2015-11-16T12:51:08-06:00 2014-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2014-01-01 146049030 CATSKILL REGIONAL MEDICAL CENTER % RICHARD CARRICO CATS 8457943300 PO BOX 800 HARRIS NY 12742 GERARD GALARNEAU CEO/CMO 8457943300 2015-11-13 true KPMG LLP P00431862 2127589700 2014 2016-04-25 22:37:26Z GERARD J GALARNEAU C/O CRMC PO BOX 800 HARRIS NY 12742 99395308 false X WWW.CRMCNY.ORG X 1967 NY THE MISSION OF CATSKILL REGIONAL MED. CTR IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES 8 7 831 86 439709 -126555 15909626 4114523 96315351 94319231 741562 14903 473319 692076 113439858 99140733 0 16750 0 0 52039039 50084505 0 0 0 41986093 45055175 94025132 95156430 19414726 3984303 60736540 70204026 34331128 37369026 26405412 32835000 X SEE SCHEDULE O false false 36328246 16750 40816502 EXPENSES INCURRED WHILE PROVIDING INPATIENT MEDICAL SURGICAL SERVICES TO 2,699 PATIENTS IN THE SURROUNDING COMMUNITY. 33955411 38162066 EXPENSES INCURRED WHILE PERFORMING 514,565 OUTPATIENT PROCEDURES TO PATIENTS IN THE SURROUNDING COMMUNITY. 5352049 6015102 EXPENSES INCURRED WHILE PROVIDING SERVICES TO 183 PATIENTS IN THE SKILLED NURSING UNIT. 8820858 9479357 84456564 true true false true false false false false false true true false false true true true true false false false false false false false true false true true true false true false false false false false false true true false false false false false true false false false true 137 0 true 831 true true true false false false false true true false false false false X 8 7 true false false false true true true true true false false true true true true true true true true false NY X RICHARD CARRICO 8457943300 CATSKILL REGIONAL MEDICAL CNTR PO BOX HARRIS NY 12742 MARC BAEZ SECRETARY UNTIL 7/23/14 1.0 2.0 X 0 0 0 BARBARA BLAKEY BOARD MEMBER 1.0 2.0 X 0 0 0 RICHARD LANDER BOARD MEMBER 1.0 2.0 X 0 0 0 JOSEPH LOUGHLIN VICE CHAIRMAN 1.0 2.0 X 0 0 0 ANDREW PAVLOFF TREASURER UNTIL 4/30/14 1.0 3.0 X 0 0 0 JACQUELINE RICCIANI BOARD MEMBER 1.0 2.0 X 0 0 0 GERALD SKODA BOARD MEMBER 1.0 2.0 X 0 0 0 DARREL SUPAK CHAIRMAN 1.0 2.0 X 0 0 0 MICHAEL WASCHITZ TREASURER EFFECTIVE 5/1/14 1.0 2.0 X 0 0 0 ROLLAND BOJO VP PT CARE SVCS, CNO 40.0 0.0 X 241824 0 33989 GERARD GALARNEAU CEO/CMO 40.0 0.0 X 465462 0 36623 JOSEPH ANESI VP/GENERAL COUNSEL 10.0 50.0 X 0 398464 68584 ROSEMARY BACZEWSKI VP QUALITY & HIM 10.0 50.0 X 0 290937 49089 SCOTT BATULIS PRESIDENT & CEO 10.0 55.0 X 0 1470644 68584 RICHARD CARRICO CFO - Effective 3/24/14 10.0 50.0 X 0 314748 16439 GERARD DUNLAVEY EXEC DIRECTOR MEDICAL PC 5.0 55.0 X 0 304014 70616 SANDRA IBERGER VP OPERATIONS 10.0 50.0 X 0 358658 68584 JOHN LYNCH VP/CIO UNTIL 1/31/14 10.0 50.0 X 0 264182 23320 JOANNE STURANS CHIEF HR OFFICER 10.0 50.0 X 0 399186 37311 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 10.0 50.0 X 0 286360 64748 BRIAN TEW CIO - Effective 8/1/14 10.0 50.0 X 0 200652 7192 ABDUL SHAZAD PHYSICIAN 40.0 0.0 X 391170 0 42667 MOHAMMAD S KHAN PHYSICIAN 40.0 0.0 X 303360 0 41886 ETHAN SINGER NURSE PRACTITIONER 40.0 0.0 X 256447 0 34831 KHIN M MYO PHYSICIAN 40.0 0.0 X 240231 0 14372 ROBERT KHAN NURSE PRACTITIONER 40.0 0.0 X 231288 0 28067 MITCHELL