PUTNAM HOSPITAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PUTNAM HOSPITAL CENTER (EIN 14-6019179)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-10
- IRS object ID
- 201403149349303055
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-10T16:47:59-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 146019179 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUTNAM HOSPITAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % KATHERINE BACHER INTERIM CF | InCareOfNm |
| Business Name Control | PUTN | BusinessNameControlTxt |
| Phone | 8452795711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 STONELEIGH AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | CARMEL | City |
| State | NY | State |
| ZIP Code | 10512 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHERINE BACHER | PersonNm |
| Person Title | INTERIM CFO/SVP | PersonTitleTxt |
| Phone | 8454759500 | PhoneNum |
| Signature | 2014-11-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES CALDAS PRESIDENT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 STONELEIGH AVE | AddressLine1 |
| City | CARMEL | City |
| State | NY | State |
| ZIP Code | 10512 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $162,445,109 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTH-QUEST.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE ALL ASPECTS OF PATIENT CARE TO THE COMMUNITY | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1069 | TotalEmployeeCnt |
| Total Volunteers | 261 | TotalVolunteersCnt |
| Total Gross UBI | $5,743 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,537 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $624,842 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,332,564 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $157,250,731 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $154,647,216 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,641,203 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,148,154 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,051,408 | PYOtherRevenueAmt |
| CY Other Revenue | $5,317,175 | CYOtherRevenueAmt |
| PY Total Revenue | $163,568,184 | PYTotalRevenueAmt |
| CY Total Revenue | $162,445,109 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $26,780 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $70,034,877 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $66,896,803 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $85,474,068 | PYOtherExpensesAmt |
| CY Other Expenses | $85,328,125 | CYOtherExpensesAmt |
| PY Total Expenses | $155,508,945 | PYTotalExpensesAmt |
| CY Total Expenses | $152,251,708 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,059,239 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,193,401 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $157,549,263 | TotalAssetsBOYAmt |
| Total Assets EOY | $169,614,768 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $92,820,979 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $75,402,327 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $64,728,284 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $94,212,441 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PHC IS DEDICATED TO PROVIDING THE HIGHEST QUALITY PATIENT CARE WITH ATTENTION TO SERVICE EXCELLENCE, PATIENT SAFETY, PHYSICIAN COLLABORATION AND INNOVATION TO ASSURE THAT WE MEET THE NEEDS OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $61,961,117 | ExpenseAmt |
| Revenue | $82,464,968 | RevenueAmt |
| Desc | INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 6,193; NUMBER OF PATIENT DAYS 27,121 THE HOSPITAL PROVIDED APPROXIMATELY $1,455,805 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,265,261 | ExpenseAmt |
| Revenue | $5,676,700 | RevenueAmt |
| Desc | INPATIENT PSYCHIATRIC SERVICES: PSYCHIATRIC PATIENTS ADMITTED FOR TREATMENT - NUMBER OF PATIENTS 608; NUMBER OF PATIENT DAYS 5,387 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $49,969,801 | ExpenseAmt |
| Grant | $26,780 | GrantAmt |
| Revenue | $66,505,548 | RevenueAmt |
| Desc | OUTPATIENT SERVICES: PATIENTS WHO RECEIVED MEDICAL EMERGENCY, ASU AND VARIOUS ANCILLIARY SERVICES - TOTAL EMERGENCY VISITS 21,236; TOTAL AMBULATORY SURGERY VISITS 5,569 ALL OTHER VISITS/PROCEDURES 174,367 THE HOSPITAL PROVIDED APPROXIMATELY $1,701,682 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $116,196,179 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1069 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHERINE BACHER INTERIM CF | PersonNm |
| Phone | 8454759500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1351 ROUTE 55 | AddressLine1 |
| City | LAGRANGEVILLE | City |
| State | NY | State |
| ZIP Code | 12540 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KEIREN M FARQUHAR | ||||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| JAMES P DUSENBURY | ||||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| KAREN FLEMING | ||||||||||
| FIRST VICE CHAIRMAN | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JEFFREY J REDFIELD | ||||||||||
| CHAIRMAN | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JOEL S BUCHALTER MD | ||||||||||
| MED STAFF PRESIDENT | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT P MORINI | ||||||||||
| SECOND VICE CHAIRMAN | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| WAYNE RYDER | ||||||||||
| SECRETARY | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| MAUREEN ZIPPARO | ||||||||||
| PRESIDENT/COO | 1.0 | Yes (X) | $0 | $376,323 | $41,670 | 40.0 | Yes (X) | |||
| RAYMOND DURKIN | ||||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| LORETTA MOLINARI | ||||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| MITCHELL COHN MD | ||||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT WAEGELEIN | ||||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| JOHN L MCGUINNESS | ||||||||||
| CEO | 0.0 | Yes (X) | $0 | $71,179 | $0 | 20.0 | Yes (X) | |||
| MARYANN KEPPLE | ||||||||||
| TREASURER | 0.0 | $0 | $569,163 | $23,061 | 65.0 | Yes (X) | ||||
| JEFFREY KELLOGG | ||||||||||
| SVP DEV & COMMUNITY AFFAIRS | 0.0 | $0 | $256,657 | $32,926 | 50.0 | Yes (X) | ||||
| JOHN CONLON MD | ||||||||||
| CMO | 0.0 | $0 | $307,764 | $22,745 | 50.0 | Yes (X) | ||||
| SHARON GILCHRIST | ||||||||||
| REGISTERED NURSE | 40.0 | $172,538 | $0 | $22,126 | Yes (X) | |||||
| JOAQUIN MAXINO | ||||||||||
| REGISTER NURSE | 40.0 | $163,352 | $0 | $39,939 | Yes (X) | |||||
| MAUREEN PACE | ||||||||||
| AVP CLINICAL RESOURCE MGMT | 40.0 | $181,341 | $0 | $22,234 | Yes (X) | |||||
| MAUREEN SIMINGTON | ||||||||||
| DIRECTOR MED/SURG SERVICES | 50.0 | $153,999 | $0 | $36,903 | Yes (X) | |||||
| NORMA KURTZ | ||||||||||
| MEDICAL DIRECTOR QUALITY/PT OU | 40.0 | $161,421 | $0 | $21,283 | Yes (X) | |||||
| MICHAEL T WEBER | ||||||||||
| FORMER CEO | 0.0 | $0 | $1,652,081 | $42,700 | 40.0 | Yes (X) | ||||
| FREDERICK THOMAS | ||||||||||
