2019-11-14T16:55:12-06:00 2018-12-31 990 2018-01-01 146019179 PUTNAM HOSPITAL CENTER % ROBERT FRIEDBERG PRESIDENT PUTN 8454759500 670 STONELEIGH AVENUE CARMEL NY 10512 ROBERT FRIEDBERG PRESIDENT 8454759500 2019-11-14 64.72.65.146 14417020193185000002 2019-11-14 P 240A1E5F0EC940BDBCF5BA8D2EEA68CDC626CD36 73568967A6026A6DA95E58AA80AE98ECD706EE6E 2018 2020-03-31 21:24:44Z PETER KELLY PRESIDENT 670 STONELEIGH AVENUE CARMEL NY 10512 162367963 false X WWW.HEALTHQUEST.ORG X NY PROVIDE ALL ASPECTS OF PATIENT CARE TO THE COMMUNITY 15 14 1072 250 635 -1739 331297 364584 162796725 154255933 2412109 3425376 3237427 4322070 168777558 162367963 41850 39525 0 0 72626459 71534900 0 0 0 88154246 83725921 160822555 155300346 7955003 7067617 198377789 188187902 78887072 68624437 119490717 119563465 X THE MISSION STATEMENT OF THE HEALTH QUEST SYSTEM AND ITS AFFILIATED ORGANIZATIONS IS TO DELIVER EXCEPTIONAL HEALTHCARE TO THE COMMUNITIES WE SERVE BY PURSUING THE HIGHEST STANDARDS OF QUALITY, SAFETY, SERVICE AND COMPASSION. false false 63018341 80922408 INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 5,932; NUMBER OF PATIENT DAYS 20,750 THE HOSPITAL PROVIDED APPROXIMATELY $761,877 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 3292004 4227291 INPATIENT PSYCHIATRIC SERVICES: PSYCHIATRIC PATIENTS ADMITTED FOR TREATMENT - NUMBER OF PATIENTS 664; NUMBER OF PATIENT DAYS 3,879 53705811 39525 68964106 OUTPATIENT SERVICES: PATIENTS WHO RECEIVED MEDICAL EMERGENCY, ASU AND VARIOUS ANCILLIARY SERVICES - TOTAL EMERGENCY VISITS 22,865; TOTAL AMBULATORY SURGERY VISITS 5,110 ALL OTHER VISITS/PROCEDURES 188,913 THE HOSPITAL PROVIDED APPROXIMATELY $1,160,170 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 110682 142128 AFFILIATE RENTAL INCOME 110682 142128 120126838 true true false true false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 0 0 1072 true true true false false false false false false false false false false false false false X 15 14 false false false false true true true true true false true true true true true true true true true true true true NY X ROBERT FRIEDBERG PRESIDENT 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 KEIREN M FARQUHAR TRUSTEE 1.0 0.0 X 0 0 0 KAREN FLEMING CHAIR 1.0 0.0 X 0 0 0 JEFFREY J REDFIELD IMMEDIATE PAST CHAIR 1.0 0.0 X 0 0 0 WAYNE RYDER SECOND VICE CHAIR 1.0 0.0 X 0 0 0 RAYMOND DURKIN SECRETARY/TREASURER 1.0 0.0 X 0 0 0 LORETTA MOLINARI TRUSTEE 1.0 0.0 X 0 0 0 ROBERT WAEGELEIN TRUSTEE 1.0 0.0 X 0 0 0 JOHN PETER COLLINS TRUSTEE 1.0 0.0 X 0 0 0 MATTHEW T MARRONE FIRST VICE CHAIR 1.0 0.0 X 0 0 0 JERRY J KLEIN TRUSTEE 1.0 0.0 X 0 0 0 MARJORIE L KEITH TRUSTEE 1.0 0.0 X 0 0 0 KENNETH KEARNEY TRUSTEE 1.0 0.0 X 0 0 0 HONORABLE JAMES REITZ TRUSTEE 1.0 0.0 X 0 0 0 ARUN AGARWAL MD PRESIDENT OF MEDICAL STAFF 1.0 0.0 X 0 0 0 KATHERINE BACHER ASSISTANT TREASURER 0.0 40.0 X 0 641026 57938 MICHAEL HOLZHUETER ASSISTANT SECRETARY 0.0 40.0 X 0 956997 95358 CHERYL BOOTH ASSISTANT SECRETARY 0.0 40.0 X 0 121070 10394 PETER KELLY PRESIDENT - PHC 0.0 40.0 X 0 533050 6618 ROBERT FRIEDBERG HQ PRESIDENT & CEO 0.0 40.0 X 0 1586235 132071 LAWRENCE S SCHEK VP MEDICAL AFFAIRS 40.0 0.0 X 420431 0 33159 KRYSTYNA KUCHTAR REGISTERED NURSE 40.0 0.0 X 186354 0 36742 ELISH C HOURIHAN VP PATIENT CARE SVCS/CNO 40.0 0.0 X 275078 0 9669 HANNA PENG PHARMACIST 40.0 0.0 X 175498 0 44931 NANCY ZUPA DIRECTOR SURGICAL SVCS 40.0 0.0 X 177802 0 23250 RONALD STEPHENS DIR CRITICAL & EMERGENCY SVCS 40.0 0.0 X 172270 0 28111 JOHN L MCGUINNESS FORMER HQ CEO AND PRESIDENT 0.0 8.0 X 0 350004 0 1407433 4188382 478241 6 true true false 0 207084 157500 364584 INPATIENT SERVICE REVENUE 900099 80922408 80922408 OUTPATIENT SERVICE REVENUE 900099 68964106 68964106 AFFILIATE RENTAL INCOME 621610 142128 142128 INPATIENT PSYCHIATRIC SERVICES 900099 4227291 4227291 154255933 3360178 3360178 0 0 1856182 1856182 0 1856182 1856182 65198 65198 0 0 0 0 0 0 0 0 0 CAFETERIA SALES 900099 630776 630776 REFUNDS & REBATES 900099 445380 445380 QUALITY INCENTIVE PROGRAM 900099 579400 579400 810332 809697 635 2465888 162367963 156721186 635 5281558 39525 39525 0 0 0 0 0 0 420431 378388 42043 0 0 0 0 0 52390473 46501600 5888873 0 4131127 3675551 455576 0 10661873 9464494 1197379 0 3930996 3489526 441470 0 0 0 0 0 0 0 0 0 0 0 0 0 20228 0 20228 0 0 0 0 0 0 0 78459 0 78459 0 1030 1030 0 0 3578042 2065320 1512722 0 175273 162935 12338 0 0 0 0 0 3676429 3097888 578541 0 37624 33031 4593 0 0 0 0 0 27704 27354 350 0 934262 787242 147020 0 0 0 0 0 7305111 6155543 1149568 0 1519739 1280585 239154 0 PURCHASED SERVICES 33417565 11108007 22309558 0 MEDICAL SUPPLIES 22221750 22221750 0 0 MAINTENANCE AND SVC CONTRACTS 2420930 1654500 766430 0 PHYSICIAN FEES 7285396 7285396 0 0 1026379 697173 329206 155300346 120126838 35173508 0 333047 881309 11195129 30158540 0 0 24225523 23857774 0 0 0 0 0 0 3004210 2957524 1590723 1503341 203718389 144829236 58592819 58889153 45904490 43431433 0 0 0 0 0 0 53531848 26508828 198377789 188187902 14788956 13394884 0 0 0 0 21563876 21057315 0 0 0 0 2002848 1119188 0 0 40531392 33053050 78887072 68624437 X 114930239 114726641 3741224 4019351 819254 817473 119490717 119563465 198377789 188187902 X 7067617 -5711954 -1282915 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 10114 true 10114 false 20228 false SCHEDULE C PART II-B LINE 1I - LOBBYING ACTIVITIES A PORTION OF THE HEALTHCARE EDUCATION PROJECT DUES, PAID BY PUTNAM HOSPITAL CENTER, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 819254 -1781 817473 816299 2955 819254 814267 2032 816299 818832 -4565 814267 820867 -2035 818832 1.00000 false false 1193282 1193282 89093029 44650568 44442461 110127088 98234050 11893038 3304990 1944618 1360372 58889153 DAVITA RESTRICTED CASH 0 INTEREST IN PHC FOUNDATION 11527745 DSRF 2007 SERIES C BONDS 1001641 DUE FROM AFFILIATES 3644994 MISC RECEIVABLES 1065010 DSRF 2016A PROJ FUND 10051 2007 SERIES C BOND PREMIUM 500609 DUE TO HQ LT 7609044 DUE FROM THIRD PARTIES 602594 DSRF 2016A BOND INTEREST 432234 DSRF 2016A BOND PRINCIPAL 114906 26508828 0 RETRO PAYABLE TO 3RD PARTY PAY 2666634 PENSION BENEFIT OBLIGATION 18753489 DUE TO AFFILIATES HQ LT 995087 FIN 47 LIABILTY 3021302 MED MALL INSURANCE LIABILITY 7616538 33053050 SCHEDULE D PART V LINE 4 - ENDOWMENT FUNDS THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL. true true X true X true X true true false true true 3132310 2017564 1114746 0.00720 15612446 10783020 4829426 0.03110 18744756 12800584 5944172 0.03830 24 2936 29200 29200 0.00020 1 4654320 4654320 0.03000 26 2970 4683520 4683520 0.03020 26 2970 23428276 12800584 10627692 0.06850 1 3284 3284 1 3284 3284 true 3943480 54379647 69287147 -14907500 X true true 1 1 PUTNAM HOSPITAL CENTER 670 STONELEIGH AVENUE CARMEL NY 10512 WWW.HEALTH-QUEST.ORG X X X A PUTNAM HOSPITAL CENTER 1 false false true X X X X X X X X X 16 true true true true X WWW.HEALTHQUEST.ORG/COMMUNITY X PUTNAMCOUNTYNY.COM X X true 17 true WWW.HEALTHQUEST.ORG/COMMUNITY false true X 200. 