NUVANCE HEALTH MEDICAL PRACTICE PC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NUVANCE HEALTH MEDICAL PRACTICE PC (EIN 56-2669185)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-12
IRS object ID
201103169349300330
Schema version
2010v3.4
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)
Timestamp2011-11-12T17:17:07-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562669185EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH QUEST MEDICAL PRACTICE PCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone8454759500Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMARYANN KEPPLEName
TitleTREASURERTitle
Date Signed2011-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11351 ROUTE 55AddressLine1
CityLAGRANGEVILLECity
StateNYState
ZIP Code12540ZIPCode
FieldValueIRS element (for citing)
Gross Receipts38763654GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF THE COMMUNITIES THAT WE SERVE IN THE HUDSON VALLEY BY PROVIDING QUALITY PATIENT CARE BASED ON OUR COMMITMENT TO EXCELLENCE, INNOVATION AND STATE-OF-THE-ART TECHNOLOGIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body1NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees366TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27458428ProgramServiceRevenuePriorYear
Program Service Revenue CY38726404ProgramServiceRevenueCY
Investment Income Prior Year210InvestmentIncomePriorYear
Investment Income Current Year11InvestmentIncomeCurrentYear
Other Revenue Prior Year201882OtherRevenuePriorYear
Other Revenue Current Year37239OtherRevenueCurrentYear
Total Revenue Prior Year27660520TotalRevenuePriorYear
Total Revenue Current Year38763654TotalRevenueCurrentYear
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 Year31031253SalariesEtcPriorYear
Salaries Etc Current Year37020360SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12450064OtherExpensePriorYear
Other Expenses Current Year15668753OtherExpensesCurrentYear
Total Expenses Prior Year43481317TotalExpensesPriorYear
Total Expenses Current Year52689113TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-15820797RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-13925459RevenuesLessExpensesCY
Total Assets BOY9820748TotalAssetsBOY
Total Assets EOY13130244TotalAssetsEOY
Total Liabilities BOY10082983TotalLiabilitiesBOY
Total Liabilities EOY14069569TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-262235NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-939325NetAssetsOrFundBalancesEOY
Mission DescriptionHEALTH QUEST MEDICAL PRACTICE PROVIDES MULTISPECIALTY PHYSICIAN SERVICES TO PATIENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense43864074Expense
Revenue38726404Revenue
DescriptionTO PROVIDE MULTISPECIALTY HOSPITAL BASED AND RETAIL BASED HEALTH CARE INCLUDING ONCOLOGY, CRITICAL CARE, CARDIOTHORACIC SURGERY, SURGICAL SERVICES, OBGYN, NEWBORN CARE, AND PRIMARY PHYSICIAN CARE TO PATIENTS IN VARIOUS SERVICE AREAS.Description
Total Program Service Expense43864074TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees366NumberOfEmployees
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 Members1NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 Number8454759538TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationHighest Compensated EmployeeHighestCompensatedEmployee
MARYANN KEPPLE
TREASURER65.0X49684916692
ARUN AGARWAL MD
PRESIDENT AND CEO OF HQMP52.5X44325814872
FREDERICK THOMAS
CORPORATE SECRETARY70.0X35431244571
MOHAN SARABU MD
MEDICAL DIRECTOR-CARDIAC SURG80.033477X1200006
PETER ZAKOW MD
PHYSICIAN-CARDIAC SURGERY70.042438550000X
ANGELA KELEHER MD
PHYSICIAN - BREAST SURGERY50.025177458976X
ROHIT SHAHANI MD
PHYSICIAN - CARDIAC SURGERY50.038313460000X
KIMBERLY HELLER MD
PHYSICIAN - PERINATOLOGY65.020394465000X
AZZAM M SALEM MD
PHYSICIAN56.026366389621X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3523603TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1294419TotalReportableCompFrmRltdOrgs
Total Other Compensation262300TotalOtherCompensation
Number Individuals GT100 K107NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROVIDE MEDICAL CARE AND SERVICES2461790724617907
PROVIDE CLINIC MEDICAL CARE AND SERVICES741780741780
ADMINISTRATIVE FEE/SUBSIDY1267316712673167
OTHER PROGRAM REVENUE693550693550
FieldValueIRS element (for citing)
Total Program Service Revenue38726404TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11TotalRevenueColumn
Exclusion$11ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real25889Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25889Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25889TotalRevenueColumn
Exclusion$25,889ExclusionAmount

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RETURNED CHECK FEE INCOME9000992526$2,526
MILLBROOK CENTRAL SCHOOL PHYSICALS REVENUE88028802
DR. WILSON/PNPC-AFFINITY2222
FieldValueIRS element (for citing)
Total Other Revenue11350TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column38763654TotalRevenueColumn
Related Or Exempt Function Income38735228RelatedOrExemptFunctionIncome
