GARNET HEALTH MEDICAL CENTER CATSKILLS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GARNET HEALTH MEDICAL CENTER CATSKILLS (EIN 14-6049030)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201203179349301475
- Schema version
- 2011v1.3
- 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 G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T11:26:18-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Park Avenue | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 101540102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 146049030 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATSKILL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MITCHELL AMADO CFO | InCareOfName |
| Name Control | CATS | NameControl |
| Phone | 8457943300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 800 | AddressLine1 |
| City | HARRIS | City |
| State | NY | State |
| ZIP Code | 12742 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MITCHELL AMADO | Name |
| Title | VP FINANCE/CFO | Title |
| Date Signed | 2012-11-06 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLP | Name |
| Phone | 2127589700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | FREDERICK KURIGER CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O CRMC PO BOX 800 | AddressLine1 |
| City | HARRIS | City |
| State | NY | State |
| ZIP Code | 12742 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 129023837 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CRMCNY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1967 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1024 | TotalNbrEmployees |
| Total Nbr Volunteers | 163 | TotalNbrVolunteers |
| Total Gross UBI | 573448 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 92545 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1470724 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7708071 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 104717254 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 101071562 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 161062 | InvestmentIncomePriorYear |
| Investment Income Current Year | 182996 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 213918 | OtherRevenuePriorYear |
| Other Revenue Current Year | 77359 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 106562958 | TotalRevenuePriorYear |
| Total Revenue Current Year | 109039988 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 55956674 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 56047999 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 47027170 | OtherExpensePriorYear |
| Other Expenses Current Year | 44048275 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 102983844 | TotalExpensesPriorYear |
| Total Expenses Current Year | 100096274 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3579114 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8943714 | RevenuesLessExpensesCY |
| Total Assets BOY | 66729604 | TotalAssetsBOY |
| Total Assets EOY | 74353602 | TotalAssetsEOY |
| Total Liabilities BOY | 65804317 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 65256613 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 925287 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9096989 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 37724297 | Expense |
| Revenue | 50513610 | Revenue |
| Description | EXPENSES INCURRED WHILE PROVIDING INPATIENT MEDICAL SURGICAL SERVICES, OBSTETRICS, NEW BORN CARE SERVICES, AND BIO-CHEMICAL DEPENDENCY CARE SERVICES TO 5,278 PATIENTS IN THE SURROUNDING COMMUNITY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9102309 | Expense |
| Revenue | 3710792 | Revenue |
| Description | CRMC PROVIDES OUTPATIENT CLINICAL SERVICES THROUGHOUT ITS CLINICS SPECIALIZED IN CARDIOLOGY, ENDOCRINOLOGY, WOUND CARE, ONCOLOGY/HEMATOLOGY, FAMILY HEALTH AND WOMEN'S HEALTH SERVICES. EXPENSES INCURRED WHILE PROVIDING OUTPATIENT CLINICAL SERVICES TO 19,909 PATIENTS IN THE SURROUNDING COMMUNITY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13309578 | Expense |
| Revenue | 11459030 | Revenue |
| Description | EXPENSES INCURRED WHILE PROVIDING REFERRED AMBULATORY SERVICES SUCH AS LABORATORY, IMAGING, CANCER SCREENING, CARDIAC CARE, AND REHABILITATION THERAPY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 26877933 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 35388130 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 87014117 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 154 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1024 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MITCHELL AMADO CFO | NamePerson |
| Telephone Number | 8457943300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 800 | AddressLine1 |
| City | HARRIS | City |
| State | NY | State |
| ZIP Code | 12742 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARC BAEZ | |||||||
| SECRETARY | 3.0 | X | X | 0 | 0 | 0 | |
| DARREL SUPAK | |||||||
| VICE CHAIRMAN | 3.0 | X | X | 0 | 0 | 0 | |
| JOAN FARROW | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| JEFFREY GRAY | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| GERALD SKODA | |||||||
| CHAIRMAN | 3.0 | X | X | 0 | 0 | 0 | |
| RICHARD LANDER | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| JACQUELINE RICCIANI | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| LOUIS RODRIGUES MD | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| ALLAN SCOTT | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| JOSEPH LOUGHLIN | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| ANDREW PAVLOFF | |||||||
