GARNET HEALTH MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: GARNET HEALTH MEDICAL CENTER (EIN 14-1364536)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-16
IRS object ID: 201513209349300736
Schema version: 2014v5.0
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-16T09:00:50-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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	% RICHARD CARRICO 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 AND CEO	PersonTitleTxt
Phone	8453331000	PhoneNum
Signature	2015-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KPMG LLP	PreparerPersonNm
PTIN	P00431862	PTIN
Phone	2127589700	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	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	$497,447,943	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 CENTER 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	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	2795	TotalEmployeeCnt
Total Volunteers	557	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$951,712	PYContributionsGrantsAmt
CY Contributions Grants	$1,505,718	CYContributionsGrantsAmt
PY Program Service Revenue	$363,666,767	PYProgramServiceRevenueAmt
CY Program Service Revenue	$391,654,311	CYProgramServiceRevenueAmt
PY Investment Income	$2,313,522	PYInvestmentIncomeAmt
CY Investment Income	$1,501,696	CYInvestmentIncomeAmt
PY Other Revenue	$4,093,836	PYOtherRevenueAmt
CY Other Revenue	$3,071,955	CYOtherRevenueAmt
PY Total Revenue	$371,025,837	PYTotalRevenueAmt
CY Total Revenue	$397,733,680	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$200,489,102	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$199,298,959	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$178,858,789	PYOtherExpensesAmt
CY Other Expenses	$191,851,962	CYOtherExpensesAmt
PY Total Expenses	$379,347,891	PYTotalExpensesAmt
CY Total Expenses	$391,150,921	CYTotalExpensesAmt
PY Revenues Less Expenses	-$8,322,054	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,582,759	CYRevenuesLessExpensesAmt
Total Assets BOY	$486,948,623	TotalAssetsBOYAmt
Total Assets EOY	$479,349,207	TotalAssetsEOYAmt
Total Liabilities BOY	$377,850,038	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$389,385,131	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$109,098,585	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$89,964,076	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	$157,671,385	ExpenseAmt
Revenue	$235,669,737	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	$7,764,121	ExpenseAmt
Revenue	$9,581,145	RevenueAmt
Desc	EXPENSES INCURRED WHILE PROVIDING MENTAL HEALTH MEDICAL CARE SERVICES TO 1,048 PATIENTS IN SURROUNDING COMMUNITY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,062,741	ExpenseAmt
Revenue	$11,487,532	RevenueAmt
Desc	EXPENSES INCURRED WHILE PROVIDING REHABILITATION MEDICAL SERVICES TO 628 PATIENTS IN SURROUNDING COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$125,121,800	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$136,089,087	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$298,620,047	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	false	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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	319	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2795	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	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	RICHARD CARRICO 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 (32 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROLLAND PEACOCK III
CHAIRMAN	1.0	6.0	Yes (X)	$0	$0	$0
TERENCE OLIVO
VICE CHAIRMAN	1.0	2.0	Yes (X)	$0	$0	$0
SHER SINGH
SECRETARY	1.0	2.0	Yes (X)	$0	$0	$0
ANDREW PAVLOFF
TREASURER - EFFECTIVE 5/1/14	1.0	3.0	Yes (X)	$0	$0	$0
PAUL HALPERN
BOARD MEMBER - UNTIL 11/13/14	1.0	6.0	Yes (X)	$0	$0	$0
ARTHUR D KOWALOFF
BOARD MEMBER	1.0	2.0	Yes (X)	$0	$0	$0
LON MERIN MD
BOARD MEMBER	1.0	2.0	Yes (X)	$0	$0	$0
SCHUYLER NEWMAN
TREASURER - UNTIL 4/30/14	1.0	2.0	Yes (X)	$0	$0	$0
JOSEPH M ANESI
VP/GENERAL COUNSEL	40.0	20.0		$398,464	$0	$68,584	Yes (X)
ROSEMARY BACZEWSKI
VP QUALITY & HIM	40.0	20.0		$290,937	$0	$49,089	Yes (X)
SCOTT BATULIS
PRESIDENT & CEO	40.0	25.0		$1,470,644	$0	$68,584	Yes (X)
RICHARD F CARRICO
CFO - - EFFECTIVE 3/24/14	40.0	20.0		$314,748	$0	$16,439	Yes (X)
GERARD DUNLAVEY
VP BUS DEVELOP/ EXECUTIVE DIR	5.0	55.0		$304,014	$0	$70,616	Yes (X)
SANDRA IBERGER
VP OPERATIONS	40.0	20.0		$358,658	$0	$68,584	Yes (X)
JOHN LYNCH
VP/CIO UNTIL 1/31/14	40.0	20.0		$264,182	$0	$23,320	Yes (X)
CHRISTINE MARAIA
PRES FOUNDATION UNTIL 6/30/14	1.0	39.0		$0	$178,056	$28,200	Yes (X)
JAMES OXLEY
VP MEDICAL AFFAIRS	40.0	10.0		$544,575	$0	$59,405	Yes (X)
JOANNE RITTER-TEITEL
VP PAT CARE SVCS/CNO	40.0	0.0		$533,977	$0	$66,361	Yes (X)
JONATHAN SCHILLER
COO	40.0	0.0		$437,856	$0	$69,648	Yes (X)
JOANNE STURANS
CHIEF HR OFFICE	40.0	20.0		$399,186	$0	$37,311	Yes (X)
STEPHEN SUGRUE
VP COMPLIANCE, RE, AUDIT	40.0	20.0		$286,360	$0	$64,748	Yes (X)
BRIAN TEW
VP IT/ CIO - EFFECTIVE 8/1/14	40.0	20.0		$200,652	$0	$7,192	Yes (X)
WILLIAM DAUSTER
PRESIDENT - FOUNDATION	1.0	39.0		$0	$69,030	$4,110	Yes (X)
DAVID CORNELL
TRAUMA PHYSICIAN	40.0	0.0		$447,702	$0	$23,487		Yes (X)
JANET SHILEY
TRAUMA PHYSICIAN - UNTIL 5/29/	40.0	0.0		$410,137	$0	$22,219		Yes (X)
BRUCE A ELLSWEIG
PHYSICIAN	40.0	5.0		$303,092	$10,938	$28,524		Yes (X)
HAI LUO
CHIEF PHYSICIST	40.0	0.0		$266,732	$0	$36,346		Yes (X)
QUAZI AL-TARIQ
