GARNET HEALTH MEDICAL CENTER CATSKILLS: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GARNET HEALTH MEDICAL CENTER CATSKILLS (EIN 14-6049030)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201643209349313414
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T15:43:39-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Park Avenue | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 101540102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 146049030 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATSKILL REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RICHARD CARRICO CFO - | InCareOfNm |
| Business Name Control | CATS | BusinessNameControlTxt |
| Phone | 8457943300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 800 | AddressLine1Txt |
| City | HARRIS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12742 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GERARD GALARNEAU MD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8453427349 | PhoneNum |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY-EVELYN ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2127589700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GERARD J GALARNEAU MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 800 | AddressLine1Txt |
| City | HARRIS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12742 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $98,263,781 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CRMCNY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF CATSKILL REGIONAL MED. CTR IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 841 | TotalEmployeeCnt |
| Total Volunteers | 64 | TotalVolunteersCnt |
| Total Gross UBI | $471,877 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$146,126 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,114,523 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,506,366 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $94,319,231 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $95,089,962 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,903 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,715 | CYInvestmentIncomeAmt |
| PY Other Revenue | $692,076 | PYOtherRevenueAmt |
| CY Other Revenue | $545,565 | CYOtherRevenueAmt |
| PY Total Revenue | $99,140,733 | PYTotalRevenueAmt |
| CY Total Revenue | $98,156,608 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $16,750 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $50,084,505 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $46,987,424 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,055,175 | PYOtherExpensesAmt |
| CY Other Expenses | $47,848,241 | CYOtherExpensesAmt |
| PY Total Expenses | $95,156,430 | PYTotalExpensesAmt |
| CY Total Expenses | $94,846,665 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,984,303 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,309,943 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $70,204,026 | TotalAssetsBOYAmt |
| Total Assets EOY | $73,577,919 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $37,369,026 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,155,494 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,835,000 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,422,425 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $34,646,483 | ExpenseAmt |
| Revenue | $40,025,547 | RevenueAmt |
| Desc | EXPENSES INCURRED WHILE PERFORMING 547,811 OUTPATIENT PROCEDURES TO PATIENTS IN THE SURROUNDING COMMUNITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $32,584,192 | ExpenseAmt |
| Revenue | $37,643,075 | RevenueAmt |
| Desc | EXPENSES INCURRED WHILE PROVIDING INPATIENT MEDICAL/SURGICAL SERVICES TO 2,720 PATIENTS IN THE SURROUNDING COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,856,905 | ExpenseAmt |
| Revenue | $6,766,224 | RevenueAmt |
| Desc | EXPENSES INCURRED WHILE PROVIDING SERVICES TO 170 PATIENTS IN THE SKILLED NURSING UNIT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,415,045 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $11,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $10,864,077 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $82,502,625 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 150 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 841 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD CARRICO CFO - | PersonNm |
| Phone | 8457943300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 800 | AddressLine1Txt |
| City | HARRIS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12742 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| IMRAN AHMED MD | |||||||||
| BOARD MEMBER AS OF 1/1/15 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA BLAKEY | |||||||||
| SECRETARY AS OF 5/1/15 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD LANDER | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH LOUGHLIN | |||||||||
