2017-11-13T07:38:18-06:00 2016-12-31 990 2016-01-01 141678068 HEALTH QUEST SYSTEMS INC % KATHERINE BACHER SVP & CFO HEAL 8454759500 1351 ROUTE 55 Suite 200 LAGRANGEVILLE NY 12540 KATHERINE BACHER SVP CFO HQ SVP & CFO 8454759500 2017-11-13 64.72.93.34 14106020173175000000 2017-11-13 P B0D55E690908F37FC21413D1D82C632924DF7DE8 B0D55E690908F37FC21413D1D82C632924DF7DE8 2016 2018-03-14 21:41:22Z KATHERINE BACHER SVP CFO 1351 ROUTE 55 200 LAGRANGEVILLE NY 12540 174291660 false X WWW.HEALTHQUEST.ORG X 1987 NY PROVIDE SUPPORT TO MEMBER ORGANIZATIONS OF THE HEALTH QUEST SYSTEMS 15 14 1377 18 0 5352 5549 155886359 173505654 1861 8741 447341 759672 156340913 174279616 0 0 0 0 95287141 107692666 0 0 0 61196075 71876099 156483216 179568765 -142303 -5289149 96191144 91959296 100521241 101578542 -4330097 -9619246 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 90221703 149339533 To provide executive and administrative oversight to the member organizations of Health Quest (See Sch O for listing of Affiliates). Health Quest provides centralized administration, finance (including payroll, accounts payable, decision support, managed care, budgets and reimbrusement), patient financial services, purchasing, business development, human resources, compliance, internal audit, lab management, Biomed services, construction and property management, legal counsel, physician recruitment, medical affairs management and hospitality/security services management in order to further the exempt purpose of Health Quest. This has lead to numerous operating efficiencies at each member organization. 19575281 24166121 HQ Lab provides clinical diagnostic services to affiliate hospitals for both inpatient and outpatient services. 109796984 true false true true false false false false false true false false true true false false true false false true 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 478 0 1377 true false true CJ false false false false false false false false X 15 14 false false true false false false false true true false true true true true true true true true true true false NY X KATHERINE BACHER SVP CFO 8454759500 1351 ROUTE 55 SUITE 200 LAGRANGEVILLE NY 12540 JOSEPH DIVESTEA TREASURER 1.0 0.0 X 0 0 0 ROBERT R DYSON IMMEDIATE PAST CHAIR 1.0 0.0 X 0 0 0 MARY MADDEN VICE CHAIRMAN 1.0 0.0 X 0 0 0 MICHAEL MOSES MD SECRETARY 1.0 0.0 X 0 0 0 MICHAEL J NESHEIWAT MD TRUSTEE 1.0 0.0 X 0 0 0 WAYNE NUSSBICKEL TRUSTEE 1.0 0.0 X 0 0 0 GREGORY W RAKOW CHAIRMAN 1.0 0.0 X 0 0 0 STEVEN V LANT TRUSTEE 1.0 0.0 X 0 0 0 JASON COHEN MD TRUSTEE 1.0 0.0 X 0 0 0 CARLA GUDE TRUSTEE 1.0 0.0 X 0 0 0 KAREN FLEMING PHC BOARD CHAIR 1.0 0.0 X 0 0 0 KEVIN SHEEHAN NDH BOARD CHAIR 1.0 0.0 X 0 0 0 FRANCOISE DUNEFSKY VBMC BOARD CHAIR 1.0 0.0 X 0 0 0 RUSSELL TIGGES MD TRUSTEE 1.0 0.0 X 0 0 0 JOHN L MCGUINNESS CEO AND PRESIDENT 40.0 0.0 X 2071328 0 35195 MICHAEL HOLZHUETER ASST SECRETARY/SVP GEN COUNSEL 40.0 0.0 X 855671 0 39556 GARY ZMRHAL CFO AND ASST TREASURER 40.0 0.0 X 725000 0 0 GLENN A LOOMIS CHIEF MED OPS OFFICER HQMP 40.0 0.0 X 652710 0 17784 CHERYL BOOTH ASSISTANT SECRETARY 40.0 0.0 X 116240 0 7959 ROBERT DIAMOND SVP AND