| TREASURER | 3.0 | X | X | 0 | 0 | 0 | |
| BARBARA BLAKEY | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| MICHAEL WASCHITZ | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| STEVEN RUWOLDT | |||||||
| CEO UNTIL APRIL 2011 | 40.0 | X | 372607 | 0 | 16118 | ||
| ROBERT E FISHER | |||||||
| CFO UNTIL JANUARY 2011 | 40.0 | X | 149664 | 0 | 15976 | ||
| MARC MENDELSOHN | |||||||
| CORPORATE COMPLIANCE OFFICER | 40.0 | X | 97394 | 0 | 1813 | ||
| BARBARA GENTILE | |||||||
| CNO | 40.0 | X | 150718 | 0 | 27188 | ||
| PETER PANZARINO | |||||||
| CHIEF MEDICAL OFFICER | 40.0 | X | 287405 | 0 | 23627 | ||
| MITCHELL AMADO | |||||||
| VP FINANCE/CFO | 10.0 | X | 0 | 529560 | 91649 | ||
| JOSEPH M ANESI | |||||||
| VP/GENERAL COUNSEL | 10.0 | X | 0 | 329613 | 45520 | ||
| SCOTT BATULIS | |||||||
| PRESIDENT/CEO | 10.0 | X | 0 | 1110681 | 175766 | ||
| DEBORAH CARR | |||||||
| VP HUMAN RESOURCES | 10.0 | X | 0 | 264501 | 61729 | ||
| ROSEMARY FRADO | |||||||
| INTERIM CEO & VP PLAN./MARKTG. | 10.0 | X | 0 | 460462 | 91184 | ||
| SYEB S RAB | |||||||
| VP/CIO | 10.0 | X | 0 | 301914 | 52159 | ||
| STEPHEN SUGRUE | |||||||
| VP COMPLIANCE | 10.0 | X | 0 | 201058 | 44486 | ||
| ROSEMARY A BACZEWSKI | |||||||
| VP QUALITY | 10.0 | X | 0 | 92197 | 8737 | ||
| JEFFREY F LIETO | |||||||
| CHIEF PHYSICIAN STRATEGY OFF. | 10.0 | X | 0 | 103726 | 6712 | ||
| ABDUL SHAHZAD | |||||||
| PHYSICIAN | 40.0 | 455211 | 0 | 45122 | X | ||
| IRVELYNE CAMILLE | |||||||
| PHYSICIAN | 40.0 | 248844 | 0 | 21811 | X | ||
| FLORENCE JEAN-LOUIS | |||||||
| PHYSICIAN | 40.0 | 226884 | 0 | 31065 | X | ||
| KHORSHEDA B ALI | |||||||
| PHYSICIAN | 40.0 | 246914 | 0 | 33242 | X | ||
| STUART TASHMAN | |||||||
| PHYSICIAN | 40.0 | 222086 | 0 | 30836 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2457727 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3393712 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 824740 | TotalOtherCompensation |
| Number Individuals GT100 K | 51 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WILLIAM H LANE | |||||
| 113 COURT STREET | BINGHAMTON | NY | 13901 | CONSTRUCTION SERV. | 4154518 |
| MCKESSON INFORMATION SOLUTIONS | |||||
| POBOX 98347 | CHICAGO | IL | 606938347 | COMPUTER SERVICES | 1794096 |
| MORRISON MANAGEMENT SOLUTIONS | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICE | 1634579 |
| CARDINAL HEALTH | |||||
| PO BOX 13862 | NEWARK | NJ | 071880862 | MEDICAL SERVICES | 1239279 |
| CRYSTAL RUN HEALTHCARE LLP | |||||
| 155 CRYSTAL RUN ROAD | MIDDLETOWN | NY | 10940 | MEDICAL SERVICES | 1224702 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 64 | NumberOfContractorsGT100K |
| Fundraising Events | 93775 | FundraisingEvents |
| Related Organizations | 2918648 | RelatedOrganizations |
| Government Grants | 4579258 | GovernmentGrants |
| All Other Contributions | 116390 | AllOtherContributions |
| Total Contributions | 7708071 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| INPATIENT REVENUE | 623990 | 44147761 | 44147761 | |
| SNU INPATIENT REVENUE | 623000 | 6305176 | 6305176 | |
| PSYCH INPATIENT REVENUE | 623000 | 4148445 | 4148445 | |
| INDIGENT CARE POOL REVENUE | 623000 | 7730417 | 7730417 | |
| OUTPATIENT REVENUE | 621990 | 34721198 | 34147750 | 573448 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4018565 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4018565 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 101071562 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145772 | TotalRevenueColumn |
| Exclusion | $145,772 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 68532 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 68532 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68532 | TotalRevenueColumn |
| Exclusion | $68,532 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19676830 | Securities |
| Other | 320443 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19678002 | Securities |
| Other | 282047 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1172 | Securities |
| Other | 38396 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37224 | TotalRevenueColumn |
| Exclusion | $37,224 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 17771 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 93775 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 23800 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6029 | TotalRevenueColumn |
| Exclusion | -$6,029 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | REBATES & REFUNDS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 14856 | TotalRevenueColumn |
| Exclusion | $14,856 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14856 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 109039988 | TotalRevenueColumn |
| Related Or Exempt Function Income | 100498114 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 573448 | UnrelatedBusinessRevenue |
| Exclusion | $260,355 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1142510 | Total |
| Program Services | 1029005 | ProgramServices |
| Management And General | 113505 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132398 | Total |
| Program Services | 119245 | ProgramServices |
| Management And General | 13153 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41335491 | Total |
| Program Services | 37228938 | ProgramServices |
| Management And General | 4106553 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2543327 | Total |
| Program Services | 2290655 | ProgramServices |
