GARNET HEALTH MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: GARNET HEALTH MEDICAL CENTER (EIN 14-1364536)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201723199349308587
Schema version: 2016v3.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T12:20:00-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	345 Park Avenue	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	101540102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	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)
In Care Of	% JAMES GRIGG INTERIM CFO -	InCareOfNm
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
Phone	8453427349	PhoneNum
Signature	2017-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY-EVELYN ANTONETTI	PreparerPersonNm
PTIN	P00431862	PTIN
Phone	2127589700	PhoneNum
Preparation	2017-11-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	13407320173195000063	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9	AtSubmissionCreationDeviceId
At Submission Filing Device Id	13DC49EE99BE1E68D8F422D2C3382CFF6E8F3AB9	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT BATULIS	PrincipalOfficerNm

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	$752,389,082	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	3380	TotalEmployeeCnt
Total Volunteers	537	TotalVolunteersCnt
Total Gross UBI	$5,598	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,832	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,610,457	PYContributionsGrantsAmt
CY Contributions Grants	$2,635,786	CYContributionsGrantsAmt
PY Program Service Revenue	$425,800,702	PYProgramServiceRevenueAmt
CY Program Service Revenue	$460,090,035	CYProgramServiceRevenueAmt
PY Investment Income	$1,097,561	PYInvestmentIncomeAmt
CY Investment Income	$1,050,945	CYInvestmentIncomeAmt
PY Other Revenue	$3,601,211	PYOtherRevenueAmt
CY Other Revenue	$4,602,512	CYOtherRevenueAmt
PY Total Revenue	$432,109,931	PYTotalRevenueAmt
CY Total Revenue	$468,379,278	CYTotalRevenueAmt
PY Grants And Similar Paid	$720,300	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$762,737	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$205,178,033	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$229,856,276	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$218,172,266	PYOtherExpensesAmt
CY Other Expenses	$231,026,587	CYOtherExpensesAmt
PY Total Expenses	$424,070,599	PYTotalExpensesAmt
CY Total Expenses	$461,645,600	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,039,332	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,733,678	CYRevenuesLessExpensesAmt
Total Assets BOY	$570,124,151	TotalAssetsBOYAmt
Total Assets EOY	$577,716,056	TotalAssetsEOYAmt
Total Liabilities BOY	$472,357,374	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$474,379,104	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$97,766,777	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$103,336,952	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$229,529,974	ExpenseAmt
Grant	$762,737	GrantAmt
Revenue	$294,183,929	RevenueAmt
Desc	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. SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$112,569,307	ExpenseAmt
Revenue	$144,277,806	RevenueAmt
Desc	EXPENSES INCURRED WHILE 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	$9,764,178	ExpenseAmt
Revenue	$12,514,550	RevenueAmt
Desc	EXPENSES INCURRED WHILE PROVIDING REHABILITATION MEDICAL SERVICES TO 1045 PATIENTS IN THE SURROUNDING COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$8,515,392	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$10,914,005	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$360,378,851	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	420	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3380	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	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
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	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	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

