GARNET HEALTH MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: GARNET HEALTH MEDICAL CENTER (EIN 14-1364536)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-07
IRS object ID: 201903119349301890
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-07T14:00:48-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	488 Madison Avenue Floor 3	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100225702	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141364536	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Orange Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ORAN	BusinessNameControlTxt
Phone	8453331000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT BATULIS	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Signature	2019-11-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	2125725500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT BATULIS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$654,662,679	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ORMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF ORANGE REGIONAL MED CTR IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE OVER A BROAD RANGE OF QUALITY HEALTHCARE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	3449	TotalEmployeeCnt
Total Volunteers	425	TotalVolunteersCnt
Total Gross UBI	$17,050	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$13,131	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,403,263	PYContributionsGrantsAmt
CY Contributions Grants	$1,257,383	CYContributionsGrantsAmt
PY Program Service Revenue	$488,541,718	PYProgramServiceRevenueAmt
CY Program Service Revenue	$499,181,566	CYProgramServiceRevenueAmt
PY Investment Income	$5,777,586	PYInvestmentIncomeAmt
CY Investment Income	$3,496,876	CYInvestmentIncomeAmt
PY Other Revenue	$6,068,456	PYOtherRevenueAmt
CY Other Revenue	$19,611,881	CYOtherRevenueAmt
PY Total Revenue	$501,791,023	PYTotalRevenueAmt
CY Total Revenue	$523,547,706	CYTotalRevenueAmt
PY Grants And Similar Paid	$813,274	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,019,942	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$239,091,621	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$246,769,443	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$276,534,162	PYOtherExpensesAmt
CY Other Expenses	$239,087,926	CYOtherExpensesAmt
PY Total Expenses	$516,439,057	PYTotalExpensesAmt
CY Total Expenses	$486,877,311	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,648,034	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$36,670,395	CYRevenuesLessExpensesAmt
Total Assets BOY	$573,492,393	TotalAssetsBOYAmt
Total Assets EOY	$597,024,116	TotalAssetsEOYAmt
Total Liabilities BOY	$484,046,184	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$472,577,078	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$89,446,209	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$124,447,038	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$270,827,645	ExpenseAmt
Grant	$1,019,942	GrantAmt
Revenue	$321,301,211	RevenueAmt
Desc	INPATIENT CARE: ORANGE REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 383 BEDS AT ITS LOCATION AT 707 EAST MAIN ST, MIDDLETOWN, NY AND PROVIDES A FULL RANGE OF ADULT MEDICAL/SURGICAL INTENSIVE CARE, PEDIATRIC, OBSTETRICAL, REHABILITATION AND BEHAVIORAL HEALTH SERVICES. DURING 2018, ORMC HAD 24,741 INPATIENT DISCHARGES AND PERFORMED 913,694 OUTPATIENT PROCEDURES. IN ADDITION TO PROVIDING INPATIENT CARE, ORMC ALSO OPERATES A NETWORK OF OFF-SITE FACILITIES WHICH PROVIDE A FULL RANGE OF OUTPATIENT DIAGNOSTIC, THERAPEUTIC AND COMMUNITY EDUCATION SERVICES. THROUGHOUT THE YEAR, ORMC ALSO CONDUCTS AND COORDINATES A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS. THESE PROGRAMS INCLUDE HEALTH TRADE EXPOSITIONS, FACILITY TOURS, SPEAKERS BUREAU, EDUCATIONAL SEMINARS AND LECTURES, SCHOOL CAREER DAYS, COMMUNITY HEALTH SCREENINGS AND SUPPORT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$140,717,848	ExpenseAmt
Revenue	$167,090,805	RevenueAmt
Desc	PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,208,105	ExpenseAmt
Revenue	$14,496,115	RevenueAmt
Desc	OTHER PROGRAM SERVICES: PROVIDING REHAB SERVICES TO 631 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$10,038,243	ExpenseAmt
Revenue	$11,919,583	RevenueAmt
Desc	PROVIDING BEHAVIORAL HEALTH SERVICES TO 1,045 PATIENTS IN THE SURROUNDING COMMUNITY	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$10,038,243	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$11,919,583	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$433,791,841	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	418	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3449	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES GRIGG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8453331000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DONALD BEELER
CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JONATHAN ROUIS
VICE CHAIR	1.0	6.5	Yes (X)	Yes (X)	$0	$0	$0
ANDREW PAVLOFF
TREASURER	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
EDISON GUZMAN
SECRETARY	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
LON MERIN MD
BOARD MEMBER UNTIL 4/30/18	1.0	2.0	Yes (X)		$0	$0	$0
ROLLAND PEACOCK III
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
SHER SINGH
BOARD MEMBER UNTIL 8/31/18	1.0	2.0	Yes (X)		$0	$0	$0
HEIDI HAHN SCHROEDER
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
SUSAN MURRAY TETZ
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
JAMES GRIGG
CHIEF FINANCIAL OFFICER	40.0	35.0		Yes (X)	$0	$471,038	$19,022
