2015-11-16T09:00:50-06:00 2014-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2014-01-01 133020568 ORANGE REGIONAL MEDICAL CENTER FOUNDATION % WILLIAM DAUSTER ORAN 8453332333 707 EAST MAIN STREET MIDDLETOWN NY 10940 WILLIAM DAUSTER PRESIDENT 8453331000 2015-11-12 true KPMG LLP P00431862 2127589700 2014 2016-04-25 22:37:26Z WILLIAM DAUSTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 2174268 false X N/A X 1979 NY THE MISSION OF ORMC FOUNDATION IS TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC SUPPORT FROM THE COMMUNITY FOR THE BENEFIT OF ORANGE REGIONAL MEDICAL CENTER. 27 24 0 21 0 0 1826076 1785064 0 0 135480 104387 -16271 -29890 1945285 1859561 848672 1151883 0 0 536682 499655 0 0 0 148955 122070 1534309 1773608 410976 85953 5302718 5486919 4512 4678 5298206 5482241 X TO ENHANCE AND SUSTAIN ORANGE REGIONAL MEDICAL CENTER'S CAPABILITY TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY RESPONDING TO THE DEMANDS OF GROWTH AND TECHNOLOGY THROUGH PHILANTHROPY. SEE SCHEDULE O. false false 1150883 1150883 SUPPORTING THE MEDICAL, CHARITABLE, SCIENTIFIC, RESEARCH, AND HEALTH-RELATED PURPOSES, OPERATIONS, AND ACTIVITIES OF ORANGE REGIONAL MEDICAL CENTER. 1000 1000 SCHOLARSHIPS FOR STUDENTS PURSUING CAREERS IN HEALTHCARE. 1151883 true true false false false false false false false true false false false false false false true false false false false false false false true false false true false true false false false false false true false false false false false false false true false false false true 0 0 true 0 false false false false false true true false false false false X 27 24 false false false false false false false true true false false true true true true true true true true false NY X WILLIAM DAUSTER 8453332333 707 EAST MAIN STREET MIDDLETOWN NY 10940 JAY ANTHONY MEMBER-AT-LARGE 6.0 0.0 X 0 0 0 DEBRA BOGDANSKI MEMBER-AT-LARGE 5.0 0.0 X 0 0 0 PATRICIA DUKE BOARD MEMBER 2.0 0.0 X 0 0 0 JANET FORMISANO BOARD MEMBER 4.0 0.0 X 0 0 0 FRANK GIORDANO III BOARD MEMBER 3.0 0.0 X 0 0 0 PAUL B HALPERN BOARD MEMBER -UNTIL NOV. 2014 6.0 1.0 X 0 0 0 LARRY E MCDOWELL JR BOARD MEMBER 4.0 0.0 X 0 0 0 PAMELA MURPHY MD BOARD MEMBER 2.0 0.0 X 0 0 0 ROLLAND B PEACOCK III BOARD MEMBER/CHAIRMAN 3.0 4.0 X 0 0 0 HOWARD PROTTER ESQ SECRETARY 6.0 0.0 X 0 0 0 WILLIAM C QUACKENBUSH TREAUSURER 6.0 0.0 X 0 0 0 JONATHAN ROUIS CPA CHAIRMAN 7.0 2.0 X 0 0 0 ELIZABETH ROWLEY BOARD MEMBER 3.0 0.0 X 0 0 0 TERRY R SATURNO BOARD MEMBER -UNTIL NOV. 2014 4.0 0.0 X 0 0 0 MARGARET R SMITH VICE CHAIRMAN 7.0 0.0 X 0 0 0 JACK KRINEY BOARD MEMBER 3.0 0.0 X 0 0 0 CLEVELAND LEWIS BOARD MEMBER 3.0 0.0 X 0 0 0 STEVE MILLIGRAM ESQ BOARD MEMBER 4.0 0.0 X 0 0 0 SAL BELFIGIO BOARD MEMBER 4.0 0.0 X 0 0 0 WILLIAM RUGGLES BOARD MEMBER 3.0 0.0 X 0 0 0 SCOTT BATULIS ORMC PRESIDENT/CEO 5.0 60.0 X 0 1470644 68584 SANDRA IBERGER BOARD MEMBER 2.0 40.0 X 0 358658 68584 THOMAS HUGHES BOARD MEMBER - start jan. 2014 3.0 0.0 X 0 0 0 SCOTT KENDRICK BOARD MEMBER - start nov. 2013 4.0 0.0 X 0 0 0 MICHAEL J FLYN BOARD MEMBER - START MAY 2014 2.0 0.0 X 0 0 0 CATHERINE SUEHNHOLZ BOARD MEMBER - START MAY 2014 2.0 0.0 X 0 0 0 J MIGUEL RODRIQUES BOARD MEMBER - start may 2014 2.0 40.0 X 0 0 0 CHRISTINE PALMER MARAIA FOUNTDN. PRES. UNTIL JUN 2014 39.0 1.0 X 178056 0 28200 WILLIAM DAUSTER FOUNDATION PRESIDENT - AUG. 14 39.0 1.0 X 69030 0 4110 247086 1829302 169478 1 false true false NONE 0 318378 595279 871407 1785064 0 69237 69237 0 0 0 0 0 0 272115 236965 35150 35150 35150 47852 318378 77742 -29890 -29890 0 0 0 1859561 0 74497 1150883 1150883 1000 1000 0 0 279396 279396 0 220259 220259 0 0 0 0 0 19250 19250 0 0 0 18257 18257 33122 33122 0 4226 4226 5875 5875 0 22632 22632 353 353 0 0 0 0 0 0 FOOD 8723 8723 BAD DEBT EXPENSE 8189 8189 TELEPHONE 1443 1443 1773608 1151883 621725 0 0 0 2365297 2679526 921474 756358 0 0 0 0 0 0 0 0 0 0 0 0 0 2012887 2049161 0 0 0 0 0 0 3060 1874 5302718 5486919 4512 4678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4512 4678 X 906742 1160439 4350109 4280447 41355 41355 5298206 5482241 5302718 5486919 X 85953 85304 12778 X false true X true false X X 1 ORANGE REGIONAL MEDICAL CENTER 141364536 03 true 1148628 0 1 1148628 3182252 2832906 1312959 1826076 1797842 10952035 0 0 3182252 2832906 1312959 1826076 1797842 10952035 1489644 9462391 55661 44670 58045 64521 69237 292134 0 36580 48400 51948 59626 47852 244406 11488575 0.82364 0.83454 X true false false false false false false false false false false false false false false false false true false true X X true false true false SCHEDULE A, PART IV, SECTION D, LINES 2 & 3 REGULAR MONTHLY MEETINGS OF THE GHVHS BOARD ARE ATTENDED BY THE ORMC CEO. SCHEDULE A, PART IV, SECTION E, LINE 2A THE ORGANIZATIONS BY-LAWS STATE THAT THEY ARE TO RENDER ASSISTANCE AND SCHEDULE A, PART IV, SECTION E, LINE 2B NOT-FOR-PROFIT HOSPITALS RELY ON SUBSTANTIAL CHARITABLE CONTRIBUTIONS TO RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5298206 1939156 153178 1181773 613536 5595231 4614982 1816996 407728 864943 676557 5298206 5460047 1115291 198054 1532807 625603 4614982 6830091 2832906 4297 3554632 652615 5460047 6873706 3182252 186402 2685814 726455 6830091 0.21898 0.00739 0.77363 false false 1969276 85304 12778 29890 127972 1841304 18257 18257 1859561 1785241 29890 29890 1755351 18257 18257 1773608 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE 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 EXPENSE DIRECT EXPENSES FROM SPECIAL EVENT..................$29,890 SCHEDULE D, PART XII, LINE 2D DIRECT EXPENSES FROM SPECIAL EVENT........................$29,890 GOLF 271316 223464 47852 20878 2475 54389 CENTURY CLUB 94914 94914 0 366230 318378 47852 20878 2475 54389 77742 -29890 true ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN ST Middletown NY 10940 141364536 501(c)(3) 1150883 none none SUPPORT FOR HOSPITAL ACTIVITIES 1 MONITORING PROCESS SCHEDULE 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. false true false false false false false false false SCOTT BATULIS ORMC PRESIDENT/CEO 0 954263 0 344889 0 171492 0 40900 0 27684 0 1539228 0 169081 SANDRA IBERGER BOARD MEMBER 0 280568 0 67422 0 10668 0 40900 0 27684 0 427242 0 9907 CHRISTINE PALMER MARAIA FOUNTDN. PRES. UNTIL JUN 2014 112207 0 51320 0 14529 0 27822 0 378 0 206256 0 0 0 PART VII & SCH J, PT II CHRISTINE 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 3 The compensation of the individuals listed on Schedule J is paid by Orange Regional Medical Center (ORMC). ORMC uses ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS when determining the compensation reported. SCHEDULE J, PART I, LINE 4B THE FOLLOWING AMOUNTS WERE PAID BY THE RELATED ORGANIZATION. NONQUALIFIED RETIREMENT PLAN SCOTT BATULIS $169,081 SANDRA IBERGER $ 9,907 MARGARET SMITH SEE SCH L, PART V 2573813 FOUNDATION ACCT BALANCE false SCHEDULE L, PART IV, COLUMN (B) MARGARET SMITH, BOARD MEMBER, IS THE PRESIDENT OF FEDERAL SAVING BANK OF MIDDLETOWN. ORMC FOUNDATION HAS A SAVING AND CHECKING ACCOUNT AT THIS BANK. ORANGE REGIONAL MEDICAL CENTER FOUNDATION FORM 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 POLICY FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION WORKS CLOSELY WITH THE CORPORATE COMPLIANCE OFFICER OF ORANGE REGIONAL MEDICAL CENTER. AN ANNUAL REVIEW OF ORMC'S PROCEDURES AND DOCUMENTATION REGARDING THE CONFLICT OF INTEREST POLICY IS PERFORMED AND A RENEWAL FORM IS REQUIRED. BOARD MEMBERS, EXECUTIVE TEAM, ADMINISTRATORS, DIRECTORS, MANAGERS, 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 DOCUMENTS FORM 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 ASSETS Form 990, Part XI, Line 9 Recovery of uncollectible pledges................$12,778 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 141364536 HOSPITAL NY 501 (C)(3) 3 GHVHS false false true true false false false false false false false false true false false true true true false false RELATED ORGANIZATIONS ORMC FOUNDATION IS ORGANIZED AND OPERATED TO SUPPORT THE EXEMPT MISSIONS AND PROGRAMS OF ORANGE REGIONAL MEDICAL CENTER WHOSE SOLE MEMBER IS GREATER HUDSON VALLEY HEALTH SYSTEM, A TAX EXEMPT ORGANIZATION. ORMC FOUNDATION IS AN INDEPENDENT ORGANIZATION THAT IS NOT CONTROLLED AS A RESULT OF COMMON HOSPITAL MEMBERSHIP, BOARD OVERLAP, OR SHARED MANAGEMENT.