PHYSICIAN	40.0	0.0		$252,577	$0	$61,455		Yes (X)
WAYNE BECKER
FORMER VP NEW PROJECTS	0.0	0.0		$65,780	$0	$79,315			Yes (X)
MITCHELL AMADO
FORMER VP FINANCE/CFO	0.0	0.0		$113,125	$0	$11,268			Yes (X)
DEBORAH CARR
FORMER VP HR	0.0	0.0		$266,409	$0	$38,252			Yes (X)
JEFFREY F LIETO
FORMER CHIEF PHYS STRAT	0.0	0.0		$220,931	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,150,738	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$258,024	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,003,057	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	348	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
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	EHR SOFTWARE/SUPPORT	$5,047,925
RESTORIXHEALTH INC
155 WHITE PLAINS ROAD SUITE 222	TARRYTOWN	NY	10591	PROFESSIONAL SVCS	$2,756,498
HUDSON VALLEY HOSPITAL PHYSICIANS P
PO BOX 429	MIDDLETOWN	NY	10940	PHYSICIANS	$1,768,017
CRYSTAL RUN HEALTHCARE LLP
95 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10940	PHYSICIANS	$2,054,469
WASHINGTON WEST LLC
1 OLYMPIC PLACE SUITE 500	BALTIMORE	MD	21204	ACCOUNT RECOVERY	$1,875,549

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,203,718	RelatedOrganizationsAmt
Government Grants	$40,000	GovernmentGrantsAmt
All Other Contributions	$262,000	AllOtherContributionsAmt
Total Contributions	$1,505,718	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	541900	$388,805,769	$388,805,769
Physician Revenue	541900	$445,862	$445,862
Mgmt Fee Income from Related Org.	900099	$560,004	$560,004
Income from Joint Venture	900099	$839,937	$839,937
Medicare Meaningful Use	900099	$1,002,739	$1,002,739

Field	Value	IRS element (for citing)
Total Program Service Revenue	$391,654,311	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,078,879	TotalRevenueColumnAmt
Exclusion	$1,078,879	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	$187,308	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$85,589	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$101,719	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,719	TotalRevenueColumnAmt
Exclusion	$101,719	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$100,050,991	SecuritiesAmt
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$99,628,674	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$422,317	SecuritiesAmt
Other	$500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$422,817	TotalRevenueColumnAmt
Exclusion	$422,817	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Coffee & Gift Shop Revenue	721110	$2,019,046	$2,019,046
All Other Revenue	900099	$951,190		$951,190

Field	Value	IRS element (for citing)
Other Revenue Total	$2,970,236	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$397,733,680	TotalRevenueColumnAmt
Related Or Exempt Func Income	$392,605,501	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,622,461	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

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	$6,589,177	TotalAmt
Management And General	$6,589,177	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$237,866	TotalAmt
Program Services	$160,079	ProgramServicesAmt
Management And General	$77,787	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$135,654,594	TotalAmt
Program Services	$99,577,067	ProgramServicesAmt
Management And General	$36,077,527	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,809,077	TotalAmt
Program Services	$8,966,355	ProgramServicesAmt
Management And General	$3,842,722	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,594,396	TotalAmt
Program Services	$23,516,078	ProgramServicesAmt
Management And General	$10,078,318	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,413,849	TotalAmt
Program Services	$7,289,695	ProgramServicesAmt
Management And General	$3,124,154	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$14,500	TotalAmt
Management And General	$14,500	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$325,004	TotalAmt
Management And General	$325,004	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$468,413	TotalAmt
Management And General	$468,413	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$124,877	TotalAmt
Program Services	$124,877	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	$97,777	TotalAmt
Management And General	$97,777	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,885,763	TotalAmt
Program Services	$20,220,035	ProgramServicesAmt
Management And General	$8,665,728	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,533,321	TotalAmt
Program Services	$1,533,321	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,834,780	TotalAmt
Program Services	$10,384,347	ProgramServicesAmt
Management And General	$4,450,433	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,910,798	TotalAmt
Program Services	$2,037,559	ProgramServicesAmt
Management And General	$873,239	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,248,957	TotalAmt
Program Services	$5,549,373	ProgramServicesAmt
Management And General	$3,699,584	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$467,356	TotalAmt
Program Services	$327,149	ProgramServicesAmt
Management And General	$140,207	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	$194,443	TotalAmt
Program Services	$136,110	ProgramServicesAmt
Management And General	$58,333	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,826,988	TotalAmt
Program Services	$15,826,988	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,414,525	TotalAmt
Program Services	$15,848,715	ProgramServicesAmt
