GARNET HEALTH MEDICAL CENTER CATSKILLS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GARNET HEALTH MEDICAL CENTER CATSKILLS (EIN 14-6049030)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201343169349302539
Schema version
2012v2.1
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)
Timestamp2013-11-12T15:35:49-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AvenueAddressLine1
CityNew YorkCity
StateNYState
ZIP Code101540102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN146049030EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CATSKILL REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CATSKILL REGIONAL MEDICAL CEInCareOfName
Name ControlCATSNameControl
Phone8457943300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 800AddressLine1
Address Line2SuiteAddressLine2
CityHARRISCity
StateNYState
ZIP Code12742ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGERARD GALARNEAUName
TitleCEO/CMOTitle
Phone8457943300Phone
Date Signed2013-11-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKPMG LLPName
Phone2127589700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGERARD J GALARNEAUNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O CRMC PO BOX 800AddressLine1
CityHARRISCity
StateNYState
ZIP Code12742ZIPCode
FieldValueIRS element (for citing)
Gross Receipts117846317GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CRMCNY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1002TotalNbrEmployees
Total Nbr Volunteers143TotalNbrVolunteers
Total Gross UBI568598TotalGrossUBI
Net Unrelated Business Txbl Income89594NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7708071ContributionsGrantsPriorYear
Contributions Grants Current Year1405522ContributionsGrantsCurrentYear
Program Service Revenue Prior Year101071562ProgramServiceRevenuePriorYear
Program Service Revenue CY95205019ProgramServiceRevenueCY
Investment Income Prior Year182996InvestmentIncomePriorYear
Investment Income Current Year260500InvestmentIncomeCurrentYear
Other Revenue Prior Year77359OtherRevenuePriorYear
Other Revenue Current Year69849OtherRevenueCurrentYear
Total Revenue Prior Year109039988TotalRevenuePriorYear
Total Revenue Current Year96940890TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year56047999SalariesEtcPriorYear
Salaries Etc Current Year55898954SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44048275OtherExpensePriorYear
Other Expenses Current Year43960566OtherExpensesCurrentYear
Total Expenses Prior Year100096274TotalExpensesPriorYear
Total Expenses Current Year99859520TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8943714RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2918630RevenuesLessExpensesCY
Total Assets BOY74353602TotalAssetsBOY
Total Assets EOY70587643TotalAssetsEOY
Total Liabilities BOY65256614TotalLiabilitiesBOY
Total Liabilities EOY64013847TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9096988NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6573796NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense37698652Expense
Grants0Grants
Revenue47117503Revenue
DescriptionEXPENSES INCURRED WHILE PROVIDING INPATIENT MEDICAL SURGICAL SERVICES, OBSTETRICS, NEWBORN CARE SERVICES, AND BIO-CHEMICAL DEPENDENCY CARE SERVICES TO 4,568 PATIENTS IN THE SURROUNDING COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10809215Expense
Grants0Grants
Revenue4946807Revenue
DescriptionCRMC PROVIDES OUTPATIENT CLINICAL SERVICES THROUGHOUT ITS CLINICS SPECIALIZED IN CARDIOLOGY, ENDOCRINOLOGY, WOUND CARE, ONCOLOGY/ HEMATOLOGY, FAMILY HEALTH AND WOMEN'S HEALTH SERVICES. EXPENSES INCURRED WHILE PROVIDING 17,767 CLINICAL SERVICES TO PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense12193614Expense
Grants0Grants
Revenue10783323Revenue
DescriptionCRMC PROVIDES REFERRED AMBULATORY SERVICES SUCH AS LABORATORY, IMAGING, CANCER SCREENING, CARDIAC CARE, AND REHABILITATION THERAPY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY. EXPENSES INCURRED WHILE PROVIDING 47,242 REFERRED AMBULATORY SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp24688612TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev32357386TotalOfOtherProgramServiceRev
