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GARNET HEALTH MEDICAL CENTER CATSKILLS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GARNET HEALTH MEDICAL CENTER CATSKILLS (EIN 14-6049030)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201123159349303622
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-11T16:33:05-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AvenueAddressLine1
CityNew YorkCity
StateNYState
ZIP Code101540102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN146049030EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Catskill Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCATSNameControl
Phone8457943300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 800AddressLine1
CityHARRISCity
StateNYState
ZIP Code12742ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROSEMARY FRADOName
TitleINTERIM CEOTitle
Phone8457943300Phone
Date Signed2011-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKPMG LLPName
Phone2127589700Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN T RUWOLDTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O CRMC PO BOX 800AddressLine1
CityHARRISCity
StateNYState
ZIP Code12742ZIPCode
FieldValueIRS element (for citing)
Gross Receipts127161043GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CRMCNY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1052TotalNbrEmployees
Total Nbr Volunteers145TotalNbrVolunteers
Total Gross UBI583318TotalGrossUBI
Net Unrelated Business Txbl Income137906NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1454832ContributionsGrantsPriorYear
Contributions Grants Current Year1470724ContributionsGrantsCurrentYear
Program Service Revenue Prior Year106400921ProgramServiceRevenuePriorYear
Program Service Revenue CY104717254ProgramServiceRevenueCY
Investment Income Prior Year345577InvestmentIncomePriorYear
Investment Income Current Year161062InvestmentIncomeCurrentYear
Other Revenue Prior Year221200OtherRevenuePriorYear
Other Revenue Current Year213918OtherRevenueCurrentYear
Total Revenue Prior Year108422530TotalRevenuePriorYear
Total Revenue Current Year106562958TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year53888569SalariesEtcPriorYear
Salaries Etc Current Year55956674SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year43945608OtherExpensePriorYear
Other Expenses Current Year47027170OtherExpensesCurrentYear
Total Expenses Prior Year97834177TotalExpensesPriorYear
Total Expenses Current Year102983844TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10588353RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3579114RevenuesLessExpensesCY
Total Assets BOY66392688TotalAssetsBOY
Total Assets EOY66729604TotalAssetsEOY
Total Liabilities BOY69159549TotalLiabilitiesBOY
Total Liabilities EOY65804317TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2766861NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY925287NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense37601518Expense
Revenue47232647Revenue
DescriptionEXPENSES INCURRED WHILE PROVIDING INPATIENT MEDICAL CARE SERVICES TO 4,642 PATIENTS IN THE SURROUNDING COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14630983Expense
Revenue8070198Revenue
DescriptionEXPENSES INCURRED WHILE PROVIDING OUTPATIENT CLINIC CARE SERVICES TO 3,986 PATIENTS IN THE SURROUNDING COMMUNITYDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense11760765Expense
Revenue12514624Revenue
DescriptionEXPENSES INCURRED WHILE PROVIDING REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp25944466TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev36899785TotalOfOtherProgramServiceRev
Total Program Service Expense89937732TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096105NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1052NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT FISHER CFONamePerson
Telephone Number8457943300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 800AddressLine1
CityHARRISCity
StateNYState
ZIP Code12742ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARC BAEZ
SECRETARY3.0XX000
DARREL SUPAK
VICE CHAIRMAN3.0XX000
JOAN FARROW
TRUSTEE3.0X000
JOSEPH NAPOLITANO MD
TRUSTEE40.0X240431028271X
GERALD SKODA
CHAIRMAN3.0XX000
RICHARD LANDER
TRUSTEE3.0X000
JACQUELINE RICCIANI
TRUSTEE3.0X000
LOUIS RODRIGUES MD
TRUSTEE3.0X000
ALLAN SCOTT
TRUSTEE3.0X000
JOSEPH LOUGHLIN
TRUSTEE3.0X000
ANDREW PAVLOFF
TREASURER3.0XX000
BARBARA BLAKEY
TRUSTEE3.0X000
MICHAEL WASCHITZ
TRUSTEE3.0X000
JEFFREY GRAY MD
TRUSTEE3.0X000
STEVEN RUWOLDT
CEO40.0X273989029633
PETER PANZARINO
CHIEF MEDICAL OFFICER40.0X315241029329
BARBARA GENTILE
CNO40.0X147892023339
ROBERT E FISHER
CFO UNTIL JANUARY 201140.0X211860023241
MARC MENDELSOHN
CORPORATE COMPLIANCE OFFICER40.0X140944019604
ABDUL SHAHZAD
PHYSICIAN40.0413289027043X
DAVID SCHWALB
PHYSICIAN40.0270578027704X
IRVELYNE CAMILLE
PHYSICIAN40.0230944019954X
FLORENCE JEAN-LOUIS
PHYSICIAN40.0222748028271X
STUART TASHMAN
