2016-11-10T17:09:03-06:00 2015-12-31 990 2015-01-01 141678068 HEALTH QUEST SYSTEMS INC % KATHERINE BACHERVP FIN OPS HEAL 8454759500 1351 ROUTE 55 Suite 200 LAGRANGEVILLE NY 12540 GARY ZMRHAL CFO HQ SVP & CFO 8454759500 2016-11-10 2015 2017-02-10 21:41:12Z GARY ZMRHAL CFO 1351 ROUTE 55200 LAGRANGEVILLE NY 12540 156351494 false X WWW.HEALTHQUEST.ORG X 1987 NY PROVIDE SUPPORT TO MEMBER ORGANIZATIONS OF THE HEALTH QUEST SYSTEMS 15 14 1169 0 4000 5352 149825725 155886359 -36000 1861 1407232 447341 151200957 156340913 0 0 0 0 91739366 95287141 0 0 0 63648285 61196075 155387651 156483216 -4186694 -142303 92903959 96191144 97091753 100521241 -4187794 -4330097 THE MISSION STATEMENT OF THE HEALTH QUEST SYSTEM AND IT'S AFFILIATED ORGANIZATIONS IS TO IMPROVE THE HEALTH OF THE COMMUNITIES THAT THEY SERVE IN THE HUDSON VALLEY BY PROVIDING QUALITY PATIENT CARE BASED ON OUR COMMITMENT TO EXCELLENCE, INNOVATION AND STATE OF THE ART TECHNOLOGIES. HEALTH QUEST SYSTEMS, INC IS THE CORPORATE ENTITY PROVIDING SUPPORT TO ITS MEMBER ORGANIZATIONS. false false 76669913 133679556 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. 19154079 22206803 HQ Lab provides clinical diagnostic services to affiliate hospitals for both inpatient and outpatient services. 95823992 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 423 0 1169 true false true BB false false false false false false false false X 15 14 false false false false false false false true true false true true true true true true true true true true false NY X KATHERINE BACHERVP FIN OPS 8454759500 1351 ROUTE 55 SUITE 200 LAGRANGEVILLE NY 12540 RICHARD FRIEDLAND MD TRUSTEE 1.0 0.0 X 0 0 0 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 LILLIAN S WEIGERT ESQ 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 JOHN L MCGUINNESS CEO AND PRESIDENT 40.0 0.0 X X 1842562 0 30815 CARLA GUDE VBMC CHAIRMAN 1.0 0.0 X 0 0 0 KAREN FLEMING TRUSTEE 1.0 0.0 X 0 0 0 KEVIN SHEEHAN TRUSTEE 1.0 0.0 X 0 0 0 KATHERINE BACHER INTERIM CFO/VP FIN OPS 40.0 0.0 X 417990 0 16660 MICHAEL HOLZHUETER ASST SECRETARY/SVP GEN COUNSEL 40.0 0.0 X 659918 0 23656 GARY ZMRHAL CFO AND ASST TREASURER 40.0 0.0 X 586089 0 0 ROBERT DIAMOND SVP AND CIO 40.0 0.0 X 475369 0 18275 RONALD TATELBAUM EVP AND CMO OF HQ 40.0 0.0 X 949334 0 23112 DAVID PING SVP STRATEGIC PLANNING 40.0 0.0 X 461308 0 40423 PATRICK BOREK SVP HUMAN RESOURCES 40.0 0.0 X 414006 0 40382 DENISE GEORGE SVP AND NDH PRESIDENT 40.0 0.0 X 580848 0 40615 TIM CLEARY CHIEF COMPLIANCE OFFICER 40.0 0.0 X 265548 0 40239 ROBERT FRIEDBERG EVP HQ AND VBMC PRESIDENT 40.0 0.0 X 998385 0 23656 JAMES CALDAS PHC PRESIDENT 40.0 0.0 X 553131 0 25699 ROBERT KIRK PRES OF PHYSICIAN ENTERPRISE 40.0 0.0 X 147659 0 4135 LAWRENCE BELL VP OF CONSTRUCTION 40.0 0.0 X 340296 0 9312 TIMMIAN MASSIE SVP