PUTNAM HOSPITAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PUTNAM HOSPITAL CENTER (EIN 14-6019179)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201323179349301297
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T09:26:33-06:00	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	146019179	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PUTNAM HOSPITAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% HEALTH QUEST	InCareOfName
Name Control	PUTN	NameControl
Phone	8452795711	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	670 STONELEIGH AVENUE	AddressLine1
Address Line2	Suite	AddressLine2
City	CARMEL	City
State	NY	State
ZIP Code	10512	ZIPCode

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	MAUREEN ZIPPARO PRESIDENT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	670 STONELEIGH AVE	AddressLine1
City	CARMEL	City
State	NY	State
ZIP Code	10512	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	163568184	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.putnamhospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	PROVIDE ALL ASPECTS OF PATIENT CARE TO THE COMMUNITY	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1141	TotalNbrEmployees
Total Nbr Volunteers	312	TotalNbrVolunteers
Total Gross UBI	6712	TotalGrossUBI
Net Unrelated Business Txbl Income	-3142	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1245894	ContributionsGrantsPriorYear
Contributions Grants Current Year	624842	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	161294799	ProgramServiceRevenuePriorYear
Program Service Revenue CY	157250731	ProgramServiceRevenueCY
Investment Income Prior Year	2660688	InvestmentIncomePriorYear
Investment Income Current Year	1641203	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3222393	OtherRevenuePriorYear
Other Revenue Current Year	4051408	OtherRevenueCurrentYear
Total Revenue Prior Year	168423774	TotalRevenuePriorYear
Total Revenue Current Year	163568184	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	74193295	SalariesEtcPriorYear
Salaries Etc Current Year	70034877	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	78770013	OtherExpensePriorYear
Other Expenses Current Year	85474068	OtherExpensesCurrentYear
Total Expenses Prior Year	152963308	TotalExpensesPriorYear
Total Expenses Current Year	155508945	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15460466	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8059239	RevenuesLessExpensesCY
Total Assets BOY	151869092	TotalAssetsBOY
Total Assets EOY	157549263	TotalAssetsEOY
Total Liabilities BOY	90470952	TotalLiabilitiesBOY
Total Liabilities EOY	92820979	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	61398140	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	64728284	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	62717400	Expense
Revenue	83050940	Revenue
Description	INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 6,394; NUMBER OF PATIENT DAYS 28,255 THE HOSPITAL PROVIDED APPROXIMATELY $1,657,384 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4438859	Expense
Revenue	5877976	Revenue
Description	INPATIENT PSYCHIATRIC SERVICES: PSYCHIATRIC PATIENTS ADMITTED FOR TREATMENT - NUMBER OF PATIENTS 636; NUMBER OF PATIENT DAYS 5,825	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	51144551	Expense
Revenue	68242342	Revenue
Description	OUTPATIENT SERVICES: PATIENTS WHO RECEIVED MEDICAL EMERGENCY, ASU AND VARIOUS ANCILLIARY SERVICES - TOTAL EMERGENCY VISITS 21,417; TOTAL AMBULATORY SURGERY VISITS 5,696 ALL OTHER VISITS/PROCEDURES 188,820 THE HOSPITAL PROVIDED APPROXIMATELY $1,718,933 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	449886	Expense
Revenue	79473	Revenue
Description	Home Care	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	449886	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	79473	TotalOfOtherProgramServiceRev
Total Program Service Expense	118750696	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	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	true	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	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	8	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1141	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
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
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	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	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
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	HEALTH QUEST	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 (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per Week RelatedAverageHoursPerWeekRelated	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
KEIREN M FARQUHAR
CHAIRMAN	2.0	X	0	0	0
JAMES P DUSENBURY
MEMBER	1.0	X	0	0	0
KAREN FLEMING
SECRETARY	1.0	X	0	0	0
JEFFREY J REDFIELD
FIRST VICE CHAIRMAN	2.0	X	0	0	0
JOEL S BUCHALTER MD
MED STAFF PRESIDENT	1.0	X	0	0	0
PAUL A CAMARDA
MEMBER	2.0	X	0	0	0
ROBERT P MORINI
SECOND VICE CHAIRMAN	2.0	X	0	0	0
WAYNE RYDER
MEMBER	1.0	X	0	0	0
MAUREEN ZIPPARO
PRESIDENT	0.0	X	0	316628	40083	60.0	X
RAYMOND DURKIN
MEMBER	1.0	X	0	0	0
WILLIAM GERSTNER
MEMBER	1.0	X	0	0	0
LORETTA MOLINARI
MEMBER	1.0	X	0	0	0
MITCHELL COHN MD
MEMBER	1.0	X	0	0	0
MICHAEL T WEBER
CEO	1.0	X	0	1006627	53723	65.0	X
ROBERT WAEGELEIN
MEMBER	1.0	X	0	0	0
MARYANN KEPPLE
TREASURER	0.0		0	506786	20505	60.0	X
FREDERICK THOMAS
CORPORATE SECRETARY	0.0		0	368198	21891	70.0	X
JEFFREY KELLOGG
SVP DEV & COMMUNITY AFFAIRS	0.0		0	245996	33891	50.0		X
JEAN CHELALA MD
DIRECTOR OF NEONATOLOGY	38.0		332154	0	59080				X
SHARON GILCHRIST
REGISTERED NURSE	40.0		173349	0	24347				X
JOAQUIN MAXINO
REGISTER NURSE	40.0		166690	0	41355				X
GARIE GALARAGA
REGISTERED NURSE	40.0		157559	0	38514				X
MAUREEN PACE
AVP CLINICAL RESOURCE MGMT	35.0		159357	0	14629				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	989109	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2444235	TotalReportableCompFrmRltdOrgs
Total Other Compensation	348018	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	624842	AllOtherContributions
Total Contributions	624842	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT SERVICE REVENUE	900099	88928916	88928916
OUTPATIENT SERVICE REVENUE	900099	68242342	68242342
HOMECARE SERVICE REVENUE	621610	79473	79473

