2014-11-10T16:47:59-06:00 2013-12-31 990 2013-01-01 146019179 PUTNAM HOSPITAL CENTER % KATHERINE BACHER INTERIM CF PUTN 8452795711 670 STONELEIGH AVENUE Suite CARMEL NY 10512 KATHERINE BACHER INTERIM CFO/SVP 8454759500 2014-11-10 2013 2015-11-30 17:44:51Z JAMES CALDAS PRESIDENT 670 STONELEIGH AVE CARMEL NY 10512 162445109 false X WWW.HEALTH-QUEST.ORG X NY PROVIDE ALL ASPECTS OF PATIENT CARE TO THE COMMUNITY 13 10 1069 261 5743 -1537 624842 1332564 157250731 154647216 1641203 1148154 4051408 5317175 163568184 162445109 0 26780 0 0 70034877 66896803 0 0 0 85474068 85328125 155508945 152251708 8059239 10193401 157549263 169614768 92820979 75402327 64728284 94212441 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. false false 61961117 82464968 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. 4265261 5676700 INPATIENT PSYCHIATRIC SERVICES: PSYCHIATRIC PATIENTS ADMITTED FOR TREATMENT - NUMBER OF PATIENTS 608; NUMBER OF PATIENT DAYS 5,387 49969801 26780 66505548 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. 116196179 true true false true false false false false true true false false true true false true true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true 0 0 1069 true true true false false false false false false false false false false false X 13 10 false false true false true true true true true false true true true true true true true true true true true true NY X KATHERINE BACHER INTERIM CF 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 KEIREN M FARQUHAR TRUSTEE 1.0 X 0 0 0 JAMES P DUSENBURY TRUSTEE 1.0 X 0 0 0 KAREN FLEMING FIRST VICE CHAIRMAN 2.0 X 0 0 0 JEFFREY J REDFIELD CHAIRMAN 2.0 X 0 0 0 JOEL S BUCHALTER MD MED STAFF PRESIDENT 1.0 X 0 0 0 ROBERT P MORINI SECOND VICE CHAIRMAN 2.0 X 0 0 0 WAYNE RYDER SECRETARY 1.0 X 0 0 0 MAUREEN ZIPPARO PRESIDENT/COO 1.0 40.0 X X 0 376323 41670 RAYMOND DURKIN TRUSTEE 1.0 X 0 0 0 LORETTA MOLINARI TRUSTEE 1.0 X 0 0 0 MITCHELL COHN MD TRUSTEE 1.0 X 0 0 0 ROBERT WAEGELEIN TRUSTEE 1.0 X 0 0 0 JOHN L MCGUINNESS CEO 0.0 20.0 X X 0 71179 0 MARYANN KEPPLE TREASURER 0.0 65.0 X 0 569163 23061 JEFFREY KELLOGG SVP DEV & COMMUNITY AFFAIRS 0.0 50.0 X 0 256657 32926 JOHN CONLON MD CMO 0.0 50.0 X 0 307764 22745 SHARON GILCHRIST REGISTERED NURSE 40.0 X 172538 0 22126 JOAQUIN MAXINO REGISTER NURSE 40.0 X 163352 0 39939 MAUREEN PACE AVP CLINICAL RESOURCE MGMT 40.0 X 181341 0 22234 MAUREEN SIMINGTON DIRECTOR MED/SURG SERVICES 50.0 X 153999 0 36903 NORMA KURTZ MEDICAL DIRECTOR QUALITY/PT OU 40.0 X 161421 0 21283 MICHAEL T WEBER FORMER CEO 0.0 40.0 X 0 1652081 42700 FREDERICK THOMAS FORMER CORPORATE SECRETARY 0.0 40.0 X 0 467127 7775 832651 3700294 313362 5 true true false 0 382592 949972 1332564 INPATIENT SERVICE REVENUE 900099 88141668 88141668 OUTPATIENT SERVICE REVENUE 900099 66519018 66519018 HOMECARE SERVICE REVENUE 621610 -13470 -13470 154647216 555027 555027 0 0 2091539 2091539 0 2091539 2091539 593127 593127 0 0 0 MEANINGFUL USE REVENUE 900099 1550108 1550108 CAFETERIA/MEAL SALES 900099 584902 584902 MANAGEMENT REVENUE 900099 193473 193473 897153 891410 5743 3225636 162445109 157867109 5743 3239693 26780 26780 0 0 0 0 0 48924703 42174231 6750472 5933405 5114733 818672 8235606 7099284 1136322 3803089 3278351 524738 0 0 0 2506 2506 0 0 166801 91129 75672 176 176 2798042 1934241 863801 99962 76887 23075 0 3919578 3298869 620709 16528 9592 6936 0 34040 20413 13627 1879475 1581839 297636 0 8384267 7056524 1327743 1193770 1004723 189047 PURCHASED SERVICES 31768976 9699116 22069860 MEDICAL SUPPLIES 20641813 20641813 BAD DEBT 6100010 6100010 PHYSICIAN FEES 4516682 4516682 3805499 2470786 1334713 152251708 116196179 36055529 0 183476 165179 7051958 21875880 0 0 17730191 17072514 0 0 0 0 39520 0 1987125 2301613 974664 1288122 175431224 102615241 70571638 72815983 20056123 24829208 0 0 0 0 0 0 38954568 29266269 157549263 169614768 16283814 15315625 0 0 0 0 35917812 35044530 0 0 0 0 1834353 1246041 0 0 38785000 23796131 92820979 75402327 X 58013417 88106498 5892128 5285076 822739 820867 64728284 94212441 157549263 169614768 X 10193401 3674107 15616649 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2506 2506 false SCHEDULE C PART II-B LINE 1I - LOBBYING ACTIVITIES 15.5% OF NORMET DUES PAID BY PUTNAM HOSPITAL CENTER ARE USED FOR POLITICAL EXPENDITURES 822739 -1872 820867 820638 2101 822739 823470 -2832 820638 821692 1778 823470 809499 12193 821692 1.00000 false false 1193282 1193282 76154467 31588425 44566042 91608448 69527584 22080864 6475028 1499232 4975796 72815984 DAVITA RESTRICTED CASH 632637 REFINANCING FEES 53392 INTEREST IN PHC FOUNDATION 11563638 DSRF 2007 SERIES B BONDS 5545865 DSRF 2007 SERIES C BONDS 991486 DUE FROM AFFILIATES 256184 MISC RECEIVABLES 412510 DSRF TELP LOAN TDBANK GENERAL 301429 DEF FINANCING 2007 SERIES B 1062479 DEF FINANCING 2007 SERIES C 96650 2007 SERIES C BOND PREMIUM 494261 DUE TO HQ LT 6918657 DUE FROM THIRD PARTIES 937081 29266269 0 RETRO PAYABLE TO 3RD PARTY PAY 4876440 PENSION BENEFIT OBLIGATION 8563231 DUE TO AFFILIATES HQ LT 841667 FIN 47 LIABILTY 333761 MED MALL INSURANCE LIABILITY 6918657 DUE TO AFFILIATES 2261865 DEFERRED COMPENSATION 510 23796131 182344799 3674107 16225583 19899690 162445109 162445109 152251708 152251708 152251708 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. true true X true X true X true true true false true true 4127278 1661154 2466124 0.01620 9811603 5332782 4478821 0.02940 13938881 6993936 6944945 0.04560 6 964 15633 15633 1 203582 203582 0.00040 1 26780 26780 8 964 245995 245995 0.00040 8 964 14184876 6993936 7190940 0.04600 true 3082532 1541266 49108601 62732726 -13624125 X true true 4 1 PUTNAM HOSPITAL CENTER 670 STONELEIGH AVENUE CARMEL NY 10512 WWW.HEALTH-QUEST.ORG X A 2 PHC OUTPATIENT REHABILITATION SERVICE 2985 NAVAJO ROAD YORKTOWN NY 10598 WWW.HEALTH-QUEST.ORG X A 3 PUTNAM HOSPITAL CENTER OP REHAB CTR 551 ROUTE 22 PAWLING NY 12564 WWW.HEALTH-QUEST.ORG X A 4 PUTNAM HOSPITAL CENTER OUTPATIENT 160 HARRIS ROAD BEDFORD HILLS NY 10507 WWW.HEALTH-QUEST.ORG X A PUTNAM HOSPITAL CENTER 1 true X X X X X 13 true true true X WWW.HEALTH-QUEST.ORG X X X X X X X X X X false false true true 200. true 300. true X X X X X X X true true X X X X X true X X X true X X X X X X X true X false false 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. 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. AMERICAN HEART ASSOCIATION 229 MANCHESTER ROAD POUGHKEEPSIE NY 12603 13000 RESEARCH AND DEVELOPMENT OF CARDIAC PROGRAMS 1 PART 1 LINE 2 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.) X X X X X true false false false false false false false false MAUREEN ZIPPARO PRESIDENT/COO 0 312249 0 64074 0 0 0 15300 0 26370 0 417993 0 15000 JEFFREY KELLOGG SVP DEV & COMMUNITY AFFAIRS 0 197531 0 23079 0 36047 0 13237 0 19689 0 289583 0 12597 SHARON GILCHRIST REGISTERED NURSE 162538 0 10000 0 0 0 13778 0 8348 0 194664 0 13158 0 JOAQUIN MAXINO REGISTER NURSE 163352 0 0 0 0 0 18098 0 21841 0 203291 0 18429 0 MAUREEN PACE AVP CLINICAL RESOURCE MGMT 159255 0 20607 0 1479 0 11912 0 10322 0 203575 0 4331 0 MICHAEL T WEBER FORMER CEO 0 147819 0 312531 0 1191731 0 15300 0 27400 0 1694781 0 15000 MARYANN KEPPLE TREASURER 0 425345 0 97020 0 46798 0 15300 0 7761 0 592224 0 15000 FREDERICK THOMAS FORMER CORPORATE SECRETARY 0 107977 0 67265 0 291885 0 6271 0 1504 0 474902 0 15000 JOHN CONLON MD CMO 0 307764 0 0 0 0 0 0 0 22745 0 330509 0 0 MAUREEN SIMINGTON DIRECTOR MED/SURG SERVICES 144393 0 9606 0 0 0 12917 0 23986 0 190902 0 0 0 NORMA KURTZ MEDICAL DIRECTOR QUALITY/PT OU 145982 0 9457 0 5982 0 12049 0 9234 0 182704 0 0 0 SCHEDULE J, PART I, LINE 4A 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 A DORMITORY AUTHORITY - STATE OF NEW YORK 146000293 649903UK5 2007-09-06 28161751 CONSTRUCTION OF FACILITY false false false A 3570306 0 30073820 2017828 572477 0 387734 443713 655855 23608165 0 2388049 2008 false false false true A false false false false 0 A false false false true false false 0 false 0 true true A false 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 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. HEALTH QUEST SYSTEMS INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141678068 SUPPORT SERV BOX 9 HQ SEE SCHEDULE O N/A MOUNT KISCO SURGERY CENTER LLC 34 SOUTH BEDFORD ROAD MOUNT KISCO NY 10549 134158313 SURGERY SERVI NY MKMG 279809 -8019 true 0.20000 true false false false false false false false false false false false false false true false false false HEALTH QUEST SYSTEMS INC P 24014855 SEE SCHEDULE O HEALTH QUEST LABORATORY SUPPORT SERVICES LLC P 5306730 SEE SCHEDULE 0 HEALTH QUEST MEDICAL PRACTICE PC A 46934 RENT AT COST