HEALTH QUEST SYSTEMS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HEALTH QUEST SYSTEMS INC (EIN 14-1678068)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201223199349301647
Schema version
2011v1.3
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

FieldValueIRS element (for citing)
Timestamp2012-11-14T09:36:16-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141678068EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH QUEST SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARYANN KEPPLE CFOInCareOfName
Name ControlHEALNameControl
Phone8454759500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11351 ROUTE 55AddressLine1
Address Line2SUITE 200AddressLine2
CityLAGRANGEVILLECity
StateNYState
ZIP Code12540ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARYANN KEPPLEName
TitleHQ CFOTitle
Date Signed2012-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL T WEBERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11351 ROUTE 55 SUITE 200AddressLine1
CityLAGRANGEVILLECity
StateNYState
ZIP Code12540ZIPCode
FieldValueIRS element (for citing)
Gross Receipts101138646GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SUPPORT TO MEMBER ORGANIZATIONS OF HEALTH QUEST SYSTEMActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees807TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year10057ContributionsGrantsCurrentYear
Program Service Revenue Prior Year90935812ProgramServiceRevenuePriorYear
Program Service Revenue CY101026221ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year107506OtherRevenuePriorYear
Other Revenue Current Year102368OtherRevenueCurrentYear
Total Revenue Prior Year91043318TotalRevenuePriorYear
Total Revenue Current Year101138646TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55565227SalariesEtcPriorYear
Salaries Etc Current Year66057859SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year35477256OtherExpensePriorYear
Other Expenses Current Year35080794OtherExpensesCurrentYear
Total Expenses Prior Year91042483TotalExpensesPriorYear
Total Expenses Current Year101138653TotalExpensesCurrentYear
Revenues Less Expenses Prior Year835RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7RevenuesLessExpensesCY
Total Assets BOY68231531TotalAssetsBOY
Total Assets EOY95357415TotalAssetsEOY
Total Liabilities BOY68232643TotalLiabilitiesBOY
Total Liabilities EOY95358534TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1112NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1119NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION STATEMENT OF THE HEALTH QUEST SYSTEM AND IT'S AFFILIATED ORGANIZATIONS IS TO IMPROVE THE HEALTH OF THE COMMUNITIES THAT THEY SERVE IN THE HUDSON VALLEY BY PROVIDING QUALITY PATIENT CARE BASED ON OUR COMMITMENT TO EXCELLENCE, INNOVATION AND STATE OF THE ART TECHNOLOGIES. HEALTH QUEST SYSTEMS, INC IS THE CORPORATE ENTITY PROVIDING SUPPORT TO ITS MEMBER ORGANIZATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense55005939Expense
DescriptionTo provide executive and administrative oversight to the member organizations of Health Quest (See Sch O for listing of Affiliates). Health Quest provides centralized administration, finance (including payroll, accounts payable, decision support, managed care, budgets and reimbrusement), patient financial services, purchasing, business development, human resources, compliance, internal audit, lab management, Biomed services, construction and property management, legal counsel, physician recruitment, medical affairs management and hotel services management in order to further the exempt purpose of Health Quest. This has lead to numerous operating efficiencies at each member organization.Description
Total Program Service Expense55005939TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiestruePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096347NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees807NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARYANN KEPPLE CFONamePerson
Telephone Number8454759500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11351 ROUTE 55 SUITE 200AddressLine1
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12540ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARY MADDEN
MEMBER2.0X000
THOMAS EASTWOOD
MEMBER1.0X
MICHAEL NESHEIWAT MD
MEMBER1.0X
SUNIL KHURANA MD
VBMC CHAIRMAN2.0X
JOSEPH L DIVESTEA
MEMBER1.0X
