2016-11-14T10:38:36-06:00 2015-12-31 990 2015-01-01 141736429 VASSAR BROTHERS HOSPITAL FOUNDATION % KATHERINE BACHER VP FIN OPS VASS 8454759500 45 READE PLACE POUGHKEEPSIE NY 12601 GARY ZMRHAL HQ SVP & CFO 8454759500 2016-11-14 2015 2017-02-10 21:41:12Z ANN ARMATER EXEC DIRECTOR 45 READE PLACE POUGHKEEPSIE NY 12601 2796226 false X WWW.HEALTHQUEST.ORG X 1990 NY FUNDRAISING FOR THE HOSPITAL'S AND AFFILIATE'S BENEFIT 21 21 0 94 0 1118620 1400013 0 0 1094844 619239 281212 471315 2494676 2490567 714478 1267204 0 0 237849 627692 0 0 660860 591514 247444 1543841 2142340 950835 348227 36177782 33871319 3044261 1816343 33133521 32054976 FUNDRAISING FOR THE HOSPITAL'S AND AFFILIATE'S BENEFIT false false 1267204 1267204 THE FOUNDATION FOR VBMC SOLICITS, RECEIVES AND ADMINISTERS FUNDS WHICH ARE PROVIDED BY THE GENERAL PUBLIC FOR THE BENEFIT OF VASSAR BROTHERS MEDICAL CENTER AND ITS CHARITABLE AFFILIATES. 1267204 true true false false false false false false true true false false false true false false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false true 0 0 0 false false false false true true false false false false false false false X 21 21 true false false false true true true true true false true true true true true true true true true true false NY X KATHERINE BACHER VP FIN OPS 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 BONNIE MEAGHER TRUSTEE 1.0 0.0 X 0 0 0 RANDI PETROVITS TRUSTEE 1.0 0.0 X 0 0 0 ELIZABETH SHEQUINE TRUSTEE 1.0 0.0 X 0 0 0 STEPHEN LICHTENBERG MD LIFE TRUSTEE 1.0 0.0 X 0 0 0 REBECCA SEAMAN TRUSTEE 1.0 0.0 X 0 0 0 CHARLES WHITESELL CHAIRMAN 1.0 0.0 X 0 0 0 ANN MEAGHER TRUSTEE 1.0 0.0 X 0 0 0 ELLEN A MULVEY LIFE TRUSTEE 1.0 0.0 X 0 0 0 VINCENT BELTRANI MD TRUSTEE 1.0 0.0 X 0 0 0 NANCY BROWNELL TRUSTEE 1.0 0.0 X 0 0 0 SARAH LEVINE VICE CHAIRMAN 1.0 0.0 X 0 0 0 SCOTT SWEENEY TRUSTEE 1.0 0.0 X 0 0 0 MARGARET STROHM BOVA SECRETARY 1.0 0.0 X 0 0 0 MAUREEN KANGAS TRUSTEE 1.0 0.0 X 0 0 0 STANLEY BEINSTEIN TRUSTEE 1.0 0.0 X 0 0 0 JUDITH BLEAKLEY O'NEILL TRUSTEE 1.0 0.0 X 0 0 0 KIMBERLY HUNT LEE TRUSTEE 1.0 0.0 X 0 0 0 CHRISTOPHER BROMLEY MD TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL MAZZUCA JR TRUSTEE 1.0 0.0 X 0 0 0 JANELLE ANNE STYLES TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH TOCKARSHEWSKY TRUSTEE 1.0 0.0 X 0 0 0 ROBERT RANIERI TRUSTEE 1.0 0.0 X 0 0 0 SHIRLEY IRWIN IMMEDIATE PAST CHAIR 1.0 0.0 X 0 0 0 ANN ARMATER SR VP DEVELOPMENT/EXEC DIR 40.0 0.0 X 390673 0 40761 KATHERINE BACHER INTERIM TREASURER 0.0 40.0 X 0 417990 16660 ANTONIO PERUGINO ASSISTANT TREASURER 0.0 40.0 X 0 222207 30815 GARY ZMRHAL TREASURER 0.0 40.0 X 0 586089 0 MICHAEL HOLZHUETER ASST. SECRETARY 0.0 40.0 X 0 659918 23656 390673 1886204 111892 1 false true false 0 1400013 787553 1400013 0 607231 607231 0 0 0 0 0 12008 12008 12008 12008 662300 305659 356641 356641 0 0 AFFILIATE REVENUE 114674 114674 114674 2490567 114674 975880 1267204 1267204 0 0 0 390673 39067 351606 0 131172 131172 0 105847 105847 0 0 0 0 0 0 0 0 0 24992 24992 0 0 6000 6000 0 0 2825 2825 0 0 9238 9238 0 SUPPORT SERVICES 169209 169209 SERVICE CONTRACTS 12894 12894 DUES/BOOKS/SUBSCRIPTIONS 2014 2014 CAMPAIGN MATERIALS 145 145 20127 20127 2142340 1267204 214276 660860 0 0 6155438 4443885 3870467 3707153 0 0 0 0 0 0 0 0 0 0 3806 4728 144936 84700 63917 60236 25801335 25292566 0 0 0 0 0 0 282819 362751 36177782 33871319 66602 118156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2977659 1698187 3044261 1816343 X 24019032 23214092 8666900 8393295 447589 447589 33133521 32054976 36177782 33871319 X 348227 -1154914 -271858 X false true X true false X 6101057 1681886 756445 1118621 1756654 11414663 0 0 0 0 6101057 1681886 756445 1118621 1756654 11414663 0 0 0 11414663 1671220 1140612 1142289 1278486 619239 5851846 0 1671220 1140612 1142289 1278486 619239 5851846 0 114674 114674 7772277 2822498 1898734 2397107 2490567 17381183 0.65673 0.70211 0.33668 0.29789 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 447589 447589 447589 447589 447589 447589 447839 250 447589 447839 447839 1.00000 false false 41899 4082 37817 103037 80618 22419 60236 0 DUE TO AFFILIATES 1698187 1698187 PART V LINE 4 ENDOWMENT FUNDS ENDOWMENT FUNDS INTENDED USE IS FOR NICU AND HONORIA RELATED TO ANNUAL MATERNAL/CHILD HEALTH NURSING CONFERENCE GALA 524960 524960 265300 GOLF 95837 95837 27309 2 41503 41503 13050 662300 662300 305659 305659 356641 true VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 501(c)3 1267204 RESTRICTED CONTRIBUTIONS VASSAR BROTHERS MEDICAL CENTER RESTRICTED CONTRIBUTIONS Y false false false false false false false false false ANN ARMATER SR VP DEVELOPMENT/EXEC DIR 250471 0 44909 0 95293 0 15448 0 25313 0 431434 0 15600 0 KATHERINE BACHER INTERIM TREASURER 0 325538 0 91875 0 577 0 15900 0 760 0 434650 0 15600 ANTONIO PERUGINO ASSISTANT TREASURER 0 192394 0 29813 0 0 0 6727 0 24088 0 253022 0 10277 GARY ZMRHAL TREASURER 0 586089 0 0 0 0 0 0 0 0 0 586089 0 0 MICHAEL HOLZHUETER ASST. SECRETARY 0 501192 0 87910 0 70816 0 0 0 23656 0 683574 0 0 X 7 26954 EXPERT PROVIDED FMV X PLEDGE CONTRIBUTIONS 3 760599 PRESENT VALUE false true false SCHEDULE M PART I LINE 9 IN 2015, THE VBMCF RECEIVED CONTRIBUTIONS IN THE FORM OF PUBLICLY TRADED SECURITIES. 36 SHARES - THERMO FISHER SCIENTIFIC INC. 100 SHARES - FACEBOOK 60 SHARES - IBM CORP 82 SHARES - GENERAL ELECTRIC 25 SHARES - UNITED HEALTH GROUP 12 SHARES - ROCKWELL COLLINS 24 SHARES - IBM CORP PART VI SECTION A LINE 2, 6, 7A AND 7B GOVERNING LINE 2 - ANN MEAGHER AND BONNIE MEAGHER WERE MEMBERS OF THE VBMC FOUNDATION BOARD, AND HAVE A FAMILY RELATIONSHIP. LINE 6 - The sole member of VBMCF is Health Quest Systems Inc. LINE 7A - With the exception of Ex Officio Trustees, candidates for election to the Board shall be nominated and elected in the following manner: The Committee shall nominate such candidates by approval of a majority vote of the Board. Any candidate nominated by the Committee must be approved by Majority Vote of the Board in order to be elected as a Trustee. LINE 7B - Except as otherwise required by law, the Certificate of Incorporation, or these Bylaws, an action approved by Majority Vote of the Board shall be the act of the Board. FORM 990 PART VI SECTION B LINE 11A, 12C, 15A AND 15B POLICIES LINE 11A - 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 15 A/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 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 SCHEDULE R PART V LINE 2(1) ALLOCATION METHODOLOGY FOR 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 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 PART XI LINE 9 RECONCILIATION OF NET ASSETS CHANGE IN RESTRICTED CONTRIBUTIONS TO THE HOSPITAL ($271,858); MISC ($1,746) SCHEDULE B PART I CONTRIBUTORS DUE TO THE CAPITAL CAMPAIGN, THERE WERE A LARGE NUMBER OF CONTRIBUTORS THAT DONATED UNDER THE THRESHOLD. HEALTH QUEST SYSTEMS INC 1351 ROUTE 55 LAGRANGVILLE NY 12540 141678068 SUPPORT SERV NY BOX 9 HQ false false false false false false false false false false false false false false false true false false false HEALTH QUEST SYSTEMS INC P 169209 SEE SCHEDULE O