300. true true X X X true X WWW.HEALTHQUEST.ORG X WWW.HEALTHQUEST.ORG X WWW.HEALTHQUEST.ORG X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 Putnam Hospital Center was part of the Putnam County Department of Health's MAPP - Mobilizing for Action through Planning and Partnership. MAPP is a community-driven strategic planning process for improving community health. Four MAPP Assessments - Community Themes and Strengths Assessment, Community Health Status Assessment, Local Public Health System Assessment and Forces of Change Assessment -provide a complete picture of the health strengths and opportunities in Putnam County. The annual Public Health Summit provides the opportunity for the Putnam County DOH, Putnam Hospital Center, community-based organizations, mental health agencies, social service agencies, educational institutions, faith-based organizations, healthcare providers, local industry, emergency services providers, veterans' agencies and residents to convene and review the current state of health in Putnam County. Local data and planning updates are shared and discussed so that community partners are engaged in the planning process. The sixth annual Public Health Summit, held on June 7, 2016, provided an opportunity for 78 attendees from 47 different agencies to collaborate, identify, and review health priorities and needs within the county. PART V, SECTION B, LINE 6A Putnam Hospital is the only hospital in Putnam County. PART V, SECTION B, LINE 6B The PHC CHNA was conducted with the Putnam County Department of Health PART V, SECTION B, LINE 7D The CHNA was also printed and distributed throughout the hospital, including the main lobby, patient waiting areas and hospital administration offices. It is also available by request in the Health Quest administrative offices. PART V, SECTION B, LINE 11 The Putnam County DOH initiated and continues to facilitate the Mobilizing for Action through Planning and Partnerships (MAPP) strategic planning process with community partners in order to develop the Community Health Assessment (CHA). The MAPP process uses four unique assessments to determine community priorities: Community Health Status, Local Public Health System, Community Themes and Strengths, and Forces of Change. Through the MAPP process, two overarching priorities were identified and served as a foundation for developing the Putnam County CHIP: Prevent Chronic Diseases and Promote Mental Health and Prevent Substance Abuse. A third priority was recently added to the Putnam CHIP: Promote a Healthy and Safe Environment. Putnam Hospital Center added this because the hospital and the county's Office for Senior Resources will address this initiative by implementing programs to prevent falls in the growing elderly population. Based on the work of the Putnam County Department of Health, Putnam Hospital Center identified the following priorities: 1. Prevent Chronic Diseases 2. Promote Mental Health and Prevent Substance Abuse Additionally, PHC decided to address a third priority: 3. Promote a Healthy and Safe Environment (Reduce Fall Risks Among Vulnerable Populations) PART V, SECTION B, LINE 9 The hospitals conducted their most recent CHNA, in conjunction with their County Health Department, in tax year 2016. The implementation strategies were approved and adopted by the Hospital Boards in 2016, and were implemented in calendar year 2017. PART I, LINE 7 THE COST TO CHARGE RATIO PERCENTAGE, BASED ON THE MEDICARE COST REPORT, WAS USED AS THE COSTING METHODOLOGY IN DETERMINING THE AMOUNTS REPORTED. PART III, SECTION A, LINE 2, 3, AND 4 LINE 2 - PHC FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY. LINE 3 - PHC DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT. LINE 4 - FOOTNOTE ON AUDITED FINANCIALS - THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 18 OF THE HEALTH QUEST SYSTEMS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. 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 INFORMATION NECESSARY TO ALLOW THE COMPANY TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. UNCOLLECTIBLE AMOUNTS DUE FROM SUCH UNINSURED PATIENTS REPRESENT THE SUBSTANTIAL PORTION OF THE PROVISION FOR BAD DEBTS REFLECTED IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE COMPANY'S COSTS FOR THE PATIENTS IN THE COMMUNITY. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL WAS THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT. PART III, SECTION C, LINE 9B BEFORE A DELINQUENT ACCOUNT WAS REFERRED TO A COLLECTION AGENCY, THE ACCOUNT WAS REVIEWED TO DETERMINE WHETHER THE PATIENT QUALIFIED FOR CHARITY CARE, OR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY. IF IT WAS DETERMINED THAT THE PATIENT WAS ELIGIBLE FOR CHARITY CARE, OR FINANCIAL ASSISTANCE, THE ACCOUNT WAS ADJUSTED TO CHARITY, AND WAS NOT PURSUED WITH A COLLECTION AGENCY. IF A PATIENT APPEALLED THE DETERMINATION, THE ACCOUNT WAS NOT REFERRED TO A COLLECTION AGENCY UNTIL A FINAL DETERMINATION HAD BEEN MADE WITH RESPECT TO THE APPEAL. PATIENTS STILL HAD THE OPPORTUNITY TO APPLY FOR A DISCOUNT UNDER THE CHARITY CARE POLICY EVEN AFTER THE ACCOUNT HAD BEEN SENT TO A COLLECTION AGENCY. PART VI, LINE 2 NEEDS ASSESSMENT In addition to the CHNAs conducted every three years, the hospital has a Community Health Needs Committee that meets regularly to access any additional health care needs in the community. The committee provides oversight to the hospital's community health priorities, including needs assessments, community health improvement plans and other population health initiatives. They help guide priority issues for action to improve community health and help inform, guide and share successful programs and strategies that address health and wellness throughout the community. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE We have a Health Quest wide financial assistance policies and procedures that has been in place at each hospital. The HQ Financial Assistance policy/worksheet is displayed on the back of each patient statement, there are financial assistance posters hanging within the registration areas, and the HQ Financial Assistance policy is displayed on the HQ website. In addition, the financial counselors, at each hospital, attempt to contact each self-pay patient to screen the patient for Financial Assistance and make the patient aware of their options. The folder given to each patient in the ED contains literature about the financial assistance policy. Our customer service reps are all educated on the Financial Assistance policy and explain this to the patients if they ask. PART VI, LINE 4 COMMUNITY INFORMATION Putnam Hospital Center is the only hospital in Putnam County. Eighty percent of its patient population comes from the eastern half of Putnam County, with the service area extending north to the southeast corner of Dutchess County and south to select bordering zip codes in northern Westchester County. Data indicates that residents of the western half of Putnam County receive medical care primarily at Hudson Valley Hospital Center and, to a lesser degree, other Westchester hospitals due to natural geographic and transportation barriers. The population served by Putnam Hospital Center, like that of Health Quest's other hospitals, is aging. Individuals who are 0-17 years of age are projected to decline, while the number of individuals who are 55-64 years of age and 64 years of age and older are projected to increase over the next 10 years. PART IV, LINE 5 PROMOTION OF COMMUNITY HEALTH PHC is a 164-bed, acute care community hospital offering medical, surgical, psychiatric and 24 hour emergency services. PHC provides a comprehensive range of inpatient and outpatient services offered through various specialty departments that include advanced orthopedic, robotic and bariatric surgeries; neurosciences including minimally-invasive spinal surgeries, stroke care and a sleep disorders lab; a blood management program; psychiatric care including a partial-hospitalization program; a comprehensive cancer program; maternity; 24/7 emergency care; the Center for Wound Healing, PHC Sleep Disorders Center and four Outpatient Physical Rehabilitation satellite facilities. Its board of trustees is composed of prominent citizens who live and work in the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of the facility. It also owns medical office space on its premises with space for doctors. Any member of its active medical staff has the privilege of leasing available office space. Rent is derived from a fair market value analysis provided by an independent party. The hospital operates a 24 hour emergency room where no one requiring medical attention is denied care. Any income over expenses is reinvested into the hospital, its staff and the community. PHC realizes this is necessary to achieve and maintain high quality standards, keep up with the rapid advancement in technology, provide start-up capital for new programs, and expand existing facilities and programs in order to provide quality care to the community. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM Health Quest is a nonprofit organization dedicated to the wellbeing of the communities it serves. Health Quest was formed through an affiliation of three local hospitals: Northern Dutchess Hospital (Rhinebeck, NY), Putnam Hospital Center (Carmel, NY) and Vassar Brothers Medical Center (Poughkeepsie, NY). In 2017, Sharon Hospital (Sharon, CT) joined Health Quest. In addition to these hospitals, Health Quest also counts among its many partners a residential skilled nursing facility, a free-standing radiation oncology center, urgent care centers, a multi-specialty medical practice including the Hudson Valley's largest cardiology practice, and a home care service. Together, they provide the healthcare needs of the entire Hudson Valley and northwest Connecticut region. Representatives from Health Quest's hospitals meet on a regular basis with community agencies and stakeholders. Each hospital has a board comprised of staff and community members who oversee the Community Health Needs Committee. Each committee oversees the development of community health needs assessments and health improvement plans. Health Quest participates in many community-based health fairs and events throughout the year. Hospital staff provides information on a variety of health topics including heart health, stroke prevention, diabetes prevention, nutrition, tobacco cessation, and injury prevention. A cardiologist within the Health Quest system participated in the American Heart Association's Go Red for Women Luncheon Health Expo to discuss the latest blood pressure guidelines and best practices to maintain a healthy cardiovascular system. The health system was also present at New York State Senator Sue Serino's Golden Gathering where two neurologists with the Movements Disorders Program at Vassar Brothers Medical Center informed the public about cutting-edge medical and surgical options for patients with Parkinson's disease, Huntington's disease, Tourette syndrome, essential tremors and more. Throughout the year, Health Quest actively sponsors a number of health-related fundraisers for other nonprofit organizations, including regional chapters of the American Heart Association, American Cancer Society and Alzheimer's Association. In addition, there are numerous local organizations Health Quest supports both monetarily and with employee engagement. Employees are active members of their