2013-11-12T15:35:49-06:00 2012-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2012-01-01 146049030 CATSKILL REGIONAL MEDICAL CENTER % CATSKILL REGIONAL MEDICAL CE CATS 8457943300 PO BOX 800 Suite HARRIS NY 12742 GERARD GALARNEAU 8457943300 2013-11-05 true KPMG LLP 2127589700 2012 2016-03-07 17:11:31Z GERARD J GALARNEAU C/O CRMC PO BOX 800 HARRIS NY 12742 117846317 false X WWW.CRMCNY.ORG X 1967 NY TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE. 10 8 1002 143 568598 89594 7708071 1405522 101071562 95205019 182996 260500 77359 69849 109039988 96940890 0 0 0 0 56047999 55898954 0 0 0 44048275 43960566 100096274 99859520 8943714 -2918630 74353602 70587643 65256614 64013847 9096988 6573796 X SEE SCHEDULE O false false 37698652 0 47117503 EXPENSES 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. 10809215 0 4946807 CRMC 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. 12193614 0 10783323 CRMC 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. 24688612 32357386 85390093 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 false false true true false false false false false false false false true true false false false false false true false false false true 135 0 true 1002 true true true false false false false true true false false false false X 10 8 true false true false true true true true true false false true true true true true true true true false NY X CATSKILL REGIONAL MEDICAL CE 8457943300 PO BOX 800 HARRIS NY 12742 MARC BAEZ 3.0 X X 0 0 0 DARREL SUPAK 3.0 X X 0 0 0 JOAN FARROW 3.0 1.0 X 0 0 0 GERALD SKODA 3.0 X 0 0 0 RICHARD LANDER 3.0 X 0 0 0 JACQUELINE RICCIANI 3.0 X 0 0 0 JOSEPH LOUGHLIN 3.0 X X 0 0 0 ANDREW PAVLOFF 3.0 X X 0 0 0 BARBARA BLAKEY 3.0 X 0 0 0 MICHAEL WASCHITZ 3.0 X 0 0 0 LUIS RODRIGUES MD 3.0 X 0 0 0 TIMOTHY RYDELL MD 3.0 X 0 0 0 ALLAN SCOTT 1.0 X 0 0 0 JEFFREY GRAY 1.0 X 0 0 0 FREDERICK H KURIGER 40.0 X 268696 0 27030 BARBARA GENTILE 40.0 X 121811 0 27829 PETER PANZARINO 36.0 X 273205 0 30649 MITCHELL AMADO 10.0 50.0 X 0 468106 73474 JOSEPH M ANESI 10.0 50.0 X 0 275245 44311 SCOTT BATULIS 10.0 50.0 X 0 979959 60774 DEBORAH CARR 10.0 50.0 X 0 240266 63798 STEPHEN SUGRUE 10.0 50.0 X 0 201534 50697 ROSEMARY A BACZEWSKI 10.0 50.0 X 0 192423 28049 JEFFREY F LIETO 10.0 50.0 X 0 353572 42788 SYED S RAB 20.0 40.0 X 0 134043 14281 JOHN LYNCH 10.0 50.0 X 0 173626 0 ROSEMARY FRADO 10.0 50.0 X 0 259985 24525 MOHAMMAD S KHAN 40.0 X 293807 0 32067 ABDUL SHAHZAD 40.0 X 443215 0 32821 IRVELYNE CAMILLE 40.0 X 252051 0 21855 FLORENCE JEAN-LOUIS 40.0 X 199051 0 26960 KHORSHEDA B ALI 40.0 X 253014 0 35333 STEVEN T RUWOLDT 40.0 X 138462 0 0 2243312 3278759 637241 52 true true false WILLIAM H LANE 113 COURT STREET BINGHAMTON NY 13901 CONSTRUCTION SERV. 1196834 MCKESSON INFORMATION SOLUTIONS POBOX 98347 CHICAGO IL 606938347 COMPUTER SERVICES 1291284 MORRISON MANAGEMENT SOLUTIONS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 1393597 WESTAGE MANAGEMENT LLC 200 BUSINESS CTR SUITE 123 FISHKILL NY 12524 CONSTRUCTION SERVICE 567843 CRYSTAL RUN HEALTHCARE LLP 155 CRYSTAL RUN ROAD MIDDLETOWN NY 10940 MEDICAL SERVICES 1730750 45 78844 40484 1267259 18935 1405522 INPATIENT REVENUE 623990 39830763 39830763 SNU INPATIENT REVENUE 623000 5896241 5896241 PSYCH INPATIENT REVENUE 623000 4143305 4143305 INDIGENT CARE POOL REVENUE 623000 6971701 6971701 OUTPATIENT REVENUE 621990 33294163 32725565 568598 5068846 5068846 