Field	Value	IRS element (for citing)
Total Program Service Revenue	157250731	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	609480	TotalRevenueColumn
Exclusion	$609,480	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	2040783	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2040783	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2040783	TotalRevenueColumn
Exclusion	$2,040,783	ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1031723	TotalRevenueColumn
Exclusion	$1,031,723	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	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEANINGFUL USE REVENUE	900099	610575	610575
CAFETERIA/MEAL SALES	900099	536848	536848
MANAGEMENT REVENUE	900099	218135	218135

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	645067	TotalRevenueColumn
Related Or Exempt Function Income	638355	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6712	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	2010625	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	163568184	TotalRevenueColumn
Related Or Exempt Function Income	159254644	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6712	UnrelatedBusinessRevenue
Exclusion	$3,681,986	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	0	Total
Program Services	0	ProgramServices
Management And General	0	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	49859748	Total
Program Services	42926186	ProgramServices
Management And General	6933562	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5761969	Total
Program Services	4960702	ProgramServices
Management And General	801267	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10524883	Total
Program Services	9061279	ProgramServices
Management And General	1463604	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3888277	Total
Program Services	3347568	ProgramServices
Management And General	540709	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	7551	Total
Program Services	0	ProgramServices
Management And General	7551	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	217980	Total
Program Services	217980	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	882	Total
Program Services	150	ProgramServices
Management And General	732	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3489187	Total
Program Services	2136339	ProgramServices
Management And General	1352848	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	147932	Total
Program Services	88174	ProgramServices
Management And General	59758	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	4157014	Total
Program Services	3469533	ProgramServices
Management And General	687481	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	25221	Total
Program Services	11506	ProgramServices
Management And General	13715	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	36820	Total
Program Services	12254	ProgramServices
Management And General	24566	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1968160	Total
Program Services	1642669	ProgramServices
Management And General	325491	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	8515289	Total
Program Services	7107043	ProgramServices
Management And General	1408246	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1248541	Total
Program Services	1042059	ProgramServices
Management And General	206482	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	30030461	8633378	21397083
MEDICAL SUPPLIES	23135103	23134487	616
BAD DEBT	4798775	4798775
PHYSICIAN FEES	3677029	3677029