| Management And General | 252672 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7652189 | Total |
| Program Services | 6891968 | ProgramServices |
| Management And General | 760221 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3242084 | Total |
| Program Services | 2919993 | ProgramServices |
| Management And General | 322091 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 871286 | Total |
| Program Services | 59019 | ProgramServices |
| Management And General | 812267 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285976 | Total |
| Management And General | 285976 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 324602 | Total |
| Management And General | 324602 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40019 | Total |
| Management And General | 40019 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13809193 | Total |
| Program Services | 9716805 | ProgramServices |
| Management And General | 4092388 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 233462 | Total |
| Program Services | 9267 | ProgramServices |
| Management And General | 224195 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 559366 | Total |
| Program Services | 457772 | ProgramServices |
| Management And General | 101594 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2580692 | Total |
| Program Services | 2528728 | ProgramServices |
| Management And General | 51964 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52566 | Total |
| Program Services | 44653 | ProgramServices |
| Management And General | 7913 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1767181 | Total |
| Program Services | 1470648 | ProgramServices |
| Management And General | 296533 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3706339 | Total |
| Program Services | 3084415 | ProgramServices |
| Management And General | 621924 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 447402 | Total |
| Program Services | 447402 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 10704923 | 10563421 | 141502 |
| BAD DEBTS | 4857273 | 4857273 | |
| POSTAGE AND SHIPPING | 161751 | 109437 | 52314 |
| OTHER EXPENSES | 3646244 | 3185473 | 460771 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100096274 | Total |
| Program Services | 87014117 | ProgramServices |
| Management And General | 13082157 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7162260 | BOY |
| EOY | 7307533 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3879314 | BOY |
| EOY | 2411639 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324809 | BOY |
| EOY | 2691414 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10213044 | BOY |
| EOY | 10693689 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1107902 | BOY |
| EOY | 1223827 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1113600 | BOY |
| EOY | 1164303 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 119151441 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 93292301 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20442887 | BOY |
| EOY | 25859140 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14514672 | BOY |
| EOY | 14523696 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7971116 | BOY |
| EOY | 8478361 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66729604 | BOY |
| EOY | 74353602 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12457107 | BOY |
| EOY | 14262336 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1725 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41474048 | BOY |
| EOY | 38059926 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450000 | BOY |
| EOY | 356972 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1877185 | BOY |
| EOY | 1456844 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9544252 | BOY |
| EOY | 11120535 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65804317 | BOY |
| EOY | 65256613 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2600435 | BOY |
| EOY | 4585889 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2068017 | BOY |
| EOY | 3052395 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1457705 | BOY |
| EOY | 1458705 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 925287 | BOY |
| EOY | 9096989 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66729604 | BOY |
| EOY | 74353602 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8943714 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -772012 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $40,019 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 40019 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II-B, LINE 1I | Identifier |
| Explanation | PERCENTAGE OF DUES PAID TO THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS), NORTHERN METROPOLITAN HOSPITAL ASSOCIATION (NORMET) AND 1199 SEIU ALLOCATED TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1457705 | BeginningOfYearBalance |
| Contributions | 1000 | Contributions |
| End Of Year Balance | 1458705 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1457705 | BeginningOfYearBalance |
| End Of Year Balance | 1457705 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1457705 | BeginningOfYearBalance |
| End Of Year Balance | 1457705 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1457705 | BeginningOfYearBalance |
| End Of Year Balance | 1457705 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 888426 | OtherCostOrOtherBasis |
| Book Value | 888426 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30445260 | OtherCostOrOtherBasis |
| Depreciation | 24309941 | Depreciation |