JAMES OXLEY DO
CMO	40.0	20.0		Yes (X)	$0	$687,517	$44,845
SCOTT BATULIS
PRESIDENT/CEO	40.0	21.0		Yes (X)	$0	$1,449,753	$55,304
HAI LUO
CHIEF PHYSICIST	40.0	0			$259,505	$0	$56,911	Yes (X)
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	40.0	0			$286,806	$0	$52,937	Yes (X)
CHRISTINE GOODHART
HR OPERATIONS ADMINISTRATOR	40.0	0			$260,073	$0	$31,769	Yes (X)
PAMELA MURPHY MD
VP EMERGENCY MED & OBSERVATION	40.0	1.0			$244,691	$61,633	$20,258	Yes (X)
DEBORA SNYDER
SR ADMINISTRATOR - EMER SVCS	40.0	0			$227,146	$0	$19,706	Yes (X)
JONATHAN SCHILLER
Former COO		50.0			$0	$578,396	$55,530		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,278,221	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,248,337	TotReportableCompRltdOrgAmt
Total Other Compensation	$356,282	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	403	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
GARNET HEALTH DOCTORS PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	MEDICAL SERVICES	$12,896,079
RESTORIXHEALTH INC
155 WHITE PLAINS RD STE 222	TARRYTOWN	NY	10591	WOUND CARE SVCS	$2,955,190
WASHINGTON & WEST
1 OLYMPIC PLACE	BALTIMORE	MD	21204	DENIAL MANAGEMENT	$2,667,951	SUITE 500
CRYSTAL RUN HEALTHCARE LLP
155 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10941	MEDICAL SERVICES	$2,089,913
MEDICAL SOLUTIONS LLC
1010 N 102ND STREET	OMAHA	NE	68114	AGENCY STAFFING	$1,896,673	SUITE 300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	77	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$680,429	RelatedOrganizationsAmt
Government Grants	$224,454	GovernmentGrantsAmt
All Other Contributions	$352,500	AllOtherContributionsAmt
Total Contributions	$1,257,383	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	541900	$497,701,808	$497,701,639	$169
Ambulatory Services Income	900099	$919,754	$919,754
MGMT FEE FROM RELATED ORG	900099	$560,004	$560,004

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$499,181,566	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,213,661	TotalRevenueColumnAmt
Exclusion	$3,213,661	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,337,090	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$25,353	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,311,737	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,311,737	TotalRevenueColumnAmt
Unrelated Business Revenue	$16,881	UnrelatedBusinessRevenueAmt
Exclusion	$1,294,856	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$131,372,915	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$131,077,501	SecuritiesAmt
Other	$12,119	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$295,414	SecuritiesAmt
Other	-$12,119	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$283,215	TotalRevenueColumnAmt
Exclusion	$283,215	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/COFFEE & GIFT SHOP REVENUE	721110	$2,673,827	$2,673,827
ALLOCATED OVERHEAD RELATED ORG	900099	$969,289		$969,289
DIST FROM MEDICAL LIAB MUTUAL INSUR CO	900099	$13,196,588		$13,196,588

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,460,440	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,460,440	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,300,144	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$523,547,706	TotalRevenueColumnAmt
Related Or Exempt Func Income	$514,807,714	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,050	UnrelatedBusinessRevenueAmt
Exclusion	$7,465,559	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,019,942	TotalAmt
Program Services	$1,019,942	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$177,745,030	TotalAmt
Program Services	$164,958,652	ProgramServicesAmt
Management And General	$12,786,378	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,912,102	TotalAmt
Program Services	$15,302,475	ProgramServicesAmt
Management And General	$1,609,627	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,685,744	TotalAmt
Program Services	$34,708,673	ProgramServicesAmt
Management And General	$3,977,071	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,426,567	TotalAmt
Program Services	$11,970,052	ProgramServicesAmt
Management And General	$1,456,515	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$788,049	TotalAmt
Management And General	$788,049	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$480,249	TotalAmt
Management And General	$480,249	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$64,283	TotalAmt
Program Services	$64,283	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$151,810	TotalAmt
Management And General	$151,810	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$65,847,784	TotalAmt
Program Services	$52,333,947	ProgramServicesAmt
Management And General	$13,513,837	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,656,095	TotalAmt
Program Services	$1,295,281	ProgramServicesAmt
Management And General	$360,814	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,497,446	TotalAmt
Program Services	$11,550,498	ProgramServicesAmt
Management And General	$1,946,948	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,011,816	TotalAmt
Program Services	$3,065,027	ProgramServicesAmt
Management And General	$946,789	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,195,838	TotalAmt
Program Services	$5,759,859	ProgramServicesAmt
Management And General	$3,435,979	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$611,434	TotalAmt
Program Services	$490,852	ProgramServicesAmt
Management And General	$120,582	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$241,262	TotalAmt
Program Services	$193,137	ProgramServicesAmt
Management And General	$48,125	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,953,168	TotalAmt
Program Services	$10,660,220	ProgramServicesAmt
Management And General	$3,292,948	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,253,015	TotalAmt
Program Services	$20,821,303	ProgramServicesAmt
Management And General	$6,431,712	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,329,422	TotalAmt
Program Services	$4,071,678	ProgramServicesAmt
Management And General	$1,257,744	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$84,249,106	$84,249,106
NON MEDICAL SUPPLIES	$7,704,176	$7,223,883	$480,293
OTHER TAXES & ASSESSMENTS	$2,954,221	$2,954,221
ADMINISTRATION EXPENSES	$514,978	$514,978

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$583,774	TotalAmt
Program Services	$583,774	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$486,877,311	TotalAmt
Program Services	$433,791,841	ProgramServicesAmt
Management And General	$53,085,470	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$401,625	BOYAmt
EOY	$139,549	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$47,080,957	BOYAmt
EOY	$65,509,634	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,017,078	BOYAmt
EOY	$55,070,497	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,964,828	BOYAmt
EOY	$11,585,400	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,582,042	BOYAmt
EOY	$4,793,945	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$505,390,270	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$216,672,356	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$303,291,422	BOYAmt
EOY	$288,717,914	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$108,857,970	BOYAmt
EOY	$115,679,765	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,497,164	BOYAmt
EOY	$1,610,418	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$46,799,307	BOYAmt
EOY	$53,916,994	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$573,492,393	BOYAmt
EOY	$597,024,116	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,727,159	BOYAmt
EOY	$60,039,992	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,547,281	BOYAmt
EOY	$1,198,531	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$308,913,283	BOYAmt
EOY	$299,519,639	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,343,040	BOYAmt
EOY	$4,818,535	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,515,421	BOYAmt
EOY	$107,000,381	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$484,046,184	BOYAmt
EOY	$472,577,078	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$79,690,411	BOYAmt
EOY	$114,576,579	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,498,110	BOYAmt
EOY	$7,612,771	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,257,688	BOYAmt
EOY	$2,257,688	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$89,446,209	BOYAmt
EOY	$124,447,038	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$573,492,393	BOYAmt
EOY	$597,024,116	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$36,670,395	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,586,384	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,916,818	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$64,283	OtherActivitiesAmt
Total Lobbying Expenditures	$64,283	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LINE 1I - PERCENTAGE OF DUES PAID TO GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LINE 1I - PERCENTAGE OF DUES PAID TO GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,257,688	BeginningYearBalanceAmt
Investment Earnings Or Losses	$78,881	InvestmentEarningsOrLossesAmt
Other Expenditures	$78,881	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,993,764	BeginningYearBalanceAmt
Contributions	$263,924	ContributionsAmt
Investment Earnings Or Losses	$319,612	InvestmentEarningsOrLossesAmt
Other Expenditures	$319,612	OtherExpendituresAmt
End Year Balance	$2,257,688	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,993,764	BeginningYearBalanceAmt
Investment Earnings Or Losses	$83,239	InvestmentEarningsOrLossesAmt
Other Expenditures	$83,239	OtherExpendituresAmt
End Year Balance	$1,993,764	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,993,764	BeginningYearBalanceAmt
Investment Earnings Or Losses	$90,031	InvestmentEarningsOrLossesAmt
Other Expenditures	$90,031	OtherExpendituresAmt
End Year Balance	$1,993,764	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,993,764	BeginningYearBalanceAmt
Investment Earnings Or Losses	$229,660	InvestmentEarningsOrLossesAmt
Other Expenditures	$229,660	OtherExpendituresAmt
End Year Balance	$1,993,764	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,897,415	OtherCostOrOtherBasisAmt
Book Value	$4,897,415	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$207,403,907	OtherCostOrOtherBasisAmt
Depreciation	$64,206,793	DepreciationAmt
Book Value	$143,197,114	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$274,955,839	OtherCostOrOtherBasisAmt
Depreciation	$143,898,967	DepreciationAmt
Book Value	$131,056,872	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,133,109	OtherCostOrOtherBasisAmt
Depreciation	$8,566,596	DepreciationAmt
Book Value	$9,566,513	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$288,717,914	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE RECOVERIES RECEIVABLE	$26,272,996
DEFERRED REVENUE	$985,529
DUE FROM THIRD-PARTIES	$9,600,964
DUE FROM RELATED ORGANIZATIONS	$9,088,697
MISCELLANEOUS RECEIVABLES	$549,873
INTEREST IN ORMC FOUNDATION	$7,418,935

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$53,916,994	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTIES	$33,266,773
PENSION LIABILITY	$39,609,963
LT LIABILITY - WC & MALPRACTICE	$34,123,645

Field	Value	IRS element (for citing)
Total Liability	$107,000,381	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$517,856,898	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$3,586,384	NetUnrealizedGainsInvstAmt
Other Revenue	-$462,387	OtherRevenueAmt
Revenue Not Reported	-$4,048,771	RevenueNotReportedAmt
Revenue Subtotal	$521,905,669	RevenueSubtotalAmt
Investment Expenses Not Incld	$151,810	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$1,490,227	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,642,037	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$523,547,706	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$485,206,642	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$1,490,227	OtherExpensesIncludedAmt
Expenses Not Reported	-$1,490,227	ExpensesNotReportedAmt
Expenses Subtotal	$486,696,869	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$151,810	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$28,632	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$180,442	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$486,877,311	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS (PERMANENTLY RESTRICTED) ARE INVESTED IN ACCOUNTS IN ORMC'S NAME. THE PRINCIPAL BALANCES ARE TO BE HELD AND ALL EARNINGS ARE TO BE USED FOR THE BENEFIT AND SUPPORT OF THE ORGANIZATION'S PROGRAMS AND SERVICES
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	The Hospital is a Section 501(c)(3) organization exempt from Federal, New York State and local income taxes under Section 501(a) of the Internal Revenue Code The Tax Cuts and Jobs Act (TCJA) was enacted on December 22, 2017. For tax exempt entities, TCJA requires organizations to categorize certain fringe benefit expenses as a source of unrelated business income subject to tax, pay an excise tax on compensation above certain thresholds, and record income or losses for tax determination purposes from unrelated business activities on an activity-by-activity basis, among other provisions. Regulations necessary to implement certain aspects of TCJA are expected to be promulgated by the Internal Revenue Service (IRS) in 2019. The effects of income taxes are not material to the accompanying consolidated financial statements.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	CONTRIBUTIONS FOR P P & E - -457337 RESTRICTED FUND INCOME - 23582 RENT AND ADMIN FEE FROM FOUNDATION - -28632
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENTAL EPXENSES - -25353 BAD DEBT RECOVERY - 1515580
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSE - 25353 BAD DEBT RECOVERY - -1515580
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	CONTRIBUTION TO FOUNDATION - 28632

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,695,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$225,128	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,470,793	NetCommunityBenefitExpnsAmt
Total Expense	0.0153	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,559,081	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,888,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,670,437	NetCommunityBenefitExpnsAmt
Total Expense	0.0260	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$82,255,002	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,113,772	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,141,230	NetCommunityBenefitExpnsAmt
Total Expense	0.0414	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$197,043	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$183,403	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,278,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,948,693	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,329,620	NetCommunityBenefitExpnsAmt
Total Expense	0.0233	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,889,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,678,351	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,210,718	NetCommunityBenefitExpnsAmt
Total Expense	0.0374	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$100,364,425	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,640,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,723,741	NetCommunityBenefitExpnsAmt
Total Expense	0.0610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$182,619,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$132,754,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,864,971	NetCommunityBenefitExpnsAmt
Total Expense	0.1024	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$146,381,672	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$171,276,808	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$24,895,136	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN
AMBULATORY SURGERY CENTER	0.4	0.6
HUDSON VALLEY AMBULATORY SURGERY LLC
AMBULATORY SURGERY CENTER	0.26	0.74

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ORMC.ORG	WebsiteAddressTxt
State License	3523000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.ORMC.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-SERVICE-PLANS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.ORMC.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-SERVICE-PLANS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.ormc.org/wp-content/uploads/2017/03/ormc-financial-assistance-summary-2017.pdf	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ORANGE REGIONAL MEDICAL CENTER. COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. COMMUNITY INPUT WAS SOUGHT THROUGH KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS AND PARTNERS, FOCUS GROUP DISCUSSIONS WITH COMMUNITY RESIDENTS, AN ONLINE COMMUNITY MEMBER SURVEY AVAILABLE TO ALL RESIDENTS, AND INCLUSION OF COMMUNITY LEADERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ORANGE REGIONAL MEDICAL CENTER. THE CHNA WAS UNDERTAKEN BY THE GREATER HUDSON VALLEY HEALTH SYSTEMS WHICH INCLUDES BOTH ORANGE REGIONAL MEDICAL CENTER AND CATSKILL REGIONAL MEDICAL CENTER.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ORANGE REGIONAL MEDICAL CENTER. BASED ON FEEDBACK FROM COMMUNITY PARTNERS, INCLUDING HEALTH CARE PROVIDERS, PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE AGENCIES, AND OTHER COMMUNITY REPRESENTATIVES, GREATER HUDSON VALLEY HEALTH SYSTEM PLANS TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING HEALTH PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: * PREVENT CHRONIC DISEASES/REDUCE OBESITY * PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN/REDUCE TEEN PREGNANCY AN IMPLEMENTATION STRATEGY WAS DEVELOPED TO ILLUSTRATE THE SYSTEM'S SPECIFIC PROGRAMS AND RESOURCES THAT SUPPORT ONGOING EFFORTS TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. IN ADDITION, THE SYSTEM HAS APPOINTED ITS FIRST DIRECTOR OF COMMUNITY HEALTH WHO WILL PLAY AN ACTIVE ROLE IN DEVELOPING PARTNERSHIPS WITH OUTSIDE ORGANIZATIONS AND INTEGRATING PROGRAMS THAT ARE IN LINE WITH THE CORPORATE COMMUNITY HEALTH PLAN. THE GROWTH AND SUPPORT OF A STRONG COMMUNITY HEALTH PROGRAM IN THE SYSTEM HAS BEEN IDENTIFIED IN THE ORGANIZATION'S STRATEGIC PLAN AND REMAINS A PRIORITY OF THE BOARD OF DIRECTORS. THE COMMUNITY HEALTH PLAN IS FOCUSED ON THE TWO PRIORITY AREAS IDENTIFIED ABOVE AND ADOPTED THE THIRD PRIORITY AREA OF MENTAL HEALTH/SUBSTANCE ABUSE IN THE SYSTEM'S MOST RECENT COMMUNITY SERVICE PLAN UPDATE DUE TO THE SEVERE IMPACT OF THE OPOID CRISIS IN OUR AREA. FOR THOSE IDENTIFIED COMMUNITY HEALTH NEEDS NOT ADDRESSED BY THE MOST RECENT IMPLEMENTATION PLAN, GREATER HUDSON VALLEY HEALTH SYSTEM RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES AND EMPLOYS THE ROBERT WOOD JOHNSON MODEL OF COLLECTIVE IMPACT TO IMPROVE HEALTH. THIS ALLOWS MULTIPLE STAKEHOLDERS TO WORK TOGETHER ON A COMMON AGENDA WITH SHARED MEASUREMENT. MUTUALLY REINFORCING ACTIVITIES, CONTINUOUS COMMUNICATION AND BACKBONE SUPPORT. LASTLY, THE GHVHS COMMUNITY HEALTH TEAM ACTIVELY ENGAGES IN LOCAL HEALTH COMMITTEES, COALITIONS, NETWORKS AND TASK FORCES THAT WORK TO DECREASE HEALTH DISPARITIES AND IMPROVE THE HEALTH EQUITY OF OUR POPULATION. THE GREATER HUDSON VALLEY HEALTH SYSTEM WILL CONTINUE TO UTILIZE ITS ROLE AS AN ANCHOR INSTITUTION TO LEAD, ROLE MODEL AND GROW A CULTURE OF HEALTH IN THE COMMUNITIES WE SERVE. TO IMPROVE ALL HEALTH ISSUES IDENTIFIED THROUGH THE CHNA AS RESOURCES ARE AVAILABLE AND WILL ALSO CONTINUE TO PLAY A LEADERSHIP ROLE IN ADDRESSING THE HEALTH NEEDS OF THE RESIDENTS IN THE COMMUNITIES IT SERVES.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CRYSTAL RUN AMBULATORY SURGERY CNTR
95 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10941	JOINT VENTURE AMBULATORY SURGERY CENTER
HUDSON VALLEY AMBULATORY SURGERY LLC
75 CRYSTAL RUN RD SUITE 225	MIDDLETOWN	NY	10941	JOINT VENTURE AMBULATORY SURGERY CENTER
ORANGE REGIONAL MEDICAL PAVILION
75 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10941	WOUND CARE, SLEEP CENTER, SUBSTANCE ABUSE & COUNSELING CNTR

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I Rev. Proc. 2015-21 Disclosure	IN NOVEMBER 2018, THE ORGANIZATION ENGAGED AN OUTSIDE CONSULTANT TO REVIEW AND REVISE ITS FINANCIAL ASSISTANCE & CREDIT AND COLLECTIONS POLICY TO MEET THE REQUIREMENTS OF TREASURY REGULATIONS ISSUED UNDER SECTION 501(R). THE POLICIES WERE FORMALLY ADOPTED BY THE GOVERNING BODY IN NOVEMBER 2019, AT WHICH TIME THEY WERE WIDELY PUBLICIZED WITHIN THE MEANING OF TREAS. REG. SECTION 1.501(R)-4(B)(5). TO ENSURE FULL COMPLIANCE WITH SECTION 501(R) AND THE TREASURY REGULATIONS ISSUED THEREUNDER, THE OUTSIDE CONSULTANT ALSO REVIEWED ALL OPERATIONAL ASPECTS OF SECTION 501(R). THE ORGANIZATION CONTINUES TO MONITOR COMPLIANCE WITH 501(R) ON A REGULAR BASIS.
Schedule H, Part I, Line 7g Subsidized Health Services	LINE 7G DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	AFS FOOTNOTE - AMOUNTS IN THOUSANDS BAD DEBT EXPENSE FOR THE PERIOD ENDED DECEMBER 31, 2018 WAS NOT SIGNIFICANT. FOR SERVICES PROVIDED THROUGH DECEMBER 31, 2017, NET PATIENT SERVICE REVENUE AND THE RELATED ACCOUNTS RECEIVABLE ESTIMATES ARE SUBJECT TO THE ACCOUNTING REQUIREMENTS PRIOR TO THE ADOPTION OF ASU 2014-09. ESTIMATES FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS PERTAINING TO THIS SERVICE PERIOD ARE REEVALUATED MONTHLY AND CERTAIN REVISIONS TO SUCH ESTIMATES CONTINUE TO BE MADE BASED ON RECENT COLLECTION TRENDS AND MANAGEMENT'S EXPECTATIONS FOR THE ULTIMATE COLLECTION OF ACCOUNTS RECEIVABLE BALANCES EXISTING AT DECEMBER 31, 2017. FOR THE YEAR ENDED DECEMBER 31, 2018, THE HOSPITAL RECORDED BAD DEBT RECOVERIES OF $1,516 RELATED TO PRE-2018 NET PATIENT SERVICE REVENUE.ORMC WROTE OFF APPROXIMATELY $21,500 AND $22,700 FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY, RELATED TO PATIENT ACCOUNT BALANCES WITH DATES OF SERVICE PRIOR TO 2018, OF WHICH A SIGNIFICANT PORTION RELATE TO UNINSURED PATIENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE SHORTFALL OF $24,895,136 COULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE TO THE EXTENT THAT IT IS IN EFFECT A SUBSIDY OF A GOVERNMENTAL 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 ELIGIBILTY 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.
Schedule H, Part V, Section B, Line 16a FAP website	- ORANGE REGIONAL MEDICAL CENTER: Line 16a URL: https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ORANGE REGIONAL MEDICAL CENTER: Line 16b URL: https://www.ormc.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ORANGE REGIONAL MEDICAL CENTER: Line 16c URL: https://www.ormc.org/wp-content/uploads/2017/03/ormc-financial-assistance-summary-2017.pdf;
Schedule H, Part VI, Line 2 Needs assessment	THE MAJORITY OF ORMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, ORMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	TO INFORM AND EDUCATE OUR PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE, ORANGE REGIONAL MEDICAL CENTER UTILIZES SEVERAL METHODS, INCLUDING PROVIDING A FINANCIAL AID SUMMARY AT REGISTRATION, POSTING SIGNS IN PATIENT AREAS, DETAILING THE INFORMATION ON THE ORGANIZATION'S WEBSITE, AND INCLUDING IT ON PATIENT STATEMENTS.
Schedule H, Part VI, Line 4 Community information	ORANGE REGIONAL MEDICAL CENTER IS A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM. ORMC, IN MIDDLETOWN, NY, EXPANDED ITS SERVICE AREA TO REFLECT ITS RELATIONSHIP WITH CATSKILL REGIONAL MEDICAL CENTER (ALSO A MEMBER OF GHVHS). THE GHVHS SERVICE AREA INCLUDED ALL OF ORANGE COUNTY AND SULLIVAN COUNTY; AN AREA THAT ENCOMPASSES 1,828 SQUARE MILES AND APPROXIMATELY 450,000 RESIDENTS. WHEN IT COMES TO HEALTH PLANNING FOR PRIMARY CARE AND CORE SECONDARY LEVEL SERVICES, ORMC FOCUSES ON 29 ZIP CODES THAT COMPRISE ITS LOCAL HEALTH SERVICE AREA. THIS SERVICE AREA WAS DETERMINED BY IDENTIFYING THE ZIP CODES FROM WHICH 85% OF ORANGE REGIONAL'S DISCHARGES ORIGINATE. PLANNING FOR SPECIALTY CARE SERVICES TAKES A MORE REGIONAL PERSPECTIVE AND ENCOMPASSES ALL OF ORANGE AND SULLIVAN COUNTIES AND THE NEEDS OF THEIR RESIDENTS.
Schedule H, Part VI, Line 5 Promotion of community health	THE MAJORITY OF ORMC'S BOARD OF DIRECTORS CONSISTS OF LOCAL HEALTH CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING THE HEALTHCARE NEEDS AND PRIORITIES OF THE COMMUNITIES SERVED. IN ADDITION, ORMC CONDUCTS, COORDINATES, AND PARTICIPATES IN A BROAD RANGE OF COMMUNITY OUTREACH PROGRAMS THAT ALLOW COMMUNITY MEMBERS THE OPPORTUNITY TO INTERACT DIRECTLY WITH REPRESENTATIVES FROM THE HOSPITAL. ORMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED PHYSICIAN IS ENCOURAGED TO APPLY FOR MEDICAL STAFF MEMBERSHIP.
Schedule H, 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, AND ALSO FOR THE ORANGE REGIONAL MEDICAL CENTER FOUNDATION. GARNET HEALTH DOCTORS PC AND GARNET HEALTH URGENT CARE PC ARE ALSO PARTICIPANTS IN THE SYSTEM. THE GHVHS 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 PATIENTS IN SULLIVAN AND ULSTER COUNTIES. CATSKILL REGIONAL MEDICAL CENTER-HARRIS IS A COMMUNITY HOSPITAL; WHILE, CATSKILL REGIONAL MEDICAL CENTER- CALLICOON IS A CRITICAL ACCESS HOSPITAL. ORANGE REGIONAL MEDICAL CENTER OPENED A NEW HOSPITAL FACILITY DURING 2011 AND SERVES PATIENTS IN THE TRI-COUNTY AREA. GARNET HEALTH DOCTORS PC HAS OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE REGIONAL MEDICAL CENTER FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	133020568	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,019,942	CashGrantAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Purpose Of Grant	EXPENSES INCURRED AND PAID ON BEHALF OF THE ORANGE REGIONAL MEDICAL CENTER FOUNDATION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	Institutional support is provided to the ORMC Foundation - a related organization.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JONATHAN SCHILLER
Former COO	$0	$422,056	$0	$155,170	$0	$1,170	$0	$26,176	$0	$29,354	$0	$633,926	$0	$0
JAMES GRIGG
CHIEF FINANCIAL OFFICER	$0	$431,747	$0	$30,000	$0	$9,291	$0	$8,539	$0	$10,483	$0	$490,060	$0	$0
JAMES OXLEY DO
CMO	$0	$485,072	$0	$188,853	$0	$13,592	$0	$24,750	$0	$20,095	$0	$732,362	$0	$0
SCOTT BATULIS
PRESIDENT/CEO	$0	$1,093,685	$0	$335,739	$0	$20,329	$0	$24,750	$0	$30,554	$0	$1,505,057	$0	$0
HAI LUO
CHIEF PHYSICIST	$257,850	$0	$0	$0	$1,655	$0	$39,368	$0	$17,543	$0	$316,416	$0	$0	$0
MARIANNE WALKER
ASSOC COUNSEL/VP ENTERPRISE RISK MGMT	$242,486	$0	$42,763	$0	$1,557	$0	$23,583	$0	$29,354	$0	$339,743	$0	$0	$0
CHRISTINE GOODHART
HR OPERATIONS ADMINISTRATOR	$212,161	$0	$47,455	$0	$457	$0	$22,254	$0	$9,515	$0	$291,842	$0	$0	$0
PAMELA MURPHY MD
VP EMERGENCY MED & OBSERVATION	$243,147	$61,633	$0	$0	$1,544	$0	$9,775	$0	$10,483	$0	$264,949	$61,633	$0	$0
DEBORA SNYDER
SR ADMINISTRATOR - EMER SVCS	$191,833	$0	$34,910	$0	$403	$0	$9,223	$0	$10,483	$0	$246,852	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	COMPENSATION OF THE CHIEF EXECUTIVE OFFICER WAS DETERMINED BY THE GREATER HUDSON VALLEY HEALTH SYSTEM, INC AND PAID BY GREATHER HUDSON VALLEY HEALTH SYSTEM, INC. THE SALARY AND RELATED EXPENSES WERE THEN CHARGED TO ORANGE REGIONAL MEDICAL CENTER.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SEVERANCE PAID IN 2018: JOANNE RITTER-TEITEL $311,931
Schedule J, Part I, Line 7 Non-fixed payments	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 COLUMN B(II). BONUSES ARE BASED UPON THE ATTAINMENT OF ORGANIZATIONAL GOALS THAT SUPPORT AND REINFORCE THE ORGANIZATION MISSION, VALUES AND STRATEGIC OBJECTIVES. THESE TARGETS ARE PREDETERMINED AND THE ANNUAL INCENTIVE IS BASED UPON THE PERCENTAGE OF COMPLETION IN EACH AREA. THESE BONUSES ARE PAID AT THE DISCRETION OF THE BOARD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A	146000293	64990BHF3	2015-05-13	$70,060,402	CONSTRUCT A PROFESSIONAL OFFICE BUILDING & CANCER CENTER	false	false	false
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B	146000293	64990CQC8	2017-02-28	$253,825,171	DEFEASANCE OF THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK SERIES 2008 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$3,100,000	$70,060,402	$4,345,000	$65,715,402	2016	false	false	Yes (true)	Yes (true)
B	$13,400,000	$253,825,171	$18,520,000		2017	false	Yes (true)	Yes (true)	Yes (true)	$231,489,386	$3,040,785	$775,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0048	0.0048	false	false	Yes (true)
B	false	false	false		false		0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	false	false
B	false	Yes (true)	false	false	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 10,038,243 including grants of $)(Revenue $ 11,919,583) PROVIDING BEHAVIORAL HEALTH SERVICES TO 1,045 PATIENTS IN THE SURROUNDING COMMUNITY
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE ORMC CEO IS EMPLOYED AND COMPENSATED BY GREATER HUDSON VALLEY HEALTH SYSTEM. COMPENSATION FOR THE ORMC CEO IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE CEO WAS PERFORMED IN 2018 FOR THE 2019 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GHVHS COMPENSATION COMMITTEE. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	EXCEPT AS OTHERWISE PROHIBITED BY THE NPCL, THE EXECUTIVE COMMITTEE MAY EXERCISE THE POWERS OF THE BOARD OF DIRECTORS, PROVIDED SUCH ACTION IS NOT INCONSISTENT WITH THE PROVISIONS OF THE GHVHS CERTIFICATE OF INCORPORATION, THESE BYLAWS, OR ANY LAW OR STATUTE GOVERNING GHVHS. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED FULLY TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD.
Form 990, Part VI, Line 6 Classes of 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 ORANGE REGIONAL MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	GREATER HUDSON VALLEY HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE ORMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM ORMC BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	GREATER HUDSON VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS APPROVES DECISIONS OF ORANGE 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 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE FINAL DRAFT RETURN IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE GHVHS BOARD OF DIRECTORS. A COPY OF THE 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 Conflict of interest policy	AS A PARTICIPANT IN THE GREATER HUDSON VALLEY HEALTH SYSTEM, ORANGE REGIONAL MEDICAL CENTER IS SUBJECT TO THE GHVHS CONFLICT OF INTEREST (COI) POLICY WHICH APPLIES TO ALL MANAGEMENT PERSONNEL, INCLUSIVE OF DIRECTORS, MANAGERS AND SUPERVISORS, COMMITTEE MEMBERS, TRUSTEES AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE ORGANIZATION OR ANY ENTITY CONTROLLED BY THE ORGANIZATION. THE CONFLICTS POLICY REQUIRES MANAGEMENT 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 GHVHS POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE GHVHS COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND PRESENTS ANY CONFLICTS TO THE BOARD AUDIT AND COMPLIANCE COMMITTEE SO THAT ANY IDENTIFIED INDIVIDUAL WITH A POTENTIAL CONFLICT IS RECUSED FROM PARTICIPATING IN THE CONSIDERATION OR DETERMINATION OF THE MATTER. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	REBATES - Total Revenue: 792224, Related or Exempt Function Revenue: 792224, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISC REVENUE - Total Revenue: 668216, Related or Exempt Function Revenue: 668216, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PROFESSIONAL FEES - PHYSICIANS - Total Expense: 28934046, Program Service Expense: 28934046, Management and General Expenses: , Fundraising Expenses: ; TEMP AND AGENCY FEES - Total Expense: 2878948, Program Service Expense: 2878948, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 3873123, Program Service Expense: 572020, Management and General Expenses: 3301103, Fundraising Expenses: ; RECRUITMENT FEES - Total Expense: 85805, Program Service Expense: 48946, Management and General Expenses: 36859, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 16239447, Program Service Expense: 13934904, Management and General Expenses: 2304543, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 5961514, Program Service Expense: 5961514, Management and General Expenses: , Fundraising Expenses: ; ALL OTHER PURCHASED SERVICES - Total Expense: 89858, Program Service Expense: 3569, Management and General Expenses: 86289, Fundraising Expenses: ; CONTRACTED EMPLOYEES - RELATED ORG - Total Expense: 7785043, Program Service Expense: , Management and General Expenses: 7785043, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	POST RETIREMENT-RELATED CHANGES - 530379; PENSION-RELATED - 974672; CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. - 138243; TRANSFER FROM GREATER HUDSON VALLEY HEALTH SYSTEM - 273524;
PART VI, SECTION B, LINE 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	KEY EMPLOYEES OF ORMC ARE EMPLOYED AND COMPENSATED BY GREATER HUDSON VALLEY HEALTH SYSTEM. COMPENSATION FOR THE KEY EMPLOYEES IS DETERMINED UTILIZING A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE GHVHS BOARD WITH INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS COMPENSATION SURVEYS, STUDIES AND MARKET DATA. THESE SURVEYS INCLUDE HEALTHCARE SYSTEMS WITH COMPARABLE NET REVENUE AND GEOGRAPHIC REGIONS. A FULL REVIEW OF ALL EXECUTIVE TEAM SALARIES, INCLUDING THE PRESIDENT/CEO WAS PERFORMED IN 2018 FOR THE 2019 CALENDAR YEAR BY OUR COMPENSATION CONSULTANT (SULLIVAN COTTER) AND PRESENTED TO THE GHVHS COMPENSATION COMMITTEE. THESE POSITIONS INCLUDED CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, CHIEF INNOVATION OFFICER, CHIEF HR OFFICER, VP SUPPORT SERVICES & REAL ESTATE, CHIEF QUALITY OFFICER, VP/GENERAL COUNSEL, VP MARKETEING & STRATEGIC PLANNING, AND CHIEF NURSING OFFICER. ANY CHANGES IN COMPENSATION WERE REVIEWED AND APPROVED BY THE COMMITTEE AND DOCUMENTED IN THE COMMITTEE MINUTES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GREATER HUDSON VALLEY HEALTH SYSTEM INC
C/O ORMC	707 EAST MAIN STREET	MIDDLETOWN	NY	10940	061488219	HEALTHCARE	NY	501(c)(3)	Type II	NA	false
CATSKILL REGIONAL MEDICAL CENTER
PO BOX 800		HARRIS	NY	12742	146049030	HOSPITAL	NY	501(c)(3)	3	GHVHS	false
ORANGE REGIONAL MED CENTER FOUNDATION
C/O ORMC	707 EAST MAIN STREET	MIDDLETOWN	NY	10940	133020568	FUNDRAISING	NY	501(c)(3)	Type I	GHVHS	false
ORMC AUXILIARY
707 EAST MAIN STREET		MIDDLETOWN	NY	10940	205223843	SUPPORT ORG	NY	501(c)(3)	9	NA	false
GARNET HEALTH DOCTORS PC
707 EAST MAIN STREET		MIDDLETOWN	NY	10940	371743537	HEALTHCARE	NY	501(c)(3)	Type I	GHVHS	false
SYNERA CORP
C/O 707 EAST MAIN STREET		MIDDLETOWN	NY	10940	743070072	REAL PROPERTY HOLDING COMPANY	NY	501(c)(2)		ORANGE REGIONAL MEDICAL CENTER	Yes (true)
GARNET HEALTH URGENT CARE PC
707 EAST MAIN ST		MIDDLETOWN	NY	10940	824251331	HEALTHCARE	NY	501(c)(3)	Type I	GHVHS	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	EAST MAIN STREET MANAGEMENT CORP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	707 EAST MAIN STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10940	ZIPCd

Field	Value	IRS element (for citing)
EIN	203168346	EIN
Primary Activities	ADMIN SVCS	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ORMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd