NUVANCE HEALTH MEDICAL PRACTICE PC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NUVANCE HEALTH MEDICAL PRACTICE PC (EIN 56-2669185)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201303179349301295
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T09:35:49-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562669185 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH QUEST MEDICAL PRACTICE PC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARYANN KEPPLE CFO | InCareOfName |
| Name Control | HEAL | NameControl |
| Phone | 8454759500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1351 ROUTE 55 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | LAGRANGEVILLE | City |
| State | NY | State |
| ZIP Code | 12540 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARYANN KEPPLE | Name |
| Title | CF0/SVP | Title |
| Phone | 8454759500 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DR RONALD TATELBAUM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1351 ROUTE 55 | AddressLine1 |
| City | LAGRANGEVILLE | City |
| State | NY | State |
| ZIP Code | 12540 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 55394224 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH OF THE COMMUNITIES THAT WE SERVE IN THE HUDSON VALLEY BY PROVIDING QUALITY PATIENT CARE BASED ON OUR COMMITMENT TO EXCELLENCE, INNOVATION AND STATE-OF-THE-ART TECHNOLOGIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 1 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 376 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 49589192 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 54058927 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6571 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 77455 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1328726 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 49666647 | TotalRevenuePriorYear |
| Total Revenue Current Year | 55394224 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 40943255 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 44980115 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17951207 | OtherExpensePriorYear |
| Other Expenses Current Year | 21916880 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 58894462 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66896995 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -9227815 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -11502771 | RevenuesLessExpensesCY |
| Total Assets BOY | 24268660 | TotalAssetsBOY |
| Total Assets EOY | 24567615 | TotalAssetsEOY |
| Total Liabilities BOY | 23901223 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 25189470 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 367437 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -621855 | NetAssetsOrFundBalancesEOY |
| Mission Description | HEALTH QUEST MEDICAL PRACTICE PROVIDES MULTISPECIALTY PHYSICIAN SERVICES TO PATIENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 60570673 | Expense |
| Revenue | 54058927 | Revenue |
| Description | TO PROVIDE MULTISPECIALTY HOSPITAL BASED AND RETAIL BASED HEALTH CARE INCLUDING ONCOLOGY, CRITICAL CARE, CARDIOTHORACIC SURGERY, SURGICAL SERVICES, OBGYN, NEWBORN CARE, AND PRIMARY PHYSICIAN CARE TO PATIENTS IN VARIOUS SERVICE AREAS. | Description |
| Total Program Service Expense | 60570673 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 376 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 1 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARYANN KEPPLE CFO | NamePerson |
| Telephone Number | 8454759500 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MARYANN KEPPLE | ||||||||
| TREASURER | 0.0 | 60.0 | X | 0 | 506786 | 18731 | ||
| ARUN AGARWAL MD | ||||||||
| PRESIDENT/CEO HQMP & HQUMCP | 0.0 | 40.0 | X | 0 | 501154 | 46905 | ||
| FREDERICK THOMAS | ||||||||
| CORPORATE SECRETARY | 0.0 | 70.0 | X | 0 | 368198 | 34912 | ||
| MOHAN SARABU MD | ||||||||
| MEDICAL DIRECTOR-CARDIAC SURG | 80.0 | 1197699 | 0 | 37870 | X | |||
| CINDY JACOBS | ||||||||
| COO HQMP & HQUMCP | 0.0 | 55.0 | 0 | 293207 | 30824 | X | ||
| PETER ZAKOW MD | ||||||||
| PHYSICIAN-CARDIAC SURGERY | 80.0 | 546754 | 0 | 48936 | X | |||
| ROHIT SHAHANI MD | ||||||||
| PHYSICIAN - CARDIAC SURGERY | 80.0 | 535075 | 0 | 43345 | X | |||
| ALI HAMMOUD MD | ||||||||
| PHYSICIAN - CARDIOLOGY | 55.0 | 828097 | 0 | 29345 | X | |||
| JOSEPH CHRISTIANA MD | ||||||||
| PHYSICIAN - CARDIOLOGY | 55.0 | 822860 | 0 | 34736 | X | |||
| JOHN MCNULTY MD | ||||||||
| PHYSICIAN - NEUROLOGY | 60.0 | 642450 | 0 | 27909 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4572935 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1669345 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 353513 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| PROVIDE MEDICAL CARE AND SERVICES | 34385019 | 34385019 |
| PROVIDE CLINIC MEDICAL CARE AND SERVICES | 666083 | 666083 |
| ADMINISTRATIVE FEE/SUBSIDY | 17799502 | 17799502 |
| OTHER PROGRAM REVENUE | 1208323 | 1208323 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 54058927 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11 | TotalRevenueColumn |
