2015-11-16T09:00:50-06:00 2014-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2014-01-01 141364536 ORANGE REGIONAL MEDICAL CENTER % RICHARD CARRICO CFO ORAN 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 SCOTT BATULIS PRESIDENT AND CEO 8453331000 2015-11-13 true KPMG LLP P00431862 2127589700 2014 2016-02-25 16:41:14Z SCOTT BATULIS 707 EAST MAIN STREET MIDDLETOWN NY 10940 497447943 false X WWW.ORMC.ORG X 1908 NY THE MISSION OF ORANGE REGIONAL MED CENTER IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. 6 5 2795 557 0 0 951712 1505718 363666767 391654311 2313522 1501696 4093836 3071955 371025837 397733680 0 0 0 0 200489102 199298959 0 0 0 178858789 191851962 379347891 391150921 -8322054 6582759 486948623 479349207 377850038 389385131 109098585 89964076 X SEE SCHEDULE O. false false 157671385 235669737 ORANGE REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 383 BEDS AT ITS LOCATION AT 707 EAST MAIN ST, MIDDLETOWN, NY AND PROVIDES A FULL RANGE OF ADULT MEDICAL/SURGICAL INTENSIVE CARE, PEDIATRIC, OBSTETRICAL, REHABILITATION AND BEHAVIORAL HEALTH SERVICES. SEE SCHEDULE O. 7764121 9581145 EXPENSES INCURRED WHILE PROVIDING MENTAL HEALTH MEDICAL CARE SERVICES TO 1,048 PATIENTS IN SURROUNDING COMMUNITY. 8062741 11487532 EXPENSES INCURRED WHILE PROVIDING REHABILITATION MEDICAL SERVICES TO 628 PATIENTS IN SURROUNDING COMMUNITY. 125121800 136089087 298620047 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false true true true false false false false false true false false false true 319 0 true 2795 true false false false false false false false false false false X 6 5 false false false false true true true true true false false true true true true true true true true true true NY X RICHARD CARRICO CFO 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 ROLLAND PEACOCK III CHAIRMAN 1.0 6.0 X 0 0 0 TERENCE OLIVO VICE CHAIRMAN 1.0 2.0 X 0 0 0 SHER SINGH SECRETARY 1.0 2.0 X 0 0 0 ANDREW PAVLOFF TREASURER - EFFECTIVE 5/1/14 1.0 3.0 X 0 0 0 PAUL HALPERN BOARD MEMBER - UNTIL 11/13/14 1.0 6.0 X 0 0 0 ARTHUR D KOWALOFF BOARD MEMBER 1.0 2.0 X 0 0 0 LON MERIN MD BOARD MEMBER 1.0 2.0 X 0 0 0 SCHUYLER NEWMAN TREASURER - UNTIL 4/30/14 1.0 2.0 X 0 0 0 JOSEPH M ANESI VP/GENERAL COUNSEL 40.0 20.0 X 398464 0 68584 ROSEMARY BACZEWSKI VP QUALITY & HIM 40.0 20.0 X 290937 0 49089 SCOTT BATULIS PRESIDENT & CEO 40.0 25.0 X 1470644 0 68584 RICHARD F CARRICO CFO - - EFFECTIVE 3/24/14 40.0 20.0 X 314748 0 16439 GERARD DUNLAVEY VP BUS DEVELOP/ EXECUTIVE DIR 5.0 55.0 X 304014 0 70616 SANDRA IBERGER VP OPERATIONS 40.0 20.0 X 358658 0 68584 JOHN LYNCH VP/CIO UNTIL 1/31/14 40.0 20.0 X 264182 0 23320 CHRISTINE MARAIA PRES FOUNDATION UNTIL 6/30/14 1.0 39.0 X 0 178056 28200 JAMES OXLEY VP MEDICAL AFFAIRS 40.0 10.0 X 544575 0 59405 JOANNE RITTER-TEITEL VP PAT CARE SVCS/CNO 40.0 0.0 X 533977 0 66361 JONATHAN SCHILLER COO 40.0 0.0 X 437856 0 69648 JOANNE STURANS CHIEF HR OFFICE 40.0 20.0 X 399186 0 37311 STEPHEN SUGRUE VP COMPLIANCE, RE, AUDIT 40.0 20.0 X 286360 0 64748 BRIAN TEW VP IT/ CIO - EFFECTIVE 8/1/14 40.0 20.0 X 200652 0 7192 WILLIAM DAUSTER PRESIDENT - FOUNDATION 1.0 39.0 X 0 69030 4110 DAVID CORNELL TRAUMA PHYSICIAN 40.0 0.0 X 447702 0 23487 JANET SHILEY TRAUMA PHYSICIAN - UNTIL 5/29/ 40.0 0.0 