| FORMER CORPORATE SECRETARY | 0.0 | $0 | $467,127 | $7,775 | 40.0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $832,651 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,700,294 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $313,362 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $382,592 | GovernmentGrantsAmt |
| All Other Contributions | $949,972 | AllOtherContributionsAmt |
| Total Contributions | $1,332,564 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INPATIENT SERVICE REVENUE | 900099 | $88,141,668 | $88,141,668 |
| OUTPATIENT SERVICE REVENUE | 900099 | $66,519,018 | $66,519,018 |
| HOMECARE SERVICE REVENUE | 621610 | -$13,470 | -$13,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $154,647,216 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $555,027 | TotalRevenueColumnAmt |
| Exclusion | $555,027 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,091,539 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,091,539 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,091,539 | TotalRevenueColumnAmt |
| Exclusion | $2,091,539 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $593,127 | TotalRevenueColumnAmt |
| Exclusion | $593,127 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEANINGFUL USE REVENUE | 900099 | $1,550,108 | $1,550,108 |
| CAFETERIA/MEAL SALES | 900099 | $584,902 | $584,902 |
| MANAGEMENT REVENUE | 900099 | $193,473 | $193,473 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $897,153 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $891,410 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,743 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,225,636 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,445,109 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $157,867,109 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,743 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,239,693 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,780 | TotalAmt |
| Program Services | $26,780 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,924,703 | TotalAmt |
| Program Services | $42,174,231 | ProgramServicesAmt |
| Management And General | $6,750,472 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,933,405 | TotalAmt |
| Program Services | $5,114,733 | ProgramServicesAmt |
| Management And General | $818,672 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,235,606 | TotalAmt |
| Program Services | $7,099,284 | ProgramServicesAmt |
| Management And General | $1,136,322 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,803,089 | TotalAmt |
| Program Services | $3,278,351 | ProgramServicesAmt |
| Management And General | $524,738 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,506 | TotalAmt |
| Management And General | $2,506 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,801 | TotalAmt |
| Program Services | $91,129 | ProgramServicesAmt |
| Management And General | $75,672 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176 | TotalAmt |
| Program Services | $176 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,798,042 | TotalAmt |
| Program Services | $1,934,241 | ProgramServicesAmt |
| Management And General | $863,801 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,962 | TotalAmt |
| Program Services | $76,887 | ProgramServicesAmt |
| Management And General | $23,075 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,919,578 | TotalAmt |
| Program Services | $3,298,869 | ProgramServicesAmt |
| Management And General | $620,709 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,528 | TotalAmt |
| Program Services | $9,592 | ProgramServicesAmt |
| Management And General | $6,936 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,040 | TotalAmt |
| Program Services | $20,413 | ProgramServicesAmt |
| Management And General | $13,627 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,879,475 | TotalAmt |
| Program Services | $1,581,839 | ProgramServicesAmt |
| Management And General | $297,636 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,384,267 | TotalAmt |
| Program Services | $7,056,524 | ProgramServicesAmt |
| Management And General | $1,327,743 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,193,770 | TotalAmt |
| Program Services | $1,004,723 | ProgramServicesAmt |
| Management And General | $189,047 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $31,768,976 | $9,699,116 | $22,069,860 |
| MEDICAL SUPPLIES | $20,641,813 | $20,641,813 | |
| BAD DEBT | $6,100,010 | $6,100,010 | |
| PHYSICIAN FEES | $4,516,682 | $4,516,682 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,805,499 | TotalAmt |
| Program Services | $2,470,786 | ProgramServicesAmt |
| Management And General | $1,334,713 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,251,708 | TotalAmt |
| Program Services | $116,196,179 | ProgramServicesAmt |
| Management And General | $36,055,529 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,476 | BOYAmt |
| EOY | $165,179 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,051,958 | BOYAmt |
| EOY | $21,875,880 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,730,191 | BOYAmt |
| EOY | $17,072,514 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,520 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,987,125 | BOYAmt |
| EOY | $2,301,613 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $974,664 | BOYAmt |
| EOY | $1,288,122 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $175,431,224 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $102,615,241 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,571,638 | BOYAmt |
| EOY | $72,815,983 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,056,123 | BOYAmt |
| EOY | $24,829,208 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,954,568 | BOYAmt |
| EOY | $29,266,269 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,549,263 | BOYAmt |
| EOY | $169,614,768 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,283,814 | BOYAmt |
| EOY | $15,315,625 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,917,812 | BOYAmt |
| EOY | $35,044,530 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,834,353 | BOYAmt |
| EOY | $1,246,041 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,785,000 | BOYAmt |
| EOY | $23,796,131 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,820,979 | BOYAmt |
| EOY | $75,402,327 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,013,417 | BOYAmt |
| EOY | $88,106,498 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,892,128 | BOYAmt |
| EOY | $5,285,076 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,739 | BOYAmt |
| EOY | $820,867 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,728,284 | BOYAmt |
| EOY | $94,212,441 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,549,263 | BOYAmt |