Exclusion$28,426ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1200006Total
Program Services1082095ProgramServices
Management And General117911ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30851109Total
Program Services27763908ProgramServices
Management And General3087201ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total693277Total
Program Services623949ProgramServices
Management And General69328ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1824058Total
Program Services1641652ProgramServices
Management And General182406ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2451910Total
Program Services2206719ProgramServices
Management And General245191ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6045530Total
Program Services1886112ProgramServices
Management And General4159418ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6000Total
Program Services5400ProgramServices
Management And General600ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total677206Total
Program Services609485ProgramServices
Management And General67721ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2039Total
Program Services1835ProgramServices
Management And General204ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total302730Total
Program Services272456ProgramServices
Management And General30274ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1848648Total
Program Services1663783ProgramServices
Management And General184865ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total83899Total
Program Services75509ProgramServices
Management And General8390ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total853120Total
Program Services767808ProgramServices
Management And General85312ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2959046Total
Program Services2661252ProgramServices
Management And General297794ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTINUING EDUCATION13704712334213705
DUES/SUBSCRIPTIONS14058812652914059
LICENSES & FEES14142612728314143
BAD DEBT14172001275480141720
SPECIAL FUNCTIONS23986215872399

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1030288Total
Program Services927890ProgramServices
Management And General102398ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total52689113Total
Program Services43864074ProgramServices
Management And General8825039ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY611131BOY
EOY402907EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2803373BOY
EOY4019605EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY796771BOY
EOY1212392EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6609588LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1019256LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2837075BOY
EOY5590332EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY758818BOY
EOY871429EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2013580BOY
EOY1033579EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9820748BOY
EOY13130244EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3686101BOY
EOY2323824EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6396882BOY
EOY11745745EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10082983BOY
EOY14069569EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-262235BOY
EOY-939325EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-262235BOY
EOY-939325EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9820748BOY
EOY13130244EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-13925459ReconcilationRevenueExpenses
Reconcilation Other Changes13248369ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
VASSAR BROTHERS MEDICAL CENTER
14133858603falsetruetrue$9,543,904
PUTNAM HOSPITAL CENTER
06139931903falsetruetrue$1,422,860
NORTHERN DUTCHESS HOSPITAL
14133846703falsetruetrue$2,281,605
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts13248369SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1564172OtherCostOrOtherBasis
Depreciation72808Depreciation
Book Value1485964BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4848138OtherCostOrOtherBasis
Depreciation941047Depreciation
Book Value3907091BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis197277OtherCostOrOtherBasis
Book Value197277BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5590332TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES352436
OTHER RECEIVABLES69544
SPECIAL INVESTMENTS611599
FieldValueIRS element (for citing)
Total Book Value Other Assets1033579TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$10,938,017
SPECIAL INVESTMENTS$675,839
DUE TO HITNY$127,403
L/T DUE TO HQ$4,486
FieldValueIRS element (for citing)
Total Of Amounts11745745TotalOfAmounts
Total Revenue38763654TotalRevenue
Total Expenses52689113TotalExpenses
Excess Or Deficit For Year-13925459ExcessOrDeficitForYear
Other$13,248,369OtherAmount
Total Adjustments13248369TotalAdjustments
Excess Or Deficit Per FS-677090ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt38763654TotRevenueEtcAuditedFinclStmt