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4018123	Total
Program Services	2483585	ProgramServices
Management And General	1534538	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	155508945	Total
Program Services	118750696	ProgramServices
Management And General	36758249	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	141384	BOY
EOY	183476	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	9323426	BOY
EOY	7051958	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	19300449	BOY
EOY	17730191	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	75794	BOY
EOY	39520	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1816272	BOY
EOY	1987125	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1187123	BOY
EOY	974664	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	165420253	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	94848615	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	72620750	BOY
EOY	70571638	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	18198721	BOY
EOY	20056123	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	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	29205173	BOY
EOY	38954568	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	151869092	BOY
EOY	157549263	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17009603	BOY
EOY	16283814	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	36510143	BOY
EOY	35917812	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	2431146	BOY
EOY	1834353	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	34520060	BOY
EOY	38785000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	90470952	BOY
EOY	92820979	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	54276582	BOY
EOY	58013417	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6300920	BOY
EOY	5892128	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	820638	BOY
EOY	822739	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	61398140	BOY
EOY	64728284	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	151869092	BOY
EOY	157549263	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8059239	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	921139	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-5650234	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 Both	X	FinancialStatementBoth

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)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$7,551	OtherActivitiesAmount
Total Lobbying Expenditures IIB	7551	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE C, PART II-B, LINE 1I	Identifier
Return Reference	LOBBYING ACTIVITIES	ReturnReference
Explanation	14.6% OF NORMET DUES PAID BY PUTNAM HOSPITAL CENTER ARE USED FOR POLITICAL EXPENDITURES	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	820638	BeginningOfYearBalance
Investment Earnings Or Losses	2101	InvestmentEarningsOrLosses
End Of Year Balance	822739	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	823470	BeginningOfYearBalance
Investment Earnings Or Losses	-2832	InvestmentEarningsOrLosses
End Of Year Balance	820638	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	821692	BeginningOfYearBalance
Investment Earnings Or Losses	1778	InvestmentEarningsOrLosses
End Of Year Balance	823470	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	809499	BeginningOfYearBalance
Investment Earnings Or Losses	12193	InvestmentEarningsOrLosses
End Of Year Balance	821692	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	809499	BeginningOfYearBalance
End Of Year Balance	809499	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1193282	OtherCostOrOtherBasis
Book Value	1193282	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	75528480	OtherCostOrOtherBasis
Depreciation	28927244	Depreciation
Book Value	46601236	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	85465407	OtherCostOrOtherBasis
Depreciation	64508145	Depreciation
Book Value	20957262	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3233084	OtherCostOrOtherBasis
Depreciation	1413226	Depreciation
Book Value	1819858	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	70571638	TotalOfBookValueLandBuildings

Other Assets OtherAssets (13 entries)

DescriptionDescription	Book ValueBookValue
DAVITA RESTRICTED CASH	632623
REFINANCING FEES	62391
INTEREST IN PHC FOUNDATION	11084502
DSRF 2007 SERIES B BONDS	5548143
DSRF 2007 SERIES C BONDS	993043
DUE FROM AFFILIATES	9326266
MISC RECEIVABLES	825617
DSRF TELP LOAN TDBANK GENERAL	1449253
DEF FINANCING 2007 SERIES B	1127520
DEF FINANCING 2007 SERIES C	128207
2007 SERIES C BOND PREMIUM	494360
DUE TO HQ LT	6858252
DUE FROM THIRD PARTIES	424391

Field	Value	IRS element (for citing)
Total Book Value Other Assets	38954568	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
RETRO PAYABLE TO 3RD PARTY PAY	$4,630,791
PENSION BENEFIT OBLIGATION	$24,228,107
DUE TO AFFILIATES HQ LT	$810,417
FIN 47 LIABILTY	$399,921
HITNY LIABILITY	$1,666,076
MED MALL INSURANCE LIABILITY	$6,858,252
DUE TO AFFILIATES	$190,926
DEFERRED COMPENSATION	$510