| CHAIRMAN AS OF 5/1/15 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW PAVLOFF | |||||||||
| BOARD MEMBER | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| JACQUELINE RICCIANI | |||||||||
| VICE CHAIRMAN AS OF 5/1/15 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| GERALD SKODA | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| DARREL SUPAK | |||||||||
| CHAIRMAN UNTIL 4/30/15 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL WASCHITZ | |||||||||
| TREASURER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| ROLLAND BOJO | |||||||||
| VP PT CARE SVCS, CNO | 40.0 | 0.0 | $255,691 | $0 | $32,424 | Yes (X) | |||
| GERARD GALARNEAU MD | |||||||||
| CEO/CMO | 20.0 | 20.0 | $305,510 | $216,196 | $35,360 | Yes (X) | |||
| JOSEPH ANESI | |||||||||
| VP/GENERAL COUNSEL | 10.0 | 50.0 | $0 | $403,190 | $68,064 | Yes (X) | |||
| ROSEMARY BACZEWSKI | |||||||||
| CHIEF QUALITY OFFICER | 10.0 | 50.0 | $0 | $329,991 | $57,213 | Yes (X) | |||
| SCOTT BATULIS | |||||||||
| PRESIDENT | 10.0 | 55.0 | $0 | $1,534,674 | $68,064 | Yes (X) | |||
| RICHARD CARRICO | |||||||||
| CFO | 10.0 | 50.0 | $0 | $516,863 | $36,814 | Yes (X) | |||
| GERARD DUNLAVEY | |||||||||
| EXEC DIRECTOR MEDICAL PC | 0.0 | 45.0 | $0 | $343,404 | $68,064 | Yes (X) | |||
| JILL EMBLER | |||||||||
| VP FINANCIAL PLANNING | 10.0 | 50.0 | $0 | $221,032 | $38,041 | Yes (X) | |||
| SANDRA IBERGER | |||||||||
| VP OPERATIONS | 10.0 | 50.0 | $0 | $361,362 | $68,064 | Yes (X) | |||
| JOANNE STURANS | |||||||||
| CHIEF HR OFFICER | 10.0 | 50.0 | $0 | $413,675 | $60,989 | Yes (X) | |||
| STEPHEN SUGRUE | |||||||||
| VP COMPLIANCE, AUDIT & RE | 10.0 | 50.0 | $0 | $323,586 | $66,953 | Yes (X) | |||
| BRIAN TEW | |||||||||
| CIO | 10.0 | 50.0 | $0 | $389,496 | $50,206 | Yes (X) | |||
| ZAUR IBRAGIMOV | |||||||||
| PHARMACIST | 40.0 | 0.0 | $151,202 | $0 | $42,911 | Yes (X) | |||
| KANITA KHANII | |||||||||
| PHARMACY SUPERVISOR | 40.0 | 0.0 | $143,012 | $0 | $22,655 | Yes (X) | |||
| MARK SOIREFMAN | |||||||||
| PHARMACY DIRECTOR | 40.0 | 0.0 | $151,018 | $0 | $22,870 | Yes (X) | |||
| HELEN BURKE | |||||||||
| REGISTERED NURSE | 40.0 | 0.0 | $135,684 | $0 | $23,184 | Yes (X) | |||
| SUZANNE LANGE-AHMED | |||||||||
| ADMIN NSG OPS & CARE MGMT SVSC | 40.0 | 0.0 | $120,639 | $0 | $27,165 | Yes (X) | |||
| DEBORAH CARR | |||||||||
| FORMER VP HR | 0.0 | 0.0 | $0 | $110,868 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,262,756 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,164,337 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $789,041 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CRYSTAL RUN HEALTH CARE | |||||
| 155 CRYSTAL RUN RD | MIDDLETOWN | NY | 10941 | PHYSICIANS | $2,424,942 |
| CCI CONSTRUCTION INC | |||||
| 70 CHESTNUT RIDGE RD | MONTVALE | NY | 07645 | CONSTRUCTION SVCS | $1,558,443 |
| MORRISON MGMT SPECIALISTS INC | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SVC MANAGEMENT | $1,542,851 |
| RESTORIXHEALTH INC | |||||
| 155 WHITE PLAINS RD SUITE 222 | TARRYTOWN | NY | 10591 | WOUND CARE SERVICES | $1,126,399 |
| ARMISTEAD MECHANICAL INC | |||||
| 168 HOPPER AVE | WALDWICK | NJ | 07463 | MECHANICAL CONTRACT. | $957,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $17,342 | FundraisingAmt |
| Related Organizations | $301,788 | RelatedOrganizationsAmt |
| Government Grants | $2,187,236 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $2,506,366 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $94,924,740 | $94,452,863 | $471,877 |
| MEANINGFUL USE FUNDS | 621110 | $165,158 | $165,158 | |
| PHYSICIAN REVENUE | 900099 | $64 | $64 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $95,089,962 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,715 | TotalRevenueColumnAmt |
| Exclusion | $14,715 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $336,604 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $336,604 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $336,604 | TotalRevenueColumnAmt |
| Exclusion | $336,604 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $107,173 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $107,173 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $17,342 | ContriRptFundraisingEventAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REV FROM RELATED ENTITY - MED PC | 900099 | $104,855 | $104,855 |
| REBATES & REFUNDS | 900099 | $19,924 | $19,924 |
| ALL OTHER REVENUE | 900099 | $84,182 | $84,182 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $208,961 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,156,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $94,827,046 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $471,877 | UnrelatedBusinessRevenueAmt |
| Exclusion | $351,319 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,000 | TotalAmt |
