2015-11-14T06:04:24-06:00 2014-12-31 990 2014-01-01 562669185 HEALTH QUEST MEDICAL PRACTICE PC % KATHERINE BACHER VP FIN OPS HEAL 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 GARY ZMRHAL SVP/CFO 8454759500 2015-11-14 2014 2016-04-25 22:37:26Z DR RONALD TATELBAUM 1351 ROUTE 55 LAGRANGEVILLE NY 12540 71409049 false X WWW.HEALTH-QUEST.ORG X 2007 NY TO PROVIDE MULTI-SPECIALTY PHYSICIAN SERVICES TO THE PATIENTS IN THE HUDSON VALLEY 1 0 491 0 0 0 58260020 68928692 -1802 -5813 2218981 2486170 60477199 71409049 0 0 0 0 50541743 59682857 0 0 0 24277026 26627513 74818769 86310370 -14341570 -14901321 24111824 33140583 26862580 34811389 -2750756 -1670806 X TO IMPROVE THE HEALTH OF THE COMMUNITIES THAT WE SERVE IN THE HUDSON VALLEY BY PROVIDING QUALITY PATIENT CARE BASED ON OUR COMMITMENT TO EXCELLANCE, INNOVATION AND STATE-OF-THE-ART TECHNOLOGIES. false false 51626572 45575894 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. 25760197 22741080 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. 665555 587551 AFFILIATE REVENUE IS RECOGNIZED FOR PHYSICIAN OVERSIGHT MANAGEMENT FEES FROM ITS SUPPORTED ORGANIZATIONS 27375 24167 AFFILIATE PHYSICIAN SPACE RENT 27375 24167 78079699 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 false true 0 0 491 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 VP FIN OPS 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 DENISE GEORGE CORPORATE SECRETARY 0.0 40.0 X 0 776907 45493 RONALD TATELBAUM MD PRESIDENT HQMP 0.0 40.0 X 0 745170 50100 ROBERT KIRK PRESIDENT OF PHYSICIAN ENTERPR 0.0 40.0 X 0 380392 12449 MOHAN SARABU MD MEDICAL DIRECTOR-CARDIAC SURG 40.0 0.0 X 1198784 0 34261 ALI HAMMOUD MD PHYSICIAN - CARDIOLOGY 40.0 0.0 X 788420 0 40354 JOSEPH CHRISTIANA MD PHYSICIAN - CARDIOLOGY 40.0 0.0 X 786963 0 40400 JOHN MCNULTY MD PHYSICIAN - NEUROLOGY 40.0 0.0 X 714525 0 40420 HARVEY SHANIES MD PHYSICIAN - INTENSIVIST 40.0 0.0 X 467097 0 1007 MARYANN KEPPLE FORMER TREASURER 0.0 0.0 X 0 779221 17076 FREDERICK THOMAS FORMER CORPORATE SECRETARY 0.0 0.0 X 0 104511 0 3955789 2786201 281560 5 true true false 0 0 PROVIDE MEDICAL CARE AND SERVICES 45575894 45575894 ADMINISTRATIVE FEE/SUBSIDY 22741080 22741080 OTHER AFFILIATE PROGRAM REVENUE 587551 587551 AFFILIATE PHYSICIAN SPACE RENT 24167 24167 68928692 0 0 0 0 0 0 -5813 -5813 0 0 0 COMPREHENSIVE PRIMARY CARE INITIATIVE 879240 879240 MEANINGFUL USE REVENUE 589644 589644 QUALITY INCENTIVE PROGRAM 402549 402549 614737 614737 2486170 71409049 71414862 -5813 0 0 0 0 0 0 50519858 45467872 5051986 1823037 1640733 182304 4646848 4182163 464685 2693114 2423803 269311 0 0 0 0 0 0 44140 39726 4414 1498 1348 150 490459 441413 49046 0 0 3390261 3051235 339026 43309 38978 4331 0 225469 202922 22547 0 0 1603656 1443290 160366 3553034 3197731 355303 PURCHASED SERVICES 12705691 11435122 1270569 0 BAD DEBT 3014261 3014261 0 0 MEDICAL SUPPLIES 989403 989403 0 0 LICENSES/TAXES 226936 204242 22694 0 339396 305457 33939 86310370 78079699 8230671 0 309118 1973234 0 0 0 0 2683038 4790969 0 0 0 0 0 0 1189 595 1980535 2557985 12843267 5453744 4972736 7389523 0 0 0 0 0 0 255700 1501178 13909508 14927099 24111824 33140583 4992496 5609539 0 0 0 0 0 0 0 0 0 0 0 236841 0 0 21870084 28965009 26862580 34811389 X -2750756 -1680461 0 9655 0 0 -2750756 -1670806 24111824 33140583 X -14901321 15981271 X false true X true false X X 3 VASSAR BROTHERS MEDICAL CENTER 141338586 03 false 12565044 0 PUTNAM HOSPITAL CENTER 061399319 03 false 693078 0 NORTHERN DUTCHESS HOSPITAL 141338467 03 false 2713480 0 3 15971602 true false false false false false false false false false false false false false false true false 3254951 732877 2522074 8897934 4709991 4187943 690383 10877 679506 7389523 DUE FROM AFFILIATES 362237 OTHER RECEIVABLES 407254 RETIREMENT INVESTMENTS 592759 INSURANCE RECEIVABLE 13564849 14927099 0 DUE TO AFFILIATES 12787340 RETIREMENT INVESTMENTS 568174 MEDICAL MALPRACTICE INSURANCE 13564849 L/T DUE TO HQ 1510380 PAYABLE TO THIRD PARTY 534266 28965009 X true true true true false false false false false false false MOHAN SARABU MD MEDICAL DIRECTOR-CARDIAC SURG 1198784 0 0 0 0 0 15600 0 18661 0 1233045 0 15300 0 MARYANN KEPPLE FORMER TREASURER 0 124022 0 225000 0 430199 0 15600 0 1476 0 796297 0 15300 FREDERICK THOMAS FORMER CORPORATE SECRETARY 0 0 0 0 0 104511 0 0 0 0 0 104511 0 6271 ALI HAMMOUD MD PHYSICIAN - CARDIOLOGY 770299 0 18121 0 0 0 15600 0 24754 0 828774 0 15300 0 JOSEPH CHRISTIANA MD PHYSICIAN - CARDIOLOGY 770299 0 16664 0 0 0 15600 0 24800 0 827363 0 15300 0 