2012-11-14T11:20:16-06:00 2011-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2011-01-01 133020568 ORANGE REGIONAL MEDICAL CENTER FOUNDATION % CHRISTINE PALMER MARAIA ORAN 8453332333 707 EAST MAIN STREET MIDDLETOWN NY 10940 CHRISTINE MARAIA 2012-11-12 true KPMG LLP 2127589700 2011 2016-02-24 21:20:13Z CHRISTINE PALMER MARAIA 707 EAST MAIN STREET MIDDLETOWN NY 10940 3219836 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. 21 18 0 33 0 0 3182252 2832906 0 0 67916 56384 -47204 -50688 3202964 2838602 2685814 3503944 0 0 438018 460250 0 0 98035 241233 192365 3365065 4156559 -162101 -1317957 6833888 5463257 3797 3210 6830091 5460047 VISION: 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 3501644 3501644 SUPPORTING THE MEDICAL, CHARITABLE, SCIENTIFIC, RESEARCH, EDUCATIONAL, AND HEALTH-RELATED PURPOSES, OPERATIONS, AND ACTIVITIES OF ORANGE REGIONAL MEDICAL CENTER. 2300 2300 Scholarships for students pursuing careers in healthcare. 3503944 true true false false false false false false true false false false false false false true false false false false false false false true false false true false true false false false false false false false false false false false false false true false false false false false 0 0 true 0 false false false false false true true false false false false X 21 18 false false false false false false false true true false false true true true true true true false false false NY X CHRISTINE PALMER MARAIA 8453332333 707 EAST MAIN STREET MIDDLETOWN NY 10940 X SAL N BELFIGLIO 3.0 X 0 0 0 HENRY N CHRISTENSEN JR ESQ 2.0 X 0 0 0 PATRICIA B DEHAAN P 3.0 X 0 0 0 MAUREEN DESTEFANO 2.0 X 0 0 0 DAVID DINESS 3.0 X 0 0 0 LINDA DLUGATZ 4.0 X 0 0 0 DEBRA BOGDANSKI 2.0 X 0 0 0 PAUL B HALPERN 5.0 X 0 0 0 CAROL HOLBERT 10.0 X 0 0 0 THOMAS E HUGHES 2.0 X 0 0 0 SANDRA IBERGER 3.0 X 0 309903 53958 RICHARD F LIBERTH 4.0 X 0 0 0 LARRY E MCDOWELL 2.0 X 0 0 0 JAMES OXLEY MD 2.0 X 0 301914 51959 ROLLAND B PEACOCK III 4.0 X 0 0 0 WILLIAM C QUACKENBUSH 3.0 X 0 0 0 RITA RICH ESQ 2.0 X 0 0 0 FRANK GIORDANO III 3.0 X 0 0 0 JONATHAN ROUIS CPA 4.0 X 0 0 0 ELIZABETH ROWLEY 2.0 X 0 0 0 LOUIS HEIMBACH 1.0 X 0 0 0 TERRY R SATURNO 2.0 X 0 0 0 HANNAH SHINDLER 2.0 X 0 0 0 MARGARET R SMITH 2.0 X 0 0 0 JOYCE STOEBERL 2.0 X 0 0 0 SCOTT BATULIS 5.0 X 0 1110681 175766 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 CHRISTINE PALMER MARAIA 39.0 X 216484 0 22890 216484 1722498 304573 1 false true false 0 264503 639289 1929114 2832906 0 46670 46670 0 0 291860 282146 9714 9714 9714 48400 264503 99088 -50688 -50688 0 0 0 2838602 0 5696 3501644 3501644 2300 2300 0 0 239374 239374 0 220876 220876 0 0 0 0 0 21000 21000 0 0 13226 13226 113176 15253 97923 0 2480 2480 5173 5173 0 22632 22632 1165 1053 112 0 0 0 0 0 0 FOOD 10307 10307 TELEPHONE 1941 1941 SUBSCRIPTION & DUES 981 981 OUTSIDE TRAINING 284 284 4156559 3503944 554580 98035 0 0 1371080 1298200 4041115 2897777 0 0 0 0 0 0 0 0 0 0 0 0 0 1418701 1264621 0 0 0 0 0 0 2992 2659 6833888 5463257 3797 3210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3797 3210 X 149063 566787 6639673 4851905 41355 41355 6830091 5460047 6833888 5463257 X -1317957 -52087 X false true true X false X X X false false false ORANGE REGIONAL MEDICAL CENTER 141364536 03 true true true 3501644 1 3501644 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6830091 2832906 4297 3554632 652615 5460047 6873706 3182252 186402 2685814 726455 6830091 7638338 2047824 278770 2396409 694817 6873706 13857097 4768899 -388475 9901122 698061 7638338 0.10380 0.88860 0.00760 false false 2838602 4156559 -1317957 -52087 -52087 -1370044 2823977 -52087 50688 -1399 2825376 13226 13226 2838602 4194021 50688 50688 4143333 13226 13226 4156559 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 $10,000 need the Foundation President's signature only. The approved DDFF is then presented to the CEO of Orange Regional Medical center for approval and signature on the form. Once the approvals are obtained the request is sent to either the Purchasing Dept. (for a Purchase Order) or the Accounts Payable Dept. (check request) for processing. When the item is received and paid for by the hospital, then the net Assets are released from restriction and the hospital is reimbursed for the dollars approved on the DDFF. RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D DIRECT EXPENSES FROM SPECIAL EVENT..........................(50,688) ======== TOTAL LINE 2D...............................................$(50,688) RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 2D DIRECT EXPENSES FROM SPECIAL EVENT.......................... (50,688) ======== TOTAL LINE 2D...............................................$(50,688) GOLF 252704 204304 48400 17610 11951 5991 0 53822 CENTURY CLUB 57299 57299 0 0 0 0 0 1 2900 2900 0 0 5000 1000 3714 312903 264503 48400 17610 11951 10991 1000 57536 99088 -50688 true Orange Regional Medical Center 707 EAST MAIN ST middletown NY 10940 141364536 501(c)(3) 3501644 none none support for hospital activities 1 0 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 true false CHRISTINE PALMER MARAIA 163830 0 25531 0 27123 0 22519 0 371 0 239374 0 0 0 SANDRA IBERGER 0 234566 0 36605 0 38732 0 32617 0 21341 0 363861 0 JAMES OXLEY MD 0 238050 0 32763 0 31101 0 33618 0 18341 0 353873 0 0 SCOTT BATULIS 0 613413 0 207839 0 289429 0 157425 0 18341 0 1286447 0 0 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 FILING ORGANIZATION: NONQUALIFIED RETIREMEMT PLAN CHRISTINE MARAIA 10,108 THE RELATED ORGANIZATION: NONQUALIFIED RETIREMENT PLAN SANDRA IBERGER 15,805 JAMES OXLEY, MD 28,604 SCOTT BATULIS 135,375 SCHEDULE J, PART I, LINE 7 DURING THE YEAR THE ORGANIZATIONS OFFICERS AND EMPLOYEES RECEIVED BONUSES PAID THROUGH THE PAYROLL SYSTEM OF ORANGE REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. 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 Form 990, Part VI, Section b, Line 15a and 15b 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 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LILNE 5 UNREALIZED GAIN ON INVESTMENTS................... $52,087 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL B. HALPERN TITLE:BOT CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SANDRA IBERGER TITLE:BOARD MEMBER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES OXLEY, MD TITLE:BOARD MEMBER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JONATHAN ROUIS, CPA TITLE:BOT VICE CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LOUIS HEIMBACH TITLE:ORMC CHAIRMAN UNTIL 11/3/2011 HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SCOTT BATULIS TITLE:ORMC PRESIDENT/CEO HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHRISTINE PALMER MARAIA TITLE:FOUNDATION PRESIDENT HOURS:1 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN ST MIDDLETOWN NY 10940 141364536 HOSPITAL NY 501(C)3 3 GHVHS false false true true 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.