| Program Services | $11,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,847 | TotalAmt |
| Management And General | $634,847 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,983 | TotalAmt |
| Program Services | $126,983 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,195,527 | TotalAmt |
| Program Services | $31,534,069 | ProgramServicesAmt |
| Management And General | $2,661,458 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,304,169 | TotalAmt |
| Program Services | $2,108,862 | ProgramServicesAmt |
| Management And General | $195,307 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,795,198 | TotalAmt |
| Program Services | $6,189,754 | ProgramServicesAmt |
| Management And General | $605,444 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,930,700 | TotalAmt |
| Program Services | $2,658,160 | ProgramServicesAmt |
| Management And General | $272,540 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,726,600 | TotalAmt |
| Program Services | $3,962,574 | ProgramServicesAmt |
| Management And General | $764,026 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,827 | TotalAmt |
| Management And General | $171,827 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,481 | TotalAmt |
| Management And General | $280,481 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,507 | TotalAmt |
| Program Services | $41,507 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,991,562 | TotalAmt |
| Program Services | $10,054,031 | ProgramServicesAmt |
| Management And General | $1,937,531 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,510 | TotalAmt |
| Program Services | $445,510 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,403,380 | TotalAmt |
| Program Services | $819,898 | ProgramServicesAmt |
| Management And General | $2,583,482 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,413 | TotalAmt |
| Program Services | $235,724 | ProgramServicesAmt |
| Management And General | $47,689 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,183,031 | TotalAmt |
| Program Services | $1,844,725 | ProgramServicesAmt |
| Management And General | $338,306 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,844 | TotalAmt |
| Program Services | $29,777 | ProgramServicesAmt |
| Management And General | $18,067 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,059 | TotalAmt |
| Program Services | $25,340 | ProgramServicesAmt |
| Management And General | $17,719 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,132 | TotalAmt |
| Program Services | $298,236 | ProgramServicesAmt |
| Management And General | $58,896 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,053,202 | TotalAmt |
| Program Services | $3,397,394 | ProgramServicesAmt |
| Management And General | $655,808 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,740,911 | TotalAmt |
| Program Services | $1,318,308 | ProgramServicesAmt |
| Management And General | $422,603 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $10,492,064 | $10,400,336 | $91,728 |
| BAD DEBT EXPENSE | $6,621,586 | $6,621,586 | $0 |
| OTHER TAXES & ASSESSMENT | $325,098 | $0 | $325,098 |
| LICENSE FEES | $203,299 | $170,405 | $32,894 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,735 | TotalAmt |
| Program Services | $208,446 | ProgramServicesAmt |
| Management And General | $228,289 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,846,665 | TotalAmt |
| Program Services | $82,502,625 | ProgramServicesAmt |
| Management And General | $12,344,040 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,596,111 | BOYAmt |
| EOY | $15,589,643 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $603,561 | BOYAmt |
| EOY | $1,420,983 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $275,667 | BOYAmt |
| EOY | $130,064 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,033,139 | BOYAmt |
| EOY | $9,741,537 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,307,104 | BOYAmt |
| EOY | $1,289,687 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,016,780 | BOYAmt |
| EOY | $770,687 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $139,363,298 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $108,591,682 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,774,998 | BOYAmt |
| EOY | $30,771,616 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,030,995 | BOYAmt |
| EOY | $932,912 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,156,277 | BOYAmt |
| EOY | $3,035,003 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,409,394 | BOYAmt |
| EOY | $9,895,787 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,204,026 | BOYAmt |
| EOY | $73,577,919 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,478,857 | BOYAmt |
| EOY | $14,393,620 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,652,104 | BOYAmt |
| EOY | $7,946,310 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,169,600 | BOYAmt |