PHYSICIAN40.0220722028133X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2688638TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation284522TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCKESSON INFORMATION SOLUTIONS
POBOX 98347CHICAGOIL606938347COMPUTER SERVICES2197425
MORRISON MANAGEMENT SOLUTIONS
PO BOX 102289ATLANTAGA30368FOOD SERVICE1539865
CARDINAL HEALTH
PO BOX 13862NEWARKNJ071880862MEDICAL SERVICES1137711
CRYSTAL RUN HEALTHCARE LLP
155 CRYSTAL RUN ROADMIDDLETOWNNY10940MEDICAL SERVICES995610
CATSKILL REGIONAL EMER PHYSICIANS
C/O ORMC 60 PROSPECTMIDDLETONNY10940MANAGEMENT FEES695197
FieldValueIRS element (for citing)
Number Of Contractors GT100 K71NumberOfContractorsGT100K
Fundraising Events156427FundraisingEvents
Related Organizations18763RelatedOrganizations
Government Grants1264651GovernmentGrants
All Other Contributions30883AllOtherContributions
Total Contributions1470724TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
INPATIENT REVENUE6239904382397543823975
SNU INPATIENT REVENUE62300061043246104324
PSYCH INPATIENT REVENUE62300043426954342695
INDIGENT CARE POOL REVENUE62300084908878490887
OUTPATIENT REVENUE6219903730708436723766583318

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4648289TotalRevenueColumn
Related Or Exempt Function Income4648289RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue104717254TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column189992TotalRevenueColumn
Exclusion$189,992ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real77492Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real77492Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column77492TotalRevenueColumn
Exclusion$77,492ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20525019Securities
Other21820Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities20527705Securities
Other48064Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2686Securities
Other-26244Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-28930TotalRevenueColumn
Exclusion-$28,930ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events22316GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events156427CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses22316FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Exclusion$0ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
REBATES & REFUNDS90009965564$65,564
MISCELLANEOUS REVENUE90009970862$70,862
FieldValueIRS element (for citing)
Total Other Revenue136426TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column106562958TotalRevenueColumn
Related Or Exempt Function Income104133936RelatedOrExemptFunctionIncome
Unrelated Business Revenue583318UnrelatedBusinessRevenue
Exclusion$374,980ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1483775Total
Program Services1343767ProgramServices
Management And General140008ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total134083Total
Program Services121431ProgramServices
Management And General12652ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41538383Total
Program Services37618851ProgramServices
Management And General3919532ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2393528Total
Program Services2167676ProgramServices
Management And General225852ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7149427Total
Program Services6474812ProgramServices
Management And General674615ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3257478Total
Program Services2950105ProgramServices
Management And General307373ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total903141Total
Program Services19429ProgramServices
Management And General883712ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total362782Total
Management And General362782ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total406598Total
Management And General406598ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13919360Total
Program Services10044890ProgramServices
Management And General3874470ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total306123Total
Program Services10247ProgramServices
Management And General295876ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total435105Total
Program Services345250ProgramServices
Management And General89855ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2651434Total
Program Services2548400ProgramServices
Management And General103034ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total87926Total
Program Services59485ProgramServices
Management And General28441ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1948143Total
Program Services1601958ProgramServices
Management And General346185ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3448277Total
Program Services2835518ProgramServices
Management And General612759ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total422039Total
Program Services422039ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1208427311957011127262
BAD DEBTS62701386270138
