2014-11-14T17:15:02-06:00 2013-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2013-01-01 141364536 ORANGE REGIONAL MEDICAL CENTER % RICHARD CARRICO CFO ORAN 8453331000 707 EAST MAIN STREET Suite MIDDLETOWN NY 10940 SCOTT BATULIS PRESIDENT AND CEO 8453331000 2014-11-13 true KPMG LLP P00431862 8453331000 2013 2015-11-30 17:44:51Z SCOTT BATULIS 707 EAST MAIN STREET MIDDLETOWN NY 10940 546237014 false X WWW.ORMC.ORG X 1937 NY 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. 7 5 2720 529 0 0 2084804 951712 361497964 363666767 382662 2313522 5102203 4093836 369067633 371025837 0 0 0 0 198017012 200489102 0 0 0 175109256 178858789 373126268 379347891 -4058635 -8322054 495538226 486948623 400119626 377850038 95418600 109098585 X SEE SCHEDULE O. false false 150263424 219560673 ORANGE REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 383 BEDS AT ITS NEW 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. 7399335 8538908 EXPENSES INCURRED WHILE PROVIDING MENTAL HEALTH MEDICAL CARE SERVICES TO 1,063 PATIENTS IN SURROUNDING COMMUNITY. 7683925 8816392 EXPENSES INCURRED WHILE PROVIDING REHABILITATION MEDICAL SERVICES TO 635 PATIENTS IN SURROUNDING COMMUNITY. 119243134 128966429 284589818 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false true true true false false false false false true false false false true 281 0 true 2720 true false false false false false false false false false false X 7 5 false false false false true true true true true false false true true true true true true true true true true NY X RICHARD CARRICO CFO 8453331000 707 EAST MAIN STREET MIDDLETOWN NY 10940 ROLLAND PEACOCK III CHAIRMAN 1.0 6.0 X 0 0 0 TERENCE OLIVO VICE CHAIRMAN 1.0 2.0 X 0 0 0 SHER SINGH SECRETARY 1.0 2.0 X 0 0 0 SCHUYLER NEWMAN MD TREASURER 1.0 2.0 X 0 0 0 PATRICIA CLAIBORNE BOARD MEMBER UNTIL 10/9/13 1.0 2.0 X 0 0 0 PAUL HALPERN BOARD MEMBER 1.0 6.0 X 0 0 0 ARTHUR KOWALOFF BOARD MEMBER 1.0 2.0 X 0 0 0 LON MERIN MD BOARD MEMBER 1.0 2.0 X 0 0 0 HOWARD MILLS BOARD MEMBER UNTIL 9/24/13 1.0 2.0 X 0 0 0 SCOTT BATULIS PRESIDENT/CEO 40.0 25.0 X 1184993 0 64114 MITCHELL AMADO VP FINANCE/CFO UNTIL 4/30/13 40.0 20.0 X 627473 0 59205 JOSEPH M ANESI VP/ GENERAL COUNSEL 40.0 20.0 X 387560 0 48935 ROSEMARY A BACZEWSKI VP QUALITY & HIM 40.0 20.0 X 258555 0 37371 DEBORAH CARR VP HUMAN RESOURCES UNTIL 12/31 40.0 20.0 X 302215 0 61711 GERARD DUNLAVEY EXEC DIRECTOR GHVHS MEDICAL GR 40.0 20.0 X 289567 0 58478 SANDRA M IBERGER VP OPERATIONS 40.0 23.0 X 356198 0 61116 JEFFREY F LIETO CHIEF PHYSICIAN STRATEGY OFF. 40.0 20.0 X 439108 0 46238 JOHN LYNCH cio 40.0 20.0 X 284449 0 31270 CHRISTINE P MARAIA PRES ORMC FOUNDATION 1.0 39.0 X 0 267657 28107 JAMES OXLEY MD VP MED AFFAIRS & MED DIRECTOR 40.0 0.0 X 517300 0 62614 JOANNE RITTER-TEITEL VP PATIENT CARE SVCS, CNO 40.0 0.0 X 487514 0 56794 JONATHAN SCHILLER CHIEF OPERATING OFFICER 40.0 0.0 X 414917 0 65214 JOANNE STURANS CHIEF HUMAN RESOURCES OFFICER 40.0 20.0 X 200920 0 9160 STEPHEN SUGRUE VP COMPLIANCE, REAL ESTATE, AU 40.0 20.0 X 266171 0 52677 JANET SHILEY TRAUMA PHYSICIAN 40.0 0.0 X 507980 0 18930 JOANN SCHULTZ SR ADMIN NURSING SVCS 40.0 0.0 X 340917 0 55755 CARLOS A RUEDA MENTAL HEALTH PHYSICIAN 40.0 0.0 X 313577 0 37115 QUAZI AL-TARIQ MENTAL HEALTH PHYSICIAN 40.0 0.0 X 304265 0 36910 HAI LUO CHIEF PHYSICIST 40.0 0.0 X 243979 0 33927 WAYNE BECKER FORMER VP NEW PROJECTS 0.0 0.0 X 228039 0 44547 7955697 267657 970188 269 true true false EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EHR SOFTWARE/SUPPORT 4179887 HURON CONSULTING SERVICES LLC 6000 SE MEADOWS ROAD SUITE 300 LAKE OSWEGO OR 97035 CONSULTING 1927531 HUDSON VALLEY HOSPITAL PHYSICIANS P PO BOX 429 MIDDLETOWN NY 10940 PHYSICIANS 1781044 CRYSTAL RUN HEALTHCARE LLP 95 CRYSTAL RUN ROAD MIDDLETOWN NY 10940 PHYSICIANS 1510713 HISTOPATHOLOGY SERVICES LLC PO Box 206 GOSHEN NY 10924 PATHOLOGY SVCS 1321174 52 916212 30500 5000 951712 NET PATIENT SERVICE REVENUE 541900 360521194 360521194 PHYSICIAN REVENUE 541900 297396 297396 MGMT FEE INCOME FROM RELATED ORG. 900099 560004 560004 INCOME FROM JOINT VENTURE 900099 822500 822500 MEDICARE MEANINGFUL USE 900099 1465673 1465673 363666767 773146 773146 0 0 326690 201865 124825 0 124825 124825 176444513 105175 174740636 268676 1703877 -163501 1540376 1540376 0 0 0 0 CAFETERIA/COFFEE SHOP SALES 721110 1753376 0 1753376 ALL OTHER REVENUE 900099 2215635 2215635 0 3969011 371025837 365882402 0 4191723 0 0 0 0 6444125 6444125 220513 162142 58371 133149604 93204723 39944881 17261216 12082851 5178365 33055948 23139164 9916784 10357696 7250387 3107309 19275 19275 367956 367956 492855 492855 117846 117846 0 106024 106024 22315875 15621112 6694763 850427 850427 14305622 10013935 4291687 3070489 2149342 921147 0 8325077 4995046 3330031 366526 256568 109958 0 200768 140538 60230 16187390 16187390 0 26406643 15843986 10562657 4594088 3215862 1378226 MEDICAL SUPPLIES 58992997 58992997 BAD DEBT EXPENSE 13637748 13637748 OTHER TAXES & ASSESSMENTS 2589753 2589753 NON MEDICAL SUPPLIES 5153409 3607386 1546023 0 758021 530615 227406 379347891 284589818 94758073 0 6617891 9357799 56689956 15828859 0 0 41936913 53923174 0 0 0 0 0 0 8963933 9118678 2555566 3389243 377928869 95713944 304201388 282214925 38365636 73846511 0 0 6002947 6904315 0 0 30203996 32365119 495538226 486948623 49357913 53904786 0 0 5049394 4421242 252131173 247715883 0 0 0 0 4697145 2404829 0 0 88884001 69403298 400119626 377850038 X 88023230 101244879 5401606 5859942 1993764 1993764 95418600 109098585 495538226 486948623 X -8322054 -750488 22752527 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 71700 false true 46146 117846 false PART II-B LINE 1G: PAYMENTS TO ROFFE GROUP, PATRICIA LYNCH & ASSOCIATES, GOVERNMENT RELATIONS FIRMS IN ALBANY, NY. LINE 1I: PERCENTAGE OF DUES PAID TO HANYS,NORMET, GNYHA, AND AHA THAT ARE ALLOCATED TO LOBBYING ACTIVITIES. 1993764 1717429 1717429 1993764 1993764 84434 84434 1993764 1933764 82345 82345 1933764 1933764 64474 64474 1933764 1933764 79083 79083 1933764 1.00000 false false 4897415 4897415 156901480 19690131 137211349 10439851 8428200 2011651 204591757 67595613 136996144 1098366 1098366 282214925 BOND REFINANCE COSTS - NET 6187256 INSURANCE RECOVERIES REC. 12889968 OTHER ASSETS 1606560 DEFERRED REVENUE 2536779 DUE FROM THIRD PARTIES 3740709 OTHER MISC RECEIVABLES 5403847 32365119 0 THIRD PARTY PAYABLES 8302133 PENSION LIABILITY 38263548 LONG-TERM LIAB-WC& MALPRACTICE 22593402 OTHER LIABILITIES 244215 69403298 X 380261943 -750489 10092619 9342130 370919813 106024 106024 371025837 366581959 977840 977840 365604119 106024 13637748 13743772 379347891 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. PARTS XI AND XII LINE 2D: RENTAL EXPENSES 201,865 BAD DEBT EXPENSE (13,637,748) CHANGE IN INTEREST IN FOUNDATION 488,265 PENSION RELATED CHANGES 23,040,237 ______________ TOTAL 10,092,619 ============== PART