2017-11-13T11:07:47-06:00 2016-12-31 990 2016-01-01 562669185 HEALTH QUEST MEDICAL PRACTICE PC % KATHERINE BACHER SVP & CFO HEAL 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 KATHERINE BACHER HQ SVP & CFO 8454759500 2017-11-13 64.72.93.34 14106020173175000010 2017-11-13 P B0D55E690908F37FC21413D1D82C632924DF7DE8 B0D55E690908F37FC21413D1D82C632924DF7DE8 2016 2017-02-10 21:41:12Z DR GLENN A LOOMIS PRESIDENT 1351 ROUTE 55 LAGRANGEVILLE NY 12540 102111912 false X WWW.HEALTHQUEST.ORG X 2007 NY TO PROVIDE MULTI-SPECIALTY PHYSICIAN SERVICES TO THE PATIENTS IN THE HUDSON VALLEY 1 0 596 1 0 0 0 81507916 100036568 0 44361 1794715 2030983 83302631 102111912 0 0 0 0 72675345 86343307 0 0 0 30752874 34405125 103428219 120748432 -20125588 -18636520 42030162 35972353 45726786 39839471 -3696624 -3867118 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 69922071 64020171 TO PROVIDE MULTISPECIALTY RETAIL BASED HEALTH CARE INCLUDING ONCOLOGY, CRITICAL CARE, CARDIOTHORACIC SURGERY, SURGICAL SERVICES, OBGYN, NEWBORN CARE, AND PRIMARY PHYSICIAN CARE TO PATIENTS IN VARIOUS SERVICE AREAS. 36650269 33556736 TO PROVIDE MULTISPECIALTY HOSPITAL BASED HEALTH CARE INCLUDING ONCOLOGY, CRITICAL CARE, CARDIOTHORACIC SURGERY, SURGICAL SERVICES, OBGYN, NEWBORN CARE, AND PRIMARY PHYSICIAN CARE TO PATIENTS IN VARIOUS SERVICE AREAS. 2686413 2459661 AFFILIATE REVENUE IS RECOGNIZED FOR PHYSICIAN OVERSIGHT MANAGEMENT FEES FROM ITS SUPPORTED ORGANIZATIONS 109258753 true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true false false false true 0 0 596 true false false false false false false false false false false X 1 0 false false false false true true true true true false true true true true true true true true true true false NY X KATHERINE BACHER SVP CFO 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 DENISE GEORGE CORPORATE SECRETARY 0.0 40.0 X 0 638669 36324 GLENN A LOOMIS MD PRESIDENT HQMP 0.0 40.0 X 0 652710 17784 PETER ZAKOW PHYSICIAN - CARDIAC SURGERY 40.0 0.0 X 704119 0 38779 CLIFF CONNERY PHYSICIAN - THORACIC ONCOLOGY 40.0 0.0 X 815819 0 38924 MOHAN SARABU MD MED DIRECTOR CARDIAC SURGERY 40.0 0.0 X 1201787 0 26733 ALISON J NOHARA PHYSICIAN 40.0 0.0 X 712252 0 34234 ROHIT SHAHANI PHYSICIAN 40.0 0.0 X 655375 0 38924 RONALD TATELBAUM MD PRESIDENT HQMP 0.0 40.0 X 0 353637 0 MICHAEL DOYLE MD PRESIDENT HQMP 0.0 40.0 X 0 410865 2049 4089352 2055881 233751 5 true true false 0 0 PROVIDE MEDICAL CARE AND SERVICES 64020171 64020171 ADMINISTRATIVE FEE/SUBSIDY 33556736 33556736 OTHER AFFILIATE PROGRAM REVENUE 2459661 2459661 100036568 231 231 0 0 0 0 0 44130 44130 0 0 0 0 0 0 0 0 0 COMPREHENSIVE PRIMARY CARE INITIATIVE 589712 589712 MEANINGFUL USE REVENUE 248920 248920 QUALITY INCENTIVE PROGRAM 638903 638903 553448 553448 2030983 102111912 102067551 44361 0 0 0 0 0 0 0 0 0 75288130 67759317 7528813 0 1726831 1554148 172683 0 5955794 5360215 595579 0 3372552 3035297 337255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600860 540774 60086 0 7165 6448 717 0 0 0 0 0 4012622 3611360 401262 0 63822 57440 6382 0 0 0 0 0 439243 395319 43924 0 0 0 0 0 0 0 0 0 2157949 1942154 215795 0 3993619 3594257 399362 0 PURCHASED SERVICES 16395787 14756207 1639580 0 BAD DEBT 3921707 3921707 0 0 MEDICAL SUPPLIES 1929935 1929935 0 0 LICENSES/TAXES 349822 314840 34982 0 532594 479335 53259 120748432 109258753 11489679 0 1150934 1421567 398803 0 0 0 6205107 6783734 0 0 0 0 0 0 595 0 2958212 3039464 17682579 9031504 8940389 8651075 0 0 0 0 0 0 1067948 984700 21308174 15091813 42030162 35972353 8513445 10675247 0 0 0 0 0 0 0 0 0 0 138838 40835 0 0 37074503 29123389 45726786 39839471 X -3771835 -3984679 75211 117561 0 0 -3696624 -3867118 42030162 35972353 X -18636520 18466026 X false true X true false X X 3 VASSAR BROTHERS MEDICAL CENTER 141338586 3 false 14242332 0 PUTNAM HOSPITAL CENTER 061399319 3 false 914590 0 NORTHERN DUTCHESS HOSPITAL 141338467 3 false 2979603 0 3 18136525 0 true false false false false false false false false false false false false false false true false 6313659 1305899 5007760 11177898 7708191 3469707 191023 17415 173608 8651075 DUE FROM AFFILIATES 1150116 OTHER RECEIVABLES 100966 RETIREMENT INVESTMENTS 1029238 INSURANCE RECEIVABLE 12811493 15091813 0 DUE TO AFFILIATES 10134030 RETIREMENT INVESTMENTS 1027016 MEDICAL MALPRACTICE INSURANCE 12811493 L/T DUE TO HQ 1521263 PAYABLE TO THIRD PARTY 3629587 29123389 true false false false false false false false false DENISE GEORGE CORPORATE SECRETARY 0 423384 0 159722 0 55563 0 15900 0 20424 0 674993 0 15900 RONALD TATELBAUM MD PRESIDENT HQMP 0 0 0 67782 0 285855 0 0 0 0 0 353637 0 14436 MICHAEL DOYLE MD PRESIDENT HQMP 0 380945 0 29920 0 0 0 0 0 2049 0 412914 0 0 PETER ZAKOW PHYSICIAN - CARDIAC SURGERY 704119 0 0 0 0 0 15755 0 23024 0 742898 0 15900 0 CLIFF CONNERY PHYSICIAN - THORACIC ONCOLOGY 740819 0 75000 0 0 0 15900 0 23024 0 854743 0 0 0 MOHAN SARABU MD MED DIRECTOR CARDIAC SURGERY 1200656 0 0 0 1131 0 7950 0 18783 0 1228520 0 7950 0 ALISON J NOHARA PHYSICIAN 712252 0 0 0 0 0 11210 0 23024 0 746486 0 0 0 ROHIT SHAHANI PHYSICIAN 655375 0 0 0 0 0 15900 0 23024 0 694299 0 0 0 GLENN A LOOMIS MD PRESIDENT HQMP 0 511923 0 75000 0 65787 0 0 0 17784 0 670494 0 0 SCH J PART I LINE 4A LINE 4A - SEVERANCE PAYMENTS WERE MADE FROM A RELATED ORGANIZATION FOR ONE OFFICER Ronald Tatelbaum, MD - 12 months, effective term date 7/5/2015 - $285,885 paid in 2016 SCHEDULE R PART II - IDENTIFICATION OF 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 Health Serve Information Technologies, LLC 14-1797086 IT Support NY 501c3 Box 3 HQ Health Quest Laboratory Support Services, LLC 45-4370644 Medical Laboratory NY 501c3 Box 3 HQ One Columbia Street, LLC 46-1626016 Real Estate Mgmt NY 501c3 Box 3 HQ Hudson Valley Cardiovasular 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 FORM 990 PART VI SECTION B LINES 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 OF THE FILING ORGANIZATION) FOR ADDITIONAL REVIEW AND COMMENT. CONTACT INFORMATION WAS PROVIDED SHOULD QUESTIONS ARISE. 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. LINE 15A/B - COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HEALTH QUEST EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND SUPPORT OF AN INDEPENDENT THIRD PARTY. FORM 990 PART VI SECTION C LINE 19 DISCLOSURE LINE 19 - POLICIES AND FINANCIAL STATEMENTS FOR THE AFFILIATE 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 FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. SCHEDULE R PART V LINE 2 (1) ALLOCATION METHODOLOGY WITH HQ Health Quest Systems, Inc 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 Surgicalb. Radiology c. Oncology d. VBMC Sleep Lab e. PT/OT/STf. Cardiac Rehab 2. Clinical Managementa. 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 engineering7. Internal Audit and Compliance 8. Practice management operations including physician recruitment, physician management and centralized scheduling 9. Human Resources and learning and development 10. Administrative including Executive office, Hospital Support and risk management11. Legal Counsel 12. Information Technology and Medical Technology Services (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 services3. 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 third party audits c. Revenue Integrity functions include charge master analysis and development of revenue producing 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 system4. 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 environment5. 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 managementof 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 techniques6. 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 biweekly 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 negotiations, 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. Management 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 entities. These include property insurance, travel, crime, environmental, cyber risk and Directors and Officers insurance. Affiliate Cash Shortfalls: Affiliate cash shortfalls are funded by the entity(s) benefiting from the affiliate services. Examples include Health Quest Medical Practice and the Thompson House. The cash shortfall funding is based on the percentage of benefit received (percentage of revenue by division for HQMP). 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 enhancement3. 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 SCHEDULE R PART V LINE 2 ALLOCATION METHODOLOGY WITH HOSPITALS Administrative Fees and Subsidies The administrative fees/subsidies are based on expenses associated with the practice providing the following services to its Affiliated Hospitals at cost. Hospitalists: The physicians employed by the Hospitalist program admit and provide care to inpatients at VBMC, PHC and NDH 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 VBMC, PHC and NDH. This service is extremely important to the community of surgeons due to a shortage (and aging) of general surgeons in Dutchess 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. CTPA: The physician assistants employed by the Cardio Thoracic PA program assist during cardiac surgical procedures at VBMC. This service is vital since there are currently only four Cardiothoracic Surgeons at VBMC who cannot provide 24/7 coverage for their patients without this program. The specific requirements of the group are detailed below: 24/7 coverage (8,736 hours per year) for Cardiothoracic patients. Breast Surgery: The physicians employed by the Oncology program provide care for oncology 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: Coordinates patient and OR schedules. Reviews patient work load, and delegate's projects and concerns. Handles day to day office issues at the practice. Gives lectures on Breast Cancer at VBMC and community events. 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 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. 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. 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 LINE 6, 7A AND 7B GOVERNING DR. GLENN LOOMIS IS THE SINGLE SHAREHOLDER FOR HQMP. FORM 990 PART XI LINE 9 RECONCILIATION OF NET ASSETS TRANSFER OF EQUITY - $18,136,525; CONTRIBUTIONS $42,348; HUDSON VALLEY NEWBORN PHYSICIANS $287,153 SCHEDULE R PART V LINE 2 ALLOCATION METHODOLOGY HV CARDIO The administrative fees/subsidies are based on expenses associated with the practice providing services to the Hudson Valley Cardiovascular Practice at cost. SCHEDULE R PART 1 MEDICAL PRACTICE OF HEALTH QUEST, PLLC WAS DISSOLVED IN 2016. RDSI WAS THE BENEFICIAL OWNER OF HUDSON VALLEY NEWBORN PHYSICIANS. RDSI WAS DISSOLVED IN 2016, AND THE PRACTICE WAS TRANSFERRED TO HEALTH QUEST MEDICAL PRACTICE. HUDSON VALLEY NEWBORN PHYSICIANS 45 READE PLACE POUGHKEEPSIE NY 12601 141811781 PHYS SERVICES NY 3995199 1421162 HQMP HEALTH QUEST SYSTEMS INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141678068 SUPPORT SVC BOX 9 HQ SEE SCHEDULE O N/A false false false false false false false false false false false false false false true true false false HEALTH QUEST SYSTEMS INC P 14991221 SEE SCHEDULE O VASSAR BROTHERS MEDICAL CENTER Q 27302636 SEE SCHEDULE O PUTNAM HOSPITAL CENTER Q 3821161 SEE SCHEDULE O NORTHERN DUTCHESS HOSPITAL Q 3394361 SEE SCHEDULE O HV CARDIOVASCULAR PRACTICE Q 264728 SEE SCHEDULE O HEALTH QUEST URGENT MEDICAL CARE PRACTICE Q 62539 COST