POSTAGE AND SHIPPING19180113532556476
OTHER EXPENSES35900303011400578630

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total102983844Total
Program Services89937732ProgramServices
Management And General13046112ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8105598BOY
EOY7162260EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4610401BOY
EOY3879314EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY461558BOY
EOY324809EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8967830BOY
EOY10213044EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1066754BOY
EOY1107902EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY828118BOY
EOY1113600EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis110764592LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec90321705LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18901226BOY
EOY20442887EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14174398BOY
EOY14514672EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9276805BOY
EOY7971116EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY66392688BOY
EOY66729604EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13074289BOY
EOY12457107EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4024BOY
EOY1725EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY44762197BOY
EOY41474048EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY450000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1239654BOY
EOY1877185EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10079385BOY
EOY9544252EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69159549BOY
EOY65804317EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6007999BOY
EOY-2600435EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1783433BOY
EOY2068017EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1457705BOY
EOY1457705EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2766861BOY
EOY925287EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66392688BOY
EOY66729604EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3579114ReconcilationRevenueExpenses
Reconcilation Other Changes113034ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$43,725OtherActivitiesAmount
Total Lobbying Expenditures IIB43725TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1IIdentifier
ExplanationPERCENTAGE OF DUES PAID TO THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS) ALLOCATED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1457705BeginningOfYearBalance
End Of Year Balance1457705EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1457705BeginningOfYearBalance
End Of Year Balance1457705EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1457705BeginningOfYearBalance
End Of Year Balance1457705EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis888426OtherCostOrOtherBasis
Book Value888426BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24918100OtherCostOrOtherBasis
Depreciation23245197Depreciation
Book Value1672903BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9852886OtherCostOrOtherBasis
Depreciation2696371Depreciation
Book Value7156515BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis52423145OtherCostOrOtherBasis
Depreciation45195182Depreciation
Book Value7227963BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22682035OtherCostOrOtherBasis
Depreciation19184955Depreciation
Book Value3497080BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20442887TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING FEES1114393
INTEREST IN CRMC FOUNDATION3098528
OTHER RECEIVABLE39664
THIRD PARTY RECEIVABLE3718531
FieldValueIRS element (for citing)
Total Book Value Other Assets7971116TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$6,160,398
ESTIMATED MALPRACTICE LIABILIT$3,071,747
OTHER LIABILITY$312,107
FieldValueIRS element (for citing)
Total Of Amounts9544252TotalOfAmounts
Total Revenue106562958TotalRevenue
Total Expenses102983844TotalExpenses
Excess Or Deficit For Year3579114ExcessOrDeficitForYear
Net Unrealized GL On Investments-13311NetUnrealizedGLOnInvestments
Other$126,345OtherAmount
Total Adjustments113034TotalAdjustments
Excess Or Deficit Per FS3692148ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt106698308TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-13311NetUnrealizedGainsInvestments
Other Revenues148661OtherRevenues
Revenue Not Rptd F990135350RevenueNotRptdF990
Revenue Subtotal106562958RevenueSubtotal
Total Revenue Per Form990106562958TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt103006160TotExpensesEtcAuditedFinclStmt
Other Expenses Included22316OtherExpensesIncluded
Expenses Not Rptd F99022316ExpensesNotRptdF990
Expenses Subtotal102983844ExpensesSubtotal
Total Expenses Per Form990102983844TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D, PART VINTENDED USE OF ENDOWMENT FUNDSTHE ORGANIZATION HAS A PERMANENT ENDOWMENT FUND. THE INTEREST EARNED ON THIS FUND, IF ANY, CAN BE USED TO PURCHASE PATIENT EQUIPMENT.