STEVEN LANT
CHAIRMAN2.0X
WAYNE NUSSBICKEL
MEMBER2.0X
GREGORY RAKOW
SECOND VICE CHAIRMAN2.0X
KEIREN FARQUHAR
PHC CHAIRMAN2.0X
ROBERT DYSON
1ST VICE CHAIRMAN2.0X
MICHAEL MOSES MD
MEMBER1.0X
LILLIAN WEIGERT
MEMBER1.0X
JAMES BRUDVIG
NDH CHAIRMAN2.0X
MICHAEL T WEBER
PRESIDENT/CEO62.596121749297X
MARYANN KEPPLE
TREASURER/CFO52.047349019142X
ROBERT DIAMOND
CHIEF INFORMATION OFFICER65.034613617514X
RONALD TATELBAUM
SVP QUALITY60.049342861167X
BRIAN KOZIK
CHIEF COMPLIANCE OFFICER45.016707328057X
DAVID PING
VP BUSINESS DEVELOPMENT60.035456743272X
PATRICK BOREK
VP HUMAN RESOURCES55.028794244405X
FREDERICK THOMAS
VP LEGAL COUNSEL/CORP SECRETAR62.032561417325X
ARUN AGARWAL MD
PRESIDENT CEO OF HQMP10.047282119270X
DANIEL ARONZON MD
PRESIDENT AND CEO VBMC5.068575760358X
BENJAMIN DISANTO
VP CONSTRUCTION/FACILITY OPER55.023674440250X
DENISE GEORGE
CEO OF NDH/VP OF CLINICAL SVCS5.035436043444X
DONNA MCGREGOR
CEO OF PHC5.060766741216X
CATHERINE YURKON
AVP PLANNING AND PAT FIN SERV60.029701126153X
MAUREEN ZIPPARO
CHIEF OPERATING OFFICER5.028831841502X
STEPHEN KATZ MD
CHIEF MEDICAL OFFICER VBMC60.037523048341X
PAUL PANCOAST MD
CHIEF MEDICAL IT OFFICER55.034954243415X
JANET READY
CHIEF OPERATING OFFICER VBMC5.036801725882X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7444934TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation670010TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PRICE WATERHOUSE COOPERS LLC
PO BOX 7247-8001PHILADELPHIAPA19170AUDIT SERVICES962444
DELOITTE TOUCHE LLP
PO BOX 7247-6446PHILADEPHIAPA19170CONSULTING1183310
PREMIER MEDICAL GROUP
1 COLUMBIA STREET SUITE 390POUGHKEEPSIENY12601MEDICAL DIRECTORSHIP849132
NEXARA CONSULTING
555 WEST 57TH STREETNEW YORKNY10019PURCHASING CONSULTAN725002
KIRCHHOFF-CONSIGLI CONSTRUCTION
199 WEST RD-SUITE 100PLEASANT VALLEYNY12569CONSTRUCTION29403741
FieldValueIRS element (for citing)
Number Of Contractors GT100 K38NumberOfContractorsGT100K
Government Grants10057GovernmentGrants
Total Contributions10057TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Total Revenue Column101026221TotalRevenueColumn
Related Or Exempt Function Income101026221RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue101026221TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTINUING EDUCATION102228102228
BADGE REPLACEMENT140140
FieldValueIRS element (for citing)
Total Other Revenue102368TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column101138646TotalRevenueColumn
Related Or Exempt Function Income101128589RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5747626Total
Program Services3607074ProgramServices
Management And General2140552ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total48097468Total
Program Services24720072ProgramServices
Management And General23377396ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2218824Total
Program Services1174363ProgramServices
Management And General1044461ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6787460Total
Program Services3619736ProgramServices
Management And General3167724ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3206481Total
Program Services1697103ProgramServices
Management And General1509378ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total654813Total
Program Services0ProgramServices
Management And General654813ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1066191Total
Program Services3589ProgramServices
Management And General1062602ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1025709Total
Program Services0ProgramServices
Management And General1025709ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total50220Total
Program Services0ProgramServices
Management And General50220ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total26250Total
Program Services0ProgramServices
Management And General26250ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4992948Total
Program Services3205116ProgramServices
Management And General1787832ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total4303007Total
Program Services3881162ProgramServices
Management And General421845ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2084308Total
Program Services999926ProgramServices
Management And General1084382ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6408610Total
Program Services5724390ProgramServices
Management And General684220ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1958509Total