| EOY | $627,084 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,068,465 | BOYAmt |
| EOY | $12,188,480 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,369,026 | BOYAmt |
| EOY | $35,155,494 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,080,316 | BOYAmt |
| EOY | $33,798,654 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,795,979 | BOYAmt |
| EOY | $2,665,066 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,958,705 | BOYAmt |
| EOY | $1,958,705 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,835,000 | BOYAmt |
| EOY | $38,422,425 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,204,026 | BOYAmt |
| EOY | $73,577,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,309,943 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,244 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,278,726 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $19,797 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $21,710 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $41,507 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B LINE I, LOBBYING ACTIVITIES: | FormAndLineReferenceDesc |
| Explanation | LINE 1G - PAYMENTS TO ROFFEE GROUP, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY LINE 1I - PERCENTAGE OF DUES PAID TO NORMET, AHA, AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,958,705 | BeginningYearBalanceAmt |
| End Year Balance | $1,958,705 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,958,705 | BeginningYearBalanceAmt |
| End Year Balance | $1,958,705 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,958,705 | BeginningYearBalanceAmt |
| End Year Balance | $1,958,705 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,458,705 | BeginningYearBalanceAmt |
| Contributions | $500,000 | ContributionsAmt |
| End Year Balance | $1,958,705 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,457,705 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| End Year Balance | $1,458,705 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $888,426 | OtherCostOrOtherBasisAmt |
| Book Value | $888,426 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,827,585 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,281,651 | DepreciationAmt |
| Book Value | $22,545,934 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,647,287 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,310,031 | DepreciationAmt |
| Book Value | $7,337,256 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $30,771,616 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INSURANCE RECEIVABLE - MALP&WC | $4,350,844 |
| THIRD PARTY RECEIVABLE | $3,737,849 |
| DUE FROM RELATED ORG | $1,222,075 |
| OTHER RECEIVABLES | $585,019 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,895,787 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $2,975,884 |
| ESTIMATED MALPRACTICE LIAB | $6,082,600 |
| ESTIMATED WORKERS COMP LIAB | $641,459 |
| DUE TO RELATED ORG | $2,115,806 |
| OTHER LIABILITY | $372,731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,188,480 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INTENDED USE OF ENDOWMENT FUNDS THE ORGANIZATION HAS A PERMANENT ENDOWMENT FUND. THE INTEREST EARNED ON THIS FUND, IF ANY, CAN BE USED TO PURCHASE PATIENT EQUIPMENT. |
| PART X, LINE 2: | CATSKILL REGIONAL MEDICAL CENTER HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2015 OR 2014. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | RISE-WALK A THO | Event1Nm |
| Gross Receipts Event1 | $17,342 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $17,342 | CharitableContriEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $17,342 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $17,342 | CharitableContributionsTotAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,953,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,085,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,867,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,953,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,085,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,867,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,182 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,352 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,879 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,015,196 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,396,799 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,618,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07500 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,146,257 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,442,151 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,704,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,099,926 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,528,128 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,571,798 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16520 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,621,586 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,052,832 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $28,351,216 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $31,569,804 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,218,588 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|