Field	Value	IRS element (for citing)
Person	JAMES GRIGG INTERIM CFO -	PersonNm
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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
LON MERIN MD
BOARD MEMBER	1.0	2.0	Yes (X)	$0	$0	$0
TERENCE OLIVO
CHAIRMAN	1.0	2.0	Yes (X)	$0	$0	$0
ROLLAND PEACOCK III
BOARD MEMBER	1.0	6.0	Yes (X)	$0	$0	$0
JONATHAN ROUIS
SECRETARY	1.0	8.0	Yes (X)	$0	$0	$0
SHER SINGH
BOARD MEMBER	1.0	2.0	Yes (X)	$0	$0	$0
ANDREW PAVLOFF
TREASURER	1.0	3.0	Yes (X)	$0	$0	$0
DONALD BEELER
VICE CHAIRMAN	1.0	2.0	Yes (X)	$0	$0	$0
JOSEPH M ANESI
VP/GENERAL COUNSEL	40.0	20.0		$439,482	$0	$70,550	Yes (X)
ROSEMARY A BACZEWSKI
CHIEF QUALITY OFFICER	40.0	20.0		$371,881	$0	$60,740	Yes (X)
SCOTT BATULIS
PRESIDENT & CEO	40.0	25.0		$1,530,926	$0	$70,550	Yes (X)
RICHARD CARRICO
CFO	40.0	20.0		$551,255	$0	$39,300	Yes (X)
WILLIAM DAUSTER
PRESIDENT ORMC FOUNDATION	1.0	39.0		$0	$275,812	$50,231	Yes (X)
GERARD DUNLAVEY
EXEC DIR GHVHS MEDICAL GROUP	0.0	45.0		$0	$349,360	$56,475	Yes (X)
JILL EMBLER
VP FINANCIAL PLANNING	40.0	20.0		$252,004	$0	$47,614	Yes (X)
SANDRA IBERGER
VP OPERATIONS UNTIL 10/17/16	40.0	20.0		$408,322	$0	$52,335	Yes (X)
JAMES OXLEY MD
VP MEDICAL AFFAIRS	40.0	5.0		$584,068	$0	$60,740	Yes (X)
JOANNE RITTER-TEITEL
VP PATIENT CARE SVCS/CNO	40.0	0.0		$549,947	$0	$70,550	Yes (X)
JONATHAN SCHILLER
COO	40.0	0.0		$449,178	$0	$71,773	Yes (X)
DAVID SMITH
VP MKTG & STRAT PLNG BEG 11/16	40.0	20.0		$31,732	$0	$0	Yes (X)
JOANNE STURANS
CHIEF HR OFFICER	40.0	20.0		$435,449	$0	$68,298	Yes (X)
STEPHEN SUGRUE
VP COMPLIANCE, AUDIT & RE	40.0	20.0		$367,011	$0	$70,550	Yes (X)
BRIAN TEW
CIO	40.0	20.0		$463,331	$0	$57,300	Yes (X)
HAI LUO
CHIEF PHYSICIST	40.0	0.0		$259,641	$0	$55,551		Yes (X)
MARIANNE WALKER
ASSOC COUNSEL/DIRECTOR RISK	40.0	20.0		$230,625	$0	$48,843		Yes (X)
CHRISTINE GOODHART
HR OPERATIONS ADMINISTRATOR	40.0	20.0		$212,275	$0	$27,866		Yes (X)
DANIEL PAGANO
DIRECTOR LABOR & EMPL RELATION	40.0	20.0		$194,714	$0	$20,639		Yes (X)
ASHOK KUMAR
DIRECTOR IT	40.0	20.0		$192,422	$0	$34,391		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,524,263	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$625,172	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,034,296	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	345	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
SKANSKA USA BUILDING INC
350 5TH AVE 32ND FLOOR	NEW YORK	NY	10118	GENERAL CONSTR	$43,148,566
GHVHS MEDICAL GROUP PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	MEDICAL SERVICES	$10,376,337
BOYCE EXCAVATING
PO BOX 367 SLATE HILL	NEW YORK	NY	10973	EXCAVATING SVCS	$3,284,513
RESTORIXHEALTH INC
155 WHITE PLAINS RD STE 222	TARRYTOWN	NY	10591	PROFESSIONAL SVCS	$3,088,220
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	IT SERVICES	$2,619,322

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	67	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$108	FederatedCampaignsAmt
Related Organizations	$1,991,535	RelatedOrganizationsAmt
Government Grants	$40,500	GovernmentGrantsAmt
All Other Contributions	$603,643	AllOtherContributionsAmt
Total Contributions	$2,635,786	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	$458,071,332	$458,071,320	$12
INCOME FROM JOINT VENTURE	900099	$1,458,699	$1,458,699
MGMT FEE FROM RELATED ORG	900099	$560,004	$560,004

Field	Value	IRS element (for citing)
Total Program Service Revenue	$460,090,035	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,071,937	TotalRevenueColumnAmt
Exclusion	$2,071,937	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$487,903	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$89,319	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$398,584	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$398,584	TotalRevenueColumnAmt
Unrelated Business Revenue	$5,586	UnrelatedBusinessRevenueAmt
Exclusion	$392,998	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$282,899,133	SecuritiesAmt
Other	$360	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$283,473,366	SecuritiesAmt
Other	$447,119	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$574,233	SecuritiesAmt
Other	-$446,759	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,020,992	TotalRevenueColumnAmt
Exclusion	-$1,020,992	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/COFFEE & GIFT SHOP REVENUE	721110	$2,403,673	$2,403,673
LLOCATED OVERHEAD RELATED ORG	900099	$656,004		$656,004
REBATES	900099	$489,410		$489,410

