED ORGANIZATION. SCOTT BATULIS $206,505 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ORANGE REGIONAL MEDICAL CENTER AND REVIEWED BY THE PRESIDENT AND TREASURER OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION. THE DRAFT FORM 990 AND WORKPAPER SUPPORT IS PROVIDED TO THE FOUNDATION'S TAX PREPARER 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 12C THE FOUNDATION WORKS CLOSELY WITH THE CORPORATE COMPLIANCE OFFICER OF ORANGE REGIONAL MEDICAL CENTER. AN ANNUAL REVIEW OF ORMC'S PROCEDURES AND DOCUMENTATION REGARDING THE CONFLICT OF INTEREST POLICY IS PERFORMED AND A RENEWAL FORM IS REQUIRED. BOARD MEMBERS, EXECUTIVE TEAM, ADMINISTRATORS, DIRECTORS, MANAGERS AND SUPERVISORS ARE REQUIRED TO FILL OUT THE CONFLICT OF INTEREST SURVEY. IN ADDITION, ALL NEW TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM UPON BECOMING A MEMBER OF THE FOUNDATION BOARD. FORM 990, PART VI, SECTION B, LINE 15 ACCORDING 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 19 ANNUAL 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 9 CHANGES IN NET ASSETS RECOVERY OF UNCOLLECTIBLE PLEDGES $22,828 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 141364536 HOSPITAL NY 501 (C)(3) 3 GHVHS false false true true false false false false false false false true false false true false false false false SCHEDULE R, PART II RELATED 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.