AMADO FORMER VP FINANCE/CFO 0.0 0.0 X 0 113125 11268 DEBORAH CARR FORMER VP HUMAN RESOURCES 0.0 0.0 X 0 266409 38252 FREDERICK KURIGER FORMER CEO 0.0 0.0 X 173347 0 0 JEFFREY LIETO FORMER CHIEF PHYS STRATEGY OFF 0.0 0.0 X 0 220931 0 2303129 4888310 756422 59 true true false CRYSTAL RUN HEALTH CARE 155 CRYSTAL RUN RD MIDDLETOWN NY 10941 PHYSICIAN SERVICES 2166878 MORRISON MGMT SPECIALSTS PO BOX 102289 PO BOX 102289 ATLANTA GA 30368 FOOD SVC MANAGEMENT 2050058 RESTORIXHEALTH INC 155 WHITE PLAINS RD SUITE 222 TARRYTOWN NY 10591 WOUND CARE SERVICES 1510242 SUPERIOR SURFACING SYSTEMS LTD PO BOX 4299 MIDDLETOWN NY 10941 PAVING CONTRACTOR 1320589 CCI CONSTRUCTION INC 70 CHESTNUT RIDGE RD MONTVALE NJ 07645 CONSTRUCTION CONTR 1313874 30 74025 368298 3603401 68799 4114523 NET PATIENT SERVICE REVENUE 621110 91717969 91278260 439709 PHYSICIAN REVENUE 621110 1676261 1676261 MEANINGFUL USE FUNDS 900099 925001 925001 94319231 14903 14903 0 0 103984 103984 0 103984 103984 174172 174172 0 74990 74025 80403 -5413 -5413 0 0 REBATES & REFUNDS 900099 367102 367102 All other revenue 900099 226403 226403 593505 99140733 94473027 439709 113474 16750 16750 0 0 0 857990 251646 606344 0 36377700 34181727 2195973 2505612 2317042 188570 7320542 6769606 550936 3022661 2795179 227482 4896275 4076373 819902 291547 291547 289550 289550 13836 13836 0 0 8449682 6923787 1525895 343099 6040 337059 3361473 669866 2691607 0 0 2204319 2204319 60045 31992 28053 0 0 213751 213751 0 4210136 4210136 452871 452871 Medical Supplies 10234027 10219606 14421 Bad Debt 7257923 7257923 MALPRACTICE INSURANCE 1773246 1773246 0 All Other Expenses 1003395 751326 252069 0 95156430 84456564 10699866 0 6563165 12596111 413102 603561 1806898 275667 11739377 11033139 0 0 0 0 0 0 1390941 1307104 545464 1016780 132313478 104538480 24920655 27774998 1015974 1030995 0 0 3138914 3156277 0 0 9202050 11409394 60736540 70204026 15729128 13478857 0 0 0 0 0 0 0 0 0 0 5636531 6652104 984419 1169600 11981050 16068465 34331128 37369026 X 23010908 29080316 1435799 1795979 1958705 1958705 26405412 32835000 60736540 70204026 X 3984303 27922 2417363 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13836 13836 false Part II-B LINE I PERCENTAGE OF DUES PAID TO THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS) PERCENTAGE OF DUES PAID TO NORTHERN METROPOLITAN HOSPITAL ASSOCIATION PERCENTAGE OF DUES PAID TO AMERICAN HOSPITAL ASSOCIATION (AHA) 1958705 1958705 1958705 1958705 1458705 500000 1958705 1457705 1000 1458705 1457705 1457705 1.00000 false true true 888426 888426 50014381 31189408 18824973 81410671 73349072 8061599 27774998 DEFERRED FINANCING FEES 77232 INSURANCE RECEIVABLE - MALPR 6382222 THIRD PARTY RECEIVABLE 3853302 DUE FROM RELATED ORG 553170 OTHER RECEIVABLES 543468 11409394 0 DUE TO THIRD PARTY PAYORS 5087886 ESTIMATED MALPRACTICE LIABILIT 7705958 ESTIMATED WORKERS COMP LIABILI 1040818 DUE TO RELATED ORG 1875838 OTHER LIABILITY 357965 16068465 X 94333508 27922 -4835147 -4807225 99140733 99140733 87903920 5413 5413 87898507 7257923 7257923 95156430 SCHEDULE D PART V LINE 4 INTENDED USE OF ENDOWMENT FUNDS. THE ORGANIZATION HAS A PERMANENT ENDOWMENT FUND. THE INTEREST EARNED ON