| EOY | $169,614,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,193,401 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,674,107 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $15,616,649 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,506 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,506 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C PART II-B LINE 1I - LOBBYING ACTIVITIES | FormAndLineReferenceDesc |
| Explanation | 15.5% OF NORMET DUES PAID BY PUTNAM HOSPITAL CENTER ARE USED FOR POLITICAL EXPENDITURES | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $822,739 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,872 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $820,867 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $820,638 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,101 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $822,739 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $823,470 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,832 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $820,638 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $821,692 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,778 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $823,470 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $809,499 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $12,193 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $821,692 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,193,282 | OtherCostOrOtherBasisAmt |
| Book Value | $1,193,282 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,154,467 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,588,425 | DepreciationAmt |
| Book Value | $44,566,042 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,608,448 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,527,584 | DepreciationAmt |
| Book Value | $22,080,864 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,475,028 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,499,232 | DepreciationAmt |
| Book Value | $4,975,796 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $72,815,984 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (13 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DAVITA RESTRICTED CASH | $632,637 |
| REFINANCING FEES | $53,392 |
| INTEREST IN PHC FOUNDATION | $11,563,638 |
| DSRF 2007 SERIES B BONDS | $5,545,865 |
| DSRF 2007 SERIES C BONDS | $991,486 |
| DUE FROM AFFILIATES | $256,184 |
| MISC RECEIVABLES | $412,510 |
| DSRF TELP LOAN TDBANK GENERAL | $301,429 |
| DEF FINANCING 2007 SERIES B | $1,062,479 |
| DEF FINANCING 2007 SERIES C | $96,650 |
| 2007 SERIES C BOND PREMIUM | $494,261 |
| DUE TO HQ LT | $6,918,657 |
| DUE FROM THIRD PARTIES | $937,081 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $29,266,269 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| RETRO PAYABLE TO 3RD PARTY PAY | $4,876,440 |
| PENSION BENEFIT OBLIGATION | $8,563,231 |
| DUE TO AFFILIATES HQ LT | $841,667 |
| FIN 47 LIABILTY | $333,761 |
| MED MALL INSURANCE LIABILITY | $6,918,657 |
| DUE TO AFFILIATES | $2,261,865 |
| DEFERRED COMPENSATION | $510 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,796,131 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $182,344,799 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,674,107 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $16,225,583 | OtherRevenueAmt |
| Revenue Not Reported | $19,899,690 | RevenueNotReportedAmt |
| Revenue Subtotal | $162,445,109 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $162,445,109 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $152,251,708 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $152,251,708 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $152,251,708 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D PART XI LINE 2D - ADDITIONAL PENSION LIABILITY | Pension related changes other than net periodic pension costs $15,846,983 |
| SCHEDULE D PART XI LINE 2D - TRANSFER OF EQUITY | TRANSFER OF EQUITY ($739,232) |
| SCHEDULE D PART XI LINE 2D - INTEREST IN PHC FOUNDATION | INTEREST IN PHC FOUNDATION $1,117,832 |
| SCHEDULE D PART V LINE 4 - ENDOWMENT FUNDS | THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,127,278 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,661,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,466,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,811,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,332,782 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,478,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,938,881 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,993,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,944,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 964 | PersonsServedCnt |
| Total Community Benefit Expns | $15,633 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,633 | NetCommunityBenefitExpnsAmt |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $203,582 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $203,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $26,780 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,780 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 964 | PersonsServedCnt |
| Total Community Benefit Expns | $245,995 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $245,995 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 964 | PersonsServedCnt |
| Total Community Benefit Expns | $14,184,876 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,993,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,190,940 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04600 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,082,532 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,541,266 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $49,108,601 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $62,732,726 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,624,125 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | Facility Reporting GroupFacilityReportingGroupCd | General Medical And SurgicalGeneralMedicalAndSurgicalInd |
|---|---|---|---|---|---|---|---|---|
| PUTNAM HOSPITAL CENTER | ||||||||
| 1 | 670 STONELEIGH AVENUE | CARMEL | NY | 10512 | WWW.HEALTH-QUEST.ORG | Yes (X) | A | |
| PHC OUTPATIENT REHABILITATION SERVICE | ||||||||
| 2 | 2985 NAVAJO ROAD | YORKTOWN | NY | 10598 | WWW.HEALTH-QUEST.ORG | A | Yes (X) | |
| PUTNAM HOSPITAL CENTER OP REHAB CTR | ||||||||
| 3 | 551 ROUTE 22 | PAWLING | NY | 12564 | WWW.HEALTH-QUEST.ORG | A | Yes (X) | |
| PUTNAM HOSPITAL CENTER OUTPATIENT | ||||||||
| 4 | 160 HARRIS ROAD | BEDFORD HILLS | NY | 10507 | WWW.HEALTH-QUEST.ORG | A | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUTNAM HOSPITAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.HEALTH-QUEST.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Permit Lien On Residence | Yes (X) | PermitLienOnResidenceInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| Liens On Residences | Yes (X) | LiensOnResidencesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 3 | Putnam Hospital Center was part of the Putnam County Department of Health's MAPP - Mobilizing for Action through Planning and Partnership. Over 70 agencies participated in the MAPP including the Mental Health Association, American Cancer Society, Planned Parenthood, Putnam ARC, the United Way of Westchester & Putnam County, the Visiting Nurse Service, the Veterans Task Force and multiple school districts, physician practices. |
| PART V, SECTION B, LINE 4 | Putnam Hospital is the only hospital in Putnam County |
| PART V, SECTION B, LINE 5D | The CHNA was also printed and distributed throughout the hospital, including the main lobby, patient waiting areas and hospital administration. |
| PART V, SECTION B, LINE 7 | PCDOH identified two priorities: 1) prevent chronic disease and 2) promote mental health and prevent substance abuse. Those key areas were further broken down into focus areas. Chronic disease focus areas: 1) obesity, 2) chronic disease and 3) reducing illness, disability and death related to tobacco use. The mental health priority areas were 1) promote mental, emotional and behavior well-being in communities and 2) prevent suicide among youth and adults. PHC elected to focus on preventing suicide among youth and adults and reducing illness, disability and death related to tobacco use. PHC still supports the remaining activities through hospital activities, support groups, lectures and special events. |
| PART V, SECTION B, LINE 20D | IN 2013, THE SELF-PAY RATE WAS EQUIVALENT TO THE HOSPITAL'S HIGHTEST VOLUME COMMERCIAL PAYOR'S REIMBURSEMENT FOR THE SERVICE IN QUESTION. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C | N/A |
| PART I, LINE 6A | PUTNAM HOSPITAL CENTER PREPARES A COUNTY WIDE COMMUNITY SERVICE REPORT. |
| PART I, LINE 7, COLUMN F | TOTAL BAD DEBT EXPENSE = $6,100,010 |
| PART I, LINE 7 | COST TO CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY. WORKSHEET #2 WAS USED TO DERIVE THE PERCENTAGE. |
| PART III, SECTION A, LINE 2,3 AND 4 | LINE 2 - BAD DEBT EXPENSE WAS GROSSED UP TO GROSS CHARGES AND THEN THE COST TO CHARGE RATIO PERCENTAGE DERIVED FROM WORKSHEET #2 WAS USED TO CALCULATE THE VALUE AT COST. SELF PAY ACCOUNTS, ONCE DETERMINED A LACK OF INSUFFICIENCY OF INSURANCE, AND ONCE THE PATIENT HAS RECEIVED GOVERNMENT PAYOR DENIAL, THE ACCOUNTS ARE ADJUSTED DOWN TO THE HIGHEST VOLUME COMMERCIAL PAYOR RATE. AFTER THE ACCOUNT IS DEEMED UNCOLLECTIBLE, THE ACCOUNT IS WRITTEN OFF TO BAD DEBT EXPENSE AT ADJUSTED CHARGES LESS ANY PAYMENTS MADE ON THE ACCOUNT LINE 3 - 50% OF THESE PATIENTS WOULD MOST LIKELY QUALIFY FOR CHARITY CARE IF THEY WERE COOPERATIVE IN FILING THE PAPERWORK, ASSOCIATED WITH GOVERNMENT ASSISTANCE. LINE 4 - FOOTNOTE ON AUDITED FINANICALS - FEDERAL AND STATE LAW REQUIRES THE HOSPITALS TO PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNINSURED PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW THE HOSPITAL TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. UNCOLLECTIBLE AMOUNTS DUE FROM SUCH UNINSURED PATIENT'S REPRESENT THE SUBSTANTIAL PORTION OF THE PROVISION FOR BAD DEBTS REFLECTED IN THE ACCOMPANYING STATEMENT OF OPERATIONS. |
| PART III, SECTION B, LINE 8 | THE MEDICARE SHORTFALL SHOULD BE INCLUDED IN OUR COMMUNITY BENEFIT PERCENTAGE BECAUSE WE ARE INCURRING THE FULL COST OF CARE FOR THE PATIENTS IN OUR COMMUNITY AND OUR REIMBURSEMENT FROM GOVERNMENT PROGRAMS, INCLUDING MEDICARE, DOES NOT COVER THE HOSPITALS COST TO PROVIDE HIGH QUALITY PATIENT CARE. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL IS COST TO CHARGE RATIO AND WORKSHEET #2 WAS USED. |
| PART III, SECTION C, LINE 9B | HEALTH QUEST MAY CHOOSE TO SEND ANY DELIQUENT ACCOUNT TO A COLLECTION AGENCY, HOWEVER, BEFORE REFERRING A DELIQUENT ACCOUNT TO A COLLECTION AGENCY, HEALTH QUEST WILL REVIEW THE ACCOUNT TO DETERMINE WHETHER THE PATIENT HAS APPLIED FOR A DISCOUNT UNDER THE CHARITY CARE POLICY AND THE STATUS OF SUCH APPLICATION. IF THE PATIENT HAS APPLIED FOR A DISCOUNT, THE ACCOUNT MAY NOT BE REFERRED TO A COLLECTION AGENCY UNTIL A FINAL DETERMINATION OF SUCH APPLICATION IS MADE AND IF ANY APPEAL OF SUCH DETERMINATION IS PROVIDED FOR IN THE CHARITY CARE POLICY, A FINAL DETERMINATION HAS BEEN MADE WITH RESPECT TO SUCH APPEAL. PATIENTS MAY STILL APPLY FOR A DISCOUNT UNDER THE CHARITY CARE POLICY EVEN AFTER THE ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY. |
| PART V, LINE 14G | FINANCIAL ASSISTANCE POSTERS ARE HUNG UP IN VARIOUS AREAS OF THE HOSPITAL, STATING WHO TO CONTACT REGARDING THE POLICY. FOR PATIENTS THAT INQUIRE ABOUT FINANCIAL ASSISTANCE, THE POLICY IS PROVIDED TO THE PATIENT ALONG WITH ASSISTANCE IN COMPLETING THE APPLICATIONS. |
| PART V, LINE 20D | THE HOSPITAL FACILITY USES THE HIGHEST VOLUME COMMERCIAL PAYOR RATE TO BILL INDIVIDUALS WHO DO NOT HAVE INSURANCE. |
| PART VI, LINE 2 NEEDS ASSESSMENT | In 2013, The Putnam County Department of Health (PCDOH) initiated and facilitated the Mobilizing for Action through Planning and Partnerships (MAPP) strategic planning process with its community partners. The PCDOH has had a long-standing history of working with the community through its Live Healthy Putnam Coalition and Bioterrorism/Disaster Preparedness Task Force. These coalitions formed the basis to reach out to those individuals both at the organizational and individual level who wanted to participate in the MAPP planning process. Representatives from seventy agencies participated, including the Mental Health Association, American Cancer Society, Planned Parenthood, Putnam ARC, the United Way of Westchester & Putnam County, the Visiting Nurse Service, the Veterans Task Force, and multiple school districts, physician practices and hospitals. The MAPP process uses four unique assessments to determine community priorities. The four assessments are: Community Health Status, Local Public Health System, Community Themes and Strengths, and Forces of Change. These four assessments inform the development of the Community Health Improvement Plan (CHIP). The public was engaged through Web-based electronic surveys. Paper surveys were provided to individuals without computer access and to residents in waiting rooms, at local events and meetings. Focus groups were conducted with targeted groups that represented a section of the Putnam population that were identified as high risk. In June of 2013, the Putnam County Health Department and Putnam Hospital Center hosted a well-attended community health summit. Representatives from many community agencies were presented with survey and focus group results and then broken into groups to determine priorities and best-practice interventions. Through the MAPP process two overarching priorities were identified and served as a foundation for developing Putnam County's CHIP. They are: 1. Prevent Chronic Diseases 2. Promote Mental Health and Prevent Substance Abuse Two Steering Committees, made up of dedicated community partners were formed under the guidance of the PCDOH. Committee members worked to develop a formal CHIP Action Plan to address specific areas within each priority to focus on over the next five years (2013-2017). Strategies and activities were identified with corresponding timelines and responsible parties to achieve specific measurable objectives. With the input of Putnam Hospital Center and other community partners, the Putnam County Department of Health developed the following focus areas based on the identified chronic disease health priority: 1. Focus Area One: Reduce Obesity in Children and Adults 2. Focus Area Two: Promote Chronic Disease Self-Management education, including disparate populations 3. Focus Area Three: Reduce Illness, Disability and Death Related to Tobacco Use and secondhand smoke exposure The following focus areas were developed in response to the identified mental health priority: 1. Focus Area One: Promote Mental, Emotional and Behavioral (MEB) Well-Being in Communities 2. Focus Area Two: Prevent Suicides Among Youth and Adults Putnam Hospital Center: Three Year Plan of Action Putnam Hospital has chosen its two Prevention Agenda Initiatives based largely on its well-developed mental health program. 1. Prevent Suicides Among Youth and Adults. PHC already has screening for suicide risk in place for inpatients. Our objectives involve expanding the screenings to emergency patients, conforming to best practices and increasing community awareness. Priority Area: Promote Mental Health and Prevent Substance Abuse Goal: Increase Suicide Risk Assessment, Prevention and Intervention Reduce the suicide rate of adults in Putnam County Performance Measures Objective 1: Increase Internal Screening and Communication to include outpatients Indicator Source 100% of PHC patients will be screened for suicide risk Internal EMR data 100% of PHC patients with a positive screening will receive a mental health consult and appropriate referral Internal EMR data Objective 2: Increase community awareness of warning signs of suicide and available resources Indicator Source 90% of class/lecture attendees demonstrate increased knowledge of subject matter Survey Results Action Plan Objective 1 Activity Target Date Partners Change EMR to include best-practice Columbia Suicide Severity Rating Scale 12/31/2013 None Required Develop protocols for referrals for positive screenings Med-Surg done; ED 12/31/2013 None required Add suicide hotline information to discharge materials given to all patients. 12/31/2014 PCDOH, Mental Health Association Develop a process for education and training of nurses who provide care and treatment to people at risk for suicide (in psychiatric setting) 12/31/2014 PCDOH, Mental Health Association Objective 2 Activity Target Date Partners Host or sponsor at least 1 SAFE talk, 1 ASSIST, and 1 Project Connect community class in year one. 12/31/2014 PCDOH, Mental Health Association, Putnam Family and Community Services Host or sponsor at least 1 SAFE talk, 1 ASSIST, and 1 Project Connect community class in year two. 12/31/2015 PCDOH, Mental Health Association, Putnam Family and Community Services Host or sponsor at least 1 SAFE talk, 1 ASSIST, and 1 Project Connect community class in year three. 12/31/2016 PCDOH, Mental Health Association, Putnam Family and Community Services Host at least one professional education event in year one 12/31/2014 Community Health providers, PCDOH Host at least one professional education event in year two 12/31/2015 Community Health providers, PCDOH Host at least one professional education event in year three 12/31/2016 Community Health providers, PCDOH 2. Reduce Illness, Disability and Death Related to Tobacco Use and secondhand smoke exposure Priority Area: Prevent Chronic Diseases Goal: Reduce Illness, Disability and Death Related to Tobacco Use and Secondhand Smoke Exposure Reduce the percentage of County Residents who self-report as smokers. Disparity: Reduce the percentage of those with poor mental health who smoke. Performance Measures Objective 1: Increase the number of PHC patients calling the NYS Quitline by 10% Indicator Source Improvement over baseline of calls tagged with PHC NYS Quitline Objective 2: Increase the number of PHC mental health patients who seek assistance to quit smoking by 15% Indicator Source IP and partial program patients who call the Quitline will increase by 10% over baseline Internal data, NYS Quitline Objective 3: Obtain a 25% rate of support group attendees who are smoke-free after six months 25% of support group attendees will be smoke-free after 6 months Internal data/phone survey Action Plan Objective 1 Activity Target Date Partners Adopt 5A questions into EMR 12/31/2014 VBMC, NDH Obtain baseline data from NYS Quitline 12/31/2013 NYS, PCDOH Insure that all smoking patients are referred to NYS Quitline None required Increase calls to Quitline from PHC patients 4% over baseline by end of year one. 12/31/2014 PCDOH Increase calls to Quitline from PHC patients 7% over baseline by end of year two. 12/31/2015 PCDOH Increase calls to Quitline from PHC patients 10% over baseline by end of year three. 12/31/2016 PCDOH Objective 2 Activity Target Date Partners Develop protocol to screen all partial program patients for smoking and NYS Quitline use to determine baseline. 12/31/2013 Develop pre- and post- program questionnaire using Likert scale. 12/31/2013 Develop protocol to refer all partial program patients who self report as smokers to the NYS Quitline and the PHC support group. 12/31/2013 Increase calls to Quitline from partial program patients 4% over baseline by end of year one. 12/31/2014 Increase calls to Quitline from PHC patients 7% over baseline by end of year two. 12/31/2015 Increase calls to Quitline from PHC patients 10% over baseline by end of year three. 12/31/2016 Objective 3 Activity Target Date Partners Notes Work with community partners to identify appropriate facilitator and best practices for support group 12/31/2013 PCDOH, POW'R Cessation Center, Open Door Obtain a first-year enrollment of 20 smokers with 25% smoke-free after six months 12/31/2014 PCDOH, POW'R Cessation Center, Open Door Goal subject to facilitator's input Obtain a second-year enrollment of 25 smokers with 25% smoke-free after six months 12/31/2015 PCDOH, POW'R Cessation Center, Open Door Goal subject to facilitator's input Obtain a third-year enrollment of 30 smokers with 25% smoke-free after six months 12/31/2016 PCDOH, POW'R Cessation Center, Open Door Goal subject to facilitator's input Priorities Not Formally Addressed It is important to note that, while not formally chosen for detailed inclusion in this report, Putnam Hospital Center engages in many community benefit activities, some of which touch upon priorities identified during the CHNA process. We remain committed to our partnership with PCDOH and community agenc |
| PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | We have a Health Quest wide financial assistance policies and procedures that are in place at each hospital. The HQ Financial Assistance policy/worksheet is displayed on the back of each patient statement, there are financial assistance posters hanging within the registration areas, and the HQ Financial Assistance policy is displayed on the HQ website. In addition, the financial counselors, at each hospital, attempt to contact each self-pay patient to screen the patient for Financial Assistance and make the patient aware of their options. The folder given to each patient in the ED contains literature about the financial assistance policy. Our customer service reps are all educated on the Financial Assistance policy and explain this to the patients if they ask. |
| PART VI, LINE 4 COMMUNITY INFORMATION | PHC is the only hospital in Putnam County. Eighty percent of its patient population comes from the eastern half of Putnam County, with the service area extending north to the southeast corner of Dutchess County and south to select bordering zip codes in Northern Westchester County. Data indicates that residents of the western half of Putnam County receive medical care primarily at Hudson Valley Hospital Center and, to a lesser degree, other Westchester hospitals due to natural geographic and transportation barriers. The population of the PHC service area is projected to decline, particularly among children and women of childbearing age. The number of people aged 65 and older, however, is projected to increase significantly. |
| PART IV, LINE 5 PROMOTION OF COMMUNITY HEALTH | Health Quest is a nonprofit organization that effectively serves as a leader in the promotion of community health. Health Quest was formed through an affiliation of three local hospitals: Northern Dutchess Hospital (Rhinebeck, NY), Putnam Hospital Center (Carmel, NY) and Vassar Brothers Medical Center (Poughkeepsie, NY). In addition to the hospitals and their foundations, Health Quest also counts among its many partners: long-term care facilities, a free-standing radiation oncology center, a cardiology center, urgent care centers, a multi-specialty medical practice, a skilled nursing facility, and a home care service providing for the healthcare needs of our entire region. Health Quest hospitals meet on a regular basis with community agencies and stakeholders. Each hospital has a Community Health Needs Committee with representation from throughout the organization and the community. Each committee oversees the development of community health needs assessments and community health improvement plans. Health Quest employees serve as leaders in the promotion of community health. Many regularly venture into the community to provide educational lectures and health screenings that encourage preventative medicine. Health Quest actively sponsors a number of health-related fundraisers for other nonprofit organizations, including regional chapters of the Heart Association, American Cancer Society and Alzheimer's Association, throughout each year. Employees are also active members of the community and serve as volunteers and community board members, and do outreach for public benefit on behalf of Health Quest. |
| PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM | HEALTH QUEST SYSTEMS, INC (DBA HEALTH QUEST) IS THE ACTIVE PARENT COMPANY TO ALL AFFILIATED HOSPITALS. HEALTH QUEST ACTS ON BEHALF OF THE HOSPITALS IN SOME COMMUNITY ASSESSMENT ACTIVITIES. HEALTH QUEST HAS TRANSITIONED TO A MODEL IN WHICH IT WILL SUPERVISE BOARD COMMITTEES AT EACH HOSPITAL AS THEY ASSESS COMMUNITY NEEDS, PLAN APPROPRIATE PROGRAMS AND MONITOR THEM FOR EFFECTIVENESS. |
| PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT | PUTNAM HOSPITAL CENTER FILES A COUNTY WIDE COMMUNITY SERVICE PLAN WITH NYS DEPARTMENT OF HEALTH. |
Schedule I IRS990ScheduleI
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN HEART ASSOCIATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 229 MANCHESTER ROAD | AddressLine1 |
| City | POUGHKEEPSIE | City |
| State | NY | State |
| ZIP Code | 12603 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash Grant | $13,000 | CashGrantAmt |
| Purpose Of Grant | RESEARCH AND DEVELOPMENT OF CARDIAC PROGRAMS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1 LINE 2 | FormAndLineReferenceDesc |
| Explanation | Sponsorship Policy: Criteria for Sponsoring a Community Organization: Health Quest (HQ) recognizes the value and benefits of sponsoring other community organizations throughout the year. The following section outlines the criteria for when it is appropriate to do so: Marketing Opportunity - Health Quest will sponsor community events when the benefits provided to our organization allow for a significant amount of marketing, name recognition and general publicity. The desired amount of marketing for HQ will determine the sponsorship level chosen. Relative to Healthcare - Health Quest will sponsor organizations and their events that directly relate to our mission as a healthcare system. HQ Executive is a member of the Organization's Board - Health Quest will sponsor community events when our Executives serve on the organization's board and feel it is of value to provide support to them. The Honoree of the Event is Linked to HQ - Health Quest will sponsor community events when the honoree(s) of the event are directly related to Health Quest (ie: one of our employees, board members, etc.) | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAUREEN ZIPPARO | ||||||||||||||
| PRESIDENT/COO | $0 | $312,249 | $0 | $64,074 | $0 | $0 | $0 | $15,300 | $0 | $26,370 | $0 | $417,993 | $0 | $15,000 |
| JEFFREY KELLOGG | ||||||||||||||
| SVP DEV & COMMUNITY AFFAIRS | $0 | $197,531 | $0 | $23,079 | $0 | $36,047 | $0 | $13,237 | $0 | $19,689 | $0 | $289,583 | $0 | $12,597 |
| SHARON GILCHRIST | ||||||||||||||
| REGISTERED NURSE | $162,538 | $0 | $10,000 | $0 | $0 | $0 | $13,778 | $0 | $8,348 | $0 | $194,664 | $0 | $13,158 | $0 |
| JOAQUIN MAXINO | ||||||||||||||
| REGISTER NURSE | $163,352 | $0 | $0 | $0 | $0 | $0 | $18,098 | $0 | $21,841 | $0 | $203,291 | $0 | $18,429 | $0 |
| MAUREEN PACE | ||||||||||||||
| AVP CLINICAL RESOURCE MGMT | $159,255 | $0 | $20,607 | $0 | $1,479 | $0 | $11,912 | $0 | $10,322 | $0 | $203,575 | $0 | $4,331 | $0 |
| MICHAEL T WEBER | ||||||||||||||
| FORMER CEO | $0 | $147,819 | $0 | $312,531 | $0 | $1,191,731 | $0 | $15,300 | $0 | $27,400 | $0 | $1,694,781 | $0 | $15,000 |
| MARYANN KEPPLE | ||||||||||||||
| TREASURER | $0 | $425,345 | $0 | $97,020 | $0 | $46,798 | $0 | $15,300 | $0 | $7,761 | $0 | $592,224 | $0 | $15,000 |
| FREDERICK THOMAS | ||||||||||||||
| FORMER CORPORATE SECRETARY | $0 | $107,977 | $0 | $67,265 | $0 | $291,885 | $0 | $6,271 | $0 | $1,504 | $0 | $474,902 | $0 | $15,000 |
| JOHN CONLON MD | ||||||||||||||
| CMO | $0 | $307,764 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,745 | $0 | $330,509 | $0 | $0 |
| MAUREEN SIMINGTON | ||||||||||||||
| DIRECTOR MED/SURG SERVICES | $144,393 | $0 | $9,606 | $0 | $0 | $0 | $12,917 | $0 | $23,986 | $0 | $190,902 | $0 | $0 | $0 |
| NORMA KURTZ | ||||||||||||||
| MEDICAL DIRECTOR QUALITY/PT OU | $145,982 | $0 | $9,457 | $0 | $5,982 | $0 | $12,049 | $0 | $9,234 | $0 | $182,704 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | SEVERANCE PAYMENTS WERE PAID FROM A RELATED ORGANIZATION FOR TWO OFFICERS MICHAEL T. WEBER (HQ CEO) - 24 MONTHS, EFFECTIVE TERM DATE 3/11/2013 - $734,392, PAID IN 2013 FREDERICK THOMAS - 12 MONTHS, EFFECTIVE TERM DATE 6/30/2013 - $243,858, PAID IN 2013 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORMITORY AUTHORITY - STATE OF NEW YORK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 146000293 | BondIssuerEIN |
| CUSIP | 649903UK5 | CUSIPNum |
| Bond Issued | 2007-09-06 | BondIssuedDt |
| Issue Price | $28,161,751 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF FACILITY | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,570,306 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $30,073,820 | TotalProceedsAmt |
| In Reserve Fund | $2,017,828 | InReserveFundAmt |
| Capitalized Interest | $572,477 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $387,734 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $443,713 | CreditEnhancementAmt |
| Working Capital Expenditures | $655,855 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $23,608,165 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $2,388,049 | UnspentAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | Yes (true) | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A, COLUMNE E | TOTAL ISSUE PRICE PER IRS FORM 8038 - $61,974,071.30 ALLOCATED BETWEEN THREE ORGANIZATIONS. |
| PART II, LINE 3 | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. |
| PART IV, LINE 2C | (A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2011 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 PART VI SECTION A LINE 6, 7A AND 7B - GOVERNING | LINE 4 - GOVERNING DOCUMENTS - BY-LAWS FOR PHC WERE RE-WRITTEN AND APPROVED BY THE BOARD ON 11/20/2013. THE BY LAWS CONTINUE TO SUPPORT THE TAX EXEMPT STATUS OF PHC. KEY COMPONENTS ARE DETAILED BELOW. LINE 6 - THE SOLE MEMBER OF PHC IS HEALTH QUEST SYSTEMS, INC LINES 7A - APPOINTMENT/ELECTION OF OFFICERS 6.01 Officers. The Officers of PHC shall be a Chair, First Vice-Chair, Second Vice-Chair, Secretary/Treasurer, and President/Chief Operating Officer. From time to time, the Board of Trustees may appoint such other Officers with powers and duties not inconsistent with these Bylaws. Any two or more offices may be held by the same person, except the offices of Chair, President/Chief Operating Officer and Secretary/Treasurer. 6.02 Election. The Chair of the Board, First Vice-Chair, Second Vice-Chair and the President/Chief Operating Officer shall be elected by Health Quest. The Secretary/Treasurer and other Officers shall be elected by a vote of the majority of the entire Board of Trustees at a meeting of the Board of Trustees. All Officers shall serve for a term of two (2) years until successors are elected and qualified, such term commencing at the close of the meeting at which they are elected. Officers may be elected for no more than one (1) term. 6.03 Vacancies. A vacancy occurring in any office during the year may be filled by a vote of a majority of the entire Board of Trustees for the remainder of the term thereof at the next Annual Meeting or any regular meeting of the Board or at a special meeting called for such purpose, provided that a vacancy in the office of Chair of the Board, First Vice-Chair, Second Vice-Chair or President/Chief Operating Officer may be filled only by Health Quest. 6.04 Removal. Any Officer may be removed from office, with or without cause, by an affirmative vote of two-thirds (2/3) of the entire Board of Trustees at any meeting of the Board, except the Chair of the Board, First Vice-Chair, Second Vice-Chair and the President/Chief Operating Officer may be removed only by Health Quest. 6.05 Duties and Responsibilities. (a) Chair. The Chair shall preside at all meetings of the Board of Trustees. In accordance with Articles VII and VIII, the Chair also shall (i) appoint the Committee Chairs and members of all Committees of the Board (except the Executive Committee) and ad hoc committees, (ii) serve as an ex-officio member, with vote, on each Committee, and (iii) serve as the Chair of the Executive Committee. The Chair shall perform such other duties as may be provided for by law, these Bylaws, or resolution of the Board of Trustees. (b) First Vice-Chair. In the absence of the Chair, the First Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the First Vice-Chair shall have all the powers and authority of the Chair. The First Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (c) Second Vice-Chair. In the absence of the Chair and First Vice-Chair, the Second Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the Second Vice-Chair shall have all the powers and authority of the Chair. The Second Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (d) Secretary/Treasurer. (i) The Secretary/Treasurer shall be responsible for such books, documents, and papers as the Board may determine. The Secretary/Treasurer shall cause minutes to be kept for all meetings of the Board of Trustees, may sign any contracts or agreements with the Chair, the President/Chief Operating Officer, the First Vice-Chair or Second Vice-Chair in the name of PHC if so authorized or ordered by the Board, and may affix the seal of PHC to written instruments when so authorized or ordered by the Board. The Secretary/Treasurer shall perform such other duties as shall be assigned by the Board of Trustees and as are incidental to the office of secretary of a not-for-profit corporation. (ii) The Secretary/Treasurer shall either personally perform, or ensure that appropriate employees of PHC perform, the following functions: receive and care for all monies and properties belonging to PHC and dispose of the same under the direction of the Board of Trustees, receive and give receipts for all amounts due to PHC, endorse checks in its name and on its behalf, receive full discharge for the same in accordance with these Bylaws, and perform such other duties as assigned by the Board of Trustees and as are incidental to the office of treasurer of a not-for-profit corporation. (e) President/Chief Operating Officer. The President/Chief Operating Officer shall serve as the chief executive officer of PHC and shall have the authority and responsibility to manage and operate PHC in all its activities, subject to these Bylaws, the Certificate of Incorporation, and such policies as may be adopted from time to time by the Board of Trustees or Health Quest. The President/Chief Operating Officer's responsibilities shall include, but are not limited to, the following: (i) Acting under the direction of and being accountable to the Board of Trustees of PHC and Health Quest; (ii) Providing effective liaison between the Board of Trustees and management; (iii) Appointing (either personally or through