communities and are happy to volunteer and serve on the local boards of various agencies, in addition to performing public benefit outreach initiatives on behalf of Health Quest. One such organization is Sparrow's Nest, a 501(c)(3) charity that provides meals free of charge to families who recently learned about a loved one's cancer diagnosis. Health Quest not only provides Sparrow's Nest with a monetary sponsorship each year, but provides the organization with employee volunteers who visit the Sparrow's Nest facility to produce meals for the families who are Sparrow's Nest's beneficiaries. In 2014, Health Quest launched a fitness challenge, partnering with the Walkway Over the Hudson, to offer the public the Get Fit Hudson Valley initiative in both the spring and fall. In 2015, the program was expanded to include the Putnam County Trailway. By 2016, the program grew to 74 allies (check-in sites) in the community. The program urges residents to exercise for at least 30 minutes as many times as possible during the six-week challenge. Participants check in at our community partners to track their exercise. In 2018, 1,120 unique participants took part in the challenge, logging more than 16,500 entries of 30+ minutes of exercise. In total, 495,000 minutes of exercise was logged in 2018. Health Quest also partners with physicians who are on the medical staff at the hospitals to offer public lecture series in the spring and fall. The seminars engage participants on a variety of medical topics from prevention to the latest treatment options and to learn from leading doctors in their field. Health Quest partners with local organizations such as Marist's Center for Lifetime Study, Vassar's Lifelong Learning Institute and the Town of Poughkeepsie's Senior Center to bring relevant health programming free of charge to those audiences. In addition, Health Quest partnered with the Dutchess County Office of the Aging to provide expert resources for their Matter of Balance Clinic. This award-winning program is designed to reduce the fear of falling and increase the activity levels of older adults who have concerns about falls. Health Quest employees donate time as volunteer coaches to teach the eight two-hour sessions. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT - NEW YORK PART II COMMUNITY BUILDING ACTIVITIES Staff at PHC offers the expertise of our staff and resources of the hospital in a number of community-building activities that improve the health and safety of the community. Putnam Hospital participates in the Communities that Care Coalition (CTC). CTC includes all sectors of the community (health care, families, schools, law enforcement, businesses, etc.) and takes a proactive, data-driven approach to identify and prioritize areas needing interventions. PHC was also a founding member of a county-wide falls prevention task force that brought together many county resources to address issues in the aging population. false false false false false false false false false JOHN L MCGUINNESS FORMER HQ CEO AND PRESIDENT 0 350004 0 0 0 0 0 0 0 0 0 350004 0 2958 KATHERINE BACHER ASSISTANT TREASURER 0 530001 0 54500 0 56525 0 56500 0 1438 0 698964 0 34085 MICHAEL HOLZHUETER ASSISTANT SECRETARY 0 652307 0 209375 0 95315 0 66469 0 28889 0 1052355 0 79739 PETER KELLY PRESIDENT - PHC 0 415000 0 49333 0 68717 0 5267 0 1351 0 539668 0 0 KRYSTYNA KUCHTAR REGISTERED NURSE 186354 0 0 0 0 0 14928 0 21814 0 223096 0 14178 0 ROBERT FRIEDBERG HQ PRESIDENT & CEO 0 1109095 0 330435 0 146705 0 100134 0 31937 0 1718306 0 118395 LAWRENCE S SCHEK VP MEDICAL AFFAIRS 393131 0 27300 0 0 0 1854 0 31305 0 453590 0 0 0 ELISH C HOURIHAN VP PATIENT CARE SVCS/CNO 265721 0 7403 0 1954 0 8910 0 759 0 284747 0 0 0 HANNA PENG PHARMACIST 175498 0 0 0 0 0 22964 0 21967 0 220429 0 22543 0 NANCY ZUPA DIRECTOR SURGICAL SVCS 171934 0 5868 0 0 0 0 0 23250 0 201052 0 0 0 RONALD STEPHENS DIR CRITICAL & EMERGENCY SVCS 164542 0 7728 0 0 0 0 0 28111 0 200381 0 0 0 SCH J PART I LINE 3 PHC RELIED ON HEALTH QUEST SYSTEMS, A RELATED TAX EXEMPT ORGANIZATION, WHICH USED AN EXECUTIVE COMPENSATION COMMITTEE, AND AN INDEPENDENT THIRD PARTY TO GATHER COMPARABLE DATA TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANANGEMENT AND OTHER KEY EMPLOYEES. A DUTCHESS COUNTY LOCAL DEV CORP 273106797 267045GD8 2016-07-07 24377573 REFUND PRIOR ISSUE (9/6/2007) false false false A 1405890 0 24519488 0 0 0 334598 0 0 54554 24122678 7659 2008 false true false true A false false false false 0 A false true false false false false 0 false 0 false true A false BOND ISSUES PART I, LINE A, COLUMN E TOTAL ISSUE PRICE PER IRS FORM 8038 - $438,672,525.55 ALLOCATED BETWEEN THREE ORGANIZATIONS. PROCEEDS PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. FORM 990 PART VI SECTION A LINE 6, 7A - GOVERNING LINE 6 - THE SOLE MEMBER OF PHC IS HEALTH QUEST SYSTEMS, INC LINES 7A - APPOINTMENT/ELECTION OF GOVERNING BODY 6.01 Officers. The Officers of PHC shall be a Chair, First Vice-Chair, Second Vice-Chair, Secretary/Treasurer, and President/Chief Operating Officer. From time to time, the Board of Trustees may appoint such other Officers with powers and duties not inconsistent with these Bylaws. Any two or more offices may be held by the same person, except the offices of Chair, President/Chief Operating Officer and Secretary/Treasurer. 6.02 Election. The Chair of the Board, First Vice-Chair, Second Vice-Chair and the President/Chief Operating Officer shall be elected by Health Quest. The Secretary/Treasurer and other Officers shall be elected by a vote of the majority of the entire Board of Trustees at a meeting of the Board of Trustees. All Officers shall serve for a term of two (2) years until successors are elected and qualified, such term commencing at the close of the meeting at which they are elected. Officers may be elected for no more than two (2) consecutive terms. 6.03 Vacancies. A vacancy occurring in any office during the year may be filled by a vote of a majority of the entire Board of Trustees for the remainder of the term thereof at the next Annual Meeting or any regular meeting of the Board or at a special meeting called for such purpose, provided that a vacancy in the office of Chair of the Board, First Vice-Chair, Second Vice-Chair or President/Chief Operating Officer may be filled only by Health Quest. 