XII LINE 2D: POST-RETIREMENT RELATED CHANGES 738,003 RENTAL EXPENSES 201,865 EQUITY TRANSFER TO RELATED CORP. 37,972 ______________ TOTAL 977,840 ============== LINE 4B: BAD DEBT EXPENSE 13,637,748 true true X true X true X true false true true 8213645 8213645 0.02250 16243417 14628527 1614890 0.00440 41077689 29861441 11216248 0.03070 65534751 44489968 21044783 0.05760 204061 7490 196571 0.00050 197360 14000 183360 0.00050 401421 21490 379931 0.00100 65936172 44511458 21424714 0.05860 true 3527632 453524 137374114 172733133 -35359019 X true true CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN AMBULATORY SURGERY CENTER 0.40000 0.60000 HUDSON VALLEY AMBULATORY SURGERY LLC AMBULATORY SERVICE CENTER 0.26000 0.74000 1 1 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 X ORANGE REGIONAL MEDICAL CENTER 1 true X X X X X X 13 true true true X www.ormc.org X X X X X false false true true 200. true 350. true X X X X true true X X X X X true false X X X X true X false false PART V, SECTION B, LINES 3 AND 4 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 SOMPONENTS. 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 7 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. TO RECOGNIZE THE EXPERTISE OF OTHER ORGANIZATION AND NOT DUPLICATE EFFORTS, 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. 8 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 GOSHEN PATIENT SERVICE CENTER 70 HATFIELD LANE GOSHEN NY 10924 OUTPATIENT ANCILLARY SERVICE CENTER GOSHEN RADIATION ONCOLOGY CENTER 70 HATFIELD LANE GOSHEN NY 10924 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 10940 SUBSTANCE ABUSE COUNSELING CENTER STANLEY S DUNKELMAN DIABETES TREATMENT 110 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 DIABETES TREATMENT SUPPORT CENTER 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 AT COST: $13,637,748. PART I, LINE 7G: N/A PART II: N/A PART III, LINE 2 BAD DEBT COST WAS CALCULATED BASED ON THE PATIENT CARE COST TO CHARGE RATIO FROM WORKSHEET 2, APPLIED TO THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS. 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 1G PAGE 11): 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 2012 AND 2011 INSTITUTIONAL COST REPORT, APPLIED TO THE GROSS CHARITY RELATED ALLOWANCES AND BAD DEBT EXPENSE FOR 2013 AND 2012, RESPECTIVELY. PART III, LINE 8: THE MEDICARE SHORTFALL OF $35,359,019 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. X X X X X true true false false false false false true false SCOTT BATULIS PRESIDENT/CEO 851416 0 250000 0 83577 0 40450 0 23664 0 1249107 0 81338 0 MITCHELL AMADO VP FINANCE/CFO UNTIL 4/30/13 155329 0 142514 0 329630 0 50197 0 9008 0 686678 0 17104 0 JOSEPH M ANESI VP/ GENERAL COUNSEL 297547 0 89328 0 685 0 25205 0 23730 0 436495 0 0 0 ROSEMARY A BACZEWSKI VP QUALITY & HIM 202216 0 55577 0 762 0 21558 0 15813 0 295926 0 0 0 WAYNE BECKER FORMER VP NEW PROJECTS 0 0 0 0 228039 0 44547 0 0 0 272586 0 0 0 DEBORAH CARR VP HUMAN RESOURCES UNTIL 12/31 224644 0 77084 0 487 0 43848 0 17863 0 363926 0 0 0 GERARD DUNLAVEY EXEC DIRECTOR GHVHS MEDICAL GR 219210 0 70044 0 313 0 34814 0 23664 0 348045 0 0 0 SANDRA M IBERGER VP OPERATIONS 264334 0 91481 0 383 0 37452 0 23664 0 417314 0 0 0 JEFFREY F LIETO CHIEF PHYSICIAN STRATEGY OFF. 250406 0 44155 0 144547 0 29902 0 16336 0 485346 0 22938 0 JOHN LYNCH cio 253568 0 29826 0 1055 0 15699 0 15571 0 315719 0 0 0 CHRISTINE P MARAIA PRES ORMC FOUNDATION 0 203331 0 63904 0 422 0 27789 0 318 0 295764 0 0 JAMES OXLEY MD VP MED AFFAIRS & MED DIRECTOR 384997 0 120616 0 11687 0 46801 0 15813 0 579914 0 7152 0 JOANNE RITTER-TEITEL VP PATIENT CARE SVCS, CNO 388974 0 95382 0 3158 0 33130 0 23664 0 544308 0 1401 0 JONATHAN SCHILLER CHIEF OPERATING OFFICER 310153 0 102138 0 2626 0 41550 0 23664 0 480131 0 2312 0 JOANNE STURANS CHIEF HUMAN RESOURCES OFFICER 189190 0 11606 0 124 0 0 0 9160 0 210080 0 0 0 STEPHEN SUGRUE VP COMPLIANCE, REAL ESTATE, AU 200706 0 65280 0 185 0 29013 0 23664 0 318848 0 0 0 JANET SHILEY TRAUMA PHYSICIAN 457038 0 50000 0 942 0 10415 0 8515 0 526910 0 0 0 JOANN SCHULTZ SR ADMIN NURSING SVCS 163611 0 38473 0 138833 0 49125 0 6630 0 396672 0 0 0 CARLOS A RUEDA MENTAL HEALTH PHYSICIAN 313111 0 0 0 466 0 13451 0 23664 0 350692 0 0 0 QUAZI AL-TARIQ MENTAL HEALTH PHYSICIAN 303084 0 0 0 1181 0 36910 0 0 0 341175 0 0 0 HAI LUO CHIEF PHYSICIST 243035 0 0 0 944 0 33609 0 318 0 277906 0 0 0 SCHEDULE J, PART I, LINE 4A SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS IN 2013 MITCHELL AMADO $228,662 WAYNE BECKER $228,039 JEFREY F LIETO $121,009 SCHEDULE J, PART I, LINE 4B NON-QUALIFIED PAYMENTS IN 2013 MITCHELL AMADO $17,104 SCOTT BATULIS $81,338 JEFFREY F LIETO $22,938 JAMES OXLEY, MD $7,152 JOANNE RITTER-TEITEL $1,401 JONATHAN SCHILLER $2,312 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). A DORMITORY AUTHORITY OF STATE OF NY 146000293 649903A27 2008-05-07 260106200 CONSTRUCT A REPLACEMENT HOSPITAL false false false A 12735000 0 260106200 20230063 50673656 0 8048373 0 0 176860294 0 4293814 2011 false false false true A false false false false 0 false false false false A false false false false false false 0 false 0 false false A false ORANGE PATHOLOGY ASSOCIATES OWNERSHIP INTEREST HELD 439289 PATHOLOGY SERVICES false - BY BOARD MEMBER SCHUYLER - NEWMAN EMERGE OWNERSHIP 189519 PATHOLOGY SERVICES false - INTEREST HELD BY - BY BOARD MEMBER - SCHUYLER NEWMAN HISTOPATHOLOGY SERVICES LLC OWNERSHIP INTEREST HELD 1321174 PATHOLOGY SERVICES false - BY BOARD MEMBER - SCHUYLER NEWMAN CARMELLA PISTONE-HALPERN SPOUSE OF BOARD MEMBER 197028 WAGES false - PAUL HALPERN KATIE DE RIGGE NIECE OF PRES/CEO 61039 WAGES false - SCOTT BATULIS 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 DURING 2013, ORMC HAD 20,110 INPATIENT DISCHARGES AND PERFORMED 795,116 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 $119,243,134 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 2013 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 CHNAGES OTHER THAN NET BENEFIT COST (738,003) PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 23,040,237 CHANGES IN INTEREST IN NET ASSETS OF ORANGE REGIONAL MEDICAL CENTER FOUNDATION, INC. 488,265 TRANSFER TO GHVHS (37,972) ______________ OTHER CHANGES IN NET ASSETS OR FUND BALANCES 22,752,527 ============== 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 MAINT ST 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 THE ALPHA NETWORK INC 707 EAST MAIN ST MIDDLETOWN NY 10940 061509147 MGD CARE NY ORMC C CORP 0 0 0.50000 false EAST MAIN STREET MGT CORP 707 EAST MAIN ST MIDDLETOWN NY 10940 203168346 ADMIN SVCS NY ORMC C CORP 0 0 1.00000 true GHVHS MEDICAL GROUP PC 707 EAST MAIN STREET MIDDLETOWN NY 10940 MEDICINE SVCS NY GHVHS C CORP 0 0 false false false true false false false false false false false false true true false true false true true true