Program Services577751ProgramServices
Management And General1380758ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total271700Total
Program Services161325ProgramServices
Management And General110375ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total224492Total
Program Services178025ProgramServices
Management And General46467ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total406694Total
Program Services40669ProgramServices
Management And General366025ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2940662Total
Program Services2211774ProgramServices
Management And General728888ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total861979Total
Program Services86572ProgramServices
Management And General775407ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES5299877164884736510300
MAINTENANCE & SVC CONTRACTS139409710473653467320
LICENSES/TAXES294479666032278760
DUES AND SUBSCRIPTIONS245058376082074500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total571191Total
Program Services316869ProgramServices
Management And General254322ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total101138653Total
Program Services55005939ProgramServices
Management And General46132714ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10961886BOY
EOY3368635EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY17843BOY
EOY22766EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY1323998EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3072196BOY
EOY2559556EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18111085LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7328568LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10418777BOY
EOY10782517EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43760829BOY
EOY77299943EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY68231531BOY
EOY95357415EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18846459BOY
EOY20883160EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY21485006BOY
EOY7920642EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY27901178BOY
EOY66554732EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY68232643BOY
EOY95358534EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1112BOY
EOY-1119EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1112BOY
EOY-1119EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68231531BOY
EOY95357415EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-7ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year10057CurrentTaxYear
Total10057Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37846202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57346575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64236663CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year90935812CurrentTaxYearMinus1Year
Current Tax Year101026222CurrentTaxYear
Total351391474Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37846202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57346575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64236663CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year90935812CurrentTaxYearMinus1Year
Current Tax Year101036279CurrentTaxYear
Total351401531Total
FieldValueIRS element (for citing)
Public Support Total509351401531PublicSupportTotal509

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years33160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35088CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107507CurrentTaxYearMinus1Year
Current Tax Year102368CurrentTaxYear
Total278123Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37846202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57379735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64271751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year91043319CurrentTaxYearMinus1Year
Current Tax Year101138647CurrentTaxYear
Total351679654Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99921PublicSupportPercentage509
Prior Year Support Percentage0.99937PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures50220PoliticalExpenditures
Amt Of4955 Tax0AmtOf4955Tax
Amt Of4955 Tax On Managers0AmtOf4955TaxOnManagers
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$25,110MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$25,110DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$0RalliesDemonstrationsAmount
Total Lobbying Expenditures IIB50220TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART I-A LINE 1Identifier
Return ReferenceLOBBYING ACTIVITIESReturnReference
ExplanationHealth Quest lobbying efforts are divided into three components - national, state and local. On the national front, Health Quest retains the firm of DeBrunner and associates to provide assistance in these efforts. Typically deBrunner arranges quarterly meetings with the Congressional delegation that represents Health Quest. During these meetings we discuss things like health reform, wage index issues, shortages of key personnel like physicians and nurses, and the efforts that Health Quest makes to provide better access to care and higher quality of care to our patients. In addition, we participate with HANYS on the lobbying days that they have in Washington, D.C. On the state level, we participate in advocacy days sponsored by HANYS and meet on a regular basis with our state assemblymen and senators. Locally, we meet with village and town supervisors, mayors and county legislators to discuss upcoming plans and services that we will offer.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17142622OtherCostOrOtherBasis
Depreciation7328568Depreciation
Book Value9814054BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis968463OtherCostOrOtherBasis
Book Value968463BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10782517TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES - S/T41403161
DUE FROM AFFILIATES-L/T18283336
SPECIAL INVESTMENTS2603215
DEFERRED FINANCING FEES39902
INSURANCE RECEIVABLE14970329
FieldValueIRS element (for citing)
Total Book Value Other Assets77299943TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$19,113,486
3RD PARTY LIABILITIES$11,550,647
DEFERRED COMPENSATION$2,603,653
DUE TO AFFILIATES L/T$33,286,946
FieldValueIRS element (for citing)
Total Of Amounts66554732TotalOfAmounts
Total Revenue101138646TotalRevenue
Total Expenses101138653TotalExpenses
Excess Or Deficit For Year-7ExcessOrDeficitForYear
Excess Or Deficit Per FS-7ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt101154808TotRevenueEtcAuditedFinclStmt
Other Revenues16162OtherRevenues
Revenue Not Rptd F99016162RevenueNotRptdF990
Revenue Subtotal101138646RevenueSubtotal
Total Revenue Per Form990101138646TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt101154815TotExpensesEtcAuditedFinclStmt
Other Expenses Included16162OtherExpensesIncluded
Expenses Not Rptd F99016162ExpensesNotRptdF990
Expenses Subtotal101138653ExpensesSubtotal
Total Expenses Per Form990101138653TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierLADIES NIGHT REVENUE/MTS REFUNDIdentifier
Return ReferenceSCH D PART XII 2D PART XIII 2DReturnReference
ExplanationLADIES NIGHT OUT REVENUE SPECIAL EVENT - $6,360; MEDICAL TECHNOLOGY REFUND - $10,312.50; SAFETY KIT ($510.84)Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
MICHAEL T WEBER
6629991854171128011470034597101051414700
MARYANN KEPPLE
379405583543573114700444249263214700
ROBERT DIAMOND
31415229986199814700281436365014700
RONALD TATELBAUM
3621829919832048147004646755459514700
BRIAN KOZIK
160319300037540280571951300
DAVID PING
2980802969426793147002857239783914700
PATRICK BOREK
2501442465013148147002970533234714700
FREDERICK THOMAS
29437129324191914700262534293914700
CATHERINE YURKON
273313236980147001145332316414700
MAUREEN ZIPPARO
232315222163378714700268023298200
STEPHEN KATZ MD
335641395890147003364142357114700
PAUL PANCOAST MD
30138048162013046303693929570
JANET READY
32858538829603147001118239389914700
ARUN AGARWAL MD
375000653073251414700457049209114700
DANIEL ARONZON MD
50158413197652197243003605874611524300
BENJAMIN DISANTO
2022241919015330132852696527699412486
DENISE GEORGE
2814475277120142147002874439780414700
DONNA MCGREGOR
45431910629247056147002651664888314700

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSTEVEN LANTNamePerson
FieldValueIRS element (for citing)
RelationshipPRES OF CENTRAL HUDSONRelationship
Amount Of Transaction1426183AmountOfTransaction