THIS FUND, IF ANY, CAN BE USE TO PURCHASE PATIENT EQUIPMENT. SCHEDULE D PART X LINE 2 - FIN 48 FOOTNOTE THE CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL, STATE, AND LOCAL 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. SCHEDULE D PART XI LINE 2D SPECIAL EVENTS DIRECT EXPENSES $5,413 CHANGE IN INTEREST IN CRMC FOUNDATION $17,363 BAD DEBT EXPENSE $(7,257,923) EQUITY TRANSFER - RELATED ORG $2,400,000 --------------- TOTAL $(4,835,147) SCHEDULE D PART XII LINE 2D SPECIAL EVENTS DIRECT EXPENSES: $5,413 LINE 4B BAD DEBT EXPENSE $7,257,923 HEART-A-THON 55000 55000 RISE 19990 19990 1958 3455 0 74990 74990 1958 3455 5413 -5413 true true X true X true X true false true true 3490245 3342234 148011 0.00170 22769357 14875994 7893363 0.08980 26259602 18218228 8041374 0.09150 72517 23685 48832 0.00060 22062 0 22062 0.00030 14789078 8937988 5851090 0.06660 0 0 0 3058 0 3058 14886715 8961673 5925042 0.06750 41146317 27179901 13966416 0.15900 true 7257760 1887018 25753990 31190294 -5436304 X true true 2 1 CATSKILL REGIONAL MEDICAL CENTER HARRIS CAMPUS 68 HARRIS-BUSHVILLE HARRIS NY 12742 5263000H X A 2 CATSKILL REGIONAL MEDICAL CENTER GROVER M HERMANN CAMPUS 8881 ROUTE CALLICOON NY 12723 5263700H X A CATSKILL REGIONAL MEDICAL CENTER 1 false false true X X X X X X 13 true true false true X www.crmcny.org/images/crmc/2013_CHNA_CHI X true 13 true www.crmcny.org/images/crmc/2013_CHNA_CHIP_Fin 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 false false SECTION B, LINE 5 IN 2013 CRMC, IN CONJUNCTION WITH ORANGE REGIONAL MEDICAL CENTER, CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. A COMPREHENSIVE CHNA WAS CONDUCTED AND INCLUDED A VARIETY OF QUANTITATIVE AND QUALITATIVE RESEARCH SOMPONENTS. THESE COMPONENTS INCLUDED THE FOLLOWING, 1. SECONDARY STATISTICAL DATA PROFILE OF ORANGE AND SULLIVAN COUNTIES 2. FOCUS GROUP DISCUSSIONS WITH 25 COMMUNITY STAKEHOLDERS 3. DATA COLLECTION SESSIONS WITH 175 COMMUNITY RESIDENTS 4. PRIORITIZATION OF COMMUNITY NEEDS 5. IMPLEMENTATION STRATEGY HOLLERAN COMPILED A SECONDARY DATA PROFILE USING DATA COLLECTED FROM SOURCES SUCH AS THE U.S. CENSUS BUREAU, NEW YORK STATE DEPARTMENT OF HEALTH, AND CENTERS FOR DISEASE CONTROL AND PREVENTION, AMONG OTHERS. THE REPORT DEPICTS THE MOST RECENT YEAR'S HEALTH INDICATORS, CENSUS FIGURES, HOUSEHOLD STATISTICS, MORBIDITY AND MORTALITY RATES, AND SOCIOECONOMIC MEASURES. HOLLERAN CONDUCTED FOUR DATA COLLECTION SESSIONS THAT WERE HELD WITH A TOTAL OF 125 COMMUNITY MEMBERS (53 PARTICIPANTS FROM ORANGE COUNTY AND 72 PARTICIPANTS FROM SULLIVAN COUNTY). PARTICIPANTS WERE ADMINISTERED A CUSTOMIZED SURVEY TOOL TO CAPTURE HEALTH BEHAVIORS AND PREFERENCES. RESPONSES WERE COLLECTED THROUGH WIRELESS KEYPAD TECHNOLOGY. THESE SESSIONS WERE ADVERTISED IN THE NEWSPAPER, DISTRIBUTED TO MEDIA VIA A PRESS RELEASE, EMAIL ANNOUNCEMENTS, FLYERS TO LOCAL ORGANIZATIONS, PUBLICIZED ON THE HOSPITAL WEBSITE AND SOCIAL MEDIA CHANNELS. HOLLERAN ALSO FACILITATED TWO FOCUS GROUPS THAT WERE HELD WITH 25 KEY STAKEHOLDERS IN JUNE 2013. ATTENDEES INCLUDED REPRESENTATIVES OF PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY. PART V, SECTION B, LINE 5 (Cont.) TWO FOCUS GROUP