| CATSKILL REGIONAL MEDICAL CENTER-HAR | ||||||||
| 1 | 68 HARRIS-BUSHVILLE ROAD | HARRIS | NY | 12742 | 5263000H | Yes (X) | A | |
| CATSKILL REGIONAL MEDICAL CENTER-GRO | ||||||||
| 2 | 8881 ROUTE 97 | CALLICOON | NY | 12723 | 5263700H | A | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE DISCLOSURE IN PART V. | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE DISCLOSURE IN PART V. | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE DISCLOSURE IN PART V. | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE DISCLOSURE IN PART V. | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5: | IN 2013 CRMC, IN CONJUNCTION WITH ORANGE REGIONAL MEDICAL CENTER, CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. A COMPREHENSIVE CHNA WAS CONDUCTED AND INCLUDED A VARIETY OF QUANTITATIVE AND QUALITATIVE RESEARCH SOMPONENTS. THESE COMPONENTS INCLUDED THE FOLLOWING, 1. SECONDARY STATISTICAL DATA PROFILE OF ORANGE AND SULLIVAN COUNTIES 2. FOCUS GROUP DISCUSSIONS WITH 25 COMMUNITY STAKEHOLDERS 3. DATA COLLECTION SESSIONS WITH 175 COMMUNITY RESIDENTS 4. PRIORITIZATION OF COMMUNITY NEEDS 5. IMPLEMENTATION STRATEGY HOLLERAN COMPILED A SECONDARY DATA PROFILE USING DATA COLLECTED FROM SOURCES SUCH AS THE U.S. CENSUS BUREAU, NEW YORK STATE DEPARTMENT OF HEALTH, AND CENTERS FOR DISEASE CONTROL AND PREVENTION, AMONG OTHERS. THE REPORT DEPICTS THE MOST RECENT YEAR'S HEALTH INDICATORS, CENSUS FIGURES, HOUSEHOLD STATISTICS, MORBIDITY AND MORTALITY RATES, AND SOCIOECONOMIC MEASURES. HOLLERAN CONDUCTED FOUR DATA COLLECTION SESSIONS THAT WERE HELD WITH A TOTAL OF 125 COMMUNITY MEMBERS (53 PARTICIPANTS FROM ORANGE COUNTY AND 72 PARTICIPANTS FROM SULLIVAN COUNTY). PARTICIPANTS WERE ADMINISTERED A CUSTOMIZED SURVEY TOOL TO CAPTURE HEALTH BEHAVIORS AND PREFERENCES. RESPONSES WERE COLLECTED THROUGH WIRELESS KEYPAD TECHNOLOGY. THESE SESSIONS WERE ADVERTISED IN THE NEWSPAPER, DISTRIBUTED TO MEDIA VIA A PRESS RELEASE, EMAIL ANNOUNCEMENTS, FLYERS TO LOCAL ORGANIZATIONS, PUBLICIZED ON THE HOSPITAL WEBSITE AND SOCIAL MEDIA CHANNELS. HOLLERAN ALSO FACILITATED TWO FOCUS GROUPS THAT WERE HELD WITH 25 KEY STAKEHOLDERS IN JUNE 2013. ATTENDEES INCLUDED REPRESENTATIVES OF PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY. MEETINGS WERE HELD WITH 25 KEY STAKEHOLDERS IN JUNE 2013. ATTENDEES INCLUDED REPRESENTATIVES OF PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY. |
| PART V, SECTION B, LINE 6A & B: | THE CHNA WAS PERFORMED IN CONJUNCTION WITH GREATER HUDSON VALLEY HEALTH SYSTEM, INC., WHICH IS THE HOSPITAL'S PARENT ORGANIZATION, AND ORANGE REGIONAL MEDICAL CENTER. |
| PART V, SECTION B, LINE 7A & 10A: | http://www.crmcny.org/about-us/community-service-plan |
| PART V, SECTION B, LINE 11: | A PRIORITIZATION SESSION WAS HELD ON OCTOBER 21, 2013. APPROXIMATELY TEN INDIVIDUALS PARTICIPATED IN THE SESSION WITH REPESENTATIVES FROM ORANGE REGIONAL MEDICAL CENTER, CATSKILL REGIONAL MEDICAL CENTER, THE ORANGE AND SULLIVAN COUNTY HEALTH DEPARTMENTS, COMMUNITY AGENCIES AND ORGANIZATIONS. RESULTS OF THE 2013 CHNA WERE REVIEWED AND PRIORITIES OF THE KEY HEALTH NEEDS WERE LISTED. ORMC AND CRMC DEVELOPED AN IMPLEMENTATION STRATEGY TO OUTLINE WHAT COMMUNITY HEALTH NEEDS IT PLANS TO ADDRESS, AS WELL AS SPECIFIC GOALS AND MEASURES TO EVALUATE COMMUNITY HEALTH IMPROVEMENT INITIATIVES. ORMC AND CRMC WILL NOT FOCUS ON THE FOLLOWING TOPICS: PROMOTE HEALTHY AND SAFE ENVIRONMENTS - THE HOSPITAL WILL SUPPORT AREA ORGANIZATIONS IN ADDRESSING THIS NEED; HOWEVER, THE HOSPITAL FEELS THAT OTHER ORGANIZATIONS HAVE MORE RESOURCES AND EXPERTISE IN ENVIRONMENTAL INFLUENCES AND THEREFORE WILL NOT FOCUS ON THIS PRIORITY AREA. PREVENT HIV, STDS, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS - AS A WAY TO COORDINATE EFFORTS, THE HOSPITAL HAS ALIGNED WITH THE NEEDS BEING ADDRESSED BY COUNTY DEPARTMENT OF HEALTH, WHICH DOES NOT INCLUDE THIS FOCUS AREA. HOWEVER, THE HOSPITAL WILL CONTINUE TO MONITOR THESE TRENDS AND OTHER SERVICES TO SUPPORT THIS NEED. MENTAL HEALTH AND SUBSTANCE ABUSE - THE HOSPITAL WILL CONTINUE TO EXPAND PRIMARY CARE PRESENCE IN THE COMMUNITY TO ENCOURAGE PREVENTATIVE CARE FOR THOSE WITH MENTAL AND BEHAVIORAL HEALTH NEEDS. WE WILL ALSO WORK TOWARD THE POSSIBILITY OF COORDINATING MENTAL HEALTH ASSESSMENT TOOLS USED THROUGHOUT THE COUNTY TO BETTER SERVE RESIDENTS ACROSS PROVIDERS. |
| PART V, SECTION B, LINE 16A & B: | http://www.crmcny.org/for-patients/financial-and-insurance-information |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 7A: | 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. |
| PART III, LINE 2: | CATSKILL REGIONAL MEDICAL CENTER DOES NOT HAVE SEPARATE AUDITED FINANCIAL STATEMENTS, THE FOLLOWING STATEMENT IS FROM THE GHVHS CONSOLIDATED AUDITED FINANCIAL STATEMENTS: BAD DEBT EXPENSE WAS CALCULATED BASED ON AN ANALYSIS OF PATIENT ACCOUNTS RECEIVABLE BY FINANCIAL CLASS AND AGE OF ACCOUNT. HISTORIC COLLECTIBILITY PERCENTAGES ARE APPLIED TO THESE BALANCES TO CALCULATE THE BAD DEBT EXPENSE. |
| PART III, LINE 3: | AN ANALYSIS WAS COMPLETED OF CREDIT SCORING RESULTS FOR ACCOUNTS HELD BY A SECONDARY COLLECTION AGENCY. USING THEIR INTERNAL SCORE MODEL, SCORE DECILES WERE IDENTIFIED WHERE CONSUMERS WERE LEAST LIKELY TO PAY AND MOST LIKELY TO QUALIFY FOR CHARITY CARE. THIS PERCENTAGE WAS THEN APPLIED TO THE COST OF BAD DEBT FOR THE YEAR. IF THESE PATIENTS HAD COMPLETED THE CHARITY CARE APPLICATION PROCESS, THEIR BALANCES WOULD MOST LIKELY HAVE BEEN ADJUSTED FOR A CHARITY CARE ALLOWANCE, AND THEREFORE WOUD HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, GHVHS ANALYSES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH UNINSURED PATIENTS, MANAGEMENT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. GHVHS WROTE OFF APPROXIMATELY $7,000 AND $7,900 (IN THOUSANDS) FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY, OF WHICH A SIGNIFICANT PORTION RELATE TO UNINSURED PATIENTS. |
| PART III, LINE 6: | MEDICARE ALLOWABLE COST WERE CALCULATED USING THE MEDICARE REIMBURSEMENT METHODOLOGY AS REQUIRED FOR THE MEDICARE 2552 ANNUAL COST REPORT. |
| PART III, LINE 8: | MEDICARE INDIVIDUALS UTILIZE HOSPITAL SERVICES AS A PRIMARY CARE PROVIDER HOWEVER MEDICARE REIMBURSEMENT DOES NOT COVER THE ACTUAL OPERATING COSTS FOR PROVIDING CARE FOR MEDICARE PATIENTS. THEREFORE, ANY SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT IS THE HOSPITAL'S MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE OR ABILITY TO PAY. |
| PART III, LINE 9B: | CRMC'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 ELIGIBILITY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALITY FOR A 100% WRITE-OFF. |
| PART VI, LINE 2: | NEEDS ASSESSMENT: SEE CHNA ASSESSMENT IN PART V, SECTION B |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILTY FOR ASSISTANCE: HOSPITAL POSTS SIGNS DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM. ALL PATIENTS WITH NO INSURANCE ARE ASKED TO APPLY FOR MEDICAID AND/OR FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | COMMUNITY INFORMATION: THE CATSKILL REGIONAL MEDICAL CENTER'S SERVICE AREA FOR COMMUNITY/LOCAL HEALTH PLANNING INCLUDES ALL FIFTEEN TOWNSHIPS WITHIN RURAL SULLIVAN COUNTY, NEW YORK. THE HOSPITAL'S SERVICE AREA WITHIN SULLIVAN COUNTY IS DIVIDED INTO PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS ARE THOSE SULLIVAN COUNTY TOWNSHIPS AND ZIP CODES WHICH ARE EITHER CLOSER TO CRMC THAN ANY OTHER HOSPITAL FACILITY OR WHERE CRMC HAS A PREDOMINANT MARKET SHARE. THE SULLIVAN COUNTY TOWNSHIPS IN THE PRIMARY SERVICE AREA ARE BETHEL, CALLICOON, COCHECTON, DELAWARE, FALLSBURG, FORESTBURGH, FREMONT, LIBERTY, NEVERSINK, ROCKLAND, THOMPSON AND TUSTEN. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE SULLIVAN COUNTY'S RURAL SERVICE AREA: (1) EXTENSIVE AND GROWING GERIATRIC POPULATION; (2) HIGHER PROPORTIONS OF BLACK AND HISPANIC POPULATIONS WHEN COMPARED WITH MOST UPSTATE NEW YORK RURAL COMMUNITIES; (3) VILLAGES OF MONTICELLO AND LIBERTY SURROUNDED BY GEOGRAPHICALLY DISPERSED RURAL POPULATIONS; (4) ECONOMIC BASE PREDOMINANTELY COMPRISED OF AGRICULTURE AS WELL AS SERVICES FOCUSING UPON HEALTH CARE, TOURISM, GOVERNMENT AND EDUCATION AND; (5) EXTENSIVE MEDICALLY INDIGENT POPULATION WITH HIGH PROPORTION OF INDIVIDUALS EITHER ON MEDICAID OR TOTALLY LACKING HEALTH INSURANCE COVERAGE. |
| PART VI, LINE 5: | OTHER INFORMATION: CRMC HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF SULLIVAN COUNTY IN SEVERAL WAYS. THE OVERWHELMING MAJORITY OF CRMC'S BOARD OF DIRECTORS ARE COMPRISED OF LOCAL HEALTH CARE CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING SULLIVAN COUNTY HEALTH CARE NEEDS AND PRIORITIES. CRMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED SULLIVAN COUNTY PHYSICIAN IS ENCOURAGED TO APPLY, AND OVER 90% OF LOCAL PHYSICIANS RETAIN MEDICAL STAFF MEMBERSHIP. THE HOSPITAL'S HEALTH SCIENCE LIBRARY SUBSIDIZED FROM CRMC OPERATIONAL FUNDING PROVIDES BOTH COMMUNITY HEALTH EDUCATION TO SULLIVAN COUNTY CONSUMERS AND PATIENTS, AS WELL AS MEDICAL EDUCATION TO LOCAL PHYSICIANS. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM: THE GREATER HUDSON VALLEY HEALTH SYSTEM (GHVHS) IS CURRENTLY THE ACTIVE PARENT COMPANY FOR TWO MEMBER HOSPITALS-CATSKILL REGIONAL MEDICAL CENTER AND ORANGE REGIONAL MEDICAL CENTER. THE GHVHS IS DEDICATED TO DEVELOPING SPECIALTY SERVICES, MEDICAL PROGRAMS AND NEEDED HEALTHCARE SERVICES THAT ALLOW RESIDENTS TO REMAIN CLOSE TO HOME TO RECEIVE QUALITY CARE. PROVIDING HEALTHCARE TO NEARLY 450,000 RESIDENTS IN ORANGE, SULLIVAN AND ULSTER COUNTIES, THE GHVHS WAS DESIGNED TO IMPROVE THE QUALITY, STABILITY AND EFFICIENCY OF HEALTHCARE SERVICES IN THE MID-HUDSON AND CATSKILL REGIONS. SERVICES PROVIDED BY MORE THAN 3,300 EMPLOYED PROFESSIONALS AND OVER 850 MEDICAL STAFF MEMBERS, MAKES THE GHVHS ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THE TRI-COUNTY AREA. THE SYSTEM HAS THREE HOSPITAL CAMPUSES PLUS SEVERAL OUTPATIENT FACILITIES, OFFERING A BROAD SPECTRUM OF CARE. CATSKILL REGIONAL MEDICAL CENTER HAS TWO HOSPITAL FACILITIES SERVING PATIENTS IN SULLIVAN AND ULSTER COUNTIES. CATSKILL REGIONAL MEDICAL CENTER-HARRIS IS A COMMUNITY HOSPITAL; WHILE, CATSKILL REGIONAL MEDICAL CENTER- CALLICOON IS A CRITICAL ACCESS HOSPITAL. ORANGE REGIONAL MEDICAL CENTER OPENED A NEW HOSPITAL FACILITY DURING 2011 AND SERVES PATIENTS IN THE TRI-COUNTY AREA. |
| PART VI, LINE 7: | STATE FILING OF COMMUNITY BENEFIT REPORT - CRMC PERFORMS A COMMUNITY SERVICE PLAN EVERY THREE YEARS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATSKILL REGIONAL MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 800 | AddressLine1Txt |
| City | HARRIS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12742 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 141742176 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $11,000 | CashGrantAmt |
| Purpose Of Grant | SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 1, COLUMN (H): | FormAndLineReferenceDesc |
| Explanation | NAME OF ORGANIZATION OR GOVERNMENT: CATSKILL REGIONAL MEDICAL CENTER FOUNDATION (H) PURPOSE OF GRANT OR ASSISTANCE: CATSKILL REGIONAL MEDICAL CENTER PAYS FOR SOME ADMINISTRATIVE SERVICES FOR CATSKILL REGIONAL MEDICAL CENTER FOUNDATION. THE ORGANIZATION IS A RELATED ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROLLAND BOJO | ||||||||||||||
| VP PT CARE SVCS, CNO | $209,251 | $0 | $46,350 | $0 | $90 | $0 | $12,964 | $0 | $19,460 | $0 | $288,115 | $0 | $0 | $0 |
| GERARD GALARNEAU MD | ||||||||||||||
| CEO/CMO | $216,196 | $216,196 | $89,224 | $0 | $90 | $0 | $7,950 | $7,950 | $9,730 | $9,730 | $323,190 | $233,876 | $0 | $0 |
| JOSEPH ANESI | ||||||||||||||
| VP/GENERAL COUNSEL | $0 | $311,197 | $0 | $75,522 | $0 | $16,471 | $0 | $41,850 | $0 | $26,214 | $0 | $471,254 | $0 | $0 |
| ROSEMARY BACZEWSKI | ||||||||||||||
| CHIEF QUALITY OFFICER | $0 | $254,518 | $0 | $73,155 | $0 | $2,318 | $0 | $39,965 | $0 | $17,248 | $0 | $387,204 | $0 | $0 |
| SCOTT BATULIS | ||||||||||||||
| PRESIDENT | $0 | $954,132 | $0 | $371,715 | $0 | $208,827 | $0 | $41,850 | $0 | $26,214 | $0 | $1,602,738 | $0 | $0 |
| RICHARD CARRICO | ||||||||||||||
| CFO | $0 | $407,044 | $0 | $79,500 | $0 | $30,319 | $0 | $10,600 | $0 | $26,214 | $0 | $553,677 | $0 | $0 |
| GERARD DUNLAVEY | ||||||||||||||
| EXEC DIRECTOR MEDICAL PC | $0 | $268,430 | $0 | $71,129 | $0 | $3,845 | $0 | $41,850 | $0 | $26,214 | $0 | $411,468 | $0 | $0 |
| JILL EMBLER | ||||||||||||||
| VP FINANCIAL PLANNING | $0 | $200,769 | $0 | $20,000 | $0 | $263 | $0 | $11,827 | $0 | $26,214 | $0 | $259,073 | $0 | $0 |
| SANDRA IBERGER | ||||||||||||||
| VP OPERATIONS | $0 | $278,496 | $0 | $73,433 | $0 | $9,433 | $0 | $41,850 | $0 | $26,214 | $0 | $429,426 | $0 | $0 |
| JOANNE STURANS | ||||||||||||||
| CHIEF HR OFFICER | $0 | $312,734 | $0 | $91,155 | $0 | $9,786 | $0 | $34,775 | $0 | $26,214 | $0 | $474,664 | $0 | $0 |
| STEPHEN SUGRUE | ||||||||||||||
| VP COMPLIANCE, AUDIT & RE | $0 | $249,892 | $0 | $73,155 | $0 | $539 | $0 | $40,739 | $0 | $26,214 | $0 | $390,539 | $0 | $0 |
| BRIAN TEW | ||||||||||||||
| CIO | $0 | $348,515 | $0 | $38,958 | $0 | $2,023 | $0 | $23,992 | $0 | $26,214 | $0 | $439,702 | $0 | $0 |
| ZAUR IBRAGIMOV | ||||||||||||||
| PHARMACIST | $151,202 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $42,911 | $0 | $194,113 | $0 | $0 | $0 |
| KANITA KHANII | ||||||||||||||
| PHARMACY SUPERVISOR | $142,922 | $0 | $0 | $0 | $90 | $0 | $8,648 | $0 | $14,007 | $0 | $165,667 | $0 | $0 | $0 |
| MARK SOIREFMAN | ||||||||||||||
| PHARMACY DIRECTOR | $141,579 | $0 | $9,043 | $0 | $396 | $0 | $9,043 | $0 | $13,827 | $0 | $173,888 | $0 | $0 | $0 |
| HELEN BURKE | ||||||||||||||
| REGISTERED NURSE | $135,483 | $0 | $0 | $0 | $201 | $0 | $6,727 | $0 | $16,457 | $0 | $158,868 | $0 | $0 | $0 |
| DEBORAH CARR | ||||||||||||||
| FORMER VP HR | $0 | $0 | $0 | $0 | $0 | $110,868 | $0 | $0 | $0 | $0 | $0 | $110,868 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B: | NON-QUALIFIED PAYMENTS IN 2015: JOSEPH ANESI $14,149 SCOTT BATULIS $206,505 DEBORAH CARR $109,631 RICHARD CARRICO $15,000 GERARD DUNLAVEY $2,563 SANDRA IBERGER $8,586 JOANNE STURANS $8,881 |
| PART I, LINE 7: | DURING THE TAX YEAR THE ORGANIZATION AND ALL RELATED ORGANIZATIONS PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JOSEPH LOUGHLIN | |||
| BOARD MEMBER | $93,637 | CONTRACTED SERVICES | false |
| SUZANNE LANGE-AHMED | |||