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$654,841	TotalRevenueColumnAmt
Related Or Exempt Func Income	$654,841	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,203,928	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$468,379,278	TotalRevenueColumnAmt
Related Or Exempt Func Income	$461,890,278	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,598	UnrelatedBusinessRevenueAmt
Exclusion	$3,847,616	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$762,737	TotalAmt
Program Services	$762,737	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,800,907	TotalAmt
Management And General	$7,800,907	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$155,914,528	TotalAmt
Program Services	$114,082,596	ProgramServicesAmt
Management And General	$41,831,932	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,046,993	TotalAmt
Program Services	$12,223,759	ProgramServicesAmt
Management And General	$4,823,234	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,952,787	TotalAmt
Program Services	$26,198,198	ProgramServicesAmt
Management And General	$10,754,589	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,141,061	TotalAmt
Program Services	$8,498,743	ProgramServicesAmt
Management And General	$3,642,318	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$21,268	TotalAmt
Management And General	$21,268	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$797,623	TotalAmt
Management And General	$797,623	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$375,405	TotalAmt
Management And General	$375,405	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$132,178	TotalAmt
Program Services	$132,178	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$219,021	TotalAmt
Management And General	$219,021	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$50,434,447	TotalAmt
Program Services	$44,253,314	ProgramServicesAmt
Management And General	$6,181,133	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,639,485	TotalAmt
Program Services	$1,639,485	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,095,413	TotalAmt
Program Services	$10,566,789	ProgramServicesAmt
Management And General	$4,528,624	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,888,541	TotalAmt
Program Services	$3,421,979	ProgramServicesAmt
Management And General	$1,466,562	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,932,882	TotalAmt
Program Services	$5,959,729	ProgramServicesAmt
Management And General	$3,973,153	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$522,211	TotalAmt
Program Services	$365,548	ProgramServicesAmt
Management And General	$156,663	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$227,902	TotalAmt
Program Services	$159,531	ProgramServicesAmt
Management And General	$68,371	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,166,330	TotalAmt
Program Services	$16,166,330	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,358,940	TotalAmt
Program Services	$15,815,364	ProgramServicesAmt
Management And General	$10,543,576	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,431,779	TotalAmt
Program Services	$3,802,245	ProgramServicesAmt
Management And General	$1,629,534	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$73,628,103	$73,628,103
BAD DEBT EXPENSE	$13,809,462	$13,809,462
NON MEDICAL SUPPLIES	$6,948,914	$4,864,240	$2,084,674
OTHER TAXES & ASSESSMENTS	$3,118,815	$3,118,815

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,277,868	TotalAmt
Program Services	$909,706	ProgramServicesAmt
Management And General	$368,162	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$461,645,600	TotalAmt
Program Services	$360,378,851	ProgramServicesAmt
Management And General	$101,266,749	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$41,429,322	BOYAmt
EOY	$25,027,226	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,650,519	BOYAmt
EOY	$1,065,389	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,856,209	BOYAmt
EOY	$51,002,654	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)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,371,374	BOYAmt
EOY	$10,038,908	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,594,463	BOYAmt
EOY	$2,807,901	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$483,040,787	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$162,303,672	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$272,851,868	BOYAmt
EOY	$320,737,115	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$153,979,664	BOYAmt
EOY	$115,037,154	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,181,391	BOYAmt
EOY	$8,727,344	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$39,209,341	BOYAmt
EOY	$43,272,365	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$570,124,151	BOYAmt
EOY	$577,716,056	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$60,238,095	BOYAmt
EOY	$59,711,713	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,865,435	BOYAmt
EOY	$1,881,031	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$300,588,676	BOYAmt
EOY	$294,610,162	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$6,750,011	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,665,168	BOYAmt
EOY	$111,426,187	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$472,357,374	BOYAmt
EOY	$474,379,104	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,655,287	BOYAmt
EOY	$93,669,315	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,117,726	BOYAmt
EOY	$7,673,873	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,993,764	BOYAmt
EOY	$1,993,764	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$97,766,777	BOYAmt
EOY	$103,336,952	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$570,124,151	BOYAmt
EOY	$577,716,056	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,733,678	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,610,892	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,774,395	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$78,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$54,178	OtherActivitiesAmt
Total Lobbying Expenditures	$132,178	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	LINE 1G - PAYMENTS TO ROFFEE GROUP, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY LINE 1I - PERCENTAGE OF DUES PAID TO NORMET, GNYHA, AHA AND HANYS THAT ARE ALLOCATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,993,764	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,717,429	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,717,429	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	$84,434	InvestmentEarningsOrLossesAmt
Other Expenditures	$84,434	OtherExpendituresAmt
End Year Balance	$1,993,764	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$203,232,949	OtherCostOrOtherBasisAmt
Depreciation	$47,626,068	DepreciationAmt
Book Value	$155,606,881	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$256,271,872	OtherCostOrOtherBasisAmt
Depreciation	$109,116,981	DepreciationAmt
Book Value	$147,154,891	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,638,551	OtherCostOrOtherBasisAmt
Depreciation	$5,560,623	DepreciationAmt
Book Value	$13,077,928	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$320,737,115	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE RECOVERIES RECEIV.	$26,399,574
DEFERRED REVENUE	$1,668,029
DUE FROM THIRD-PARTIES	$8,499,585
DUE FROM RELATED ORGANIZATION	$6,487,656
MISCELLANEOUS RECEIVABLES	$217,521