CIO 40.0 0.0 X 528726 0 18340 DAVID PING SVP STRATEGIC PLANNING 40.0 0.0 X 486255 0 40478 PATRICK BOREK SVP HUMAN RESOURCES 40.0 0.0 X 446075 0 19432 DENISE GEORGE SVP AND NDH PRESIDENT 40.0 0.0 X 638669 0 36324 KATHERINE BACHER VP FINANCIAL OPERATIONS 40.0 0.0 X 466512 0 16660 ROBERT FRIEDBERG EVP HQ 40.0 0.0 X 1125298 0 39556 JAMES CALDAS PHC PRESIDENT 40.0 0.0 X 559131 0 31533 LAWRENCE BELL VP OF CONSTRUCTION 40.0 0.0 X 500805 0 20593 TIMMIAN MASSIE SVP PUBLIC AFFAIRS/GOV'T RELAT 40.0 0.0 X 532215 0 33703 ANN MCMACKIN VBMC PRESIDENT 40.0 0.0 X 596176 0 10516 DAVID J O'DEA VP CARDIOVASCULAR SERVICES 40.0 0.0 X 1195675 0 33131 PETER A KELLY PRESIDENT PHC 40.0 0.0 X 154690 0 224 JEFFREY KRUGER VP FINANCE - PHYS ENTERPRISE 40.0 0.0 X 315021 0 40044 KSHITIJ SAXENA CHIEF MEDICAL INFO OFFICER 40.0 0.0 X 344585 0 27059 DANIEL PAVORD AVP ONC SVCS/CHIEF PYSICIST 40.0 0.0 X 287567 0 38924 JOHN M SWEENEY AVP BUSINESS & PHYS DEV 40.0 0.0 X 292353 0 35222 MICHAEL A LAWRENCE VP FINANCE 40.0 0.0 X 365868 0 12514 RONALD TATELBAUM EVP AND CMO OF HQ 0.0 0.0 X 353667 0 0 TIM CLEARY CHIEF COMPLIANCE OFFICER 0.0 0.0 X 137242 0 13225 13747479 0 567972 24 true true false KIRCHHOFF MEDICAL PROPERTIES LLC 199 WEST RD-SUITE 101 PLEASANT VALLEY NY 12569 CONSTRUCTION 5348656 THE CHARTIS GROUP LLC DEPARTMENT 5925 CAROL STREAM IL 60122 STRATEGIC PLANNING 3533997 FOLEY LARDNER LLP 321 NORTH CLARK STREET CHICAGO IL 60654 LEGAL SERVICES 2033803 DELOITTE TOUCHE LLP PO BOX 844717 DALLAS TX 75284 COMPLIANCE CONSULTIN 1837518 WALSH - CONSIGLI JV 929 WEST ADAMS STREET CHICAGO IL 60607 CONSTRUCTION 20488442 83 5549 5549 MANAGEMENT FEES 900099 149339533 149339533 LAB SERVICES 621500 24166121 24166121 173505654 0 0 0 0 0 0 20785 12044 8741 8741 8741 0 0 0 0 0 0 0 0 0 AFFILIATE REVENUE 276000 276000 BILLING 202669 202669 REFUNDS AND REBATES 144439 144439 136564 136564 759672 174279616 174274067 0 0 0 0 0 0 0 11788416 7643572 4144844 0 0 0 74595237 48493074 26102163 0 2785628 1474357 1311271 0 13065724 7053402 6012322 0 5457661 2888591 2569070 0 0 0 0 0 4551698 0 4551698 0 496891 0 496891 0 155149 0 155149 0 0 0 6535 0 6535 0 13705091 4238201 9466890 0 4390695 4390695 0 0 2335394 1624514 710880 0 13822604 11199694 2622910 0 0 0 0 0 2659783 594998 2064785 0 396513 200018 196495 0 0 0 0 0 493024 368172 124852 0 8697 870 7827 0 0 0 0 0 3908883 2587534 1321349 0 926230 3297 922933 0 PURCHASED SERVICES 12414389 7006457 5407932 0 MAINTENANCE & SVC CONTRACTS 1395796 1218218 177578 0 DUES AND SUBSCRIPTIONS 312074 119777 192297 0 OTHER EXPENSES 2677041 1471931 1205110 0 7219612 7219612 179568765 109796984 69771781 0 1958946 4120826 0 0 0 0 0 0 0 0 0 0 49979 66467 1146809 1956023 4522271 5529594 44492808 25558067 14256192 18934741 0 0 0 0 0 0 0 0 74256947 61351645 96191144 91959296 31899710 35878501 0 0 0 0 0 0 0 0 0 0 651224 0 0 0 67970307 65700041 100521241 101578542 X -4330097 -9619246 0 0 0 0 -4330097 -9619246 96191144 91959296 -5289149 X false true X true false X 6825 6355 4000 5352 5549 28081 127259348 144386610 149825725 155886359 173781654 751139696 0 0 0 127266173 144392965 149829725 155891711 173787203 751167777 0 0 0 751167777 0 0 0 0 68856 108773 1407232 447341 483672 2515874 127335029 144501738 151236957 156339052 174270875 753683651 0.99666 0.99686 0.00000 0.00000 X 123248 0 0 false false false false false false true 77575 true 77574 false 155149 false PART I-A LINE 1 Health Quests lobbying efforts are focused on representing the systems patient-centered interests among government officials at the local, state and national levels. In the Hudson Valley, Health Quest officials meet with mayors, town supervisors, county executives and county legislators to discuss healthcare needs in their municipalities, and how our system can best help meet those needs. We also keep our local elected and planning officials informed of progress on new facilities, such as the new HQMP offices in Ulster County, NY; the Vassar Brothers Medical Center patient pavilion under construction in Poughkeepsie, NY; the new Emergency Department at Putnam Hospital Center in Carmel, NY that is set to start construction in 2017; and the proposed acquisition of Sharon Hospital in Sharon, CT. On the state level, Health Quest representatives meet on a regular basis with state legislators and officials in the New York State Department of Health to keep them informed of projects such as the ones mentioned above, as well as new programs and services to provide greater access to quality healthcare. We are represented in Albany by the firms of Patricia Lynch Associates, and DelBello Donnellan Weingarten Wise and Wiederkehr. On the federal level, Health Quest meets with Members of Congress and New Yorks United States Senators and their staffs to discuss issues including healthcare reform, wage indices, hiring efforts in an era of physician and nursing shortages, and community education and outreach efforts. Health Quest is represented in Washington by DeBrunner & Associates. Health Quest also participates with HANYS during Advocacy Days in Albany and Washington, DC. 5961188 1345011 4616177 32787940 24213056 8574884 5743680 5743680 18934741 DUE FROM AFFILIATES - S/T 25220669 DUE FROM AFFILIATES-L/T 29017128 RETIREMENT INVESTMENTS 1433802 INSURANCE RECEIVABLE 5283531 OTHER RECEIVABLES 231899 INVESTMENT IN PREMIER 164616 61351645 0 DUE TO AFFILIATES 18342287 3RD PARTY LIABILITIES 17115868 RETIREMENT INVESTMENTS 1547704 DUE TO AFFILIATES L/T 28694182 65700041 Central America and the Caribbean 1 Program Services INSURANCE 10770862 1 1 10770862 10770862 false false true false false false SCH F, PART I, LINE 3, COLUMN F METHOD TO ACCOUNT FOR EXPENDITURES ON ORGANIZATION'S FINANCIAL STATEMENTS WAS THE ACCRUAL METHOD. X X X X X true true false false false false false ROBERT DIAMOND SVP AND CIO 377824 0 108028 0 42874 0 15900 0 2440 0 547066 0 15900 0 RONALD TATELBAUM EVP AND CMO OF HQ 0 0 67782 0 285885 0 0 0 0 0 353667 0 14436 0 DAVID PING SVP STRATEGIC PLANNING 351476 0 100316 0 34463 0 15900 0 24578 0 526733 0 15900 0 PATRICK BOREK SVP HUMAN RESOURCES 329314 0 83313 0 33448 0 15900 0 3532 0 465507 0 15900 0 DENISE GEORGE SVP AND NDH PRESIDENT 423384 0 159722 0 55563 0 15900 0 20424 0 674993 0 15900 0 TIM CLEARY CHIEF COMPLIANCE OFFICER 59886 0 43597 0 33759 0 5636 0 7589 0 150467 0 15659 0 JOHN L MCGUINNESS CEO AND PRESIDENT 1273481 0 506711 0 291136 0 15900 0 19295 0 2106523 0 11520 0 KATHERINE BACHER VP FINANCIAL OPERATIONS 336827 0 129064 0 621 0 15900 0 760 0 483172 0 15900 0 ROBERT FRIEDBERG EVP HQ 755154 0 275760 0 94384 0 15900 0 23656 0 1164854 0 0 0 JAMES CALDAS PHC PRESIDENT 263077 0 145000 0 151054 0 15900 0 15633 0 590664 0 0 0 MICHAEL HOLZHUETER ASST SECRETARY/SVP GEN COUNSEL 551548 0 219844 0 84279 0 15900 0 23656 0 895227 0 0 0 LAWRENCE BELL VP OF CONSTRUCTION 348268 0 98438 0 54099 0 11181 0 9412 0 521398 0 0 0 TIMMIAN MASSIE SVP PUBLIC AFFAIRS/GOV'T RELAT 373546 0 116342 0 42327 0 15900 0 17803 0 565918 0 0 0 GARY ZMRHAL CFO AND ASST TREASURER 725000 0 0 0 0 0 0 0 0 0 725000 0 0 0 JEFFREY KRUGER VP FINANCE - PHYS ENTERPRISE 284021 0 31000 0 0 0 15900 0 24144 0 355065 0 15900 0 KSHITIJ SAXENA CHIEF MEDICAL INFO OFFICER 296585 0 48000 0 0 0 8306 0 18753 0 371644 0 0 0 DANIEL PAVORD AVP ONC SVCS/CHIEF PYSICIST 262272 0 25295 0 0 0 15900 0 23024 0 326491 0 13166 0 ANN MCMACKIN VBMC PRESIDENT 525000 0 0 0 71176 0 0 0 10516 0 606692 0 0 0 JOHN M SWEENEY AVP BUSINESS & PHYS DEV 262202 0 30151 0 0 0 11078 0 24144 0 327575 0 8925 0 DAVID J O'DEA VP CARDIOVASCULAR SERVICES 1195675 0 0 0 0 0 15900 0 17231 0 1228806 0 0 0 GLENN A LOOMIS CHIEF MED OPS OFFICER HQMP 511923 0 75000 0 65787 0 0 0 17784 0 670494 0 0 0 PETER A KELLY PRESIDENT PHC 136923 0 0 0 17767 0 0 0 224 0 154914 0 0 0 MICHAEL A LAWRENCE VP FINANCE 319368 0 46500 0 0 0 0 0 12514 0 378382 0 0 0 SCH J PART I LINE 4A AND 4B COMPENSATION LINE 4A - SEVERANCE AGREEMENTS FOR FORMER OFFICERS - Ronald Tatelbaum, MD - 12 months, effective term date 7/5/2015 - $285,885 paid in 2016; JAMES CALDAS - 12 MONTHS, EFFECTIVE TERM DATE 9/25/2016 - $92,308 PAID IN 2016 LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN - The Section 457(f) Plan is a non-qualified, tax-sheltered opportunity to defer income and accumulate additional income and accumulate income for intermediate or long-term savings goals above the legislative limits imposed on the qualified pension plans. Under the 457(f) employer contribution plan, eligible employees have the option of electing to receive their employer contribution as taxable income or to defer the contribution. There is a 6% employer contribution along with a possible remaining amount that would depend upon whether the 6% 403(b) employer contribution caps out ($18,000 in 2016, subject to increases). Elections for both the 457(f) employee contribution or the 457(f) employer contribution are made in the tax year prior to the year of deferral. FORM 990 PART VI SECTION B LINE 11B, 12C AND 15 - 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 POSTED TO AN INTRANET SITE FOR HQ BOARD MEMBERS TO RETRIEVE AND REVIEW (A PAPER COPY WAS MAILED UPON THEIR REQUEST). CONTACT INFORMATION WAS PROVIDED SHOULD ANY 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 15 - 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 AFFILIATES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR AS 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 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 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 SCHEDULE R PART V LINE 2(1) - TRANSACTIONS WITH RELATED ORGANIZATIONS 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. Radiology 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 and centralized scheduling 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 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 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 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 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 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 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 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. 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 XII LINE 3 - OMB CIRCULAR A-133 HEALTH QUEST SYSTEMS, INC DID NOT RECEIVE MORE THAN $500,000 IN FEDERAL AWARDS IN 2016, AND DID NOT QUALIFY FOR AN A-133 AUDIT. SCHEDULE R PART V LINE 1Q - TRANSACTIONS WITH RELATED ORGANIZATIONS 2 ENTITY TAX ID # AMOUNT OF TRANSFER VASSAR BROTHERS MEDICAL CENTER 14-1338586 $108,438,507 NORTHERN DUTCHESS HOSPITAL 14-1338467 $16,319,713 PUTNAM HOSPITAL CENTER 14-6019179 $29,001,262 VBMC FOUNDATION 14-1736429 $110,997 NDH FOUNDATION 14-1776208 $27,324 PHC FOUNDATION 06-1399319 $63,578 RIVERSIDE MANAGEMENT SERVICES, INC 14-1675544 $0 RIVERSIDE DIVERSIFIED SERVICES, INC 14-1675545 $0 HUDSON VALLEY NEWBORN PHYSICIANS, PLLC 14-1811781 $869,047 HUDSON VALLEY EMERGENCY MEDICINE, PLLC 14-1810891 $0 ALAMO AMBULANCE SERVICES, INC 14-1745417 $0 HEALTH QUEST HOME CARE, INC 14-1788412 $445,479 HEALTHSERVE, LLC 14-1797086 $0 HEALTH QUEST MEDICAL PRACTICE, PC 56-2669185 $14,122,174 HQ URGENT MEDICAL PRACTICE, PC 80-0152047 $1,479,864 NORTHERN DUTCHESS RESID HEALTH CARE FA 22-3129608 $1,102,819 ONE COLUMBIA STREET, LLC 46-1626016 $17,031 HUDSON VALLEY CARDIOVASCULAR PRACTICE 46-3756713 $1,611,661 TOTAL ADMINISTRATIVE FEE $173,609,456 FORM 990 PART VI SECTION A LINE 4 - GOVERNING BODY APPROVED REVISIONS TO THE HQ BYLAWS INCLUDE: - PERMIT A DISCRETIONARY ADDITIONAL THREE (3) YEAR TERM FOR ALL BOARD MEMBERS - PERMIT BOARD OFFICERS TO SERVE TWO (2) CONSECUTIVE TERMS OF TWO (2) YEARS EACH - ELIMINATION OF BOARD MEMBER GENERAL SERVICE (TERM) LIMITS SCHEDULE R PART I LINES 1 AND 2 HQ LAB SUPPORT SERVICES, LLC WAS DISSOLVED IN 2016, AND ITS ASSETS WERE TRANSFERRED TO HEALTH QUEST. HEALTH QUEST ACO, LLC WAS ALSO DISSOLVED IN 2016. FORM 5471 LINE 1C VBH INSURANCE CO. LTD WAS INCORPORATED IN BARBADOS. THEY WERE RE-DOMICILED AS AN EXEMPTED COMPANY WITH LIMITED LIABILITY UNDER THE COMPANIES LAW OF THE CAYMAN ISLANDS ON DECEMBER 1, 2016. HQ LAB SUPPORT SERVICES LLC 45 READE PLACE POUGHKEEPSIE NY 12601 454370644 LAB SUPPORT NY HQ HEALTH QUEST ACO LLC 1351 ROUTE 55 SUITE 200 LAGRANGEVILLE NY 12540 462878332 ACO NY HQ SEE SCHEDULE 0 GNYHA PURCHASING ALLIANCE LLC 555 WEST 57TH STREET NEW YORK NY 10019 461840512 NY GNYHA 557626 2680579 true 0.01462 false false false false false false false false false false false false false false false true false false SEE SCHEDULE O FOR DETAILS