| WIFE OF BOARD MEMBER | $126,983 | WAGES & BENEFITS | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: JOSEPH LOUGHLIN (D) DESCRIPTION OF TRANSACTION: CONTRACTED SERVICES JOSEPH LOUGHLIN , BOARD MEMBER AND PART OWNER OF ML ZAGER, PC, PROVIDES COLLECTIONS SERVICES FOR CRMC. (A) NAME OF PERSON: SUZANNE LANGE-AHMED (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WIFE OF BOARD MEMBER I AHMED (D) DESCRIPTION OF TRANSACTION: WAGES & BENEFITS | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1: | THE CATSKILL REGIONAL MEDICAL CENTER (CRMC) MISSION STATEMENT IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE. CRMC'S VISION IS THAT WE ARE CARING PROFESSIONALS DRIVEN BY STANDARDS OF EXCELLENCE WHO GO ABOVE AND BEYOND TO PROVIDE AN EXCEPTIONAL PATIENT CARE EXPERIENCE. |
| FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: | EXPENSES INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH FOR 1,741 PATIENTS FROM THE SURROUNDING COMMUNITY. THE GRANT EXPENSE WAS PAID TO CRMC FOUNDATION FOR OPERATIONS. EXPENSES $ 9,415,045. INCLUDING GRANTS OF $ 11,000. REVENUE $ 10,864,077. |
| FORM 990 PART VI, SECTION A, LINE 6: | GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C) (3) IS THE SOLE MEMBER OF CATSKILL REGIONAL MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7A: | LINE 7A AND 7B - ELECTION OF MEMBERS GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE CRMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM CRMC BOARD OF DIRECTORS. GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF CATSKILL 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 CRMC'S TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL VERSION OF THE ORGANIZATION'S 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: | EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS CATSKILL 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 HOSPITAL HAS INSTITUTED A CORPORATE COMPLIANCE PROGRAM 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 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: | COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES IN DETERMINING COMPENSATION FOR CEO, CRMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, CRMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF CEO SALARY WAS PERFORMED IN 2015 BASED ON THESE PARAMETERS. IN ADDITION, THE CHIEF EXECUTIVE OFFICER AND HIS COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19: | ONCE A REQUEST IS MADE FOR THE CATSKILL REGIONAL MEDICAL CENTER TAX RETURN, A COPY IS SENT TO THE PERSON(S) REQUESTING THE DATA OR AS REQUIRED FOR VARIOUS STATE AND FEDERAL FILINGS THROUGH THE ADMINISTRATION OFFICE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE AS PART OF THE ORGANIZATION'S COMPLIANCE POLICY WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THIS POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G, OTHER FEES: | TOTAL PROGRAM M&G PROFESSIONAL FEES - PHYSICIANS $6,774,994 $6,774,994 $ 0 CONTRACTED SERVICES $3,076,643 $2,267,534 $ 809,109 TEMP & AGENCY FEES $ 524,212 $ 524,212 $ 0 PURCHASED SERVICES $ 805,026 $ 407,936 $ 397,090 COLLECTION FEES $ 586,124 $ 0 $ 586,124 VARIOUS OTHER $ 224,563 $ 79,355 $ 145,208 TOTAL OTHER FEES ON FORM 990 PART IX, LINE 11G $11,991,562 $10,054,031 $1,937,531 |
| FORM 990, PART XI, LINE 9 - CHANGES IN NET ASSETS: | TRANSFER FROM RELATED PARTY - GHVHS 2,400,000. CHANGE IN NET ASSETS OF CRMC FOUNDATION -121,274. TOTAL TO FORM 990, PART XI, LINE 9 2,278,726. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GREATER HUDSON VALLEY HEALTH SYSTEM | ||||||||||
| C/O ORMC 707 E MAIN ST | MIDDLETOWN | NY | 10940 | 061488219 | HEALTHCARE | NY | 501(C)(3) | LINE 11A, I | NA | false |
| ORANGE REGIONAL MEDICAL CENTER | ||||||||||
| 707 EAST MAIN ST | MIDDLETOWN | NY | 10940 | 141364536 | HOSPITAL | NY | 501(C)(3) | LINE 3 | GHVHS | Yes (true) |
| CRMC FOUNDATION | ||||||||||
| PO BOX 800 | HARRIS | NY | 12742 | 133020568 | FUND RAISING | NY | 501(C)(3) | LINE 11A, I | NA | false |
| GHVHS MEDICAL GROUP PC | ||||||||||
| 707 E MAIN ST | MIDDLETOWN | NY | 10940 | 371743537 | PHYSICIANS | NY | 501(C)(3) | LINE 11A, I | GHVHS | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST MAIN ST MGMT CORP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 E MAIN ST | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203168346 | EIN |
| Primary Activities | ADMIN SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corp | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GHVHS MEDICAL GROUP PC | ||
| M | $875,139 | FMV |
| GHVHS MEDICAL GROUP PC | ||
| L,Q | $72,904 | FMV |
| GHVHS MEDICAL GROUP PC | ||
| J | $270,197 | FMV |
| GHVHS MEDICAL GROUP PC | ||
| S | $3,041,161 | FMV |
| GHVHS MEDICAL GROUP PC | ||
| R | $2,692,980 | FMV |
| ORANGE REGIONAL MEDICAL CENTER | ||
| O | $1,444,442 | FMV |
| ORANGE REGIONAL MEDICAL CENTER | ||
| P | $905,474 | FMV |
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