VASSAR BROTHERS HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: VASSAR BROTHERS HOSPITAL (EIN 14-1338586)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-10
IRS object ID: 201443149349301484
Schema version: 2013v3.1
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	2014-11-10T16:47:59-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% KATHERINE BACHER INTERIM CF	InCareOfNm
Business Name Control	VASS	BusinessNameControlTxt
Phone	8454548500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1
Address Line2	Suite	AddressLine2
City	POUGHKEEPSIE	City
State	NY	State
ZIP Code	12601	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KATHERINE BACHER	PersonNm
Person Title	INTERIM CFO/SVP	PersonTitleTxt
Phone	8454759500	PhoneNum
Signature	2014-11-10	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT FRIEDBERG PRESIDENT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1
City	POUGHKEEPSIE	City
State	NY	State
ZIP Code	12601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$435,754,393	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.health-quest.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	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	2169	TotalEmployeeCnt
Total Volunteers	390	TotalVolunteersCnt
Total Gross UBI	$398,379	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$92,684	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,168,904	PYContributionsGrantsAmt
CY Contributions Grants	$2,288,411	CYContributionsGrantsAmt
PY Program Service Revenue	$403,623,945	PYProgramServiceRevenueAmt
CY Program Service Revenue	$415,447,420	CYProgramServiceRevenueAmt
PY Investment Income	$3,693,573	PYInvestmentIncomeAmt
CY Investment Income	$5,464,792	CYInvestmentIncomeAmt
PY Other Revenue	$6,889,012	PYOtherRevenueAmt
CY Other Revenue	$12,553,770	CYOtherRevenueAmt
PY Total Revenue	$417,375,434	PYTotalRevenueAmt
CY Total Revenue	$435,754,393	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$64,890	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$166,588,618	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$166,046,539	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$238,554,739	PYOtherExpensesAmt
CY Other Expenses	$245,801,967	CYOtherExpensesAmt
PY Total Expenses	$405,143,357	PYTotalExpensesAmt
CY Total Expenses	$411,913,396	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,232,077	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$23,840,997	CYRevenuesLessExpensesAmt
Total Assets BOY	$470,669,251	TotalAssetsBOYAmt
Total Assets EOY	$482,877,735	TotalAssetsEOYAmt
Total Liabilities BOY	$300,254,606	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$252,542,896	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$170,414,645	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$230,334,839	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	$205,661,598	ExpenseAmt
Revenue	$267,907,700	RevenueAmt
Desc	INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 18,890; NUMBER OF PATIENT DAYS 92,551 THE HOSPITAL PROVIDED APPROXIMATELY $4,929,450 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	$113,260,109	ExpenseAmt
Grant	$64,890	GrantAmt
Revenue	$147,539,723	RevenueAmt
Desc	OUTPATIENT SERVICES: EMERGENCY VISITS 54,019; OTHER OUTPATIENT VISITS/PROCEDURES 265,357 THE HOSPITAL PROVIDED APPROXIMATELY $6,466,939 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$318,921,707	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	Yes (true)	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	2169	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
Excess Business Holdings	false	ExcessBusinessHoldingsInd
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	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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 INTERIM CF	PersonNm
Phone	8454759500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1351 ROUTE 55 SUITE 200	AddressLine1
City	LAGRANGEVILLE	City
State	NY	State
ZIP Code	12540	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SUNIL KHURANA MD
TRUSTEE	1.0	Yes (X)	$0	$0	$0
JANET READY
PRESIDENT	1.0	Yes (X)	$0	$460,734	$41,243	40.0	Yes (X)
DAVID CONKLIN
TRUSTEE	1.0	Yes (X)	$0	$0	$0
CARLA GUDE
FIRST VICE CHAIRMAN	2.0	Yes (X)	$0	$0	$0
CARL MEYER
CHAIRMAN	2.0	Yes (X)	$0	$0	$0
BARRY ROTHFELD
TRUSTEE	1.0	Yes (X)	$0	$0	$0
RICHARD CHAZEN PE
LIFE TRUSTEE	1.0	Yes (X)	$0	$0	$0
ETHELYN MUND
LIFE TRUSTEE	1.0	Yes (X)	$0	$0	$0
JOHN O'SHEA
LIFE TRUSTEE	1.0	Yes (X)	$0	$0	$0
FRANK WISE
LIFE TRUSTEE	1.0	Yes (X)	$0	$0	$0
BERNARD HANDEL
LIFE TRUSTEE	1.0	Yes (X)	$0	$0	$0
DAVID WEINREICH
IMM PAST MED/DENTAL STAFF PRES	1.0	Yes (X)	$0	$0	$0
ROBERT CHAMBERS
TRUSTEE EMERITUS	1.0	Yes (X)	$0	$0	$0
FRANCOISE DUNEFSKY
SECOND VICE CHAIRMAN	1.0	Yes (X)	$0	$0	$0
AMELIA MARTINKO MD
TRUSTEE	1.0	Yes (X)	$0	$0	$0
CARL NEEDY
TRUSTEE EMERITUS	1.0	Yes (X)	$0	$0	$0
CHARLES SHANOK
TRUSTEE	1.0	Yes (X)	$0	$0	$0
RICHARD STRAIN
TRUSTEE EMERITUS	1.0	Yes (X)	$0	$0	$0
RICHARD FRIEDLAND
MEDICAL STAFF PRESIDENT	1.0	Yes (X)	$0	$0	$0
JULIA GOINGS-PERROT ESQ
TRUSTEE	1.0	Yes (X)	$0	$0	$0
JOHN REID
TRUSTEE	1.0	Yes (X)	$0	$0	$0
JOHN L MCGUINNESS
CEO	0.0	Yes (X)	$0	$71,179	$0	20.0	Yes (X)
MARYANN KEPPLE
TREASURER	0.0		$0	$569,163	$23,061	65.0	Yes (X)
MARGARET CUSUMANO
CNO	0.0		$0	$255,203	$38,795	48.0		Yes (X)
KEVIN BOLAND
DIRECTOR CARDIO PERFUSION	40.0		$252,188	$0	$37,371				Yes (X)
KATHLEEN MANTARO
DIR MEDICAL STAFF AFFAIRS	40.0		$255,504	$0	$25,013				Yes (X)
DOUGLAS HART
PERFUSIONIST	40.0		$195,080	$0	$34,112				Yes (X)
LYNN KEMP
AVP OF SURGICAL SERVICES	40.0		$180,327	$0	$26,388				Yes (X)
SUSAN AMOS
AVP OF MATERNAL CHILD HEALTH	40.0		$178,062		$32,360				Yes (X)
DANIEL ARONZON MD
FORMER CEO/PRESIDENT	0.0		$0	$639,035	$0					Yes (X)
MICHAEL T WEBER
FORMER CEO	0.0		$0	$1,652,081	$42,700	40.0				Yes (X)
FREDERICK THOMAS
FORMER CORPORATE SECRETARY	0.0		$0	$467,127	$7,775	40.0				Yes (X)
STEPHEN KATZ MD
FORMER CMO	0.0		$0	$384,313	$29,604	40.0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,061,161	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,498,835	TotReportableCompRltdOrgAmt
Total Other Compensation	$338,422	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5	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	$2,288,411	AllOtherContributionsAmt
Total Contributions	$2,288,411	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT SERVICE REVENUE	900099	$267,907,698	$267,907,698
OUTPATIENT SERVICE REVENUE	900099	$147,539,722	$147,539,722

Field	Value	IRS element (for citing)
Total Program Service Revenue	$415,447,420	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,241,631	TotalRevenueColumnAmt
Exclusion	$2,241,631	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	$4,799,529	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,799,529	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,799,529	TotalRevenueColumnAmt
Exclusion	$4,799,529	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,223,161	TotalRevenueColumnAmt
Exclusion	$3,223,161	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	$1,357,022	$1,357,022
MEANINGFUL USE REVENUE	900099	$2,885,892	$2,885,892
MANAGEMENT FEES	518210	$665,365	$665,365

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,845,962	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,447,583	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$398,379	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,754,241	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$435,754,393	TotalRevenueColumnAmt
Related Or Exempt Func Income	$422,803,282	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$398,379	UnrelatedBusinessRevenueAmt
Exclusion	$10,264,321	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$64,890	TotalAmt
Program Services	$64,890	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	$0	TotalAmt

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	$117,774,438	TotalAmt
Program Services	$107,706,914	ProgramServicesAmt
Management And General	$10,067,524	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,160,975	TotalAmt
Program Services	$13,865,544	ProgramServicesAmt
Management And General	$1,295,431	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,891,271	TotalAmt
Program Services	$21,849,012	ProgramServicesAmt
Management And General	$2,042,259	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,219,855	TotalAmt
Program Services	$8,431,729	ProgramServicesAmt
Management And General	$788,126	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,702	TotalAmt
Management And General	$6,702	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,819,437	TotalAmt
Program Services	$1,642,386	ProgramServicesAmt
Management And General	$177,051	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,730	TotalAmt
Program Services	$1,730	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,897,320	TotalAmt
Program Services	$4,880,108	ProgramServicesAmt
Management And General	$3,017,212	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$586,181	TotalAmt
Program Services	$427,694	ProgramServicesAmt
Management And General	$158,487	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,684,031	TotalAmt
Program Services	$2,660,108	ProgramServicesAmt
Management And General	$2,023,923	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$65,454	TotalAmt
Program Services	$57,078	ProgramServicesAmt
Management And General	$8,376	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$179,126	TotalAmt
Program Services	$104,213	ProgramServicesAmt
Management And General	$74,913	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,294,829	TotalAmt
Program Services	$3,187,768	ProgramServicesAmt
Management And General	$2,107,061	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,469,550	TotalAmt
Program Services	$13,865,591	ProgramServicesAmt
Management And General	$9,603,959	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,591,228	TotalAmt
Program Services	$2,157,984	ProgramServicesAmt
Management And General	$1,433,244	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$88,244,230	$31,884,206	$56,360,024
MEDICAL SUPPLIES	$53,329,701	$53,329,701
PHYSICIAN FEES	$25,363,411	$25,363,411
BAD DEBT	$18,297,550	$18,297,550

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,971,487	TotalAmt
Program Services	$9,144,090	ProgramServicesAmt
Management And General	$3,827,397	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$411,913,396	TotalAmt
Program Services	$318,921,707	ProgramServicesAmt
Management And General	$92,991,689	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,976,004	BOYAmt
EOY	$2,514,608	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,402,413	BOYAmt
EOY	$3,815,566	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	$50,838,886	BOYAmt
EOY	$49,620,354	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	$7,337,299	BOYAmt
EOY	$6,459,039	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,416,222	BOYAmt
EOY	$3,452,769	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$500,481,245	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$277,491,190	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$219,716,025	BOYAmt
EOY	$222,990,055	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$110,113,258	BOYAmt
EOY	$133,614,075	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	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$65,869,144	BOYAmt
EOY	$60,411,269	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$470,669,251	BOYAmt
EOY	$482,877,735	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$27,937,600	BOYAmt
EOY	$31,402,659	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	$81,578,158	BOYAmt
EOY	$76,945,512	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	$33,621,164	BOYAmt
EOY	$26,741,610	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$157,117,684	BOYAmt
EOY	$117,453,115	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$300,254,606	BOYAmt
EOY	$252,542,896	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$153,791,004	BOYAmt
EOY	$215,736,890	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,432,690	BOYAmt
EOY	$12,406,998	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	$170,414,645	BOYAmt
EOY	$230,334,839	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$470,669,251	BOYAmt
EOY	$482,877,735	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$23,840,997	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$17,735,551	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$18,343,646	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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	$6,702	OtherActivitiesAmt
Total Lobbying Expenditures	$6,702	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	15.5% OF NORMET DUES PAID BY VASSAR BROTHERS MEDICAL CENTER WERE USED FOR POLITICAL EXPENDITURES.	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	$2,190,631	BeginningYearBalanceAmt
Contributions	$320	ContributionsAmt
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
Other Expenditures	$320	OtherExpendituresAmt
End Year Balance	$2,190,631	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,191,000	BeginningYearBalanceAmt
End Year Balance	$2,191,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,191,000	BeginningYearBalanceAmt
End Year Balance	$2,191,000	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	$253,501,379	OtherCostOrOtherBasisAmt
Depreciation	$86,950,898	DepreciationAmt
Book Value	$166,550,481	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$235,024,819	OtherCostOrOtherBasisAmt
Depreciation	$189,114,664	DepreciationAmt
Book Value	$45,910,155	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,125,473	OtherCostOrOtherBasisAmt
Depreciation	$1,425,628	DepreciationAmt
Book Value	$4,699,845	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$222,990,055	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (28 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$6,766,826
DEFERRED COMPENSATION	$9,213,560
IDA 2005 DEFFERED FINANCING	$364,025
2007A DEFFERED FINANCING	$412,871
2007B DEFFERED FINANCING	$28,177
ESCROW COVENANT	$27,794
INVESTMENT IN FACS LLC	$20,000
UROC SECURITY DEPOSIT	$49,500
INTEREST IN FOUNDATION	$9,583,029
2007 SERIES A BOND PREMIUM	$541,215
2007 SERIES B BOND PREMIUM	$261,472
DSRF TELP LOAN TDBANK GENERAL	$352,668
2010 PROJECT CONSTRUCTION FUND	$195
DSRF 2007 SERIES A BONDS	$1,083,696
DSRF 2007 SERIES B BONDS	$993,089
DSRF 2005 BONDS	$1,313,188
DEF FINANCING 2010 SERIES A	$706,098
DEF FINANCING 2010 SERIES B	$206,678
MISC RECEIVABLES	$566,754
2010 BOND INTEREST FD GENERAL	$2,119,389
2010 BOND PRINCIPAL FD GENERAL	$802,500
DEF FIN 2011 FIXED RATE CONVER	$154,945
DUE FROM HQ LT	$21,395,737
DUE FROM THIRD PARTIES	$1,775,736
DSRF 2012 PROJECT FUND	$8,906
DSRF HQ SER 1997	$1,525
DEF FINANCING 2012 BONDS	$452,326
DSRF 2012 INTEREST	$1,209,370

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$60,411,269	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
POST RETIREMENT BENEFITS	$37,837,887
SPECIAL INVSTMT LIABILITIES (D	$9,183,736
3RD PARTY RATE ADJMTS PAYABLE	$3,516,227
MARY TOWER BUILDING	$72,914
DUE TO AFFILIATES	$22,558,336
ENVIRONMENTAL CONTIN LIAB (FIN	$1,861,399
GENERAL RESERVE	$19,706,294
DUE TO HQ L/T	$2,059,662
MED MALPRACTICE INSURANCE LIAB	$20,656,660

Field	Value	IRS element (for citing)
Total Liability	$117,453,115	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$473,858,966	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$17,735,551	NetUnrealizedGainsInvstAmt
Other Revenue	$20,369,022	OtherRevenueAmt
Revenue Not Reported	$38,104,573	RevenueNotReportedAmt
Revenue Subtotal	$435,754,393	RevenueSubtotalAmt
Total Revenue Per Form990	$435,754,393	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$411,913,396	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$411,913,396	ExpensesSubtotalAmt
Total Expenses Per Form990	$411,913,396	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D PART XI LINE 2D - PENSION RELATED	Pension Related changes other than net periodic pension costs - $32,574,143
SCHEDULE D PART XI LINE 2D - TRANSFER OF EQUITY	Transfer of Equity, net - ($12,205,121)
SCHEDULE D PART V LINE 4 - ENDOWMENT FUNDS	THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,777,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,652,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,124,521	NetCommunityBenefitExpnsAmt
Total Expense	0.01970	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,009,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,926,844	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,082,253	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,786,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,579,436	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,206,774	NetCommunityBenefitExpnsAmt
Total Expense	0.06360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	768	PersonsServedCnt
Total Community Benefit Expns	$13,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$650	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,032	NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	30	PersonsServedCnt
Total Community Benefit Expns	$1,462	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,462	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,885,924	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,885,924	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$64,890	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,890	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	798	PersonsServedCnt
Total Community Benefit Expns	$1,965,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$650	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,965,308	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	798	PersonsServedCnt
Total Community Benefit Expns	$68,752,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,580,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,172,082	NetCommunityBenefitExpnsAmt
Total Expense	0.06840	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,451,715	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,725,857	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$128,190,966	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$175,776,936	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$47,585,970	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	RADIATION ONCOLOGY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	Facility Reporting GroupFacilityReportingGroupCd	General Medical And SurgicalGeneralMedicalAndSurgicalInd
VASSAR BROTHERS MEDICAL CENTER
1	45 READE PLACE	POUGHKEEPSIE	NY	12601	WWW.HEALTH-QUEST.ORG	Yes (X)	A
FISHKILL AMBULATORY SURGERY CENTER
2	200 WESTAGE BUSINESS CENTER	FISHKILL	NY	12524	WWW.HEALTH-QUEST.ORG		A	Yes (X)
ULSTER RADIATION ONCOLOGY CENTER
3	111 MARYS AVENUE	KINGSTON	NY	12401	WWW.HEALTH-QUEST.ORG		A	Yes (X)
VASSAR BROS HOSP WOUND CARE CENTER
4	21 FOX STREET	POUGHKEEPSIE	NY	12601	WWW.HEALTH-QUEST.ORG		A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	VASSAR BROTHERS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.HEALTH-QUEST.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Lawsuit	Yes (X)	PermitLawsuitInd
Permit Lien On Residence	Yes (X)	PermitLienOnResidenceInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Lawsuit	Yes (X)	LawsuitInd
Liens On Residences	Yes (X)	LiensOnResidencesInd
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
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3	Vassar Brother Medical Center was part of the Integrated Community Assessment Workgroup (ICA) which consists of individuals from Ducthess 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 Country Veterans Services, as well as the Mental Health Association, the Dyson Foundation, the Foundation for Community Health, Health Quest and the former Saint Francis Hospital (now Mid-Hudson Regional Medical Center).
PART V, SECTION B, LINE 4	The VBMC CHNA was conducted in conjunction with Northern Dutchess Hospital and the former Saint Francis Hospital (now Mid-Hudson Regional Medical Center).
PART V, SECTION B, LINE 5D	The CHNA was also printed and distributed throughout the hospital, including the main lobby, patient waiting areas and hospital administration.
PART V, SECTION B, LINE 7	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 former Saint Francis Hospital (now Mid-Hudson Regional Medical Center) has licensed substance abuse beds.
PART V, SECTION B, LINE 20D	IN 2013, THE SELF-PAY RATE WAS EQUIVALENT TO THE HOSPITAL'S HIGHTEST VOLUME COMMERCIAL PAYOR'S REIMBURSEMENT FOR THE SERVICE IN QUESTION.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	N/A
PART I, LINE 6A	VASSAR BROTHERS MEDICAL CENTER PREPARES A COUNTY WIDE COMMUNITY SERVICE REPORT.
PART I, LINE 7, COLUMN F	TOTAL BAD DEBT EXPENSE = $18,297,550
PART I, LINE 7	COST TO RATIO PERCENTAGE WAS USED AS THE COSTING METHODOLOGY. WORKSHEET #2 WAS USED TO DERIVE THE PERCENTAGE.
PART III, SECTION A, LINE 2,3 AND 4	LINE 2 - BAD DEBT EXPENSE WAS GROSSED UP TO GROSS CHARGES AND THEN THE COST TO RATIO PERCENTAGE DERIVED FROM WORKSHEET #2 WAS USED TO CALCULATE THE VALUE AT COST. SELF PAY ACCOUNTS, ONCE DETERMINED A LACK OF INSUFFICIENCY OF INSURANCE, AND ONCE THE PATIENT HAS RECEIVED GOVERNMENT PAYOR DENIAL, THE ACCOUNTS ARE ADJUSTED DOWN TO THE HIGHEST VOLUME COMMERCIAL PAYOR RATE. AFTER THE ACCOUNT IS DEEMED UNCOLLECTIBLE, THE ACCOUNT IS WRITTEN OFF TO BAD DEBT EXPENSE AT ADJUSTED CHARGES LESS ANY PAYMENTS MADE ON THE ACCOUNT. LINE 3 - 50% OF THESE PATIENTS WOULD MOST LIKELY QUALIFY FOR CHARITY CARE IF THEY WERE COOPERATIVE IN FILING THE PAPERWORK ASSOCIATED WITH GOVERNMENT ASSISTANCE. LINE 4 - FOOTNOTE ON AUDITED FINANCIALS - FEDERAL AND STATE LAW REQUIRES THE HOSPITALS TO 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 HOSPITAL 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 STATEMENT OF OPERATIONS.
PART III, SECTION B, LINE 8	THE MEDICARE SHORTFALL SHOULD BE INCLUDED IN OUR COMMUNITY BENEFIT PERCENTAGE BECAUSE WE ARE INCURRING THE FULL COST OF CARE FOR THE PATIENTS IN THE COMMUNITY AND OUR REIMBURSEMENT FROM GOVERNMENT PROGRAMS, INCLUDING MEDICARE, DOES NOT COVER THE HOSPITALS COST TO PROVIDE HIGH QUALITY PATIENT CARE. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL IS COST TO CHARGE RATIO AND WORKSHEET #2 WAS USED.
PART III, SECTION C, LINE 9B	HEALTH QUEST MAY CHOOSE TO SEND ANY DELIQUENT ACCOUNT TO A COLLECTION AGENCY, HOWEVER, BEFORE REFERRING A DELIQUENT ACCOUNT TO A COLLECTION AGENCY, HEALTH QUEST WILL REVIEW THE ACCOUNT TO DETERMINE WHETHER THE PATIENT HAS APPLIED FOR A DISCOUNT UNDER THE CHARITY CARE POLICY AND THE STATUS OF SUCH APPLICATION. IF THE PATIENT HAS APPLIED FOR A DISCOUNT, THE ACCOUNT MAY NOT BE REFERRED TO A COLLECTION AGENCY UNTIL A FINAL DETERMINATION OF SUCH APPLICATION IS MADE AND IF ANY APPEAL OF SUCH DETERMINATION IS PROVIDED FOR IN THE CHARITY CARE POLICY, A FINAL DETERMINATION HAS BEEN MADE WITH RESPECT TO SUCH APPEAL. PATIENTS MAY STILL APPLY FOR A DISCOUNT UNDER THE CHARITY CARE POLICY EVEN AFTER THE ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY.
PART 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; Northern Dutchess Hospital 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 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: o An annual countywide data document capturing available economic, educational and health data that impact children, youth, families and adults o 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 or added, care was taken to ensure 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 State's 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 Indicator Source 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 Indicator Source 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 Activity Target Date Partners 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 HRHCare's 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 Activity Target Date Partners Hold at least one Community Education Day in year one with at least 50 attendees. 12/31/2014 Dutchess County Department of Health (DCDOH), 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, 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, 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 Indicator Source Number of physicians following CDC guidelines will increase by 10% over baseline Annual survey Number of physicians administering SDDT for every tick attachment will increase by 10% over baseline Annual survey Action Plan Objective 1 Activity Target Date Partners Host a county-wide continuing education event for physicians emphasizing best practices 12/31/2014 DCDOH, Tick Task Force, Dutchess County Medical Society Design and implement an annual physician survey to measure tick attachment rates and compliance with CDC guidelines 03/31/2014 DCDOH, Tick Task Force, Dutchess County Medical Society Provide additional training to physicians who indicate n
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	Health Quest is a nonprofit organization that effectively serves as a leader in the promotion of community health. 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 providing for the healthcare needs of our entire region. Health Quest hospitals meet on a regular basis with community agencies and stakeholders. Each hospital has a Community Health Needs Committee with representation from throughout the organization and the community. Each committee oversees the development of community health needs assessments and community health improvement plans. Health Quest employees serve as leaders in the promotion of community health. Many regularly venture into the community to provide educational lectures and health screenings that encourage preventative medicine. Health Quest actively sponsors a number of health-related fundraisers for other nonprofit organizations, including regional chapters of the Heart Association, American Cancer Society and Alzheimer's Association, throughout each year. Employees are also active members of the community and serve as volunteers and community board members, and do outreach for public benefit on behalf of Health Quest.
PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	HEALTH QUEST SYSTEMS, INC (DBA HEALTH QUEST) IS THE ACTIVE PARENT COMPANY TO ALL AFFILIATED HOSPITALS. HEALTH QUEST ACTS ON BEHALF OF THE HOSPITALS IN SOME COMMUNITY ASSESSMENT ACTIVITIES. HEALTH QUEST HAS TRANSITIONED TO A MODEL IN WHICH IT WILL SUPERVISE BOARD COMMITTEES AT EACH HOSPITAL AS THEY ASSESS COMMUNITY NEEDS, PLAN APPROPRIATE PROGRAMS AND MONITOR THEM FOR EFFECTIVESS.
PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	VASSAR BROTHERS MEDICAL CENTER FILES A COUNTY-WIDE COMMUNITY SERVICE PLAN WITH NYS DEPARTMENT OF HEALTH.
PART II	N/A
PART III, SECTION A, LINE 2
PART III, SECTION A, LINE 3

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2
AMERICAN HEART ASSOCIATION
229 MANCHESTER ROAD	POUGHKEEPSIE	NY	12603	$31,500	RESEARCH AND DEVELOPMENT OF CARDIAC PROGRAMS
COMMUNITY FOUNDATIONS OF THE HUDSON VALLEY
80 WASHINGTON STREET	POUGHKEEPSIE	NY	12601	$6,615	SUPPORT EFFORTS IN THE COMMUNITY RELATED TO EDUCATION AND HEALTH	SUITE 201
O FESTIVAL
310 WALL STREET	KINGSTON	NY	12401	$6,300	SUPPORTS MEDICAL SERVICES FOR PEOPLE WITHOUT INSURANCE

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (12 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
DANIEL ARONZON MD
FORMER CEO/PRESIDENT	$0	$0	$0	$0	$0	$639,035	$0	$0	$0	$0	$0	$639,035	$0	$6,891
STEPHEN KATZ MD
FORMER CMO	$0	$55,231	$0	$72,668	$0	$256,414	$0	$7,673	$0	$21,931	$0	$413,917	$0	$15,000
JANET READY
PRESIDENT	$0	$383,091	$0	$77,643	$0	$0	$0	$15,300	$0	$25,943	$0	$501,977	$0	$15,000
MARGARET CUSUMANO
CNO	$0	$231,036	$0	$23,827	$0	$340	$0	$15,292	$0	$23,503	$0	$293,998	$0	$14,672
KEVIN BOLAND
DIRECTOR CARDIO PERFUSION	$237,458	$0	$14,730	$0	$0	$0	$15,166	$0	$22,205	$0	$289,559	$0	$14,615	$0
KATHLEEN MANTARO
DIR MEDICAL STAFF AFFAIRS	$238,592	$0	$16,741	$0	$171	$0	$15,300	$0	$9,713	$0	$280,517	$0	$15,000	$0
MICHAEL T WEBER
FORMER CEO	$0	$147,819	$0	$312,531	$0	$1,191,731	$0	$15,300	$0	$27,400	$0	$1,694,781	$0	$15,000
MARYANN KEPPLE
TREASURER	$0	$425,345	$0	$97,020	$0	$46,798	$0	$15,300	$0	$7,761	$0	$592,224	$0	$15,000
FREDERICK THOMAS
FORMER CORPORATE SECRETARY	$0	$107,977	$0	$67,265	$0	$291,885	$0	$6,271	$0	$1,504	$0	$474,902	$0	$15,000
DOUGLAS HART
PERFUSIONIST	$194,123	$0	$0	$0	$957	$0	$11,647	$0	$22,465	$0	$229,192	$0	$11,419	$0
LYNN KEMP
AVP OF SURGICAL SERVICES	$163,069	$0	$17,258	$0	$0	$0	$2,827	$0	$23,561	$0	$206,715	$0	$0	$0
SUSAN AMOS
AVP OF MATERNAL CHILD HEALTH	$160,554		$17,508		$0		$11,099		$21,261		$210,422		$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J PART I LINE 4A AND 4B COMPENSATION	FormAndLineReferenceDesc
Explanation	LINE 4A - SEVERANCE PAYMENTS WERE PAID FROM A RELATED ORGANIZATION FOR THREE OFFICERS AND ONE KEY EMPLOYEE Daniel Aronzon, MD (PRESIDENT) - 2 years+1 month, effective term date 1/1/2012 - $527,531, paid in 2013 Stephen Katz, MD (CMO) - 9 months, effective term date 2/15/2013 - $259,675, paid in 2013 MICHAEL T. WEBER (HQ CEO)- 24 MONTHS, EFFECTIVE TERM DATE 3/11/2013 - $734,392, PAID IN 2013 FREDERICK THOMAS (CORP SECRETARY)- 12 MONTHS, EFFECTIVE TERM DATE 6/30/2013 - $243,858, PAID IN 2013 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 ($15,300 in 2013, 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.	ExplanationTxt

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 6/28/05	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	$2,611,111,937	$0	$19,530,593	$1,350,492	$367,816	$0	$249,119	$285,086	$0	$3,120,619	$13,841,800	$315,662	2008	false	Yes (true)	false	Yes (true)
B	$3,385,000	$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	$935,000	$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
A	false	false	false	false
B	false	false	false	false
C	false	false	false	false

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/BusinessNameLine1	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	Yes (true)	Yes (true)	false	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 AND F; LINE B COLUMN F	PART I, LINE A, COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038 - $61,974,071.30, ALLOCATED BETWEEN THREE ORGANIZATIONS. PART I, LINE A, COLUMN F - PURCHASE MEDICAL EQUIPMENT AND REFUND PRIOR ISSUE (4/13/00) PART I, LINE B, COLUMN F - CONSTRUCTION OF FACILITY AND REFUND PRIOR ISSUE (1/22/04)
PROCEEDS - PART II LINE 3	PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.
ARBITRAGE - PART IV LINE 2C	(A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK - DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2011 (A) ISSUER NAME: DUTCHESS COUNTY LOCAL DEV CORP - DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2012 NOTE REGARDING THE REBATE COMPUTATION ON 11/30/2012: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BARRY ROTHFIELD
PUBLISHER OF POK JOURNAL	$271,681	NEWSPAPERS ADV FOR HQ AFFILIAT	false
SUNIL KHURANA
CO-CEO OF PREMIER MED GRP	$1,467,158	PHYSICIAN FEES	false
LYNN KEMP
HUSBAND WORKS FOR STRYKER	$2,436,908	MEDICAL SUPPLIES FOR HOSPITALS	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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.
PART VI SECTION A LINE 4, 6, 7A AND 7B - GOVERNING BODY	LINE 4 - BY-LAWS FOR VBMC WERE RE-WRITTEN AND APPROVED BY THE BOARD ON 11/20/2013. THE BY-LAWS CONTINUE TO SUPPORT THE TAX EXEMPT STATUS OF VBMC. KEY COMPONENTS ARE DETAILED BELOW. LINE 6 - THE SOLE MEMBER OF VBMC IS HEALTH QUEST SYSTEMS, INC. LINE 7A - Appointment/Election of Trustees. 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
FORM 990 PART VI SECTION B LINE 11A - POLICIES 1	A COPY OF THE 990 DOCUMENT WAS EMAILED TO THE VBMC BOARD OF DIRECTORS. THE CHAIRMAN OF THE HEALTH QUEST COMPENSATION COMMITTEE REVIEWED ALL SCHEDULES RELATED TO EXECUTIVE COMPENSATION. A 3RD PARTY WAS HIRED TO ASSIST IN THE PREPARATION OF SCHEDULE K. PRICEWATERHOUSE COOPERS WAS CONSULTED IN THE PREPARATION OF SCHEDULE H.
FORM 990 PART VI SECTION B LINE 12C, 15A AND 15B - POLICIES	LINE 12C - ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE HEALTH QUEST BUSINESS ETHICS COMMITTEE ON BEHALF OF VBMC. IN ADDITION, CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY BOARD MEMBERS AND KEY EMPLOYEES ON AN ANNUAL BASIS AND REVIEWED BY THE HEALTH QUEST CORPORATE COMPLIANCE DEPARTMENT. LINE 15A/15B - COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HEALTH QUEST EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY.
FORM 990 PART VI SECTION C LINE 19 - DISCLOSURE	POLICIES AND FINANCIAL STATEMENTS FOR VBMC ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS.
SCHEDULE R PART II - IDENTIFICATION OF 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 Hudson Valley Home Care, Inc (Certified) 14-1788412 Home Health NY 501c3 Box 11 HQ Hudson Valley 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. Pharmacy c. Cardiac d. Oncology 3. Revenue Cycle including health information management, budgets and reimbursement, revenue cycle, system business office, patient access oversight, financial clearance center, managed care and decision support 4. Facilities including courier service, construction, property management, facility operations, food service management and security 5. Business Development including strategic planning, marketing and public relations, answering service and community education 6. Corporate Finance including accounts payable, payroll, general accounting, purchasing, supply chain and mailroom, practice management billing and management engineering 7. Internal Audit and Compliance 8. Practice management operations including physician recruitment, physician management and centralized scheduling 9. Human Resources and learning and development 10. Administrative including Executive office, Hospital Support and risk management 11. Legal Counsel 12. Information Technology and Medical Technology Services (MTS) Description of Services: 1. Specialty staffing a. Provides non union staffing services for various specialties to the hospitals, offsite ancillary locations and the Fishkill Medical Mall 2. Clinical management includes management oversight to system consolidated clinical services 3. Revenue Cycle - a. Health Information Management functions includes coding and transcription of medical records for all 3 hospitals b. Budget functions include preparation of annual budgets, variance reporting and maintenance of the budget module Reimbursement functions include preparation of annual cost reports, analysis of third party rate accounts and third party audits c. Revenue cycle functions include charge master analysis and development of revenue producing charges, compliance with CPT coding and establishment of appropriate charges d. System business office services includes producing claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up for the hospitals. Patient access and financial clearance center includes oversight of all centralized registration areas at the hospitals and pre-authorization for numerous hospital services to insure compliance with third party regulations e. Managed Care functions include contract negotiations and analysis of contract terms f. Decision Support functions include cost accounting reporting, maintenance of HBI (Horizon Business Insight) reporting and the contract management system 4. Facilities - a. Courier service provides delivery services internally throughout the HQ system and bank deposit drop offs b. Construction and property management functions include contracting services for Health Quest projects and property management of all HQ facilities c. Facility operations include management oversight of the engineering departments for the hospitals d. Food Service management includes management oversight of food and nutrition departments for the hospitals e. Security functions include management oversight of all facilities to ensure the safest environment 5. Business Development - a. Strategic Planning functions include CON submissions, market data analysis and assistance with business plans b. Marketing includes advertising services, coordination of joint Health Quest advertisements and reduction of expenses associated with larger campaigns c. Public relations functions include coordination of Health Quest communication to external customers, patients and media d. Oversight of the outsourced answering services for physicians affiliated with the hospitals and HQMP e. Community education functions include training classes specific to life saving techniques 6. Finance - a. Accounts payable functions include scheduling vendor payments, insuring flow of goods and services, maintaining days cash on hand goals and maintaining days in accounts payable b. Payroll functions include biweekly employee payments and tax filings in accordance with Human Resources and Payroll policies c. General Accounting functions include preparation of financial statements, account analysis, contract reconciliation, tax filings, investment coordination, insurance coordination and coordination of internal and external audit functions d. Purchasing, supply chain and mailroom functions include procurement services, contract negotiations, price negotiations, capital purchase negotiations, management/distribution of hospital inventory, and central mailroom management e. Practice management billing functions include producing all claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up services for all employed HQ physicians f. Management Engineering functions include evaluating each area within HQ to ensure compliance with various productivity benchmarks optimizing staffing ratios 7. Internal Audit and Compliance includes oversight of the corporate compliance program, internal audit, HIPAA compliance, contract review and compliance 8. Human Resource and learning and development functions include recruitment, compensation, benefit administration and employee training 9. Physician management operations functions include oversight of all HQ physician practices, physician recruitment functions, and the centralized scheduling office 10. Administrative functions include oversight of the Health Quest system, hospital management and risk management 11. Legal Counsel functions include internal legal services for HQ and coordination of all outsourced legal initiatives 12. Information Technology and MTS - a. IT provides information technology support for all applications and telephony support within HQ. In addition provides project management services for all new and upgrades to current IT applications. b. MTS/Biomed includes technical services provided to each hospital for equipment repair and maintenance Shared Expenses: In addition to services provided by support departments, certain insurance policies are consolidated for all Health Quest entities. These include property insurance, travel, crime, environmental, cyber risk and Directors and Officers insurance. Affiliate Cash Shortfalls: Affiliate cash shortfalls are funded by the entity(s) benefiting from the affiliate services. Examples include Health Quest Medical Practice and the Thompson House. The cash shortfall funding is based on the percentage of benefit received (percentage of revenue by division for HQMP and admissions to the Thompson House from the hospitals) Allocation Methodology: Net Revenue - lab management, budgets, revenue cycle, managed care, decision support, all facilities (excluding construction), business development, general accounting, management engineering, internal audit and compliance, executive office, legal, information technology and MTS # of visits/procedures - staffing specialties Historical trends - health information management, clinical management and hospital support Cash collections - patient accounting and the financial clearance center # of FTE's - payroll and human resources Non payroll expenses - accounts payable and purchasing Project based - construction # of FTE's allocated to physician sites - Practice management billing, operations and physician practice management System Benefits: 1. Financial planning 2. Revenue enhancement 3. Improved cash collections 4. Enhanced managed care contract rates 5. Optimized medical records coding 6. Savings for supplies, contracts, insurance and capital purchases 7. Staffing reduction through shared services 8. Enhanced employee benefit programs Health Quest Laboratory Support Services, LLC provides clinical diagnostic services to affiliate hospitals. 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 - $32,574,143; TRANSFER OF EQUITY - ($12,205,121); CHANGE IN INTEREST IN FOUNDATION - $0; NET ASSETS FROM RESTRICTIONS USED FOR OPERATIONS - ($2,025,692); PERM RESTRICTED MISC - $316
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 2013, AND DID NOT QUALIFY FOR AN A-133 AUDIT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
HEALTHSERVE INFORMATION TECHNOLOGIES
45 READE PLACE	POUGHKEEPSIE	NY	12601	141797086	INFO TECH	NY	$10,894	$108,511	VBMC
ONE COLUMBIA STREET LLC
ONE COLUMBIA STREET	POUGHKEEPSIE	NY	12601	461626016	REAL EST MGMT	NY	$747,868	$18,714,895	VBMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH QUEST SYSTEMS INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1
City	POUGHKEEPSIE	City
State	NY	State
ZIP Code	12601	ZIPCode

Field	Value	IRS element (for citing)
EIN	141678068	EIN
Primary Activities	SUPPORT SERV	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Public Charity Status	BOX 9	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1
City	POUGHKEEPSIE	City
State	NY	State
ZIP Code	12601	ZIPCode

Field	Value	IRS element (for citing)
EIN	141831972	EIN
Primary Activities	PHYSICIAN CON	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Share Of Total Income	-$3	ShareOfTotalIncomeAmt
Share Of EOY Assets	$20,125	ShareOfEOYAssetsAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.14000	OwnershipPct

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH QUEST SYSTEMS INC
A	$745,533	RENT AT COST
HEALTH QUEST SYSTEMS INC
P	$72,121,613	SEE SCHEDULE O
HEALTH QUEST LABORATORY SUPPORT SERVICES LLC
P	$14,330,121	SEE SCHEDULE O
HEALTH QUEST MEDICAL PRACTICE PC
A	$773,773	RENT AT COST
ONE COLUMBIA STREET LLC
A	$210,000	RENT AT COST