Description Of TransactionUTILITIES TO HQ AND AFFILIATESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNINGFORM 990 PART VI SECTION A LINE 4 7A AND BLINE 4 - Health Quest Systems, Inc. ("HQ") - Bylaw Amendments - Summary of Changes. HQ / Hospitals - 2010 Bylaw Amendments. HQ amended its bylaws on July 19, 2010 in order to streamline HQ's governance and promote management and operational efficiencies. In addition, bylaw amendments were made by each of HQ's affiliated hospitals (Vassar Brothers Medical Center ("VBMC" - 5/14/2010), Northern Dutchess Hospital ("NDH" - 5/25/2010), and Putnam Hospital Center ("PHC" - 6/30/2010) (collectively referred to as the "Hospitals"). Key Elements of Hospital / HQ Bylaw Changes. The bylaw amendments made several key changes: first, they confirm and enable HQ's existing and available powers under New York law as the sole member and active parent of the Hospitals; second, they focus each Hospital's board on patient safety, quality of care, and community health needs including through the elimination of all but three (3) required Hospital committees (i.e., the (i) Executive, (ii) Quality, Patient Satisfaction and Medical Staff Credentialing and (iii) Community Health Needs Committees); and third, other governance streamlining changes are implemented through the HQ and Hospital Bylaw changes (for example, several HQ committees are combined, many Hospital committees are being eliminated, and HQ's role and power as the sole member and active parent of each Hospital has been confirmed and further enabled). LINE 7A - ELECTION OF GOVERNING MEMBERS With the exception of Ex Officio Trustees, candidates for election to the HQ Board shall be nominated and elected in the following manner: 4.3.8.1. The Executive Committee shall nominate such candidates by approval of a majority vote of the Entire Executive Committee. 4.3.8.2. Any candidate nominated by the Executive Committee must be approved by Majority Vote of the HQ Board in order to be elected as a Trustee. 4.3.9. Except as otherwise expressly provided herein, any vacancy or vacancies in the HQ Board because of the death, resignation, disqualification or removal of a Trustee, an increase in the number of Trustees, or any other cause, may be filled by vote of a majority of the Trustees then in office. Each such Trustee filling a vacancy shall serve until the next annual meeting at which the Trustees are elected in the regular order of business, and until his or her successor is elected, appointed and qualified. Notwithstanding the foregoing to the contrary, any vacancy in the HQ Board due to the death, resignation, disqualified or removal of an Ex Officio Trustee shall be filled by the person succeeding to the office held by the departed Ex Officio Trustee. 4.3.10. No action of the HQ Board shall be deemed invalid or unauthorized due to the fact that, at the time of such action, there are less than fifteen (15) Trustees due to vacancies; provided, however, that this Subsection shall not be deemed to reduce the number of votes otherwise required to approve an act of the HQ Board. LINE 7B Quorum, Manner of Acting and Adjournment. 4.6.1. Except as otherwise provided in these Bylaws or the Certificate of Incorporation or by statute, a majority of the Entire HQ Board must be present at a given meeting in order to constitute a quorum of the transaction of business at such meeting. In the absence of a quorum, the Trustees present and voting may adjourn the meeting from time to time until a quorum is present. 4.6.2. Every Trustee shall be entitled to one (1) vote. 4.6.3. Except as otherwise required by law, the Certificate of Incorporation, or these Bylaws, an action approved by Majority Vote of the HQ Board shall be the act of the HQ Board. 4.6.4. Any powers not reserved to HQ in these Bylaws with respect to a given Direct Subsidiary shall be exercised by its Subsidiary Board. With respect to the Hospitals, the powers of the governing body of each Hospital shall include, but not be limited to, those specified herein for Direct Subsidiaries. 4.6.5. Exhibit 4.6.5 attached to these Bylaws sets forth the votes, approvals and conditions required in order to approve certain actions relating to HQ and its Direct Subsidiaries.
POLICIESFORM 990 PART VI SECTION B LINE 11A, 12C AND 15LINE 11A THE 990 WAS MAILED TO EACH BOARD MEMBER TO REVIEW AND CONTACT INFORMATION WAS PROVIDED SHOULD ANY QUESTIONS ARISE. LINE 12 C 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 15 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.
DISCLOSUREFORM 990 PART VI SECTION C LINE 19LINE 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.