6.04 Removal. Any Officer may be removed from office, with or without cause, by an affirmative vote of two-thirds (2/3) of the entire Board of Trustees at any meeting of the Board, except the Chair of the Board, First Vice-Chair, Second Vice-Chair and the President/Chief Operating Officer may be removed only by Health Quest. 6.05 Duties and Responsibilities. (a) Chair. The Chair shall preside at all meetings of the Board of Trustees. In accordance with Articles VII and VIII, the Chair also shall (i) appoint the Committee Chairs and members of all Committees of the Board (except the Executive Committee) and ad hoc committees, (ii) serve as an ex-officio member, with vote, on each Committee, (iii) serve as the Chair of the Executive Committee. The Chair shall perform such other duties as may be provided for by law, these Bylaws, or resolution of the Board of Trustees. (b) First Vice-Chair. In the absence of the Chair, the First Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the First Vice-Chair shall have all the powers and authority of the Chair. The First Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (c) Second Vice-Chair. In the absence of the Chair and First Vice-Chair, the Second Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the Second Vice-Chair shall have all the powers and authority of the Chair. The Second Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (d) Secretary/Treasurer. (i) The Secretary/Treasurer shall be responsible for such books, documents, and papers as the Board may determine. The Secretary/Treasurer shall cause minutes to be kept for all meetings of the Board of Trustees, may sign any contracts or agreements with the Chair, the President/Chief Operating Officer, the First Vice-Chair or Second Vice-Chair in the name of PHC if so authorized or ordered by the Board, and may affix the seal of PHC to written instruments when so authorized or ordered by the Board. The Secretary/Treasurer shall perform such other duties as shall be assigned by the Board of Trustees and as are incidental to the office of secretary of a not-for-profit corporation. (ii) The Secretary/Treasurer shall either personally perform, or ensure that appropriate employees of PHC perform, the following functions: receive and care for all monies and properties belonging to PHC and dispose of the same under the direction of the Board of Trustees, receive and give receipts for all amounts due to PHC, endorse checks in its name and on its behalf, receive full discharge for the same in accordance with these Bylaws, and perform such other duties as assigned by the Board of Trustees and as are incidental to the office of treasurer of a not-for-profit corporation. (e) President/Chief Operating Officer. The President/Chief Operating Officer shall serve as the chief executive officer of PHC and shall have the authority and responsibility to manage and operate PHC in all its activities, subject to these Bylaws, the Certificate of Incorporation, and such policies as may be adopted from time to time by the Board of Trustees or Health Quest. The President/Chief Operating Officer's responsibilities shall include, but are not limited to, the following: (i) Acting under the direction of and being accountable to the Board of Trustees of PHC and Health Quest; (ii) Providing effective liaison between the Board of Trustees and management; (iii) Appointing (either personally or through delegation to responsible subordinates), and PHC shall employ, such personnel as may be required to conduct the affairs of PHC; (iv) Ensuring that all activities are properly organized, directed and accounted for as established by the Board of Trustees; (v) Providing reports to the Board of Trustees to keep the Board fully informed of the affairs of PHC; (vi) Performing all duties required by law; and (vii) Unless otherwise provided for herein, performing (either personally or through delegation to responsible subordinates) all acts and executing all documents necessary to carry out the duties of the position of President/Chief Executive Officer. FORM 990 PART VI SECTION B LINE 11B, 12C, 15A AND 15B - POLICIES LINE 11B - PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 WAS REVIEWED BY INTERNAL MANAGEMENT. AFTER THAT REVIEW WAS COMPLETE, THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS OF HQ (PARENT COMPANY OF THE FILING ORGANIZATION) FOR ADDITIONAL REVIEW AND COMMENT. CONTACT INFORMATION WAS PROVIDED SHOULD QUESTIONS ARISE. A 3RD PARTY WAS HIRED TO PREPARE SCHEDULE K. LINE 12C - ON AN ANNUAL BASIS OFFICERS, DIRECTORS AND TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FILING WHICH IS REVIEWED BY THE HQ VP FOR COMPLIANCE AND INTERNAL AUDIT. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE HQ BUSINESS ETHICS COMMITTEE ON BEHALF OF PHC. LINE 15A/B - COMPENSATION OF THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HQ EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY. FORM 990 PART VI SECTION C LINE 19 - DISCLOSURE LINE 19 - POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILING SUCH AS THE 990 AND BOND HOLDER REQUIREMENTS. SCHEDULE R PART II - RELATED TAX EXEMPT ORGANIZATIONS ENTITY TAX ID# PRIMARY ACTIVITY LEGAL DOMICILE EXEMPT CODE STATUS PUBLIC CHARITY STATUS DIRECT CONTROLLING ENTITY VASSAR BROTHERS MEDICAL CENTER 14-1338586 HOSPITAL NY 501C3 BOX 3 HQ THE FOUNDATION FOR VASSAR BROTHERS MEDICAL CENTER 14-1736429 FUNDRAISING NY 501C3 BOX 9 HQ RIVERSIDE DIVERSIFIED SERVICES, INC (PARENT) 14-1675545 EDUCATION NY 501C3 BOX 9 HQ ALAMO AMBULANCE SERVICE INC. 14-1745417 TRANSPORT NY 501C3 BOX 9 HQ HEALTH QUEST HOME CARE, INC. (CERTIFIED) 14-1788412 HOME HEALTH NY 501C3 BOX 9 HQ HEALTH QUEST HOME CARE, INC. (LICENSED) 14-1788410 HOME HEALTH NY 501C3 BOX 9 HQ NORTHERN DUTCHESS HOSPITAL 14-1338467 HOSPITAL NY 501C3 BOX 3 HQ NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY 22-3129608 NURSING HOME NY 501C3 BOX 9 HQ NDH FOUNDATION 14-1776208 FUNDRAISING NY 501C3 BOX 9 HQ PUTNAM HOSPITAL CENTER 14-6019179 HOSPITAL NY 501C3 BOX 3 HQ PUTNAM HOSPITAL CENTER FOUNDATION 06-1399319 FUNDRAISING NY 501C3 BOX 9 HQ HEALTH QUEST MEDICAL PRACTICE, PC 56-2669185 MEDICAL CARE NY 501C3 BOX 3 HQ HEALTH QUEST URGENT MEDICAL PRACTICE, PC 80-0152047 MEDICAL CARE NY 501C3 BOX 3 HQ HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC 46-3756713 MEDICAL CARE NY 501C3 BOX 3 HQ VBH INSURANCE CO. LTD. 98-1083868 CAPTIVE INSURANCE CAYMAN ISLANDS HQ WELLS MANOR HOUSING DEVELOPMENT FUND CORPORATION 11-2611902 LOW INCOME HOUSING NY 501C3 BOX 3 HQ VASSAR HEALTH CONNECTICUT INC. 81-5056290 HOSPITAL CT APPLYING FOR 501C3 STATUS HQ VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC 82-1466583 MEDICAL CARE CT APPLYING FOR 501C3 STATUS HQ SCH R PART V LINE 2 (1) - ALLOCATION METHODOLOGY FOR HQ ALLOCATION OF SUPPORT SERVICES SHARED EXPENSES CASH FUNDING GENERAL: THE FOLLOWING SERVICES ARE CONSIDERED SHARED SERVICES FOR HEALTH QUEST AFFILIATES AND THE COST TO PROVIDE THESE SERVICES ARE ALLOCATED TO EACH ENTITY WHICH BENEFITS FROM THE SERVICE BASED ON A PRE DEFINED ALLOCATION METHODOLOGY: 1. SPECIALTY STAFFING A. VBMC SURGICAL B. RADIOLGOY C. ONCOLOGY D. VBMC SLEEP LAB E. PT/OT/ST F. CARDIAC REHAB 2. CLINICAL MANAGEMENT A. EMERGENCY ROOM B. ONCOLOGY 3. REVENUE CYCLE INCLUDING HEALTH INFORMATION MANAGEMENT, BUDGETS AND REIMBURSEMENT, REVENUE INTEGRITY, SYSTEM BUSINESS OFFICE, PATIENT ACCESS OVERSIGHT, FINANCIAL CLEARANCE CENTER, MANAGED CARE AND DECISION SUPPORT 4. FACILITIES INCLUDING COURIER SERVICE, CONSTRUCTION, PROPERTY MANAGEMENT, FACILITY OPERATIONS, FOOD SERVICE MANAGEMENT AND SECURITY MANAGEMENT 5. BUSINESS DEVELOPMENT INCLUDING STRATEGIC PLANNING, MARKETING AND PUBLIC RELATIONS, ANSWERING SERVICE AND COMMUNITY EDUCATION 6. CORPORATE FINANCE INCLUDING ACCOUNTS PAYABLE, PAYROLL, GENERAL ACCOUNTING, PURCHASING, SUPPLY CHAIN AND MAILROOM, PRACTICE MANAGEMENT BILLING AND MANAGEMENT ENGINEERING 7. INTERNAL AUDIT AND COMPLIANCE 8. PRACTICE MANAGEMENT OPERATIONS INCLUDING PHYSICIAN RECRUITMENT, PHYSICIAN MANAGEMENT ENGINEERING 9. HUMAN RESOURCES AND LEARNING AND DEVELOPMENT 10. ADMINISTRATIVE INCLUDING EXECUTIVE OFFICE, HOSPITAL SUPPORT AND RISK MANAGEMENT 11. LEGAL COUNSEL 12. INFORMATION TECHNOLOGY AND MEDICAL TECHNOLOGY WERVICES (MTS) DESCRIPTION OF SERVICES: 1. SPECIALTY STAFFING A. PROVIDES NON UNION STAFFING SERVICES FOR VARIOUS SPECIALTIES TO THE HOSPITALS, OFFSITE ANCILLARY LOCATIONS AND THE FISHKILL MEDICAL MALL 2. CLINICAL MANAGEMENT INCLUDES MANAGEMENT OVERSIGHT TO SYSTEM CONSOLIDATED CLINICAL SERVICES 3. REVENUE CYCLE A. HEALTH INFORMATION MANAGEMENT FUNCTIONS INCLUDES CODING AND TRANSCRIPTION OF MEDICAL RECORDS FOR ALL 3 HOSPITALS B. BUDGET FUNCTIONS INCLUDE PREPARATION OF ANNUAL BUDGETS, VARIANCE REPORTING AND MAINTENANCE OF THE BUDGET MODULE. REIMBURSEMENT FUNCTIONS INCLUDE PREPARATION OF ANNUAL COST REPORTS, ANALYSIS OF THIRD PARTY RATE ACCOUNTS AND THRID PARTY AUDITS. C. REVENUE INTEGRITY FUNCTIONS INCLUDE CHARGE MASTER ANALYSIS AND DEVELOPMENT OF REVENUE PRODUCTIN CHARGES, COMPLIANCE WITH CPT CODING AND ESTABLISHMENT OF APPROPRIATE CHARGES D. SYSTEM BUSINESS OFFICE SERVICES INCLUDES PRODUCING CLAIMS FOR THIRD PARTY PAYERS AND PRIVATE PAY PATIENTS, PAYMENT PROCESSING, PERIODIC REPORTING, ACCOUNTS RECEIVABLE ANALYSIS, CHARITY CARE APPLICATION PROCESS, DENIAL MANAGEMENT, COLLECTION AND FOLLOW UP FOR THE HOSPITALS. PATIENT ACCESS AND FINANCIAL CLEARANCE CENTER INCLUDES OVERSIGHT OF ALL CENTRALIZED REGISTRATION AREAS AT THE HOSPITALS AND PRE-AUTHORIZATION FOR NUMEROUS HOSPITAL SERVICES TO INSURE COMPLIANCE WITH THIRD PARTY REGULATIONS E. MANAGED CARE FUNCTIONS INCLUDE CONTRACT NEGOTIATIONS AND ANALYSIS OF CONTRACT TERMS F. DECISION SUPPORT FUNCTIONS INCLUDE COST ACCOUNTING REPORTING, MAINTENANCE OF HBI (HORIZON BUSINESS INSIGHT) REPORTING AND THE CONTRACT MANAGEMENT SYSTEM 4. FACILITIES A. COURIER SERVICE PROVIDES DELIVERY SERVICES INTERNALLY THROUGHOUT THE HQ SYSTEM AND BANK DEPOSIT DROP OFFS B. CONSTRUCTION AND PROPERTY MANAGEMENT FUNCTIONS INCLUDE CONTRACTING SERVICES FOR HEALTH QUEST PROJECTS AND PROPERTY MANAGEMENT OF ALL HQ FACILITIES C. FACILITY OPERATIONS INCLUDE MANAGEMENT OVERSIGHT OF THE ENGINEERING DEPARTMENTS FOR THE HOSPITALS D. FOOD SERVICE MANAGEMENT INCLUDES MANAGEMENT OVERSIGHT OF FOOD AND NUTRITION DEPARTMENTS FOR THE HOSPITALS E. SECURITY FUNCTIONS INCLUDE MANAGEMENT OVERSIGHT OF ALL FACILITIES TO ENSURE THE SAFEST ENVIRONMENT 5. BUSINESS DEVELOPMENT A. STRATEGIC PLANNING FUNCTIONS INCLUDE CON SUBMISSIONS, MARKET DATA ANALYSIS AND ASSISTANCE WITH BUSINESS PLANS B. MARKETING INCLUDES ADVERTISING SERVICES, COORDINATION OF HEALTH QUEST ADVERTISEMENTS AND MANAGEMENT OF THE HQ WEBSITE CONTENT C. PUBLIC RELATIONS FUNCTIONS INCLUDE COORDINATION OF HEALTH QUEST COMMUNICATION TO EXTERNAL CUSTOMERS, PATIENTS AND MEDIA D. OVERSIGHT OF THE OUTSOURCED ANSWERING SERVICES FOR PHYSICIANS AFFILIATED WITH THE HOSPITALS AND HQMP E. COMMUNITY EDUCATION FUNCTIONS INCLUDE TRAINING CLASSES SPECIFIC TO LIFE SAVING TECHNIQUES 6. FINANCE A. ACCOUNTS PAYABLE FUNCTIONS INCLUDE SCHEDULING VENDOR PAYMENTS, INSURING FLOW OF GOODS AND SERVICES, MAINTAINING DAYS CASH ON HAND GOALS AND MAINTAINING DAYS IN ACCOUNTS PAYABLE B. PAYROLL FUNCTIONS INCLUDE BI-WEEKLY EMPLOYEE PAYMENTS AND TAX FILINGS IN ACCORDANCE WITH HUMAN RESOURCES AND PAYROLL POLICIES C. GENERAL ACCOUNTING FUNCTIONS INCLUDE PREPARATION OF FINANCIAL STATEMENTS, ACCOUNT ANALYSIS, CONTRACT RECONCILIATION, TAX FILINGS, INVESTMENT COORDINATION, AND COORDINATION OF INTERNAL AND EXTERNAL AUDIT FUNCTIONS D. PURCHASING, SUPPLY CHAIN AND MAILROOM FUNCTIONS INCLUDE PROCUREMENT SERVICES, CONTRACT NEGOTIATIONS, PRICE NEGOTIATIONS, CAPITAL PURCHASE NEGOTIATINS, MANAGEMENT/DISTRIBUTION OF HOSPITAL INVENTORY, AND CENTRAL MAILROOM MANAGEMENT E. PRACTICE MANAGEMENT BILLING FUNCTIONS INCLUDE PRODUCING ALL CLAIMS FOR THIRD PARTY PAYERS AND PRIVATE PAY PATIENTS, PAYMENT PROCESSING, PERIODIC REPORTING, ACCOUNTS RECEIVABLE ANALYSIS, CHARITY CARE APPLICATION PROCESS, DENIAL MANAGEMENT, COLLECTION AND FOLLOW UP SERVICES FOR ALL EMPLOYED HQ PHYSICIANS F. MANAGMENT ENGINEERING