2011-11-11T16:33:05-06:00 2010-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2010-01-01 146049030 Catskill Regional Medical Center CATS 8457943300 PO BOX 800 HARRIS NY 12742 ROSEMARY FRADO 8457943300 2011-11-11 true KPMG LLP 2127589700 2010 2016-02-24 21:20:13Z STEVEN T RUWOLDT C/O CRMC PO BOX 800 HARRIS NY 12742 127161043 false X WWW.CRMCNY.ORG X 1967 NY TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE. 13 10 1052 145 583318 137906 1454832 1470724 106400921 104717254 345577 161062 221200 213918 108422530 106562958 0 0 0 0 53888569 55956674 0 0 0 43945608 47027170 97834177 102983844 10588353 3579114 66392688 66729604 69159549 65804317 -2766861 925287 X TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTH CARE. false false 37601518 47232647 EXPENSES INCURRED WHILE PROVIDING INPATIENT MEDICAL CARE SERVICES TO 4,642 PATIENTS IN THE SURROUNDING COMMUNITY. 14630983 8070198 EXPENSES INCURRED WHILE PROVIDING OUTPATIENT CLINIC CARE SERVICES TO 3,986 PATIENTS IN THE SURROUNDING COMMUNITY 11760765 12514624 EXPENSES INCURRED WHILE PROVIDING REFERRED AMBULATORY SERVICES TO PATIENTS IN THE SURROUNDING COMMUNITY. 25944466 36899785 89937732 true true false true false false false false true true false false true true true true false false false false false false false true false true false false false true true false false false false false false false false true true false false false false false true true false false false true 105 0 true 1052 true true true false false false false true true false false false false X 13 10 true true false false true true true true true false false true true true true true true true true false NY X ROBERT FISHER CFO 8457943300 PO BOX 800 HARRIS NY 12742 X MARC BAEZ 3.0 X X 0 0 0 DARREL SUPAK 3.0 X X 0 0 0 JOAN FARROW 3.0 X 0 0 0 JOSEPH NAPOLITANO MD 40.0 X X 240431 0 28271 GERALD SKODA 3.0 X X 0 0 0 RICHARD LANDER 3.0 X 0 0 0 JACQUELINE RICCIANI 3.0 X 0 0 0 LOUIS RODRIGUES MD 3.0 X 0 0 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MANAGEMENT FEES 695197 71 156427 18763 1264651 30883 1470724 INPATIENT REVENUE 623990 43823975 43823975 SNU INPATIENT REVENUE 623000 6104324 6104324 PSYCH INPATIENT REVENUE 623000 4342695 4342695 INDIGENT CARE POOL REVENUE 623000 8490887 8490887 OUTPATIENT REVENUE 621990 37307084 36723766 583318 4648289 4648289 104717254 189992 189992 0 0 77492 77492 77492 77492 20525019 21820 20527705 48064 -2686 -26244 -28930 -28930 22316 156427 22316 0 0 0 0 REBATES & REFUNDS 900099 65564 65564 MISCELLANEOUS REVENUE 900099 70862 70862 136426 106562958 104133936 583318 374980 0 0 0 0 1483775 1343767 140008 134083 121431 12652 41538383 37618851 3919532 2393528 2167676 225852 7149427 6474812 674615 3257478 2950105 307373 903141 19429 883712 362782 362782 406598 406598 0 0 0 13919360 10044890 3874470 306123 10247 295876 435105 345250 89855 0 0 2651434 2548400 103034 87926 59485 28441 0 0 1948143 1601958 346185 0 3448277 2835518 612759 422039 422039 MEDICAL SUPPLIES 12084273 11957011 127262 BAD DEBTS 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22682035 19184955 3497080 20442887 DEFERRED FINANCING FEES 1114393 INTEREST IN CRMC FOUNDATION 3098528 OTHER RECEIVABLE 39664 THIRD PARTY RECEIVABLE 3718531 7971116 0 DUE TO THIRD PARTY PAYORS 6160398 ESTIMATED MALPRACTICE LIABILIT 3071747 OTHER LIABILITY 312107 9544252 106562958 102983844 3579114 -13311 126345 113034 3692148 106698308 -13311 148661 135350 106562958 106562958 103006160 22316 22316 102983844 102983844 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 XII LINE 