RELATED TAX EXEMPT ORGANIZATIONSSCHEDULE R - RELATED TAX EXEMPT ORGANIZATIONSEntity Tax ID# Primary Activity Legal Domicile Exempt Code Status Public Charity Status Directo 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
TRANSACTIONS WITH RELATED ORGANIZATIONSSCHEDULE R - TRANSACTIONS WITH RELATED ORGANIZATION LINE PAAllocation 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. Lab Management 3. Pharmacy 4. 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 5. Facilities including courier service, construction, property management, facility operations, hotel management and security 6. Business Development including strategic planning, marketing and public relations, answering service and community education 7. Corporate Finance including accounts payable, payroll, general accounting, purchasing and supply chain, practice management billing and management engineering 8. Internal Audit and Compliance 9. Practice management operations including physician recruitment and physician management 10. Human Resources 11. Administrative including Executive office, Hospital Support and risk management 12. Legal Counsel 13. 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. Lab management includes oversight of the outsourced lab services for each hospital 3. Pharmacy management includes oversight of all pharmacy departments 4. 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 5. 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. Hotel Management functions include management oversight of food and nutrition departments for the hospitals e. Security functions include management oversight of all facilities to ensure the safest environment 6. 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 7. 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 and supply chain functions include procurement services, contract negotiations, price negotiations, capital purchase negotiations, including negotiations for maintenance contracts, upgrades to equipment, etc. 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 8. Internal Audit and Compliance includes oversight of the corporate compliance program, internal audit, HIPAA compliance and contract review and compliance 9. Human Resource functions include recruitment, compensation, benefit administration and employee training 10. Physician management operations functions include oversight of all HQ physician practices and physician recruitment functions 11. Administrative functions include oversight of the Health Quest system, hospital management and risk management 12. Legal Counsel functions include internal legal services for HQ and coordination of all outsourced legal initiatives 13. 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, general and professional liability, cyber insurance and Directors and Officers insurance. 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, pharmacy 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 Entity Tax ID # Amount of Transfer VASSAR BROTHERS MEDICAL CENTER 14-1338586 $59,788,514 NORTHERN DUTCHESS HOSPITAL 14-1338467 $9,009,610 PUTNAM HOSPITAL CENTER 14-6019179 $21,240,331 PHC FOUNDATION 06-1399319 $45,620 VBMC FOUNDATION 14-1736429 $421,010 RIVERSIDE MANAGEMENT SERVICES, INC 14-1675544 $27 RIVERSIDE DIVERSIFIED SERVICES, INC 14-1675545 $13,024 HUDSON VALLEY NEWBORN PHYSICIANS, PLLC 14-1811781 $568,456 HUDSON VALLEY EMERGENCY MEDICINE, PLLC 14-1810891 $1,331,840 ALAMO AMBULANCE SERVICES, INC 14-1745417 $992 HUDSON VALLEY HOME CARE, INC 14-1788412 $341,425 HEALTHSERVE, LLC 14-1797086 $610 HEALTH QUEST MEDICAL PRACTICE, PC 56-2669185 $6,336,460 HQ URGENT MEDICAL PRACTICE, PC 80-0152047 $911,611 NORTHERN DUTCHESS RESID HEALTH CARE FACILITY 22-3129608 $843,027 NDH FOUNDATION 14-1776208 $173,664 Total Administrative Fee $101,026,221
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL T WEBER TITLE:PRESIDENT/CEO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARYANN KEPPLE TITLE:TREASURER/CFO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:FREDERICK THOMAS TITLE:VP LEGAL COUNSEL/CORP SECRETAR HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARUN AGARWAL MD TITLE:PRESIDENT CEO OF HQMP HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DANIEL ARONZON MD TITLE:PRESIDENT AND CEO VBMC HOURS:65
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DENISE GEORGE TITLE:CEO OF NDH/VP OF CLINICAL SVCS HOURS:53
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONNA MCGREGOR TITLE:CEO OF PHC HOURS:58
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MAUREEN ZIPPARO TITLE:CHIEF OPERATING OFFICER HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JANET READY TITLE:CHIEF OPERATING OFFICER VBMC HOURS:50

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HQ LAB SUPPORT SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line145 READE PLACEAddressLine1
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12601ZIPCode
FieldValueIRS element (for citing)
EIN454370644EIN
Primary ActivitiesLAB SUPPORTPrimaryActivities
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HQBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE 0BusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE O FOR DETAILSBusinessNameLine1

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