ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC (EIN 13-3020568)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201533209349303153
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T09:00:50-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AvenueAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP101540102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133020568EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ORANGE REGIONAL MEDICAL CENTER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% WILLIAM DAUSTERInCareOfNm
Business Name ControlORANBusinessNameControlTxt
Phone8453332333PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM DAUSTERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8453331000PhoneNum
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKPMG LLPPreparerPersonNm
PTINP00431862PTIN
Phone2127589700PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM DAUSTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST MAIN STREETAddressLine1Txt
CityMIDDLETOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10940ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,174,268GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MISSION OF ORMC FOUNDATION IS TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC SUPPORT FROM THE COMMUNITY FOR THE BENEFIT OF ORANGE REGIONAL MEDICAL CENTER.ActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,826,076PYContributionsGrantsAmt
CY Contributions Grants$1,785,064CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$135,480PYInvestmentIncomeAmt
CY Investment Income$104,387CYInvestmentIncomeAmt
PY Other Revenue-$16,271PYOtherRevenueAmt
CY Other Revenue-$29,890CYOtherRevenueAmt
PY Total Revenue$1,945,285PYTotalRevenueAmt
CY Total Revenue$1,859,561CYTotalRevenueAmt
PY Grants And Similar Paid$848,672PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,151,883CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$536,682PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$499,655CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$148,955PYOtherExpensesAmt
CY Other Expenses$122,070CYOtherExpensesAmt
PY Total Expenses$1,534,309PYTotalExpensesAmt
CY Total Expenses$1,773,608CYTotalExpensesAmt
PY Revenues Less Expenses$410,976PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$85,953CYRevenuesLessExpensesAmt
Total Assets BOY$5,302,718TotalAssetsBOYAmt
Total Assets EOY$5,486,919TotalAssetsEOYAmt
Total Liabilities BOY$4,512TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,678TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,298,206NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,482,241NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ENHANCE AND SUSTAIN ORANGE REGIONAL MEDICAL CENTER'S CAPABILITY TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY RESPONDING TO THE DEMANDS OF GROWTH AND TECHNOLOGY THROUGH PHILANTHROPY. SEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,150,883ExpenseAmt
Grant$1,150,883GrantAmt
DescSUPPORTING THE MEDICAL, CHARITABLE, SCIENTIFIC, RESEARCH, AND HEALTH-RELATED PURPOSES, OPERATIONS, AND ACTIVITIES OF ORANGE REGIONAL MEDICAL CENTER.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,000ExpenseAmt
Grant$1,000GrantAmt
DescSCHOLARSHIPS FOR STUDENTS PURSUING CAREERS IN HEALTHCARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,151,883TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members27GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLIAM DAUSTERPersonNm
Phone8453332333PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JAY ANTHONY
MEMBER-AT-LARGE6.00.0Yes (X)$0$0$0
DEBRA BOGDANSKI
MEMBER-AT-LARGE5.00.0Yes (X)$0$0$0
PATRICIA DUKE
BOARD MEMBER2.00.0Yes (X)$0$0$0
JANET FORMISANO
BOARD MEMBER4.00.0Yes (X)$0$0$0
FRANK GIORDANO III
BOARD MEMBER3.00.0Yes (X)$0$0$0
PAUL B HALPERN
BOARD MEMBER -UNTIL NOV. 20146.01.0Yes (X)$0$0$0
LARRY E MCDOWELL JR
BOARD MEMBER4.00.0Yes (X)$0$0$0
PAMELA MURPHY MD
BOARD MEMBER2.00.0Yes (X)$0$0$0
ROLLAND B PEACOCK III
BOARD MEMBER/CHAIRMAN3.04.0Yes (X)$0$0$0
HOWARD PROTTER ESQ
SECRETARY6.00.0Yes (X)$0$0$0
WILLIAM C QUACKENBUSH
TREAUSURER6.00.0Yes (X)$0$0$0
JONATHAN ROUIS CPA
CHAIRMAN7.02.0Yes (X)$0$0$0
ELIZABETH ROWLEY
BOARD MEMBER3.00.0Yes (X)$0$0$0
TERRY R SATURNO
BOARD MEMBER -UNTIL NOV. 20144.00.0Yes (X)$0$0$0
MARGARET R SMITH
VICE CHAIRMAN7.00.0Yes (X)$0$0$0
JACK KRINEY
BOARD MEMBER3.00.0Yes (X)$0$0$0
CLEVELAND LEWIS
BOARD MEMBER3.00.0Yes (X)$0$0$0
STEVE MILLIGRAM ESQ
BOARD MEMBER4.00.0Yes (X)$0$0$0
SAL BELFIGIO
BOARD MEMBER4.00.0Yes (X)$0$0$0
WILLIAM RUGGLES
BOARD MEMBER3.00.0Yes (X)$0$0$0
SCOTT BATULIS
ORMC PRESIDENT/CEO5.060.0Yes (X)$0$1,470,644$68,584
SANDRA IBERGER
BOARD MEMBER2.040.0Yes (X)$0$358,658$68,584
THOMAS HUGHES
BOARD MEMBER - start jan. 20143.00.0Yes (X)$0$0$0
SCOTT KENDRICK
BOARD MEMBER - start nov. 20134.00.0Yes (X)$0$0$0
MICHAEL J FLYN
BOARD MEMBER - START MAY 20142.00.0Yes (X)$0$0$0
CATHERINE SUEHNHOLZ
BOARD MEMBER - START MAY 20142.00.0Yes (X)$0$0$0
J MIGUEL RODRIQUES
BOARD MEMBER - start may 20142.040.0Yes (X)$0$0$0
CHRISTINE PALMER MARAIA
FOUNTDN. PRES. UNTIL JUN 201439.01.0$178,056$0$28,200Yes (X)
WILLIAM DAUSTER
FOUNDATION PRESIDENT - AUG. 1439.01.0$69,030$0$4,110Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$247,086TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,829,302TotReportableCompRltdOrgAmt
Total Other Compensation$169,478TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNONEPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$318,378FundraisingAmt
Related Organizations$595,279RelatedOrganizationsAmt
All Other Contributions$871,407AllOtherContributionsAmt
Total Contributions$1,785,064TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,237TotalRevenueColumnAmt
Exclusion$69,237ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$272,115SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$236,965SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$35,150SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,150TotalRevenueColumnAmt
Exclusion$35,150ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$47,852FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$318,378ContriRptFundraisingEventAmt
Fundraising Direct Expenses$77,742FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$29,890TotalRevenueColumnAmt
Exclusion-$29,890ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,859,561TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$74,497ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,150,883TotalAmt
Program Services$1,150,883ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Program Services$1,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$279,396TotalAmt
Management And General$279,396ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$220,259TotalAmt
Management And General$220,259ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,250TotalAmt
Management And General$19,250ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$18,257TotalAmt
Management And General$18,257ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,122TotalAmt
Management And General$33,122ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,226TotalAmt
Management And General$4,226ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,875TotalAmt
Management And General$5,875ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