X 410137 0 22219 BRUCE A ELLSWEIG PHYSICIAN 40.0 5.0 X 303092 10938 28524 HAI LUO CHIEF PHYSICIST 40.0 0.0 X 266732 0 36346 QUAZI AL-TARIQ PHYSICIAN 40.0 0.0 X 252577 0 61455 WAYNE BECKER FORMER VP NEW PROJECTS 0.0 0.0 X 65780 0 79315 MITCHELL AMADO FORMER VP FINANCE/CFO 0.0 0.0 X 113125 0 11268 DEBORAH CARR FORMER VP HR 0.0 0.0 X 266409 0 38252 JEFFREY F LIETO FORMER CHIEF PHYS STRAT 0.0 0.0 X 220931 0 0 8150738 258024 1003057 348 true true false EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EHR SOFTWARE/SUPPORT 5047925 RESTORIXHEALTH INC 155 WHITE PLAINS ROAD SUITE 222 TARRYTOWN NY 10591 PROFESSIONAL SVCS 2756498 HUDSON VALLEY HOSPITAL PHYSICIANS P PO BOX 429 MIDDLETOWN NY 10940 PHYSICIANS 1768017 CRYSTAL RUN HEALTHCARE LLP 95 CRYSTAL RUN ROAD MIDDLETOWN NY 10940 PHYSICIANS 2054469 WASHINGTON WEST LLC 1 OLYMPIC PLACE SUITE 500 BALTIMORE MD 21204 ACCOUNT RECOVERY 1875549 5 1203718 40000 262000 1505718 Net Patient Service Revenue 541900 388805769 388805769 Physician Revenue 541900 445862 445862 Mgmt Fee Income from Related Org. 900099 560004 560004 Income from Joint Venture 900099 839937 839937 Medicare Meaningful Use 900099 1002739 1002739 391654311 1078879 1078879 0 0 187308 85589 101719 0 101719 101719 100050991 500 99628674 422317 500 422817 422817 0 0 0 Cafeteria/Coffee & Gift Shop Revenue 721110 2019046 2019046 All Other Revenue 900099 951190 951190 2970236 397733680 392605501 3622461 0 0 0 0 6589177 6589177 237866 160079 77787 135654594 99577067 36077527 12809077 8966355 3842722 33594396 23516078 10078318 10413849 7289695 3124154 0 14500 14500 325004 325004 468413 468413 124877 124877 0 97777 97777 28885763 20220035 8665728 1533321 1533321 14834780 10384347 4450433 2910798 2037559 873239 0 9248957 5549373 3699584 467356 327149 140207 0 194443 136110 58333 15826988 15826988 0 26414525 15848715 10565810 4718985 3303290 1415695 MEDICAL SUPPLIES 63814044 63814044 BAD DEBT EXPENSE 12557327 12557327 OTHER TAXES & ASSESSMENTS 2859219 2859219 NON MEDICAL SUPPLIES 5830430 4081300 1749130 724455 507119 217336 391150921 298620047 92530874 0 9357799 25344663 15828859 13402734 0 0 53923174 42270044 0 0 0 0 0 0 9118678 9263296 3389243 3896303 384472357 122090658 282214925 262381699 73846511 77984488 0 0 6904315 7287803 0 0 32365119 37518177 486948623 479349207 53904786 49745133 0 0 4421242 3571090 247715883 243029554 0 0 0 0 2404829 848411 0 0 69403298 92190943 377850038 389385131 X 101244879 81872594 5859942 6097718 1993764 1993764 109098585 89964076 486948623 479349207 X 6582759 -584027 -25133241 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 78000 false true 46877 124877 false PART II-B LINE 1G: PAYMENTS TO ROFFE GROUP, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY LINE 1I: PERCENTAGE OF DUES PAID TO HANYS, NORMET, GNYHA, AND AHA THAT ARE ALLOCATED TO LOBBYING ACTIVITIES. 