Field	Value	IRS element (for citing)
Total Of Amounts	38785000	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	159245782	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	921139	NetUnrealizedGainsInvestments
Other Revenues	-5243541	OtherRevenues
Revenue Not Rptd F990	-4322402	RevenueNotRptdF990
Revenue Subtotal	163568184	RevenueSubtotal
Total Revenue Per Form990	163568184	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	155508945	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	155508945	ExpensesSubtotal
Total Expenses Per Form990	155508945	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ADDITIONAL PENSION LIABILITY	SCHEDULE D PART XI LINE 2D	Pension related changes other than net periodic pension costs ($5,133,775)
TRANSFER OF EQUITY	SCHEDULE D PART XI LINE 2D	TRANSFER OF EQUITY ($838,051)
INTEREST IN PHC FOUNDATION	SCHEDULE D PART XI LINE 2D	INTEREST IN PHC FOUNDATION $728,285
ENDOWMENT FUNDS	SCHEDULE D, PART V, LINE 4	THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4869302	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1946037	DirectOffsettingRevenue
Net Community Benefit Expense	2923265	NetCommunityBenefitExpense
Percent Of Total Expense	0.01880	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9683427	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7188153	DirectOffsettingRevenue
Net Community Benefit Expense	2495274	NetCommunityBenefitExpense
Percent Of Total Expense	0.01600	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14552729	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9134190	DirectOffsettingRevenue
Net Community Benefit Expense	5418539	NetCommunityBenefitExpense
Percent Of Total Expense	0.03480	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	80	PersonsServed
Total Community Benefit Expense	50525	TotalCommunityBenefitExpense
Net Community Benefit Expense	50525	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	80	PersonsServed
Total Community Benefit Expense	50525	TotalCommunityBenefitExpense
Net Community Benefit Expense	50525	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	80	PersonsServed
Total Community Benefit Expense	14603254	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9134190	DirectOffsettingRevenue
Net Community Benefit Expense	5469064	NetCommunityBenefitExpense
Percent Of Total Expense	0.03510	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,399,388	BadDebtExpenseAmount
Amount Attributable To	1199694	AmountAttributableTo
Amount Reimbursed By Medicare	51399175	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	66003619	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14604444	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	Facility Reporting GroupFacilityReportingGroup	General Medical And SurgicalGeneralMedicalAndSurgical
PUTNAM HOSPITAL CENTER
1	670 STONELEIGH AVENUE	CARMEL	NY	10512	WWW.HEALTH-QUEST.ORG	X	A
PHC OUTPATIENT REHABILITATION SERVICE
2	2985 NAVAJO ROAD	YORKTOWN	NY	10598	WWW.HEALTH-QUEST.ORG		A	X
PUTNAM HOSPITAL CENTER OP REHAB CTR
3	551 ROUTE 22	PAWLING	NY	12564	WWW.HEALTH-QUEST.ORG		A	X
PUTNAM HOSPITAL CENTER OUTPATIENT
4	160 HARRIS ROAD	BEDFORD HILLS	NY	10507	WWW.HEALTH-QUEST.ORG		A	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PUTNAM HOSPITAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 3C	PART I, LINE 3C	N/A
PART I, LINE 6A	PART I, LINE 6A	PUTNAM HOSPITAL CENTER PREPARES A COUNTY WIDE COMMUNITY SERVICE REPORT.
PART I, LINE 7, COLUMN F	PART I, LINE 7, COLUMN F	TOTAL BAD DEBT EXPENSE, EXCLUDED FROM COLUMN F PERCENTAGE = $4,798,775
PART I, LINE 7	PART I, LINE 7	COST TO CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY. WORKSHEET #2 WAS USED TO DERIVE THE PERCENTAGE.
PART III, LINE 4	PART III, LINE 4	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. 50% OF THESE PATIENTS WOULD MOST LIKELY QUALIFY FOR CHARITY CARE IF THEY WERE COOPERATIVE IN FILING THE PAPERWORK, ASSOCIATED WITH GOVERNMENT ASSISTANCE. 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, LINE 8	PART III, 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, LINE 9B	PART III, 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	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	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	PART VI, LINE 2 NEEDS ASSESSMENT	Putnam County Putnam Hospital Center 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 Plans 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 a smoker. 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 par
PART VI, LINE 3	PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	FINANCIAL ASSISTANCE POSTERS ARE HUNG UP IN VARIOUS AREAS OF THE HOSPITAL. FOR PATIENTS THAT INQUIRE ABOUT FINANCIAL ASSISTANCE, THE POLICY IS PROVIDED TO THE PATIENT ALONG WITH ASSISTANCE IN COMPLETING THE APPLICATIONS.
PART VI, LINE 4	PART VI, LINE 4 COMMUNITY INFORMATION	PUTNAM HOSPITAL CENTER'S PRIMARY SERVICE AREA INCLUDES 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. THE HOSPITAL'S SERVICE AREAS ARE PREDOMINATELY WHITE AND SKEWING SLIGHTLY OLDER THAN THE NATIONAL AVERAGES. HIGHER PERCENTAGE OF COLLEGE DEGREES THAN THE NATIONAL AVERAGE, WITH AVERAGE HOUSEHOLD INCOMES SIGNIFICANTLY HIGHER THAN NATIONAL INCOME.
PART IV, LINE 5	PART IV, LINE 5 PROMOTION OF COMMUNITY HEALTH	ALL HOSPITALS SERVE AS COMMUNITY LEADERS IN HEALTH RELATED FUNDRAISERS, SUCH AS RELAY FOR LIFE AND THE MARCH OF DIMES. EXECUTIVES AND EMPLOYEES VOLUNTEER AND SERVE ON THE BOARDS OF MANY COMMUNITY ORGANIZATIONS AND USE HOSPITAL RESOURCES TO ASSIST COALITIONS AND MEET A BROAD DEFINITION FOR HEALTH WHICH INCLUDES EDUCATION AND HOUSING. ALL HOSPITALS OFFER SCREENING AND LECTURES TO EDUCATE THE COMMUNITY AND ENCOURAGE PREVENTATIVE MEDICINE.
PART VI, LINE 6	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	PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFITS REPORT	PUTNAM HOSPITAL CENTER FILES A COUNTY WIDE COMMUNITY SERVICE PLAN WITH NYS DEPARTMENT OF HEALTH.
PART II	PART II	N/A
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	NY,