Management And General	$10,565,810	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,718,985	TotalAmt
Program Services	$3,303,290	ProgramServicesAmt
Management And General	$1,415,695	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$63,814,044	$63,814,044
BAD DEBT EXPENSE	$12,557,327	$12,557,327
OTHER TAXES & ASSESSMENTS	$2,859,219	$2,859,219
NON MEDICAL SUPPLIES	$5,830,430	$4,081,300	$1,749,130

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$724,455	TotalAmt
Program Services	$507,119	ProgramServicesAmt
Management And General	$217,336	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$391,150,921	TotalAmt
Program Services	$298,620,047	ProgramServicesAmt
Management And General	$92,530,874	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,357,799	BOYAmt
EOY	$25,344,663	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,828,859	BOYAmt
EOY	$13,402,734	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	$53,923,174	BOYAmt
EOY	$42,270,044	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	$9,118,678	BOYAmt
EOY	$9,263,296	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,389,243	BOYAmt
EOY	$3,896,303	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$384,472,357	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$122,090,658	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$282,214,925	BOYAmt
EOY	$262,381,699	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$73,846,511	BOYAmt
EOY	$77,984,488	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	$6,904,315	BOYAmt
EOY	$7,287,803	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	$32,365,119	BOYAmt
EOY	$37,518,177	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$486,948,623	BOYAmt
EOY	$479,349,207	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,904,786	BOYAmt
EOY	$49,745,133	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	$4,421,242	BOYAmt
EOY	$3,571,090	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$247,715,883	BOYAmt
EOY	$243,029,554	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	$2,404,829	BOYAmt
EOY	$848,411	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	$69,403,298	BOYAmt
EOY	$92,190,943	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$377,850,038	BOYAmt
EOY	$389,385,131	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$101,244,879	BOYAmt
EOY	$81,872,594	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,859,942	BOYAmt
EOY	$6,097,718	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	$109,098,585	BOYAmt
EOY	$89,964,076	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$486,948,623	BOYAmt
EOY	$479,349,207	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,582,759	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$584,027	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$25,133,241	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	$46,877	OtherActivitiesAmt
Total Lobbying Expenditures	$124,877	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B	FormAndLineReferenceDesc
Explanation	LINE 1G: PAYMENTS TO ROFFE GROUP, A GOVERNMENT RELATIONS FIRM LOCATED IN ALBANY, NY LINE 1I: PERCENTAGE OF DUES PAID TO HANYS, NORMET, GNYHA, AND AHA 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	$229,660	InvestmentEarningsOrLossesAmt
Other Expenditures	$229,660	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	$1,717,429	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,717,429	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	$84,434	InvestmentEarningsOrLossesAmt
Other Expenditures	$84,434	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	$82,345	InvestmentEarningsOrLossesAmt
Other Expenditures	$82,345	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	$64,474	InvestmentEarningsOrLossesAmt
Other Expenditures	$64,474	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	$159,287,629	OtherCostOrOtherBasisAmt
Depreciation	$33,404,411	DepreciationAmt
Book Value	$125,883,218	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$207,070,336	OtherCostOrOtherBasisAmt
Depreciation	$85,229,949	DepreciationAmt
Book Value	$121,840,387	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,216,977	OtherCostOrOtherBasisAmt
Depreciation	$3,456,298	DepreciationAmt
Book Value	$9,760,679	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$262,381,699	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED FINANCING COSTS, NET	$5,781,208
INSURANCE RECOVERIES RECEIVABL	$17,571,732
DEFERRED REVENUE	$2,314,779
DUE FROM THIRD-PARTIES	$5,972,467
DUE FROM RELATED ORGANIZATION	$5,632,979
MISCELLANEOUS RECEIVABLES	$245,012

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$37,518,177	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTIES	$10,146,673
PENSION LIABILITY	$56,086,310
LT LIABILITY - WC & MALPRACTICE	$25,713,745
OTHER LIABILITIES	$244,215

Field	Value	IRS element (for citing)
Total Liability	$92,190,943	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$384,843,626	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$584,027	NetUnrealizedGainsInvstAmt
Other Revenue	-$12,208,250	OtherRevenueAmt
Revenue Not Reported	-$12,792,277	RevenueNotReportedAmt
Revenue Subtotal	$397,635,903	RevenueSubtotalAmt
Investment Expenses Not Incld	$97,777	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$97,777	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$397,733,680	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$403,978,135	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$25,482,318	OtherExpensesIncludedAmt
Expenses Not Reported	$25,482,318	ExpensesNotReportedAmt
Expenses Subtotal	$378,495,817	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$97,777	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$12,557,327	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$12,655,104	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$391,150,921	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
USE OF ENDOWMENT FUNDS	SCHEDULE D, PART V, LINE 4 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.
FIN 48	SCHEDULE D, PART X, LINE 2 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES: ORMC IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME" AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED.
PART XI	LINE 2D: RENTAL EXPENSES 85,589 CHANGE IN INTEREST IN FOUNDATION 263,488 BAD DEBT EXPENSE (12,557,327) -------------- TOTAL (12,208,250)
PART XII	LINE 2D: PENSION RELATED CHANGES 22,505,872 POST-RETIREMENT RELATED CHANGES 2,004,227 RENTAL EXPENSES 85,589 EQUITY TRANSFER TO RELATED CORP 886,630 ------------- TOTAL 25,482,318 LINE 4B: BAD DEBT EXPENSE 12,557,327

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	$8,286,931	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,997,608	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$289,323	NetCommunityBenefitExpnsAmt
Total Expense	0.02270	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,114,088	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,275,815	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,838,273	NetCommunityBenefitExpnsAmt
Total Expense	0.03130	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,401,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,273,423	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,127,596	NetCommunityBenefitExpnsAmt
Total Expense	0.05400	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$316,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,797	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$312,078	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$476,081	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$476,081	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,890,013	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,819,986	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,070,027	NetCommunityBenefitExpnsAmt
Total Expense	0.06890	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,682,969	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,824,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,858,186	NetCommunityBenefitExpnsAmt
Total Expense	0.07100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,083,988	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,098,206	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,985,782	NetCommunityBenefitExpnsAmt
Total Expense	0.12500	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,557,327	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,264,905	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$125,631,230	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$157,680,850	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$32,049,620	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 OF MIDDLETOWN
AMBULATORY SURGERY CENTER	0.40000	0.60000
HUDSON VALLEY

AMBULATORY

SURGERY LLC
AMBULATORY SURGERY CENTER	0.26000	0.74000

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)
State License	3523000H	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
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	13	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 section c	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	see section c	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	X	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	X	FAPAppAvailableOnWebsiteURLTxt
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	IN 2013 ORMC, IN CONJUNCTION WITH CATSKILL REGIONAL MEDICAL CENTER, CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. A COMPREHENSIVE CHNA WAS CONDUCTED AND INCLUDED A VARIETY OF QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS. THESE COMPONENTS INCLUDED THE FOLLOWING, 1. SECONDARY STATISTICAL DATA PROFILE OF ORANGE AND SULLIVAN COUNTIES 2. FOCUS GROUP DISCUSSIONS WITH 25 COMMUNITY STAKEHOLDERS 3. DATA COLLECTION SESSIONS WITH 175 COMMUNITY RESIDENTS 4. PRIORITIZATION OF COMMUNITY NEEDS 5. IMPLEMENTATION STRATEGY HOLLERAN COMPILED A SECONDARY DATA PROFILE USING DATA COLLECTED FROM SOURCES SUCH AS THE U.S. CENSUS BUREAU, NEW YORK STATE DEPARTMENT OF HEALTH, AND CENTERS FOR DISEASE CONTROL AND PREVENTION, AMONG OTHERS. THE REPORT DEPICTS THE MOST RECENT YEAR'S HEALTH INDICATORS, CENSUS FIGURES, HOUSEHOLD STATISTICS, MORBIDITY AND MORTALITY RATES, AND SOCIOECONOMIC MEASURES. HOLLERAN CONDUCTED FOUR DATA COLLECTION SESSIONS THAT WERE HELD WITH A TOTAL OF 125 COMMUNITY MEMBERS (53 PARTICIPANTS FROM ORANGE COUNTY AND 72 PARTICIPANTS FROM SULLIVAN COUNTY). PARTICIPANTS WERE ADMINISTERED A CUSTOMIZED SURVEY TOOL TO CAPTURE HEALTH BEHAVIORS AND PREFERENCES. RESPONSES WERE COLLECTED THROUGH WIRELESS KEYPAD TECHNOLOGY. THESE SESSIONS WERE ADVERTISED IN THE NEWSPAPER, DISTRIBUTED TO MEDIA VIA A PRESS RELEASE, EMAIL ANNOUNCEMENTS, FLYERS TO LOCAL ORGANIZATIONS, PUBLICIZED ON THE HOSPITAL WEBSITE AND SOCIAL MEDIA CHANNELS. HOLLERAN ALSO FACILITATED TWO FOCUS GROUPS THAT WERE HELD WITH 25 KEY STAKEHOLDERS IN JUNE 2013. ATTENDEES INCLUDED REPRESENTATIVES OF PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY.