Total Program Service Expense85390093TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096135NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1002NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCATSKILL REGIONAL MEDICAL CENamePerson
Telephone Number8457943300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 800AddressLine1
CityHARRISCity
StateNYState
ZIP Code12742ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MARC BAEZ
SECRETARY3.0XX000
DARREL SUPAK
CHAIRMAN3.0XX000
JOAN FARROW
DIRECTOR UNTIL 8/22/123.0X0001.0
GERALD SKODA
DIRECTOR3.0X000
RICHARD LANDER
DIRECTOR3.0X000
JACQUELINE RICCIANI
DIRECTOR3.0X000
JOSEPH LOUGHLIN
VICE CHAIRMAN3.0XX000
ANDREW PAVLOFF
TREASURER3.0XX000
BARBARA BLAKEY
DIRECTOR3.0X000
MICHAEL WASCHITZ
DIRECTOR3.0X000
LUIS RODRIGUES MD
DIRECTOR3.0X000
TIMOTHY RYDELL MD
DIRECTOR FROM 8/4/12 - 8/22/123.0X000
ALLAN SCOTT
DIRECTOR UNITL 7/30/121.0X000
JEFFREY GRAY
DIRECTOR UNTIL 08/04/121.0X000
FREDERICK H KURIGER
CEO EFFECTIVE 12/30/201140.0X268696027030
BARBARA GENTILE
CNOX12181102782940.0
PETER PANZARINO
CHIEF MEDICAL OFFICER36.0X273205030649
MITCHELL AMADO
VP FINANCE/CFO10.0X04681067347450.0
JOSEPH M ANESI
VP/GENERAL COUNSEL10.0X02752454431150.0
SCOTT BATULIS
PRESIDENT10.0X09799596077450.0
DEBORAH CARR
VP HUMAN RESOURCES10.0X02402666379850.0
STEPHEN SUGRUE
VP COMPLIANCE10.0X02015345069750.0
ROSEMARY A BACZEWSKI
VP QUALITY10.0X01924232804950.0
JEFFREY F LIETO
CHIEF PHYSICIAN STRATEGY OFF.10.0X03535724278850.0
SYED S RAB
VP/CIO UNTIL 3/9/1220.0X01340431428140.0
JOHN LYNCH
VP/CIO10.0X0173626050.0
ROSEMARY FRADO
VO PLANN. & MKTS UNTIL 5/18/1210.0X02599852452550.0
MOHAMMAD S KHAN
PHYSICIAN40.0293807032067X
ABDUL SHAHZAD
PHYSICIAN40.0443215032821X
IRVELYNE CAMILLE
PHYSICIAN40.0252051021855X
FLORENCE JEAN-LOUIS
PHYSICIAN40.0199051026960X
KHORSHEDA B ALI
PHYSICIAN40.0253014035333X
STEVEN T RUWOLDT
CEO UNTIL APRIL 201140.013846200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2243312TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3278759TotalReportableCompFrmRltdOrgs
Total Other Compensation637241TotalOtherCompensation
Number Individuals GT100 K52NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WILLIAM H LANE
113 COURT STREETBINGHAMTONNY13901CONSTRUCTION SERV.1196834
MCKESSON INFORMATION SOLUTIONS
POBOX 98347CHICAGOIL606938347COMPUTER SERVICES1291284
MORRISON MANAGEMENT SOLUTIONS
PO BOX 102289ATLANTAGA30368FOOD SERVICE1393597
WESTAGE MANAGEMENT LLC
200 BUSINESS CTR SUITE 123FISHKILLNY12524CONSTRUCTION SERVICE567843
CRYSTAL RUN HEALTHCARE LLP
155 CRYSTAL RUN ROADMIDDLETOWNNY10940MEDICAL SERVICES1730750
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Fundraising Events78844FundraisingEvents
Related Organizations40484RelatedOrganizations
Government Grants1267259GovernmentGrants
All Other Contributions18935AllOtherContributions
Total Contributions1405522TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
INPATIENT REVENUE6239903983076339830763
SNU INPATIENT REVENUE62300058962415896241
PSYCH INPATIENT REVENUE62300041433054143305
INDIGENT CARE POOL REVENUE62300069717016971701
OUTPATIENT REVENUE6219903329416332725565568598

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column5068846TotalRevenueColumn
Related Or Exempt Function Income5068846RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue95205019TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column167457TotalRevenueColumn
Exclusion$167,457ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real55788Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2761Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real53027Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column53027TotalRevenueColumn
Exclusion$53,027ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20850624Securities
Other113221Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities20861299Securities
Other9503Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-10675Securities
Other103718Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column93043TotalRevenueColumn
Exclusion$93,043ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events38810GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events78844CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses31864FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6946TotalRevenueColumn
Exclusion$6,946ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionREBATES & REFUNDSDescription
Business Code900099BusinessCode
Total Revenue Column9876TotalRevenueColumn
Exclusion$9,876ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9876TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column96940890TotalRevenueColumn
Related Or Exempt Function Income94636421RelatedOrExemptFunctionIncome
Unrelated Business Revenue568598UnrelatedBusinessRevenue
Exclusion$330,349ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total749221Total
Program Services678875ProgramServices
Management And General70346ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total94525Total
Program Services85650ProgramServices
Management And General8875ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41317253Total
Program Services37437869ProgramServices
Management And General3879384ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2623170Total
Program Services2376874ProgramServices
Management And General246296ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7912533Total
Program Services7169605ProgramServices
Management And General742928ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3202252Total
Program Services2901584ProgramServices
Management And General300668ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8913267Total
Program Services3944266ProgramServices
Management And General4969001ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total299502Total
Management And General299502ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total253570Total
Management And General253570ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total17608Total
Management And General17608ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6857581Total
Program Services5046226ProgramServices
Management And General1811355ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total181749Total
Program Services6066ProgramServices
Management And General175683ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total465638Total
Program Services393984ProgramServices
Management And General71654ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2504926Total
Program Services2453335ProgramServices
Management And General51591ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43170Total
Program Services31876ProgramServices
Management And General11294ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1696241Total
Program Services1422171ProgramServices
Management And General274070ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4040642Total
Program Services3387775ProgramServices
Management And General652867ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total452249Total
Program Services452249ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES101085221002879379729
BAD DEBTS529390152939010
POSTAGE AND SHIPPING1217086677554933
OTHER EXPENSES27102922212219498073

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total99859520Total
Program Services85390093ProgramServices
Management And General14469427ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7307533BOY
EOY4990421EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2411639BOY
EOY2565882EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2691414BOY
EOY536506EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10693689BOY
EOY12866917EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1223827BOY
