VASSAR BROTHERS HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: VASSAR BROTHERS HOSPITAL (EIN 14-1338586)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201943189349311374
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T15:43:55-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338586	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VASSAR BROTHERS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ROBERT FRIEDBERG PRESIDENT	InCareOfNm
Business Name Control	VASS	BusinessNameControlTxt
Phone	8454759500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT FRIEDBERG	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8454759500	PhoneNum
Signature	2019-11-14	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	64.72.65.146	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	14417020193185000001	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	240A1E5F0EC940BDBCF5BA8D2EEA68CDC626CD36	AtSubmissionCreationDeviceId
At Submission Filing Device Id	73568967A6026A6DA95E58AA80AE98ECD706EE6E	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ANN MCMACKIN PRESIDENT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$676,536,529	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HEALTHQUEST.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1882	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE - SEE SCHEDULE O FOR MORE INFORMATION	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2572	TotalEmployeeCnt
Total Volunteers	425	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$878,573	PYContributionsGrantsAmt
CY Contributions Grants	$796,471	CYContributionsGrantsAmt
PY Program Service Revenue	$650,132,135	PYProgramServiceRevenueAmt
CY Program Service Revenue	$647,929,457	CYProgramServiceRevenueAmt
PY Investment Income	$12,255,920	PYInvestmentIncomeAmt
CY Investment Income	$17,329,146	CYInvestmentIncomeAmt
PY Other Revenue	$8,912,540	PYOtherRevenueAmt
CY Other Revenue	$10,481,455	CYOtherRevenueAmt
PY Total Revenue	$672,179,168	PYTotalRevenueAmt
CY Total Revenue	$676,536,529	CYTotalRevenueAmt
PY Grants And Similar Paid	$158,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$158,100	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$223,896,351	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$227,781,636	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$353,772,257	PYOtherExpensesAmt
CY Other Expenses	$345,680,331	CYOtherExpensesAmt
PY Total Expenses	$577,826,708	PYTotalExpensesAmt
CY Total Expenses	$573,620,067	CYTotalExpensesAmt
PY Revenues Less Expenses	$94,352,460	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$102,916,462	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,081,588,850	TotalAssetsBOYAmt
Total Assets EOY	$1,107,361,106	TotalAssetsEOYAmt
Total Liabilities BOY	$668,748,861	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$661,483,732	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$412,839,989	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$445,877,374	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION STATEMENT OF THE HEALTH QUEST SYSTEM AND ITS AFFILIATED ORGANIZATIONS IS TO DELIVER EXCEPTIONAL HEALTHCARE TO THE COMMUNITIES WE SERVE BY PURSUING THE HIGHEST STANDARDS OF QUALITY, SAFETY, SERVICE AND COMPASSION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$284,322,430	ExpenseAmt
Revenue	$402,117,643	RevenueAmt
Desc	INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 23,659; NUMBER OF PATIENT DAYS 104,423 THE HOSPITAL PROVIDED APPROXIMATELY $3,385,559 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$171,901,210	ExpenseAmt
Grant	$158,100	GrantAmt
Revenue	$243,120,142	RevenueAmt
Desc	OUTPATIENT SERVICES: EMERGENCY VISITS 61,023; OTHER OUTPATIENT VISITS/PROCEDURES 392,132 THE HOSPITAL PROVIDED APPROXIMATELY $4,350,938 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,903,181	ExpenseAmt
Revenue	$2,691,672	RevenueAmt
Desc	AFFILIATE RENTAL INCOME	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$458,126,821	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2572	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ROBERT FRIEDBERG PRESIDENT	PersonNm
Phone	8454759500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1351 ROUTE 55 SUITE 200	AddressLine1Txt
City	LAGRANGEVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12540	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CARLA GUDE
IMMEDIATE PAST CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
BARRY ROTHFELD
FIRST VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT CHAMBERS
TRUSTEE EMERITUS	1.0	0.0	Yes (X)	$0	$0	$0
FRANCOISE DUNEFSKY
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
CARL NEEDY
TRUSTEE EMERITUS	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD STRAIN
TRUSTEE EMERITUS	1.0	0.0	Yes (X)	$0	$0	$0
JOHN REID
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ANN MCMACKIN
VBMC PRESIDENT	0.0	40.0	Yes (X)	$0	$770,555	$28,104	Yes (X)
TIMOTHY DEAN
SECOND VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES O'MARA
SECRETARY/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0
CHERYL BOWERS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
KEVIN CLEARY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
SHAY HUMPHREY ESQ
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
THOMAS ROBINSON MD
PRESIDENT MEDICAL/DENTAL STAFF	1.0	0.0	Yes (X)	$0	$0	$0
DEBRA DOMBER
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
STEVEN TINKELMAN
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
SIMON GORWARA MD
TRUSTEE & HVCP PHYSICIAN	1.0	40.0	Yes (X)	$0	$1,041,770	$47,805
KIMBERLY HELLER MD
TRUSTEE & HQMP PHYSICIAN	1.0	40.0	Yes (X)	$0	$512,495	$31,617
KATHLEEN MERGET
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
RONALD TATELBAUM MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JAMES WALKER
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT FRIEDBERG
HQ PRESIDENT & CEO	0.0	40.0		$0	$1,586,235	$132,071	Yes (X)
KATHERINE BACHER
HQ SVP & CFO/ASST TREASURER	0.0	40.0		$0	$641,026	$57,938	Yes (X)
MICHAEL HOLZHUETER
ASST SECRETARY	0.0	40.0		$0	$956,997	$95,358	Yes (X)
CHERYL BOOTH
ASSISTANT SECRETARY	0.0	40.0		$0	$121,070	$10,394	Yes (X)
MICHAEL DOYLE MD
VP MEDICAL AFFAIRS	40.0	0.0		$436,022	$0	$18,695		Yes (X)
KEVIN BOLAND
DIR CARDIO PERFUSION	40.0	0.0		$314,824	$0	$46,208			Yes (X)
LORETTA M BOGOLIN
VP PATIENT CARE SVCS/CNO VMBC	40.0	0.0		$360,376	$0	$37,607			Yes (X)
ROBERT A ROSENBAUM
VP OPERATIONS	40.0	0.0		$358,389	$0	$32,883			Yes (X)
ANN ARMATER
SVP DEVELOPMENT	40.0	0.0		$321,003	$0	$47,639			Yes (X)
DOUGLAS HART
PERFUSIONIST	40.0	0.0		$234,758	$0	$35,964			Yes (X)
JOHN L MCGUINNESS
FORMER HQ CEO AND PRESIDENT	0.0	8.0		$0	$350,004	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,025,372	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,980,152	TotReportableCompRltdOrgAmt
Total Other Compensation	$622,283	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$39,470	GovernmentGrantsAmt
All Other Contributions	$757,001	AllOtherContributionsAmt
Total Contributions	$796,471	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT SERVICE REVENUE	900099	$402,117,643	$402,117,643
OUTPATIENT SERVICE REVENUE	900099	$243,120,142	$243,120,142
AFFILIATE RENTAL INCOME	900099	$2,691,672	$2,691,672

Field	Value	IRS element (for citing)
Total Program Service Revenue	$647,929,457	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,071,145	TotalRevenueColumnAmt
Exclusion	$16,071,145	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,713,869	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,713,869	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,713,869	TotalRevenueColumnAmt
Exclusion	$1,713,869	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,258,001	TotalRevenueColumnAmt
Exclusion	$1,258,001	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA AND DELI SALES	900099	$2,140,474	$2,140,474
REFUNDS AND REBATES	900099	$1,953,958	$1,953,958
21 READE PLACE DISTRIBUTION	518210	$2,043,859	$2,043,859

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,629,295	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,629,295	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,767,586	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$676,536,529	TotalRevenueColumnAmt
Related Or Exempt Func Income	$656,697,043	RelatedOrExemptFuncIncomeAmt
Exclusion	$19,043,015	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$158,100	TotalAmt
Program Services	$158,100	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$436,022	TotalAmt
Program Services	$392,420	ProgramServicesAmt
Management And General	$43,602	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$161,771,709	TotalAmt
Program Services	$151,128,628	ProgramServicesAmt
Management And General	$10,643,081	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,606,494	TotalAmt
Program Services	$15,537,845	ProgramServicesAmt
Management And General	$1,068,649	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,998,086	TotalAmt
Program Services	$34,560,552	ProgramServicesAmt
Management And General	$2,437,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,969,325	TotalAmt
Program Services	$11,180,754	ProgramServicesAmt
Management And General	$788,571	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$61,259	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$61,259	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,788,326	TotalAmt
Program Services	$1,709,944	ProgramServicesAmt
Management And General	$78,382	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,084,726	TotalAmt
Program Services	$10,852,871	ProgramServicesAmt