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

Travel TravelGrp

FieldValueIRS element (for citing)
Total$353TotalAmt
Management And General$353ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
FOOD$8,723$8,723
BAD DEBT EXPENSE$8,189$8,189
TELEPHONE$1,443$1,443

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,773,608TotalAmt
Program Services$1,151,883ProgramServicesAmt
Management And General$621,725ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,365,297BOYAmt
EOY$2,679,526EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$921,474BOYAmt
EOY$756,358EOYAmt

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,012,887BOYAmt
EOY$2,049,161EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,060BOYAmt
EOY$1,874EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,302,718BOYAmt
EOY$5,486,919EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,512BOYAmt
EOY$4,678EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,512BOYAmt
EOY$4,678EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$906,742BOYAmt
EOY$1,160,439EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,350,109BOYAmt
EOY$4,280,447EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,298,206BOYAmt
EOY$5,482,241EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,302,718BOYAmt
EOY$5,486,919EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$85,953ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$85,304NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$12,778OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ORANGE REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN141364536EIN
Organization Type03OrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$1,148,628SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,148,628SupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,182,252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,832,906CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,312,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,826,076CurrentTaxYearMinus1YearAmt
Current Tax Year$1,797,842CurrentTaxYearAmt
Total$10,952,035TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,182,252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,832,906CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,312,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,826,076CurrentTaxYearMinus1YearAmt
Current Tax Year$1,797,842CurrentTaxYearAmt
Total$10,952,035TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,489,644SubstantialContributorsTotAmt
Public Support Total170$9,462,391PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,045CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,521CurrentTaxYearMinus1YearAmt
Current Tax Year$69,237CurrentTaxYearAmt
Total$292,134TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,580CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,948CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,626CurrentTaxYearMinus1YearAmt
Current Tax Year$47,852CurrentTaxYearAmt
Total$244,406TotalAmt
FieldValueIRS element (for citing)
Total Support$11,488,575TotalSupportAmt
Public Support CY1700.82364PublicSupportCY170Pct
Public Support PY1700.83454PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

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

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Parent Supported OrgYes (X)ParentSupportedOrgInd
Activities Further Exempt PrpsYes (true)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntfalseActivitiesEngagedOrgInvlmntInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesfalseExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION D, LINES 2 & 3REGULAR MONTHLY MEETINGS OF THE GHVHS BOARD ARE ATTENDED BY THE ORMC CEO.
SCHEDULE A, PART IV, SECTION E, LINE 2ATHE ORGANIZATIONS BY-LAWS STATE THAT THEY ARE TO RENDER ASSISTANCE AND
SCHEDULE A, PART IV, SECTION E, LINE 2BNOT-FOR-PROFIT HOSPITALS RELY ON SUBSTANTIAL CHARITABLE CONTRIBUTIONS TO

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,298,206BeginningYearBalanceAmt
Contributions$1,939,156ContributionsAmt
Investment Earnings Or Losses$153,178InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,181,773GrantsOrScholarshipsAmt
Administrative Expenses$613,536AdministrativeExpensesAmt
End Year Balance$5,595,231EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,460,047BeginningYearBalanceAmt
Contributions$1,115,291ContributionsAmt
Investment Earnings Or Losses$198,054InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,532,807GrantsOrScholarshipsAmt
Administrative Expenses$625,603AdministrativeExpensesAmt
End Year Balance$4,614,982EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,830,091BeginningYearBalanceAmt
Contributions$2,832,906ContributionsAmt
Investment Earnings Or Losses$4,297InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,554,632GrantsOrScholarshipsAmt
Administrative Expenses$652,615AdministrativeExpensesAmt
End Year Balance$5,460,047EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,873,706BeginningYearBalanceAmt
Contributions$3,182,252ContributionsAmt
Investment Earnings Or Losses$186,402InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,685,814GrantsOrScholarshipsAmt
Administrative Expenses$726,455AdministrativeExpensesAmt
End Year Balance$6,830,091EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.21898BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00739PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.77363TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Total Rev Etc Audited Fincl Stmt$1,969,276TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$85,304NetUnrealizedGainsInvstAmt
Recoveries Prior Year Grants$12,778RecoveriesPriorYearGrantsAmt
Other Revenue$29,890OtherRevenueAmt
Revenue Not Reported$127,972RevenueNotReportedAmt
Revenue Subtotal$1,841,304RevenueSubtotalAmt
Investment Expenses Not Incld$18,257InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$18,257RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,859,561TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,785,241TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$29,890OtherExpensesIncludedAmt
Expenses Not Reported$29,890ExpensesNotReportedAmt
Expenses Subtotal$1,755,351ExpensesSubtotalAmt
Investment Expenses Not Incld2$18,257InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$18,257ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,773,608TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4 DONOR DESIGNATED DONATIONS: THE FOUNDATION'S FIDUCIARY RESPONSIBILITY IS TO ENSURE THAT THE DONOR DESIGNATED FUNDS ARE RELEASED IN ACCORDANCE WITH THE DONOR'S INTENTION. THE FOUNDATION HAS AN ACCOUNT THAT HOLDS THESE FUNDS UNTIL THEY ARE RELEASED FROM RESTRICTION. EACH YEAR THE FOUNDATION PRESIDENT RECEIVES A LIST OF THE CAPITAL BUDGET REQUESTS FOR THE COMING YEAR. THE LIST IS REVIEWED TO SEE IF THERE ARE PROGRAMS OR EQUIPMENT THAT MAY BE CONSIDERED TO MEET THE CRITERIA OF THE DONOR'S INTENTIONS. IN ADDITION, RECOMMENDATIONS ARE SOLICITED FROM THE FOUNDATION BOARD AND RESOURCE ALLOCATION COMMITTEE. THROUGHOUT THE YEAR, IN ADDITION TO THE ANNUAL CAPITAL REVIEW, THE HOSPITAL IDENTIFIES EXPENSES AND PROGRAMS THAT MAY BE ELIGIBLE FOR THESE TEMPORARILY RESTRICTED FUNDS AND PROCESSES A REQUEST THROUGH A DONOR DESIGNATED FUND FORM (DDFF) THAT IS SUBMITTED TO THE FOUNDATION PRESIDENT FOR APPROVAL. ANY REQUEST OVER $10,000 NEEDS TO BE APPROVED BY THE FOUNDATION PRESIDENT AND TWO OFFICERS. REQUESTS UNDER $10,000 NEED THE FOUNDATION PRESIDENT'S SIGNATURE ONLY. THE APPROVED DDFF IS THEN PRESENTED TO THE CEO OF ORANGE REGIONAL MEDICAL CENTER FOR APPROVAL AND SIGNATURE ON THE FORM. ONCE THE APPROVALS ARE OBTAINED THE REQUEST IS SENT TO EITHER THE PURCHASING DEPT. (FOR A PURCHASE ORDER) OR THE ACCOUNTS PAYABLE DEPT. (CHECK REQUEST) FOR PROCESSING. WHEN THE ITEM IS RECEIVED AND PAID FOR BY THE HOSPITAL, THEN THE NET ASSETS ARE RELEASED FROM RESTRICTION AND THE HOSPITAL IS REIMBURSED FOR THE DOLLARS APPROVED ON THE DDFF.
RECONCILIATION OF REVENUE AND EXPENSEDIRECT EXPENSES FROM SPECIAL EVENT..................$29,890
SCHEDULE D, PART XII, LINE 2DDIRECT EXPENSES FROM SPECIAL EVENT........................$29,890

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLFEvent1Nm
Gross Receipts Event1$271,316GrossReceiptsEvent1Amt
Charitable Contri Event1$223,464CharitableContriEvent1Amt
Gross Revenue Event1$47,852GrossRevenueEvent1Amt
Non Cash Prizes Event1$20,878NonCashPrizesEvent1Amt
Rent Facility Costs Event1$2,475RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$54,389OtherDirectExpensesEvent1Amt
Event2CENTURY CLUBEvent2Nm
Gross Receipts Event2$94,914GrossReceiptsEvent2Amt
Charitable Contri Event2$94,914CharitableContriEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$366,230GrossReceiptsTotalAmt
Charitable Contributions Tot$318,378CharitableContributionsTotAmt
Gross Revenue Total Events$47,852GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$20,878NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$2,475RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$54,389OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$77,742DirectExpenseSummaryEventsAmt
Net Income Summary-$29,890NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST MAIN STAddressLine1Txt
CityMiddletownCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10940ZIPCd
FieldValueIRS element (for citing)
Recipient EIN141364536RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$1,150,883CashGrantAmt
Valuation Method UsednoneValuationMethodUsedDesc
Non Cash AssistancenoneNonCashAssistanceDesc
Purpose Of GrantSUPPORT FOR HOSPITAL ACTIVITIESPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceMONITORING PROCESSFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 THE ORMC FOUNDATION HAS A RESOURCE ALLOCATION COMMITTEE WHICH MONITORS THE PROCESS AND THE DISTRIBUTION OF GRANT FUNDS IN THE UNITED STATES.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT BATULIS
ORMC PRESIDENT/CEO$0$954,263$0$344,889$0$171,492$0$40,900$0$27,684$0$1,539,228$0$169,081
SANDRA IBERGER
BOARD MEMBER$0$280,568$0$67,422$0$10,668$0$40,900$0$27,684$0$427,242$0$9,907
CHRISTINE PALMER MARAIA
FOUNTDN. PRES. UNTIL JUN 2014$112,207$0$51,320$0$14,529$0$27,822$0$378$0$206,256$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VII & SCH J, PT IICHRISTINE PALMER MARAIA'S REPORTABLE AND OTHER COMPENSATION FOR SERVICES PROVIDED TO THE FOUNDATION ARE PAID THROUGH THE PAYROLL SYSTEM OF ORANGE REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. (SEE SCHEDULE O)
SCHEDULE J, PART I, LINE 3The compensation of the individuals listed on Schedule J is paid by Orange Regional Medical Center (ORMC). ORMC uses ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS when determining the compensation reported.
SCHEDULE J, PART I, LINE 4BTHE FOLLOWING AMOUNTS WERE PAID BY THE RELATED ORGANIZATION. NONQUALIFIED RETIREMENT PLAN SCOTT BATULIS $169,081 SANDRA IBERGER $ 9,907