FUNCTIONS INCLUDE EVALUATING EACH AREA WITHIN HQ TO ENSURE COMPLIANCE WITH VARIOUS PRODUCTIVITY BENCHMARKS OPTIMIZING STAFFING RATIOS 7. INTERNAL AUDIT AND COMPLIANCE INCLUDES OVERSIGHT OF THE CORPORATE COMPLIANCE PROGRAM, INTERNAL AUDIT, HIPAA COMPLIANCE, CONTRACT REVIEW AND COMPLIANCE 8. HUMAN RESOURCE AND LEARNING AND DEVELOPMENT FUNCTIONS INCLUDE RECRUITMENT, COMPENSATION, BENEFIT ADMINISTRATION AND EMPLOYEE TRAINING 9. PHYSICIAN MANAGEMENT OPERATIONS FUNCTIONS INCLUDE OVERSIGHT OF ALL HQ PHYSICIAN PRACTICES, PHYSICIAN RECRUITMENT FUNCTIONS, AND THE CENTRALIZED SCHEDULING OFFICE 10. ADMINISTRATIVE FUNCTIONS INCLUDE OVERSIGHT OF THE HEALTH QUEST SYSTEM, HOSPITAL MANAGEMENT AND RISK MANAGEMENT 11. LEGAL COUNSEL FUNCTIONS INCLUDE INTERNAL LEGAL SERVICES FOR HQ AND COORDINATION OF ALL OUTSOURCED LEGAL INITIATIVES 12. INFORMATION TECHNOLOGY AND MTS A. IT PROVIDES INFORMATION TECHNOLOGY SUPPORT FOR ALL APPLICATIONS AND TELEPHONY SUPPORT WITHIN HQ. IN ADDITION, PROVIDES PROJECT MANAGEMENT SERVICES FOR ALL NEW AND UPGRADES TO CURRENT IT APPLICATIONS B. MTS/BIOMED INCLUDES TECHNICAL SERVICES PROVIDED TO EACH HOSPITAL FOR EQUIPMENT REPAIR AND MAINTENANCE SHARED EXPENSES. IN ADDITION TO SERVICES PROVIDED BY SUPPORT DEPARTMENTS, CERTAIN INSURANCE POLICIES ARE CONSOLIDATED FOR ALL HEALTH QUEST ENTITES. THESE INCLUDE PROPERTY INSURANCE, TRAVEL, CRIME, ENVIRONMENTAL, CYBER RISK AND DIRECTORS AND OFFICERS INSURANCE ALLOCATION METHODOLOGY: NET REVENUE - LAB MANAGEMENT, BUDGETS, REVENUE CYCLE, MANAGED CARE, DECISION SUPPORT, ALL FACILITIES (EXCLUDING CONSTRUCTION), BUSINESS DEVELOPMENT, GENERAL ACCOUNTING, MANAGEMENT ENGINEERING, INTERNAL AUDIT AND COMPLIANCE, EXECUTIVE OFFICE, LEGAL, INFORMATION TECHNOLOGY AND MTS # OF VISITS/PROCEDURES - STAFFING SPECIALTIES HISTORICAL TRENDS - HEALTH INFORMATION MANAGEMENT, CLINICAL MANAGEMENT AND HOSPITAL SUPPORT CASH COLLECTIONS - PATIENT ACCOUNTING AND THE FINANCIAL CLEARANCE CENTER # OF FTE'S - PAYROLL AND HUMAN RESOURCES NON PAYROLL EXPENSES - ACCOUNTS PAYABLE AND PURCHASING PROJECT BASED - CONSTRUCTION # OF FTE'S ALLOCATED TO PHYSICIAN SITES - PRACTICE MANAGEMENT BILLING, OPERATIONS AND PHYSICIAN PRACTICE MANAGEMENT SYSTEM BENEFITS: 1. FINANCIAL PLANNING 2. REVENUE ENHANCEMENT 3. IMPROVED CASH COLLECTIONS 4. ENHANCED MANAGED CARE CONTRACT RATES 5. OPTIMIZED MEDICAL RECORDS CODING 6. SAVINGS FOR SUPPLIES, CONTRACTS, INSURANCE AND CAPITAL PURCHASES 7. STAFFING REDUCTION THROUGH SHARED SERVICES 8. ENHANCED EMPLOYEE BENEFIT PROGRAMS FORM 990 PART XI LINE 9 - RECONCILIATION OF NET ASSETS ADDITIONAL PENSION LIABILITY - ($824,362); TRANSFER OF EQUITY - ($525,804); INTEREST IN FOUNDATION - ($209,092); CHANGE IN RESTRICTED CONTRIBUTIONS - $276,343 FORM 990 PART XIII LINE 3A - OMB CIRCULAR A-133 AUDIT PUTNAM HOSPITAL CENTER DID NOT RECEIVE MORE THAN $750,000 IN FEDERAL AWARDS IN 2018, AND DID NOT QUALIFY FOR AN A-133 AUDIT. FORM 990 PART III LINE 4D AFFILIATE PHYSICIAN AND FOUNDATION RENTAL INCOME SCHEDULE R PART V LINE 2 (3) - ALLOCATION METHODOLOGY FOR HQMP The hospital pays administrative fees and subsidies to Health Quest Medical Practice PC. These fees are for expenses incurred by the medical practice while providing the following services to PHC at cost. Hospitalists: The physicians employed by the Hospitalist program admit and provide care to inpatients at PHC allowing the patient's private/primary community physician to remain in their office. The care is provided on a continuous basis to the patient throughout the day, night and weekends. The specific requirements of the group are detailed below: 24/7 coverage, Medical Director administrative time: 18 hours per week includes: scheduling, payroll, recruitment, evaluation of growth, review financial records. Night coverage: 15 hour shift. 6 hours are spent on billable patient care, while the remaining 9 hours (63 hours per week) are involved with covering existing team and being available for ER evaluations or new consults. These hours are critical for excellent care and are not billable. Day MD administrative time: filling out forms, conferences with patients/family/staff beyond E/M billable time, signing charts. 1 hour each per provider or 3 hours per day- 21 hours per week, Case management advisor participates in QI programs at the hospital, and Chair of information management committee. Nursing Education directs and coordinates all clinical matters. Develop cost effective care, cost containment measures, assist in operating and capital budgets, including projections of revenue and expenditures, ensure the consistency and quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patient problems with the quality of services. Maintain written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports and ensures that all providers are compliant. Intensivists: The physicians employed by the Intensivist (triple boarded) program provide care to critically ill patients in the intensive care and critical care units at VBMC. The appropriate level of care warranted by the acuity of the patient is provided on a continuous basis to the patient throughout the day, night and the weekends. The specific requirements of the group are detailed below: 24/7 coverage for code stats. Lead team, intubate, place lines, emergency pacemakers, etc. 24/7 rapid consultations available for medical staff. 24/7 availability to triage patients moving into, or out of, intensive care. 24/7 coverage of ED evaluations and urgent/emergent advice of critically ill adults. Mandated coverage for an average of 15 ICU patients/day, and direct and coordinate all clinical matters. Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures, and ensure the consistency and quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patient problems with the quality of services. Maintain written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports and ensures that all providers are compliant. Surgical PA Program: The Physician Assistants employed by the Surgical PA program assist during surgical procedures at PHC. This service is extremely important to the community of surgeons due to a shortage (and aging) of general surgeons in the County. This program reduces the need for surgeons to double-up during procedures. The specific requirements of the group are detailed below: Direct and coordinate all clinical matters. Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures to ensure the consistency and quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patient problems with the quality of services. Recommends employment and termination of non-physician personnel. Maintain written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports to ensure that all providers are compliant. CT Surgeons: The physicians and physician assistants employed by HQMP provide care for cardiac patients on both an outpatient basis (office visits) and an inpatient basis for surgical procedures and the associated post-operative care. The specific requirements of the group are detailed below: Direct and coordinate all clinical matters. Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures to ensure the consistency, quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patients and problems with the quality of services. Recommends employment and termination of non-physician personnel. Maintains written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports to ensure that all providers are compliant. FORM 990 PART VI SECTION A LINE 7B - GOVERNING 4.01 Powers of the Board of Trustees. The business and property of PHC shall be managed by PHC's Board of Trustees and Health Quest, as the co-established operator of PHC. Although Health Quest may elect from time to time to delegate to and/or act jointly with the PHC Board of Trustees, Health Quest has the authority to exercise independently its established powers and rights in its capacity as the co-established operator. Any such delegated authority shall at all times remain subject to the oversight, modification or repeal of Health Quest as the co-established operator of PHC. Without limiting the foregoing powers, Health Quest shall consult with the PHC Board of Trustees before modifying or repealing any joint operating authority delegated under Section 4.02. 4.02 Joint Operating Authority Delegated to PHC. Subject to Sections 2.02 and 4.01, the Board of Trustees of PHC shall have the following operating authority as delegated by Health Quest: (a) Quality Assurance. Apply and execute the quality assurance standards and any quality assurance policies and plans adopted by Health Quest. (b) Medical Staff Credentialing and Bylaws. Apply and execute the Medical Staff credentialing standards and any policies adopted by Health Quest, which includes being responsible for: (i) Appointing the members of the Medical Staff; (ii) Approving any Medical Staff appointments such as Medical Staff officers or department chairs requiring Board approval; (iii) Pursuant to the procedures set forth in the Bylaws of the Medical Staff, dismissing any member of the Medical Staff, and approving, rejecting or modifying any corrective action taken or recommended by the Medical Staff for any member of the Medical Staff; and (iv) Approving the Medical Staff Bylaws, Rules and Regulations. (c) Strategic Planning. Provide input to the system-wide strategic planning process and PHC-specific strategic plan, as requested and approved by Health Quest, and monitor the implementation of such plan. (d) Statements of Deficiency and Legal Compliance. Respond to any statements of deficiency issued by any regulatory or accrediting authority and take all appropriate and necessary action to monitor and restore compliance with deficiencies in PHC's compliance with statutory, regulatory or accreditation requirements, including but not limited to monitoring the submission and implementation of all plans of correction. (e) Conflicts of Interest. Implement and comply with the written Conflict of Interest Policy as approved by Health Quest and as interpreted and directed by the Compliance and Audit Committee of Health Quest. (f) Community Health Needs. Implement the statement of mission approved by Health Quest by developing a Community Service Plan tailored specifically to the work of PHC in the community it serves and monitoring performance thereof. (g) Budgets and Financial Performance. Assist in developing and monitoring the budgets for PHC, as requested by Health Quest and, as approved, monitor the financial performance of PHC. (h) Physician Arrangements. Review and approve physician financial arrangements in accordance with and as permitted by a system-wide policy adopted by Health Quest. (i) Evaluation of the Board of Trustees. Develop an annual action plan for PHC's Board of Trustees, perform an annual self-evaluation of the Board of Trustees, comparing performance to the goals set forth in the annual action plan, and execute a Board education plan developed and approved by Health Quest. (j) Evaluation of President/Chief Operating Officer. Monitor and provide input to PHC and Health Quest concerning the performance of the President/Chief Operating Officer of PHC. (k) Nominations for Trustee and Officer Positions. Recommend to the Health Quest Executive Committee, acting as the Governance and Nominating Committee, candidates for consideration for PHC Trustee and Officer positions. (l) Minutes. Cause written minutes to be maintained of meetings of the Board of Trustees of PHC and its committees including a record of attendance, which minutes shall be signed by the Secretary of PHC and retained as a permanent record in the offices of PHC. retained as a permanent record in the offices of PHC. HEALTH QUEST SYSTEMS INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141678068 SUPPORT SERV BOX 9 HQ SEE SCHEDULE O N/A MOUNT KISCO SURGERY CENTER LLC 34 SOUTH BEDFORD ROAD MOUNT KISCO NY 10549 134158313 SURGERY SVC NY MKMG true false false false false false false false false false false false false false true false false HEALTH QUEST SYSTEMS INC P 30313340 SEE SCHEDULE O HEALTH QUEST MEDICAL PRACTICE PC A 136128 RENT AT COST HEALTH QUEST MEDICAL PRACTICE PC P 6311784 SEE SCHEDULE O PUTNAM HOSPITAL CENTER FOUNDATION A 6000 RENT AT COST VASSAR HEALTH CONNECTICUT INC P 39587 COST