| Book Value | 6135319 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10524893 | OtherCostOrOtherBasis |
| Depreciation | 2731140 | Depreciation |
| Book Value | 7793753 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55359911 | OtherCostOrOtherBasis |
| Depreciation | 46619454 | Depreciation |
| Book Value | 8740457 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21932951 | OtherCostOrOtherBasis |
| Depreciation | 19631766 | Depreciation |
| Book Value | 2301185 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 25859140 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED FINANCING FEES | 940925 |
| INTEREST IN CRMC FOUNDATION | 2247942 |
| INSURANCE RECEIVABLE | 2526236 |
| THIRD PARTY RECEIVABLE | 2644827 |
| OTHER RECEIVABLE | 118431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 8478361 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PAYORS | $5,213,599 |
| ESTIMATED MALPRACTICE LIABILITY | $5,581,955 |
| OTHER LIABILITY | $324,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11120535 | TotalOfAmounts |
| Total Revenue | 109039988 | TotalRevenue |
| Total Expenses | 100096274 | TotalExpenses |
| Excess Or Deficit For Year | 8943714 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 78573 | NetUnrealizedGLOnInvestments |
| Other | -$850,586 | OtherAmount |
| Total Adjustments | -772013 | TotalAdjustments |
| Excess Or Deficit Per FS | 8171701 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 108291775 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 78573 | NetUnrealizedGainsInvestments |
| Other Revenues | -826786 | OtherRevenues |
| Revenue Not Rptd F990 | -748213 | RevenueNotRptdF990 |
| Revenue Subtotal | 109039988 | RevenueSubtotal |
| Total Revenue Per Form990 | 109039988 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 100120074 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 23800 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 23800 | ExpensesNotRptdF990 |
| Expenses Subtotal | 100096274 | ExpensesSubtotal |
| Total Expenses Per Form990 | 100096274 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART V | INTENDED USE OF ENDOWMENT FUNDS | THE ORGANIZATION HAS A PERMANENT ENDOWMENT FUND. THE INTEREST EARNED ON THIS FUND, IF ANY, CAN BE USED TO PURCHASE PATIENT EQUIPMENT. |
| SCHEDULE D- PART X | LINE 2 - FIN 48 FOOTNOTE | THE CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT IS REQUIRED TO REVIEW AND DETERMINE IF THERE ARE UNCERTAINTIES IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS AND APPLY A THRESHOLD OF MORE-LIKELY THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WAS NO MATERIAL IMPACT TO THE CENTER'S ACCOMPANYING FINANCIAL STATEMENTS AS A RESULT OF APPLYING THE MORE-LIKELY THAN-NOT THRESHOLDS. SCHEDULE D,PART XI, LINE 8 CHANGE IN THE INTEREST IN NET ASSETS OF THE CATSKILL REGIONAL MEDICAL CENTER FOUNDATION, INC.: (850,586) |
| SCHEDULE D PART XII | LINE 2D - OTHER ADJUSTMENTS SPECIAL EVENTS DIRECT EXPENSES: $23,800 CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION,INC: (850,586) | |
| SCHEDULE D PART XIII | LINE 2D - OTHER ADJUSTMENTS | SPECIAL EVENTS DIRECT EXPENSES: $23,800 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BERN MEMORIAL | NameOfEvent1 |
| Gross Receipts Event1 | 72330 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 58164 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 14166 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 2821 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 3136 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 6644 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 561 | OtherDirectExpensesEvent1 |
| Name Of Event2 | RISE | NameOfEvent2 |
| Gross Receipts Event2 | 26041 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 26041 | CharitableContributionsEvent2 |
| Other Direct Expenses Event2 | 2081 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 13175 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 9570 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 3605 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 290 | NonCashPrizesOtherEvents |
| Food And Beverage Other Events | 3051 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 5216 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 111546 | GrossReceiptsTotal |
| Charitable Contributions Total | 93775 | CharitableContributionsTotal |
| Gross Revenue Total Events | 17771 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 3111 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 3136 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 9695 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 7858 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 23800 | DirectExpenseSummaryEvents |
