2013-11-15T08:47:30-06:00 2012-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2012-01-01 133020568 ORANGE REGIONAL MEDICAL CENTER FOUNDATION % Joan Farrow ORAN 8453332333 707 EAST MAIN STREET Suite MIDDLETOWN NY 10940 CHRISTINE MARAIA 8453332333 2013-11-14 true KPMG LLP 2127589700 2012 2016-02-25 16:41:14Z CHRISTINE PALMER MARAIA 707 EAST MAIN STREET MIDDLETOWN NY 10940 1636666 false X N/A X 1979 NY THE MISSION OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION IS TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC SUPPORT FROM THE COMMUNITY FOR THE BENEFIT OF ORANGE REGIONAL MEDICAL CENTER. 18 15 0 16 0 2832906 1312959 0 0 56384 15109 -50688 -175690 2838602 1152378 3503944 1357117 0 0 460250 479659 0 0 0 192365 145944 4156559 1982720 -1317957 -830342 5463257 5023491 3210 408509 5460047 4614982 X SEE SCHEDULE O. TO ENHANCE AND SUSTAIN ORANGE REGIONAL MEDICAL CENTER'S CAPABILITY TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY RESPONDING TO THE DEMANDS OF GROWTH AND TECHNOLOGY THROUGH PHILANTHROPY. AS THE FUNDRAISING ARM OF ORANGE REGIONAL MEDICAL CENTER, THE FOUNDATION IS RESPONSIBLE FOR DEVELOPING A COMPREHENSIVE PROGRAM TO GARNER PHILANTHROPIC SUPPORT, INCLUDING ANNUAL GIVING, PLANNED GIVING AND CAPITAL CAMPAIGNS AS NEEDED. THE FOUNDATION IS A SEPARATE CHARITABLE 501(C)(3) ORGANIZATION THAT IS LED BY A VOLUNTEER BOARD OF TRUSTEES. MISSION: THE MISSION OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION IS TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC SUPPORT FROM THE COMMUNITY FOR THE BENEFIT OF ORANGE REGIONAL MEDICAL CENTER. false false 1355117 1355117 SUPPORTING THE MEDICAL, CHARITABLE, SCIENTIFIC, RESEARCH, AND HEALTH-RELATED PURPOSES, OPERATIONS, AND ACTIVITIES OF ORANGE REGIONAL MEDICAL CENTER. 2000 2000 Scholarships for students pursuing careers in healthcare. 1357117 true true false false false false false false true false false false false true false true false false false false false false false true false false true false true false false false false false true false false false false false false false true false false false false 0 0 true 0 false false false false false true true false false false false X 18 15 false false false false false false false true true false false true true true true true true false false false NY X Joan Farrow 8453332333 707 EAST MAIN STREET MIDDLETOWN NY 10940 DEBRA BOGDANSKI 2.0 X 0 0 0 PAUL B HALPERN 5.0 2.0 X 0 0 0 SANDRA IBERGER 3.0 40.0 X 0 283638 56529 RICHARD F LIBERTH 4.0 X 0 0 0 LARRY E MCDOWELL 2.0 X 0 0 0 ROLLAND B PEACOCK III 4.0 2.0 X 0 0 0 WILLIAM C QUACKENBUSH 3.0 X 0 0 0 FRANK GIORDANO III 3.0 X 0 0 JONATHAN ROUIS CPA 4.0 2.0 X 0 0 0 ELIZABETH ROWLEY 2.0 X 0 0 0 TERRY R SATURNO 2.0 X 0 0 0 MARGARET R SMITH 2.0 X 0 0 0 HOWARD PROTTER ESQ 2.0 X 0 0 0 JAY ANTHONY 2.0 X 0 0 0 PATRICIA DUKE 2.0 X 0 0 0 JANET FORMISANO 2.0 X 0 0 0 PAMELA MURPHY 2.0 X 0 0 0 SCOTT BATULIS 5.0 60.0 X 0 979959 60774 CHRISTINE PALMER MARAIA 39.0 1.0 X 200142 0 23729 200142 1263597 141032 1 false true false NONE 0 508564 611393 193002 1312959 0 58045 58045 0 0 0 0 0 213714 256650 -42936 -42936 -42936 51948 508564 227638 -175690 -175690 0 0 0 1152378 -160581 1355117 1355117 2000 2000 0 0 223871 223871 0 255788 255788 0 0 0 0 0 21000 21000 0 0 14250 14250 70265 70265 0 3131 3131 5329 5329 0 22632 22632 364 364 0 0 0 0 0 0 FOOD 7026 7026 TELEPHONE 1897 1897 SUBSCRIPTION & DUES OUTSIDE TRAINING 50 50 1982720 1357117 625603 0 0 0 1298200 1910159 2897777 1499993 0 0 0 0 0 0 0 0 0 0 0 0 0 1264621 1611270 0 0 0 0 0 0 2659 2069 5463257 5023491 3210 8509 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400000 3210 408509 X 566787 607926 4851905 3965701 41355 41355 5460047 4614982 5463257 5023491 X -830342 182945 -197668 X false true X true false X X X false false false ORANGE REGIONAL MEDICAL CENTER 141364536 03 true 1355117 1 1355117 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5385047 1115291 859 3535698 611393 2354106 6830091 2832906 4297 3554632 75000 652615 5385047 6873706 3182252 186402 2685814 726455 6830091 7638338 2047824 278770 2396409 694817 6873706 13857097 4768899 -388475 9901122 698061 7638338 0.13173 0.85931 0.00896 false false 0 DUE TO ORANGE REGIONAL MEDICAL CTR 400000 400000 1299095 182945 -21978 160967 1138128 14250 14250 1152378 2144160 175690 175690 1968470 14250 14250 1982720 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 DONOR DESIGNATED DONATIONS: The Foundation's fiduciary responsibility is to ensure that the Donor Designated Funds are released in accordance with the donor's intention. The Foundation has an account that holds these funds until they are released from restriction. Each year the Foundation President receives a list of the Capital Budget requests for the coming year. The list is reviewed to see if there are programs or equipment that may be considered to meet the criteria of the donor's intentions. In addition, recommendations are solicited from the Foundation Board and Resource Allocation Committee. Throughout the year, in addition to the annual capital review, the hospital identifies expenses and programs that may be eligible for these temporarily restricted funds and processes a request through a Donor Designated Fund Form (DDFF) that is submitted to the Foundation president for approval. Any request over $10,000 needs to be approved by the Foundation president and two officers. Requests under $10,000 need the Foundation President's signature only. The approved DDFF is then presented to the CEO of Orange Regional Medical center for approval and signature on the form. Once the approvals are obtained the request is sent to either the Purchasing Dept. (for a Purchase Order) or the Accounts Payable Dept. (check request) for processing. When the item is received and paid for by the hospital, then the net Assets are released from restriction and the hospital is reimbursed for the dollars approved on the DDFF. RECONCILIATION OF REVENUE AND EXPENSE SCHEDULE D, PART XI, LINE 2D: DIRECT EXPENSES FROM SPECIAL EVENT............................175,690 FUND-RAISING CAMPAIGN - CAPITAL CAMPAIGN, NET OF WRITE-OFFS...................................................(197,668) --------- (21,978) ========= SCHEDULE D, PART XII, LINE 2D: DIRECT EXPENSES FROM SPECIAL EVENT............................175,690 ======= Golf 240793 188845 51948 10858 12692 57014 Century Club 120008 120008 1 199711 199711 33905 63925 9450 39794 560512 508564 51948 10858 46597 63925 9450 96808 227638 -175690 2127663 MONITORING PROCESS: true Orange Regional Medical Center 707 EAST MAIN ST Middletown NY 10940 141364536 501(c)(3) 1355117 none none support for hospital activities 1 MONITORING PROCESS SCHEDULE I, PART I, LINE 2 THE ORMC FOUNDATION HAS A RESOURCE ALLOCATION COMMITTEE WHICH MONITORS THE PROCESS AND THE DISTRIBUTION OF GRANT FUNDS IN THE UNITED STATES. false true false false false false false false false SANDRA IBERGER 0 241134 0 25253 0 17251 0 33755 0 22774 0 340167 0 CHRISTINE PALMER MARAIA 166560 0 17617 0 15965 0 23729 0 0 0 223871 0 0 0 SCOTT BATULIS 0 630021 0 207821 0 142117 0 40000 0 20774 0 1040733 0 0 PART VII & SCH J, PT II PART VII AND SCHEDULE J, PART II CHRISTINE PALMER MARAIA'S REPORTABLE AND OTHER COMPENSATION FOR SERVICES PROVIDED TO THE FOUNDATION ARE PAID THROUGH THE PAYROLL SYSTEM OF ORANGE REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. (SEE SCHEDULE O) SCHEDULE J, PART I, LINE 4B THE FOLLOWING AMOUNTS WERE PAID BY: THE RELATED ORGANIZATION: NONQUALIFIED RETIREMENT PLAN JAMES OXLEY, MD 11,604 SCOTT BATULIS 118,375 MARGARET SMITH SEE SCHEDULE L PART V 1727592 FOUNDATION ACCOUNT BALANCE false SCHEDULE L, PART IV, COLUMN (B) MARGARET SMITH, BOARD MEMBER, IS THE PRESIDENT OF FEDERAL SAVING BANK OF MIDDLETOWN. ORMC FOUNDATION HAS A SAVING AND CHECKING ACCOUNT AT THIS BANK. BOARD REVIEW OF FORM 990 Form 990, Part VI, Section B, Line 11b THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ORANGE REGIONAL MEDICAL CENTER AND REVIEWED BY THE PRESIDENT AND TREASURER OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION. THE DRAFT FORM 990 AND WORKPAPER SUPPORT IS PROVIDED TO THE FOUNDATION'S TAX PREPARER TO PREPARE A FINAL VERSION OF THE FORM 990. THE FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO THE FOUNDATION'S EXECUTIVE COMMITTEE, ALL VOTING MEMBERS OF THE GOVERNING BOARD OF TRUSTEES AND THE ORANGE REGIONAL MEDICAL CENTER CORPORATE COMPLIANCE OFFICER, FOR REVIEW PRIOR TO SUBMISSION TO THE IRS. CONFLICT OF INTEREST POLICY Form 990, Part VI, Section b, Line 12c THE FOUNDATION WORKS CLOSELY WITH THE CORPORATE COMPLIANCE OFFICER OF ORANGE REGIONAL MEDICAL CENTER. AN ANNUAL REVIEW OF ORMC'S PROCEDURES AND DOCUMENTATION REGARDING THE CONFLICT OF INTEREST POLICY IS PERFORMED AND A RENEWAL FORM IS REQUIRED. BOARD MEMBERS, EXECUTIVE TEAM, ADMINISTRATORS, DIRECTORS, MANAGERS, SUPERVISOR ARE REQUIRED TO FILL OUT THE CONFLICT OF INTEREST SURVEY. IN ADDITION, ALL NEW TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM UPON BECOMING A MEMBER OF THE FOUNDATION BOARD. COMPENSATION REVIEW PROCESS PART VI LINE 11A ACCORDING TO THE BYLAWS, TRUSTEES ARE NOT COMPENSATED. COMPENSATION FOR THE PRESIDENT IS REMUNERATED THROUGH ORANGE REGIONAL MEDICAL CENTER, A RELATED PARTY. THE COMPENSATION IS DERIVED IN ACCORDANCE WITH THE HUMAN RESOURCE POLICY AND PROCEDURE AS ADOPTED BY ORMC'S GOVERNING BOARD WHICH IS AS FOLLOWS: IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 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. PUBLIC DISCLOSURE OF GOVERNING DOCUMENTS PART VI LINE 12C ANNUAL SIGNED CONFLICT OF INTEREST FORMS ARE FILED WITH THE FOUNDATION BOA POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PUBLIC DISCLOSURE OF GOVERNING DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 ORMC FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 990 PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES: FUNDRAISING CAMPAIGN - CAPITAL CAMPAIGN, NET OF WRITE-OFFS: (197,668) ========= ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 141364536 HOSPITAL NY 3 GHVHS false false true true false false false false false false false false true false false true true true false false RELATED ORGANIZATIONS ORMC FOUNDATION IS ORGANIZED AND OPERATED TO SUPPORT THE EXEMPT MISSIONS AND PROGRAMS OF ORANGE REGIONAL MEDICAL CENTER WHOSE SOLE MEMBER IS GREATER HUDSON VALLEY HEALTH SYSTEM, A TAX EXEMPT ORGANIZATION. ORMC FOUNDATION IS AN INDEPENDENT ORGANIZATION THAT IS NOT CONTROLLED AS A RESULT OF COMMON HOSPITAL MEMBERSHIP, BOARD OVERLAP, OR SHARED MANAGEMENT.