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$43,272,365	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTIES	$23,889,391
PENSION LIABILITY	$53,805,466
LT LIABILITY - WC & MALPRACTIC	$33,731,330

Field	Value	IRS element (for citing)
Total Liability	$111,426,187	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$453,331,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,610,892	NetUnrealizedGainsInvstAmt
Other Revenue	-$16,529,468	OtherRevenueAmt
Revenue Not Reported	-$14,918,576	RevenueNotReportedAmt
Revenue Subtotal	$468,249,576	RevenueSubtotalAmt
Investment Expenses Not Incld	$219,021	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$89,319	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$129,702	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$468,379,278	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$447,679,000	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$447,679,000	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$219,021	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$13,747,579	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,966,600	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$461,645,600	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4:	USE 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:	THE HOSPITAL AND SYNERA, A DORMANT CORPORATION, HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND 501(C)(2), RESPECTIVELY; THEREFORE, ARE GENERALLY EXEMPT FROM FEDERAL INCOME. EAST MAIN STREET MANAGEMENT CORPORATION AND THE ALPHA NETWORK, INC. ARE DORMANT TAXABLE CORPORATIONS. NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON SETTLEMENT. CHARNGES IN RECOGNITION IN MEASUREMENT ARE RELFECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2016 OR 2015.
SCHEDULE D, PART XI LINE 2D:	OTHER ADJUSTMENTS BAD DEBT EXPENSE -13,809,462 POST RETIREMENT-RELATED CHANGES 118,212 PENSION-RELATED CHANGES -5,490,628 CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. 643,180 TRANSFER TO RELATED PARTY 1,954,841 ROUNDING 54,389 ----------- TOTAL TO FORM 990, PART XI, LINE 9 -16,529,468
SCHEDULE D, PART XI, LINE 4B:	OTHER ADJUSTMENTS RENTAL EXPENSES -89,319 ----------- TOTAL TO SCHEDULE D, PART XI, LINE 4B -89,319
SCHEDULE D, PART XII, LINE 4B:	OTHER ADJUSTMENTS BAD DEBT EXPENSE 13,809,462 CONTRIBUTION TO FOUNDATION 28,632 RENTAL EXPENSES -89,319 ROUNDING -1,196 ----------- TOTAL TO SCHEDULE D, PART XII, LINE 4B 13,747,579

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
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	$7,582,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,247,496	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,334,842	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,951,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,723,001	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,228,644	NetCommunityBenefitExpnsAmt
Total Expense	0.06970	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,533,983	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,970,497	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,563,486	NetCommunityBenefitExpnsAmt
Total Expense	0.08380	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	201	ActivitiesOrProgramsCnt
Persons Served	6106	PersonsServedCnt
Total Community Benefit Expns	$206,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$195,741	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,445,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,277,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,167,604	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,515,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,519,143	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,996,439	NetCommunityBenefitExpnsAmt
Total Expense	0.02010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	201	ActivitiesOrProgramsCnt
Persons Served	6106	PersonsServedCnt
Total Community Benefit Expns	$55,167,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,807,721	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,359,784	NetCommunityBenefitExpnsAmt
Total Expense	0.03200	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	201	ActivitiesOrProgramsCnt
Persons Served	6106	PersonsServedCnt
Total Community Benefit Expns	$137,701,488	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,778,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,923,270	NetCommunityBenefitExpnsAmt
Total Expense	0.11580	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,809,462	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,168,086	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$127,274,728	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$167,317,955	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$40,043,227	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 (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CRYSTAL RUN
AMBULATORY SURGERY CENTER
AMBULATORY SURGERY