| Exclusion | $11 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 113805 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 113805 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 113805 | TotalRevenueColumn |
| Exclusion | $113,805 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6560 | TotalRevenueColumn |
| Exclusion | $6,560 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| SETTLEMENT FROM INGENIX | 671215 | 671215 |
| MEANINGFUL USE REVENUE | 533596 | 533596 |
| QUALITY INCENTIVE PROGRAMS | 7238 | 7238 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2872 | TotalRevenueColumn |
| Related Or Exempt Function Income | 86 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,786 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1214921 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55394224 | TotalRevenueColumn |
| Related Or Exempt Function Income | 55271062 | RelatedOrExemptFunctionIncome |
| Exclusion | $123,162 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1197699 | Total |
| Program Services | 1077929 | ProgramServices |
| Management And General | 119770 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37750105 | Total |
| Program Services | 33975095 | ProgramServices |
| Management And General | 3775010 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1291596 | Total |
| Program Services | 1162436 | ProgramServices |
| Management And General | 129160 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2755058 | Total |
| Program Services | 2479552 | ProgramServices |
| Management And General | 275506 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1985657 | Total |
| Program Services | 1787091 | ProgramServices |
| Management And General | 198566 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 391308 | Total |
| Program Services | 352177 | ProgramServices |
| Management And General | 39131 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2655114 | Total |
| Program Services | 2389603 | ProgramServices |
| Management And General | 265511 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37279 | Total |
| Program Services | 33551 | ProgramServices |
| Management And General | 3728 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213592 | Total |
| Program Services | 192233 | ProgramServices |
| Management And General | 21359 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1379979 | Total |
| Program Services | 1241981 | ProgramServices |
| Management And General | 137998 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3893409 | Total |
| Program Services | 3504068 | ProgramServices |
| Management And General | 389341 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 9339001 | 8405101 | 933900 |
| BAD DEBT | 2884869 | 2884869 | |
| MEDICAL SUPPLIES | 748902 | 748902 | |
| LICENSES/TAXES | 172925 | 155633 | 17292 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200502 | Total |
| Program Services | 180452 | ProgramServices |
| Management And General | 20050 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66896995 | Total |
| Program Services | 60570673 | ProgramServices |
| Management And General | 6326322 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315127 | BOY |
| EOY | 781438 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4384989 | BOY |
| EOY | 3022452 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2439 | BOY |
| EOY | 1991 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1230228 | BOY |
| EOY | 1168083 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8622253 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3129781 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5442355 | BOY |
| EOY | 5492472 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 731619 | BOY |
| EOY | 493166 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12161903 | BOY |
| EOY | 13608013 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24268660 | BOY |
| EOY | 24567615 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2647679 | BOY |
| EOY | 2874921 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21253544 | BOY |
| EOY | 22314549 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23901223 | BOY |
| EOY | 25189470 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367437 | BOY |
| EOY | -621855 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367437 | BOY |
| EOY | -621855 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24268660 | BOY |
| EOY | 24567615 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -11502771 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 10513479 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| VASSAR BROTHERS MEDICAL CENTER | |||||
| 141338586 | 03 | false | true | true | $7,304,638 |
| PUTNAM HOSPITAL CENTER | |||||
| 061399319 | 03 | false | true | true | $838,051 |
| NORTHERN DUTCHESS HOSPITAL | |||||
| 141338467 | 03 | false | true | true | $2,378,398 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 10521087 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2177450 | OtherCostOrOtherBasis |
| Depreciation | 432914 | Depreciation |
| Book Value | 1744536 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6264993 | OtherCostOrOtherBasis |
| Depreciation | 2692229 | Depreciation |
| Book Value | 3572764 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 179810 | OtherCostOrOtherBasis |
| Depreciation | 4638 | Depreciation |
| Book Value | 175172 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5492472 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 355573 |
| OTHER RECEIVABLES | 147481 |
| SPECIAL INVESTMENTS | 489686 |
| INSURANCE RECEIVABLE | 12615273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13608013 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $9,086,953 |
| SPECIAL INVESTMENTS | $497,740 |
| MEDICAL MALPRACTICE INSURANCE | $12,615,273 |
| DUE TO HITNY | $99,491 |
| L/T DUE TO HQ | $15,092 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 22314549 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 65915309 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 10521085 | OtherRevenues |
| Revenue Not Rptd F990 | 10521085 | RevenueNotRptdF990 |
| Revenue Subtotal | 55394224 | RevenueSubtotal |
| Total Revenue Per Form990 | 55394224 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 66896995 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 66896995 | ExpensesSubtotal |
| Total Expenses Per Form990 | 66896995 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART XI LINE 2D | Identifier |
| Return Reference | RECONCILIATION OF CHANGE IN NET ASSETS | ReturnReference |
| Explanation | TRANSFER OF EQUITY - $10,521,085 | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MOHAN SARABU MD | ||||||||||||||
| MEDICAL DIRECTOR-CARDIAC SURG | 1197699 | 0 | 0 | 0 | 0 | 0 | 15000 | 0 | 22870 | 0 | 1235569 | 0 | 14700 | 0 |
| PETER ZAKOW MD | ||||||||||||||
| PHYSICIAN-CARDIAC SURGERY | 546754 | 0 | 0 | 0 | 0 | 0 | 15000 | 0 | 33936 | 0 | 595690 | 0 | 14700 | 0 |
| ROHIT SHAHANI MD | ||||||||||||||
| PHYSICIAN - CARDIAC SURGERY | 535075 | 0 | 0 | 0 | 0 | 0 | 15000 | 0 | 28345 | 0 | 578420 | 0 | 14700 | 0 |
| MARYANN KEPPLE | ||||||||||||||
| TREASURER | 0 | 395910 | 0 | 68741 | 0 | 42135 | 0 | 15000 | 0 | 3731 | 0 | 525517 | 0 | 14700 |
| ARUN AGARWAL MD | ||||||||||||||
| PRESIDENT/CEO HQMP & HQUMCP | 0 | 382014 | 0 | 91909 | 0 | 27231 | 0 | 15000 | 0 | 31905 | 0 | 548059 | 0 | 14700 |
| FREDERICK THOMAS | ||||||||||||||
| CORPORATE SECRETARY | 0 | 301771 | 0 | 42179 | 0 | 24248 | 0 | 15000 | 0 | 19912 | 0 | 403110 | 0 | 14700 |
| CINDY JACOBS | ||||||||||||||
| COO HQMP & HQUMCP | 0 | 268077 | 0 | 25130 | 0 | 0 | 0 | 6681 | 0 | 24143 | 0 | 324031 | 0 | 0 |
| ALI HAMMOUD MD | ||||||||||||||
| PHYSICIAN - CARDIOLOGY | 674808 | 0 | 153289 | 0 | 0 | 0 | 0 | 0 | 29345 | 0 | 857442 | 0 | 0 | 0 |
| JOSEPH CHRISTIANA MD | ||||||||||||||
| PHYSICIAN - CARDIOLOGY | 674808 | 0 | 148052 | 0 | 0 | 0 | 0 | 0 | 34736 | 0 | 857596 | 0 | 0 | 0 |
| JOHN MCNULTY MD | ||||||||||||||
| PHYSICIAN - NEUROLOGY | 558304 | 0 | 84146 | 0 | 0 | 0 | 0 | 0 | 27909 | 0 | 670359 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED ORGANIZATIONS | 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 Duchess Hospital 14-1338467 Hospital NY 501c3 Box 3 HQ Northern Dutchess Residential Health Care Facility 22-3129608 Nursing Home NY 501c3 Box 9 HQ NDH Foundation 14-1776208 Fundraising NY 501c3 Box 9 HQ Putnam Hospital Center 14-6019179 Hospital NY 501c3 Box 3 HQ Putnam Hospital Center Foundation 06-1399319 Fundraising NY 501c3 Box 9 HQ Health Quest Medical Practice, PC 56-2669185 Medical Care NY 501c3 Box 3 HQ Health Quest Urgent Medical Practice, PC 80-0152047 Medical Care NY 501c3 Box 3 HQ Health Serve Information Technologies, LLC 14-1797086 IT Support NY 501c3 Box 3 HQ Health Quest Laboratory Support Services, LLC 45-4370644 Medical Laboratory NY 501c3 Box 3 HQ One Columbia Street, LLC 46-1626016 Real Estate Mgmt NY 501c3 Box 3 HQ |
| POLICIES | FORM 990 PART VI SECTION B LINES 11A, 12C, 15A AND 15B | LINE 11A - FORM 990 IS REVIEWED BY THE VP OF FINANCE FOR HEALTH QUEST SYSTEMS, INC. AND A COPY IS PROVIDED TO DR. TATELBAUM, THE SINGLE SHAREHOLDER FOR HIS REVIEW. LINE 12C - ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE HEALTH QUEST BUSINESS ETHICS COMMITTEE ON BEHALF OF THE AFFILIATE. IN ADDITION, CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY BOARD MEMBERS AND KEY EMPLOYEES ON AN ANNUAL BASIS AND REVIEWED BY THE HEALTH QUEST CORPORATE COMPLIANCE DEPARTMENT. LINE 15A/B - COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HEALTH QUEST EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY. |
| DISCLOSURE | FORM 990 PART VI SCETION C LINE 19 | LINE 19 - POLICIES AND FINANCIAL STATEMENTS FOR THE AFFILIATE ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. |
| TRANSACTIONS WITH HQ | SCH R, PART V, LINE 2 (1) | 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 7. Staffing reduction through shared services 8. Enhanced employee benefit programs |
| TRANSACTIONS WITH HOSPITALS | SCH R, PART V, LINE 2 (2) | Administrative Fees and Subsidies The administrative fees/subsidies are based on expenses associated with the practice providing the following services to its Affiliated Hospitals at cost. Hospitalists: The physicians employed by the Hospitalist program admit and provide care to inpatients at VBMC, PHC and NDH allowing the patient's private/primary community physician to remain in their office. The care is provided on a continuous basis to the patient throughout the day, night and the weekends. The specific requirements of the group are detailed below: "24/7 coverage "Medical Director administrative time: 18 hours per week Includes: scheduling, payroll, recruitment, evaluation of growth, review financial records. "Night coverage: 15 hour shift. 6 hours are spent on billable patient care. Remaining 9 hours (63 hours per week) are involved with covering existing team and being available for ER evaluations or new consults. These hours are critical for excellent care and are not billable. "Day MD administrative time: filling our forms, conferences with patients/family/staff beyond E/M billable time, signing charts. 1 hour each per provider or 3 hours per day- 21 hours per week "Case management advisor "Participate in QI programs at the hospital "Chair of information management committee. "Nursing Education. "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant Intensivists: The physicians employed by the Intensivist (triple boarded) program provide care to critically ill patients in the intensive care and critical care units at VBMC. The appropriate level of care warranted by the acuity of the patient is provided on a continuous basis to the patient throughout the day, night and for the weekends. The specific requirements of the group are detailed below: "24/7 coverage for code stats- Lead team, intubate, place lines, emergency pacemakers, etc. "24/7 rapid consultations available for medical staff. "24/7 availability to triage patients moving into or out of intensive care "24/7 coverage of ED evaluations and urgent/emergent advice of critically ill adults. "Mandated coverage for an average of 15 ICU patients/day "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant Surgical PA Program The Physician Assistants employed by the Surgical PA program assist during surgical procedures at VBMC, PHC and NDH. This service is extremely important to the community of surgeons due to a shortage (and aging) of general surgeons in the Dutchess County. This program reduces the need for surgeons to double-up during procedures. The specific requirements of the group are detailed below: "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Recommends employment and termination of non-physician personnel "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant CTPA: The physician assistants employed by the Cardio Thoracic PA program assist during cardiac surgical procedures at VBMC. This service is vital since there are currently only four Cardiothoracic Surgeons at VBMC who cannot provide 24/7 coverage for their patients without this program. The specific requirements of the group are detailed below: "24/7 coverage (8,736 hours per year) for Cardiothoracic patients Women's Health: The physicians employed by the Women's Health program care for patients in the PCAP clinic program of VBMC. The revenue generated by the group comes from two sources for the clinic patients. The PCAP rate VBMC receives is shared with the group as reimbursement for the professional services the physicians provide to the patients in the outpatient clinic. Additionally, the group bills for the procedures and deliveries the physicians perform for patients admitted to VBMC. The specific requirements of the group are detailed below: "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant Breast Surgery The physicians employed by the Oncology program provide care for oncology patients on both an outpatient basis (office visits) and an inpatient basis for surgical procedures and the associated post operative care. The specific requirements of the group are detailed below: "Coordinates patient, and OR schedule. "Reviews patient work load and delegate's projects and concerns. "Handles office day to day issues at the practice "Gives lectures on Breast Cancer at VBMC and community events. "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Recommends employment and termination of non-physician personnel "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant CT Surgeons The physicians and physician assistants employed by HQMP provide care for cardiac patients on both an outpatient basis (office visits) and an inpatient basis for surgical procedures and the associated post operative care. The specific requirements of the group are detailed below: "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Recommends employment and termination of non-physician personnel "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant |
| GOVERNING | FORM 990, PART VI LINE 6, 7A, 7B | RONALD TATELBAUM, MD IS THE SINGLE SHAREHOLDER FOR HQMP. |
| RECONCILIATION OF NET ASSETS | 990 PART XI, LINE 9 | TRANSFER OF EQUITY - $10,521,085; MISCELLANEOUS - $7,606 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|
| HEALTH QUEST SYSTEMS INC | ||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 141678068 | SUPPORT SVC | BOX 9 | HQ | |
| SEE SCHEDULE O | ||||||||
| N/A | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HEALTH QUEST SYSTEMS INC | ||
| P | 8181753 | SEE SCHEDULE O |
| VASSAR BROTHERS MEDICAL CENTER | ||
| Q | 14554960 | SEE SCHEDULE O |
| PUTNAM HOSPITAL CENTER | ||
| Q | 1853964 | SEE SCHEDULE O |
| NORTHERN DUTCHESS HOSPITAL | ||
| Q | 1390578 | SEE SCHEDULE O |
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