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 XIII LINE 2D - OTHER ADJUSTMENTS SPECIAL EVENTS DIRECT EXPENSES: $22,316 BERN MEMORIAL 91229 76608 14621 1421 2850 7158 3192 HEART-A-THON 50000 50000 2 37514 29819 7695 3062 4633 178743 156427 22316 1421 2850 10220 7825 22316 true true X true X true X 101. true true false true true 4808729 2881215 1927514 0.01870 23265522 18359531 4905991 0.04760 28074251 21240746 6833505 0.06630 45447 0 45447 0.00040 13842 0 13842 0.00010 5417369 3120486 2296883 0.02230 49669 0 49669 0.00050 5526327 3120486 2405841 0.02330 33600578 24361232 9239346 0.08960 4583 0 4583 0.00000 20000 0 20000 0.00020 24583 0 24583 0.00020 true 2495297 0 28695373 32365734 -3670361 X true true 2 1 CATSKILL REGIONAL MEDICAL CTR-HARRIS DIV

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ROUTE 97 CALLICOON NY 12723

X X X CATSKILL REGIONAL MEDICAL CTR-HARRIS DIV 1 CATSKILL REGIONAL MED CTR-GROVER HER 2 PART VI - SUPPLEMENTAL INFORMATION PART 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/A X X X X false false false false false false false false false JOSEPH NAPOLITANO MD 217688 0 0 0 22743 0 14998 0 13273 0 268702 0 0 0 STEVEN RUWOLDT 253212 0 0 0 20777 0 15004 0 14629 0 303622 0 0 0 PETER PANZARINO 273595 0 41250 0 396 0 14700 0 14629 0 344570 0 0 0 BARBARA GENTILE 147496 0 0 0 396 0 8974 0 14365 0 171231 0 0 0 ROBERT E FISHER 175394 0 19570 0 16896 0 11753 0 11488 0 235101 0 0 0 MARC MENDELSOHN 119748 0 0 0 21196 0 8734 0 10870 0 160548 0 0 0 ABDUL SHAHZAD 396765 0 0 0 16524 0 16182 0 10861 0 440332 0 0 0 DAVID SCHWALB 248440 0 0 0 22138 0 16554 0 11150 0 298282 0 0 0 IRVELYNE CAMILLE 214446 0 0 0 16498 0 13938 0 6016 0 250898 0 0 0 FLORENCE JEAN-LOUIS 207041 0 0 0 15707 0 13642 0 14629 0 251019 0 0 0 STUART TASHMAN 217633 0 0 0 3089 0 13504 0 14629 0 248855 0 0 0 DORMITORY AUTHORITY STATE OF NEW YORK 146000293 2004-12-16 54518326 REFINANCING OF MORTGAGE LOAN false false false 11435000 0 54518326 5140500 0 47070653 2307173 0 0 0 0 0 2004 true false true true false false false false true 0.00000 0.00000 0.00000 true true true false NA 0. false false false NA 0. false false false ANDREAS BAEZ SEE SCHEDULE O 31885 EMPLOYMENT false JUDITH SKORDINSKI SEE SCHEDULE O 67858 EMPLOYMENT false ML ZAGER PC SEE SCHEDULE O 111621 CONTRACTED SERVICES false 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 RELATIONSHIP LINE 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 VI LINE 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 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 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 CONFLICTS LINE 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 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: 126,345 UNREALIZED LOSS ON INVESTMENTS: (13,311) SCHEDULE K PART 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 PERSONS PART 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 ORGANIZATION FORM 990 PART VII NAME:JOAN FARROW TITLE:TRUSTEE HOURS:1 CRMC FOUNDATION INC PO BOX 800 HARRIS NY 12742 141742176 SUPPORT ORG. NY 501(C)(3) 11 TYPE 1 NA ORANGE REGIONAL MEDICAL CENTER 60 PROSPECT AVENUE MIDDLETOWN NY 10940 141364536 HEALTHCARE NY 501(C)(3) 3 GHVHS GREATER HUDSON VALLEY HEALTH SYSTEM C/O ORMC 60 PROSPECT MIDDLETOWN NY 10940 061488219 HEALTHCARE NY 501(C)(3) 11-TYPE I NA EAST MAIN STREET MANAGEMENT 60 PROSPECT AVENUE MIDDLETOWN NY 10940 203168346 ADMIN. SERVICES NY ORMC C CORP. 0 0 0.00000 false false true false false false false false false false false true false false false true false false