CENTER OF MIDDLETOWN
	0.4	0.6
HUDSON VALLEY
AMBULATORY SURGERY CENTER
AMBULATORY SURGERY

LLC
	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	35230004	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd

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	SEE DISCLOSURE IN PART V	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	SEE DISCLOSURE IN PART V	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	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	SEE DISCLOSURE IN PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE DISCLOSURE IN PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
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 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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5:	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.
PART V, SECTION B, LINE 6A:	THE CHNA WAS UNDERTAKEN BY THE GREATER HUDSON VALLEY HEALTH SYSTEMS WHICH INCLUDES BOTH ORANGE REGIONAL MEDICAL CENTER AND CATSKILL REGIONAL MEDICAL CENTER.
PART V, SECTION B, LINE 7A & 10A:	http://www.ormc.org/about-us/community-health/community-service-plans
PART V, SECTION B, LINE 11:	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 SYSTEMS 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 SYSTEM WILL NOT FOCUS ON SEVERAL IDENTIFIED ISSUES INCLUDING, MENTAL HEALTH, SUBSTANCE ABUSE, TRANSPORTAION AND CARE COORDINATION, AMONG OTHERS. GREATER HUDSON VALLEY HEALTH SYSTEM RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES. THEY WILL CONTINUE TO SUPPORT COMMUNITY EFFORTS 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.
PART V, SECTION B, LINE 16A & B:	https://www.ormc.org/patients-visitors/billing insurance/financial- assistance

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 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	OUTPATIENT SERVICES CENTER
GOSHEN PATIENT SERVICE CENTER
70 HATFIELD LANE	GOSHEN	NY	10942	OUTPATIENT ANCILLARY SERVICE CENTER
GOSHEN RADIATION ONCOLOGY CENTER
70 HATFIELD LANE	GOSHEN	NY	10942	RADIATION ONCOLOGY TREATMENT CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 I, LINE 7 COL (F):	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, WAS $13,809,462.
PART II, COMMUNITY BUILDING ACTIVITIES, PART VI, LINE 2 NEEDS ASSESSMENT,	AND 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.
PART III, LINE 2:	BAD DEBT EXPENSE WAS CALCULATED BASED ON AN ANALYSIS OF PATIENT ACCOUNTS RECEIVABLE BY FINANCIAL CLASS AND AGE OF ACCOUNT. HISTORIC COLLECTIBILITY PERCENTAGES ARE APPLIED TO THESE BALANCES TO CALCULATE THE BAD DEBT EXPENSE.
PART III, LINE 3:	AN ANALYSIS WAS COMPLETED OF CREDIT SCORING RESULTS FOR ACCOUNTS HELD BY A SECONDARY COLLECTION AGENCY. USING THEIR INTERNAL SCORE MODEL, SCORE DECILES WERE IDENTIFIED WHERE CONSUMERS WERE LEAST LIKELY TO PAY AND MOST LIKELY TO QUALIFY FOR CHARITY CARE. THIS PERCENTAGE WAS THEN APPLIED TO THE COST OF THE BAD DEBT FOR THE YEAR. IF THESE PATIENTS HAD COMPLETED THE CHARITY CARE APPLICATION PROCESS, THEIR BALANCES WOULD MOST LIKELY HAVE BEEN ADJUSTED FOR A CHARITY CARE ALLOWANCE, AND THEREFORE WOULD HAVE BEEN INCLUDED AS COMMUNITY BENEFIT.
PART III, LINE 4:	AFS FOOTNOTE - PARAGRAPH 2D ORMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. MANAGEMENT REGULARLY REVIEWS ACCOUNTS AND CONTRACTS AND PROVIDES APPROPRIATE CONTRACTUAL ALLOWANCES AND DISCOUNTS THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, ORMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, ORMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH UNINSURED PATIENTS, MANAGEMENT RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ORMC WROTE OFF APPROXIMATELY $6,200 AND $5,200 (IN THOUSANDS) FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, RESPECTIVELY, OF WHICH A SIGNIFICANT PORTION RELATE TO UNINSURED PATIENTS.
PART III, LINE 8:	THE MEDICARE SHORTFALL OF $40,043,227 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.
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 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.
PART VI, LINE 3:	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.
PART VI, LINE 4:	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.
PART VI, LINE 6:	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. GHVHS MEDICAL GROUP PC IS ALSO A PARTICIPANT 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. GHVHS MEDICAL GROUP PC HAS OFFICES IN BOTH ORANGE AND SULLIVAN COUNTIES IN NEW YORK.
PART VI, LINE 7:	LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NY

Schedule I IRS990ScheduleI

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ORANGE REGIONAL MEDICAL CENTER FOUNDATION	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	$762,737	CashGrantAmt
Purpose Of Grant	INSTITUTIONAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (19 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
JOSEPH M ANESI
VP/GENERAL COUNSEL	$344,392	$0	$78,750	$0	$16,340	$0	$41,850	$0	$28,700	$0	$510,032	$0	$0	$0
ROSEMARY A BACZEWSKI
CHIEF QUALITY OFFICER	$297,921	$0	$67,500	$0	$6,460	$0	$41,850	$0	$18,890	$0	$432,621	$0	$0	$0
SCOTT BATULIS
PRESIDENT & CEO	$982,767	$0	$335,200	$0	$212,959	$0	$41,850	$0	$28,700	$0	$1,601,476	$0	$0	$0
RICHARD CARRICO
CFO	$419,017	$0	$95,249	$0	$36,989	$0	$10,600	$0	$28,700	$0	$590,555	$0	$0	$0
WILLIAM DAUSTER
PRESIDENT ORMC FOUNDATION	$0	$222,017	$0	$50,625	$0	$3,170	$0	$21,898	$0	$28,333	$0	$326,043	$0	$0
GERARD DUNLAVEY
EXEC DIR GHVHS MEDICAL GROUP	$0	$277,203	$0	$63,916	$0	$8,241	$0	$27,775	$0	$28,700	$0	$405,835	$0	$0
JILL EMBLER
VP FINANCIAL PLANNING	$205,243	$0	$46,125	$0	$636	$0	$18,914	$0	$28,700	$0	$299,618	$0	$0	$0
SANDRA IBERGER
VP OPERATIONS UNTIL 10/17/16	$249,921	$0	$67,500	$0	$90,901	$0	$23,635	$0	$28,700	$0	$460,657	$0	$0	$0
JAMES OXLEY MD
VP MEDICAL AFFAIRS	$447,915	$0	$101,250	$0	$34,903	$0	$41,850	$0	$18,890	$0	$644,808	$0	$0	$0
JOANNE RITTER-TEITEL
VP PATIENT CARE SVCS/CNO	$423,738	$0	$96,042	$0	$30,167	$0	$41,850	$0	$28,700	$0	$620,497	$0	$0	$0
JONATHAN SCHILLER
COO	$351,166	$0	$79,713	$0	$18,299	$0	$43,073	$0	$28,700	$0	$520,951	$0	$0	$0
JOANNE STURANS
CHIEF HR OFFICER	$344,392	$0	$78,750	$0	$12,307	$0	$39,598	$0	$28,700	$0	$503,747	$0	$0	$0
STEPHEN SUGRUE
VP COMPLIANCE, AUDIT & RE	$294,394	$0	$67,500	$0	$5,117	$0	$41,850	$0	$28,700	$0	$437,561	$0	$0	$0
BRIAN TEW
CIO	$374,387	$0	$85,500	$0	$3,444	$0	$28,600	$0	$28,700	$0	$520,631	$0	$0	$0
HAI LUO
CHIEF PHYSICIST	$250,809	$0	$7,756	$0	$1,076	$0	$37,645	$0	$17,906	$0	$315,192	$0	$0	$0
MARIANNE WALKER
ASSOC COUNSEL/DIRECTOR RISK	$209,364	$0	$20,407	$0	$854	$0	$20,143	$0	$28,700	$0	$279,468	$0	$0	$0
CHRISTINE GOODHART
HR OPERATIONS ADMINISTRATOR	$193,357	$0	$18,654	$0	$264	$0	$17,421	$0	$10,445	$0	$240,141	$0	$0	$0
DANIEL PAGANO
DIRECTOR LABOR & EMPL RELATION	$185,415	$0	$7,500	$0	$1,799	$0	$1,749	$0	$18,890	$0	$215,353	$0	$0	$0
ASHOK KUMAR
DIRECTOR IT	$178,889	$0	$13,163	$0	$370	$0	$5,691	$0	$28,700	$0	$226,813	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3:	COMPENSATION OF THE CHIEF EXECUTIVE OFFICER WAS DETERMINED BY THE GREATER HUDSON VALLEY HEALTH SYSTEM, INC AND PAID BY THE FILING ORGANIZATION, ORANGE REGIONAL MEDICAL CENTER.
SCHEDULE J, PART I, LINE 4A:	SEVERANCE PAYMENT IN 2016: SANDRA IBERGER $57,694 SCHEDULE J, PART I, LINE 4B: NON-QUALIFIED PAYMENTS IN 2016, AMOUNTS ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II, COLUMN B(III): JOSEPH M ANESI $13,065 ROSEMARY BACZEWSKI $3,662 SCOTT BATULIS $210,637 RICHARD CARRICO $33,635 GERARD DUNLAVEY $6,813 SANDRA IBERGER $8,195 JAMES OXLEY $28,731 JOANNE RITTER-TEITEL $26,603 JONATHAN SCHILLER $17,759 JOANNE STURANS $11,137 STEVEN SUGRUE $4,151 BRIAN TEW $1,650
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 COLUMN B(ii).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A	146000293	2008-05-07	$260,106,200	CONSTRUCT A REPLACEMENT HOSPITAL	false	false	false
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B	146000293	2015-05-13	$70,060,402	CONSTRUCT A PROFESSIONAL OFFICE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$27,840,000	$0	$260,106,200	$20,230,063	$50,673,656	$0	$3,397,126	$0	$0	$185,805,355	$0	$0	2011	false	false	Yes (true)	Yes (true)
B	$1,000,000	$0	$70,060,402	$4,345,000	$0	$0	$0	$0	$0	$57,968,735	$0	$7,746,667	2016	false	false	false	Yes (true)

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	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	0	false	false	false	false
B	false	Yes (true)	Yes (true)	Yes (true)	0	false	false	false	false	false	0.00485	0.00485

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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	0	false	false
0
B	false	false	false	Yes (true)	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, BOND ISSUES:	FormAndLineReferenceDesc
Explanation	(A) ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK (F) DESCRIPTION OF PURPOSE: CONSTRUCT A REPLACEMENT HOSPITAL (A) ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK (F) DESCRIPTION OF PURPOSE: CONSTRUCT A PROFESSIONAL OFFICE BUILDING & CANCER CENTER	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ORANGE PATHOLOGY ASSOCIATES
S NEWMAN FORMER BOARD MEMBER	$390,807	PATHOLOGY SERVICES	false
HISTOPATHOLOGY SERVICES LLC
S NEWMAN FORMER BOARD MEMBER	$1,887,371	PATHOLOGY SERVICES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1:	DESCRIPTION OF ORGANIZATION 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 DETERENT IN SEEKING HEALTHCARE SERVICES. THEREFORE, WE WORK HARD TO ENSURE THAT HEALTHCARE REMAINS ACCESSIBLE AND AVAILABLE FOR ANY MEMBER OF THE COMMUNITY IN NEED.
FORM 990, PART III, LINE 4A/4B:	DURING 2016, ORMC HAD 23,520 INPATIENT DISCHARGES AND PERFORMED 829,524 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.
FORM 990, PART III, LINE 4D:	OTHER PROGRAM SERVICES EXPENSES INCURRED WHILE PROVIDING REHAB SERVICES TO 594 PATIENTS IN THE SURROUNDING COMMUNITY. EXPENSES $ 8,515,392. INCLUDING GRANTS OF $ 0. REVENUE $ 10,914,005.
FORM 990, PART VI, SECTION A, LINE 6:	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, SECTION A, LINE 7A:	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, SECTION A, LINE 7B:	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, SECTION B, LINE 11:	THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO ORMCS TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER OF GHVHS, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL VERSION OF THE ORGANIZATIONS 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, 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 hospial has adopted GHVHS's corporate compliance TO ENSURE THAT ALL OF ITS BUSINESS PRACTICES ARE IN COMPLIANCE WITH APPLICABLE CIVIL AND CRIMINAL LAWS, RULES AND REGULATIONS. THE CONFLICT POLICY REQUIRES ALL DIRECTORS AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO HOSPITAL POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. The GHVHS Compliance officer MONITORS THE COI DISCLOSURES, AND IS PRESENT AT ALL BOARD MEETINGS TO ASSIST WITH ANY POTENTIAL CONFLICT ISSUES AND PROVIDE ADVICE ON ABSTENTION, RECUSAL, ETC. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY.
FORM 990, PART VI, SECTION B, LINE 15:	IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 2016 BASED ON THESE PARAMETERS. IN ADDITION, THE CHIEF EXECUTIVE OFFICER AND HIS COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE COMPENSATION COMMITTEE.