SCHEDULE D- PART XLINE 2 - FIN 48 FOOTNOTETHE 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 XIILINE 2D - OTHER ADJUSTMENTS ---------------------------- SPECIAL EVENTS DIRECT EXPENSES: $22,316 CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION, INC: 126,345
SCHEDULE D PART XIIILINE 2D - OTHER ADJUSTMENTSSPECIAL EVENTS DIRECT EXPENSES: $22,316

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BERN MEMORIALNameOfEvent1
Gross Receipts Event191229GrossReceiptsEvent1
Charitable Contributions Event176608CharitableContributionsEvent1
Gross Revenue Event114621GrossRevenueEvent1
Non Cash Prizes Event11421NonCashPrizesEvent1
Rent Facility Costs Event12850RentFacilityCostsEvent1
Food And Beverage Event17158FoodAndBeverageEvent1
Other Direct Expenses Event13192OtherDirectExpensesEvent1
Name Of Event2HEART-A-THONNameOfEvent2
Gross Receipts Event250000GrossReceiptsEvent2
Charitable Contributions Event250000CharitableContributionsEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events37514GrossReceiptsOtherEvents
Charitable Contrib Other Events29819CharitableContribOtherEvents
Gross Revenue Other Events7695GrossRevenueOtherEvents
Food And Beverage Other Events3062FoodAndBeverageOtherEvents
Other Direct Expenses Other Events4633OtherDirectExpensesOtherEvents
Gross Receipts Total178743GrossReceiptsTotal
Charitable Contributions Total156427CharitableContributionsTotal
Gross Revenue Total Events22316GrossRevenueTotalEvents
Non Cash Prizes Total Events1421NonCashPrizesTotalEvents
Rent Facility Costs Total Events2850RentFacilityCostsTotalEvents
Food And Beverage Total Events10220FoodAndBeverageTotalEvents
Other Direct Expenses Total Events7825OtherDirectExpensesTotalEvents
Direct Expense Summary Events22316DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage101.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4808729TotalCommunityBenefitExpense
Direct Offsetting Revenue2881215DirectOffsettingRevenue
Net Community Benefit Expense1927514NetCommunityBenefitExpense
Percent Of Total Expense0.01870PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23265522TotalCommunityBenefitExpense
Direct Offsetting Revenue18359531DirectOffsettingRevenue
Net Community Benefit Expense4905991NetCommunityBenefitExpense
Percent Of Total Expense0.04760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28074251TotalCommunityBenefitExpense
Direct Offsetting Revenue21240746DirectOffsettingRevenue
Net Community Benefit Expense6833505NetCommunityBenefitExpense
Percent Of Total Expense0.06630PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense45447TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense45447NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense13842TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense13842NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5417369TotalCommunityBenefitExpense
Direct Offsetting Revenue3120486DirectOffsettingRevenue
Net Community Benefit Expense2296883NetCommunityBenefitExpense
Percent Of Total Expense0.02230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense49669TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense49669NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5526327TotalCommunityBenefitExpense
Direct Offsetting Revenue3120486DirectOffsettingRevenue
Net Community Benefit Expense2405841NetCommunityBenefitExpense
Percent Of Total Expense0.02330PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33600578TotalCommunityBenefitExpense
Direct Offsetting Revenue24361232DirectOffsettingRevenue
Net Community Benefit Expense9239346NetCommunityBenefitExpense
Percent Of Total Expense0.08960PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense4583TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4583NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense20000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense20000NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense24583TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense24583NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,495,297BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare28695373AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare32365734CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3670361MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOtherCritical Access HospitalCriticalAccessHospital