1993764 229660 229660 1993764 1993764 1717429 1717429 1993764 1993764 84434 84434 1993764 1993764 82345 82345 1993764 1993764 64474 64474 1993764 1.00000 false false 4897415 4897415 159287629 33404411 125883218 207070336 85229949 121840387 13216977 3456298 9760679 262381699 DEFERRED FINANCING COSTS, NET 5781208 INSURANCE RECOVERIES RECEIVABL 17571732 DEFERRED REVENUE 2314779 DUE FROM THIRD-PARTIES 5972467 DUE FROM RELATED ORGANIZATION 5632979 MISCELLANEOUS RECEIVABLES 245012 37518177 0 DUE TO THIRD-PARTIES 10146673 PENSION LIABILITY 56086310 LT LIABILITY - WC & MALPRACTICE 25713745 OTHER LIABILITIES 244215 92190943 X 384843626 -584027 -12208250 -12792277 397635903 97777 97777 397733680 403978135 25482318 25482318 378495817 97777 12557327 12655104 391150921 USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS (PERMANENTLY RESTRICTED) ARE INVESTED IN ACCOUNTS IN ORMC'S NAME. THE PRINCIPAL BALANCES ARE TO BE HELD AND ALL EARNINGS ARE TO BE USED FOR THE BENEFIT AND SUPPORT OF THE ORGANIZATION'S PROGRAMS AND SERVICES. FIN 48 SCHEDULE D, PART X, LINE 2 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES: ORMC IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME" AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. PART XI LINE 2D: RENTAL EXPENSES 85,589 CHANGE IN INTEREST IN FOUNDATION 263,488 BAD DEBT EXPENSE (12,557,327) -------------- TOTAL (12,208,250) PART XII LINE 2D: PENSION RELATED CHANGES 22,505,872 POST-RETIREMENT RELATED CHANGES 2,004,227 RENTAL EXPENSES 85,589 EQUITY TRANSFER TO RELATED CORP 886,630 ------------- TOTAL 25,482,318 LINE 4B: BAD DEBT EXPENSE 12,557,327 true true X true X true X true false true true 8286931 7997608 289323 0.02270 62114088 50275815 11838273 0.03130 70401019 58273423 12127596 0.05400 316875 4797 312078 0.00080 476081 476081 0.00130 56890013 30819986 26070027 0.06890 57682969 30824783 26858186 0.07100 128083988 89098206 38985782 0.12500 true 12557327 3264905 125631230 157680850 -32049620 X true true CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN AMBULATORY SURGERY CENTER 0.40000 0.60000 HUDSON VALLEY AMBULATORY SURGERY LLC AMBULATORY SURGERY CENTER 0.26000 0.74000 1 1 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 3523000H X ORANGE REGIONAL MEDICAL CENTER 1 false false true X X X X X X 13 true true false true X see section c X true 13 true see section c false false true X 200. 350. true true X true X X X X X X X X true false X X X X true X false false PART V, SECTION B, LINE 5 IN 2013 ORMC, IN CONJUNCTION WITH CATSKILL 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 COMPONENTS. 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. PART V, SECTION B, LINE 6a THE CHNA WAS PERFORMED IN CONJUNCTION WITH CATSKILL REGIONAL MEDICAL CENTER. PART V, SECTION B, LINES 7A AND 10A THE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.ORMC.ORG/ABOUT-US/COMMUNITYSERVICEPLAN 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 OF 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. 8 CRYSTAL RUN AMBULATORY SURGERY CNTR OF 95 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 JOINT VENTURE AMBULATORY SURGERY CENTER HUDSON VALLEY AMBULATORY SURGERY LLC 75 CRYSTAL RUN RD BLDG B SUITE 225 MIDDLETOWN NY 10941 JOINT VENTURE AMBULATORY SURGERY CENTER ORANGE REGIONAL MEDICAL PAVILION 75 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 OUTPATIENT SERVICES CENTER SERVICES CENTER GOSHEN PATIENT SERVICE CENTER 70 HATFIELD LANE GOSHEN NY 10942 OUTPATIENT ANCILLARY SERVICE CENTER GOSHEN RADIATION ONCOLOGY CENTER 70 HATFIELD LANE GOSHEN NY 10942 RADIATION ONCOLOGY TREATMENT CENTER OUTPATIENT REHABILITATION CENTER 110 CRYSTAL RUN RD MIDDLETOWN NY 10941 REHABILITATION SERVICES CENTER ORANGE REGIONAL FAMILY PROGRAM FOR ALCO 420 EAST MAIN ST MIDDLETOWN NY 10941 SUBSTANCE ABUSE COUNSELING CENTER STANLEY S DUNKELMAN DIABETES TREATMENT 75 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 DIABETES TREATMENT SUPPORT CENTER PART I, LINE 3C: N/A PART I, LINE 6: ORMC PERFORMS A COMMUNITY SERVICE PLAN AND FILES WITH THE STATE OF NEW YORK DEPARTMENT OF HEALTH EVERY THREE YEARS. 