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
MAUREEN ZIPPARO
PRESIDENT	0	300476	0	16152	0	0	0	15000	0	25083	0	356711	0	14700
JEAN CHELALA MD
DIRECTOR OF NEONATOLOGY	310866	0	21288	0	0	0	29399	0	29681	0	391234	0	28974	0
JEFFREY KELLOGG
SVP DEV & COMMUNITY AFFAIRS	0	195383	0	14561	0	36052	0	12597	0	21294	0	279887	0	12610
SHARON GILCHRIST
REGISTERED NURSE	164680	0	8669	0	0	0	13158	0	11189	0	197696	0	13217	0
JOAQUIN MAXINO
REGISTER NURSE	166690	0	0	0	0	0	18429	0	22926	0	208045	0	18373	0
GARIE GALARAGA
REGISTERED NURSE	157559	0	0	0	0	0	9880	0	28634	0	196073	0	0	0
MAUREEN PACE
AVP CLINICAL RESOURCE MGMT	146162	0	11774	0	1421	0	4331	0	10298	0	173986	0	0	0
MICHAEL T WEBER
CEO	0	685867	0	206535	0	114225	0	15000	0	38723	0	1060350	0	0
MARYANN KEPPLE
TREASURER	0	395910	0	68741	0	42135	0	15000	0	5505	0	527291	0	0
FREDERICK THOMAS
CORPORATE SECRETARY	0	301771	0	42179	0	24248	0	15000	0	6891	0	390089	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DORMITORY AUTHORITY - STATE OF NEW YORK	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	146000293	IssuerEIN
CUSIP Number	649903UK5	CUSIPNumber
Date Issued	2007-09-06	DateIssued
Issue Price	28161751	IssuePrice
Description Of Purpose	CONSTRUCTION OF FACILITY	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	2848554	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	30073144	TotalProceeds
Amount In Reserve Fund	2018948	AmountInReserveFund
Capitalized Interest	572477	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	387734	IssuanceCostsFromProceeds
Credit Enhancement	443713	CreditEnhancement
Working Capital Expenditures	655855	WorkingCapitalExpenditures
Capital Expenditures	23608165	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	2386253	AmountUnspent
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	false	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	true	NoRebateDue
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	true	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BOND ISSUES	PART I, LINE A, COLUMNE E	TOTAL ISSUE PRICE PER IRS FORM 8038 - $61,974,071.30 ALLOCATED BETWEEN THREE ORGANIZATIONS.
PROCEEDS	PART II, LINE 3	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS.
ARBITRAGE	PART IV, LINE 2C	(A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2011
PRIVATE BUSINESS USE	PART III, LINE 9	THE HOSPITAL HAS RETAINED THE SERVICES OF OUTSIDE LEGAL COUNSEL TO ASSIST IN ESTABLISHING WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2.
ARBITRAGE	PART IV, LINE 7	THE HOSPITAL HAS RETAINED THE SERVICES OF LEGAL COUNSEL TO ASSIST IN ESTABLISHING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTS	Form 990 Part III Line 4D	Home Health care: Provide Homecare to patients in the community. Total Homecare visits: 840 PHC DISCONTINUED THIS SERVICE LINE IN MARCH 2012.
