2011-11-09T10:39:00-06:00 2010-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2010-01-01 141364536 ORANGE REGIONAL MEDICAL CENTER ORAN 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 MITCHELL AMADO 2011-11-08 true KPMG LLP 2127589700 2010 2016-03-07 17:11:31Z X SCOTT BATULIS 707 EAST MAIN STREET MIDDLETOWN NY 10940 391384088 false X WWW.ORMC.ORG X 1937 NY THE MISSION OF ORANGE REGIONAL MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. 16 13 2767 636 0 0 3135970 2853242 319548275 333527300 281377 213125 3261691 2030541 326227313 338624208 0 0 0 0 179514834 183512821 0 0 0 127670216 139282207 307185050 322795028 19042263 15829180 498560606 520660312 365552290 376891992 133008316 143768320 ORANGE REGIONAL MEDICAL CENTER WILL IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES. WE WILL PURSUE EXCELLENCE IN ALL WE DO WITH A GOAL OF BECOMING THE PROVIDER OF CHOICE FOR OUR COMMUNITY, THE EMPLOYER OF CHOICE FOR OUR STAFF, AND THE WORKPLACE OF CHOICE FOR OUR DOCTORS. ORANGE REGIONAL BELIEVES STRONGLY THAT THE FEAR OF NOT BEING ABLE TO PAY FOR HEALTHCARE SHOULD NOT BE A DETERRENT IN SEEKING HEALTHCARE SERVICES. THEREFORE, WE WORK HARD TO ENSURE THAT HEALTHCARE REMAINS ACCESSIBLE AND AVAILABLE FOR ANY MEMBER OF THE COMMUNITY IN NEED. false false 245383067 333828942 Orange Regional Medical Center (ORMC) is currently licensed for 450 beds on its two campuses and provides a full range of adult medical/surgical, intensive care, pediatric, obstetrical, rehabilitation, and behavioral health services. During 2010, ORMC had 22,405 inpatient discharges and performed 671,569 outpatient procedures. In addition to providing inpatient care at its two campuses, ORMC also operates a network of off-site facilities which provide a full range of out-patient diagnostic, therapeutic and community education services. Throughout the year, ORMC also conducts and coordinates a broad range of community outreach programs. 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DIABETES TREATMENT SUPPORT CENTER PART I, LINE 3C: N/A PART I, LINE 7G: N/A PART I, LINE 7A: BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: $12,917,635 PART I, LINE 7: CALCULATION OF COST IS DONE UTILIZING THE RATIO OF PATIENT CARE COST TO CHARGES DEVELOPED ON WORKSHEET 2. THIS AMOUNT IS APPLIED TO THE GROSS CHARGES IDENTIFIED FROM ALLOWANCE CODES USED IN THE PATIENT ACCOUNTING SYSTEM. PART II: N/A PART III, LINE 4: BAD DEBT COST WAS CALCULATED BASED ON THE PATIENT COST TO CHARGE RATIO FROM WORKSHEET 2, APPLIED TO THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL OF $12,401,855 COULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSES TO THE EXTENT THAT IT IS IN EFFECT A SUBSIDY OF A GOVERNMNETAL HEALTHCARE PLAN WHICH ENABLES THE RECIPIENTS OF THESE BENEFITS TO RECEIVE HEALTHCARE. THE AMOUNT INDICATED ON LINE 6 AS MEDICARE ALLOWABLE COSTS RELATED TO MEDICARE PAYMENTS HAS BEEN CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO GROSS CHARGES FOR MEDICARE AND MEDICARE ADVANTAGE PLAN LESS PAYMENTS. THIS RATIO IS CONSISTENT WITH THAT USED FOR MEDICAID AND OTHER PROVIDERS. PART III, LINE 9B: ORMC'S COLLECTION POLICY INDICATES THAT IF A PATIENT IS NOT ABLE TO PAY, THEY WILL BE REFERRED FOR MEDICAID ELIGIBILITY OR FINANCIAL AID. ALSO, CHARITY CARE ELIGIBILITY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALITY FOR A 100% WRITE-OFF. PART V, SECTION B: N/A FOR 501(C)(3) ORGANIZATIONS WITH TAX YEARS BEGINNING BEFORE MARCH 23, 2010. ORMC'S TAX YEAR IS JANUARY 1, 2010 - DECEMBER 31, 2010. X true true X X X X true true false false false false false true false CHRISTINE MARAIA 0 160482 0 19761 0 10732 0 20187 0 371 0 211533 0 0 JAMES OXLEY MD 303494 0 37329 0 24135 0 39535 0 15252 0 419745 0 0 0 SYED RAB 208746 0 23432 0 10122 0 25676 0 19838 0 287814 0 0 0 JONATHAN SCHILLER 213504 0 24606 0 16694 0 35409 0 19838 0 310051 0 0 0 TIMOTHY SELZ-RESIGNED 11262010 320042 0 36554 0 43073 0 10560 0 21281 0 431510 0 0 0 STEPHEN SUGRUE 129904 0 16325 0 13105 0 19057 0 24838 0 203229 0 0 0 QUAZI AL-TARIQMD 486247 0 0 0 9731 0 34139 0 0 0 530117 0 0 0 JOSEPH YACOVONE MD 231681 0 0 0 12888 0 10999 0 19838 0 275406 0 0 0 SUSAN BEATTY MD 237738 0 0 0 12888 0 11008 0 19838 0 281472 0 0 0 HAI LUO 219618 0 0 0 22297 0 31416 0 20438 0 293769 0 0 0 FERNANDO VILLEGAS 269651 0 1640 0 20078 0 7429 0 0 0 298798 0 0 0 MITCHELL AMADO III 363347 0 43508 0 17087 0 67319 0 23338 0 514599 0 0 0 JOSEPH ANESI 240703 0 28150 0 11758 0 33607 0 19838 0 334056 0 0 0 SCOTT BATULIS 620260 0 130074 0 23225 0 131364 0 19838 0 924761 0 0 0 WAYNE BECKER 177102 0 24801 0 37641 0 71893 0 15252 0 326689 0 0 0 DEBORAH CARR 188530 0 23760 0 16779 0 39980 0 20338 0 289387 0 0 0 GERARD DUNLAVEY 191960 0 21712 0 3568 0 25370 0 19838 0 262448 0 0 0 ROSEMARY FRADO 216082 0 29782 0 39569 0 54462 0 22838 0 362733 0 0 0 KATHLEEN GUIDO - RESIGNED 10221 135973 0 22803 0 38863 0 4555 0 15252 0 217446 0 0 0 SUSAN HODGSON-RESIGNED 10232010 119997 0 22509 0 68210 0 12670 0 15252 0 238638 0 0 0 SANDRA IBERGER 227373 0 28322 0 16733 0 28897 0 21038 0 322363 0 0 0 SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4 SEVERANCE NONQUALIFIED PAYMENT RETIREMENT PLAN MITCHELL AMADO III - 36,702 JOSEPH ANESI - 16,457 SCOTT BATULIS - 111,764 WAYNE BECKER - 11,936 DEBORAH CARR - 11,465 GERARD DUNLAVEY - 10,456 ROSEMARY FRADO - 18,181 SUSAN HODGSON 32,466 - SANDRA IBERGER - 14,210 CHRISTINE MARAIA - 9,532 JAMES OXLEY, MD - 24,835 SYED RAB - 12,093 JONATHAN SCHILLER - 13,211 TIMOTHY SELZ 19,705 - STEPHEN SUGRUE - 8,211 SCHEDULE J, PART I, LINE 1A THE HOSPITAL PAYS THE DUES AND ASSESSMENTS FOR THE CEO'S MEMBERSHIP IN LOCAL COUNTRY CLUB FOR BUSINESS RELATED PURPOSES. THE EXECUTIVE IS RESPONSIBLE FOR ALL EXPENSES ASSOCIATED WITH HIS PERSONAL CLUB USAGE. SCHEDULE J, PART I, LINE 7 DURING THE TAX YEAR THE ORGANIZATION PAID BONUSES TO ITS OFFICERS AND EMPLOYEES. THE NAMES AND AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II. 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ELECTION OF MEMBERS FORM 990, PART VI, SECTION A, LINE 7A AND B GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES THE DIRECTOR NOMINEES OF THE BOARD OF DIRECTORS FOR ORANGE REGIONAL MEDICAL CENTER. UNDER LIMITED CIRCUMSTANCES, GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF ORANGE REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS. BOARD REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE DEPARTMENT, MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. A COPY IS PROVIDED TO ALL OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING THE RETURN WITH THE IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ORANGE 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 CONFLICTS 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A AND 15B IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS 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. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 2010 BASED ON THESE PARAMETERS. IN ADDITION, THE CHIEF EXECUTIVE OFFICER AND HIS COMPENSATION MUST BE APPROVED BY THE EXECUTIVE COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE EXECUTIVE COMMITTEE. AUDITED FINANCIAL STATEMENTS FORM 990, PART IV, LINE 12 AUDITED FINANCIAL STATEMENTS FOR THE HOSPITAL HAVE BEEN PREPARED ON A CONSOLIDATED BASIS AND INCLUDE THE ACTIVITIES OF THE HOSPITAL AND EAST MAIN STREET MANAGEMENT CORPORATION, THE ALPHA NETWORK, INC, AND SYNERA CORPORATION. HOWEVER, BECAUSE ALL OF THESE ENTITIES ARE DORMANT CORPORATIONS, THE FINANCIAL STATEMENTS REFLECT THE STAND ALONE OPERATIONS OF ORMC. PUBLIC DISCLOSURE FROM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY IS AVAILABLE AS PART OF THE ORGANIZATION'S COMPLIANCE POLICY WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THIS POLICY AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 6 OTHER CHANGES IN NET ASSETS CONSIST OF: UNREALIZED LOSSES (495,298) MINIMUM PENSION LIABILITY ADJUSTMENT (4,529,268) NET ASSETS RELEASED TO EXPENSES (12,470) NET CHANGE IN INT IN FOUNDATION 314,923 TRANSFER TO FOUNDATION (347,063) ----------- (5,069,176) ----------- FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 BOARD MEMBER RICHARD SHAPIRO IS AN EQUITY PARTNER IN A LAW FIRM THAT PROVIDES LEGAL SERVICES TO OTHER BOARD MEMBERS INCLUDING HOWARD MILLS, WAYNE BECKER AND SCHUYLER NEWMAN. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LOUIS HEIMBACH TITLE:CHAIRMAN HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM BASSETT, ED.D. TITLE:VICE CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICIA CLAIBORNE TITLE:SECRETARY HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SHERWOOD H LEVITAN TITLE:TREASURER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT DOUGLAS, MD TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GERARD GALARNEAU, MD TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL B HALPERN TITLE:BOARD MEMBER HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR D KOWALOFF TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HOWARD MILLS TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SCHUYLER NEWMAN, MD TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROLLAND PEACOCK III TITLE:BOARD MEMBER HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:VIRGINIA RIZZO TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD SHAPIRO, ESQ TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICIA SIMMONS TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALANNA SMITH TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN SZEFC TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHY FROMMER - RESIGNED 02/2010 TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHRISTINE MARAIA TITLE:PRESIDENT - ORMC FOUNDATION HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES OXLEY, MD TITLE:VP MEDICAL AFFAIRS HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SYED RAB TITLE:VP/CIO HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JONATHAN SCHILLER TITLE:VP HOSPITAL OPERATIONS HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TIMOTHY SELZ-RESIGNED 11/26/2010 TITLE:VP/COO HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN SUGRUE TITLE:VP COMPLIANCE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MITCHELL AMADO III TITLE:VP FINANCE/CFO HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH ANESI TITLE:VP/GENERAL COUNSEL HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SCOTT BATULIS TITLE:PRESIDENT/CEO HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WAYNE BECKER TITLE:VP NEW PROJECTS HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBORAH CARR TITLE:VP HUMAN RESOURCES HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GERARD DUNLAVEY TITLE:VP BUSINESS DEVELOPMENT HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROSEMARY FRADO TITLE:VP PLANNING/MARKETING HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHLEEN GUIDO - RESIGNED 10/22/10 TITLE:VP PATIENT CARE SVCS/CNO HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN HODGSON-RESIGNED 10/23/2010 TITLE:VP QUALITY HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SANDRA IBERGER TITLE:VP OUTPATIENT SVCS HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:QUAZI AL-TARIQ,MD TITLE:PSYCHIATRIST HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH YACOVONE, MD TITLE:RADIOLOGIST HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN BEATTY, MD TITLE:RADIOLOGIST HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HAI LUO TITLE:PHYSICIST HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FERNANDO VILLEGAS TITLE:REGISTERED NURSE HOURS: GREATER HUDSON VALLEY HEALTH SYS CO ORMC 707 EAST MAIN STREET MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(C)(3) 11 NA CATSKILL REGIONAL MEDICAL CENTER PO BOX 800 HARRIS NY 12742 146049030 HOSPITAL NY 501(C)(3) 3 GHVHS ORANGE REGIONAL MEDICAL CENTER FND 4 HARRIMAN DRIVE GOSHEN NY 10924 133020568 FUND RAISING NY 501(C)(3) 11 NA ORMC AUXILIARY 707 EAST MAIN STREET MIDDLETOWN NY 10940 205223843 SUPPORT ORG NY 501(C)(3) 509(A)(2) na THE ALPHA NETWORK INC 60 PROSPECT AVE MIDDLETOWN NY 10940 061509147 MGD CARE NY NA C CORP 50 50 0.50000 EAST MAIN STREET MANAGEMENT CORP 60 PROSPECT AVE MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY NA C CORP 100 100 1.00000 false false true false false false false false false false true true false true true true false true