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 24, COLUMN (A), BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS: $12,557,327. PART II: N/A PART III, LINE 2: BAD DEBT EXPENSE WAS CALCULATED BASED ON AN ANALYSIS OF PATIENT ACCOUNTS RECEIVABLE BY FINANCIAL CLASS AND AGE OF ACCOUNT. HISTORIC COLLECTIBILITY PERCENTAGES ARE APPLIED TO THESE BALANCES TO CALCULATE THE BAD DEBT EXPENSE. PART III, LINE 3: AN ANALYSIS WAS COMPLETED OF CREDIT SCORING RESULTS FOR ACCOUNTS HELD BY A SECONDARY COLLECTION AGENCY. USING THEIR INTERNAL SCORE MODEL, SCORE DECILES WERE IDENTIFIED WHERE CONSUMERS WERE LEAST LIKELY TO PAY AND MOST LIKELY TO QUALIFY FOR CHARITY CARE. THIS PERCENTAGE WAS THEN APPLIED TO THE COST OF BAD DEBT FOR THE YEAR. IF THESE PATIENTS HAD COMPLETED THE CHARITY CARE APPLICATION PROCESS, THEIR BALANCES WOULD MOST LIKELY HAVE BEEN ADJUSTED FOR A CHARITY CARE ALLOWANCE, AND THEREFORE WOULD HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. PART III, LINE 4 (AFS FOOTNOTE 1D PAGE 10): ORMC PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, TO PATIENTS WHO ARE UNINSURED AND TO PATIENTS WHO ARE UNDERINSURED AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE ORMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY, THEY ARE NOT REPORTED AS REVENUE. THE CALCULATION OF THE COST OF THESE SERVICES IS DONE UTILIZING THE RATIO OF PATIENT CARE COST TO CHARGES BASED UPON THE 2013 FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES, APPLIED TO THE GROSS CHARITY RELATED ALLOWANCES. PART III, LINE 8: THE MEDICARE SHORTFALL OF $32,049,620 COULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE TO THE EXTENT THAT IT IS IN EFFECT A SUBSIDY OF A GOVERNMENTAL HEALTHCARE PLAN WHICH ENABLES THE RECIPIENTS OF THESE BENEFITS TO RECEIVE HEALTHCARE. THE AMOUNT INDICATED ON LINE 6 AS MEDICARE ALLOWABLE COSTS RELATED TO MEDICARE PAYMENTS HAS BEEN CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO GROSS CHARGES FOR MEDICARE AND MEDICARE ADVANTAGE PLAN LESS PAYMENTS. THIS RATIO IS CONSISTENT WITH THAT USED FOR MEDICAID AND OTHER PROVIDERS. PART III, LINE 9B: ORMC'S COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, CHARITY CARE 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 - COMMUNITY HEALTH NEEDS ASSESSMENT: SEE CHNA ASSESSMENT IN PART V, SECTION B PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILTY FOR ASSISTANCE: TO INFORM AND EDUCATE OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, ORANGE REGIONAL MEDICAL CENTER UTILIZES SEVERAL METHODS, INCLUDING PROVIDING A FINANCIAL AID SUMMARY AT REGISTRATION, POSTING SIGNS IN PATIENT AREAS, DETAILING THE INFORMATION ON THE ORGANIZATION'S WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS. PART VI, LINE 4 - COMMUNITY INFORMATI0N: ORANGE REGIONAL MEDICAL CENTER IS