| Net Income Summary | -6029 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5368760 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2203495 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3165265 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03320 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25187322 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20708087 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4479235 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04700 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30556082 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22911582 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7644500 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08020 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48967 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 48967 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13359 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6411233 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3162836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3248397 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03410 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12250 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12250 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6485809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3162836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3322973 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03480 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37041891 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26074418 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10967473 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11500 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2547 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2547 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2547 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2547 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,113,482 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 28094344 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 30294173 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2199829 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|
| CATSKILL REGIONAL MEDICAL CTR-HARRIS DIV | |||||||||
| 1 | 68 HARRIS-BUSHVILLE ROAD | HARRIS | NY | 12742 | X | X | X | SOLE COMMUNITY HOSP. | |
| CATSKILL REGIONAL MED CTR-GROVER HER | |||||||||
| 2 | ROUTE 97 | CALLICOON | NY | 12723 | X | X | X | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Other FactorsOtherFactors | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Other Actions TakenOtherActionsTaken | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CATSKILL REGIONAL MEDICAL CTR-HARRIS DIV | ||||||||||||||||||||||||||
| 1 | true | true | 100 | true | 101. | true | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | X | true | X | false | false |
| CATSKILL REGIONAL MED CTR-GROVER HER | ||||||||||||||||||||||||||
| 2 | true | true | 100 | true | 101. | true | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | X | true | X | false | false |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART VI - SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PART I LINE 6A - COMMUNITY BENEFIT REPORT IS PREPARED BY THE CENTER. PART I LINE 7 - COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT REPORTED ON THE PART I, LINE 7 TABLE WAS THE RATIO OF COST TO CHARGES. BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COL. (A) BUT EXCLUDED FOR PURPOSES OF CALCULATING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WAS $4,857,273. PART I LINE 7G - CRMC IS REPORTING AS SUBSIDIZED HEALTH SERVICES THE LOSSES FROM VARIOUS PHYSICIAN CLINICS NECESSARY TO PROMOTE HEALTH IN OUR RURAL AREA. WITHOUT THESE CLINICS, THE ACCESS TO HEALTH SERVICES WOULD BE EXTREMELY LIMITED OR NON-EXISTENT. PART II - COMMUNITY BUILDING ACTIVITIES: CRMC ESTABLISHED A MULTIDISCIPLINARY COMMUNITY ADVISORY BOARD THAT IS COMPRISED OF 33 CONSUMER AND PROVIDER REPRESENTATIVES WHO CONTINUE MEETING QUARTERLY TO PROVIDE FEEDBACK ON HOSPITAL PERFORMANCE, AS WELL AS TO PROVIDE INPUT ON SULLIVAN COUNTY COMMUNITY HEALTH NEEDS, ISSUES AND PRIORITIES. THE HOSPITAL ADVISORY BOARD IDENTIFIED THE PREVENTION , CARE AND TREATMENT OF CHRONIC DISEASES INCLUDING DIABETES AND CARDIOVASCULAR, AS WELL AS BEHAVIORAL HEALTH ISSUES INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE, AS THE HIGHEST PRIORITY OF UNMET HEALTH CARE NEEDS THROUGHOUT SULLIVAN COUNTY. PART III LINE 4 - BAD DEBT EXPENSES - COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSES WAS THE RATIO OF COST TO CHARGES. PART III LINE 3 - N/A PART III LINE 4 - THE CENTER 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 THE CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE NECESSARY INFORMATION TO ALLOW THE CENTER TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. UNCOLLECTIBLE AMOUNTS DUE FROM SUCH UNINSURED PATIENTS REPRESENT A SUBSTANTIAL PORTION OF THE PROVISION FOR BAD DEBTS REFLECTED IN THE ACCOMPANYING STATEMENTS OF OPERATIONS. COSTING METHODOLOGY USED WAS THE RATIO OF COST TO CHARGES. PART III LINE 6 - MEDICARE ALLOWABLE COST WERE CALCULATED USING THE MEDICARE REIMBURSEMENT METHODOLOGY AS REQUIRED FOR THE MEDICARE 2552 ANNUAL COST REPORT. PART VI - PART III, LINE 8 - MEDICARE INDIVIDUALS UTILIZE HOSPITAL SERVICES AS A PRIMARY CARE PROVIDER HOWEVER, MEDICARE REIMBURSEMENT DOES NOT COVER THE ACTUAL OPERATING COSTS FOR PROVIDING CARE FOR MEDICARE PATIENTS. THEREFORE, ANY SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7, SHOULD BE TREATED AS COMMUNITY BENEFIT AS IT IS THE HOSPITAL'S MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE AND ABILITY TO PAY. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON WAS THE COST TO CHARGE RATIO. PART III LINE 9B - ALL PATIENTS WHO ARE UNCERTAIN ABOUT THEIR ABILITY TO PAY FOR THE HOSPITAL SERVICES THEY RECEIVE ARE ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE. CRMC SHALL ENSURE THAT NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY BE INSERTED IN RELEVANT BILLINGS. PATIENTS WHO HAVE NOT RECEIVED FINANCIAL ASSISTANCE AND DO NOT PAY THEIR BILLS ARE EVENTUALLY SUBJECT TO A COLLECTION PROCESS THAT MAY INVOLVE THE USE OF AN OUTSIDE COLLECTION AGENCY AND MAY AFFECT THE PATIENT'S PERSONAL CREDIT RATING. IN ADDITION, THE PATIENT MUST CONSENT TO APPLY FOR MEDICAID COVERAGE AND TAKE ALL STEPS NECESSARY TO PREPARE A COMPLETE AND ACCURATE MEDICAID APPLICATION. CONSIDERATION WILL BE GIVEN TO PROVIDING FINANCIAL ASSISTANCE ON A CASE BY CASE BASIS TO PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS AND/OR WHO EXCEED FINANCIAL ELIGIBILTY CRITERIA BUT FACE EXTRAORDINARY MEDICAL COSTS. FINANCIAL ASSISTANCE IS NOT A SUBSITUTE FOR EMPLOYER-SPONSORED, PUBLIC, OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WHO DO NOT PAY THEIR BIILS WHO HAVE BEEN NOTIFIED OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND EITHER FAIL TO APPLY FOR ASSISTANCE OR APPLIED FOR ASSISTANCE BUT HAVE BEEN DETERMINED INELIGIBLE FOR ASSISTANCE, EVENTUALLY MAY BE SUBJECT TO A COLLECTION PROCESS THAT MAY INVOLVE THE USE OF AN OUTSIDE COLLECTION AGENCY AND MAY AFFECT THE PATIENT'S PERSONAL CREDIT RATING. SECTION B PART V LINE 11H: OTHER FACTORS - CALCULATION OF FINANCIAL ASSISTANCE ELIGIBILITY WAS BASED ON FAMILY SIZE. SECTION B LINE 17E: OTHER BILLING AND COLLECTIONS EFFORTS - FINANCIAL ASSISTANCE POLICY POSTED ON CRMC WEBSITE. SECTION B PART V LINE 19D: THE HOSPITAL FACILITY USED PERCENTAGE OF MEDICAID RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. PART VI, LINE 2: NEEDS ASSESSMENT: A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED COLLABORATIVELY WITH SULLIVAN COUNTY PUBLIC HEALTH SERVICES, THE LOCAL HEALTH DEPARTMENT. PUBLIC PARTICIPATION WAS SOUGHT THROUGH A MULTITUDE OF VEHICLES INCLUDING FOUR COMMUNITY HEALTH FORUMS CONDUCTED IN CONJUNCTION WITH SULLIVAN COUNTY PUBLIC HEALTH SERVICES. CRMC AND THE SULLIVAN COUNTY PUBLIC HEALTH DEPARTMENT JOINTLY CONTRACTED WITH NEW YORK MEDICAL COLLEGE TO CARRY OUT A REGIONAL NEEDS ASSESSMENT SURVEY OF HEALTH CARE PROVIDERS IN THE COUNTY. CRMC RECEIVED HEALTH CARE PROVIDER INPUT AND FEEDBACK FROM MEMBERS OF THE SULLIVAN COUNTY RURAL HEALTH NETWORK. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILTY FOR ASSISTANCE: HOSPITAL POSTS SIGNS DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM. ALL PATIENTS WITH NO INSURANCE ARE ASKED TO APPLY FOR MEDICARE AND/OR FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATION: THE CENTER'S SERVICE AREA FOR COMMUNITY/LOCAL HEALTH PLANNING INCLUDES ALL FIFTEEN TOWNSHIPS WITHIN RURAL SULLIVAN COUNTY, NEW YORK. THE HOSPITAL'S SERVICE AREA WITHIN SULLIVAN COUNTY IS INTO PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREAS ARE THOSE SULLIVAN COUNTY TOWNSHIP AND ZIP CODES WHICH ARE EITHER CLOSER TO CRMC THAN ANY OTHER HOSPITAL FACILITY OR WHERE CRMC HAS A PREDOMINANT MARKET SHARE. THE SULLIVAN COUNTY TOWNSHIPS IN THE PRIMARY SERVICE AREA ARE BETHEL, CALLICOON, COCHECTON, DELAWARE, FALLSBURG, FORESTBURGH, FREMONT, LIBERTY, NEVERSINK, ROCKLAND, THOMPSON AND TUSTEN. THE FOLLOWING DEMOGRAPHICS CHARACTERIZE SULLIVAN COUNTY'S RURAL SERVICE AREA: (1) EXTENSIVE AND GROWING GERIATRIC POPULATION; (2) HIGHER PROPORTIONS OF BLACK AND HISPANIC POPULATIONS WHEN COMPARED WITH MOST UPSTATE NEW YORK RURAL COMMUNITIES; (3) VILLAGES OF MONTICELLO AND LIBERTY SURROUNDED BY GEOGRAPHICALLY DISPERSED RURAL POPULATIONS; (4) ECONOMIC BASE PREDOMINANTELY COMPRISED OF AGRICULTURE AS WELL AS SERVICES FOCUSING UPON HEALTH CARE, TOURISM, GOVERNMENT AND EDUCATION AND; (5) EXTENSIVE MEDICALLY INDIGENT POPULATION WITH HIGH PROPORTION OF INDIVIDUALS EITHER ON MEDICAID OR TOTALLY LACKING HEALTH INSURANCE COVERAGE. PART VI, LINE 5: OTHER INFORMATION: CRMC HAS SHOWN ITS ONGOING COMMITMENT TOWARDS ENHANCING THE HEALTH STATUS OF SULLIVAN COUNTY IN SEVERAL WAYS. THE OVERWHELMING MAJORITY OF CRMC'S BOARD OF DIRECTORS ARE COMPRISED OF LOCAL HEALTH CARE CONSUMERS WHO PROVIDE EXPERTISE IN IDENTIFYING SULLIVAN COUNTY HEALTH CARE NEEDS AND PRIORITIES. CRMC'S MEDICAL STAFF IS AN OPEN MEDICAL STAFF WHEREBY ANY JUSTIFIED SULLIVAN COUNTY PHYSICIAN IS ENCOURAGED TO APPLY, AND OVER 90% OF LOCAL PHYSICIAN RETAIN MEDICAL STAFF MEMBERSHIP. THE HOSPITAL'S HEALTH SCIENCE LIBRARY SUBSIDIZED FROM CRMC OPERATIONAL FUNDING PROVIDES BOTH COMMUNITY HEALTH EDUCATION TO SULLIVAN COUNTY CONSUMERS AND PATIENTS, AS WELL AS MEDICAL EDUCATION TO LOCAL PHYSICIANS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: N/A PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT - CRMC PERFORMS A COMMUNITY SERVICE PLAN EVERY THREE YEARS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN RUWOLDT | |||||||||||||
| 323416 | 0 | 41715 | 0 | 7476 | 0 | 7986 | 0 | 8132 | 0 | 388725 | 0 | 0 | 0 |
| ROBERT E FISHER | |||||||||||||
| 145760 | 0 | 0 | 0 | 3904 | 0 | 7085 | 0 | 8891 | 0 | 165640 | 0 | 0 | 0 |
| BARBARA GENTILE | |||||||||||||
| 150322 | 0 | 0 | 0 | 396 | 0 | 9243 | 0 | 17945 | 0 | 177906 | 0 | 0 | 0 |
| PETER PANZARINO | |||||||||||||
| 245393 | 0 | 41250 | 0 | 762 | 0 | 15043 | 0 | 8584 | 0 | 311032 | 0 | 0 | 0 |
| ABDUL SHAHZAD | |||||||||||||
| 438573 | 0 | 0 | 0 | 16638 | 0 | 27860 | 0 | 17262 | 0 | 500333 | 0 | 0 | 0 |
| IRVELYNE CAMILLE | |||||||||||||
| 232344 | 0 | 0 | 0 | 16500 | 0 | 15000 | 0 | 6811 | 0 | 270655 | 0 | 0 | 0 |
| FLORENCE JEAN-LOUIS | |||||||||||||
| 210330 | 0 | 0 | 0 | 16554 | 0 | 13803 | 0 | 17262 | 0 | 257949 | 0 | 0 | 0 |
| KHORSHEDA B ALI | |||||||||||||
| 230324 | 0 | 0 | 0 | 16590 | 0 | 15075 | 0 | 18167 | 0 | 280156 | 0 | 0 | 0 |
| STUART TASHMAN | |||||||||||||
| 210776 | 0 | 0 | 0 | 11310 | 0 | 13504 | 0 | 17332 | 0 | 252922 | 0 | 0 | 0 |
| MITCHELL AMADO | |||||||||||||
| 0 | 371312 | 0 | 56422 | 0 | 101826 | 0 | 71808 | 0 | 19841 | 0 | 621209 | 0 | 0 |
| JOSEPH M ANESI | |||||||||||||