95205019 167457 167457 0 0 55788 2761 53027 0 53027 53027 20850624 113221 20861299 9503 -10675 103718 93043 93043 38810 78844 31864 6946 6946 0 0 REBATES & REFUNDS 900099 9876 9876 9876 96940890 94636421 568598 330349 0 0 0 0 749221 678875 70346 0 94525 85650 8875 41317253 37437869 3879384 2623170 2376874 246296 7912533 7169605 742928 3202252 2901584 300668 8913267 3944266 4969001 299502 299502 253570 253570 17608 17608 0 0 6857581 5046226 1811355 181749 6066 175683 465638 393984 71654 0 0 2504926 2453335 51591 43170 31876 11294 0 0 1696241 1422171 274070 0 4040642 3387775 652867 452249 452249 MEDICAL SUPPLIES 10108522 10028793 79729 BAD DEBTS 5293901 5293901 0 POSTAGE AND SHIPPING 121708 66775 54933 OTHER EXPENSES 2710292 2212219 498073 99859520 85390093 14469427 0 7307533 4990421 2411639 2565882 2691414 536506 10693689 12866917 0 0 0 0 0 0 1223827 1360073 1164303 131381 121597712 96894361 25859140 24703351 14523696 13767860 0 0 0 0 0 0 8478361 9665252 74353602 70587643 14262337 15781764 0 0 0 0 38059926 34506040 0 0 0 0 356972 0 1456844 1455390 11120535 12270653 65256614 64013847 X 4585888 3545640 3052395 1069451 1458705 1958705 9096988 6573796 74353602 70587643 X -2918630 -77798 473236 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17608 17608 false PART II-B, LINE 1I PERCENTAGE OF DUES PAID TO THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS), NORTHERN METROPOLITAN HOSPITAL ASSOCIATION (NORMET) AND 1199 SEIU ALLOCATED TO LOBBYING. 1458705 500000 1958705 1457705 1000 1458705 1457705 1457705 1457705 1457705 1457705 1457705 0.00000 1.00000 0.00000 false true true 888426 888426 30731995 25499668 5232327 12338732 2774624 9564108 56021578 48547814 7473764 21616981 20072255 1544726 24703351 DEFERRED FINANCING FEES 782451 INTEREST IN CRMC FOUNDATION 2721178 INSURANCE RECEIVABLE 3607530 THIRD PARTY RECEIVABLE 2492008 OTHER RECEIVABLE 62085 9665252 0 DUE TO THIRD PARTY PAYORS 5792233 ESTIMATED MALPRACTICE LIABILITY 6140883 OTHER LIABILITY 337537 12270653 X 97368192 -77798 505100 427302 96940890 96940890 99891384 31864 31864 99859520 99859520 SCHEDULE D PART V LINE 4 INTENDED USE OF ENDOWMENT FUNDS. THIS FUND, IF ANY, CAN BE USED 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: $31,864 CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION,INC: $473,236 SCHEDULE D PART XII LINE 2D: SPECIAL EVENTS DIRECT EXPENSES: $31,864 BERN MEMORIAL 80746 61286 19460 3608 12740 490 620 RISE 9583 9583 5 27325 7975 19350 630 2354 11422 117654 78844 38810 4238 12740 2844 12042 31864 6946 true true X true X true X true true false true true 4225579 81874 4143704 0.04150 25793807 19769115 6024692 0.06030 30019386 19850989 10168396 0.10180 24342 24342 0.00020 50024 50024 0.00020 4801678 2594696 2206982 0.02210 19635 19635 0.00020 4895679 2594696 2300983 0.02270 34915065 22445685 12469379 0.12450 20370 20370 20370 20370 true 2162699 162784 26746149 32587293 -5841144 X true true 2 1 CATSKILL REGIONAL MEDICAL CTR-HARRIS

68 HARRIS-BUSHVILLE ROAD HARRIS NY 12742

X X X SOLE COMMUNITY HOSP. 2 CATSKILL REGIONAL MEDICAL CTR-GROVER

ROUTE 97 CALLICOON NY 12723