A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM. ORMC, IN MIDDLETOWN, NY, EXPANDED ITS SERVICE AREA TO REFLECT ITS RELATIONSHIP WITH CATSKILL REGIONAL MEDICAL CENTER (ALSO A MEMBER OF GHVHS). THE GHVHS SERVICE AREA INCLUDED ALL OF ORANGE COUNTY AND SULLIVAN COUNTY; AN AREA THAT ENCOMPASSES 1,828 SQUARE MILES AND APPROXIMATELY 450,000 RESIDENTS. WHEN IT COMES TO HEALTH PLANNING FOR PRIMARY CARE AND CORE SECONDARY LEVEL SERVICES, ORMC FOCUSES ON 29 ZIP CODES THAT COMPRISE ITS LOCAL HEALTH SERVICE AREA. THIS SERVICE AREA WAS DETERMINED BY IDENTIFYING THE ZIP CODES FROM WHICH 85% OF ORANGE REGIONAL'S DISCHARGES ORIGINATE. PLANNING FOR SPECIALTY CARE SERVICES TAKES A MORE REGIONAL PERSPECTIVE AND ENCOMPASSES ALL OF ORANGE AND SULLIVAN COUNTIES AND THE NEEDS OF THEIR RESIDENTS. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF ORMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, ORMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL. PART 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 - COMMUNITY SERVICE PLAN: ORMC PERFORMS A COMMUNITY SERVICE PLAN EVERY THREE YEARS. X X X X X true true false false false false false true false JOSEPH M ANESI VP/GENERAL COUNSEL 312722 0 75000 0 10742 0 40900 0 27684 0 467048 0 8575 0 ROSEMARY BACZEWSKI VP QUALITY & HIM 237744 0 51210 0 1983 0 30584 0 18505 0 340026 0 0 0 SCOTT BATULIS PRESIDENT & CEO 954263 0 344889 0 171492 0 40900 0 27684 0 1539228 0 169081 0 RICHARD F CARRICO CFO - - EFFECTIVE 3/24/14 313398 0 0 0 1350 0 0 0 16439 0 331187 0 0 0 GERARD DUNLAVEY VP BUS DEVELOP/ EXECUTIVE DIR 245694 0 56776 0 1544 0 42932 0 27684 0 374630 0 808 0 SANDRA IBERGER VP OPERATIONS 280568 0 67422 0 10668 0 40900 0 27684 0 427242 0 9907 0 JOHN LYNCH VP/CIO UNTIL 1/31/14 33935 0 63959 0 166288 0 18240 0 5080 0 287502 0 33181 0 CHRISTINE MARAIA PRES FOUNDATION UNTIL 6/30/14 0 112207 0 51320 0 14529 0 27822 0 378 0 206256 0 0 JAMES OXLEY VP MEDICAL AFFAIRS 412468 0 97504 0 34603 0 40900 0 18505 0 603980 0 30461 0 JOANNE RITTER-TEITEL VP PAT CARE SVCS/CNO 413148 0 97895 0 22934 0 38677 0 27684 0 600338 0 20631 0 JONATHAN SCHILLER COO 341744 0 78128 0 17984 0 41964 0 27684 0 507504 0 17463 0 JOANNE STURANS CHIEF HR OFFICE 313326 0 75000 0 10860 0 9627 0 27684 0 436497 0 10100 0 STEPHEN SUGRUE VP COMPLIANCE, RE, AUDIT 234259 0 51640 0 461 0 37064 0 27684 0 351108 0 0 0 BRIAN TEW VP IT/ CIO - EFFECTIVE 8/1/14 174744 0 25630 0 278 0 0 0 7192 0 207844 0 0 0 DAVID CORNELL TRAUMA PHYSICIAN 445873 0 0 0 1829 0 0 0 23487 0 471189 0 0 0 JANET SHILEY TRAUMA PHYSICIAN - UNTIL 5/29/ 321680 0 0 0 88457 0 15320 0 6899 0 432356 0 51540 0 MITCHELL AMADO FORMER VP FINANCE/CFO 0 0 0 0 113125 0 11268 0 0 0 124393 0 63612 0 WAYNE BECKER FORMER VP NEW PROJECTS 0 0 0 0 65780 0 79315 0 0 0 145095 0 0 0 DEBORAH CARR FORMER VP HR 10367 0 56803 0 199239 0 36881 0 1371 0 304661 0 2040 0 JEFFREY F LIETO FORMER CHIEF PHYS STRAT 0 0 220931 0 0 0 0 0 0 0 220931 0 0 0 BRUCE A ELLSWEIG PHYSICIAN 301253 10771 0 0 1839 167 3036 276 23111 2101 329239 13315 0 0 HAI LUO CHIEF PHYSICIST 265675 0 0 0 1057 0 35871 0 475 0 303078 0 0 0 QUAZI AL-TARIQ PHYSICIAN 251724 0 0 0 853 0 37824 0 23631 0 314032 0 0 0 SCHEDULE J, PART I, LINE 4A THE FOLLOWING SEVERANCE COMPENSATION WAS PAID IN 2014: MITCHELL AMADO $ 49,513 WAYNE BECKER $ 65,780 DEBORAH CARR $117,004 JEFFREY F LIETO $220,931 JOHN LYNCH $132,837 SCHEDULE J, PART I, LINE 4B NON-QUALIFIED PAYMENTS IN 2014: MITCHELL AMADO $ 63,612 JOSEPH M ANESI $ 8,575 SCOTT BATULIS $169,081 DEBORAH CARR $ 2,040 GERARD DUNLAVEY $ 808 SANDRA IBERGER $ 9,907 JOHN LYNCH $ 33,181 JAMES OXLEY $ 30,461 JOANNE RITTER-TEITEL $ 20,631 JONATHAN SCHILLER $ 17,463 JANET SHILEY $ 51,540 JOANNE STURANS $ 10,100 SCHEDULE J, PART I, LINE 7 DURING THE TAX YEAR THE ORGANIZATION PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II COLUMN B(ii). A DORMITORY AUTHORITY OF STATE OF NY 146000293 649903A27 2008-05-07 260106200 CONSTRUCT A REPLACEMENT HOSPITAL false false false A 17480000 0 260106200 20230063 50673656 0 3397126 0 0 181511541 0 4293814 2011 false false true true A false false false false 0 false false false false A false false false true false false 0 false 0 false false A false ORANGE PATHOLOGY ASSOCIATES Schuyler Newman TREASURER 415324 PATHOLOGY SERVICES false HISTOPATHOLOGY SERVICES LLC Schuyler Newman TREASURER 1902702 PATHOLOGY SERVICES false CARMELLA PISTONE-HALPERN spouse of Paul Halpern 194747 wages & benefits false KATIE DE RIGGE niece of Scott Batulis 76213 wages & benefits false SUPPLEMENTAL INFORMATION ORANGE REGIONAL MEDICAL CENTER WILL IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. WE WILL PURSUE EXCELLENCE IN ALL WE DO WITH A GOAL OF BECOMING THE PROVIDER OF CHOICE FOR OUR COMMUNITY, THE EMPLOYER OF CHOICE FOR OUR STAFF, AND THE WORKPLACE OF CHOICE FOR OUR DOCTORS. ORANGE REGIONAL BELIEVES STRONGLY THAT THE FEAR OF NOT BEING ABLE TO PAY FOR HEALTHCARE SHOULD NOT BE A DETERENT IN SEEKING HEALTHCARE SERVICES. THEREFORE, WE WORK HARD TO ENSURE THAT HEALTHCARE REMAINS ACCESSIBLE AND AVAILABLE FOR ANY MEMBER OF THE COMMUNITY IN NEED. FORM 990, PART III - PROGRAM SERVICE, LINE 4A ORANGE REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 383 BEDS AT ITS LOCATION AT 707 EAST MAIN ST, MIDDLETOWN, NY AND PROVIDES A FULL RANGE OF ADULT MEDICAL/SURGICAL INTENSIVE CARE, PEDIATRIC, OBSTETRICAL, REHABILITATION AND BEHAVIORAL HEALTH SERVICES. DURING 2014, ORMC HAD 22,682 INPATIENT DISCHARGES AND PERFORMED 795,624 OUTPATIENT PROCEDURES. IN ADDITION TO PROVIDING INPATIENT CARE, ORMC ALSO OPERATES A NETWORK OF OFF-SITE FACILITIES WHICH PROVIDE A FULL RANGE OF OUTPATIENT DIAGNOSTIC, THERAPEUTIC AND COMMUNITY EDUCATION SERVICES. THROUGHOUT THE YEAR, ORMC ALSO CONDUCTS AND COORDINATES A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS. THESE PROGRAMS INCLUDE HEALTH TRADE EXPOSITIONS, FACILITY TOURS, SPEAKERS BUREAU, EDUCATIONAL SEMINARS AND LECTURES, SCHOOL CAREER DAYS, COMMUNITY HEALTH SCREENINGS AND SUPPORT PROGRAMS. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D $125,121,800 OF EXPENSES INCURRED WHILE PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY. AUDITED FINANCIAL STATEMENTS FORM 990, PART IV, LINE 12 AUDITED FINANCIAL STATEMENTS FOR THE HOSPITAL HAVE BEEN PREPARED ON A CONSOLIDATED BASIS AND INCLUDE THE ACTIVITIES OF THE HOSPITAL AND EAST MAIN STREET MANAGEMENT CORPORATION, THE ALPHA NETWORK, INC, AND SYNERA CORPORATION. HOWEVER, BECAUSE ALL OF THESE ENTITIES ARE DORMANT CORPORATIONS, THE FINANCIAL STATEMENTS REFLECT THE STAND ALONE OPERATIONS OF ORMC. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 GREATER HUDSON VALLEY HEALTH SYSTEM INC, AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) IS THE SOLE MEMBER OF ORANGE REGIONAL MEDICAL CENTER. ELECTION OF MEMBERS FORM 990, PART VI, SECTION A, LINE 7A AND B GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE ORMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM ORMC BOARD OF DIRECTORS. GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF ORANGE REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS INCLUDING: " APPOINTMENT OF DIRECTORS " APPROVAL OF CERTIFICATE OF NEED APPLICATIONS " APPROVAL OF ANNUAL STRATEGIC PLAN " APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION " APPROVAL OF OPERATING AND CAPITAL BUDGETS " APPROVAL OF ANY BORROWINGS, GUARANTEES OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE " APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION " APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY BOARD REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO ORMC'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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ORANGE REGIONAL MEDICAL CENTER'S CONFLICT OF INTEREST (COI) POLICY APPLIES TO ALL DIRECTORS, COMMITTEE MEMBERS AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE HOSPITAL OR ANY ENTITY CONTROLLED BY THE HOSPITAL. THE 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 CONFLICTS 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A AND 15B IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 2010 AND UPDATED IN 2014 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. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY IS AVAILABLE AS PART OF THE ORGANIZATION'S COMPLIANCE POLICY WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THIS POLICY AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CONSIST OF: POST RETIREMENT-RELATED CHANGES OTHER THAN NET BENEFIT COST (2,004,227) PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS (22,505,872) CHANGES IN INTEREST IN NET ASSETS OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION, INC. 263,488 TRANSFER TO GHVHS (886,630) ______________ OTHER CHANGES IN NET ASSETS OR FUND BALANCES (25,133,241) ============== GREATER HUDSON VALLEY HEALTH SYS C/O ORMC 707 EAST MAIN STREET MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(C)(3) 11 NA false CATSKILL REGIONAL MEDICAL CENTER PO BOX 800 HARRIS NY 12742 146049030 HOSPITAL NY 501(C)(3) 3 GHVHS false ORANGE REGIONAL MEDICAL CENTER FND C/O ORMC 707 EAST MAIN STREET MIDDLETOWN NY 10940 133020568 FUND RAISING NY 501(C)(3) 11 NA false ORMC AUXILIARY 707 EAST MAIN STREET MIDDLETOWN NY 10940 205223843 SUPPORT ORG NY 501(C)(3) 509(A(2) NA false GHVHS MEDICAL GROUP PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 371743537 HEALTHCARE NY 501(C)(3) 509(A(3) GHVHS false THE ALPHA NETWORK INC 707 EAST MAIN STREET MIDDLETOWN NY 10940 061509147 MGD CARE NY ORMC C Corp 0 0 0.50000 false EAST MAIN STREET MGT CORP 707 EAST MAIN STREET MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY ORMC C Corp 0 0 1.00000 true false false true false false false false false false true false true true false true false true true true