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VASSAR BROTHERS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VASSAR BROTHERS HOSPITAL (EIN 14-1338586)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201323179349301557
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T08:51:50-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141338586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VASSAR BROTHERS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% HEALTHQUEST SYSTEMSInCareOfName
Name ControlVASSNameControl
Phone8454548500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line145 READE PLACEAddressLine1
Address Line2SuiteAddressLine2
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARYANN KEPPLEName
TitleCFO/SVPTitle
Phone8454759500Phone
Date Signed2013-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANET READY PRESIDENTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line145 READE PLACEAddressLine1
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts417375434GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.health-quest.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1882YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPREHENSIVE PRIMARY HEALTHCAREActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees2201TotalNbrEmployees
Total Nbr Volunteers444TotalNbrVolunteers
Total Gross UBI500932TotalGrossUBI
Net Unrelated Business Txbl Income-67527NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1769050ContributionsGrantsPriorYear
Contributions Grants Current Year3168904ContributionsGrantsCurrentYear
Program Service Revenue Prior Year385110855ProgramServiceRevenuePriorYear
Program Service Revenue CY403623945ProgramServiceRevenueCY
Investment Income Prior Year8560109InvestmentIncomePriorYear
Investment Income Current Year3693573InvestmentIncomeCurrentYear
Other Revenue Prior Year5267153OtherRevenuePriorYear
Other Revenue Current Year6889012OtherRevenueCurrentYear
Total Revenue Prior Year400707167TotalRevenuePriorYear
Total Revenue Current Year417375434TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year163283520SalariesEtcPriorYear
Salaries Etc Current Year166588618SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year219406382OtherExpensePriorYear
Other Expenses Current Year238554739OtherExpensesCurrentYear
Total Expenses Prior Year382689902TotalExpensesPriorYear
Total Expenses Current Year405143357TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18017265RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12232077RevenuesLessExpensesCY
Total Assets BOY443096506TotalAssetsBOY
Total Assets EOY470669251TotalAssetsEOY
Total Liabilities BOY270462411TotalLiabilitiesBOY
Total Liabilities EOY300254606TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY172634095NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY170414645NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE -- SEE SCHEDULE O FOR MORE INFORMATIONMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense206388800Expense
Revenue264881810Revenue
DescriptionINPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 20,197; NUMBER OF PATIENT DAYS 96,831 THE HOSPITAL PROVIDED APPROXIMATELY $5,134,332 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense108104152Expense
Revenue138742138Revenue
DescriptionOUTPATIENT SERVICES: EMERGENCY VISITS 55,002; OTHER OUTPATIENT VISITS/PROCEDURES 264,942 THE HOSPITAL PROVIDED APPROXIMATELY $6,645,773 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense314492952TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2201NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHEALTHQUEST SYSTEMSNamePerson
Telephone Number8454759500TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SUNIL KHURANA MD
PAST CHAIRMAN2.0X000
JANET READY
PRESIDENT1.0X04076723997860.0X
DAVID CONKLIN
MEMBER1.0X000
CARLA GUDE
FIRST VICE CHAIRMAN2.0X000
CARL MEYER
CHAIRMAN2.0X000
BARRY ROTHFELD
MEMBER1.0X000
MARIE TARVER
MEMBER1.0X000
RICHARD CHAZEN
LIFE MEMBER1.0X000
ETHELYN MUND
LIFE MEMBER1.0X000
JOHN O'SHEA
LIFE MEMBER1.0X000
FRANK WISE
LIFE MEMBER1.0X000
ELIZABETH EISMEIER
SECRETARY2.0X000
BERNARD HANDEL
LIFE MEMBER1.0X000
DAVID WEINREICH
IMM PAST MED/DENTAL STAFF PRES1.0X000
ROBERT CHAMBERS
MEMBER EMERITUS1.0X000
ANNE CONROY
MEMBER1.0X000
FRANCOISE DUNEFSKY
SECOND VICE CHAIRMAN1.0X000
AMELIA MARTINKO MD
MEMBER1.0X000
CARL NEEDY
MEMBER EMERITUS1.0X000
CHARLES SHANOK
MEMBER1.0X000
RICHARD STRAIN
MEMBER EMERITUS1.0X000
RICHARD FRIEDLAND
MEDICAL/DENTAL STAFF PRESIDENT1.0X000
MICHAEL T WEBER
CEO1.0X010066275372365.0X
MARYANN KEPPLE
TREASURER0.005067862050560.0X
FREDERICK THOMAS
CORPORATE SECRETARY0.003681982189170.0X
STEPHEN KATZ MD
CMO0.003929055000360.0X
MARGARET CUSUMANO
CNO0.002438883896748.0X
KEVIN BOLAND
DIRECTOR CARDIO PERFUSION40.0242971038678X
KATHLEEN MANTARO
DIR MEDICAL STAFF AFFAIRS55.0267042029149X
BOOH PARK
PHARMACIST40.0175752028039X
DOUGLAS HART
PERFUSIONIST40.0189709036322X
MIKYUNG CHOE
PHARMACIST40.0183017035512X
DANIEL ARONZON MD
CEO/PRESIDENT0.0070052028572X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1058491TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3626596TotalReportableCompFrmRltdOrgs
Total Other Compensation421339TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions3168904AllOtherContributions
Total Contributions3168904TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT SERVICE REVENUE900099264881809264881809
OUTPATIENT SERVICE REVENUE900099138742136138742136
FieldValueIRS element (for citing)
Total Program Service Revenue403623945TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1798152TotalRevenueColumn
Exclusion$1,798,152ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1940595Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1940595Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1940595TotalRevenueColumn
Exclusion$1,940,595ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1895421TotalRevenueColumn
Exclusion$1,895,421ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA AND DELI SALES90009913942161394216
MEANINGFUL USE REVENUE90009911113661111366
MANAGEMENT FEES518210645986645986

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1796849TotalRevenueColumn
Related Or Exempt Function Income1295917RelatedOrExemptFunctionIncome
Unrelated Business Revenue500932UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue4948417TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column417375434TotalRevenueColumn
Related Or Exempt Function Income408071430RelatedOrExemptFunctionIncome
Unrelated Business Revenue500932UnrelatedBusinessRevenue
Exclusion$5,634,168ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

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

Comp Disqual Persons CompDisqualPersons

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

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total116668648Total
Program Services106291491ProgramServices
Management And General10377157ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12878730Total
Program Services11733224ProgramServices
Management And General1145506ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total27750365Total
Program Services25282094ProgramServices
Management And General2468271ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9290875Total
Program Services8464493ProgramServices
Management And General826382ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

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

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total96979Total
Program Services0ProgramServices
Management And General96979ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

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

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total16200Total
Program Services0ProgramServices
Management And General16200ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2206089Total
Program Services2047696ProgramServices
Management And General158393ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total49Total
Program Services49ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8335096Total
Program Services5373580ProgramServices
Management And General2961516ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total904182Total
Program Services460638ProgramServices
Management And General443544ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4399707Total
Program Services2633907ProgramServices
Management And General1765800ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total39938Total
Program Services38162ProgramServices
Management And General1776ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total176936Total
Program Services85399ProgramServices
Management And General91537ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6195201Total
Program Services3708788ProgramServices
Management And General2486413ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22415553Total
Program Services13287768ProgramServices
Management And General9127785ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3140848Total
Program Services1880285ProgramServices
Management And General1260563ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES816594002851890553140495
MEDICAL SUPPLIES55036884550350761808
PHYSICIAN FEES2303374823033748
BAD DEBT1777211317772113

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13125816Total
Program Services8845536ProgramServices
Management And General4280280ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total405143357Total
Program Services314492952ProgramServices
Management And General90650405ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

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

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13262078BOY
EOY1976004EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY730635BOY
EOY11402413EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY45613964BOY
EOY50838886EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5432301BOY
EOY7337299EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3281781BOY
EOY3416222EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis475449935LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec255733910LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY190313396BOY
EOY219716025EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY98046957BOY
EOY110113258EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY86415394BOY
EOY65869144EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY443096506BOY
EOY470669251EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31477979BOY
EOY27937600EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY120678526BOY
EOY81578158EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8351908BOY
EOY33621164EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY109953998BOY
EOY157117684EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY270462411BOY
EOY300254606EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY154279328BOY
EOY153791004EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16164136BOY
EOY14432690EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2190631BOY
EOY2190951EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY172634095BOY
EOY170414645EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY443096506BOY
EOY470669251EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12232077ReconcilationRevenueExpenses
Reconciliation Unrealized Invest8487234ReconciliationUnrealizedInvest
Reconcilation Other Changes-22938761ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$16,200OtherActivitiesAmount
Total Lobbying Expenditures IIB16200TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, PART II-B, LINE 1IIdentifier
Return ReferenceLOBBYING EXPENDITURESReturnReference
Explanation14.6% OF NORMET DUES PAID BY VASSAR BROTHERS MEDICAL CENTER WERE USED FOR POLITICAL EXPENDITURES.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2190631BeginningOfYearBalance
Contributions320Contributions
End Of Year Balance2190951EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2190951BeginningOfYearBalance
Other Expenditures320OtherExpenditures
End Of Year Balance2190631EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2191000BeginningOfYearBalance
End Of Year Balance2191000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2191000BeginningOfYearBalance
End Of Year Balance2191000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2191000BeginningOfYearBalance
End Of Year Balance2191000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5829574OtherCostOrOtherBasis
Book Value5829574BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis253748609OtherCostOrOtherBasis
Depreciation78846645Depreciation
Book Value174901964BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis209659905OtherCostOrOtherBasis
Depreciation175545693Depreciation
Book Value34114212BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6211846OtherCostOrOtherBasis
Depreciation1341571Depreciation
Book Value4870275BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings219716025TotalOfBookValueLandBuildings

Other Assets OtherAssets (29 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES8881199
DEFERRED COMPENSATION7413465
IDA 2005 DEFFERED FINANCING393058
2007A DEFFERED FINANCING455318
2007B DEFFERED FINANCING43388
ESCROW COVENANT194798
INVESTMENT IN FACS LLC20000
UROC SECURITY DEPOSIT49500
ERIVER NEUROLOGY903586
INTEREST IN FOUNDATION11549527
2007 SERIES A BOND PREMIUM541312
2007 SERIES B BOND PREMIUM261778
DSRF TELP LOAN TDBANK GENERAL3808532
2010 PROJECT CONSTRUCTION FUND195
DSRF 2007 SERIES A BONDS1083212
DSRF 2007 SERIES B BONDS993368
DSRF 2005 BONDS1313188
DSRF IDA SERVICE2758
DEF FINANCING 2010 SERIES A759456
DEF FINANCING 2010 SERIES B256672
RESERVE FOR MISC RECEIVABLES841701
2010 BOND INTEREST FD GENERAL2500536
2010 BOND PRINCIPAL FD GENERAL557501
DEF FIN 2011 FIXED RATE CONVER167303
DUE FROM HQ LT20880857
DUE FROM THIRD PARTIES1408533
DSRF 2012 PROJECT FUND61269
DSRF HQ SER 19971205
DEF FINANCING 2012 BONDS525929
FieldValueIRS element (for citing)
Total Book Value Other Assets65869144TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
POST RETIREMENT BENEFITS$61,395,407
SPECIAL INVSTMT LIABILITIES (D$7,386,425
3RD PARTY RATE ADJMTS PAYABLE$4,535,941
MARY TOWER BUILDING$72,914
DUE TO AFFILIATES$39,256,870
ENVIRONMENTAL CONTIN LIAB (FIN$1,931,129
HITNY LIABILITY$3,243,436
GENERAL RESERVE$17,307,193
DUE TO HQ L/T$1,896,589
MED MALPRACTICE INSURANCE LIAB$20,091,780
FieldValueIRS element (for citing)
Total Of Amounts157117684TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt404655132TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments8487234NetUnrealizedGainsInvestments
Other Revenues-21207536OtherRevenues
Revenue Not Rptd F990-12720302RevenueNotRptdF990
Revenue Subtotal417375434RevenueSubtotal
Total Revenue Per Form990417375434TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt405143357TotExpensesEtcAuditedFinclStmt
Expenses Subtotal405143357ExpensesSubtotal
Total Expenses Per Form990405143357TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PENSION RELATEDSCHEDULE D PART XI LINE 2DPension Related changes other than net periodic pension costs - ($11,268,150)
TRANSFER OF EQUITYSCHEDULE D PART XI LINE 2DTransfer of Equity, net - ($9,939,386)
ENDOWMENT FUNDSSCHEDULE D PART V LINE 4THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14738024TotalCommunityBenefitExpense
Direct Offsetting Revenue5658483DirectOffsettingRevenue
Net Community Benefit Expense9079541NetCommunityBenefitExpense
Percent Of Total Expense0.02240PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense54579991TotalCommunityBenefitExpense
Direct Offsetting Revenue40103145DirectOffsettingRevenue
Net Community Benefit Expense14476846NetCommunityBenefitExpense
Percent Of Total Expense0.03570PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense69318015TotalCommunityBenefitExpense
Direct Offsetting Revenue45761628DirectOffsettingRevenue
Net Community Benefit Expense23556387NetCommunityBenefitExpense
Percent Of Total Expense0.05810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served3841PersonsServed
Total Community Benefit Expense45380TotalCommunityBenefitExpense
Direct Offsetting Revenue1500DirectOffsettingRevenue
Net Community Benefit Expense43880NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense1792243TotalCommunityBenefitExpense
Net Community Benefit Expense1792243NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served3841PersonsServed
Total Community Benefit Expense1837623TotalCommunityBenefitExpense
Direct Offsetting Revenue1500DirectOffsettingRevenue
Net Community Benefit Expense1836123NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served3841PersonsServed
Total Community Benefit Expense71155638TotalCommunityBenefitExpense
Direct Offsetting Revenue45763128DirectOffsettingRevenue
Net Community Benefit Expense25392510NetCommunityBenefitExpense
Percent Of Total Expense0.06260PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,383,438BadDebtExpenseAmount
Amount Attributable To4691719AmountAttributableTo
Amount Reimbursed By Medicare129480609AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare176481606CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-47000997MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1ULSTER RADIATION ONCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityRADIATION ONCOLOGYDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities7NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalFacility Reporting GroupFacilityReportingGroupGeneral Medical And SurgicalGeneralMedicalAndSurgical
VASSAR BROTHERS MEDICAL CENTER
145 READE PLACEPOUGHKEEPSIENY12601WWW.HEALTH-QUEST.ORGXA
FISHKILL AMBULATORY SURGERY CENTER
2200 WESTAGE BUSINESS CENTERFISHKILLNY12524WWW.HEALTH-QUEST.ORGAX
ULSTER RADIATION ONCOLOGY CENTER
3111 MARYS AVENUEKINGSTONNY12401WWW.HEALTH-QUEST.ORGAX
CARDIAC REHAB
4115 DELAFIELD STREETPOUGHKEEPSIENY12601WWW.HEALTH-QUEST.ORGAX
VBH-PHYSICAL THERAPY CLINIC
5205 SOUTH AVENUEPOUGHKEEPSIENY12601WWW.HEALTH-QUEST.ORGAX
VASSAR BROS HOSP WOUND CARE CENTER
621 FOX STREETPOUGHKEEPSIENY12601WWW.HEALTH-QUEST.ORGAX
THE CARE CENTER
734 LIVINGSTON STREETPOUGHKEEPSIENY12601WWW.HEALTH-QUEST.ORGAX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1VASSAR BROTHERS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3CPART I, LINE 3CN/A
PART I, LINE 6APART I, LINE 6AVASSAR BROTHERS MEDICAL CENTER PREPARES A COUNTY WIDE COMMUNITY SERVICE REPORT.
PART I, LINE 7, COLUMN FPART I, LINE 7, COLUMN FTOTAL BAD DEBT EXPENSE = $17,772,113
PART I, LINE 7PART I, LINE 7COST TO RATIO PERCENTAGE WAS USED AS THE COSTING METHODOLOGY. WORKSHEET #2 WAS USED TO DERIVE THE PERCENTAGE.
PART III, LINE 4PART III, LINE 4BAD 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. 50% OF THESE PATIENTS WOULD MOST LIKELY QUALIFY FOR CHARITY CARE IF THEY WERE COOPERATIVE IN FILING THE PAPERWORK ASSOCIATED WITH GOVERNMENT ASSISTANCE. 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, LINE 8PART III, LINE 8THE 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, LINE 9BPART III, LINE 9BHEALTH 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 V, LINE 20DPART V, LINE 20DTHE HOSPITAL FACILITY USES THE HIGHEST VOLUME COMMERCIAL PAYOR RATE TO BILL INDIVIDUALS WHO DO NOT HAVE INSURANCE.
PART VI, LINE 2PART VI, LINE 2 NEEDS ASSESSMENTThe Community Health Needs Assessment Process Vassar Brothers Medical Center participated in a CHNA with the Dutchess County Department of Health. 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 insure that survey results would be compatible with the 2009 results for trending purposes. Once the survey questions were finalized, the group issued an RFP and retained a firm to conduct the survey. The firm made 11,227 calls between November 31, 2012 and January 18, 2013. They achieved a 10% response rate, including both land lines and cell phones. The raw data was submitted to the Dutchess Department of Health, where it was analyzed and compiled by their epidemiologist. On September 17, 2013, the Dutchess County Department of Health hosted a county-wide Community Health Improvement Plan Design Forum. The purpose of the forum was to review the results of the recent survey and develop a locally relevant, comprehensive action plan to improve the health and lives of the residents of Dutchess County. Representatives from various agencies attended, including staff, management and physician representation from Health Quest, VBMC and Northern Dutchess Hospital. 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 the Preventive Agenda's 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 Plans 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 5 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 non-compliance via survey Ongoing DCDOH, Tick Task Force, Dutchess County Medi
PART VI, LINE 3PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFINANCIAL ASSISTANCE POSTERS ARE HUNG UP IN VARIOUS AREAS OF THE HOSPITAL. FOR PATIENTS THAT INQUIRE ABOUT FINANCIAL ASSISTANCE, THE POLICY IS PROVIDED TO THE PATIENT ALONG WITH ASSISTANCE IN COMPLETING THE APPLICATIONS.
PART VI, LINE 4PART VI, LINE 4 COMMUNITY INFORMATIONVASSAR 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. THE HOSPITAL'S SERVICE AREAS ARE PREDOMINATELY WHITE AND SKEWING SLIGHTLY OLDER THAN THE NATIONAL AVERAGES. HIGHER PERCENTAGE OF COLLEGE DEGREES THAN THE NATIONAL AVERAGE, WITH AVERAGE HOUSEHOLD INCOMES SIGNIFICANTLY HIGHER THAN NATIONAL INCOME.
PART VI, LINE 5PART VI, LINE 5ALL HOSPITALS SERVE AS COMMUNITY LEADERS IN HEALTH RELATED FUNDRAISERS, SUCH AS RELAY FOR LIFE AND THE MARCH OF DIMES. EXECUTIVES AND EMPLOYEES VOLUNTEER AND SERVE ON THE BOARDS OF MANY COMMUNITY ORGANIZATIONS AND USE HOSPITAL RESOURCES TO ASSIST COALITIONS AND MEET A BROAD DEFINITION FOR HEALTH WHICH INCLUDES EDUCATION AND HOUSING. VASSAR BROTHERS HOSPITAL IS A LEADER IN CONTINUING MEDICAL EDUCATION BOTH WITHIN AND WITHOUT THE COMMUNITY. ALL HOSPITALS OFFER SCREENING AND LECTURES TO EDUCATE THE COMMUNITY AND ENCOURAGE PREVENTATIVE MEDICINE.
PART VI, LINE 6PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMHEALTH 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 7PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFITS REPORTVASSAR BROTHERS MEDICAL CENTER FILES A COUNTY-WIDE COMMUNITY SERVICE PLAN WITH NYS DEPARTMENT OF HEALTH.
PART V, LINE 14GPART V, LINE 14GFINANCIAL ASSISTANCE POSTERS ARE HUNG UP IN VARIOUS AREA OF THE HOSPITAL STATING WHO TO CONTACT REGARDING THE POLICY. FOR PATIENTS THAT INQUIRE ABOUT FINANCIAL ASSISTANCE, THE POLICY IS PROVIDED TO THE PATIENT ALONG WITH ASSISTANCE IN COMPLETING THE APPLICATIONS.
PART IIPART IIN/A

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL ARONZON MD
CEO/PRESIDENT0946401692940521762068910216810729092024300
STEPHEN KATZ MD
CMO0345692044760024530150000350030442908014700
JANET READY
PRESIDENT0364997042675000150000249780447650014700
MARGARET CUSUMANO
CNO0224302019586000146720242950282855014057
KEVIN BOLAND
DIRECTOR CARDIO PERFUSION2311320118390001461502406302816490141980
KATHLEEN MANTARO
DIR MEDICAL STAFF AFFAIRS257147098950001500001414902961910147000
BOOH PARK
PHARMACIST17532500042701052001751902037910116030
MICHAEL T WEBER
CEO0685867020653501142250150000387230106035000
MARYANN KEPPLE
TREASURER039591006874104213501500005505052729100
FREDERICK THOMAS
CORPORATE SECRETARY030177104217902424801500006891039008900
DOUGLAS HART
PERFUSIONIST18970900000114190249030226031000
MIKYUNG CHOE
PHARMACIST18301700000111320243800218529000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY - STATE OF NEW YORK
A146000293649903UK52007-09-0618093913SEE PART VIfalsefalsefalse
DUTCHESS COUNTY LOCAL DEV CORP
B273106797267045AQ52010-12-1534762345SEE PART VIfalsefalsefalse
DUTCHESS COUNTY INDUSTRIAL DEV AGENCY
C141613685267041HG92011-01-2117111463REFUND PRIOR BOND 6/28/05falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A20665330195295191349655367816024911928508603120619138418003154242008falsetruefalsetrue
B18900000347624470005978522732990226636951122760202012truefalsetruetrue
C5000000171114631313188001370440001697441902006truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers
Afalsefalsefalsefalse0
Bfalsefalsefalsefalse0
Cfalsefalsefalsefalse0

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsetruefalsefalsefalse0truefalse
0
Bfalsetruetruefalsefalsefalsefalse0falsefalse
0
Cfalsetruetruefalsefalsefalsefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOND ISSUESPART I, LINE A, COLUMN E; LINE A, COLUMN F; LINE B, COLUMN FPART 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)
PROCEEDSPART II, LINE 3PART 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.
ARBITRAGEPART IV, LINE 2C(A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2011
PRIVATE BUSINESS USEPART III, LINE 9THE HOSPITAL HAS RETAINED THE SERVICES OF OUTSIDE LEGAL COUNSEL TO ASSIST IN ESTABLISHING WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2.
ARBITRAGEPART IV, LINE 7THE HOSPITAL HAS RETAINED THE SERVICES OF OUTSIDE LEGAL COUNSEL TO ASSIST IN ESTABLISHING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BARRY ROTHFIELD
PUBLISHER OF POK JOURNAL574995NEWSPAPERS ADV FOR HQ AFFILIATfalse
MICHAEL WEBER
BOARD MEMBER OF NORMET185664DUES FOR HQ AFFILIATESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT PLAN-MISSION STATEMENTFORM 990 PART III LINE 1The 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.
GOVERNING BODYPART VI SECTION A LINE 6, 7A and 7BLINE 6 - THE SOLE MEMBER OF VBMC IS HEALTH QUEST SYSTEMS, INC. LINE 7A - Appointment/Election of Trustees. Nominees to the Board of Trustees of VBMC shall be nominated in the following manner: The VBMC Executive Committee may prepare a slate of nominees to present to the Health Quest Executive Committee for its review and approval not less than thirty (30) days prior to the annual meeting of VBMC in the case of vacancies created by the expiration of VBMC Trustees terms of office, or in the case of all other vacancies, as soon as reasonably possible. The Executive Committee of Health Quest must approve slates of nominees by majority vote of the entire Health Quest Executive Committee. Once the Health Quest Executive Committee approves a slate of nominees by majority vote, Health Quests Executive Committee shall inform the VBMC Board and present the slate of nominees to Health Quests board of trustees for approval in accordance with Article V, Section 10(b)(3). LINE 7B - MANNER OF ACTING/VOTE REQUIRED FOR CERTAIN SPECIFIC ACTIONS. EXCEPT AS OTHERWISE SPECIFIED IN THE CERTIFICATE OF INCORPORATION OF VBMC, THE BYLAWS OF HEALTH QUEST, OR THESE BYLAWS, OR PROVIDED BY LAW, THE ACTS OF A MAJORITY OF THE TRUSTEES OF VBMC PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACTS OF THE VBMC BOARD OF TRUSTEES. THE POWERS TO BE EXERCISED BY THE VBMC BOARD OF TRUSTEES THAT ARE (I) SUBJECT TO THE SUBSEQUENT APPROVAL OF HEALTH QUEST, OR (II) TO BE UNDERTAKEN IN COLLABORATION WITH HEALTH QUEST, ARE SET FORTH IN PARAGRAPHS (C), (D) AND (E) BELOW. THE POWERS SET FORTH IN PARAGRAPH (F) BELOW REQUIRE THE VOTE OF TWO-THIRDS OF SOLELY THE VBMC BOARD OF TRUSTEES. UNLESS OTHERWISE SPECIFIED, ALL OTHER ACTIONS THAT REQUIRE VBMC BOARD APPROVAL REQUIRE A MAJORITY VOTE OF SOLELY THE VBMC BOARD OF TRUSTEES. PARAGRAPH (C) - ACTIONS REQUIRING HOSPITAL MAJORITY BOARD VOTE & AT LEAST NINE (9) HEALTH QUEST TRUSTEES. THE VOTE OF A MAJORITY OF THE VBMC TRUSTEES PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE REQUIRED TO APPROVE THE FOLLOWING ACTIONS: (I) TERMINATION OF HEALTH QUEST'S RELATIONSHIP TO VBMC AS THE SOLE MEMBER OF VBMC; AND (II) APPROVAL OF THE ABANDONMENT OR MATERIAL DIMINUTION OF ANY SERVICE, PROGRAM OR CAMPUS OF VBMC; PROVIDED HOWEVER, THAT THE ACTIONS LISTED ABOVE IN THIS ARTICLE V, SECTION 10(C) SHALL REQUIRE THE AFFIRMATIVE VOTE OF AT LEAST NINE (9) OF THE TRUSTEES OF HEALTH QUEST THEN IN OFFICE. PARAGRAPH (D) - ACTIONS REQUIRING TWO-THIRDS OF ENTIRE HOSPITAL BOARD & AT LEAST NINE (9) HEALTH QUEST TRUSTEES. THE VOTE OF TWO-THIRDS (2/3) OF THE ENTIRE BOARD OF VBMC ("ENTIRE BOARD" SHALL MEAN THE TOTAL NUMBER OF TRUSTEES ENTITLED TO VOTE WHICH VBMC WOULD HAVE IF THERE WERE NOT VACANCIES) SHALL BE REQUIRED TO APPROVE THE FOLLOWING ACTIONS: (I) THE REORGANIZATION, MERGER, OR DISSOLUTION OF VBMC; AND (II) THE SALE, LEASE, OR MORTGAGE OF SUBSTANTIALLY ALL THE ASSETS OF VBMC; PROVIDED HOWEVER, THAT THE ACTIONS LISTED ABOVE IN THIS ARTICLE V, SECTION 10(D) SHALL REQUIRE THE AFFIRMATIVE VOTE OF AT LEAST NINE (9) OF THE TRUSTEES OF HEALTH QUEST THEN IN OFFICE. PARAGRAPH (E) - ACTIONS REQUIRING MAJORITY OF HOSPITAL BOARD & COLLABORATION WITH HEALTH QUEST. THE VOTE OF A MAJORITY OF THE VBMC TRUSTEES PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE REQUIRED TO APPROVE THE FOLLOWING ACTIONS: (I) OVERSIGHT OF VBMC'S QUALITY IMPROVEMENT PROCESSES, INCLUDING, BUT NOT LIMITED TO, POLICIES AND PROCEDURES AND PHYSICIAN CREDENTIALING; (II) DELIVERY OF CLINICAL SERVICES; (III) ESTABLISHMENT AND MAINTENANCE OF A COORDINATED PROGRAM WHICH INTEGRATES THE REVIEW ACTIVITIES OF ALL HOSPITAL SERVICES FOR THE PURPOSE OF ENHANCING THE QUALITY OF PATIENT CARE AND IDENTIFYING AND PREVENTING MALPRACTICE; (IV) OVERSIGHT OF VBMC'S CORPORATE COMPLIANCE PROCESSES; AND PROVIDED HOWEVER, THE ACTIONS LISTED ABOVE SHALL BE COORDINATED AND UNDERTAKEN IN COLLABORATION WITH, AND AS AN AFFILIATED MEMBER OF THE HEALTH QUEST SYSTEM. PARAGRAPH (F) - ACTIONS REQUIRING TWO-THIRDS OF ENTIRE HOSPITAL BOARD. THE VOTE OF TWO-THIRDS (2/3) OF THE ENTIRE BOARD OF TRUSTEES OF VBMC PRESENT AND VOTING AT A MEETING AT WHICH AT LEAST TWO-THIRDS (2/3) OF THE VOTING TRUSTEES, BUT EXCLUDING TRUSTEES EMERITUS, ARE PRESENT SHALL BE REQUIRED TO APPROVE THE FOLLOWING: (I) THE SALE, MORTGAGE, OR LEASE OF THE REAL PROPERTY OF VBMC.
POLICIES 1FORM 990 PART VI SECTION B LINE 11AA 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.
POLICIESFORM 990 PART VI SECTION B LINE 12C, 15A AND 15BLINE 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 COMPLAINCE 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.
DISCLOSUREPART VI SECTION C LINE 19POLICIES 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.
IDENTIFICATION OF RELATED TAX EXEMPT ORGANIZATIONSSCHEDULE R PART II LISTING ON TAX RELATED ORGANIZATIONSEntity 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
SCHEDULE KPART 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
ALLOCATION METHODOLOGY FOR HQ AND HQ LABSCH R, PART V, LINE 2 (2) and (3)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.
RECONCILIATION OF NET ASSETS990 PART XI, LINE 9ADDITIONAL PENSION LIABILITY - ($11,268,150); TRANSFER OF EQUITY - ($9,939,386); CHANGE IN INTEREST IN FOUNDATION - $0; NET ASSETS FROM RESTRICTIONS USED FOR OPERATIONS - ($1,731,127); PERM RESTRICTED MISC - ($98)
OMB CIRCULAR A-133 AUDITFORM 990, PART XIII, LINE 3AVASSAR BROTHERS MEDICAL CENTER DID NOT RECEIVE MORE THAN $500,000 IN FEDERAL AWARDS IN 2012, AND DID NOT QUALIFY FOR AN A-133 AUDIT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HEALTHSERVE INFORMATION TECHNOLOGIES
45 READE PLACEPOUGHKEEPSIENY12601141797086INFO TECHNY-61715148492VBMC
ONE COLUMBIA STREET LLC
ONE COLUMBIA STREETPOUGHKEEPSIENY12601461626016REAL EST MGMTNY-21460117451636VBMC

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStatePublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HEALTH QUEST SYSTEMS INC
45 READE PLACEPOUGHKEEPSIENY12601141678068SUPPORT SERVNYBOX 9HQ
(no name)
FieldValueIRS element (for citing)
Form990 Schedule R Part IIForm990ScheduleRPartII

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1FACS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line145 READE PLACEAddressLine1
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12601ZIPCode
FieldValueIRS element (for citing)
EIN141831972EIN
Primary ActivityPHYSICIAN CONPrimaryActivity
Legal Domicile StateNYLegalDomicileState
Share Of Total Income-6ShareOfTotalIncome
Share Of EOY Assets20128ShareOfEOYAssets
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.14000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH QUEST SYSTEMS INC
A1254158RENT AT COST
HEALTH QUEST SYSTEMS INC
P68204097SEE SCHEDULE O
HEALTH QUEST LABORATORY SUPPORT SERVICES LLC
P7178196SEE SCHEDULE O