2017-11-13T11:04:53-06:00 2016-12-31 990 2016-01-01 463756713 HUDSON VALLEY CARDIOVASCULAR PRACTICE PC % KATHERINE BACHER SVP & CFO HUDS 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 KATHERINE BACHER HQ SVP & CFO 8454759500 2017-11-13 64.72.93.34 14106020173175000011 2017-11-13 P B0D55E690908F37FC21413D1D82C632924DF7DE8 B0D55E690908F37FC21413D1D82C632924DF7DE8 2016 2018-03-14 21:41:22Z GLENN LOOMIS MD PRESIDENT 1351 ROUTE 55 LAGRANGEVILLE NY 12540 25814819 false X WWW.HEALTHQUEST.ORG X 2013 NY TO PROVIDE COMPREHENSIVE CARDIOVASCULAR SERVICES TO THE PATIENTS IN THE HUDSON VALLEY 1 0 243 1 0 0 0 20971753 25215290 0 0 144619 599529 21116372 25814819 0 0 0 0 28112653 30782822 0 0 0 7361966 6931760 35474619 37714582 -14358247 -11899763 9124424 10171135 16928461 17970973 -7804037 -7799838 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 33751020 24965744 PROVIDE CARDIOVASCULAR CARE TO PATIENTS IN THE HUDSON VALLEY 337360 249546 AFFILIATE REVENUE IS RECOGNIZED FOR PHYSICIAN OVERSIGHT MANAGEMENT FEES FROM ITS SUPPORTED ORGANIZATIONS 34088380 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 false true false false true 0 0 243 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 X KATHERINE BACHER SVP CFO 8454759500 1351 ROUTE 55 SUITE 200 LAGRANGEVILLE NY 12540 DENISE GEORGE ASSISTANT CORP SECRETARY 0.1 40.0 X 0 638669 36324 GLENN A LOOMIS MD PRESIDENT 0.0 40.0 X 0 652710 17784 LOUIS KANTAROS MD PHYSICIAN 40.0 0.0 X 914325 0 38924 JULIE LING MD PHYSICIAN 40.0 0.0 X 931060 0 38978 DANIEL O'DEA MD PHYSICIAN 40.0 0.0 X 1195675 0 33131 ZUBAIR JAFAR MD PHYSICIAN 40.0 0.0 X 964133 0 38077 SIMON GORWARA PHYSICIAN INTERVENTIONAL 40.0 0.0 X 919824 0 41015 RONALD TATELBAUM MD PRESIDENT 0.0 40.0 X 0 353667 0 4925017 1645046 244233 5 true true false 0 0 CARDIOVASCULAR CARE 24965744 24965744 AFFILIATE REVENUE 249546 249546 25215290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 STUDY REVENUE 418635 418635 QUALITY INSURANCE INCENTIVE 179017 179017 OTHER REVENUE 1877 1877 599529 25814819 25814819 0 0 0 0 0 0 0 0 0 0 27231021 24507919 2723102 0 676632 608969 67663 0 1552823 1397541 155282 0 1322346 1190111 132235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 520552 468497 52055 0 6713 6042 671 0 484543 436089 48454 0 41683 37515 4168 0 0 0 0 0 1334061 1200655 133406 0 17077 15369 1708 0 0 0 0 0 83964 75568 8396 0 0 0 0 0 0 0 0 0 332096 298886 33210 0 492955 443659 49296 0 PURCHASED SERVICES 1835758 1652182 183576 0 BAD DEBT 885387 885387 0 0 MEDICAL SUPPLIES 291171 291171 0 0 PHYSICIAN FEES 276000 276000 0 0 329800 296820 32980 37714582 34088380 3626202 0 609446 1040781 0 0 0 0 1815801 1734411 0 0 0 0 0 0 0 0 182193 445418 2273729 915591 1416028 1358138 0 0 0 0 0 0 3341997 3341997 1758959 2250390 9124424 10171135 5677667 5364330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11250794 12606643 16928461 17970973 X -7804037 -7799838 0 0 0 0 -7804037 -7799838 9124424 10171135 X -11899763 11903962 X false true X true false X X 2 VASSAR BROTHERS MEDICAL CENTER 141338586 3 false 11522884 0 NORTHERN DUTCHESS HOSPITAL 141338467 3 false 381068 0 2 11903952 0 true false false false false false false false false false false false false false false true false 477819 237268 240551 1565036 678323 886713 230874 230874 1358138 OTHER RECEIVABLES 718567 DUE FROM AFFILIATES 54794 DEFERRED COMPENSATION 480992 INSURANCE RECEIVABLE 996037 2250390 0 DUE TO AFFILIATES 11127334 DEFERRED COMPENSATION 463214 DUE TO AFFILIATES - LT 20058 MALPRACTICE INSURANCE 996037 12606643 true false false false false false false false false RONALD TATELBAUM MD PRESIDENT 0 0 0 67782 0 285885 0 0 0 0 0 353667 0 14436 LOUIS KANTAROS MD PHYSICIAN 441649 0 472676 0 0 0 15900 0 23024 0 953249 0 15900 0 JULIE LING MD PHYSICIAN 440628 0 490432 0 0 0 15900 0 23078 0 970038 0 0 0 DANIEL O'DEA MD PHYSICIAN 1195675 0 0 0 0 0 15900 0 17231 0 1228806 0 15900 0 ZUBAIR JAFAR MD PHYSICIAN 443386 0 520747 0 0 0 15900 0 22177 0 1002210 0 7950 0 DENISE GEORGE ASSISTANT CORP SECRETARY 0 423384 0 159722 0 55563 0 15900 0 20424 0 674993 0 15900 SIMON GORWARA PHYSICIAN INTERVENTIONAL 442752 0 477072 0 0 0 15900 0 25115 0 960839 0 15900 0 GLENN A LOOMIS MD PRESIDENT 0 511923 0 75000 0 65787 0 0 0 17784 0 670494 0 0 SCH J PART I LINE 4A COMPENSATION INCLUDED IN THE WAGES LISTED ON SCHEDULE J FOR FORMER EMPLOYEES IS A SEVERANCE PAYMENT (LISTED IN DETAIL BELOW) LINE 4A - A SEVERANCE PAYMENT WAS MADE FROM A RELATED ORGANIZATION FOR AN 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. FORM 990 PART XI LINE 9 RECONCILIATION OF NET ASSETS TRANSFER OF EQUITY $11,903,952; MISCELLANEOUS $10 FORM 990, PART VI, LINE 6, 7A AND 7B GOVERNING GLENN LOOMIS, MD IS THE SINGLE SHAREHOLDER FOR HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC 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 (4) Hudson Valley Cardiovascular Practice, PC pays administrative fees and subsidies to Health Quest Medical Practice PC. These fees are for expenses incurred by the medical practice while providing supportive services at cost. HEALTH QUEST SYSTEMS INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141678068 SUPPORT SVCS NY BOX 9 HQ false false false false false false false false false false false false false false true true false false HEALTH QUEST SYSTEMS INC P 1611661 SEE SCHEDULE O HEALTH QUEST MEDICAL PRACTICE PC Q 247527 COST NORTHERN DUTCHESS HOSPITAL Q 2019 COST HEALTH QUEST MEDICAL PRACTICE PC P 264728 SEE SCHEDULE O