CATSKILL REGIONAL MEDICAL CTR-HARRIS DIV
168 HARRIS-BUSHVILLE ROADHARRISNY12742XXXSOLE COMMUNITY HOSP.
CATSKILL REGIONAL MED CTR-GROVER HER
2ROUTE 97CALLICOONNY12723XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
CATSKILL REGIONAL MEDICAL CTR-HARRIS DIV
1
CATSKILL REGIONAL MED CTR-GROVER HER
2

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART VI - SUPPLEMENTAL INFORMATIONIdentifier
ExplanationPART I LINE 3C - HOSPITAL USES FEDERAL POVERTY GUIDELINES 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 $6,270,138. 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 HAS SUCCESSFULLY COMPLETED SEVERAL INITIATIVES DURING 2010 TO ENHANCE ACCESSIBILTY TO QUALITY HEALTH CARE PROGRAM SERVICES. A FAMILY NURSE PRACTITIONER SUPPORTED BY TWO PART-TIME PRIMARY CARE PRACTITIONERS HAS BEEN RECRUITED FOR RURAL LIVINGSTON MANOR SITUATED WITHIN THE ROCKLAND/NEVERSINK FEDERALLY DESIGNATED PRIMARY CARE HEALTH PROFESSIONAL SHAORTAGE AREA. CRMC IS PLANNING TO CONSTRUCT AN EXPANDED ARTICLE 28 PRIMARY CARE CLINIC SITE AT THE GROVER DIVISION IN CALLICOON. THE EXPANDED PRIMARY CARE CLINIC WITHIN MEDICALLY UNDERSERVED CALLICOON WILL ENHANCE ACCESSIBILITY TO QUALITY CARE SERIVCES FOR SEVERAL UNDERSERVED POPULATION GROUPS INCLUDING THE FRAIL ELDERLY AND MEDICALLY INDIGENT LACKING HEALTH INSURANCE COVERAGE. THE FOCUS WILL BE ON DEVELOPING AN INTEGRATED PRIMARY CARE MEDICAL CLINIC WITH ELECTRONIC MEDICAL RECORD CAPABILITY FOR PHYCISIANS AND NURSE PRACTITIONERS WITHIN THE DESIGNATED H.P.S.A. AND MEDICALLY UNDERSERVED COMMUNITES OF LIVINGSTON MANOR, NARROWSBURG, ROSCOE, CALLICOON, WURTSBORO AND GRAHAMSVILLE. CRMC IS ACTIVELY RECRUITING A PHYSICIAN FOR WESTERN SULLIVAN COUNTY, AND OPERATES A WOMEN'S HEALTH CENTER IN MONTICELLO AND A PEDIATRICIAN'S OFFICE IN WURTSBORO. PART III LINE 2 - BAD DEBT EXPENSES - COSTING METHODOLOGY USED WAS THE RATIO 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 SUSTANTIAL 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 III LINE 7 - MEDICARE REIMBURSEMENT DOES NOT COVER THE ACTUAL OPERATING COST FOR PROVIDING CARE FOR MEDICARE PATIENTS. IT IS THE HOSPITAL MISSION TO PROVIDE QUALITY CARE TO ALL PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE AND ABILITY TO PAY. PART III LINE 8 - MEDICARE INDIVIDUALS UTILIZE HOSPITAL SERVICES AS PRIMARY CARE PROVIDER. COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED 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. 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. 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. 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. 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. AFFILIATED HEALTH CARE SYSTEM: N/A STATE FILING OF COMMUNITY BENEFIT REPORT: N/AExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH NAPOLITANO MD
217688000227430149980132730268702000
STEVEN RUWOLDT
253212000207770150040146290303622000
PETER PANZARINO
27359504125003960147000146290344570000
BARBARA GENTILE
147496000396089740143650171231000
ROBERT E FISHER
1753940195700168960117530114880235101000
MARC MENDELSOHN
11974800021196087340108700160548000
ABDUL SHAHZAD
396765000165240161820108610440332000
DAVID SCHWALB
248440000221380165540111500298282000
IRVELYNE CAMILLE
21444600016498013938060160250898000
FLORENCE JEAN-LOUIS
207041000157070136420146290251019000
STUART TASHMAN
21763300030890135040146290248855000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY STATE OF NEW YORKBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
Date Issued2004-12-16DateIssued
Issue Price54518326IssuePrice
Description Of PurposeREFINANCING OF MORTGAGE LOANDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired11435000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds54518326TotalProceeds
Amount In Reserve Fund5140500AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow47070653RefundingEscrow
Issuance Costs From Proceeds2307173IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2004YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC0.TermOfGIC
Regulatory Safe Harbor SatisfiedfalseRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANDREAS BAEZ
SEE SCHEDULE O31885EMPLOYMENTfalse
JUDITH SKORDINSKI
SEE SCHEDULE O67858EMPLOYMENTfalse
ML ZAGER PC
SEE SCHEDULE O111621CONTRACTED SERVICESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 PART III - OTHER PROGRAM SERVICES DESCRIPTIONSLINE 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 RELATIONSHIPLINE 2:MARC BAEZ AND LUIZ RODRIGUES HAVE FAMILY MEMBERS EMPLOYED BY THE HOSPITAL. JOSEPH LOUGHLIN - BUSINESS RELATIONSHIP WITH M.L. ZAGER P.C. - OWNS 50% OF THE LAW FIRM.