X X X CATSKILL REGIONAL MEDICAL CTR-HARRIS 1 true true 200. true 201. true X X true true X X X X X true false X X X X X true X false false CATSKILL REGIONAL MED CTR-GROVER HER 2 true true 200. true 201. true X X true true X X X X X true false X X X X X true X false false PART VI - SUPPLEMENTAL INFORMATION PART 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 patien X X X X X true true false false false false false false false FREDERICK H KURIGER 245801 0 0 0 22895 0 13982 0 13048 0 295726 0 0 0 PETER PANZARINO 234943 0 37500 0 762 0 14429 0 16220 0 303854 0 0 0 MITCHELL AMADO 0 382388 0 38880 0 46838 0 50200 0 23274 0 541580 0 0 JOSEPH M ANESI 0 248627 0 25994 0 624 0 24711 0 19600 0 319556 0 0 SCOTT BATULIS 0 630021 0 207821 0 142117 0 40000 0 20774 0 1040733 0 0 DEBORAH CARR 0 196066 0 21244 0 22956 0 42323 0 21475 0 304064 0 0 STEPHEN SUGRUE 0 170962 0 17407 0 13165 0 25923 0 24774 0 252231 0 0 ROSEMARY A BACZEWSKI 0 165542 0 9208 0 17673 0 14156 0 13893 0 220472 0 0 JEFFREY F LIETO 0 330714 0 0 0 22858 0 22014 0 20774 0 396360 0 0 MOHAMMAD S KHAN 279368 0 0 0 14439 0 15000 0 17067 0 325874 0 0 0 ABDUL SHAHZAD 426077 0 0 0 17138 0 15000 0 17821 0 476036 0 0 0 IRVELYNE CAMILLE 234997 0 0 0 17054 0 15000 0 6855 0 273906 0 0 0 FLORENCE JEAN-LOUIS 183866 0 0 0 15185 0 12109 0 14851 0 226011 0 0 0 KHORSHEDA B ALI 235924 0 0 0 17090 0 15000 0 20333 0 288347 0 0 0 STEVEN T RUWOLDT 138462 0 0 0 0 0 0 0 0 0 138462 0 0 0 JOHN LYNCH 0 156544 0 16742 0 340 0 0 0 0 0 173626 0 0 ROSEMARY FRADO 0 115575 0 70704 0 73706 0 15122 0 9403 0 284510 0 0 LINE 4A FILING 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 11,604 A DORMITORY AUTHORITY STATE OF NY 146000293 2004-12-16 54518326 REFINANCING OF MORTGAGE LOAN false false false A 17955000 0 54518326 5140500 0 47070653 1060221 558296 0 0 47759309 0 2004 true false true true A false false false false 0 true false false false A false true true false 0 false false false 0 false false A false JUDITH SKORDINSKI SEE SCHEDULE L PART V 94525 EMPLOYMENT false JOSEPH LOUGHLIN SEE SCHEDULE L PART V 110802 CONTRACTED SERVICES false TIMOTHY RYDELL JEFFREY GRAY SEE SCHEDULE L PART V 1730750 MEDICAL SERVICES false PART IV COLUMN B JUDITH 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. 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 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 RELATIONSHIPS LINE 2 JOSEPH 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 4 THE 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 VI LINE 6 - MEMBERS OR STOCKHOLDERS 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 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 EMP 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 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 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. PART XI - RECONCILIATION OF NET ASSETS LINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION, INC : 473,236 SCHEDULE K PART I - BOND ISSUES CUSIP #'S: 64983TW25; 64983TW33; 64983TW41; 64983TW58; 6498TW66; 64983TW74; 64983TW82; 64983TW90; 64983TX24; 64983TX32; 64983TX40. CRMC FOUNDATION INC PO BOX 800 HARRIS NY 12742 141742176 SUPPORT ORG. NY 501(C)(3) 11 TYPE 1 NA false ORANGE REGIONAL MEDICAL CENTER 60 PROSPECT AVENUE MIDDLETOWN NY 10940 141364536 HEALTHCARE NY 501(C)(3) 3 GHVHS false GREATER HUDSON VALLEY HEALTH SYSTEM C/O ORMC 60 PROSPECT MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(C)(3) 11-TYPE I NA false EAST MAIN STREET MANAGEMENT 60 PROSPECT AVENUE MIDDLETOWN NY 10940 203168346 ADMIN. SERVIC NY ORMC C CORP. 0 0 false false false true false false false false false false false false false true false false false true false false