JOHN MCNULTY MD PHYSICIAN - NEUROLOGY 623000 0 91525 0 0 0 15600 0 24820 0 754945 0 0 0 DENISE GEORGE CORPORATE SECRETARY 0 354396 0 393023 0 29488 0 15600 0 29893 0 822400 0 15300 RONALD TATELBAUM MD PRESIDENT HQMP 0 540788 0 103150 0 101232 0 15600 0 34500 0 795270 0 15300 ROBERT KIRK PRESIDENT OF PHYSICIAN ENTERPR 0 339927 0 0 0 40465 0 0 0 12449 0 392841 0 0 HARVEY SHANIES MD PHYSICIAN - INTENSIVIST 16791 0 0 0 450306 0 1007 0 0 0 468104 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 PAYMENTS WERE MADE FROM A RELATED ORGANIZATION FOR TWO OFFICERS AND ONE HIGHEST COMPENSATED EMPLOYEE Frederick Thomas - 12 months, effective term date 6/30/2013 - $104,511, paid in 2014 Maryann Kepple - 12 months, effective term date 3/6/14 - $385,909, paid in 2014 Harvey Shanies, MD - 6 months, effective term date 12/31/13 - $450,000, paid in 2014 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 ($15,600 in 2014, 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 I, LINE 1A LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS HQ GROSSED UP EARNINGS FOR ONE EXECUTIVE FOR EXPENSES INCURRED FOR TRAVEL ASSOCIATED WITH RELOCATION. THE VALUE OF THE TRAVEL AND GROSS UP WERE TREATED AS TAXABLE INCOME ON HIS FORM W-2. 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 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 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 - ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE HEALTH QUEST BUSINESS ETHICS COMMITTEE ON BEHALF OF THE AFFILIATE. IN ADDITION, CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY BOARD MEMBERS AND KEY EMPLOYEES ON AN ANNUAL BASIS AND REVIEWED BY THE HEALTH QUEST CORPORATE COMPLIANCE DEPARTMENT. 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 Surgical b. Radiology c. Oncology d. VBMC Sleep Lab e. PT/OT/ST f. Cardiac Rehab 2. Clinical Management a. Emergency Room b. Pharmacy c. Cardiac d. Oncology 3. Revenue Cycle including health information management, budgets and reimbursement, revenue cycle, 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 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 cycle 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 joint Health Quest advertisements and reduction of expenses associated with larger campaigns 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, insurance 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 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 7. Staffing reduction through shared services 8. Enhanced employee benefit programs SCHEDULE R PART V LINE 2 (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 the 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. 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 "Participate in QI programs at the hospital "Chair of information management committee. "Nursing Education. "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 "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "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 for 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 "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 "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "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 the 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 "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 "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures 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 schedule. "Reviews patient work load and delegate's projects and concerns. "Handles office day to day issues at the practice "Gives lectures on Breast Cancer at VBMC and community events. "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 "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 "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures 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 "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 "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report." Ensures that all providers are compliant. FORM 990, PART VI LINE 6, 7A AND 7B GOVERNING RONALD TATELBAUM, MD IS THE SINGLE SHAREHOLDER FOR HQMP. FORM 990 PART XI LINE 9 RECONCILIATION OF NET ASSETS TRANSFER OF EQUITY - $15,971,602; NET ASSETS RELEASED - CLINICAL RESEARCH $9,655 MISCELLANEOUS - $14 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 11911311 SEE SCHEDULE O VASSAR BROTHERS MEDICAL CENTER Q 17665350 SEE SCHEDULE O PUTNAM HOSPITAL CENTER Q 2760703 SEE SCHEDULE O NORTHERN DUTCHESS HOSPITAL Q 2902578 SEE SCHEDULE O