FORM 990 PART VILINE 3 - DESCRIPTION OF DELEGATED DUTIES TO MANAGEMENT COMPANY:THROUGHOUT 2010, 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 VILINE 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 7BDECISIONS 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 PROCESSLINE 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 FINANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS OF CRMC PRIOR TO SUBMISSION OF THE RETURN TO THE INTERNAL REVENUE SERVICE.
FORM 990 PART VI - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTSLINE 12C:CATSKILL REGIONAL MEDICAL CENTER'S CORPORATE COMPLIANCE OFFICER ANNUALLY SENDS THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE FOR COMPLETION TO ALL OFFICERS, BOARD OF DIRECTORS, AND KEY EMPLOYEES AND THE PROCESS IS MONITORED BY THE CORPORATE COMPLIANCE OFFICER. THE CCO REVIEWS ALL CONFLICT OF INTEREST STATEMENTS AND MEETS WITH AFFECTED PERSONNEL TO RESOLVE ANY IDENTIFIED OR POTENTIAL CONFLICTS OF INTEREST. FURTHERMORE, AT THE RECOMMENDATION OF BOTH THE CCO AND EXTERNAL AUDITORS, CRMC HAS RECENTLY ADOPTED A STRENGTHENED AND ENHANCED CODE OF CONDUCT REQUIRING DISCLOSURE AND UPDATING DURING THE YEAR OR ANY REVISIONS IN AN INDIVIDUAL'S CONFLICT OF INTEREST STATUS.
FORM 990 PART VICOMPENSATION 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 AVAILABLELINE 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 ASSETSLINE 5 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN THE INTEREST IN NET ASSETS OF THE CRMC FOUNDATION, INC: 126,345 UNREALIZED LOSS ON INVESTMENTS: (13,311)
SCHEDULE KPART I - BOND ISSUES CUSIP #'S:64983TV42; 64983TV59; 64983TV67; 64983TV75; 64983TV83; 64983TV91; 64983TW25; 64983TW33; 64983TW41; 64983TW58; 64983TW66; 64983TW74; 64983TW82; 64983TW90; 64983TX24; 64983TX32; 64983TX40.
SCHEDULE L - TRANSACTIONS WITH INTERESTED PERSONSPART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: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.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOAN FARROW TITLE:TRUSTEE HOURS:1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CRMC FOUNDATION INC
PO BOX 800HARRISNY12742141742176SUPPORT ORG.NY501(C)(3)11 TYPE 1NA
ORANGE REGIONAL MEDICAL CENTER
60 PROSPECT AVENUEMIDDLETOWNNY10940141364536HEALTHCARENY501(C)(3)3GHVHS
GREATER HUDSON VALLEY HEALTH SYSTEM
C/O ORMC 60 PROSPECTMIDDLETOWNNY10940061488219HEALTHCARENY501(C)(3)11-TYPE INA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1EAST MAIN STREET MANAGEMENTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line160 PROSPECT AVENUEAddressLine1
CityMIDDLETOWNCity
StateNYState
ZIP Code10940ZIPCode
FieldValueIRS element (for citing)
EIN203168346EIN
Primary ActivityADMIN. SERVICESPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ORMCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORP.TypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg