2016-11-15T15:43:39-06:00 2015-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2015-01-01 146049030 CATSKILL REGIONAL MEDICAL CENTER % RICHARD CARRICO CFO - CATS 8457943300 PO BOX 800 HARRIS NY 12742 GERARD GALARNEAU MD CEO 8453427349 2016-11-14 true MARY-EVELYN ANTONETTI P00431862 2127589700 2015 2017-02-10 21:41:12Z GERARD J GALARNEAU MD PO BOX 800 HARRIS NY 12742 98263781 false X WWW.CRMCNY.ORG X 1967 NY 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. 9 7 841 64 471877 -146126 4114523 2506366 94319231 95089962 14903 14715 692076 545565 99140733 98156608 16750 11000 0 0 50084505 46987424 0 0 0 45055175 47848241 95156430 94846665 3984303 3309943 70204026 73577919 37369026 35155494 32835000 38422425 X SEE SCHEDULE O. false false 34646483 40025547 EXPENSES INCURRED WHILE PERFORMING 547,811 OUTPATIENT PROCEDURES TO PATIENTS IN THE SURROUNDING COMMUNITY. 32584192 37643075 EXPENSES INCURRED WHILE PROVIDING INPATIENT MEDICAL/SURGICAL SERVICES TO 2,720 PATIENTS IN THE SURROUNDING COMMUNITY. 5856905 6766224 EXPENSES INCURRED WHILE PROVIDING SERVICES TO 170 PATIENTS IN THE SKILLED NURSING UNIT. 9415045 11000 10864077 82502625 true true false true false false false false false true true false false true true true false true false false false false false false true false true true true false true false false false false false false true true false false false false false true true true false false true 150 0 true 841 true true true false false false false false false false false false X 9 7 false false false false true true true true true false false true true true true true true true true false NY X RICHARD CARRICO CFO - 8457943300 PO BOX 800 HARRIS NY 12742 IMRAN AHMED MD BOARD MEMBER AS OF 1/1/15 1.0 2.0 X 0 0 0 BARBARA BLAKEY SECRETARY AS OF 5/1/15 1.0 2.0 X 0 0 0 RICHARD LANDER BOARD MEMBER 1.0 2.0 X 0 0 0 JOSEPH LOUGHLIN CHAIRMAN AS OF 5/1/15 1.0 2.0 X 0 0 0 ANDREW PAVLOFF BOARD MEMBER 1.0 3.0 X 0 0 0 JACQUELINE RICCIANI VICE CHAIRMAN AS OF 5/1/15 1.0 2.0 X 0 0 0 GERALD SKODA BOARD MEMBER 1.0 2.0 X 0 0 0 DARREL SUPAK CHAIRMAN UNTIL 4/30/15 1.0 2.0 X 0 0 0 MICHAEL WASCHITZ TREASURER 1.0 2.0 X 0 0 0 ROLLAND BOJO VP PT CARE SVCS, CNO 40.0 0.0 X 255691 0 32424 GERARD GALARNEAU MD CEO/CMO 20.0 20.0 X 305510 216196 35360 JOSEPH ANESI VP/GENERAL COUNSEL 10.0 50.0 X 0 403190 68064 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 10.0 50.0 X 0 329991 57213 SCOTT BATULIS PRESIDENT 10.0 55.0 X 0 1534674 68064 RICHARD CARRICO CFO 10.0 50.0 X 0 516863 36814 GERARD DUNLAVEY EXEC DIRECTOR MEDICAL PC 0.0 45.0 X 0 343404 68064 JILL EMBLER VP FINANCIAL PLANNING 10.0 50.0 X 0 221032 38041 SANDRA IBERGER VP OPERATIONS 10.0 50.0 X 0 361362 68064 JOANNE STURANS CHIEF HR OFFICER 10.0 50.0 X 0 413675 60989 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 10.0 50.0 X 0 323586 66953 BRIAN TEW CIO 10.0 50.0 X 0 389496 50206 ZAUR IBRAGIMOV PHARMACIST 40.0 0.0 X 151202 0 42911 KANITA KHANII PHARMACY SUPERVISOR 40.0 0.0 X 143012 0 22655 MARK SOIREFMAN PHARMACY DIRECTOR 40.0 0.0 X 151018 0 22870 HELEN BURKE REGISTERED NURSE 40.0 0.0 X 135684 0 23184 SUZANNE LANGE-AHMED ADMIN NSG OPS & CARE MGMT SVSC 40.0 0.0 X 120639 0 27165 DEBORAH CARR FORMER VP HR 0.0 0.0 X 0 110868 0 1262756 5164337 789041 73 true true false CRYSTAL RUN HEALTH CARE 155 CRYSTAL RUN RD MIDDLETOWN NY 10941 PHYSICIANS 2424942 CCI CONSTRUCTION INC 70 CHESTNUT RIDGE RD MONTVALE NY 07645 CONSTRUCTION SVCS 1558443 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SVC MANAGEMENT 1542851 RESTORIXHEALTH INC 155 WHITE PLAINS RD SUITE 222 TARRYTOWN NY 10591 WOUND CARE SERVICES 1126399 ARMISTEAD MECHANICAL INC 168 HOPPER AVE WALDWICK NJ 07463 MECHANICAL CONTRACT. 