PART V, SECTION B, LINE 6a	THE CHNA WAS PERFORMED IN CONJUNCTION WITH CATSKILL REGIONAL MEDICAL CENTER.
PART V, SECTION B, LINES 7A AND 10A	THE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.ORMC.ORG/ABOUT-US/COMMUNITYSERVICEPLAN
PART V, SECTION B, LINE 11	A PRIORITIZATION SESSION WAS HELD ON OCTOBER 21, 2013. APPROXIMATELY TEN INDIVIDUALS PARTICIPATED IN THE SESSION WITH REPESENTATIVES FROM ORANGE REGIONAL MEDICAL CENTER, CATSKILL REGIONAL MEDICAL CENTER, THE ORANGE AND SULLIVAN COUNTY HEALTH DEPARTMENTS, COMMUNITY AGENCIES AND ORGANIZATIONS. RESULTS OF THE 2013 CHNA WERE REVIEWED AND PRIORITIES OF THE KEY HEALTH NEEDS WERE LISTED. ORMC AND CRMC DEVELOPED AN IMPLEMENTATION STRATEGY TO OUTLINE WHAT COMMUNITY HEALTH NEEDS IT PLANS TO ADDRESS, AS WELL AS SPECIFIC GOALS AND MEASURES TO EVALUATE COMMUNITY HEALTH IMPROVEMENT INITIATIVES. ORMC AND CRMC WILL NOT FOCUS OF THE FOLLOWING TOPICS: PROMOTE HEALTHY AND SAFE ENVIRONMENTS - THE HOSPITAL WILL SUPPORT AREA ORGANIZATIONS IN ADDRESSING THIS NEED; HOWEVER, THE HOSPITAL FEELS THAT OTHER ORGANIZATIONS HAVE MORE RESOURCES AND EXPERTISE IN ENVIRONMENTAL INFLUENCES AND THEREFORE WILL NOT FOCUS ON THIS PRIORITY AREA. PREVENT HIV, STDS, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS - AS A WAY TO COORDINATE EFFORTS, THE HOSPITAL HAS ALIGNED WITH THE NEEDS BEING ADDRESSED BY COUNTY DEPARTMENT OF HEALTH, WHICH DOES NOT INCLUDE THIS FOCUS AREA. HOWEVER, THE HOSPITAL WILL CONTINUE TO MONITOR THESE TRENDS AND OTHER SERVICES TO SUPPORT THIS NEED. MENTAL HEALTH AND SUBSTANCE ABUSE - THE HOSPITAL WILL CONTINUE TO EXPAND PRIMARY CARE PRESENCE IN THE COMMUNITY TO ENCOURAGE PREVENTATIVE CARE FOR THOSE WITH MENTAL AND BEHAVIORAL HEALTH NEEDS. WE WILL ALSO WORK TOWARD THE POSSIBILITY OF COORDINATING MENTAL HEALTH ASSESSMENT TOOLS USED THROUGHOUT THE COUNTY TO BETTER SERVE RESIDENTS ACROSS PROVIDERS.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CRYSTAL RUN AMBULATORY SURGERY CNTR OF
95 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10941	JOINT VENTURE AMBULATORY SURGERY CENTER
HUDSON VALLEY AMBULATORY SURGERY LLC
75 CRYSTAL RUN RD BLDG B SUITE 225	MIDDLETOWN	NY	10941	JOINT VENTURE AMBULATORY SURGERY CENTER
ORANGE REGIONAL MEDICAL PAVILION
75 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10941	OUTPATIENT SERVICES CENTER 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
OUTPATIENT REHABILITATION CENTER
110 CRYSTAL RUN RD	MIDDLETOWN	NY	10941	REHABILITATION SERVICES CENTER
ORANGE REGIONAL FAMILY PROGRAM FOR ALCO
420 EAST MAIN ST	MIDDLETOWN	NY	10941	SUBSTANCE ABUSE COUNSELING CENTER
STANLEY S DUNKELMAN DIABETES TREATMENT
75 CRYSTAL RUN ROAD	MIDDLETOWN	NY	10941	DIABETES TREATMENT SUPPORT CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	N/A
PART I, LINE 6:	ORMC PERFORMS A COMMUNITY SERVICE PLAN AND FILES WITH THE STATE OF NEW YORK DEPARTMENT OF HEALTH EVERY THREE YEARS. 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 7A:	BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A), BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS: $12,557,327.
PART II:	N/A 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 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 1D PAGE 10):	ORMC PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, TO PATIENTS WHO ARE UNINSURED AND TO PATIENTS WHO ARE UNDERINSURED AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE ORMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY, THEY ARE NOT REPORTED AS REVENUE. THE CALCULATION OF THE COST OF THESE SERVICES IS DONE UTILIZING THE RATIO OF PATIENT CARE COST TO CHARGES BASED UPON THE 2013 FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES, APPLIED TO THE GROSS CHARITY RELATED ALLOWANCES.
PART III, LINE 8:	THE MEDICARE SHORTFALL OF $32,049,620 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 ELIGIBILITY IS EXTENDED TO 350% OF THE FEDERAL POVERTY GUIDELINES (FPG) FOR THOSE PATIENTS WHO ARE INDIGENT BUT HAVE SOME INCOME AND DO NOT QUALITY FOR A 100% WRITE-OFF.
PART VI, LINE 2 - COMMUNITY HEALTH NEEDS ASSESSMENT:	SEE CHNA ASSESSMENT IN PART V, SECTION B
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILTY 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.
PART VI, LINE 4 - COMMUNITY INFORMATI0N:	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 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 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. 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.
PART VI, LINE 7 - COMMUNITY SERVICE PLAN:	ORMC PERFORMS A COMMUNITY SERVICE PLAN EVERY THREE YEARS.

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 (23 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	$312,722	$0	$75,000	$0	$10,742	$0	$40,900	$0	$27,684	$0	$467,048	$0	$8,575	$0
ROSEMARY BACZEWSKI
VP QUALITY & HIM	$237,744	$0	$51,210	$0	$1,983	$0	$30,584	$0	$18,505	$0	$340,026	$0	$0	$0
SCOTT BATULIS
PRESIDENT & CEO	$954,263	$0	$344,889	$0	$171,492	$0	$40,900	$0	$27,684	$0	$1,539,228	$0	$169,081	$0
RICHARD F CARRICO
CFO - - EFFECTIVE 3/24/14	$313,398	$0	$0	$0	$1,350	$0	$0	$0	$16,439	$0	$331,187	$0	$0	$0
GERARD DUNLAVEY
VP BUS DEVELOP/ EXECUTIVE DIR	$245,694	$0	$56,776	$0	$1,544	$0	$42,932	$0	$27,684	$0	$374,630	$0	$808	$0
SANDRA IBERGER
VP OPERATIONS	$280,568	$0	$67,422	$0	$10,668	$0	$40,900	$0	$27,684	$0	$427,242	$0	$9,907	$0
JOHN LYNCH
VP/CIO UNTIL 1/31/14	$33,935	$0	$63,959	$0	$166,288	$0	$18,240	$0	$5,080	$0	$287,502	$0	$33,181	$0
CHRISTINE MARAIA
PRES FOUNDATION UNTIL 6/30/14	$0	$112,207	$0	$51,320	$0	$14,529	$0	$27,822	$0	$378	$0	$206,256	$0	$0
JAMES OXLEY
VP MEDICAL AFFAIRS	$412,468	$0	$97,504	$0	$34,603	$0	$40,900	$0	$18,505	$0	$603,980	$0	$30,461	$0
JOANNE RITTER-TEITEL
VP PAT CARE SVCS/CNO	$413,148	$0	$97,895	$0	$22,934	$0	$38,677	$0	$27,684	$0	$600,338	$0	$20,631	$0
JONATHAN SCHILLER
COO	$341,744	$0	$78,128	$0	$17,984	$0	$41,964	$0	$27,684	$0	$507,504	$0	$17,463	$0
JOANNE STURANS
CHIEF HR OFFICE	$313,326	$0	$75,000	$0	$10,860	$0	$9,627	$0	$27,684	$0	$436,497	$0	$10,100	$0
STEPHEN SUGRUE
VP COMPLIANCE, RE, AUDIT	$234,259	$0	$51,640	$0	$461	$0	$37,064	$0	$27,684	$0	$351,108	$0	$0	$0
BRIAN TEW
VP IT/ CIO - EFFECTIVE 8/1/14	$174,744	$0	$25,630	$0	$278	$0	$0	$0	$7,192	$0	$207,844	$0	$0	$0
DAVID CORNELL
TRAUMA PHYSICIAN	$445,873	$0	$0	$0	$1,829	$0	$0	$0	$23,487	$0	$471,189	$0	$0	$0
JANET SHILEY
TRAUMA PHYSICIAN - UNTIL 5/29/	$321,680	$0	$0	$0	$88,457	$0	$15,320	$0	$6,899	$0	$432,356	$0	$51,540	$0
MITCHELL AMADO
FORMER VP FINANCE/CFO	$0	$0	$0	$0	$113,125	$0	$11,268	$0	$0	$0	$124,393	$0	$63,612	$0
WAYNE BECKER
FORMER VP NEW PROJECTS	$0	$0	$0	$0	$65,780	$0	$79,315	$0	$0	$0	$145,095	$0	$0	$0
DEBORAH CARR
FORMER VP HR	$10,367	$0	$56,803	$0	$199,239	$0	$36,881	$0	$1,371	$0	$304,661	$0	$2,040	$0
JEFFREY F LIETO
FORMER CHIEF PHYS STRAT	$0	$0	$220,931	$0	$0	$0	$0	$0	$0	$0	$220,931	$0	$0	$0
BRUCE A ELLSWEIG
PHYSICIAN	$301,253	$10,771	$0	$0	$1,839	$167	$3,036	$276	$23,111	$2,101	$329,239	$13,315	$0	$0
HAI LUO
CHIEF PHYSICIST	$265,675	$0	$0	$0	$1,057	$0	$35,871	$0	$475	$0	$303,078	$0	$0	$0
QUAZI AL-TARIQ
PHYSICIAN	$251,724	$0	$0	$0	$853	$0	$37,824	$0	$23,631	$0	$314,032	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	THE FOLLOWING SEVERANCE COMPENSATION WAS PAID IN 2014: MITCHELL AMADO $ 49,513 WAYNE BECKER $ 65,780 DEBORAH CARR $117,004 JEFFREY F LIETO $220,931 JOHN LYNCH $132,837
SCHEDULE J, PART I, LINE 4B	NON-QUALIFIED PAYMENTS IN 2014: MITCHELL AMADO $ 63,612 JOSEPH M ANESI $ 8,575 SCOTT BATULIS $169,081 DEBORAH CARR $ 2,040 GERARD DUNLAVEY $ 808 SANDRA IBERGER $ 9,907 JOHN LYNCH $ 33,181 JAMES OXLEY $ 30,461 JOANNE RITTER-TEITEL $ 20,631 JONATHAN SCHILLER $ 17,463 JANET SHILEY $ 51,540 JOANNE STURANS $ 10,100
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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DORMITORY AUTHORITY OF STATE OF NY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	146000293	BondIssuerEIN
CUSIP	649903A27	CUSIPNum
Bond Issued	2008-05-07	BondIssuedDt
Issue Price	$260,106,200	IssuePriceAmt
Purpose	CONSTRUCT A REPLACEMENT HOSPITAL	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$17,480,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$260,106,200	TotalProceedsAmt
In Reserve Fund	$20,230,063	InReserveFundAmt
Capitalized Interest	$50,673,656	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$3,397,126	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$181,511,541	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$4,293,814	UnspentAmt
Substantial Completion	2011	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ORANGE PATHOLOGY ASSOCIATES
Schuyler Newman TREASURER	$415,324	PATHOLOGY SERVICES	false
HISTOPATHOLOGY SERVICES LLC
Schuyler Newman TREASURER	$1,902,702	PATHOLOGY SERVICES	false
CARMELLA PISTONE-HALPERN
spouse of Paul Halpern	$194,747	wages & benefits	false
KATIE DE RIGGE
niece of Scott Batulis	$76,213	wages & benefits	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION	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 - PROGRAM SERVICE, LINE 4A 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 2014, ORMC HAD 22,682 INPATIENT DISCHARGES AND PERFORMED 795,624 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 PROGRAMS. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D $125,121,800 OF EXPENSES INCURRED WHILE PROVIDING OUTPATIENT, EMERGENCY ROOM, AND REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY.
AUDITED FINANCIAL STATEMENTS	FORM 990, PART IV, LINE 12 AUDITED FINANCIAL STATEMENTS FOR THE HOSPITAL HAVE BEEN PREPARED ON A CONSOLIDATED BASIS AND INCLUDE THE ACTIVITIES OF THE HOSPITAL AND EAST MAIN STREET MANAGEMENT CORPORATION, THE ALPHA NETWORK, INC, AND SYNERA CORPORATION. HOWEVER, BECAUSE ALL OF THESE ENTITIES ARE DORMANT CORPORATIONS, THE FINANCIAL STATEMENTS REFLECT THE STAND ALONE OPERATIONS OF ORMC.