Management And General	$3,231,855	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$987,287	TotalAmt
Program Services	$961,029	ProgramServicesAmt
Management And General	$26,258	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,584,753	TotalAmt
Program Services	$4,294,112	ProgramServicesAmt
Management And General	$2,290,641	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$74,802	TotalAmt
Program Services	$57,634	ProgramServicesAmt
Management And General	$17,168	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$385,431	TotalAmt
Program Services	$172,396	ProgramServicesAmt
Management And General	$213,035	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,623,363	TotalAmt
Program Services	$3,015,032	ProgramServicesAmt
Management And General	$1,608,331	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,347,195	TotalAmt
Program Services	$15,500,829	ProgramServicesAmt
Management And General	$8,846,366	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,530,940	TotalAmt
Program Services	$2,954,760	ProgramServicesAmt
Management And General	$1,576,180	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SERVICES	$125,807,301	$49,907,073	$75,900,228	$0
MEDICAL SUPPLIES	$100,152,980	$100,152,980	$0	$0
PHYSICIAN FEES	$42,042,872	$42,042,872	$0	$0
MAINTENANCE AND SVC CONTRACTS	$10,634,586	$6,784,964	$3,849,622	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,574,510	TotalAmt
Program Services	$6,762,026	ProgramServicesAmt
Management And General	$2,812,484	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$573,620,067	TotalAmt
Program Services	$458,126,821	ProgramServicesAmt
Management And General	$115,493,246	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,016,218	BOYAmt
EOY	$12,032,358	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,892,172	BOYAmt
EOY	$6,428,861	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,037,021	BOYAmt
EOY	$110,456,157	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,327,179	BOYAmt
EOY	$10,291,265	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,172,015	BOYAmt
EOY	$5,014,517	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$940,583,956	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$406,850,827	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$361,219,611	BOYAmt
EOY	$533,733,129	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$200,257,916	BOYAmt
EOY	$189,469,297	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,915,927	BOYAmt
EOY	$25,915,927	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$353,750,791	BOYAmt
EOY	$214,019,595	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,081,588,850	BOYAmt
EOY	$1,107,361,106	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$57,409,210	BOYAmt
EOY	$78,491,303	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$455,062,482	BOYAmt
EOY	$447,813,759	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$40,391,350	BOYAmt
EOY	$30,697,610	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$115,885,819	BOYAmt
EOY	$104,481,060	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$668,748,861	BOYAmt
EOY	$661,483,732	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$399,257,567	BOYAmt
EOY	$427,355,147	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,391,471	BOYAmt
EOY	$16,331,277	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,190,951	BOYAmt
EOY	$2,190,950	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$412,839,989	BOYAmt
EOY	$445,877,374	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,081,588,850	BOYAmt
EOY	$1,107,361,106	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$102,916,462	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$24,918,356	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$44,960,721	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$30,630	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$30,629	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$61,259	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C PART II-B LINE 1J - LOBBYING EXPENDITURES	FormAndLineReferenceDesc
Explanation	A PORTION OF THE NORMET MEMBERSHIP, GNYHA MEMBERSHIP AND HEALTHCARE EDUCATION PROJECT, PAID BY VASSAR BROTHERS MEDICAL CENTER, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,680,956	OtherCostOrOtherBasisAmt
Book Value	$18,680,956	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$281,596,095	OtherCostOrOtherBasisAmt
Depreciation	$135,537,626	DepreciationAmt
Book Value	$146,058,469	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$294,096,644	OtherCostOrOtherBasisAmt
Depreciation	$269,063,513	DepreciationAmt
Book Value	$25,033,131	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$346,210,262	OtherCostOrOtherBasisAmt
Depreciation	$2,249,689	DepreciationAmt
Book Value	$343,960,573	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$533,733,129	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (19 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$24,558,576
RETIREMENT INVESTMENTS	$1,009,676
NOTE RECEIVABLE	$394,724
UROC SECURITY DEPOSIT	$49,500
INTEREST IN FOUNDATION	$14,160,985
2007 SERIES A BOND PREMIUM	$553,183
DSRF 2007 SERIES A BONDS	$1,091,621
DSRF 2005 BONDS	$1,346,984
MISC RECEIVABLES	$5,129,401
2010 BOND INTEREST FD GENERAL	$2,971,092
DUE FROM HQ LT	$22,633,530
DUE FROM THIRD PARTIES	$1,981,974
DSRF 2012 PROJECT FUND	$9,156
DSRF HQ SER 1997	$1,525
DSRF 2012 INTEREST	$1,542,008
DSRF 2014 1 COLUMBIA ST FUND	$310,331
DSRF 2014 INTEREST	$1,069,875
DSRF 2016B CONSTRUCTION FUND	$119,523,277
DSRF 2016B CAP INT FUND	$15,682,177

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$214,019,595	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
POST RETIREMENT BENEFITS	$61,482,911
RETIREMENT INVESTMENTS	$1,011,124
3RD PARTY RATE ADJMTS PAYABLE	$2,158,801
DUE TO AFFILIATES	$200,299
ENVIRONMENTAL CONTIN LIAB (FIN	$4,695,799
GENERAL RESERVE	$10,544,379
DUE TO HQ L/T	$2,493,293
MED MALPRACTICE INSURANCE LIAB	$21,894,454

Field	Value	IRS element (for citing)
Total Liability	$104,481,060	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D PART V LINE 4 - ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,673,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,484,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,189,144	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,599,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,320,714	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,278,807	NetCommunityBenefitExpnsAmt
Total Expense	0.04930	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,273,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,805,214	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,467,951	NetCommunityBenefitExpnsAmt
Total Expense	0.06180	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	5698	PersonsServedCnt
Total Community Benefit Expns	$40,925	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,925	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	26	PersonsServedCnt
Total Community Benefit Expns	$472	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$472	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	5724	PersonsServedCnt
Total Community Benefit Expns	$41,397	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,397	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	5724	PersonsServedCnt
Total Community Benefit Expns	$91,314,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,805,214	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,509,348	NetCommunityBenefitExpnsAmt
Total Expense	0.06190	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$17,227,616	BadDebtExpenseAmt
Reimbursed By Medicare	$241,088,862	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$270,133,824	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,044,962	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct
ULSTER RADIATION ONC
RADIATION ONCOLOGY	0.5
21 READE PLACE
ENDOSCOPY	0.26

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VASSAR BROTHERS MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HEALTHQUEST.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	VASSAR BROTHERS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.HEALTHQUEST.ORG/COMMUNITY	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.HEALTHQUEST.ORG/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.HEALTHQUEST.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.HEALTHQUEST.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.HEALTHQUEST.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	Dutchess County embraces an inclusive and collaborative process for community planning. The Dutchess County Department of Behavioral & Community Health partnered with Health Quest, Mid-Hudson Regional Hospital and local health practices to conduct a community health improvement stakeholder forum on October 18, 2016. Nearly one hundred representatives from healthcare agencies, behavioral health services, county agencies, and community organizations took part in the event to discuss community health priorities and review CHIP strategies. Agency and organizational partners also participate in ongoing dialogue through active workgroups and coalitions like the Dutchess County Chronic Disease Coalition, the Dutchess County Substance Abuse Workgroup, Dutchess County Tick Task Force, and Hudson Valley Region Population Health Improvement Program.
PART V, SECTION B, LINE 6A	The VBMC CHNA was conducted in conjunction with Northern Dutchess Hospital and Mid-Hudson Regional Medical Center.
PART V, SECTION B, LINE 6B	The VBMC CHNA was conducted with the Dutchess County Department of Behavioral & Community Health.