Revenue Subtotal38763654RevenueSubtotal
Total Revenue Per Form99038763654TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt52689113TotExpensesEtcAuditedFinclStmt
Expenses Subtotal52689113ExpensesSubtotal
Total Expenses Per Form99052689113TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI LINE 8Identifier
Return ReferenceRECONCILIATION OF CHANGE IN NET ASSETSReturnReference
ExplanationTRANSFER OF EQUITY - $13,248,369Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
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 (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MOHAN SARABU MD
120000600147001877712334830
PETER ZAKOW MD
5500000014700277385924380
ANGELA KELEHER MD
4589760014700104774841530
ROHIT SHAHANI MD
4600000014700236134983130
KIMBERLY HELLER MD
465000001073193214853940
AZZAM M SALEM MD
29608575548179880263664159870
MARYANN KEPPLE
36959491660355951470019925135410
ARUN AGARWAL MD
3750003322635032147001724581300
FREDERICK THOMAS
286767499571758814700298713988830

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED 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 Health Quest Urgent Care Medical Practice 80-0152047 Health Care NY 501c3 Box 3
POLICIESFORM 990 PART VI SECTION B LINES 11A 12C AND 15BLINE 11A FORM 990 IS REVIEWED BY THE AVP OF HEALTH QUEST SYSTEMS, INC. AND COPIES ARE PROVIDED TO DR. AGARWAL THE SHAREHOLDER, PRIOR TO FILING. 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 SCETION 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.
TRANSACTIONS WITH HQSCH R, PART V, LINE 2 (1)Related Transactions with Health Quest Systems, Inc Allocation Methodology 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. 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. 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, 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
TRANSACTIONS WITH HOSPITALSSCH R, PART V, LINE 2 (2)Administrative Fees and Subsidies The administrative fees/subsidies are based on expenses associated with the practice providing the following services to its Affiliated Hospitals at cost. Hospitalists: The physicians employed by the Hospitalist program admit and provide care to inpatients at VBM, PHC and NDH allowing the patient's private/primary community physician to remain in their office. The care is provided on a continuous basis to the patient throughout the day, night and for the weekends. The specific requirements of the group are detailed below: " 24/7 coverage " Medical Director administrative time: 18 hours per week Includes: scheduling, payroll, recruitment, evaluation of growth, review financial records. " Night coverage: 15 hour shift. 6 hours are spent on billable patient care. Remaining 9 hours (63 hours per week) are involved with covering existing team and being available for ER evaluations or new consults. These hours are critical for excellent care and are not billable. " Day MD administrative time: filling our forms, conferences with patients/family/staff beyond E/M billable time, signing charts. 1 hour each per provider or 3 hours per day- 21 hours per week " Case management advisor " Participate in QI programs at the hospital " Chair of information management committee. " Nursing Education. " Direct and coordinate all clinical matters. " Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures " Ensure the consistency, quality of services provided. " Analyze clinical outcomes, and identify deficiencies. " Resolve patients and problems with the quality of services. " Written reports- goals, objectives and standards for services. " Scheduling providers " Participate in community outreach programs and community education. " Review financial report. " Ensures that all providers are compliant Intensivists: The physicians employed by the Intensivist (triple boarded) program provide care to critically ill patients in the intensive care and critical care units at VBMC. The appropriate level of care warranted by the acuity of the patient is provided on a continuous basis to the patient throughout the day, night and for the weekends. The specific requirements of the group are detailed below: " 24/7 coverage for code stats- Lead team, intubate, place lines, emergency pacemakers, etc. " 24/7 rapid consultations available for medical staff. " 24/7 availability to triage patients moving into or out of intensive care " 24/7 coverage of ED evaluations and urgent/emergent advice of critically ill adults. " Mandated coverage for an average of 15 ICU patients/day " Direct and coordinate all clinical matters. " Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures " Ensure the consistency, quality of services provided. " Analyze clinical outcomes, and identify deficiencies. " Resolve patients and problems with the quality of services. " Written reports- goals, objectives and standards for services. " Scheduling providers " Participate in community outreach programs and community education. " Review financial report. " Ensures that all providers are compliant Surgical PA Program The Physician Assistants employed by the Surgical PA program assist during surgical procedures at VBMC, PHC and NDH. This service is extremely important to the community of surgeons due to a shortage (and aging) of general surgeons in the Dutchess County. This program reduces the need for surgeons to double-up during procedures. The specific requirements of the group are detailed below: " Direct and coordinate all clinical matters. " Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures " Ensure the consistency, quality of services provided. " Analyze clinical outcomes, and identify deficiencies. " Resolve patients and problems with the quality of services. " Recommends employment and termination of non-physician personnel " Written reports- goals, objectives and standards for services. " Scheduling providers " Participate in community outreach programs and community education. " Review financial report. " Ensures that all providers are compliant CTPA: The physician assistants employed by the Cardio Thoracic PA program assist during cardiac surgical procedures at VBMC. This service is vital since there are currently only two Cardiothoracic Surgeons at VBMC who cannot provide 24/7 coverage for their patients without this program. The specific requirements of the group are detailed below: " 24/7 coverage ( 8,736 hours per year) for Cardiothoracic patients Women's Health: The physicians employed by the Women's Health program care for patients in the PCAP clinic program of VBMC. The revenue generated by the group comes from two sources for the clinic patients. The PCAP rate VBMC receives is shared with the group as reimbursement for the professional services the physicians provide to the patients in the outpatient clinic. Additionally, the group bills for the procedures and deliveries the physicians perform for patients admitted to VBMC. The specific requirements of the group are detailed below: " Direct and coordinate all clinical matters. " Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures " Ensure the consistency, quality of services provided. " Analyze clinical outcomes, and identify deficiencies. " Resolve patients and problems with the quality of services. " Written reports- goals, objectives and standards for services. " Scheduling providers " Participate in community outreach programs and community education. " Review financial report. " Ensures that all providers are compliant Breast Surgery The physicians employed by the Oncology program provide care for oncology patients on both an outpatient basis (office visits) and an inpatient basis for surgical procedures and the associated post operative care. The specific requirements of the group are detailed below: " Coordinates patient, and OR schedule. " Reviews patient work load and delegate's projects and concerns. " Handles office day to day issues at the practice " Gives lectures on Breast Cancer at VBMC and community events. " Direct and coordinate all clinical matters. " Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures " Ensure the consistency, quality of services provided. " Analyze clinical outcomes, and identify deficiencies. " Resolve patients and problems with the quality of services. " Recommends employment and termination of non-physician personnel " Written reports- goals, objectives and standards for services. " Scheduling providers " Participate in community outreach programs and community education. " Review financial report. " Ensures that all providers are compliant CT Surgeons The physicians and physician assistants employed by HQMP provide care for cardiac patients on both an outpatient basis (office visits) and an inpatient basis for surgical procedures and the associated post operative care. The specific requirements of the group are detailed below: " Direct and coordinate all clinical matters. " Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures " Ensure the consistency, quality of services provided. " Analyze clinical outcomes, and identify deficiencies. " Resolve patients and problems with the quality of services. " Recommends employment and termination of non-physician personnel " Written reports- goals, objectives and standards for services. " Scheduling providers " Participate in community outreach programs and community education. " Review financial report. " Ensures that all providers are compliant
GOVERNINGFORM 990, PART VI LINE 6, 7A, 7BARUN AGARWAL, MD IS THE SINGLE SHAREHOLDER FOR HQMP.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
HEALTH QUEST SYSTEMS INC
1351 ROUTE 55LAGRANGEVILLENY12540141678068SUPPORT SVC501 C(3)BOX 9HQ
SEE SCHEDULE O
N/A
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 OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HEALTH QUEST SYSTEMS INC
O6045530
VASSAR BROTHERS MEDICAL CENTER
P11501456
PUTNAM HOSPITAL CENTER
P715682
NORTHERN DUTCHESS HOSPITAL
P456029

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