| 0 | 260287 | 0 | 37739 | 0 | 31587 | 0 | 27179 | 0 | 18341 | 0 | 375133 | 0 | 0 |
| SCOTT BATULIS | |||||||||||||
| 0 | 613413 | 0 | 207839 | 0 | 289429 | 0 | 157425 | 0 | 18341 | 0 | 1286447 | 0 | 0 |
| DEBORAH CARR | |||||||||||||
| 0 | 195376 | 0 | 30789 | 0 | 38336 | 0 | 42538 | 0 | 19191 | 0 | 326230 | 0 | 0 |
| ROSEMARY FRADO | |||||||||||||
| 0 | 314944 | 0 | 38586 | 0 | 106932 | 0 | 70311 | 0 | 20873 | 0 | 551646 | 0 | 0 |
| SYEB S RAB | |||||||||||||
| 0 | 238050 | 0 | 32763 | 0 | 31101 | 0 | 33818 | 0 | 18341 | 0 | 354073 | 0 | 0 |
| STEPHEN SUGRUE | |||||||||||||
| 0 | 164046 | 0 | 22127 | 0 | 14885 | 0 | 22645 | 0 | 21841 | 0 | 245544 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LINE 4A | Identifier |
| Explanation | FILING ORGANIZATION: _STEVEN T. RUWOLDT, CEO, RECEIVED $153,462, IN SEVERANCE COMPENSATION IN 2011. _ MARC MENDELSOHN, CCO, RECEIVED $84,705, IN SEVERANCE COMPENSATION IN 2011 _ROBERT E. FISHER, CFO, RECEIVED $35,000, IN SEVERANCE COMPENSATION IN 2011. PART I, LINE 4B THE FOLLOWING PAYMENTS WERE MADE FROM GHVHS, A RELATED TAX EXEMPT ORGANIZATION: NONQUALIFIED RETIREMENT PLAN MITCHELL AMADO III 40,353 JOSEPH ANESI 17,022 SCOTT BATULIS 135,375 DEBORAH CARR 12,176 ROSEMARY FRADO 33,254 SYED RAB 16,653 STEPHEN SUGRUE 9,810 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORMITORY AUTHORITY STATE OF NY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 146000293 | IssuerEIN |
| Date Issued | 2004-12-16 | DateIssued |
| Issue Price | 54518326 | IssuePrice |
| Description Of Purpose | REFINANCING OF MORTGAGE LOAN | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 14615000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 54518326 | TotalProceeds |
| Amount In Reserve Fund | 5140500 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 47070653 | RefundingEscrow |
| Issuance Costs From Proceeds | 2307173 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2004 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | true | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | false | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Engage Bond Counsel Research | true | EngageBondCounselResearch |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Superintegrated Hedge | false | SuperintegratedHedge |
| Hedge Terminated | false | HedgeTerminated |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Regulatory Safe Harbor Satisfied | false | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ANDREAS BAEZ | |||
| SEE SCHEDULE L PART V | 40628 | EMPLOYMENT | false |
| JUDITH SKORDINSKI | |||
| SEE SCHEDULE L PART V | 91770 | EMPLOYMENT | false |
| ML ZAGER PC | |||
| SEE SCHEDULE L PART V | 141139 | CONTRACTED SERVICES | false |
| CRYSTAL RUN HEALTHCARE | |||
| SEE SCHEDULE L PART V | 1224702 | MEDICAL SERVICES | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, COLUMN(B) | Identifier |
| Explanation | COLUMN(B) - RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION ANDRES BAEZ IS A FAMILY MEMBER OF MARC BAEZ. JUDITH SKORDINSKI IS A FAMILY MEMBER OF LOUIS RODRIGUES. JOSEPH LOUGHLIN - BUSINESS RELATIONSHIP WITH M.L. ZAGER P.C. - OWNS 50% OF THE LAW FIRM. JEFFREY GRAY - PARTNER IN CRYSTAL RUN HEALTHCARE LLP. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (22 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 PART III - ORGANIZATION'S MISSION | LINE 1: | THE CENTER'S MISSION STATEMENT IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE. CENTER'S VISION IS TO BE THE BEST COMMNUNITY HOSPITAL IN NEW YORK STATE BY PROVIDING OUTSTANDING SERVICE TO ALL. CRMC'S VALUES REFLECT OUR MISSION AND VISION BY FOCUSING SPECIFICALLY ON CARE AND COMPASSION, SAFETY AND PRIVACY, RESPECT AND INTEGRITY AS WELL AS QUALITY AND INNOVATION. FORM 990 PART III - OTHER PROGRAM SERVICES DESCRIPTIONS LINE 4D: EXPENSES ARE INCURRED WHILE PROVIDING OTHER SERVICES SUCH AS LONG TERM CARE, AMBULATORY SERVICES, ADULT DAY CARE PROGRAM AND A 24/7 EMERGENCY ROOM TO RESIDENTS AND VISITORS IN THE SURROUNDING COMMUNITY. |
| FORM 990 PART VI - BUSINESS AND FAMILY RELATIONSHIPS | LINE 2: | JOSEPH LOUGHLIN - BUSINESS RELATIONSHIP WITH M.L. ZAGER P.C. - OWNS 50% OF THE LAW FIRM. JEFFREY GRAY - PARTNER IN CRYSTAL RUN HEALTHCARE LLP. JOAN FARROW AND JOSEPH LOUGHLIN - FAMILY RELATIONSHIP. |
| FORM 990 PART VI | LINE 6 - DESCRIPTION OF DELEGATED DUTIES TO MANAGEMENT COMPANY: | THROUGHOUT 2011, CRMC WAS SUBJECT TO A COMPREHENSIVE MANAGEMENT AGREEMENT WITH GREATER HUDSON VALLEY HEALTH SYSTEM, INC., WHICH IS ALSO CRMC'S SOLE MEMBER (A RELATED 501(C)(3) ORGANIZATION). |
| FORM 990 PART VI | LINE 3 - EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS: | GREATER HUDSON VALLEY HEALTH SYSTEM, INC., IS THE SOLE MEMBER OF CRMC. |
| FORM 990 PART VI - HOW MEMBERS OF SHAREHOLDERS ELECT GOVERNING BODY. | LINE 7A: | GREATER HUDSON VALLEY HEALTH SYSTEM, INC. AS SOLE MEMBER, APPROVES ALL APPOINTMENTS TO THE CRMC BOARD OF DIRECTORS UPON RECOMMENDATION FROM CRMC BOARD OF DIRECTORS. |
| FORM 990 PART VI LINE 7B | DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS: | THE FOLLOWING DECISIONS OF THE CRMC BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY CRMC'S SOLE MEMBER, GREATER HUDSON VALLEY SYSTEM, INC.: (A) APPOINTMENT OF DIRECTORS; (B) APPROVAL OF CERTIFICATE OF NEED APPLICATIONS; (C) APPROVAL OF ANNUAL STRATEGIC PLAN; (D) APPROVAL OF AMENDMENTS TO THE BYLAWS OR CERTIFICATE OF INCORPORATION; (E) APPROVAL OF THE OPERATING AND CAPITAL BUDGETS; (F) APPROVAL OF ANY BORROWINGS, GUARANTEES, OR LEASES VALUED IN EXCESS OF $5 MILLION EACH OR IN THE ANNUAL AGGREGATE; (G) APPROVAL OF ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION; AND (H) APPROVAL OF ANY AFFILIATION OR MANAGEMENT CONTRACT WITH ANOTHER ENTITY. |