PART V, SECTION B, LINE 11	The Dutchess County Department of Behavioral & Community Health confirmed the following Prevention Agenda priorities and disparity focus areas for the 2016-2018 period: . Prevent Chronic Disease . Promote Mental Health & Prevent Substance Abuse . Promote a Safe & Healthy Environment (Reduce burden of tick-borne disease) Based on these priorities, Vassar Brothers Medical Center and Northern Dutchess Hospital's Community Health Needs Committees identified the following two priorities for their NYS Community Service Plan: 1. Prevent Chronic Diseases 2. Promote a Healthy and Safe Environment (Reduce Fall Risks Among Vulnerable Populations) County Priorities Not Formally Addressed 1. Reduce Tick and Insect-Related Diseases - While we did not select this as a priority this year, it was a priority for both VBMC and NDH in our prior Community Service Plan (2013-2016). We will continue to support this initiative through our ongoing partnership with the Dutchess County Department of Behavioral and Community Health. Health Quest representatives sit on the tick-borne disease prevention workgroup hosted by the Dutchess County Department of Behavioral and Community Health. Health Quest also continues to educate the community about tick- and insect-related diseases through social media campaigns, the financial support of tick removal kits that are distributed at no cost to the public at various outreach events, and public educational lectures by clinical providers on our medical staff. 2. Prevent Substance Abuse - While this issue was undoubtedly of great importance to our committees, VBMC and NDH elected not to address this with a formal initiative at this time because we do not have licensed substance abuse beds. Mid-Hudson Regional Hospital of Westchester Medical Center has licensed behavioral and substance abuse beds and provides services to Dutchess County residents. The hospitals continuously look for ways to support the County with this initiative, such as providing space for training, providing physician speakers to lecture about substance abuse preventive measures, and hosting medication take-back days.
PART V, SECTION B, LINE 7D	The CHNA was also printed and distributed throughout the hospital, including the main lobby, patient waiting areas and hospital administration offices. It is also available by request in the Health Quest administrative offices.
PART V, SECTION B, LINE 9	The hospitals conducted their most recent CHNA, in conjunction with their County Health Department, in tax year 2016. The implementation strategies were approved and adopted by the Hospital Boards in 2016, and were implemented in calendar year 2017.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	THE COST TO CHARGE RATIO PERCENTAGE, BASED ON THE MEDICARE COST REPORT, WAS USED AS THE COSTING METHODOLOGY IN DETERMINING THE AMOUNTS REPORTED.
PART III, SECTION A, LINE 2, 3 AND 4	LINE 2 - VBMC FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY. LINE 3 - VBMC DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT. LINE 4 - FOOTNOTE ON AUDITED FINANCIALS - THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 18 OF THE HEALTH QUEST SYSTEMS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW THE COMPANY TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. UNCOLLECTIBLE AMOUNTS DUE FROM SUCH UNINSURED PATIENTS REPRESENT THE SUBSTANTIAL PORTION OF THE PROVISION FOR BAD DEBTS REFLECTED IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.
PART III, SECTION B, LINE 8	THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE COMPANY'S COSTS FOR THE PATIENTS IN THE COMMUNITY. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL WAS THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT.
PART III, SECTION C, LINE 9B	BEFORE A DELINQUENT ACCOUNT WAS REFERRED TO A COLLECTION AGENCY, THE ACCOUNT WAS REVIEWED TO DETERMINE WHETHER THE PATIENT QUALIFIED FOR CHARITY CARE, OR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY. IF IT WAS DETERMINED THAT THE PATIENT WAS ELIGIBLE FOR CHARITY CARE, OR FINANCIAL ASSISTANCE, THE ACCOUNT WAS ADJUSTED TO CHARITY, AND WAS NOT PURSUED WITH A COLLECTION AGENCY. IF A PATIENT APPEALLED THE DETERMINATION, THE ACCOUNT WAS NOT REFERRED TO A COLLECTION AGENCY UNTIL A FINAL DETERMINATION HAD BEEN MADE WITH RESPECT TO THE APPEAL. PATIENTS STILL HAD THE OPPORTUNITY TO APPLY FOR A DISCOUNT UNDER THE CHARITY CARE POLICY EVEN AFTER THE ACCOUNT HAD BEEN SENT TO A COLLECTION AGENCY.
PART VI, LINE 2 NEEDS ASSESSMENT	In addition to the CHNAs conducted every three years, the hospital has a Community Health Needs Committee that meets regularly to access any additional health care needs in the community. The committee provides oversight to the hospital's community health priorities, including needs assessments, community health improvement plans and other population health initiatives. They help guide priority issues for action to improve community health and help inform, guide and share successful programs and strategies that address health and wellness throughout the community.
PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	We have a Health Quest wide financial assistance policies and procedures that are in place at each hospital. The HQ Financial Assistance policy/worksheet is displayed on the back of each patient statement, there are financial assistance posters hanging within the registration areas and the HQ Financial Assistance policy is displayed on the HQ website. In addition, the financial counselors at each hospital attempt to contact each self-pay patient to screen the patient for Financial Assistance and make the patient aware of their options. The folder given to each patient in the ED contains literature about the financial assistance policy. Our customer service reps are all educated on the Financial Assistance policy and explain this to the patients if they ask.
PART VI, LINE 4 COMMUNITY INFORMATION	Vassar Brothers Medical Center's primary service area includes the southernmost half of Dutchess County, up to and including the town of Hyde Park, as well as the easternmost parts of Orange and Ulster counties. Like many communities in New York State, the VBMC service area is experiencing minimal growth with gradual declines in the numbers of young families and children. Significant growth is expected in the volume of residents aged 65 and older. Vassar Brothers Medical Center serves a population that is mostly white non-Hispanic (65.2%), whereas the United States overall is 60.8% white non-Hispanic. However, more than one third of the population VBMC serves is a minority. The second largest population is Hispanic individuals, which make up 16.6% of individuals who live in VBMC's service area.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	VBMC is a 365-bed community hospital. VBMC has established centers of excellence in cardiac services, cancer care and women and children's health services. As a regional medical center, Vassar houses the area's first and only cardiothoracic surgery program between Westchester and Albany and the only Level III Neonatal Intensive Care Unit (NICU) in the region for premature, underweight and critically ill infants. Innovative procedures and services have been brought to the VBMC campus, including robotic orthopedic surgery, liver surgery, interventional neuroradiology, thoracic surgical oncology and trans-catheter aortic valve replacement (TAVR), negating the need to travel for this care. Its board of trustees is composed of prominent citizens who live and work in the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of the facility. It also owns a medical office building on its premises, as well as an additional medical office building off campus with space for doctors. Any member of its active medical staff has the privilege of leasing available office space. Rent is derived from a fair market value analysis provided by an independent party. The hospital operates a 24 hour emergency room where no one requiring medical attention is denied care. The hospital is also building a 696,000 square foot patient pavilion with 264 private medical/surgical patient rooms and 30 critical care rooms that will solidify its place as the destination of choice for patients in the region. The first patient is expected to be cared for in the building in the Spring of 2020. VBMC recently became a Level II Trauma Center, further advancing the vision to provide the community with local access to state-of-the-art medical care. The Dyson Center for Cancer Care, located on the Vassar campus, is designed to accommodate patients and their families while providing radiation therapy, stereotactic radiosurgery and a wide variety of support groups. Any income over expenses is reinvested into the hospital, its staff and the community. VBMC realizes this is necessary to achieve and maintain high quality standards, keep up with the rapid advancement in technology, provide start-up capital for new programs, and expand existing facilities and programs in order to provide quality care to the community.
PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	Health Quest is a nonprofit organization dedicated to the wellbeing of the communities it serves. Health Quest was formed through an affiliation of three local hospitals: Northern Dutchess Hospital (Rhinebeck, NY), Putnam Hospital Center (Carmel, NY) and Vassar Brothers Medical Center (Poughkeepsie, NY). In 2017, Sharon Hospital (Sharon, CT) joined Health Quest. In addition to these hospitals, Health Quest also counts among its many partners a residential skilled nursing facility, a free-standing radiation oncology center, urgent care centers, a multi-specialty medical practice including the Hudson Valley's largest cardiology practice, and a home care service. Together, they provide the healthcare needs of the entire Hudson Valley and northwest Connecticut region. Representatives from Health Quest's hospitals meet on a regular basis with community agencies and stakeholders. Each hospital has a board comprised of staff and community members who oversee the Community Health Needs Committee. Each committee oversees the development of community health needs assessments and health improvement plans. Health Quest participates in many community-based health fairs and events throughout the year. Hospital staff provides information on a variety of health topics including heart health, stroke prevention, diabetes prevention, nutrition, tobacco cessation, and injury prevention. A cardiologist within the Health Quest system participated in the American Heart Association's Go Red for Women Luncheon Health Expo to discuss the latest blood pressure guidelines and best practices to maintain a healthy cardiovascular system. The health system was also present at New York State Senator Sue Serino's Golden Gathering where two neurologists with the Movements Disorders Program at Vassar Brothers Medical Center informed the public about cutting-edge medical and surgical options for patients with Parkinson's disease, Huntington's disease, Tourette syndrome, essential tremors and more. Throughout the year, Health Quest actively sponsors a number of health-related fundraisers for other nonprofit organizations, including regional chapters of the American Heart Association, American Cancer Society and Alzheimer's Association. In addition, there are numerous local organizations Health Quest supports both monetarily and with employee engagement. Employees are active members of their communities and are happy to volunteer and serve on the local boards of various agencies, in addition to performing public benefit outreach initiatives on behalf of Health Quest. One such organization is Sparrow's Nest, a 501(c)(3) charity that provides meals free of charge to families who recently learned about a loved one's cancer diagnosis. Health Quest not only provides Sparrow's Nest with a monetary sponsorship each year, but provides the organization with employee volunteers who visit the Sparrow's Nest facility to produce meals for the families who are Sparrow's Nest's beneficiaries. In 2014, Health Quest launched a fitness challenge, partnering with the Walkway Over the Hudson, to offer the public the Get Fit Hudson Valley initiative in both the spring and fall. In 2015, the program was expanded to include the Putnam County Trailway. By 2016, the program grew to 74 allies (check-in sites) in the community. The program urges residents to exercise for at least 30 minutes as many times as possible during the six-week challenge. Participants check in at our community partners to track their exercise. In 2018, 1,120 unique participants took part in the challenge, logging more than 16,500 entries of 30+ minutes of exercise. In total, 495,000 minutes of exercise was logged in 2018. Health Quest also partners with physicians who are on the medical staff at the hospitals to offer public lecture series in the spring and fall. The seminars engage participants on a variety of medical topics from prevention to the latest treatment options and to learn from leading doctors in their field. Health Quest partners with local organizations such as Marist's Center for Lifetime Study, Vassar's Lifelong Learning Institute and the Town of Poughkeepsie's Senior Center to bring relevant health programming free of charge to those audiences. In addition, Health Quest partnered with the Dutchess County Office of the Aging to provide expert resources for their Matter of Balance Clinic. This award-winning program is designed to reduce the fear of falling and increase the activity levels of older adults who have concerns about falls. Health Quest employees donate time as volunteer coaches to teach the eight two-hour sessions.
PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT - NEW YORK

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE	DALLAS	TX	75231	135613797	501(c)3	$17,000	IN SUPPORT OF CARDIOVASCULAR RESEARCH, HEALTH AND WELLNESS
PREMIER CARES FOUNDATION
1 COLUMBIA STREET	POUGHKEEPSIE	NY	12601	450990732	501(c)3	$6,800	IN SUPPORT OF UNDERSERVED AND UNDERINSURED UROLOGICAL AND GASTROINTESTINAL PATIENTS IN THE COMMUNITY	SUITE 390
MILES FOR HOPE BREAST CENTER FOUNDATION
PO BOX 405	LAGRANGEVILLE	NY	12540	134281796	501(c)3	$13,600	IN SUPPORT OF LOCAL FAMILIES AFFECTED BY BREAST CANCER DIAGNOSIS
WALKWAY OVER THE HUDSON
PO BOX 889	POUGHKEEPSIE	NY	12602	141753502	501(c)3	$10,200	IN SUPPORT OF HEALTH AND WELLNESS IN THE LOCAL COMMUNITY
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NW	ATLANTA	GA	30303	131788491	501(c)3	$17,000	IN SUPPORT OF CANCER CARE AND RESEARCH
FAMILY SERVICES INC
29 NORTH HAMILTON STREET	POUGHKEEPSIE	NY	12601	141338399	501(C)3	$17,000	IN SUPPORT OF SERVICES FOR BATTERED WOMEN, CHILDREN AND SERVICES FOR LOCAL AT-RISK YOUTH
ULSTER COUNTY CHAMBER OF COMMERCE
214 FAIR STREET	KINGSTON	NY	12401	141260937	501(C)6	$5,100	IN SUPPORT OF LOCAL ECONOMY AND BUSINESSES
O FESTIVAL
310 WALL STREET	KINGSTON	NY	12401	900882142	501(c)3	$5,100	IN SUPPORT OF HEALTH AND WELLNESS FOR UNDERINSURED ARTISTS IN THE LOCAL COMMUNITY
DUTCHESS OUTREACH
29 NORTH HAMILTON STREET SUITE 220	POUGHKEEPSIE	NY	12601	222339537	501(c)3	$6,800	IN SUPPORT OF ADDRESSING AND ERADICATING MALNOURISHMENT IN THE COMMUNITY
SPARROW'S NEST
946 ROUTE 376 SUITE 7	WAPPINGERS FALLS	NY	12590	462573747	501(c)3	$13,600	IN SUPPORT OF SERVICES FOR FAMILIES WHO ARE EXPERIENCING THE HARDSHIPS OF A CANCER DIAGNOSIS THROUGH DELIVERY OF MEALS AND SUPPLIES
DUTCHESS COUNTY REGIONAL CHAMBER OF COMMERCE
1 CIVIC CENTER PLAZA	POUGHKEEPSIE	NY	12601	140978000	501(C)6	$17,000	IN SUPPORT OF LOCAL ECONOMY AND BUSINESSES	SUITE 400
HUDSON VALLEY HOSPICE FOUNDATION
374 VIOLET AVENUE	POUGHKEEPSIE	NY	12601	141824200	501(C)3	$5,100	IN SUPPORT OF COMMUNITY AWARENESS PROGRAMS AND MISSION TO PROVIDE CARE TO ADULTS AND CHILDREN FACING LIFE LIMITING ILLNESSES
PLAY FOR PINK INC
28 WEST 44TH STREET	NEW YORK	NY	10036	223503952	501(C)3	$6,800	IN SUPPORT OF RESEARCH RELATED TO THE CAUSES, CURES AND PREVENTION OF BREAST CANCER	SUITE 609

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I LINE 2	FormAndLineReferenceDesc
Explanation	Sponsorship Policy: Criteria for Sponsoring a Community Organization: Health Quest (HQ) recognizes the value and benefits of sponsoring other community organizations throughout the year. Health Quest is proud to sponsor nonprofit groups whose mission to serve the public aligns with our strategic initiatives. Criteria: The organization must: Have not-for-profit status as defined by the Internal Revenue Service Be in close proximity to Health Quest facilities Support Health Quest's mission to deliver exceptional healthcare to the communities we serve Groups/events that Health Quest does NOT sponsor: Individuals or families, including foundations set up to memorialize individuals Political or fraternal organizations or events Religious events or organizations School events or sports organizations Projects, programs or events that provide no direct support or exposure to our service area and/or clinical focus	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN L MCGUINNESS
FORMER HQ CEO AND PRESIDENT	$0	$350,004	$0	$0	$0	$0	$0	$0	$0	$0	$0	$350,004	$0	$2,958
ROBERT FRIEDBERG
HQ PRESIDENT & CEO	$0	$1,109,095	$0	$330,435	$0	$146,705	$0	$100,134	$0	$31,937	$0	$1,718,306	$0	$118,395
KATHERINE BACHER
HQ SVP & CFO/ASST TREASURER	$0	$530,001	$0	$54,500	$0	$56,525	$0	$56,500	$0	$1,438	$0	$698,964	$0	$34,085
KEVIN BOLAND
DIR CARDIO PERFUSION	$305,824	$0	$9,000	$0	$0	$0	$16,500	$0	$29,708	$0	$361,032	$0	$16,200	$0
ANN MCMACKIN
VBMC PRESIDENT	$0	$595,401	$0	$47,491	$0	$127,663	$0	$16,500	$0	$11,604	$0	$798,659	$0	$2,691
MICHAEL HOLZHUETER
ASST SECRETARY	$0	$652,307	$0	$209,375	$0	$95,315	$0	$66,469	$0	$28,889	$0	$1,052,355	$0	$79,739
MICHAEL DOYLE MD
VP MEDICAL AFFAIRS	$404,350	$0	$31,672	$0	$0	$0	$16,500	$0	$2,195	$0	$454,717	$0	$11,877	$0
LORETTA M BOGOLIN
VP PATIENT CARE SVCS/CNO VMBC	$348,852	$0	$11,524	$0	$0	$0	$16,500	$0	$21,107	$0	$397,983	$0	$16,200	$0
ROBERT A ROSENBAUM
VP OPERATIONS	$220,656	$0	$15,675	$0	$122,058	$0	$12,009	$0	$20,874	$0	$391,272	$0	$0	$0
SIMON GORWARA MD
TRUSTEE & HVCP PHYSICIAN	$0	$585,926	$0	$455,844	$0	$0	$0	$16,500	$0	$31,305	$0	$1,089,575	$0	$16,200
KIMBERLY HELLER MD
TRUSTEE & HQMP PHYSICIAN	$0	$510,870	$0	$0	$0	$1,625	$0	$8,250	$0	$23,367	$0	$544,112	$0	$8,100
ANN ARMATER
SVP DEVELOPMENT	$283,452	$0	$13,667	$0	$23,884	$0	$16,500	$0	$31,139	$0	$368,642	$0	$0	$0
DOUGLAS HART
PERFUSIONIST	$230,645	$0	$0	$0	$4,113	$0	$13,839	$0	$22,135	$0	$270,732	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCH J PART I LINE 4B COMPENSATION	LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN - The Section 457(f) Plan is a non-qualified, tax-sheltered opportunity to defer income and accumulate additional income and accumulate income for intermediate or long-term savings goals above the legislative limits imposed on the qualified pension plans. There is a 6% employer contribution along with a possible remaining amount that would depend upon whether the 6% 403(b) employer contribution caps out ($16,500 in 2018). As of 1/1/17, new employee elective deferrals were discontinued. The 457(f) plan was terminated on 5/1/2018 and remaining account balances will be distributed in January 2019.
SCH J PART I LINE 3	VBMC RELIED ON HEALTH QUEST SYSTEMS, A RELATED TAX EXEMPT ORGANIZATION, WHICH USED AN EXECUTIVE COMPENSATION COMMITTEE, AND AN INDEPENDENT THIRD PARTY TO GATHER COMPARABLE DATA TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANANGEMENT AND OTHER KEY EMPLOYEES.
SCHEDULE J PART II LINES 10 AND 11	SIMON GORWARA, MD IS A PHYSICIAN WITH HV CARDIOVASCULAR PRACTICE, AND KIMBERLY HELLER, MD IS A PHYSICIAN WITH HEALTH QUEST MEDICAL PRACTICE, PC
SCH J PART 1 LINE 4A SEVERANCE	SEVERANCE AGREEMENTS FOR A FORMER OFFICER AND A HIGHEST COMPENSATED EMPLOYEE: ANN MCMACKIN - 12 MONTHS, EFFECTIVE TERM DATE 11/7/2018, $55,884 PAID IN 2018 ROBERT ROSENBAUM - 12 MONTHS, EFFECTIVE TERM DATE 8/17/18, $86,936 PAID IN 2018

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY - STATE OF NEW YORK
A	146000293	649903UK5	2007-09-06	$18,093,913	SEE PART VI	Yes (true)	false	false
DUTCHESS COUNTY LOCAL DEV CORP
B	273106797	267045AQ5	2010-12-15	$34,762,345	SEE PART VI	false	false	false
DUTCHESS COUNTY INDUSTRIAL DEV AGENCY
C	141613685	267041HG9	2011-01-21	$17,111,463	REFUND PRIOR BOND (6/28/05)	false	false	false
DUTCHESS COUNTY LOCAL DEV CORP
D	273106797	267045GX4	2016-07-07	$406,680,960	CONSTRUCT, RENOVATE, EQUIP FACILIT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$8,403,860	$0	$19,473,945	$1,086,933	$367,816	$0	$249,119	$285,086	$0	$3,055,897	$14,429,093	$0	2008	false	Yes (true)	Yes (true)	Yes (true)
B	$10,470,000	$0	$34,762,447	$0	$0	$0	$597,852	$273,299	$0	$22,663,695	$11,227,602	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$3,425,000	$0	$17,111,463	$1,346,985	$0	$0	$137,044	$0	$0	$0	$16,974,419	$0	2006	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$415,037,286	$0	$32,208,704	$0	$3,361,803	$0	$0	$244,261,324	$0	$135,205,454		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	Yes (true)
B	false	false	false	false	Yes (true)
C	false	false	false	false	Yes (true)
D	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false
D	false

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BOND ISSUES	PART 1, LINE A, COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038 - $61,974,071.30 ALLOCATED BETWEEN 3 ORGANIZATIONS. PART I, LINE D, COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038 - $438,672,525.55 ALLOCATED BETWEEN 3 ORGANIZATIONS PART I, LINE A, COLUMN (F) - PURCHASE MEDICAL EQUIPMENT AND REFUND PRIOR ISSUE (4/13/00) PART I, LINE B, COLUMN (F) - CONSTRUCTION OF FACILITY AND REFUND PRIOR ISSUE (1/22/04)
PROCEEDS	PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.
ARBITRAGE	PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2016 (A) ISSUER NAME: DUTCHESS COUNTY LOCAL DEV CORP DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2012 (A) ISSUER NAME: DUTCHESS COUNTY INDUSTRIAL DEV AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2015 NOTE REGARDING THE REBATE COMPUTATION ON 11/30/12: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART I LINE 1 - COMMUNITY BENEFIT PLAN-MISSION STATEMENT	The mission of Vassar Brothers Medical Center is to be the preeminent provider of health care in the Hudson Valley. Vassar Brothers Medical Center will strive to provide the highest quality health care services to anyone who needs our care and to continually seek to improve our services. Vassar Brothers Medical Center will expand and develop primary and tertiary services based on the needs of our community with a focus on Cardiology, Oncology, Women and Children and Surgical Services. Planning and program development will be systematic, will utilize a multi-disciplinary approach and rely on evidence-based medicine. Financial security is a fundamental requisite to the longer term viability of the Hospital. The organization must have sufficient financial resources to achieve and maintain high quality standards, replace assets, keep pace with technological advances, provide start-up capital for new programs, expand existing programs and underwrite bad debt and charity care. Fulfillment of this vision statement is dependent on the continuous improvement in the quality of services provided to patients, physicians and the community based on bringing innovative medical and information technology and continuing medical education to enhance patient care and safety. To that end, Vassar Brothers Medical Center will seek to accomplish the following goals: To attract and retain the highest quality employees, physicians, trustees and volunteers; and to maintain an environment that encourages, supports and rewards safety and excellence in all its various forms. Finally, as a voluntary and charitable organization that serves a vital public need, the Hospital continually strives to maintain the trust, confidence and respect of the people we serve.
FORM 990 PART VI SECTION A LINE 6 AND 7A- GOVERNING BODY	LINE 6 - THE SOLE MEMBER OF VBMC IS HEALTH QUEST SYSTEMS, INC. LINE 7A - APPOINTMENT/ELECTION OF GOVERNING BODY - 6.01 Officers. The Officers of VBMC shall be a Chair, First Vice-Chair, Second Vice-Chair, Secretary/Treasurer, and Hospital President. From time to time, the Board of Trustees may appoint such other Officers with powers and duties not inconsistent with these Bylaws. Any two or more offices may be held by the same person, except the offices of Chair, Hospital President and Secretary/Treasurer. 6.02 Election. The Chair of the Board, First Vice-Chair, Second Vice-Chair and the Hospital President shall be elected by Health Quest. The Secretary/Treasurer and other Officers shall be elected by a vote of the majority of the entire Board of Trustees at a meeting of the Board of Trustees. All Officers shall serve for a term of two (2) years until successors are elected and qualified, such term commencing at the close of the meeting at which they are elected. Officers may be elected for no more than two (2) consecutive terms. 6.03 Vacancies. A vacancy occurring in any office during the year may be filled by a vote of a majority of the entire Board of Trustees for the remainder of the term thereof at the next Annual Meeting or any regular meeting of the Board or at a special meeting called for such purpose, provided that a vacancy in the office of Chair of the Board, First Vice-Chair, Second Vice-Chair or Hospital President may be filled only by Health Quest. 6.04 Removal. Any Officer may be removed from office, with or without cause, by an affirmative vote of two-thirds (2/3) of the entire Board of Trustees at any meeting of the Board, except the Chair of the Board, First Vice-Chair, Second Vice-Chair and the Hospital President may be removed only by Health Quest. 6.05 Duties and Responsibilities. (a) Chair. The Chair shall preside at all meetings of the Board of Trustees. In accordance with Articles VII and VIII, the Chair also shall (i) appoint the Committee Chairs and members of all Committees of the Board (except the Executive Committee) and ad hoc committees, (ii) serve as an ex-officio member, with vote, on each Committee, (iii) serve as the Chair of the Executive Committee. The Chair shall perform such other duties as may be provided for by law, these Bylaws, or resolution of the Board of Trustees. No employee of the Corporation shall serve as Chair nor hold any other title with similar responsibilities. (b) First Vice-Chair. In the absence of the Chair, the First Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the First Vice-Chair shall have all the powers and authority of the Chair. The First Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (c) Second Vice-Chair. In the absence of the Chair and First Vice-Chair, the Second Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the Second Vice-Chair shall have all the powers and authority of the Chair. The Second Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (d) Secretary/Treasurer. (i) The Secretary/Treasurer shall be responsible for such books, documents, and papers as the Board may determine. The Secretary/Treasurer shall cause minutes to be kept for all meetings of the Board of Trustees, may sign any contracts or agreements with the Chair, the Hospital President, the First Vice-Chair or Second Vice-Chair in the name of VBMC if so authorized or ordered by the Board, and may affix the seal of VBMC to written instruments when so authorized or ordered by the Board. The Secretary/Treasurer shall perform such other duties as shall be assigned by the Board of Trustees and as are incidental to the office of secretary of a not-for-profit corporation. (ii) The Secretary/Treasurer shall either personally perform, or ensure that appropriate employees of VBMC perform, the following functions: receive and care for all monies and properties belonging to VBMC and dispose of the same under the direction of the Board of Trustees, receive and give receipts for all amounts due to VBMC, endorse checks in its name and on its behalf, receive full discharge for the same in accordance with these Bylaws, and perform such other duties as assigned by the Board of Trustees and as are incidental to the office of treasurer of a not-for-profit corporation. (e) Hospital President. The Hospital President shall serve as the chief executive officer of VBMC and shall have the authority and responsibility to manage and operate VBMC in all its activities, subject to these Bylaws, the Certificate of Incorporation, and such policies as may be adopted from time to time by the Board of Trustees or Health Quest. The Hospital President's responsibilities shall include, but are not limited to, the following: (i) Acting under the direction of and being accountable to the Board of Trustees of VBMC and Health Quest; (ii) Providing effective liaison between the Board of Trustees and management; (iii) Appointing (either personally or through delegation to responsible subordinates), and VBMC shall employ, such personnel as may be required to conduct the affairs of VBMC; (iv) Ensuring that all activities are properly organized, directed and accounted for as established by the Board of Trustees; (v) Providing reports to the Board of Trustees to keep the Board fully informed of the affairs of VBMC; (vi) Performing all duties required by law; and (vii) Unless otherwise provided for herein, performing (either personally or through delegation to responsible subordinates) all acts and executing all documents necessary to carry out the duties of the position of Hospital President.
FORM 990 PART VI SECTION B LINE 11B - POLICIES 1	LINE 11 B - PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 WAS REVIEWED BY INTERNAL MANAGEMENT. AFTER THAT REVIEW WAS COMPLETE, THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS OF HQ (PARENT OF THE FILING ORGANIZATION) FOR ADDITIONAL REVIEW AND COMMENT. CONTACT INFORMATION WAS PROVIDED SHOULD QUESTIONS ARISE. A 3RD PARTY WAS HIRED TO ASSIST IN THE PREPARATION OF SCHEDULE K.
FORM 990 PART VI SECTION B LINE 12C, 15A AND 15B - POLICIES	LINE 12C - ON AN ANNUAL BASIS OFFICERS, DIRECTORS AND TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FILING WHICH IS REVIEWED BY THE HQ VP FOR COMPLIANCE AND INTERNAL AUDIT. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE HQ BUSINESS ETHICS COMMITTEE ON BEHALF OF VBMC. LINE 15A/15B - 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.
FORM 990 PART VI SECTION C LINE 19 - DISCLOSURE	POLICIES AND FINANCIAL STATEMENTS FOR VBMC 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.
SCHEDULE R PART II - RELATED TAX EXEMPT ORGANIZATIONS	Entity Tax ID# Primary Activity Legal Domicile Exempt Code Status Public Charity Status Direct controlling Entity Vassar Brothers Medical Center 14-1338586 Hospital NY 501c3 Box 3 HQ The Foundation for Vassar Brothers Medical Center 14-1736429 Fundraising NY 501c3 Box 9 HQ Riverside Diversified Services, Inc (Parent) 14-1675545 Education NY 501c3 Box 9 HQ Alamo Ambulance Service, Inc 14-1745417 Transport NY 501c3 Box 9 HQ Health Quest Home Care, Inc (Certified) 14-1788412 Home Health NY 501c3 Box 9 HQ Health Quest Home Care, Inc (Licensed) 14-1788410 Home Health NY 501c3 Box 9 HQ Northern Dutchess Hospital 14-1338467 Hospital NY 501c3 Box 3 HQ Northern Dutchess Residential Health Care Facility 22-3129608 Nursing Home NY 501c3 Box 9 HQ NDH Foundation 14-1776208 Fundraising NY 501c3 Box 9 HQ Putnam Hospital Center 14-6019179 Hospital NY 501c3 Box 3 HQ Putnam Hospital Center Foundation 06-1399319 Fundraising NY 501c3 Box 9 HQ Health Quest Medical Practice, PC 56-2669185 Medical Care NY 501c3 Box 3 HQ Health Quest Urgent Medical Practice, PC 80-0152047 Medical Care NY 501c3 Box 3 HQ Vassar Health Connecticut Inc 81-5056290 Hospital CT Applying for 501c3 status HQ Vassar Health Quest Medical Practice of Connecticut Inc 82-1466583 Medical Care CT Applying for 501c3 status HQ Hudson Valley Cardiovascular Practice, PC 46-3756713 Medical Care NY 501c3 Box 3 HQ VBH Insurance Co. Ltd. 98-1083868 Captive Insurance Cayman Islands HQ Wells Manor Housing Development Fund Corporation 11-2611902 Low Income Housing NY 501c3 Box 3 HQ
SCH R PART V LINE 2 (2) - ALLOCATION METHODOLOGY FOR HQ	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. RADIOLGOY C. ONCOLOGY D. VBMC SLEEP LAB E. PT/OT/ST F. CARDIAC REHAB 2. CLINICAL MANAGEMENT A. EMERGENCY ROOM B. ONCOLOGY 3. REVENUE CYCLE INCLUDING HEALTH INFORMATION MANAGEMENT, BUDGETS AND REIMBURSEMENT, REVENUE INTEGRITY, SYSTEM BUSINESS OFFICE, PATIENT ACCESS OVERSIGHT, FINANCIAL CLEARANCE CENTER, MANAGED CARE AND DECISION SUPPORT 4. FACILITIES INCLUDING COURIER SERVICE, CONSTRUCTION, PROPERTY MANAGEMENT, FACILITY OPERATIONS, FOOD SERVICE MANAGEMENT AND SECURITY MANAGEMENT 5. BUSINESS DEVELOPMENT INCLUDING STRATEGIC PLANNING, MARKETING AND PUBLIC RELATIONS, ANSWERING SERVICE AND COMMUNITY EDUCATION 6. CORPORATE FINANCE INCLUDING ACCOUNTS PAYABLE, PAYROLL, GENERAL ACCOUNTING, PURCHASING, SUPPLY CHAIN AND MAILROOM, PRACTICE MANAGEMENT BILLING AND MANAGEMENT ENGINEERING 7. INTERNAL AUDIT AND COMPLIANCE 8. PRACTICE MANAGEMENT OPERATIONS INCLUDING PHYSICIAN RECRUITMENT, PHYSICIAN MANAGEMENT ENGINEERING 9. HUMAN RESOURCES AND LEARNING AND DEVELOPMENT 10. ADMINISTRATIVE INCLUDING EXECUTIVE OFFICE, HOSPITAL SUPPORT AND RISK MANAGEMENT 11. LEGAL COUNSEL 12. INFORMATION TECHNOLOGY AND MEDICAL TECHNOLOGY WERVICES (MTS) DESCRIPTION OF SERVICES: 1. SPECIALTY STAFFING A. PROVIDES NON UNION STAFFING SERVICES FOR VARIOUS SPECIALTIES TO THE HOSPITALS, OFFSITE ANCILLARY LOCATIONS AND THE FISHKILL MEDICAL MALL 2. CLINICAL MANAGEMENT INCLUDES MANAGEMENT OVERSIGHT TO SYSTEM CONSOLIDATED CLINICAL SERVICES 3. REVENUE CYCLE A. HEALTH INFORMATION MANAGEMENT FUNCTIONS INCLUDES CODING AND TRANSCRIPTION OF MEDICAL RECORDS FOR ALL 3 HOSPITALS B. BUDGET FUNCTIONS INCLUDE PREPARATION OF ANNUAL BUDGETS, VARIANCE REPORTING AND MAINTENANCE OF THE BUDGET MODULE. REIMBURSEMENT FUNCTIONS INCLUDE PREPARATION OF ANNUAL COST REPORTS, ANALYSIS OF THIRD PARTY RATE ACCOUNTS AND THRID PARTY AUDITS. C. REVENUE INTEGRITY FUNCTIONS INCLUDE CHARGE MASTER ANALYSIS AND DEVELOPMENT OF REVENUE PRODUCTIN CHARGES, COMPLIANCE WITH CPT CODING AND ESTABLISHMENT OF APPROPRIATE CHARGES D. SYSTEM BUSINESS OFFICE SERVICES INCLUDES PRODUCING CLAIMS FOR THIRD PARTY PAYERS AND PRIVATE PAY PATIENTS, PAYMENT PROCESSING, PERIODIC REPORTING, ACCOUNTS RECEIVABLE ANALYSIS, CHARITY CARE APPLICATION PROCESS, DENIAL MANAGEMENT, COLLECTION AND FOLLOW UP FOR THE HOSPITALS. PATIENT ACCESS AND FINANCIAL CLEARANCE CENTER INCLUDES OVERSIGHT OF ALL CENTRALIZED REGISTRATION AREAS AT THE HOSPITALS AND PRE-AUTHORIZATION FOR NUMEROUS HOSPITAL SERVICES TO INSURE COMPLIANCE WITH THIRD PARTY REGULATIONS E. MANAGED CARE FUNCTIONS INCLUDE CONTRACT NEGOTIATIONS AND ANALYSIS OF CONTRACT TERMS F. DECISION SUPPORT FUNCTIONS INCLUDE COST ACCOUNTING REPORTING, MAINTENANCE OF HBI (HORIZON BUSINESS INSIGHT) REPORTING AND THE CONTRACT MANAGEMENT SYSTEM 4. FACILITIES A. COURIER SERVICE PROVIDES DELIVERY SERVICES INTERNALLY THROUGHOUT THE HQ SYSTEM AND BANK DEPOSIT DROP OFFS B. CONSTRUCTION AND PROPERTY MANAGEMENT FUNCTIONS INCLUDE CONTRACTING SERVICES FOR HEALTH QUEST PROJECTS AND PROPERTY MANAGEMENT OF ALL HQ FACILITIES C. FACILITY OPERATIONS INCLUDE MANAGEMENT OVERSIGHT OF THE ENGINEERING DEPARTMENTS FOR THE HOSPITALS D. FOOD SERVICE MANAGEMENT INCLUDES MANAGEMENT OVERSIGHT OF FOOD AND NUTRITION DEPARTMENTS FOR THE HOSPITALS E. SECURITY FUNCTIONS INCLUDE MANAGEMENT OVERSIGHT OF ALL FACILITIES TO ENSURE THE SAFEST ENVIRONMENT 5. BUSINESS DEVELOPMENT A. STRATEGIC PLANNING FUNCTIONS INCLUDE CON SUBMISSIONS, MARKET DATA ANALYSIS AND ASSISTANCE WITH BUSINESS PLANS B. MARKETING INCLUDES ADVERTISING SERVICES, COORDINATION OF HEALTH QUEST ADVERTISEMENTS AND MANAGEMENT OF THE HQ WEBSITE CONTENT C. PUBLIC RELATIONS FUNCTIONS INCLUDE COORDINATION OF HEALTH QUEST COMMUNICATION TO EXTERNAL CUSTOMERS, PATIENTS AND MEDIA D. OVERSIGHT OF THE OUTSOURCED ANSWERING SERVICES FOR PHYSICIANS AFFILIATED WITH THE HOSPITALS AND HQMP E. COMMUNITY EDUCATION FUNCTIONS INCLUDE TRAINING CLASSES SPECIFIC TO LIFE SAVING TECHNIQUES 6. FINANCE A. ACCOUNTS PAYABLE FUNCTIONS INCLUDE SCHEDULING VENDOR PAYMENTS, INSURING FLOW OF GOODS AND SERVICES, MAINTAINING DAYS CASH ON HAND GOALS AND MAINTAINING DAYS IN ACCOUNTS PAYABLE B. PAYROLL FUNCTIONS INCLUDE BI-WEEKLY 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, AND COORDINATION OF INTERNAL AND EXTERNAL AUDIT FUNCTIONS D. PURCHASING, SUPPLY CHAIN AND MAILROOM FUNCTIONS INCLUDE PROCUREMENT SERVICES, CONTRACT NEGOTIATIONS, PRICE NEGOTIATIONS, CAPITAL PURCHASE NEGOTIATINS, MANAGEMENT/DISTRIBUTION OF HOSPITAL INVENTORY, AND CENTRAL MAILROOM MANAGEMENT E. PRACTICE MANAGEMENT BILLING FUNCTIONS INCLUDE PRODUCING ALL CLAIMS FOR THIRD PARTY PAYERS AND PRIVATE PAY PATIENTS, PAYMENT PROCESSING, PERIODIC REPORTING, ACCOUNTS RECEIVABLE ANALYSIS, CHARITY CARE APPLICATION PROCESS, DENIAL MANAGEMENT, COLLECTION AND FOLLOW UP SERVICES FOR ALL EMPLOYED HQ PHYSICIANS F. MANAGMENT ENGINEERING FUNCTIONS INCLUDE EVALUATING EACH AREA WITHIN HQ TO ENSURE COMPLIANCE WITH VARIOUS PRODUCTIVITY BENCHMARKS OPTIMIZING STAFFING RATIOS 7. INTERNAL AUDIT AND COMPLIANCE INCLUDES OVERSIGHT OF THE CORPORATE COMPLIANCE PROGRAM, INTERNAL AUDIT, HIPAA COMPLIANCE, CONTRACT REVIEW AND COMPLIANCE 8. HUMAN RESOURCE AND LEARNING AND DEVELOPMENT FUNCTIONS INCLUDE RECRUITMENT, COMPENSATION, BENEFIT ADMINISTRATION AND EMPLOYEE TRAINING 9. PHYSICIAN MANAGEMENT OPERATIONS FUNCTIONS INCLUDE OVERSIGHT OF ALL HQ PHYSICIAN PRACTICES, PHYSICIAN RECRUITMENT FUNCTIONS, AND THE CENTRALIZED SCHEDULING OFFICE 10. ADMINISTRATIVE FUNCTIONS INCLUDE OVERSIGHT OF THE HEALTH QUEST SYSTEM, HOSPITAL MANAGEMENT AND RISK MANAGEMENT 11. LEGAL COUNSEL FUNCTIONS INCLUDE INTERNAL LEGAL SERVICES FOR HQ AND COORDINATION OF ALL OUTSOURCED LEGAL INITIATIVES 12. INFORMATION TECHNOLOGY AND MTS A. IT PROVIDES INFORMATION TECHNOLOGY SUPPORT FOR ALL APPLICATIONS AND TELEPHONY SUPPORT WITHIN HQ. IN ADDITION, PROVIDES PROJECT MANAGEMENT SERVICES FOR ALL NEW AND UPGRADES TO CURRENT IT APPLICATIONS B. MTS/BIOMED INCLUDES TECHNICAL SERVICES PROVIDED TO EACH HOSPITAL FOR EQUIPMENT REPAIR AND MAINTENANCE SHARED EXPENSES. IN ADDITION TO SERVICES PROVIDED BY SUPPORT DEPARTMENTS, CERTAIN INSURANCE POLICIES ARE CONSOLIDATED FOR ALL HEALTH QUEST ENTITES. THESE INCLUDE PROPERTY INSURANCE, TRAVEL, CRIME, ENVIRONMENTAL, CYBER RISK 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, CLINICAL MANAGEMENT AND HOSPITAL SUPPORT CASH COLLECTIONS - PATIENT ACCOUNTING AND THE FINANCIAL CLEARANCE CENTER # OF FTE'S - PAYROLL AND HUMAN RESOURCES NON PAYROLL EXPENSES - ACCOUNTS PAYABLE AND PURCHASING PROJECT BASED - CONSTRUCTION # OF FTE'S ALLOCATED TO PHYSICIAN SITES - PRACTICE MANAGEMENT BILLING, OPERATIONS AND PHYSICIAN PRACTICE MANAGEMENT SYSTEM BENEFITS: 1. FINANCIAL PLANNING 2. REVENUE ENHANCEMENT 3. IMPROVED CASH COLLECTIONS 4. ENHANCED MANAGED CARE CONTRACT RATES 5. OPTIMIZED MEDICAL RECORDS CODING 6. SAVINGS FOR SUPPLIES, CONTRACTS, INSURANCE AND CAPITAL PURCHASES 7. STAFFING REDUCTION THROUGH SHARED SERVICES 8. ENHANCED EMPLOYEE BENEFIT PROGRAMS
FORM 990 PART XI LINE 9 - RECONCILIATION OF NET ASSETS	ADDITIONAL PENSION LIABILITY - $11,546,257; TRANSFER OF EQUITY - ($61,446,807); CHANGE IN RESTRICTED CONTRIBUTIONS - $4,939,829
FORM 990 PART XIII LINE 3A - OMB CIRCULAR A-133 AUDIT	VASSAR BROTHERS MEDICAL CENTER DID NOT RECEIVE MORE THAN $750,000 IN FEDERAL AWARDS IN 2018, AND DID NOT QUALIFY FOR AN A-133 AUDIT.
SCHEDULE R PART V LINE 2 (4) - ALLOCATION METHODOLOGY FOR HQMP	The hospital pays administrative fees and subsidies to Health Quest Medical Practice PC. These fees are for expenses incurred by the medical practice while providing the following services to VBMC at cost. Hospitalists: The physicians employed by the Hospitalist program admit and provide care to inpatients at VBMC 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 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, while the 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 out 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 participates in QI programs at the hospital, and Chair of information management committee. Nursing Education directs and coordinates 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 and quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patient problems with the quality of services. Maintain written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports and 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 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, and 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, and ensure the consistency and quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patient problems with the quality of services. Maintain written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports and 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 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 to ensure the consistency and quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patient problems with the quality of services. Recommends employment and termination of non-physician personnel. Maintain written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports to ensure that all providers are compliant. CTPA: The physician assistants employed by the Cardio Thoracic PA program assist during cardiac surgical procedures at VBMC. This service is vital since there are currently only four Cardiothoracic Surgeons at VBMC who cannot provide 24/7 coverage for their patients without this program. The specific requirements of the group are detailed below: 24/7 coverage (8,736 hours per year) for Cardiothoracic patients. 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 schedules. Reviews patient work load, and delegate's projects and concerns. Handles day to day office issues at the practice. Gives lectures on Breast Cancer at VBMC and community events. Directs and coordinates all clinical matters. Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures to ensure the consistency and quality of services provided. Analyze clinical outcomes, and identify deficiencies. Resolve patient problems with the quality of services. Recommends employment and termination of non-physician personnel. Maintains written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports to ensure 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 to 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. Maintains written reports to outline goals, objectives and standards for services. Scheduling providers participate in community outreach programs and community education. Review financial reports to ensure that all providers are compliant.
FORM 990 PART VI SECTION A LINE 7B - GOVERNING BODY	LINE 7B - 4.01 Powers of the Board of Trustees. The business and property of VBMC shall be managed by VBMC's Board of Trustees and Health Quest, as the co-established operator of VBMC. Although Health Quest may elect from time to time to delegate to and/or act jointly with the VBMC Board of Trustees, Health Quest has the authority to exercise independently its established powers and rights in its capacity as the co-established operator. Any such delegated authority shall at all times remain subject to the oversight, modification or repeal of Health Quest as the co-established operator of VBMC. Without limiting the foregoing powers, Health Quest shall consult with the Chair of the VBMC Board of Trustees before modifying or repealing any joint operating authority delegated under Section 4.02. 4.02 Joint Operating Authority Delegated to VBMC. Subject to Sections 2.02 and 4.01, the Board of Trustees of VBMC shall have the following operating authority as delegated by Health Quest: (a) Quality Assurance. Apply and execute the quality assurance standards and any quality assurance policies and plans adopted by Health Quest. (b) Medical Staff Credentialing and Bylaws. Apply and execute the Medical Staff credentialing standards and any policies adopted by Health Quest, which includes being responsible for: (i) Appointing the members of the Medical Staff; (ii) Approving any Medical Staff appointments such as Medical Staff officers or department chairs requiring Board approval; (iii) Pursuant to the procedures set forth in the Bylaws of the Medical Staff, dismissing any member of the Medical Staff, and approving, rejecting or modifying any corrective action taken or recommended by the Medical Staff for any member of the Medical Staff; and (iv) Approving the Medical Staff Bylaws, Rules and Regulations. (c) Strategic Planning. Provide input to the system-wide strategic planning process and VBMC-specific strategic plan, as requested and approved by Health Quest, and monitor the implementation of such plan. (d) Statements of Deficiency and Legal Compliance. Respond to any statements of deficiency issued by any regulatory or accrediting authority and take all appropriate and necessary action to monitor and restore compliance with deficiencies in VBMC's compliance with statutory, regulatory or accreditation requirements, including but not limited to monitoring the submission and implementation of all plans of correction. (e) Conflicts of Interest. Implement and comply with the written Conflict of Interest Policy as approved by Health Quest and as interpreted and directed by the Compliance and Audit Committee of Health Quest. (f) Community Health Needs. Implement the statement of mission approved by Health Quest by developing a Community Service Plan tailored specifically to the work of VBMC in the community it serves and monitoring performance thereof. (g) Budgets and Financial Performance. Assist in developing and monitoring the budgets for VBMC, as requested by Health Quest and, as approved, monitor the financial performance of VBMC. (h) Physician Arrangements. Review and approve physician financial arrangements in accordance with and as permitted by a system-wide policy adopted by Health Quest. (i) Evaluation of the Board of Trustees. Develop an annual action plan for VBMC's Board of Trustees, perform an annual self-evaluation of the Board of Trustees, comparing performance to the goals set forth in the annual action plan, and execute a Board education plan developed and approved by Health Quest. (j) Evaluation of Hospital President. Monitor and provide input to VBMC and Health Quest concerning the performance of the President of VBMC. (k) Nominations for Trustee and Officer Positions. Recommend to the Health Quest Executive Committee, acting as the Governance and Nominating Committee, candidates for consideration for VBMC Trustee and Officer positions. (l) Minutes. Cause written minutes to be maintained of meetings of the Board of Trustees of VBMC and its committees including a record of attendance, which minutes shall be signed by the Secretary of VBMC and retained as a permanent record in the offices of VBMC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH QUEST SYSTEMS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1351 ROUTE 55	AddressLine1Txt
City	LAGRANGEVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12540	ZIPCd

Field	Value	IRS element (for citing)
EIN	141678068	EIN
Primary Activities	SUPPORT SERV	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	BOX 9	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HQ	BusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	21 READE PLACE ASC LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	243 NORTH ROAD SUITE 303	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Field	Value	IRS element (for citing)
EIN	900978287	EIN
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	21 READE PLACE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Share Of Total Income	$557,506	ShareOfTotalIncomeAmt
Share Of EOY Assets	$187,274	ShareOfEOYAssetsAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.26000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH QUEST SYSTEMS INC
A	$495,103	RENT AT FMV
HEALTH QUEST SYSTEMS INC
P	$120,946,998	SEE SCHEDULE O
HEALTH QUEST MEDICAL PRACTICE PC
A	$1,618,459	RENT AT FMV
HEALTH QUEST MEDICAL PRACTICE PC
P	$35,070,552	SEE SCHEDULE O
HV CARDIOVASCULAR PRACTICE PC
A	$575,448	RENT AT FMV
HEALTH QUEST URGENT MEDICAL CARE PRACTICE PC
A	$2,662	RENT AT FMV
HV CARDIOVASCULAR PRACTICE PC
P	$1,316,440	COST OF SERVICE
VASSAR HEALTH CONNECTICUT
P	$513,474	COST OF SERVICE
NORTHERN DUTCHESS HOSPITAL
Q	$154,639	COST OF SERVICE
THOMPSON HOUSE
Q	$63,878	COST OF SERVICE
VASSAR BROTHERS MEDICAL CENTER FOUNDATION
A	$6,000	RENT AT FMV