FORM 990, PART VI, 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 UPON REQUEST.
FORM 990, PART IX, LINE 11G, OTHER FEES:	PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 23,412,921. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,412,921. TEMP AND AGENCY FEES: PROGRAM SERVICE EXPENSES 2,720,742. MANAGEMENT AND GENERAL EXPENSES 680,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,400,927. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,572,385. MANAGEMENT AND GENERAL EXPENSES 673,879. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,246,264. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 110,031. MANAGEMENT AND GENERAL EXPENSES 47,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 157,187. AMBULANCE COSTS: PROGRAM SERVICE EXPENSES 141,225. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,225. COLLECTION FEES: PROGRAM SERVICE EXPENSES 5,142,882. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,142,882. ALL OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,153,128. MANAGEMENT AND GENERAL EXPENSES 4,779,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,933,041. TOTAL OTHER FEES ON FORM 990, PART IX, LINE 11G, COL A 50,434,447.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:	POST RETIREMENT-RELATED CHANGES 118,212 PENSION-RELATED -5,490,628 CHANGES IN NET ASSETS OF ORMC FOUNDATION, INC. 643,180 TRANSFER TO GREATER HUDSON VALLEY HEALTH SYSTEM 1,954,841 ----------- TOTAL TO FORM 990, PART XI, LINE 9 -2,774,395

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	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)	Line 12B,II	NA	false
CATSKILL REGIONAL MEDICAL CENTER
PO BOX 800	HARRIS	NY	12742	146049030	HOSPITAL	NY	501(C)(3)	LINE 3	GHVHS	Yes (true)
ORANGE REGIONAL MEDICAL CENTER FOUND
C/O ORMC 707 EAST MAIN STREET	MIDDLETOWN	NY	10940	133020568	FUND RAISING	NY	501(C)(3)	LINE I2A, I	NA	false
ORMC AUXILIARY
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	205223843	SUPPORT ORG	NY	501(C)(3)	LINE 9	NA	false
GHVHS MEDICAL GROUP PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	371743537	HEALTHCARE	NY	501(C)(3)	LINE 12A, I	GHVHS	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
THE ALPHA NETWORK INC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	061509147	MGD CARE	NY	ORMC	C Corp	$0	$0	0.50000	false
EAST MAIN STREET MANAGEMENT CORP
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	203168346	ADMIN SVCS	NY	ORMC	C CORP	$0	$0	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GHVHS MEDICAL GROUP PC
M	$4,434,230	FMV
GHVHS MEDICAL GROUP PC
L	$656,004	FMV
GHVHS MEDICAL GROUP PC
Q	$11,262,701	FMV
GHVHS MEDICAL GROUP PC
S	$10,552,967	FMV
GHVHS MEDICAL GROUP PC
R	$18,814,651	FMV
CATSKILL REGIONAL MEDICAL CENTER
O	$17,100,894	FMV
CATSKILL REGIONAL MEDICAL CENTER
Q	$1,782,597	FMV
CATSKILL REGIONAL MEDICAL CENTER
S	$3,169,113	FMV
GREATER HUDSON VALLEY HEALTH SYSTEM
S	$4,000,000	FMV
GREATER HUDSON VALLEY HEALTH SYSTEM
L	$560,004	FMV
GREATER HUDSON VALLEY HEALTH SYSTEM
S	$1,954,860	ACTUAL EXPENSE