| FORM 990 PART VI - FORM 990 REVIEW PROCESS | LINE 11A: | THE 990 IS FIRST PREPARED INTERNALLY BY THE FINANCE DEPARTMENT OF CATSKILL REGIONAL MEDICAL CENTER (CRMC) AND REVIEWED BY SENIOR MANAGEMENT AND THE CHIEF COMPLIANCE OFFICER OF CRMC. THE DRAFT RETURN AND SUPPORTING FINANCIAL INFORMATION IS PROVIDED TO CRMC'S TAX PREPARER TO PREPARE THE FINAL 990. THE FINAL VERSION OF THE ORGANIZATION'S FORM 990 IS THEN PROVIDED TO THE AUDIT COMPLIANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS OF GHVHS PRIOR TO SUBMISSION OF THE RETURN TO THE INTERNAL REVENUE SERVICE. |
| FORM 990 PART VI - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS | LINE 12C: | CATSKILL 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 CONFLICT POLICY REQUIRES ALL DIRECTORS AND COVERED EMPLOYEES TO READ AND UNDERSTAND THE POLICY AND REVIEW IT AT LEAST ANNUALLY IN ORDER TO BE ALERT TO SITUATIONS THAT COULD CREATE A CONFLICT OF INTEREST OR OTHERWISE BE CONTRARY TO HOSPITAL POLICY. THEY ARE ALSO REQUIRED ANNUALLY TO SIGN A CONFLICTS POLICY DISCLOSURE FORM. THE COMPLIANCE OFFICER MONITORS THE COI DISCLOSURES, AND IS PRESENT AT ALL BOARD MEETINGS TO ASSIST WITH ANY POTENTIAL CONFLICT ISSUES AND PROVIDE ADVICE ON ABSTENTION, RECUSAL, ETC. A SUMMARY OF THE COI DISCLOSURES IS PRODUCED FOR THE BOARD, AS IS ANNUAL UPDATES TO THE COI POLICY. |
| FORM 990 PART VI | COMPENSATION REVIEW AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEES: | LINE 15A/B: THE CATSKILL REGIONAL MEDICAL CENTER CHIEF EXECUTIVE OFFICER COMPENSATION WAS REVIEWED FOR COMPARABILTY BY AN INDEPENDENT COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE GREATER HUDSON VALLEY HEALTH SYSTEM BOARD OF DIRECTORS WORKING IN COOPERATION WITH AN OUTSIDE FIRM (INTEGRATED HEALTHCARE STRATEGIES) TO RECOMMEND THE CEO COMPENSATION. THE BOARD OF DIRECTORS OF CATSKILL REGIONAL MEDICAL CENTER USING THE RECOMMENDATION FROM THE GREATER HUDSON VALLEY HEALTH SYSTEM PLUS USING VARIOUS COMPENSATION SURVEYS PUBLISHED BY OUTSIDE ORGANIZATIONS SUCH AS YAFFE AND COMPANY AND OTHER HOSPITAL ORGANIZATIONS IN THE GEOGRAPHIC AREA APPROVES AND ESTABLISHES THE CEO COMPENSATION. ANNUAL REVIEWS ARE DONE ON THE CEO'S PERFORMANCE AGAINST ESTABLISHED GOALS FOR THE FISCAL YEAR. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED IN A SIMILAR MANNER BY CRMC'S CHIEF EXECUTIVE OFFICER WORKING IN CONNECTION WITH THE CEO AND VICE PRESIDENT FOR HUMAN RESOURCES OF THE GHVHS USING PUBLISHED HEALTHCARE COMPENSATION SURVEYS BASED UPON LOCATION, SIZE OF OPERATION, EDUCATION, EXPERIENCE AND PERFORMANCE WITH ESTABLISHED GOALS OF THE ORGANIZATION. THE DISCUSSION AND ACTIONS TAKEN DURING BOARD MEETINGS REGARDING COMPENSATION REVIEW AND APPROVAL PROCESS ARE DOCUMENTED IN THE MINUTES FOR EACH SESSION. |
| FORM 990. PART VI - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE | LINE 19: | ONCE A REQUEST IS MADE FOR THE CATSKILL REGIONAL MEDICAL CENTER TAX RETURN, A COPY IS SENT TO THE PERSON(S) REQUESTING THE DATA OR AS REQUIRED FOR VARIOUS STATE AND FEDERAL FILINGS THROUGH THE ADMINISTRATION OFFICE. |
| PART XI - RECONCILIATION OF NET ASSETS | LINE 5 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES: | CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION, INC:(851,586) UNREALIZED LOSS ON INVESTMENTS: 78,573 CONTRIBUTION TO PERMANENT ENDOWMENT FUND: 1,000 |
| SCHEDULE K | PART I - BOND ISSUES CUSIP #'S: | 64983TW25; 64983TW33; 64983TW41; 64983TW58; 6498TW66; 64983TW74; 64983TW82; 64983TW90; 64983TX24; 64983TX32; 64983TX40. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOAN FARROW TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MITCHELL AMADO TITLE:VP FINANCE/CFO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOSEPH M ANESI TITLE:VP/GENERAL COUNSEL HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SCOTT BATULIS TITLE:PRESIDENT/CEO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DEBORAH CARR TITLE:VP HUMAN RESOURCES HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROSEMARY FRADO TITLE:INTERIM CEO & VP PLAN./MARKTG. HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SYEB S RAB TITLE:VP/CIO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHEN SUGRUE TITLE:VP COMPLIANCE HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROSEMARY A BACZEWSKI TITLE:VP QUALITY HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY F LIETO TITLE:CHIEF PHYSICIAN STRATEGY OFF. HOURS:50 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CRMC FOUNDATION INC | ||||||||||
| PO BOX 800 | HARRIS | NY | 12742 | 141742176 | SUPPORT ORG. | NY | 501 (C) (3) | 11 TYPE 1 | NA | false |
| ORANGE REGIONAL MEDICAL CENTER | ||||||||||
| 60 PROSPECT AVENUE | MIDDLETOWN | NY | 10940 | 141364536 | HEALTHCARE | NY | 501 (C) (3) | 3 | GHVHS | false |
| GREATER HUDSON VALLEY HEALTH SYSTEM | ||||||||||
| C/O ORMC 60 PROSPECT | MIDDLETOWN | NY | 10940 | 061488219 | HEALTHCARE | NY | 501 (C) (3) | 11-TYPE I | NA | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST MAIN STREET MANAGEMENT | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 PROSPECT AVENUE | AddressLine1 |
| City | MIDDLETOWN | City |
| State | NY | State |
| ZIP Code | 10940 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203168346 | EIN |
| Primary Activity | ADMIN. SERVIC | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORMC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP. | TypeOfEntity |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |