VASSAR BROTHERS HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: VASSAR BROTHERS HOSPITAL (EIN 14-1338586)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-11
IRS object ID: 201643169349300414
Schema version: 2015v2.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-11T07:07:41-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	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	% KATHERINE BACHER VP FIN OPS	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	GARY ZMRHAL	PersonNm
Person Title	HQ SVP & CFO	PersonTitleTxt
Phone	8454759500	PhoneNum
Signature	2016-11-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	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	$535,821,023	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	2267	TotalEmployeeCnt
Total Volunteers	418	TotalVolunteersCnt
Total Gross UBI	$3,592	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,786	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,660,773	PYContributionsGrantsAmt
CY Contributions Grants	$1,540,808	CYContributionsGrantsAmt
PY Program Service Revenue	$467,899,424	PYProgramServiceRevenueAmt
CY Program Service Revenue	$522,352,007	CYProgramServiceRevenueAmt
PY Investment Income	$6,191,543	PYInvestmentIncomeAmt
CY Investment Income	$3,892,964	CYInvestmentIncomeAmt
PY Other Revenue	$10,533,084	PYOtherRevenueAmt
CY Other Revenue	$8,035,244	CYOtherRevenueAmt
PY Total Revenue	$486,284,824	PYTotalRevenueAmt
CY Total Revenue	$535,821,023	CYTotalRevenueAmt
PY Grants And Similar Paid	$87,120	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$100,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$170,953,267	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$188,061,381	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$265,952,024	PYOtherExpensesAmt
CY Other Expenses	$284,549,246	CYOtherExpensesAmt
PY Total Expenses	$436,992,411	PYTotalExpensesAmt
CY Total Expenses	$472,711,127	CYTotalExpensesAmt
PY Revenues Less Expenses	$49,292,413	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$63,109,896	CYRevenuesLessExpensesAmt
Total Assets BOY	$511,979,428	TotalAssetsBOYAmt
Total Assets EOY	$580,720,474	TotalAssetsEOYAmt
Total Liabilities BOY	$261,760,840	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$301,028,053	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$250,218,588	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$279,692,421	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE -- SEE SCHEDULE O FOR MORE INFORMATION	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$223,620,310	ExpenseAmt
Revenue	$317,971,425	RevenueAmt
Desc	INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 21,710; NUMBER OF PATIENT DAYS 103,331 THE HOSPITAL PROVIDED APPROXIMATELY $2,683,916 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	$142,224,370	ExpenseAmt
Grant	$100,500	GrantAmt
Revenue	$202,232,460	RevenueAmt
Desc	OUTPATIENT SERVICES: EMERGENCY VISITS 56,029; OTHER OUTPATIENT VISITS/PROCEDURES 288,799 THE HOSPITAL PROVIDED APPROXIMATELY $3,862,801 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	$1,510,713	ExpenseAmt
Revenue	$2,148,122	RevenueAmt
Desc	AFFILIATE RENTAL INCOME	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$367,355,393	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	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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	2267	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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	KATHERINE BACHER VP FIN OPS	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 (33 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
DAVID CONKLIN
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
CARLA GUDE
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
CARL MEYER
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
BARRY ROTHFELD
SECOND VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD CHAZEN PE
LIFE TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ETHELYN MUND
LIFE TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOHN O'SHEA
LIFE TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
FRANK WISE
LIFE TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
BERNARD HANDEL
LIFE TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DAVID WEINREICH
IMM PAST MED/DENTAL STAFF PRES	1.0	0.0	Yes (X)	$0	$0	$0
FRANCOISE DUNEFSKY
FIRST VICE CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
AMELIA MARTINKO MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
CARL NEEDY
TRUSTEE EMERITUS	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES SHANOK
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JULIA GOINGS-PERROT ESQ
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOHN REID
SECRETARY/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0
EDWARD FARHANGI MD
MED STAFF PRESIDENT	1.0	0.0	Yes (X)	$0	$0	$0
TIMOTHY DEAN
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES O'MARA
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOHN L MCGUINNESS
HQ CEO	0.0	40.0		$0	$1,842,562	$30,815	Yes (X)
ROBERT FRIEDBERG
VBMC PRESIDENT	0.0	40.0		$0	$998,385	$23,656	Yes (X)
KATHERINE BACHER
ASST. TREASURER	0.0	40.0		$0	$417,990	$16,660	Yes (X)
ANN MCMACKIN
VBMC PRESIDENT	0.0	40.0		$0	$430,554	$0	Yes (X)
GARY ZMRHAL
ASST. TREASURER	0.0	40.0		$0	$586,089	$0	Yes (X)
MICHAEL HOLZHUETER
ASST SECRETARY	0.0	40.0		$0	$659,918	$23,656	Yes (X)
MICHAEL DOYLE MD
VP MEDICAL AFFAIRS	40.0	0.0		$187,283	$0	$509		Yes (X)
KEVIN BOLAND
DIRECTOR CARDIO PERFUSION	40.0	0.0		$275,638	$0	$40,039			Yes (X)
CLAUDINE FASSE
AVP OPERATIONS/PROJ MGMT	40.0	0.0		$279,328	$0	$757			Yes (X)
LORETTA M BOGOLIN
VP PATIENT CARE SVCS/CNO VMBC	40.0	0.0		$345,905	$0	$17,231			Yes (X)
SANDRA CASSESE
VP ONCOLOGY	40.0	0.0		$280,942	$0	$34,066			Yes (X)
IAN PORTELLI
AVP OPS & CLINICAL RESEARCH	40.0	0.0		$265,886	$0	$755			Yes (X)
JANET READY
FORMER PRESIDENT	0.0	0.0		$0	$134,757	$0				Yes (X)
MICHAEL T WEBER
FORMER CEO	0.0	0.0		$0	$188,642	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,634,982	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,258,897	TotReportableCompRltdOrgAmt
Total Other Compensation	$188,144	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
All Other Contributions	$1,540,808	AllOtherContributionsAmt
Total Contributions	$1,540,808	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT SERVICE REVENUE	900099	$317,971,425	$317,971,425
OUTPATIENT SERVICE REVENUE	900099	$202,232,460	$202,232,460
AFFILIATE RENTAL INCOME	900099	$2,148,122	$2,148,122

Field	Value	IRS element (for citing)
Total Program Service Revenue	$522,352,007	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,502,149	TotalRevenueColumnAmt
Exclusion	$3,502,149	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	$1,939,977	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,939,977	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,939,977	TotalRevenueColumnAmt
Exclusion	$1,939,977	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$390,815	TotalRevenueColumnAmt
Exclusion	$390,815	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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	$2,085,726	$2,085,726
MEANINGFUL USE REVENUE	900099	$1,699,573	$1,699,573
MANAGEMENT FEES	518210	$705,887	$705,887

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,604,081	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,600,489	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,592	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,095,267	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$535,821,023	TotalRevenueColumnAmt
Related Or Exempt Func Income	$528,443,682	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,592	UnrelatedBusinessRevenueAmt
Exclusion	$5,832,941	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$100,500	TotalAmt
Program Services	$100,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$187,283	TotalAmt
Program Services	$168,555	ProgramServicesAmt
Management And General	$18,728	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$138,094,001	TotalAmt
Program Services	$125,445,646	ProgramServicesAmt
Management And General	$12,648,355	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,950,007	TotalAmt
Program Services	$11,764,515	ProgramServicesAmt
Management And General	$1,185,492	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,764,478	TotalAmt
Program Services	$24,312,752	ProgramServicesAmt
Management And General	$2,451,726	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,065,612	TotalAmt
Program Services	$9,143,564	ProgramServicesAmt
Management And General	$922,048	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,500	TotalAmt
Management And General	$4,500	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,061	TotalAmt
Management And General	$2,061	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
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,512,510	TotalAmt
Program Services	$1,686,719	ProgramServicesAmt
Management And General	$825,791	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,663	TotalAmt
Program Services	$6,618	ProgramServicesAmt
Management And General	$45	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,860,061	TotalAmt
Program Services	$6,953,931	ProgramServicesAmt
Management And General	$3,906,130	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$989,235	TotalAmt
Program Services	$979,856	ProgramServicesAmt
Management And General	$9,379	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,435,595	TotalAmt
Program Services	$3,305,864	ProgramServicesAmt
Management And General	$2,129,731	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$269,514	TotalAmt
Program Services	$71,007	ProgramServicesAmt
Management And General	$198,507	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$257,305	TotalAmt
Program Services	$109,768	ProgramServicesAmt
Management And General	$147,537	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,494,726	TotalAmt
Program Services	$3,504,495	ProgramServicesAmt
Management And General	$1,990,231	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,488,118	TotalAmt
Program Services	$17,470,291	ProgramServicesAmt
Management And General	$10,017,827	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,837,504	TotalAmt
Program Services	$3,085,324	ProgramServicesAmt
Management And General	$1,752,180	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$97,154,700	$37,078,897	$60,075,803
MEDICAL SUPPLIES	$67,998,046	$67,998,046
PHYSICIAN FEES	$28,566,809	$28,566,809
BAD DEBT	$15,147,048	$15,147,048

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,524,851	TotalAmt
Program Services	$10,455,188	ProgramServicesAmt
Management And General	$7,069,663	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$472,711,127	TotalAmt
Program Services	$367,355,393	ProgramServicesAmt
Management And General	$105,355,734	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,798,155	BOYAmt
EOY	$1,473,714	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,446,263	BOYAmt
EOY	$40,733,104	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	$49,685,727	BOYAmt
EOY	$58,473,855	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	$6,208,503	BOYAmt
EOY	$6,698,068	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,952,232	BOYAmt
EOY	$4,982,807	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$573,003,068	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$327,462,342	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$221,989,048	BOYAmt
EOY	$245,540,726	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$142,104,669	BOYAmt
EOY	$140,191,629	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	$0	BOYAmt
EOY	$25,915,927	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$62,794,831	BOYAmt
EOY	$56,710,644	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$511,979,428	BOYAmt
EOY	$580,720,474	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,119,037	BOYAmt
EOY	$44,105,207	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	$72,390,476	BOYAmt
EOY	$67,628,431	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	$41,269,310	BOYAmt
EOY	$59,978,066	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	$108,982,017	BOYAmt
EOY	$129,316,349	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$261,760,840	BOYAmt
EOY	$301,028,053	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$236,701,186	BOYAmt
EOY	$266,550,207	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,326,451	BOYAmt
EOY	$10,951,263	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$250,218,588	BOYAmt
EOY	$279,692,421	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$511,979,428	BOYAmt
EOY	$580,720,474	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$63,109,896	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,326,433	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$27,309,630	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	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,061	OtherActivitiesAmt
Total Lobbying Expenditures	$2,061	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 1I - LOBBYING EXPENDITURES	FormAndLineReferenceDesc
Explanation	A PORTION OF THE NORMET 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	$2,190,631	BeginningYearBalanceAmt
Contributions	$320	ContributionsAmt
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
Other Expenditures	$320	OtherExpendituresAmt
End Year Balance	$2,190,631	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	$5,829,574	OtherCostOrOtherBasisAmt
Book Value	$5,829,574	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$270,797,007	OtherCostOrOtherBasisAmt
Depreciation	$102,339,131	DepreciationAmt
Book Value	$168,457,876	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$267,106,835	OtherCostOrOtherBasisAmt
Depreciation	$223,515,783	DepreciationAmt
Book Value	$43,591,052	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,269,652	OtherCostOrOtherBasisAmt
Depreciation	$1,607,428	DepreciationAmt
Book Value	$27,662,224	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$245,540,726	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (27 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$7,414,147
RETIREMENT INVESTMENTS	$1,556,885
IDA 2005 DEFFERED FINANCING	$308,004
2007A DEFFERED FINANCING	$331,963
2007B DEFFERED FINANCING	$7,253
INVESTMENT IN FACS LLC	$20,000
UROC SECURITY DEPOSIT	$49,500
INTEREST IN FOUNDATION	$8,357,074
2007 SERIES A BOND PREMIUM	$540,951
2007 SERIES B BOND PREMIUM	$259,176
DSRF 2007 SERIES A BONDS	$1,084,431
DSRF 2007 SERIES B BONDS	$994,910
DSRF 2005 BONDS	$1,313,188
DEF FINANCING 2010 SERIES A	$605,017
DEF FINANCING 2010 SERIES B	$118,553
MISC RECEIVABLES	$136,911
2010 BOND INTEREST FD GENERAL	$2,919,874
DEF FIN 2011 FIXED RATE CONVER	$131,100
DUE FROM HQ LT	$22,812,655
DUE FROM THIRD PARTIES	$5,180,488
DSRF 2012 PROJECT FUND	$8,913
DSRF HQ SER 1997	$1,525
DEF FINANCING 2012 BONDS	$333,763
DSRF 2012 INTEREST	$1,260,026
DSRF 2014 1 COLUMBIA ST FUND	$302,100
DSRF 2014 INTEREST	$496,542
DEF FIN 2014 BONDS SER B	$165,695

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$56,710,644	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
POST RETIREMENT BENEFITS	$52,881,659
RETIREMENT INVESTMENTS	$1,564,116
3RD PARTY RATE ADJMTS PAYABLE	$5,529,741
DUE TO AFFILIATES	$20,449,795
ENVIRONMENTAL CONTIN LIAB (FIN	$5,174,283
GENERAL RESERVE	$19,432,620
DUE TO HQ L/T	$2,210,555
MED MALPRACTICE INSURANCE LIAB	$22,073,580

Field	Value	IRS element (for citing)
Total Liability	$129,316,349	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	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,210,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,034,046	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,176,882	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,259,212	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,702,407	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,556,805	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,470,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,736,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,733,687	NetCommunityBenefitExpnsAmt
Total Expense	0.05440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	85005	PersonsServedCnt
Total Community Benefit Expns	$8,096	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,096	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	85005	PersonsServedCnt
Total Community Benefit Expns	$8,096	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,096	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	85005	PersonsServedCnt
Total Community Benefit Expns	$77,478,236	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,736,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,741,783	NetCommunityBenefitExpnsAmt
Total Expense	0.05450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,147,048	BadDebtExpenseAmt
Reimbursed By Medicare	$180,630,637	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$213,987,659	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,357,022	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

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	ULSTER RADIATION ONC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	RADIATION ONCOLOGY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct

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
State License	1302001H	StateLicenseNum
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
CHNA Conducted	13	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	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	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.HEALTHQUEST.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	Vassar Brother Medical Center was part of the Integrated Community Assessment Workgroup (ICA) which consists of individuals from Dutchess County Department of Health, Dutchess County Community and Family Services, Dutchess County Department of Mental Hygiene, Dutchess County Department of Probation, Dutchess County Department of Planning & Development, Dutchess County Office for the Aging and Dutchess County Veterans Services, as well as the Mental Health Association, the Dyson Foundation, the Foundation for Community Health, Health Quest and Mid-Hudson Regional Medical Center (formerly Saint Francis Hospital).
PART V, SECTION B, LINE 6A	The VBMC CHNA was conducted in conjunction with Northern Dutchess Hospital and Mid-Hudson Regional Medical Center (formerly St. Francis Hospital).
PART V, SECTION B, LINE 6B	Vassar Brother Medical Center was part of the Integrated Community Assessment Workgroup (ICA) which consists of individuals from Dutchess County Department of Health, Dutchess County Community and Family Services, Dutchess County Department of Mental Hygiene, Dutchess County Department of Probation, Dutchess County Department of Planning & Development, Dutchess County Office for the Aging and Dutchess County Veterans Services, as well as the Mental Health Association, the Dyson Foundation, the Foundation for Community Health, Health Quest and Mid-Hudson Regional Medical Center (formerly Saint Francis Hospital).
PART V, SECTION B, LINE 11	Dutchess County identified four priority areas: 1) reduce childhood obesity, 2) increase access to preventative healthcare and improve management of chronic disease, 3) reduce tick and insect-related disease and 4) reduce substance abuse. VBMC elected to focus on chronic disease and tick and insect-related disease at this time. Obesity was identified as a lower priority, however we are engaging the community through our diabetes self-management program and hope to develop a formal program at a later date. Substance abuse was not a priority at this time because the Mid-Hudson Regional Medical Center (formerly Saint Francis Hospital) has licensed substance abuse beds. Chronic Disease In 2015, VBMC and Health Quest Medical Practice sent three employees to be trained as peer leaders for the Stanford University Diabetes Self-Management Class. This program is a six-week workshop facilitated by two trained peer leaders. The workshop is designed to help people and their caregivers gain self-confidence using strategies such as brainstorming, action planning, feedback, problem-solving and decision-making, as well as learn the skills needed in the day-to-day management of diabetes in order to maintain and/or enhance an active and fulfilling lifestyle. Topics include nutrition, preventing complications, exercise, managing difficult emotions, monitoring blood sugar, medications, working with your healthcare professional and skin and foot care. VBMC held one session in 2015 and more are scheduled for 2016. Although we fell short of our 10-person goal set forth in our Community Service Plan, we expect with additional marketing and promotion, we will exceed our goal in 2016. The Wound Care Center at VBMC launched a diabetes management educational series with rotating monthly topics and guest speakers. Topics included eye care, heart health, foot care, nutrition and care-giver education. Tick and insect-related disease In May 2015, VBMC hosted a staff educational event featuring Andrew Rotans, MPH, Dutchess County Department of Behavior and Community Health. Our focus was to educate staff, allowing them to share current information with the community. VBMC partnered up with the Health Quest Medical Practice offices to provide both physician-focused and patient-focused educational materials. In the summer of 2015, Health Quest partnered with the Dutchess County Department of Behavior and Community Health to sponsor tick removal kits that were distributed at the Dutchess County Fair. During the fair, 250 kits were handed out. An additional 75 kits were distributed at VBMC health fairs during the year. In addition to staff education, hospital staff and management participated in a summer social media educational event in which they 'Took a Bite out of Lyme' by taking a bite of a lime and sharing messages and educational tips about Lyme disease. We reinforced this campaign with additional posts on Lyme disease prevention. In addition, our employed physicians authored blog and community articles on tick education and awareness for our website and local newspapers.
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.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A	VASSAR BROTHERS MEDICAL CENTER PREPARED A COMMUNITY SERVICE PLAN IN 2013, AND INITIATED THE IMPLEMENTATION STRATEGIES THROUGHOUT 2014 AND 2015, AND WILL CONTINUE INTO 2016.
PART I, LINE 7, COLUMN F	TOTAL BAD DEBT EXPENSE = $15,147,048
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 15 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	Vassar Brothers Medical Center participated in community needs assessments and community health improvement plans with the Dutchess County Department of Health. Dutchess County Vassar Brothers Medical Center was a part of the Integrated Community Assessment Workgroup. The Integrated Community Assessment Workgroup (ICA) was established in 2008 by the Integrated Community Planning Workgroup (ICP) to implement a countywide integrated assessment. Its goal is to examine the local health and human services system including all aspects of the local environment i.e. physical, legal, social, economic, and health. The assessment was achieved by conducting a survey reaching out to a representative sample of Dutchess County residents. The ICP consists of health and human services public agency representatives, and the ICA consists of a smaller group of individuals from the lead agencies Dutchess County Department of Health, Dutchess County Community and Family Services, Dutchess County Department of Mental Hygiene, Dutchess County Department of Probation, Dutchess County Department of Planning & Development; Dutchess County Office for Aging, Dutchess County Veterans Services; as well as the Mental Health Association, the Dyson Foundation, the Foundation for Community Health, Health Quest, and Mid-Hudson Regional Medical Center (formerly St Francis Hospital). The ICP has been building upon other community assessment data, including the Many Voices One Valley Report, a project of the Dyson Foundation and the Marist College Institute for Public Opinion to examine residents priorities for the Mid-Hudson Region (http://www.manyvoicesonevalley.org/). Several independent assessments have been conducted over the years, notably: An annual countywide data document capturing available economic, educational and health data that impact children, youth, families and adults A community health assessment report issued every three years for selected indicators In 2009, the County issued its first systematic and integrated assessment, accomplished via survey administration to a representative sample of Dutchess County residents. The results of the 2009 integrated assessment have fed the strategic planning process of each department involved, as well as the ICP. It also ensures that the Health and Human Services planning process is responsive to community strengths and needs and results in a plan that can be implemented successfully, where clear indicators can be tracked and benchmarked. In 2012, members of the ICA reviewed the questions from the 2009 survey. While some questions were discarded and/or added, care was taken to insure that survey results would be compatible with the 2009 results for trending purposes. Once the survey questions were finalized, the group issued an RFP and retained a firm to conduct the survey. The firm made 11,227 calls between November 31, 2012 and January 18, 2013. They achieved a 10% response rate, including both land lines and cell phones. The raw data was submitted to the Dutchess Department of Health, where it was analyzed and compiled by their epidemiologist. On September 17, 2013, the Dutchess County Department of Health hosted a county-wide Community Health Improvement Plan Design Forum. The purpose of the forum was to review the results of the recent survey and develop a locally relevant, comprehensive action plan to improve the health and lives of the residents of Dutchess County. Representatives from various agencies attended, including staff, management and physician representation from Health Quest, VBMC and NDH. As a result of the survey and subsequent analysis, Dutchess County identified the following four priority areas: 1. Reduce Childhood and Adult Obesity 2. Increase Access to Preventative Healthcare and Improve Management of Chronic Disease 3. Reduce Tick and Insect-related Diseases 4. Reduce Substance Abuse While insect-related disease does not appear to fit into any of New York States Preventive Agenda categories, it was by far the biggest health concern for Dutchess County residents who responded to the survey. We have, in order to be consistent with the Prevention Agenda structure, considered it to be in the Safe and Healthy Environment category. Vassar Brothers Medical Center: Three Year Plan of Action 1. Increase Access to Preventive Healthcare and Improve Management of Chronic Disease: Rates of hospitalization for diabetes have remained steady over the past five years and are similar to NYS on average. However, non-Hispanic Blacks are over twice as likely to become hospitalized and to die from diabetes as Non-Hispanic Whites. Priority Area: Prevent Chronic Diseases Goal: Promote Use of Evidence-based Care to Manage Chronic Diseases Reduce the overall rate of hospitalization for diabetes complications by 10%. Disparity: Reduce the overall rate of hospitalization for Black Non-Hispanics by 15% Performance Measures Objective 1: Increase the number of newly-diagnosed diabetics who are appropriately managing their disease Indicators are listed below, followed by the source used to track effectiveness of the program. 10 patients who have been diagnosed with diabetes within each year will have attended classes on diabetes management. Patient self report at time of program Objective 2: Provide community education on prevention, recognition and management of diabetes Indicators are listed below, followed by the source for tracking the effectiveness of the program. 10 patients per year who have attended a Diabetes Prevention Program (CDC) will complete at least 9 out of the 16 sessions. Attendance during the program sessions 10 patients per year will have attended at least 3 of the 6 sessions of the Living with Diabetes Series. Attendance during the program sessions Action Plan Objective 1 Listed below are the activities, followed by target date and partners for each program. Hire or train at least one Certified Diabetes Educator 06/31/2014 Hudson River Health Care (HRHC), American Association of Diabetes Educators (AADE) Enhance Staff Skills through additional training 11/31/2013 Putnam Hospital Center, HRHC Conduct 3 six-week AADE self-management classes in year one 12/31/2014 AADE, HRHC Conduct 3 six-week AADE self-management classes in year two 12/31/2015 AADE, HRHC Conduct 3 six-week AADE self-management classes in year three 12/31/2016 AADE, HRHC Develop protocols to fast-track newly diagnosed diabetics into class 3/31/2014 HRHC, Health Quest Medical Practice, Community Primary Care Physicians Develop protocol to refer patients for intensive care management for patients with poorly controlled diabetes, including any patient hospitalized. 3/31/2014 HRHC, Health Quest Medical Practice, Community Primary Care Physicians Utilize outreach materials and outreach methods to target high-risk communities with the CDC Diabetes prevention program. Work with HRHCares team of Community Health Workers to outreach into this community (African American and Hispanic). 1/31/2014 HRHC; Health Quest Medical Practice, Community Primary Care Physicians Objective 2 Listed below are the activities, followed by target dates and partners for each program. Hold at least one Community Education Day in year one with at least 50 attendees. 12/31/2014 Dutchess County Department of Health (DCDOH), Mid-Hudson Regional Medical Center (formerly St. Francis Hospital), Institute for Family Health, HRHC Hold at least one Community Education Day in year two with at least 50 attendees 12/31/2015 DCDOH, Mid-Hudson Regional Medical Center(formerly St. Francis Hospital), Institute for Family Health, HRHC Hold at least one Community Education Day in year three with at least 50 attendees 12/31/2016 DCDOH, Mid-Hudson Regional Medical Center (formerly St. Francis Hospital), Institute for Family Health, HRHC Other outreach opportunities as identified Ongoing Any/all 2. Lyme and Other Insect-Borne Diseases: Dutchess County residents have significantly higher rates of tick-borne diseases than NYS residents overall. In both the 2009 and 2012 Dutchess Community Surveys, Lyme disease and other insect-related diseases were identified by two thirds of respondents as the top environmental concern. 2011 Tick-borne Illness Rates per 100,000 Population Disease Dutchess County New York State Lyme disease 147.9 64.9 Anaplasmosis 23.9 2.8 Erlichiosis 0.7 0.4 Babesiosis 17.8 3.2 Source: DCDOH, NYSDOH Priority Area: Promote a Safe and Healthy Environment Goal: Promote Use of Evidence-based Care to Manage Insect-borne Disease Increase percentage of Dutchess County providers utilizing best practice treatments for tick attachments by 10% Performance Measures Objective 1: Increase provider education and treatment consistency of tick bites and illnesses through promotion of CDC guidance Indicators are listed below, followed by the source for tracking effectiveness of the program. Number of physicians following CDC guidelines will increase by 10% over baseline. Annual survey
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.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	VBMC is a 365-bed community hospital. 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. The hospital has 567 doctors on its active staff and 22 doctors on its courtesy staff. 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. 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 addition to the hospitals and their foundations, Health Quest also counts among its many partners long-term care facilities, a free-standing radiation oncology center, a cardiology center, urgent care centers, a multi-specialty medical practice, a skilled nursing facility, and a home care service. Together, they provide the healthcare needs of the entire region. Health Quest 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 employees serve as leaders in the promotion of community health. Many regularly venture into the community to provide both educational lectures and health screenings to encourage preventative medicine. 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. Employees are also active members of their communities volunteering and serving on the local boards of various agencies, in addition to performing public benefit outreach initiatives on behalf of Health Quest. In 2014, Health Quest also launched a fitness challenge partnering with the Walkway Over the Hudson to offer the public the Get Fit initiative in both the spring and fall. The program urged residents to walk, bike and/or run for at least 30 minutes as many times as possible on the Walkway during the six-week challenge. Health Quest also partners with physicians who are on the medical staff at the three 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. 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 (6 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
301 MANCHESTER ROAD	POUGHKEEPSIE	NY	12603	135613797	501(c)3	$33,500	RESEARCH AND DEVELOPMENT OF CARDIAC PROGRAMS
PREMIER CARES FOUNDATION
PO BOX 93	PLEASANT VALLEY	NY	12569	450990732	501(c)3	$5,025	RESEARCH AND DEVELOPMENT OF CANCER PROGRAMS
MILES FOR HOPE BREAST CENTER FOUNDATION
PO BOX 405	LAGRANGEVILLE	NY	12540	134281796	501(c)3	$5,695	SUPPORT BREAST CANCER RESEARCH AND PROGRAM DEVELOPMENT
WALKWAY OVER THE HUDSON
82 WASHINGTON STREET	POUGHKEEPSIE	NY	12601	141753502	501(c)3	$32,160	SUPPORT WALKWAY FOR COMMUNITY
AMERICAN CANCER SOCIETY
EXECUTIVE DRIVE	NEW WINDSOR	NY	12553	131788491	501(c)3	$14,070	RESEARCH AND DEVELOPMENT OF CANCER PROGRAMS
DUTCHESS OUTREACH
NORTH HAMILTON STREET	POUGHKEEPSIE	NY	12601	222339537	501(c)3	$6,700	COMMUNITY SUPPORT FOR IMPROVING HEALTH	SUITE 222

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. The following section outlines the criteria for when it is appropriate to do so: Marketing Opportunity - Health Quest will sponsor community events when the benefits provided to our organization allow for a significant amount of marketing, name recognition and general publicity. The desired amount of marketing for HQ will determine the sponsorship level chosen. Relative to Healthcare - Health Quest will sponsor organizations and their events that directly relate to our mission as a healthcare system. HQ Executive is a member of the Organization's Board - Health Quest will sponsor community events when our Executives serve on the organization's board and feel it is of value to provide support to them. The Honoree of the Event is Linked to HQ - Health Quest will sponsor community events when the honoree(s) of the event are directly related to Health Quest (ie: one of our employees, board members, etc.)	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (14 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
JANET READY
FORMER PRESIDENT	$0	$0	$0	$0	$0	$134,757	$0	$0	$0	$0	$0	$134,757	$0	$14,576
KEVIN BOLAND
DIRECTOR CARDIO PERFUSION	$250,486	$0	$25,152	$0	$0	$0	$15,900	$0	$24,139	$0	$315,677	$0	$15,142	$0
MICHAEL T WEBER
FORMER CEO	$0	$0	$0	$0	$0	$188,642	$0	$0	$0	$0	$0	$188,642	$0	$0
JOHN L MCGUINNESS
HQ CEO	$0	$1,270,523	$0	$360,000	$0	$212,039	$0	$19,295	$0	$11,520	$0	$1,873,377	$0	$0
ROBERT FRIEDBERG
VBMC PRESIDENT	$0	$677,346	$0	$209,589	$0	$111,450	$0	$0	$0	$23,656	$0	$1,022,041	$0	$0
KATHERINE BACHER
ASST. TREASURER	$0	$325,538	$0	$91,875	$0	$577	$0	$15,900	$0	$760	$0	$434,650	$0	$15,600
CLAUDINE FASSE
AVP OPERATIONS/PROJ MGMT	$240,930	$0	$38,398	$0	$0	$0	$0	$0	$757	$0	$280,085	$0	$0	$0
ANN MCMACKIN
VBMC PRESIDENT	$0	$422,073	$0	$0	$0	$8,481	$0	$0	$0	$0	$0	$430,554	$0	$0
GARY ZMRHAL
ASST. TREASURER	$0	$586,089	$0	$0	$0	$0	$0	$0	$0	$0	$0	$586,089	$0	$0
MICHAEL HOLZHUETER
ASST SECRETARY	$0	$501,192	$0	$87,910	$0	$70,816	$0	$0	$0	$23,656	$0	$683,574	$0	$0
MICHAEL DOYLE MD
VP MEDICAL AFFAIRS	$177,283	$0	$10,000	$0	$0	$0	$0	$0	$509	$0	$187,792	$0	$0	$0
LORETTA M BOGOLIN
VP PATIENT CARE SVCS/CNO VMBC	$307,963	$0	$37,942	$0	$0	$0	$0	$0	$17,231	$0	$363,136	$0	$0	$0
SANDRA CASSESE
VP ONCOLOGY	$238,551	$0	$42,391	$0	$0	$0	$15,288	$0	$18,778	$0	$315,008	$0	$0	$0
IAN PORTELLI
AVP OPS & CLINICAL RESEARCH	$237,969	$0	$27,517	$0	$400	$0	$0	$0	$755	$0	$266,641	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCH J PART I LINE 4A AND 4B COMPENSATION	IN 2014, HQ UNDERWENT A MAJOR EXECUTIVE MANAGEMENT RESTRUCTURING. INCLUDED IN THE WAGES LISTED ON SCHEDULE J FOR FORMER EMPLOYEES ARE RETENTION BONUSES, SEVERANCE PAYMENTS (LISTED IN DETAIL BELOW) AND TAX DEFERRED DISTRIBUTIONS. LINE 4A - SEVERANCE PAYMENTS WERE PAID FROM A RELATED ORGANIZATION FOR TWO OFFICERS MICHAEL T. WEBER (HQ CEO)- 24 MONTHS, EFFECTIVE TERM DATE 3/11/2013 - $188,642 PAID IN 2015 JANET READY - 12 MONTHS, EFFECTIVE TERM DATE 4/30/14 - $134,757 PAID IN 2015 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. Under the 457(f) employer contribution plan, eligible employees have the option of electing to receive their employer contribution as taxable income or to defer the contribution. 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 ($18,000 in 2015, subject to increases). Elections for both the 457(f) employee contribution or the 457(f) employer contribution are made in the tax year prior to the year of deferral.
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.
SCH J PART II LINE 8	ANN MCMACKIN WAS ISSUED A 1099 FOR SERVICES PERFORMED BETWEEN JANUARY 1, 2015 THRU NOVEMBER 1, 2105, WHICH SHE THEN BECAME AN EMPLOYEE OF HEALTH QUEST.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	false	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 (06/28/2005)	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,776,430	$0	$19,531,626	$1,351,037	$367,816	$0	$249,119	$285,086	$0	$3,120,619	$13,841,800	$316,150	2008	false	Yes (true)	false	Yes (true)
B	$6,015,000	$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	$1,865,000	$0	$17,111,463	$1,313,188	$0	$0	$137,044	$0	$0	$0	$16,974,419	$0	2006	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BOND ISSUES	PART I, LINE A, COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038 - $61,974,071.30 ALLOCATED BETWEEN THREE ORGANIZATIONS
PROCEEDS
ARBITRAGE

Schedule L IRS990ScheduleL

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART III 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, 7A AND 7B - 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 President/Chief Operating Officer. 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, President/Chief Operating Officer and Secretary/Treasurer. 6.02 Election. The Chair of the Board, First Vice-Chair, Second Vice-Chair and the President/Chief Operating Officer 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 one (1) term. 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 President/Chief Operating Officer 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 President/Chief Operating Officer 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, and (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. (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 President/Chief Operating Officer, 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) President/Chief Operating Officer. The President/Chief Operating Officer 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 President/Chief Operating Officer'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 President/Chief Executive Officer. 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
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. COMMITTEE BASED ON INFORMATION AND SUPPORT 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 11 HQ Riverside Diversified Services, Inc (Parent) 14-1675545 Education NY 501c3 Box 11 HQ Alamo Ambulance Service, Inc 14-1745417 Transport NY 501c3 Box 11 HQ Health Quest Home Care, Inc (Certified) 14-1788412 Home Health NY 501c3 Box 11 HQ Health Quest Home Care, Inc (Licensed) 14-1788410 Home Health NY 501c3 Box 11 HQ Northern Duchess Hospital 14-1338467 Hospital NY 501c3 Box 3 HQ Northern Dutchess Residential Health Care Facility 22-3129608 Nursing Home NY 501c3 Box 11 HQ NDH Foundation 14-1776208 Fundraising NY 501c3 Box 11 HQ Putnam Hospital Center 14-6019179 Hospital NY 501c3 Box 3 HQ Putnam Hospital Center Foundation 06-1399319 Fundraising NY 501c3 Box 11 HQ Health Quest Medical Practice, PC 56-2669185 Medical Care NY 501c3 Box 3 HQ Health Quest Urgent Medical Practice, PC 80-0152047 Urgent Care NY 501c3 Box 3 HQ Health Serve Information Technologies, LLC 14-1797086 IT Support NY 501c3 Box 3 HQ Health Quest Laboratory Support Services, LLC 45-4370644 Medical Laboratory NY 501c3 Box 3 HQ One Columbia Street, LLC 46-1626016 Real Estate Mgmt NY 501c3 Box 3 HQ Hudson Valley Cardiovasular Practice, PC 46-3756713 Medical Care NY 501c3 Box 3 HQ VBMC Nursing VEBA Health Savings Trust 27-4847846 VEBA Trust NY 501c9 Box HQ
SCHEDULE K PART 1 LINE A COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038	$61,974,071.30 ALLOCATED AS FOLLOWS - VASSAR BROTHERS MEDICAL CENTER - $18,093,912.82 PUTNAM HOSPITAL CENTER - $28,161,750.86 NORTHERN DUTCHESS HOSPITAL - $15,718,407.82
SCH R PART V LINE 2 (2) AND (3) - ALLOCATION METHODOLOGY FOR HQ AND HQ LAB	Health Quest Systems, Inc Allocation of Support Services/Shared Expenses/Cash Funding General: The following services are considered shared services for Health Quest affiliates and the cost to provide these services are allocated to each entity which benefits from the service based on a pre defined allocation methodology: 1. Specialty Staffing a. VBMC Surgical b. Radiology c. Oncology d. VBMC Sleep Lab e. PT/OT/ST f. Cardiac Rehab 2. Clinical Management a. Emergency Room b. 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 and centralized scheduling 9. Human Resources and learning and development 10. Administrative including Executive office, Hospital Support and risk management 11. Legal Counsel 12. Information Technology and Medical Technology Services (MTS) Description of Services: 1. Specialty staffing a. Provides non union staffing services for various specialties to the hospitals, offsite ancillary locations and the Fishkill Medical Mall 2. Clinical management includes management oversight to system consolidated clinical services 3. Revenue Cycle a. Health Information Management functions includes coding and transcription of medical records for all 3 hospitals b. Budget functions include preparation of annual budgets, variance reporting and maintenance of the budget module Reimbursement functions include preparation of annual cost reports, analysis of third party rate accounts and third party audits c. Revenue Integrity functions include charge master analysis and development of revenue producing charges, compliance with CPT coding and establishment of appropriate charges d. System business office services includes producing claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up for the hospitals. Patient access and financial clearance center includes oversight of all centralized registration areas at the hospitals and pre-authorization for numerous hospital services to insure compliance with third party regulations e. Managed Care functions include contract negotiations and analysis of contract terms f. Decision Support functions include cost accounting reporting, maintenance of HBI (Horizon Business Insight) reporting and the contract management system 4. Facilities a. Courier service provides delivery services internally throughout the HQ system and bank deposit drop offs b. Construction and property management functions include contracting services for Health Quest projects and property management of all HQ facilities c. Facility operations include management oversight of the engineering departments for the hospitals d. Food Service management includes management oversight of food and nutrition departments for the hospitals e. Security functions include management oversight of all facilities to ensure the safest environment 5. Business Development a. Strategic Planning functions include CON submissions, market data analysis and assistance with business plans b. Marketing includes advertising services, coordination of Health Quest advertisements and managementof 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 biweekly employee payments and tax filings in accordance with Human Resources and Payroll policies c. General Accounting functions include preparation of financial statements, account analysis, contract reconciliation, tax filings, investment coordination, and coordination of internal and external audit functions d. Purchasing, supply chain and mailroom functions include procurement services, contract negotiations, price negotiations, capital purchase negotiations, management/distribution of hospital inventory, and central mailroom management e. Practice management billing functions include producing all claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up services for all employed HQ physicians f. Management Engineering functions include evaluating each area within HQ to ensure compliance with various productivity benchmarks optimizing staffing ratios 7. Internal Audit and Compliance includes oversight of the corporate compliance program, internal audit, HIPAA compliance, contract review and compliance 8. Human Resource and learning and development functions include recruitment, compensation, benefit administration and employee training 9. Physician management operations functions include oversight of all HQ physician practices, physician recruitment functions, and the centralized scheduling office 10. Administrative functions include oversight of the Health Quest system, hospital management and risk management 11. Legal Counsel functions include internal legal services for HQ and coordination of all outsourced legal initiatives 12. Information Technology and MTS a. IT provides information technology support for all applications and telephony support within HQ. In addition provides project management services for all new and upgrades to current IT applications. b. MTS/Biomed includes technical services provided to each hospital for equipment repair and maintenance Shared Expenses: In addition to services provided by support departments, certain insurance policies are consolidated for all Health Quest entities. These include property insurance, travel, crime, environmental, cyber risk and Directors and Officers insurance. Affiliate cash shortfalls: Affiliate cash shortfalls are funded by the entity(s) benefiting from the affiliate services. Examples include Health Quest Medical Practice and The Thompson House. The cash shortfall funding is based on the percentage of benefit received (percentage of revenue by division for HQMP and patient census for The Thompson House from the hospitals). Allocation Methodology: Net Revenue - lab management, budgets, revenue cycle, managed care, decision support, all facilities (excluding construction), business development, general accounting, management engineering, internal audit and compliance, executive office, legal, information technology and MTS # of visits/procedures - staffing specialties Historical trends - health information management, clinical management and hospital support Cash collections - patient accounting and the financial clearance center # of FTE's - payroll and human resources Non payroll expenses - accounts payable and purchasing Project based - construction # of FTE's allocated to physician sites - Practice management billing, operations and physician practice management System Benefits: 1. Financial planning 2. Revenue enhancement 3. Improved cash collections 4. Enhanced managed care contract rates 5. Optimized medical records coding 6. Savings for supplies, contracts, insurance and capital purchases 7. Staffing reduction through shared services 8. Enhanced employee benefit programs Health Quest Laboratory Support Services, LLC provides clinical diagnostic services to affiliate hospitals. VBMC covers all costs for lab services performed at VBMC for both inpatient and outpatient services.
FORM 990 PART XI LINE 9 - RECONCILIATION OF NET ASSETS	ADDITIONAL PENSION LIABILITY - $2,750,841; TRANSFER OF EQUITY - ($29,685,324); CHANGE IN INTEREST IN FOUNDATION - $0; CHANGE IN RESTRICTED CONTRIBUTIONS - ($375,147)
FORM 990 PART XIII LINE 3A - OMB CIRCULAR 1-133 AUDIT	VASSAR BROTHERS MEDICAL CENTER DID NOT RECEIVE MORE THAN $500,000 IN FEDERAL AWARDS IN 2015, AND DID NOT QUALIFY FOR AN A-133 AUDIT.
SCHEDULE R PART V LINE 6 - 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 X LINE 23 COLUMN B	ON OCTOBER 16, 2015, VBMC ENTERED INTO AN ASSET PURCHASE AGREEMENT WITH DRA IMAGING, P.C., TO PURCHASE THE TECHNICAL SIDE OF THEIR BUSINESS, IN ORDER TO ENHANCE THE RADIOLOGY DEPARTMENT WITHIN VBMC.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HEALTHSERVE INFORMATION TECHNOLOGIES
45 READE PLACE	POUGHKEEPSIE	NY	12601	141797086	INFO TECH	NY	-$16,525	$102,784	VBMC
ONE COLUMBIA STREET LLC
ONE COLUMBIA STREET	POUGHKEEPSIE	NY	12601	461626016	REAL EST MGMT	NY	$67,472	$19,855,165	VBMC

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	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	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	FACS LLC	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)
EIN	141831972	EIN
Primary Activities	PHYSICIAN CON	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Share Of Total Income	-$371	ShareOfTotalIncomeAmt
Share Of EOY Assets	$22,035	ShareOfEOYAssetsAmt
Ownership	0.16400	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
Div Related Organization	false	DivRelatedOrganizationInd
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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH QUEST SYSTEMS INC
A	$663,732	RENT AT COST
HEALTH QUEST SYSTEMS INC
P	$79,940,718	SEE SCHEDULE O
HEALTH QUEST LABORATORY SUPPORT SERVICES LLC
P	$14,226,665	SEE SCHEDULE O
HEALTH QUEST MEDICAL PRACTICE PC
A	$1,022,567	RENT AT COST
ONE COLUMBIA STREET LLC
A	$210,000	RENT AT COST
HEALT QUEST MEDICAL PRACTICE PC
P	$21,229,655	SEE SCHEDULE O