PUBLIC AFFAIRS/GOV'T RELAT 40.0 0.0 X 431256 0 17671 ANN MCMACKIN VBMC PRESIDENT 40.0 0.0 X 430554 0 0 BENJAMIN DISANTO AVP CONSTRUCTION 40.0 0.0 X 307026 0 35181 JEFFREY KRUGER VP FINANCE - PHYS ENTERPRISE 40.0 0.0 X 319395 0 34333 KSHITIJ SAXENA CHIEF MEDICAL INFO OFFICER 40.0 0.0 X 308992 0 15762 DANIEL PAVORD AVP ONC SVCS/CHIEF PYSICIST 40.0 0.0 X 283735 0 37310 JOHN M SWEENEY AVP BUSINESS & PHYS DEV 40.0 0.0 X 270459 0 33063 MICHAEL T WEBER FORMER PRESIDENT/CEO 0.0 0.0 X 188642 0 0 JANET READY FORMER PRESIDENT VBMC 0.0 0.0 X 134757 0 0 MAUREEN ZIPPARO FORMER PRESIDENT - PHC 0.0 0.0 X 207371 0 0 11574630 0 510299 24 true true false PREMIER MEDICAL GROUP 243 NORTH ROAD POUGHKEEPSIE NY 12601 MEDICAL DIR/ON CALL 1545868 KIRCHHOFF MEDICAL PROPERTIES LLC 199 WEST RD-SUITE 101 PLEASANT VALLEY NY 12569 CONSTRUCTION 24452494 HUDSON VALLEY CARDIOVASCULAR ASSOCI 1 COLUMBIA STREET POUGHKEEPSIE NY 12601 MED DIR/ON CALL COV 1662734 THE CHARTIS GROUP LLC DEPARTMENT 5925 CAROL STREAM IL 60122 STRATEGIC PLANNING 3673749 KIRCHHOFF-CONSIGLI CONSTRUCTION MGM 199 WEST ROAD SUITE 100 PLEASANT VALLEY NY 12569 CONSTRUCTION 1420096 75 5352 5352 MANAGEMENT FEES 900099 133679556 133679556 LAB SERVICES 621500 22206803 22206803 155886359 0 0 0 0 0 0 12442 10581 1861 1861 1861 0 0 0 REFUNDS AND REBATES 320344 320344 CONTINUING EDUCATION 120208 120208 OTHER REVENUE 6789 6789 447341 156340913 156335561 0 0 0 0 9554253 5845807 3708446 0 67150644 39175659 27974985 2467323 1305887 1161436 11433205 6161033 5272172 4681716 2477905 2203811 0 1379215 7762 1371453 407695 407695 61116 61116 0 4510 4510 8828727 3037345 5791382 0 6702958 6702958 2085240 1535192 550048 12617840 10955008 1662832 0 2665213 755409 1909804 404096 242616 161480 0 588171 240153 348018 68249 6825 61424 0 3978375 2637977 1340398 1007076 103591 903485 PURCHASED SERVICES 9382366 5094768 4287598 MAINTENANCE & SVC CONTRACTS 1524533 1154544 369989 DUES AND SUBSCRIPTIONS 280350 90703 189647 OTHER EXPENSES 1721963 804468 917495 7488382 7488382 156483216 95823992 60659224 0 6080429 1958946 0 0 0 0 0 0 0 0 0 0 45549 49979 1165158 1146809 3859215 4522271 35833974 21577782 15896050 14256192 0 0 0 0 0 0 0 0 65857558 74256947 92903959 96191144 31131724 31899710 0 0 0 0 0 0 0 0 0 0 1925072 651224 0 0 64034957 67970307 97091753 100521241 X -4187794 -4330097 0 0 0 0 -4187794 -4330097 92903959 96191144 -142303 X false true X true false X 10057 6825 6355 4000 5352 32589 101026222 127259348 144386610 149825725 155886359 678384264 0 0 0 101036279 127266173 144392965 149829725 155891711 678416853 0 0 0 678416853 0 0 0 0 102368 68856 108773 1407232 447341 2134570 101138647 127335029 144501738 151236957 156339052 680551423 0.99686 0.99708 0.00000 0.00000 X 61116 0 0 false false false true 27502 false false true 27502 true 6112 false 61116 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 and 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 Kingston, NY; the Vassar Brothers Medical Center patient pavilion under construction; and the recently opened patient pavilion addition to Northern Dutchess Hospital. 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 also participates with HANYS during Advocacy Days in Albany and Washington, DC. 5352441 741590 4610851 29013065 20836191 8176874 1468467 1468467 14256192 DUE FROM AFFILIATES - S/T 32699421 DUE FROM AFFILIATES-L/T 30641514 RETIREMENT INVESTMENTS 1900391 DEFERRED FINANCING FEES 2178 INSURANCE RECEIVABLE 8799996 OTHER RECEIVABLES 48831 INVESTMENT IN PREMIER 164616 74256947 0 DUE TO AFFILIATES 15940670 3RD PARTY LIABILITIES 16146855 RETIREMENT INVESTMENTS 1911333 DUE TO AFFILIATES L/T 33971449 67970307 Central America and the Caribbean Program Services INSURANCE 9785656 9785656 9785656 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 MICHAEL T WEBER FORMER PRESIDENT/CEO 0 0 0 0 188642 0 0 0 0 0 188642 0 0 0 ROBERT DIAMOND SVP AND CIO 350733 0 89443 0 35193 0 15900 0 2375 0 493644 0 15600 0 RONALD TATELBAUM EVP AND CMO OF HQ 279759 0 170617 0 498958 0 14436 0 8676 0 972446 0 15600 0 DAVID PING SVP STRATEGIC PLANNING 343939 0 82545 0 34824 0 15900 0 24523 0 501731 0 15600 0 PATRICK BOREK SVP HUMAN RESOURCES 319247 0 72067 0 22692 0 15900 0 24482 0 454388 0 15600 0 BENJAMIN DISANTO AVP CONSTRUCTION 229241 0 54363 0 23422 0 15900 0 19281 0 342207 0 0 0 DENISE GEORGE SVP AND NDH PRESIDENT 405609 0 124613 0 50626 0 15900 0 24715 0 621463 0 15600 0 TIM CLEARY CHIEF COMPLIANCE OFFICER 206241 0 50723 0 8584 0 15659 0 24580 0 305787 0 14527 0 JANET READY FORMER PRESIDENT VBMC 0 0 0 0 134757 0 0 0 0 0 134757 0 14576 0 MAUREEN ZIPPARO FORMER PRESIDENT - PHC 0 0 0 0 207371 0 0 0 0 0 207371 0 11713 0 JOHN L MCGUINNESS CEO AND PRESIDENT 1270523 0 360000 0 212039 0 11520 0 19295 0 1873377 0 0 0 KATHERINE BACHER INTERIM CFO/VP FIN OPS 325538 0 91875 0 577 0 15900 0 760 0 434650 0 15600 0 ROBERT FRIEDBERG EVP HQ AND VBMC PRESIDENT 677346 0 209589 0 111450 0 0 0 23656 0 1022041 0 0 0 JAMES CALDAS PHC PRESIDENT 400000 0 84887 0 68244 0 0 0 25699 0 578830 0 0 0 ROBERT KIRK PRES OF PHYSICIAN ENTERPRISE 131229 0 0 0 16430 0 0 0 4135 0 151794 0 0 0 MICHAEL HOLZHUETER ASST SECRETARY/SVP GEN COUNSEL 501192 0 87910 0 70816 0 0 0 23656 0 683574 0 0 0 LAWRENCE BELL VP OF CONSTRUCTION 300000 0 0 0 40296 0 0 0 9312 0 349608 0 0 0 TIMMIAN MASSIE SVP PUBLIC AFFAIRS/GOV'T RELAT 331986 0 55616 0 43654 0 0 0 17671 0 448927 0 0 0 GARY ZMRHAL CFO AND ASST TREASURER 586089 0 0 0 0 0 0 0 0 0 586089 0 0 0 JEFFREY KRUGER VP FINANCE - PHYS ENTERPRISE 319395 0 0 0 0 0 15900 0 18433 0 353728 0 0 0 KSHITIJ SAXENA CHIEF MEDICAL INFO OFFICER 293992 0 15000 0 0 0 0 0 15762 0 324754 0 0 0 DANIEL PAVORD AVP ONC SVCS/CHIEF PYSICIST 258609 0 25126 0 0 0 13166 0 24144 0 321045 0 0 0 ANN MCMACKIN VBMC PRESIDENT 422073 0 0 0 8481 0 0 0 0 0 430554 0 0 0 JOHN M SWEENEY AVP BUSINESS & PHYS DEV 245598 0 24861 0 0 0 8925 0 24138 0 303522 0 0 0 SCH J PART I LINE 4A AND 4B COMPENSATION IN 2014, HQ UNDERWENT A MAJOR EXECUTIVE MANAGEMENT RESTRUCTURING. INCLUDED IN THE WAGES LISTED ON SCHEDULE J FOR FORMER EMPLOYEES ARE RETENTION BONUSES, SEVERANCE PAYMENTS (LISTED IN DETAIL BELOW) AND TAX DEFERRED DISTRIBUTIONS. LINE 4A - SEVERANCE AGREEMENTS FOR FORMER OFFICERS - Michael T. Weber - 24 months, effective term date 3/11/2013 - $188,642 paid in 2015 Janet Ready - 12 months, effective term date 4/30/14 - $134,757 paid in 2015 Maureen Zipparo - 12 months, effective term date 6/2/14 - $207,371 paid in 2015 Ronald Tatelbaum, MD - 12 months, effective term date 7/5/2015 - $326,726 paid in 2015 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 2015, 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. SCH J PART II LINE 23 ANN MCMACKIN WAS ISSUED A 1099 FOR SERVICES PERFORMED BETWEEN JANUARY 1, 2015 THRU NOVEMBER 1, 2015, WHICH SHE THEN BECAME AN EMPLOYEE OF HEALTH QUEST. 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 Directo 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 Duchess 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 Health Quest VEBA Health Savings Trust 27-4847462 VEBA NY 501c9 Box 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 2015, 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 $93,683,331 NORTHERN DUTCHESS HOSPITAL 14-1338467 $14,795,742 PUTNAM HOSPITAL CENTER 14-6019179 $28,679,827 VBMC FOUNDATION 14-1736429 $169,209 NDH FOUNDATION 14-1776208 $63,825 PHC FOUNDATION 06-1399319 $78,227 RIVERSIDE MANAGEMENT SERVICES, INC 14-1675544 $0 RIVERSIDE DIVERSIFIED SERVICES, INC 14-1675545 $7,560 HUDSON VALLEY NEWBORN PHYSICIANS, PLLC 14-1811781 $674,365 HUDSON VALLEY EMERGENCY MEDICINE, PLLC 14-1810891 $0 ALAMO AMBULANCE SERVICES, INC 14-1745417 $0 HEALTH QUEST HOME CARE, INC 14-1788412 $454,537 HEALTHSERVE, LLC 14-1797086 $6,318 HEALTH QUEST MEDICAL PRACTICE, PC 56-2669185 $12,898,757 HQ URGENT MEDICAL PRACTICE, PC 80-0152047 $1,504,935 NORTHERN DUTCHESS RESID HEALTH CARE FA 22-3129608 $1,076,880 ONE COLUMBIA STREET, LLC 46-1626016 $11,230 HUDSON VALLEY CARDIOVASCULAR PRACTICE 46-3756713 $1,535,808 TOTAL ADMINISTRATIVE FEE $155,640,551 HQ LAB SUPPORT SERVICES LLC 45 READE PLACE POUGHKEEPSIE NY 12601 454370644 LAB SUPPORT NY 22206803 6012091 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 1213310 2204279 true 0.01177 false false false false false false false false false false false false false false false false true false false SEE SCHEDULE O FOR DETAILS