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMARGARET SMITHPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE SCH L, PART VRelationshipDescriptionTxt
Transaction$2,573,813TransactionAmt
TransactionFOUNDATION ACCT BALANCETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, COLUMN (B)FormAndLineReferenceDesc
ExplanationMARGARET SMITH, BOARD MEMBER, IS THE PRESIDENT OF FEDERAL SAVING BANK OF MIDDLETOWN. ORMC FOUNDATION HAS A SAVING AND CHECKING ACCOUNT AT THIS BANK.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORANGE REGIONAL MEDICAL CENTER FOUNDATIONFORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION AS THE FUNDRAISING ARM OF ORANGE REGIONAL MEDICAL CENTER, THE FOUNDATION IS RESPONSIBLE FOR DEVELOPING A COMPREHENSIVE PROGRAM TO GARNER PHILANTHROPIC SUPPORT, INCLUDING ANNUAL GIVING, PLANNED GIVING AND CAPITAL CAMPAIGNS AS NEEDED. THE FOUNDATION IS A SEPARATE CHARITABLE 501(C)(3) ORGANIZATION THAT IS LED BY A VOLUNTEER BOARD OF TRUSTEES. MISSION: THE MISSION OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION IS TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC SUPPORT FROM THE COMMUNITY FOR THE BENEFIT OF ORANGE REGIONAL MEDICAL CENTER. COMPENSATION REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A ACCORDING TO THE BYLAWS, TRUSTEES ARE NOT COMPENSATED. COMPENSATION FOR THE PRESIDENT IS REMUNERATED THROUGH ORANGE REGIONAL MEDICAL CENTER, A RELATED PARTY. THE COMPENSATION IS DERIVED IN ACCORDANCE WITH THE HUMAN RESOURCE POLICY AND PROCEDURE AS ADOPTED BY ORMC'S GOVERNING BOARD WHICH IS AS FOLLOWS: 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 2013. IN ADDITION, THE CHIEF EXECUTIVE OFFICER AND HIS COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE COMPENSATION COMMITTEE. BOARD REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ORANGE REGIONAL MEDICAL CENTER AND REVIEWED BY THE PRESIDENT AND TREASURER OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION. THE DRAFT FORM 990 AND WORKPAPER SUPPORT IS PROVIDED TO THE FOUNDATION'S TAX PREPARER TO PREPARE A FINAL VERSION OF THE FORM 990. THE FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO THE FOUNDATION'S EXECUTIVE COMMITTEE, ALL VOTING MEMBERS OF THE GOVERNING BOARD OF TRUSTEES AND THE ORANGE REGIONAL MEDICAL CENTER CORPORATE COMPLIANCE OFFICER, FOR REVIEW PRIOR TO SUBMISSION TO THE IRS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION WORKS CLOSELY WITH THE CORPORATE COMPLIANCE OFFICER OF ORANGE REGIONAL MEDICAL CENTER. AN ANNUAL REVIEW OF ORMC'S PROCEDURES AND DOCUMENTATION REGARDING THE CONFLICT OF INTEREST POLICY IS PERFORMED AND A RENEWAL FORM IS REQUIRED. BOARD MEMBERS, EXECUTIVE TEAM, ADMINISTRATORS, DIRECTORS, MANAGERS, SUPERVISOR ARE REQUIRED TO FILL OUT THE CONFLICT OF INTEREST SURVEY. IN ADDITION, ALL NEW TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM UPON BECOMING A MEMBER OF THE FOUNDATION BOARD.
PUBLIC DISCOSURE OF GOVERNING DOCUMENTSFORM 990, PART VI, SECTION B, LINE 19 ANNUAL SIGNED CONFLICT OF INTEREST FORMS ARE FILED WITH THE FOUNDATION BOA POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF NET ASSETSForm 990, Part XI, Line 9 Recovery of uncollectible pledges................$12,778

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRELATED ORGANIZATIONSFormAndLineReferenceDesc
ExplanationORMC FOUNDATION IS ORGANIZED AND OPERATED TO SUPPORT THE EXEMPT MISSIONS AND PROGRAMS OF ORANGE REGIONAL MEDICAL CENTER WHOSE SOLE MEMBER IS GREATER HUDSON VALLEY HEALTH SYSTEM, A TAX EXEMPT ORGANIZATION. ORMC FOUNDATION IS AN INDEPENDENT ORGANIZATION THAT IS NOT CONTROLLED AS A RESULT OF COMMON HOSPITAL MEMBERSHIP, BOARD OVERLAP, OR SHARED MANAGEMENT.ExplanationTxt

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