957668 32 17342 301788 2187236 0 2506366 NET PATIENT SERVICE REVENUE 621110 94924740 94452863 471877 MEANINGFUL USE FUNDS 621110 165158 165158 PHYSICIAN REVENUE 900099 64 64 95089962 14715 14715 0 0 336604 0 336604 0 336604 336604 107173 107173 0 17342 0 0 0 REV FROM RELATED ENTITY - MED PC 900099 104855 104855 REBATES & REFUNDS 900099 19924 19924 ALL OTHER REVENUE 900099 84182 84182 208961 98156608 94827046 471877 351319 11000 11000 0 0 0 634847 634847 126983 126983 34195527 31534069 2661458 2304169 2108862 195307 6795198 6189754 605444 2930700 2658160 272540 4726600 3962574 764026 171827 171827 280481 280481 41507 41507 0 0 11991562 10054031 1937531 445510 445510 3403380 819898 2583482 283413 235724 47689 0 2183031 1844725 338306 47844 29777 18067 0 43059 25340 17719 357132 298236 58896 0 4053202 3397394 655808 1740911 1318308 422603 MEDICAL SUPPLIES 10492064 10400336 91728 BAD DEBT EXPENSE 6621586 6621586 0 OTHER TAXES & ASSESSMENT 325098 0 325098 LICENSE FEES 203299 170405 32894 436735 208446 228289 94846665 82502625 12344040 0 12596111 15589643 603561 1420983 275667 130064 11033139 9741537 0 0 0 0 0 0 1307104 1289687 1016780 770687 139363298 108591682 27774998 30771616 1030995 932912 0 0 3156277 3035003 0 0 11409394 9895787 70204026 73577919 13478857 14393620 0 0 0 0 0 0 0 0 0 0 6652104 7946310 1169600 627084 16068465 12188480 37369026 35155494 X 29080316 33798654 1795979 2665066 1958705 1958705 32835000 38422425 70204026 73577919 X 3309943 -1244 2278726 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 19797 false true 21710 41507 false Part II-B LINE I, LOBBYING ACTIVITIES: 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 1958705 1958705 1958705 1958705 1958705 1958705 1458705 500000 1958705 1457705 1000 1458705 1.00000 false true true 888426 888426 54827585 32281651 22545934 83647287 76310031 7337256 30771616 INSURANCE RECEIVABLE - MALP&WC 4350844 THIRD PARTY RECEIVABLE 3737849 DUE FROM RELATED ORG 1222075 OTHER RECEIVABLES 585019 9895787 0 DUE TO THIRD PARTY PAYORS 2975884 ESTIMATED MALPRACTICE LIAB 6082600 ESTIMATED WORKERS COMP LIAB 641459 DUE TO RELATED ORG 2115806 OTHER LIABILITY 372731 12188480 X 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. RISE-WALK A THO 17342 17342 0 17342 17342 true true X true X true X true false true true 24953669 17085977 7867692 0.08920 24953669 17085977 7867692 0.08920 104182 45352 58830 0.00070 26879 26879 0.00030 13015196 6396799 6618397 0.07500 13146257 6442151 6704106 0.07600 38099926 23528128 14571798 0.16520 true 6621586 1052832 28351216 31569804 -3218588 X true true 2 1 CATSKILL REGIONAL MEDICAL CENTER-HAR 68 HARRIS-BUSHVILLE ROAD HARRIS NY 12742 5263000H X A 2 CATSKILL REGIONAL MEDICAL CENTER-GRO 8881 ROUTE 97 CALLICOON NY 12723 5263700H X A A 12 false false true X X X X X X 13 true true true true X SEE DISCLOSURE IN PART V. X true 13 true SEE DISCLOSURE IN PART V. false false true X 200. 350. true true X true X SEE DISCLOSURE IN PART V. X SEE DISCLOSURE IN PART V. X X X X X true X false X X X X true X false false 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 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. false CATSKILL REGIONAL MEDICAL CENTER FOUNDATION PO BOX 800 HARRIS NY 12742 141742176 501(C)(3) 11000 SUPPORT 1 PART II, LINE 1, COLUMN (H): NAME OF ORGANIZATION OR GOVERNMENT: CATSKILL REGIONAL MEDICAL CENTER FOUNDATION (H) PURPOSE OF GRANT OR ASSISTANCE: CATSKILL REGIONAL MEDICAL CENTER PAYS FOR SOME ADMINISTRATIVE SERVICES FOR CATSKILL REGIONAL MEDICAL CENTER FOUNDATION. THE ORGANIZATION IS A RELATED ORGANIZATION. X X X X X false true false false false false false true false ROLLAND BOJO VP PT CARE SVCS, CNO 209251 0 46350 0 90 0 12964 0 19460 0 288115 0 0 0 GERARD GALARNEAU MD CEO/CMO 216196 216196 89224 0 90 0 7950 7950 9730 9730 323190 233876 0 0 JOSEPH ANESI VP/GENERAL COUNSEL 0 311197 0 75522 0 16471 0 41850 0 26214 0 471254 0 0 ROSEMARY BACZEWSKI CHIEF QUALITY OFFICER 0 254518 0 73155 0 2318 0 39965 0 17248 0 387204 0 0 SCOTT BATULIS PRESIDENT 0 954132 0 371715 0 208827 0 41850 0 26214 0 1602738 0 0 RICHARD CARRICO CFO 0 407044 0 79500 0 30319 0 10600 0 26214 0 553677 0 0 GERARD DUNLAVEY EXEC DIRECTOR MEDICAL PC 0 268430 0 71129 0 3845 0 41850 0 26214 0 411468 0 0 JILL EMBLER VP FINANCIAL PLANNING 0 200769 0 20000 0 263 0 11827 0 26214 0 259073 0 0 SANDRA IBERGER VP OPERATIONS 0 278496 0 73433 0 9433 0 41850 0 26214 0 429426 0 0 JOANNE STURANS CHIEF HR OFFICER 0 312734 0 91155 0 9786 0 34775 0 26214 0 474664 0 0 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 0 249892 0 73155 0 539 0 40739 0 26214 0 390539 0 0 BRIAN TEW CIO 0 348515 0 38958 0 2023 0 23992 0 26214 0 439702 0 0 ZAUR IBRAGIMOV PHARMACIST 151202 0 0 0 0 0 0 0 42911 0 194113 0 0 0 KANITA KHANII PHARMACY SUPERVISOR 142922 0 0 0 90 0 8648 0 14007 0 165667 0 0 0 MARK SOIREFMAN PHARMACY DIRECTOR 141579 0 9043 0 396 0 9043 0 13827 0 173888 0 0 0 HELEN BURKE REGISTERED NURSE 135483 0 0 0 201 0 6727 0 16457 0 158868 0 0 0 DEBORAH CARR FORMER VP HR 0 0 0 0 0 110868 0 0 0 0 0 110868 0 0 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. JOSEPH LOUGHLIN BOARD MEMBER 93637 CONTRACTED SERVICES false SUZANNE LANGE-AHMED WIFE OF BOARD MEMBER 126983 WAGES & BENEFITS false SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (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 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. 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 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 true EAST MAIN ST MGMT CORP 707 E MAIN ST MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY ORMC C Corp 0 0 false false false true false false false false false true false true true false true false true true true GHVHS MEDICAL GROUP PC M 875139 FMV GHVHS MEDICAL GROUP PC L,Q 72904 FMV GHVHS MEDICAL GROUP PC J 270197 FMV GHVHS MEDICAL GROUP PC S 3041161 FMV GHVHS MEDICAL GROUP PC R 2692980 FMV ORANGE REGIONAL MEDICAL CENTER O 1444442 FMV ORANGE REGIONAL MEDICAL CENTER P 905474 FMV