GOVERNING	FORM 990 PART VI SECTION A LINE 6, 7A AND 7B	LINE 6 - THE SOLE MEMBER OF PHC IS HEALTH QUEST SYSTEMS, INC LINES 7A - Appointment/Election of Directors. Nominees to the Board of Directors of PHC shall be nominated in the following manner: The PHC Executive Committee may prepare a slate of nominees to present to Health Quests Executive Committee for its review and approval not less than thirty (30) days prior to the annual meeting of PHC in the case of vacancies created by the expiration of PHC Directors terms of office, or in the case of all other vacancies, as soon as reasonably possible. The Executive Committee of Health Quest must approve slates of nominees by a majority vote of the entire Executive Committee. Once Health Quests Executive Committee approves the slate of nominees by majority vote, Health Quests Executive Committee shall inform the PHC Board and present the slate of nominees to the Board of Trustees of Health Quest for approval. LINE 7B - MANNER OF ACTING. EXCEPT AS OTHERWISE SPECIFIED IN THE CERTIFICATE OF INCORPORATION OF PHC, OR THESE BYLAWS, OR THE BYLAWS OF HEALTH QUEST, OR PROVIDED BY LAW, THE ACTS OF A MAJORITY OF THE DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACTS OF THE BOARD OF DIRECTORS. THE POWERS TO BE EXERCISED BY THE PHC BOARD OF DIRECTORS THAT ARE (I) SUBJECT TO THE SUBSEQUENT APPROVAL OF HEALTH QUEST, OR (II) TO BE UNDERTAKEN IN COLLABORATION WITH HEALTH QUEST, ARE SET FORTH IN PARAGRAPHS (C), (D) AND (E) BELOW. THE POWERS SET FORTH IN PARAGRAPH (F) BELOW REQUIRE THE VOTE OF TWO-THIRDS OF SOLELY THE PHC BOARD OF DIRECTORS. UNLESS OTHERWISE SPECIFIED, ALL OTHER ACTIONS THAT REQUIRE PHC BOARD APPROVAL REQUIRE A MAJORITY VOTE OF SOLELY THE PHC BOARD OF DIRECTORS. PARAGRAPH (C) - ACTIONS REQUIRING HOSPITAL BOARD MAJORITY VOTE & AT LEAST NINE (9) HEALTH QUEST TRUSTEES. THE VOTE OF A MAJORITY OF THE PHC DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE REQUIRED TO APPROVE THE FOLLOWING ACTIONS: (I) TERMINATION OF HEALTH QUEST'S RELATIONSHIP TO PHC AS THE SOLE MEMBER OF PHC; AND (II) APPROVAL OF THE ABANDONMENT OR MATERIAL DIMINUTION OF ANY SERVICE, PROGRAM OR CAMPUS OF PHC; PROVIDED HOWEVER, THAT THE ACTIONS LISTED ABOVE IN THIS ARTICLE IV, SECTION 12(C) SHALL REQUIRE THE AFFIRMATIVE VOTE OF AT LEAST NINE (9) OF THE TRUSTEES OF HEALTH QUEST THEN IN OFFICE. PARAGRAPH (D) - ACTIONS REQUIRING TWO-THIRDS OF ENTIRE HOSPITAL BOARD & AT LEAST NINE (9) HEALTH QUEST TRUSTEES. THE VOTE OF TWO-THIRDS (2/3) OF THE ENTIRE BOARD OF PHC ("ENTIRE BOARD" SHALL MEAN THE TOTAL NUMBER OF DIRECTORS ENTITLED TO VOTE WHICH PHC WOULD HAVE IF THERE WERE NO VACANCIES) SHALL BE REQUIRED TO APPROVE: (I) THE REORGANIZATION, MERGER, OR DISSOLUTION OF PHC; OR (II) THE SALE, LEASE OR MORTGAGE OF SUBSTANTIALLY ALL THE ASSETS OF PHC; PROVIDED HOWEVER, THAT THE ACTIONS LISTED ABOVE IN THIS ARTICLE IV, SECTION 12(D) SHALL REQUIRE THE AFFIRMATIVE VOTE OF AT LEAST NINE (9) OF THE TRUSTEES OF HEALTH QUEST THEN IN OFFICE. PARAGRAPH (E) - ACTIONS REQUIRING MAJORITY OF HOSPITAL BOARD & COLLABORATION WITH HEALTH QUEST TRUSTEES. THE VOTE OF A MAJORITY OF THE PHC DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE REQUIRED TO APPROVE THE FOLLOWING ACTIONS: (I) OVERSIGHT OF QUALITY IMPROVEMENT PROCESSES, INCLUDING, BUT NOT LIMITED TO, POLICIES AND PROCEDURES AND PHYSICIAN CREDENTIALING; (II) DELIVERY OF CLINICAL SERVICES; (III) ESTABLISHMENT AND MAINTENANCE OF A COORDINATED PROGRAM THAT INTEGRATES THE REVIEW ACTIVITIES OF ALL HOSPITAL SERVICES FOR THE PURPOSE OF ENHANCING THE QUALITY PATIENT CARE AND IDENTIFYING AND PREVENTING MALPRACTICE; AND (IV) OVERSIGHT OF PHC'S CORPORATE COMPLIANCE PROCESSES; PROVIDED HOWEVER, THE ACTIONS LISTED ABOVE SHALL BE COORDINATED AND UNDERTAKEN IN COLLABORATION WITH, AND AS AN AFFILIATED MEMBER OF THE HEALTH QUEST SYSTEM. PARAGRAPH (F) - THE VOTE OF TWO-THIRDS (2.3) OF THE ENTIRE BOARD OF DIRECTORS OF PHC PRESENT AND VOTING AT A MEETING AT WHICH AT LEAST TWO-THIRDS (2/3) OF THE DIRECTORS ARE PRESENT SHALL BE REQUIRED TO APPROVE THE FOLLOWING: (I) THE SALE, MORTGAGE OR LEASE OF REAL PROPERTY BY PHC.
POLICIES	FORM 990 PART VI SECTION B LINE 11A, 12C, 15A AND 15B	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. A3RD 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.
DISCLOSURE	FORM 990 PART VI SECTION C LINE 19	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.
RELATED TAX EXEMPT ORGANIZATIONS	SCHEDULE R - PART II	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
SCHEDULE K	SCHEDULE K PART 1, COLUMN E LINE A	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
ALLOCATION METHODOLOGY FOR HQ AND HQ LAB	SCHEDULE R PART V LINE 2(1) AND (2)	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.
RECONCILIATION OF NET ASSETS	990 PART XI, LINE 9	ADDITIONAL PENSION LIABILITY - ($5,133,775) TRANSFER OF EQUITY - ($838,052) INTEREST IN FOUNDATION - $728,285 NET ASSETS FROM RESTRICTIONS USED FOR OPERATIONS - ($406,692)
OMB CIRCULAR A-133 AUDIT	FORM 990, PART XIII LINE 3A	PUTNAM HOSPITAL CENTER DID NOT RECEIVE MORE THAN $500,000 IN FEDERAL AWARDS IN 2012, AND DID NOT QUALIFY FOR AN A-133 AUDIT.

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 SERV	BOX 9	HQ
SEE SCHEDULE O
								N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT KISCO SURGERY CENTER LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	34 SOUTH BEDFORD ROAD	AddressLine1
City	MOUNT KISCO	City
State	NY	State
ZIP Code	10549	ZIPCode

Field	Value	IRS element (for citing)
EIN	134158313	EIN
Primary Activity	SURGERY SERVI	PrimaryActivity
Legal Domicile State	NY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MKMG	BusinessNameLine1

Field	Value	IRS element (for citing)
Share Of Total Income	346402	ShareOfTotalIncome
Share Of EOY Assets	43036	ShareOfEOYAssets
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.20000	PercentageOwnership

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	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
HEALTH QUEST SYSTEMS INC
P	23267260	SEE SCHEDULE O
HEALTH QUEST LABORATORY SUPPORT SERVICES LLC
P	3024844	SEE SCHEDULE 0