MEMBERS OR STOCKHOLDERS	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.
ELECTION OF MEMBERS	FORM 990, PART VI, SECTION A, LINE 7A AND B 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. 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
BOARD REVIEW OF FORM 990	FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND SUBMITTED TO ORMC'S TAX PREPARER FOR PROCESSING. THE INITIAL DRAFT RETURN PROVIDED BY THE TAX PREPARER IS REVIEWED BY MEMBERS OF EXECUTIVE MANAGEMENT, THE CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL VERSION OF THE ORGANIZATION'S FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C ORANGE REGIONAL MEDICAL CENTER'S CONFLICT OF INTEREST (COI) POLICY APPLIES TO ALL DIRECTORS, COMMITTEE MEMBERS AND ALL EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY THE HOSPITAL OR ANY ENTITY CONTROLLED BY THE HOSPITAL. THE HOSPITAL HAS INSTITUTED A CORPORATE COMPLIANCE PROGRAM TO ENSURE THAT ALL OF ITS BUSINESS PRACTICES ARE IN COMPLIANCE WITH APPLICABLE CIVIL AND CRIMINAL LAWS, RULES AND REGULATIONS. THE CONFLICTS POLICY REQUIRES ALL DIRECTORS AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO HOSPITAL POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND IS PRESENT AT ALL BOARD MEETINGS TO ASSIST WITH ANY POTENTIAL CONFLICT ISSUES AND PROVIDE ADVICE ON ABSTENTION, RECUSAL, ETC. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY.
COMPENSATION REVIEW	FORM 990, PART VI, SECTION B, LINE 15A AND 15B IN DETERMINING COMPENSATION FOR OFFICERS, ORMC UTILIZES ONE OR MORE OF THE FOLLOWING - A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES. THESE SURVEYS INCLUDE HEALTHCARE PROVIDERS WITH COMPARABLE NET REVENUE AND IN COMPARABLE GEOGRAPHIC REGIONS. FOLLOWING THE RECOMMENDATIONS OF THE BOARD OF DIRECTORS, ORMC LOOKS TO HIRE AT APPROXIMATELY THE 50TH PERCENTILE OF THE MARKET. THIS IS DETERMINED BY USING THE PREVIOUSLY MENTIONED DATA RESOURCES. BASED UPON PARAMETERS DETERMINED BY THE COMPENSATION COMMITTEE, THE CEO IS PERMITTED TO MAKE COMPENSATION DECISIONS FOR SALARIES WITHIN THE 50TH-75TH PERCENTILE. ANY PROPOSED SALARY ABOVE THE 75TH PERCENTILE WOULD REQUIRE PRIOR COMMITTEE APPROVAL. A FULL REVIEW OF EXECUTIVE TEAM SALARIES WAS PERFORMED IN 2010 AND UPDATED IN 2014 BASED ON THESE PARAMETERS. IN ADDITION, THE CHIEF EXECUTIVE OFFICER AND HIS COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE. THE REVIEW PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE COMPENSATION COMMITTEE.
PUBLIC DISCLOSURE	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.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CONSIST OF: POST RETIREMENT-RELATED CHANGES OTHER THAN NET BENEFIT COST (2,004,227) PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS (22,505,872) CHANGES IN INTEREST IN NET ASSETS OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION, INC. 263,488 TRANSFER TO GHVHS (886,630) ______________ OTHER CHANGES IN NET ASSETS OR FUND BALANCES (25,133,241) ==============

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 SYS
C/O ORMC 707 EAST MAIN STREET	MIDDLETOWN	NY	10940	061488219	HEALTHCARE	NY	501(C)(3)	11	NA	false
CATSKILL REGIONAL MEDICAL CENTER
PO BOX 800	HARRIS	NY	12742	146049030	HOSPITAL	NY	501(C)(3)	3	GHVHS	false
ORANGE REGIONAL MEDICAL CENTER FND
C/O ORMC 707 EAST MAIN STREET	MIDDLETOWN	NY	10940	133020568	FUND RAISING	NY	501(C)(3)	11	NA	false
ORMC AUXILIARY
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	205223843	SUPPORT ORG	NY	501(C)(3)	509(A(2)	NA	false
GHVHS MEDICAL GROUP PC
707 EAST MAIN STREET	MIDDLETOWN	NY	10940	371743537	HEALTHCARE	NY	501(C)(3)	509(A(3)	GHVHS	false

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 MGT 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