delegation to responsible subordinates), and PHC shall employ, such personnel as may be required to conduct the affairs of PHC; (iv) Ensuring that all activities are properly organized, directed and accounted for as established by the Board of Trustees; (v) Providing reports to the Board of Trustees to keep the Board fully informed of the affairs of PHC; (vi) Performing all duties required by law; and (vii) Unless otherwise provided for herein, performing (either personally or through delegation to responsible subordinates) all acts and executing all documents necessary to carry out the duties of the position of President/Chief Executive Officer. LINE 7B - 4.01 Powers of the Board of Trustees. The business and property of PHC shall be managed by PHC's Board of Trustees and Health Quest, as the co-established operator of PHC. Although Health Quest may elect from time to time to delegate to and/or act jointly with the PHC Board of Trustees, Health Quest has the authority to exercise independently its established powers and rights in its capacity as the co-established operator. Any such delegated authority shall at all times remain subject to the oversight, modification or repeal of Health Quest as the co-established operator of PHC. Without limiting the foregoing powers, Health Quest shall consult with the PHC Board of Trustees before modifying or repealing any joint operating authority delegated under Section 4.02. 4.02 Joint Operating Authority Delegated to PHC. Subject to Sections 2.02 and 4.01, the Board of Trustees of PHC shall have the following operating authority as delegated by Health Quest: (a) Quality Assurance. Apply and execute the quality assurance standards and any quality assurance policies and plans adopted by Health Quest. (b) Medical Staff Credentialing and Bylaws. Apply and execute the Medical Staff credentialing standards and any policies adopted by Health Quest, which includes being responsible for: (i) Appointing the members of the Medical Staff; (ii) Approving any Medical Staff appointments such as Medical Staff officers or department chairs requiring Board approval; (iii) Pursuant to the procedures set forth in the Bylaws of the Medical Staff, dismissing any member of the Medical Staff, and approving, rejecting or modifying any corrective action taken or recommended by the Medical Staff for any member of the Medical Staff; and (iv) Approving the Medical Staff Bylaws, Rules and Regulations. (c) Strategic Planning. Provide input to the system-wide strategic planning process and PHC-specific strategic plan, as requested and approved by Health Quest, and monitor the implementation of such plan. (d) Statements of Deficiency and Legal Compliance. Respond to any statements of deficiency issued by any regulatory or accrediting authority and take all appropriate and necessary action to monitor and restore compliance with deficiencies in PHC's compliance with statutory, regulatory or accreditation requirements, including but not limited to monitoring the submission and implementation of all plans of correction. (e) Conflicts of Interest. Implement and comply with the written Conflict of Interest Policy as approved by Health Quest and as interpreted and directed by the Compliance and Audit Committee of Health Quest. (f) Community Health Needs. Implement the statement of mission approved by Health Quest by developing a Community Service Plan tailored specifically to the work of PHC in the community it serves and monitoring performance thereof. (g) Budgets and Financial Performance. Assist in developing and monitoring the budgets for PHC, as requested by Health Quest and, as approved, monitor the financial perf |
| FORM 990 PART VI SECTION B LINE 11A, 12C, 15A AND 15B - POLICIES | LINE 11A - A COPY OF THE FORM 990 WAS EMAILED TO ALL MEMBERS OF THE BOARD. THE CHAIR OF THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED ALL SECTIONS RELATED TO EXECUTIVE COMPENSATION. A 3RD PARTY WAS HIRED TO PREPARE SCHEDULE K. PRICEWATERHOUSE COOPERS WAS CONSULTED IN THE PREPARATION OF SCHEDULE H. LINE 12C - ON AN ANNUAL BASIS OFFICERS, DIRECTOR 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 ON BEHALF OF PHC. LINE 15A/B -COMPENSATION OF THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HQ EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY. |
| FORM 990 PART VI SECTION C LINE 19 - DISCLOSURE | LINE 19 - POLICIES AND FINANCIAL STATEMENTS 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 FILING SUCH AS THE 990 AND BOND HOLDER REQUIREMENTS. |
| 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 Hudson Valley Home Care, Inc (Certified) 14-1788412 Home Health NY 501c3 Box 9 HQ Hudson Valley 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 K PART 1 LINE A COLUMN E | TOTAL ISSUE PRICE PER IRS FORM 8038 - $61,974.071.30, ALLOCATED AS FOLLOWS PUTNAM HOSPITAL CENTER - $28,161,750.68 NORTHERN DUTCHESS HOSPITAL - $15,718,407.82 VASSAR BROTHERS MEDICAL CENTER - $18,093,912.82 |
| SCH R PART V LINE 2 (1) AND (2) - ALLOCATION METHODOLOGY FOR HQ AND HQ LAB | 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 and admissions to the Thompson House from the hospitals) 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 Health Quest Laboratory Support Services, LLC provides clinical diagnostic services to affiliate hospitals. PHC covers the cost of lab services performed at PHC for both inpatient and outpatient services. |
| FORM 990 PART XI LINE 9 - RECONCILIATION OF NET ASSETS | ADDITIONAL PENSION LIABILITY - $15,846,983 TRANSFER OF EQUITY - ($739,232) INTEREST IN FOUNDATION - $1,428,805 NET ASSETS FROM RESTRICTIONS USED FOR OPERATIONS - ($919,907) |
| FORM 990 PART XIII LINE 3A - OMB CIRCULAR A-133 AUDIT | PUTNAM HOSPITAL CENTER DID NOT RECEIVE MORE THAN $500,000 IN FEDERAL AWARDS IN 2013, AND DID NOT QUALIFY FOR AN A-133 AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|
| HEALTH QUEST SYSTEMS INC | ||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 141678068 | SUPPORT SERV | BOX 9 | HQ | |
| SEE SCHEDULE O | ||||||||
| N/A | ||||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT KISCO SURGERY CENTER LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 SOUTH BEDFORD ROAD | AddressLine1 |
| City | MOUNT KISCO | City |
| State | NY | State |
| ZIP Code | 10549 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134158313 | EIN |
| Primary Activities | SURGERY SERVI | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MKMG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Share Of Total Income | $279,809 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | -$8,019 | ShareOfEOYAssetsAmt |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.20000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH QUEST SYSTEMS INC | ||
| P | $24,014,855 | SEE SCHEDULE O |
| HEALTH QUEST LABORATORY SUPPORT SERVICES LLC | ||
| P | $5,306,730 | SEE SCHEDULE 0 |
| HEALTH QUEST MEDICAL PRACTICE PC | ||
| A | $46,934 | RENT AT COST |
Comments