EOY1360073EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1164303BOY
EOY131381EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis121597712LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec96894361LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25859140BOY
EOY24703351EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14523696BOY
EOY13767860EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8478361BOY
EOY9665252EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY74353602BOY
EOY70587643EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14262337BOY
EOY15781764EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY38059926BOY
EOY34506040EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY356972BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1456844BOY
EOY1455390EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11120535BOY
EOY12270653EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY65256614BOY
EOY64013847EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4585888BOY
EOY3545640EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3052395BOY
EOY1069451EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1458705BOY
EOY1958705EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9096988BOY
EOY6573796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY74353602BOY
EOY70587643EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2918630ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-77798ReconciliationUnrealizedInvest
Reconcilation Other Changes473236ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$17,608OtherActivitiesAmount
Total Lobbying Expenditures IIB17608TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1IIdentifier
ExplanationPERCENTAGE OF DUES PAID TO THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS), NORTHERN METROPOLITAN HOSPITAL ASSOCIATION (NORMET) AND 1199 SEIU ALLOCATED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1458705BeginningOfYearBalance
Contributions500000Contributions
End Of Year Balance1958705EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1457705BeginningOfYearBalance
Contributions1000Contributions
End Of Year Balance1458705EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1457705BeginningOfYearBalance
End Of Year Balance1457705EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1457705BeginningOfYearBalance
End Of Year Balance1457705EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1457705BeginningOfYearBalance
End Of Year Balance1457705EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis888426OtherCostOrOtherBasis
Book Value888426BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30731995OtherCostOrOtherBasis
Depreciation25499668Depreciation
Book Value5232327BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12338732OtherCostOrOtherBasis
Depreciation2774624Depreciation
Book Value9564108BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis56021578OtherCostOrOtherBasis
Depreciation48547814Depreciation
Book Value7473764BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21616981OtherCostOrOtherBasis
Depreciation20072255Depreciation
Book Value1544726BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24703351TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING FEES782451
INTEREST IN CRMC FOUNDATION2721178
INSURANCE RECEIVABLE3607530
THIRD PARTY RECEIVABLE2492008
OTHER RECEIVABLE62085
FieldValueIRS element (for citing)
Total Book Value Other Assets9665252TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$5,792,233
ESTIMATED MALPRACTICE LIABILITY$6,140,883
OTHER LIABILITY$337,537
FieldValueIRS element (for citing)
Total Of Amounts12270653TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt97368192TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-77798NetUnrealizedGainsInvestments
Other Revenues505100OtherRevenues
Revenue Not Rptd F990427302RevenueNotRptdF990
Revenue Subtotal96940890RevenueSubtotal
Total Revenue Per Form99096940890TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt99891384TotExpensesEtcAuditedFinclStmt
Other Expenses Included31864OtherExpensesIncluded
Expenses Not Rptd F99031864ExpensesNotRptdF990
Expenses Subtotal99859520ExpensesSubtotal
Total Expenses Per Form99099859520TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D PART VLINE 4INTENDED USE OF ENDOWMENT FUNDS. THIS FUND, IF ANY, CAN BE USED TO PURCHASE PATIENT EQUIPMENT.
SCHEDULE D PART XLINE 2 - FIN 48 FOOTNOTETHE 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 XILINE 2DSPECIAL EVENTS DIRECT EXPENSES: $31,864 CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION,INC: $473,236
SCHEDULE D PART XIILINE 2D: SPECIAL EVENTS DIRECT EXPENSES: $31,864

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BERN MEMORIALNameOfEvent1
Gross Receipts Event180746GrossReceiptsEvent1
Charitable Contributions Event161286CharitableContributionsEvent1
Gross Revenue Event119460GrossRevenueEvent1
Non Cash Prizes Event13608NonCashPrizesEvent1
Rent Facility Costs Event112740RentFacilityCostsEvent1
Food And Beverage Event1490FoodAndBeverageEvent1
Other Direct Expenses Event1620OtherDirectExpensesEvent1
Name Of Event2RISENameOfEvent2
Gross Receipts Event29583GrossReceiptsEvent2
Charitable Contributions Event29583CharitableContributionsEvent2
Total Number Of Other Events5TotalNumberOfOtherEvents
Gross Receipts Other Events27325GrossReceiptsOtherEvents
Charitable Contrib Other Events7975CharitableContribOtherEvents
Gross Revenue Other Events19350GrossRevenueOtherEvents
Non Cash Prizes Other Events630NonCashPrizesOtherEvents
Food And Beverage Other Events2354FoodAndBeverageOtherEvents
Other Direct Expenses Other Events11422OtherDirectExpensesOtherEvents
Gross Receipts Total117654GrossReceiptsTotal
Charitable Contributions Total78844CharitableContributionsTotal
Gross Revenue Total Events38810GrossRevenueTotalEvents
Non Cash Prizes Total Events4238NonCashPrizesTotalEvents
Rent Facility Costs Total Events12740RentFacilityCostsTotalEvents
Food And Beverage Total Events2844FoodAndBeverageTotalEvents
Other Direct Expenses Total Events12042OtherDirectExpensesTotalEvents
Direct Expense Summary Events31864DirectExpenseSummaryEvents
Net Income Summary6946NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4225579TotalCommunityBenefitExpense
Direct Offsetting Revenue81874DirectOffsettingRevenue
Net Community Benefit Expense4143704NetCommunityBenefitExpense
Percent Of Total Expense0.04150PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25793807TotalCommunityBenefitExpense
Direct Offsetting Revenue19769115DirectOffsettingRevenue
Net Community Benefit Expense6024692NetCommunityBenefitExpense
Percent Of Total Expense0.06030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense30019386TotalCommunityBenefitExpense
Direct Offsetting Revenue19850989DirectOffsettingRevenue
Net Community Benefit Expense10168396NetCommunityBenefitExpense
Percent Of Total Expense0.10180PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense24342TotalCommunityBenefitExpense
Net Community Benefit Expense24342NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense50024TotalCommunityBenefitExpense
Net Community Benefit Expense50024NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4801678TotalCommunityBenefitExpense
Direct Offsetting Revenue2594696DirectOffsettingRevenue
Net Community Benefit Expense2206982NetCommunityBenefitExpense
Percent Of Total Expense0.02210PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense19635TotalCommunityBenefitExpense
Net Community Benefit Expense19635NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4895679TotalCommunityBenefitExpense
Direct Offsetting Revenue2594696DirectOffsettingRevenue
Net Community Benefit Expense2300983NetCommunityBenefitExpense
Percent Of Total Expense0.02270PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense34915065TotalCommunityBenefitExpense
Direct Offsetting Revenue22445685DirectOffsettingRevenue
Net Community Benefit Expense12469379NetCommunityBenefitExpense
Percent Of Total Expense0.12450PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense20370TotalCommunityBuildingExpense
Net Community Building Expense20370NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense20370TotalCommunityBuildingExpense
Net Community Building Expense20370NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,162,699BadDebtExpenseAmount
Amount Attributable To162784AmountAttributableTo
Amount Reimbursed By Medicare26746149AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare32587293CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5841144MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOtherCritical Access HospitalCriticalAccessHospital
CATSKILL REGIONAL MEDICAL CTR-HARRIS
168 HARRIS-BUSHVILLE ROADHARRISNY12742XXXSOLE COMMUNITY HOSP.
CATSKILL REGIONAL MEDICAL CTR-GROVER
2ROUTE 97CALLICOONNY12723XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
CATSKILL REGIONAL MEDICAL CTR-HARRIS
1truetrue200.true201.trueXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse
CATSKILL REGIONAL MED CTR-GROVER HER
2truetrue200.true201.trueXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART VI - SUPPLEMENTAL INFORMATIONIdentifier
ExplanationPART I LINE 7 - COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT REPORTED ON THE PART I, LINE 7 TABLE WAS THE RATIO OF COST TO CHARGES. BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COL. (A) BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WAS $5,293,901. PART I LINE 7G - CATSKILL REGIONAL MEDICAL CENTER (CRMC) IS REPORTING AS SUBSIDIZED HEALTH SERVICES THE LOSSES FROM VARIOUS PHYSICIAN CLINICS NECESSARY TO PROMOTE HEALTH IN OUR RURAL AREA. WITHOUT THESE CLINICS, THE ACCESS TO HEALTH SERVICES WOULD BE EXTREMELY LIMITED OR NON-EXISTENT. PART II - COMMUNITY BUILDING ACTIVITIES: CRMC ESTABLISHED A MULTIDISCIPLINARY COMMUNITY ADVISORY BOARD THAT IS COMPRISED OF 33 CONSUMER AND PROVIDER REPRESENTATIVES WHO CONTINUE MEETING QUARTERLY TO PROVIDE FEEDBACK ON HOSPITAL PERFORMANCE, AS WELL AS TO PROVIDE INPUT ON SULLIVAN COUNTY COMMUNITY HEALTH NEEDS, ISSUES AND PRIORITIES. THE HOSPITAL ADVISORY BOARD IDENTIFIED THE PREVENTION, CARE AND TREATMENT OF CHRONIC DISEASES INCLUDING DIABETES AND CARDIOVASCULAR, AS WELL AS BEHAVIORAL HEALTH ISSUES INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE, AS THE HIGHEST PRIORITY OF UNMET HEALTH CARE NEEDS THROUGHOUT SULLIVAN COUNTY. PART III LINE 2 - BAD DEBT EXPENSES - COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSES WAS THE RATIO OF COST TO CHARGES. PART III LINE 3 - ESTIMATE BAD DEBT EXPENSE OF 2,325,483 - COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSES WAS THE RATIO OF COST TO CHARGES AND RATIO OF FINANCIAL APPLICATIONS SUBMITTED WITH AN INCOMPLETE STATUS PART III LINE 4 (AFS FOOTNOTE 2 PAGE 12) - 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. SECTION A PART V THE POLICIES FOR BOTH HOSPITAL FACILITIES ARE THE SAME AND THE DISCLOSURE RELATES TO BOTH CATSKILL REGIONAL MEDICAL CENTER - HARRIS AND CATSKILL REGIONAL MEDICAL CENTER - GROVER SECTION B PART V LINE 12H: OTHER FACTORS - CALCULATION OF FINANCIAL ASSISTANCE ELIGIBILITY WAS BASED ON FAMILY SIZE. SECTION B LINE 18E: OTHER BILLING AND COLLECTIONS EFFORTS - FINANCIAL ASSISTANCE POLICY POSTED ON CRMC WEBSITE. SECTION B PART V LINE 20D: THE HOSPITAL FACILITY USED PERCENTAGE OF MEDICAID RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. PART VI, LINE 2: NEEDS ASSESSMENT: A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED COLLABORATIVELY WITH SULLIVAN COUNTY PUBLIC HEALTH SERVICES, THE LOCAL HEALTH DEPARTMENT. PUBLIC PARTICIPATION WAS SOUGHT THROUGH A MULTITUDE OF VEHICLES INCLUDING FOUR COMMUNITY HEALTH FORUMS CONDUCTED IN CONJUNCTION WITH SULLIVAN COUNTY PUBLIC HEALTH SERVICES. CRMC AND THE SULLIVAN COUNTY PUBLIC HEALTH DEPARTMENT JOINTLY CONTRACTED WITH NEW YORK MEDICAL COLLEGE TO CARRY OUT A REGIONAL NEEDS ASSESSMENT SURVEY OF HEALTH CARE PROVIDERS IN THE COUNTY. CRMC RECEIVED HEALTH CARE PROVIDER INPUT AND FEEDBACK FROM MEMBERS OF THE SULLIVAN COUNTY RURAL HEALTH NETWORK. 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 patienExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FREDERICK H KURIGER
CEO EFFECTIVE 12/30/2011245801000228950139820130480295726000
PETER PANZARINO
CHIEF MEDICAL OFFICER23494303750007620144290162200303854000
MITCHELL AMADO
VP FINANCE/CFO0382388038880046838050200023274054158000
JOSEPH M ANESI
VP/GENERAL COUNSEL02486270259940624024711019600031955600
SCOTT BATULIS
PRESIDENT0630021020782101421170400000207740104073300
DEBORAH CARR
VP HUMAN RESOURCES0196066021244022956042323021475030406400
STEPHEN SUGRUE
VP COMPLIANCE0170962017407013165025923024774025223100
ROSEMARY A BACZEWSKI
VP QUALITY016554209208017673014156013893022047200
JEFFREY F LIETO
CHIEF PHYSICIAN STRATEGY OFF.033071400022858022014020774039636000
MOHAMMAD S KHAN
PHYSICIAN279368000144390150000170670325874000
ABDUL SHAHZAD
PHYSICIAN426077000171380150000178210476036000
IRVELYNE CAMILLE
PHYSICIAN23499700017054015000068550273906000
FLORENCE JEAN-LOUIS
PHYSICIAN183866000151850121090148510226011000
KHORSHEDA B ALI
PHYSICIAN235924000170900150000203330288347000
STEVEN T RUWOLDT
CEO UNTIL APRIL 2011138462000000000138462000
JOHN LYNCH
VP/CIO015654401674203400000017362600
ROSEMARY FRADO
VO PLANN. & MKTS UNTIL 5/18/12011557507070407370601512209403028451000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierLINE 4AIdentifier
ExplanationFILING ORGANIZATION: STEVEN T. RUWOLDT, FORMER CEO, RECEIVED $138,462, IN SEVERANCE COMPENSATION IN 2012. PART I, LINE 4B THE FOLLOWING PAYMENTS WERE MADE FROM GHVHS, A RELATED TAX EXEMPT ORGANIZATION: PART I, LINE 4B: NONQUALIFIED PAYMENT MITCHELL AMADO 23,353 JOSEPH M ANESI 22 SCOTT BATULIS 118,375 ROSEMARY FRADO 33,254 JAMES OXLEY,MD 11,604Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY STATE OF NYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
Date Issued2004-12-16DateIssued
Issue Price54518326IssuePrice
Description Of PurposeREFINANCING OF MORTGAGE LOANDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired17955000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds54518326TotalProceeds
Amount In Reserve Fund5140500AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow47070653RefundingEscrow
Issuance Costs From Proceeds1060221IssuanceCostsFromProceeds
Credit Enhancement558296CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds47759309OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2004YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TesttrueBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JUDITH SKORDINSKI
SEE SCHEDULE L PART V94525EMPLOYMENTfalse
JOSEPH LOUGHLIN
SEE SCHEDULE L PART V110802CONTRACTED SERVICESfalse
TIMOTHY RYDELL JEFFREY GRAY
SEE SCHEDULE L PART V1730750MEDICAL SERVICESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IVIdentifier
Return ReferenceCOLUMN BReturnReference
ExplanationJUDITH SKORDINSKI IS A FAMILY MEMBER OF LOUIS RODRIGUES. JOSEPH LOUGHLIN - BUSINESS RELATIONSHIP WITH M.L. ZAGER P.C. - OWNS 50% OF THE LAW FIRM. TIMOTHY RYDELL AND JEFFREY GRAY - PARTNERS IN CRYSTAL RUN HEALTHCARE LLP.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 PART III - ORGANIZATION'S MISSIONLINE 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 DESCRIPTIONSLINE 4D:EXPENSES ARE INCURRED WHILE PROVIDING OTHER SERVICES SUCH AS LONG TERM CARE, MENTAL HEALTH CARE, AMBULATORY SERVICES, ADULT DAY CARE PROGRAM AND A 24/7 EMERGENCY ROOM TO 38,518 RESIDENTS AND VISITORS IN THE SURROUNDING COMMUNITY.
FORM 990 PART VI - BUSINESS AND FAMILY RELATIONSHIPSLINE 2JOSEPH LOUGHLIN - BUSINESS RELATIONSHIP WITH M.L. ZAGER P.C. - OWNS 50% OF THE LAW FIRM. JOSEPH LOUGHLIN AND JOAN FARROW - FAMILY RELATIONSHIP. TIMOTHY RYDELL AND JEFFREY GRAY - BUSINESS RELATIONSHIP, PARTNERS IN CRYSTAL RUN HEALTHCARE LLP. JOAN FARROW AND JOSEPH LOUGHLIN - FAMILY RELATIONSHIP.
FORM 990 PART VI, LINE 4THE BYLAWS OF ORANGE REGIONAL MEDICAL CENTER AND ITS AFFILIATED HOSPITAL, CATSKILL REGIONAL MEDICAL CENTER, WERE REVISED IN 2012 TO: (A)ELIMINATE ALL COMMITTEES AT THE HOSPITAL LEVEL OTHER THAN GOVERNANCE AND PERFORMANCE IMPROVEMENT; AND (B) REDUCE THE MINIMUM NUMBER OF DIRECTORS TO 3. CURRENTLY, THE BYLAWS OF CRMC'S SOLE MEMBER AND CORPORATE PARENT, GREATER HUDSON VALLEY HEALTH SYSTEM (GHVHS), INC., WERE REVISED TO: (A) STREAMLINE THE DIRECTOR NOMINATION PROCESS; (B) EXPAND THE MAXIMUM NUMBER OF DIRECTORS TO 30; AND (C) ESTABLISH THREE GROUPS OF DIRECTORS WITH STAGGERED TERMS. IN ADDITION, TO FURTHER CENTRALIZE THE GOVERNANCE OF GHVHS AND THE TWO HOSPITALS OF WHICH GHVHS IS THE SOLE MEMBER (ORANGE REGIONAL MEDICAL CENTER AND CATSKILL REGIONAL MEDICAL CENTER), THE FOLLOWING COMMITTEES WERE AUTHORIZED IN THE GHVHS BYLAWS (IN ADDITION TO THE PRE-EXISTING EXECUTIVE, AUDIT & COMPLIANCE, STRATEGIC PLANNING AND GOVERNANCE COMMITTEES): FINANCE COMMITTEE, PERFORMANCE IMPROVEMENT COMMITTEE, BIOTHICS COMMITTEE AND INSTITUTIONAL REVIEW BOARD.
FORM 990 PART VILINE 6 - MEMBERS OR STOCKHOLDERSGREATER 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 VILINE 7A AND 7B - ELECTION OF MEMBERSGREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE CRMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM CRMC BOARD OF DIRECTORS. GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF CATSKILL REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS INCLUDING: " APPOINTMENT OF DIRECTORS " APPROVAL OF CERTIFICATE OF NEED APPLICATIONS " APPROVAL OF ANNUAL STRATEGIC PLAN " APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION " APPROVAL OF OPERATING AND CAPITAL BUDGETS " APPROVAL OF ANY BORROWINGS, GUARANTEES OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE " APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION " APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY
FORM 990 PART VILINE 11A - BOARD REVIEW OF FORM 990THE 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 VILINE 12C - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTSCATSKILL 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 VILINE 15A/B - COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPIN 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 2011 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 VILINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEONCE 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.
PART XI - RECONCILIATION OF NET ASSETSLINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION, INC : 473,236
SCHEDULE KPART I - BOND ISSUES CUSIP #'S:64983TW25; 64983TW33; 64983TW41; 64983TW58; 6498TW66; 64983TW74; 64983TW82; 64983TW90; 64983TX24; 64983TX32; 64983TX40.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CRMC FOUNDATION INC
PO BOX 800HARRISNY12742141742176SUPPORT ORG.NY501(C)(3)11 TYPE 1NAfalse
ORANGE REGIONAL MEDICAL CENTER
60 PROSPECT AVENUEMIDDLETOWNNY10940141364536HEALTHCARENY501(C)(3)3GHVHSfalse
GREATER HUDSON VALLEY HEALTH SYSTEM
C/O ORMC 60 PROSPECTMIDDLETOWNNY10940061488219HEALTHCARENY501(C)(3)11-TYPE INAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1EAST MAIN STREET MANAGEMENTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line160 PROSPECT AVENUEAddressLine1
CityMIDDLETOWNCity
StateNYState
ZIP Code10940ZIPCode
FieldValueIRS element (for citing)
EIN203168346EIN
Primary ActivityADMIN. SERVICPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ORMCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORP.TypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.