MEETINGS WERE HELD WITH 25 KEY STAKEHOLDERS IN JUNE 2013. ATTENDEES INCLUDED REPRESENTATIVES OF PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY. LINE 6A THE CHNA WAS PERFORMED IN CONJUNCTION WITH ORANGE REGIONAL MEDICAL CENTER. SECTION B, LINE 11: A PRIORITIZATION SESSION WAS HELD ON OCTOBER 21, 2013. APPROXIMATELY TEN INDIVIDUALS PARTICIPATED IN THE SESSION WITH REPESENTATIVES FROM ORANGE REGIONAL MEDICAL CENTER, CATSKILL REGIONAL MEDICAL CENTER, THE ORANGE AND SULLIVAN COUNTY HEALTH DEPARTMENTS, COMMUNITY AGENCIES AND ORGANIZATIONS. RESULTS OF THE 2013 CHNA WERE REVIEWED AND PRIORITIES OF THE KEY HEALTH NEEDS WERE LISTED. ORMC AND CRMC DEVELOPED AN IMPLEMENTATION STRATEGY TO OUTLINE WHAT COMMUNITY HEALTH NEEDS IT PLANS TO ADDRESS, AS WELL AS SPECIFIC GOALS AND MEASURES TO EVALUATE COMMUNITY HEALTH IMPROVEMENT INITIATIVES. ORMC AND CRMC WILL NOT FOCUS ON THE FOLLOWING TOPICS: PROMOTE HEALTHY AND SAFE ENVIRONMENTS - THE HOSPITAL WILL SUPPORT AREA ORGANIZATIONS IN ADDRESSING THIS NEED; HOWEVER, THE HOSPITAL FEELS THAT OTHER ORGANIZATIONS HAVE MORE RESOURCES AND EXPERTISE IN ENVIRONMENTAL INFLUENCES AND THEREFORE WILL NOT FOCUS ON THIS PRIORITY AREA. PREVENT HIV, STDS, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS - AS A WAY TO COORDINATE EFFORTS, THE HOSPITAL HAS ALIGNED WITH THE NEEDS BEING ADDRESSED BY COUNTY DEPARTMENT OF HEALTH, WHICH DOES NOT INCLUDE THIS FOCUS AREA. HOWEVER, THE HOSPITAL WILL CONTINUE TO MONITOR THESE TRENDS AND OTHER SERVICES TO SUPPORT THIS NEED. MENTAL HEALTH AND SUBSTANCE ABUSE - THE HOSPITAL WILL CONTINUE TO EXPAND PRIMARY CARE PRESENCE IN THE COMMUNITY TO ENCOURAGE PREVENTATIVE CARE FOR THOSE WITH MENTAL AND BEHAVIORAL HEALTH NEEDS. WE WILL ALSO WORK TOWARD THE POSSIBILITY OF COORDINATING MENTAL HEALTH ASSESSMENT TOOLS USED THROUGHOUT THE COUNTY TO BETTER SERVE RESIDENTS ACROSS PROVIDERS. PART VI - SUPPLEMENTAL INFORMATION PART I, LINE 7: CALCULATION OF COST IS DONE UTILIZING THE RATIO OF PATIENT CARE COST TO CHARGES DEVELOPED ON WORKSHEET 2. THIS AMOUNT IS APPLIED TO THE GROSS CHARGES IDENTIFIED FROM ALLOWANCE CODES USED IN THE PATIENT ACCOUNTING SYSTEM. PART I, LINE 7A: BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A), BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS: $7,257,923. PART II - COMMUNITY BUILDING ACTIVITIES: 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 1O PAGE 1) - CRMC 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 CRMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE NECESSARY INFORMATION TO ALLOW CRMC TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. UNCOLLECTIBLE AMOUNTS DUE FROM SUCH UNINSURED PATIENTS REPRESENT A SUBSTANTIAL PORTION OF THE PROVISION FOR BAD DEBTS REFLECTED IN THE ACCOMPANYING STATEMENTS OF OPERATIONS. PART III LINE 6 - MEDICARE ALLOWABLE COST WERE CALCULATED USING THE MEDICARE REIMBURSEMENT METHODOLOGY AS REQUIRED FOR THE MEDICARE 2552 ANNUAL COST REPORT. PART III, LINE 8 - MEDICARE INDIVIDUALS UTILIZE HOSPITAL SERVICES AS A PRIMARY CARE PROVIDER HOWEVER, MEDICARE REIMBURSEMENT DOES NOT COVER THE ACTUAL OPERATING COSTS FOR PROVIDING CARE FOR MEDICARE PATIENTS. THEREFORE, ANY SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7, SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT IS THE HOSPITAL'S MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE AND ABILITY TO PAY. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON WAS THE COST TO CHARGE RATIO. PART III LINE 9B - ALL PATIENTS WHO ARE UNCERTAIN ABOUT THEIR ABILITY TO PAY FOR THE HOSPITAL SERVICES THEY RECEIVE ARE ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE. CRMC SHALL ENSURE THAT NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY BE INSERTED IN RELEVANT BILLINGS. PATIENTS WHO HAVE NOT RECEIVED FINANCIAL ASSISTANCE AND DO NOT PAY THEIR BILLS ARE EVENTUALLY SUBJECT TO A COLLECTION PROCESS THAT MAY INVOLVE THE USE OF AN OUTSIDE COLLECTION AGENCY AND MAY AFFECT THE PATIENT'S PERSONAL CREDIT RATING. IN ADDITION, THE PATIENT MUST CONSENT TO APPLY FOR MEDICAID COVERAGE AND TAKE ALL STEPS NECESSARY TO PREPARE A COMPLETE AND ACCURATE MEDICAID APPLICATION. CONSIDERATION WILL BE GIVEN TO PROVIDING FINANCIAL ASSISTANCE ON A CASE BY CASE BASIS TO PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS AND/OR WHO EXCEED FINANCIAL ELIGIBILTY CRITERIA BUT FACE EXTRAORDINARY MEDICAL COSTS. FINANCIAL ASSISTANCE IS NOT A SUBSITUTE FOR EMPLOYER-SPONSORED, PUBLIC, OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WHO DO NOT PAY THEIR BIILS WHO HAVE BEEN NOTIFIED OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND EITHER FAIL TO APPLY FOR ASSISTANCE OR APPLIED FOR ASSISTANCE BUT HAVE BEEN DETERMINED INELIGIBLE FOR ASSISTANCE, EVENTUALLY MAY BE SUBJECT TO A COLLECTION PROCESS THAT MAY INVOLVE THE USE OF AN OUTSIDE COLLECTION AGENCY AND MAY AFFECT THE PATIENT'S PERSONAL CREDIT RATING. PART VI, LINE 2: NEEDS ASSESSMENT: SEE CHNA ASSESSMENT IN PART V, SECTION B PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILTY FOR ASSISTANCE: HOSPITAL POSTS SIGNS DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM. ALL PATIENTS WITH NO INSURANCE ARE ASKED TO APPLY FOR MEDICARE AND/OR FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATION: THE CATSKILL REGIONAL MEDICAL CENTER'S SERVICE AREA FOR COMMUNITY/LOCAL HEALTH PLANNING INCLUDES ALL FIFTEEN TOWNSHIPS WITHIN RURAL SULLIVAN COUNTY, NEW YORK. THE HOSPITAL'S SERVICE AREA WITHIN SULLIVAN COUNTY IS INTO PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS ARE THOSE SULLIVAN COUNTY TOWNSHIP AND ZIP CODES WHICH ARE EITHER CLOSER TO CRMC THAN ANY OTHER HOSPITAL FACILITY OR WHERE CRMC HAS A PREDOMINANT MARKET SHARE. THE SULLIVAN COUNTY TOWNSHIPS IN THE PRIMARY SERVICE AREA ARE BETHEL, CALLICOON, COCHECTON, DELAWARE, FALLSBURG, FORESTBURGH, FREMONT, LIBERTY, NEVERSINK, ROCKLAND, THOMPSON AND TUSTEN. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE SULLIVAN COUNTY'S RURAL SERVICE AREA: (1) EXTENSIVE AND GROWING GERIATRIC POPULATION; (2) HIGHER PROPORTIONS OF BLACK AND HISPANIC POPULATIONS WHEN COMPARED WITH MOST UPSTATE NEW YORK RURAL COMMUNITIES; (3) VILLAGES OF MONTICELLO AND LIBERTY SURROUNDED BY GEOGRAPHICALLY DISPERSED RURAL POPULATIONS; (4) ECONOMIC BASE PREDOMINANTELY COMPRISED OF AGRICULTURE AS WELL AS SERVICES FOCUSING UPON HEALTH CARE, TOURISM, GOVERNMENT AND EDUCATION AND; (5) EXTENSIVE MEDICALLY INDIGENT POPULATION WITH HIGH PROPORTION OF INDIVIDUALS EITHER ON MEDICAID OR TOTALLY LACKING HEALTH INSURANCE COVERAGE. PART VI, LINE 5: OTHER INFORMATION: CRMC HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF SULLIVAN COUNTY IN SEVERAL WAYS. THE OVERWHELMING MAJORITY OF CRMC'S BOARD OF DIRECTORS ARE COMPRISED OF LOCAL HEALTH CARE CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING SULLIVAN COUNTY HEALTH CARE NEEDS AND PRIORITIES. CRMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED SULLIVAN COUNTY PHYSICIAN IS ENCOURAGED TO APPLY, AND OVER 90% OF LOCAL PHYSICIAN RETAIN MEDICAL STAFF MEMBERSHIP. THE HOSPITAL'S HEALTH SCIENCE LIBRARY SUBSIDIZED FROM CRMC OPERATIONAL FUNDING PROVIDES BOTH COMMUNITY HEALTH EDUCATION TO SULLIVAN COUNTY CONSUMERS AND PATIENTS, AS WELL AS MEDICAL EDUCATION TO LOCAL PHYSICIANS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: The Greater Hudson Valley Health System (GHVHS) is currently the active parent company for two member hospitals-Catskill Regional Medical Center and Orange Regional Medical Center. The GVHS is dedicated to developing specialty services, medical programs and needed healthcare services that allow residents to remain close to home to receive quality care. Providing healthcare to nearly 450,000 residents in Orange, Sullivan and Ulster Counties, the GHVHS was designed to improve the quality, stability and efficiency of healthcare services in the mid-Hudson and Catskill regions. Services provided by more than 3,300 employed professionals and over 850 medical staff members, makes the GHVHS one of the largest healthcare providers in the tri-county area. The System has three hospital campuses plus several outpatient facilities, offering a broad spectrum of care. Catskill Regional Medical Center has two hospital facilities serving patients in Sullivan and Ulster Counties. Catskill Regional Medical Center-Harris is a community hospital; while, Catskill Regional Medical Center- Callicoon is a critical access hospital. Orange Regional Medical Center opened a new hospital facility during 2011 and serves patients in the tri-county area. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT - CRMC PERFORMS A COMMUNITY SERVICE PLAN EVERY THREE YEARS. true CATSKILL REGIONAL MEDICAL CENTER FOUNDATION PO BOX 800 HARRIS NY 12742 141742176 501(C)(3) 11000 INTERCOMPANY ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 141364536 501(C)(3) 5750 INTERCOMPANY 2 SCHEDULE I, PART II Catskill Regional Medical Center pays for some administrative services for Catskill Regional Medical Center Foundation. The organization is a related organization. X X X X X true true false false false false false true false ROLLAND BOJO VP PT CARE SVCS, CNO 198014 0 43750 0 60 0 12277 0 21712 0 275813 0 0 0 GERARD GALARNEAU CEO/CMO 390372 0 75000 0 90 0 15600 0 21023 0 502085 0 0 0 JOSEPH ANESI VP/GENERAL COUNSEL 0 312722 0 75000 0 10742 0 40900 0 27684 0 467048 0 8575 ROSEMARY BACZEWSKI VP QUALITY & HIM 0 237744 0 51210 0 1983 0 30584 0 18505 0 340026 0 0 SCOTT BATULIS PRESIDENT & CEO 0 954263 0 344889 0 171492 0 40900 0 27684 0 1539228 0 169081 RICHARD CARRICO CFO - Effective 3/24/14 0 313398 0 0 0 1350 0 0 0 16439 0 331187 0 0 GERARD DUNLAVEY EXEC DIRECTOR MEDICAL PC 0 245694 0 56776 0 1544 0 42932 0 27684 0 374630 0 808 SANDRA IBERGER VP OPERATIONS 0 280568 0 67422 0 10668 0 40900 0 27684 0 427242 0 9907 JOHN LYNCH VP/CIO UNTIL 1/31/14 0 33935 0 63959 0 166288 0 18240 0 5080 0 287502 0 33181 JOANNE STURANS CHIEF HR OFFICER 0 313326 0 75000 0 10860 0 9627 0 27684 0 436497 0 10100 STEPHEN SUGRUE VP COMPLIANCE, AUDIT & RE 0 234259 0 51640 0 461 0 37064 0 27684 0 351108 0 0 BRIAN TEW CIO - Effective 8/1/14 0 174744 0 25630 0 278 0 0 0 7192 0 207844 0 0 MITCHELL AMADO FORMER VP FINANCE/CFO 0 0 0 0 0 113125 0 11268 0 0 0 124393 0 63612 DEBORAH CARR FORMER VP HUMAN RESOURCES 0 10367 0 56803 0 199239 0 36881 0 1371 0 304661 0 2040 FREDERICK KURIGER FORMER CEO 0 0 0 0 173347 0 0 0 0 0 173347 0 0 0 JEFFREY LIETO FORMER CHIEF PHYS STRATEGY OFF 0 0 0 220931 0 0 0 0 0 0 0 220931 0 0 ABDUL SHAZAD PHYSICIAN 391043 0 0 0 127 0 15600 0 27067 0 433837 0 0 0 MOHAMMAD S KHAN PHYSICIAN 303305 0 0 0 55 0 15600 0 23286 0 342246 0 0 0 ETHAN SINGER NURSE PRACTITIONER 256364 0 0 0 83 0 15799 0 19032 0 291278 0 0 0 KHIN M MYO PHYSICIAN 239528 0 0 0 703 0 14372 0 0 0 254603 0 0 0 ROBERT KHAN NURSE PRACTITIONER 231050 0 0 0 238 0 13702 0 14365 0 259355 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE COMPENSATION IN 2014 FREDERICK KURIGER $174,347 MITCHELL AMADO $ 49,513 DEBORAH CARR $117,004 JEFFREY 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 JOANNE STURANS 10,100 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) JOSEPH LOUGHLIN SEE PART V 254471 CONTRACTED SERVICES false PART IV - COLUMN B JOSEPH LOUGHLIN - BOARD MEMBER AND PART OWNER OF M L ZAGER PC - PROVIDES COLLECTION SERVICES FOR CRMC FORM 990 PART III - ORGANIZATION'S MISSION LINE 1: THE CATSKILL REGIONAL MEDICAL CENTER (CRMC) MISSION STATEMENT IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE. CRMC'S VISION IS THAT WE ARE CARING PROFESSIONALS DRIVEN BY STANDARDS OF EXCELLENCE WHO GO ABOVE AND BEYOND TO PROVIDE AN EXCEPTIONAL PATIENT CARE EXPERIENCE. CRMC'S VALUES REFLECT OUR MISSION AND VISION BY FOCUSING ON PATIENTS AND FAMILIES FIRST, HONESTY, INTEGRITY AND TRANSPARENCY IN ACTION, OPERATIONAL EXCELLENCE, TEAMWORK, COLLABORATION AND COMMUNICATION, ACCOUNTABILITY AND AN IMPECCABLE HEALING ENVIRONMENT. FORM 990 PART III - OTHER PROGRAM SERVICES DESCRIPTIONS LINE 4D: EXPENSES ARE INCURRED WHILE PROVIDING OTHER INPATIENT SERVICES FOR MOTHER/BABY AND MENTAL HEALTH to 1,749 PATIENTS FROM THE SURROUNDING COMMUNITIES. FORM 990 PART VI - BUSINESS AND FAMILY RELATIONSHIPS LINE 2 JOSEPH LOUGHLIN - BUSINESS RELATIONSHIP WITH M.L. ZAGER P.C. - OWNS 50% OF THE LAW FIRM. FORM 990 PART VI LINE 6 - EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS: GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C) (3) IS THE SOLE MEMBER OF CATSKILL REGIONAL MEDICAL CENTER. FORM 990 PART VI LINE 7A AND 7B - ELECTION OF MEMBERS GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE CRMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM CRMC BOARD OF DIRECTORS. GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF CATSKILL REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS INCLUDING: " APPOINTMENT OF DIRECTORS " APPROVAL OF CERTIFICATE OF NEED APPLICATIONS " APPROVAL OF ANNUAL STRATEGIC PLAN " APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION " APPROVAL OF OPERATING AND CAPITAL BUDGETS " APPROVAL OF ANY BORROWINGS, GUARANTEES OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE " APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION " APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY ENTITY FORM 990 PART VI LINE 11A - BOARD REVIEW OF FORM 990 THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO CRMC'S TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL VERSION OF THE ORGANIZATION'S FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990 PART VI LINE 12C - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS CATSKILL REGIONAL MEDICAL CENTER'S CONFLICT OF INTEREST (COI) POLICY APPLIES TO ALL DIRECTORS, COMMITTEE MEMBERS AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE HOSPITAL OR ANY ENTITY CONTROLLED BY THE HOSPITAL. THE HOSPITAL HAS INSTITUTED A CORPORATE COMPLIANCE PROGRAM TO ENSURE THAT ALL OF ITS BUSINESS PRACTICES ARE IN COMPLIANCE WITH APPLICABLE CIVIL AND CRIMINAL LAWS, RULES AND REGULATIONS. THE CONFLICT POLICY REQUIRES ALL DIRECTORS AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO HOSPITAL POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND IS PRESENT AT ALL BOARD MEETINGS TO ASSIST WITH ANY POTENTIAL CONFLICT ISSUES AND PROVIDE ADVICE ON ABSTENTION, RECUSAL, ETC. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY. FORM 990 PART VI LINE 15A/B - COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES IN DETERMINING COMPENSATION FOR CEO, CRMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, CRMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF CEO SALARY WAS PERFORMED IN 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. FORM 990 PART VI LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE ONCE A REQUEST IS MADE FOR THE CATSKILL REGIONAL MEDICAL CENTER TAX RETURN, A COPY IS SENT TO THE PERSON(S) REQUESTING THE DATA OR AS REQUIRED FOR VARIOUS STATE AND FEDERAL FILINGS THROUGH THE ADMINISTRATION OFFICE. FORM 990, PART IX, LINE 9 - RECONCILIATION OF NET ASSETS CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION, INC. $17,363 EQUITY ADJUSTMENT FOR NET ASSET RELEASE FROM RESTRICTION $2,400,000 --------- TOTAL $2,417,363 GREATER HUDSON VALLEY HEALTH SYSTEM C/O ORMC 707 E MAIN ST MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(C)(3) 11 NA false ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN ST MIDDLETOWN NY 10940 141364536 HOSPITAL NY 501(C)(3) 3 GHVHS false CRMC FOUNDATION PO BOX 800 HARRIS NY 12742 133020568 FUND RAISING NY 501(C)(3) 11 NA false GHVHS MEDICAL GROUP PC 707 E MAIN ST MIDDLETOWN NY 10940 371743537 HEALTHCARE NY 501(C)(3) 509 (A)(3) GHVHS false EAST MAIN ST MGMT CORP 707 E MAIN ST MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY ORMC C Corp 0 0 false THE ALPHA NETWORK INC 707 E MAIN ST MIDDLETOWN NY 10940 061509147 MGD CARE NY ORMC C Corp 0 0 false false false true false false false false false false false false true true false true false true true true