STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

VASSAR BROTHERS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VASSAR BROTHERS HOSPITAL (EIN 14-1338586)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201243189349304824
Schema version
2011v1.3
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)
Timestamp2012-11-13T19:09:21-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARYANN KEPPLEName
TitleCFO/TREASURERTitle
Date Signed2012-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL ARONZON CEO VBMCNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line145 READE PLACEAddressLine1
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts400707167GrossReceipts
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 Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees2348TotalNbrEmployees
Total Nbr Volunteers431TotalNbrVolunteers
Total Gross UBI219736TotalGrossUBI
Contributions Grants Prior Year2353295ContributionsGrantsPriorYear
Contributions Grants Current Year1769050ContributionsGrantsCurrentYear
Program Service Revenue Prior Year371173950ProgramServiceRevenuePriorYear
Program Service Revenue CY385110855ProgramServiceRevenueCY
Investment Income Prior Year3765987InvestmentIncomePriorYear
Investment Income Current Year8560109InvestmentIncomeCurrentYear
Other Revenue Prior Year5191780OtherRevenuePriorYear
Other Revenue Current Year5267153OtherRevenueCurrentYear
Total Revenue Prior Year382485012TotalRevenuePriorYear
Total Revenue Current Year400707167TotalRevenueCurrentYear
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 Year159950092SalariesEtcPriorYear
Salaries Etc Current Year163283520SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year207698700OtherExpensePriorYear
Other Expenses Current Year219406382OtherExpensesCurrentYear
Total Expenses Prior Year367648792TotalExpensesPriorYear
Total Expenses Current Year382689902TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14836220RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18017265RevenuesLessExpensesCY
Total Assets BOY427578425TotalAssetsBOY
Total Assets EOY443096506TotalAssetsEOY
Total Liabilities BOY246669921TotalLiabilitiesBOY
Total Liabilities EOY270462411TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY180908504NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY172634095NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE -- SEE SCHEDULE O FOR MORE INFORMATIONMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense198902514Expense
Revenue258916589Revenue
DescriptionINPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 21,486; NUMBER OF PATIENT DAYS 101,554 THE HOSPITAL PROVIDED APPROXIMATELY $4,586,475 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense96943795Expense
Revenue126194266Revenue
DescriptionOUTPATIENT SERVICES: EMERGENCY VISITS 53,710; OTHER OUTPATIENT VISITS/PROCEDURES 252,154 THE HOSPITAL PROVIDED APPROXIMATELY $4,810,062 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense295846309TotalProgramServiceExpense
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2348NumberOfEmployees
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 Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SUNIL KHURANA MD
CHAIRMAN2.0X
DAVID CONKLIN
MEMBER1.0X
IRA EFFRON
MEMBER1.0X
WILLIAM GROGG
MEMBER1.0X
CARLA GUDE
SECOND VICE CHAIRMAN2.0X
CARL MEYER
FIRST VICE CHAIRMAN2.0X
JOAN PAGONES
MEMBER1.0X
BARRY ROTHFELD
MEMBER1.0X
JAMES SEDORE
MEMBER1.0X
MARIE TARVER
MEMBER1.0X
RICHARD CHAZEN
LIFE MEMBER1.0X
ETHELYN MUND
LIFE MEMBER1.0X
JOHN O'SHEA
LIFE MEMBER1.0X
FRANK WISE
LIFE MEMBER1.0X
ELIZABETH EISMEIER
SECRETARY2.0X
BERNARD HANDEL
LIFE MEMBER1.0X
DAVID WEINREICH
IMM PAST MED/DENTAL STAFF PRES1.0X
ROBERT CHAMBERS
MEMBER EMERITUS1.0X
ANNE CONROY
MEMBER1.0X
FRANCOISE DUNEFSKY
MEMBER1.0X
AMELIA MARTINKO MD
MEMBER1.0X
CARL NEEDY
MEMBER EMERITUS1.0X
CHARLES SHANOK
MEMBER1.0X
RICHARD STRAIN
MEMBER EMERITUS1.0X
RICHARD FRIEDLAND
MEDICAL/DENTAL STAFF PRESIDENT1.0X
DANIEL ARONZON MD
CEO/PRESIDENT65.0X068575760358
JEFFREY KRUGER
CFO40.0X018495631690
STEPHEN KATZ MD
CMO50.0037523048341X
JANET READY
COO50.0036801725882X
MARGARET CUSUMANO
CNO45.0023358538377X
DANIEL PAVORD
CHIEF MEDICAL PHYSICIST60.025389639703X
KEVIN BOLAND
DIRECTOR CARDIO PERFUSION40.023597938290X
KATHLEEN MANTARO
DIR MEDICAL STAFF AFFAIRS50.026397628427X
GEORGE SHEROUSE
MEDICAL PHYSICIST40.021023728205X
BOOH PARK
PHARMACIST51.019432528692X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1158413TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1847545TotalReportableCompFrmRltdOrgs
Total Other Compensation367965TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions1769050AllOtherContributions
Total Contributions1769050TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT SERVICE REVENUE900099258916589258916589
OUTPATIENT SERVICE REVENUE900099126194266126194266
FieldValueIRS element (for citing)
Total Program Service Revenue385110855TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2387902TotalRevenueColumn
Exclusion$2,387,902ExclusionAmount

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)
Real1256057Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1256057Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1256057TotalRevenueColumn
Exclusion$1,256,057ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6172207TotalRevenueColumn
Exclusion$6,172,207ExclusionAmount

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 IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA AND DELI SALES90009913591471359147
AFFILIATE REVENUE900099436710436710
EXTERNAL INFO TECH518210219736219736

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1995503TotalRevenueColumn
Related Or Exempt Function Income1995503RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4011096TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column400707167TotalRevenueColumn
Related Or Exempt Function Income388902215RelatedOrExemptFunctionIncome
Unrelated Business Revenue219736UnrelatedBusinessRevenue
Exclusion$9,816,166ExclusionAmount

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
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)
Total118515821Total
Program Services107106599ProgramServices
Management And General11409222ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10552937Total
Program Services9537032ProgramServices
Management And General1015905ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total24820956Total
Program Services22431505ProgramServices
Management And General2389451ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9393806Total
Program Services8489488ProgramServices
Management And General904318ManagementAndGeneral
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)
Total12295Total
Program Services0ProgramServices
Management And General12295ManagementAndGeneral
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)
Total11373Total
Program Services0ProgramServices
Management And General11373ManagementAndGeneral
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)
Total2279904Total
Program Services2239769ProgramServices
Management And General40135ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2561Total
Program Services2561ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8021451Total
Program Services5432255ProgramServices
Management And General2589196ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14586359Total
Program Services565404ProgramServices
Management And General14020955ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4349666Total
Program Services2563459ProgramServices
Management And General1786207ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total33336Total
Program Services31953ProgramServices
Management And General1383ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total130332Total
Program Services23477ProgramServices
Management And General106855ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4997263Total
Program Services2945118ProgramServices
Management And General2052145ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23075885Total
Program Services13599685ProgramServices
Management And General9476200ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2670095Total
Program Services1577614ProgramServices
Management And General1092481ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES6018687225039960351469120
MEDICAL SUPPLIES513071205130395031700
PHYSICIAN FEES211494012114940100
BAD DEBT147098651470986500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11882604Total
Program Services7097214ProgramServices
Management And General4785390ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total382689902Total
Program Services295846309ProgramServices
Management And General86843593ManagementAndGeneral
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)
BOY5304794BOY
EOY13262078EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1545651BOY
EOY730635EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY49873238BOY
EOY45613964EOY

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)
BOY4951169BOY
EOY5432301EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2260744BOY
EOY3281781EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis424787412LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec234474016LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY168349436BOY
EOY190313396EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY99454200BOY
EOY98046957EOY

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)
BOY95839193BOY
EOY86415394EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY427578425BOY
EOY443096506EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY48006228BOY
EOY31477979EOY

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)
BOY126158782BOY
EOY120678526EOY

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)
BOY9952941BOY
EOY8351908EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY62551970BOY
EOY109953998EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY246669921BOY
EOY270462411EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY166876711BOY
EOY154279328EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11840842BOY
EOY16164136EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2190951BOY
EOY2190631EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY180908504BOY
EOY172634095EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY427578425BOY
EOY443096506EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18017265ReconcilationRevenueExpenses
Reconcilation Other Changes-26291674ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

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$11,373OtherActivitiesAmount
Total Lobbying Expenditures IIB11373TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, PART IIIdentifier
Return ReferenceLOBBYING EXPENDITURESReturnReference
Explanation28.9% 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 Balance2190951BeginningOfYearBalance
Other Expenditures-320OtherExpenditures
End Of Year Balance2191271EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

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
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 Basis1239674OtherCostOrOtherBasis
Book Value1239674BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis189759298OtherCostOrOtherBasis
Depreciation71344142Depreciation
Book Value118415156BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis201260614OtherCostOrOtherBasis
Depreciation161880266Depreciation
Book Value39380348BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32527825OtherCostOrOtherBasis
Depreciation1249607Depreciation
Book Value31278218BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings190313396TotalOfBookValueLandBuildings

Other Assets OtherAssets (27 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES29523763
DEFERRED COMPENSATION6727118
DEF FINANCING SUPPORT 1997389994
IDA 2005 DEFFERED FINANCING422665
2007A DEFFERED FINANCING498974
2007B DEFFERED FINANCING61566
ESCROW COVENANT361802
INVESTMENT IN FACS LLC20000
UROC SECURITY DEPOSIT49500
ERIVER NEUROLOGY822835
INTEREST IN FOUNDATION13121725
2007 SERIES A BOND PREMIUM544451
2007 SERIES B BOND PREMIUM261874
DSRF TELP LOAN TDBANK GENERAL3808150
2010 PROJECT CONSTRUCTION FUND15664490
DSRF 2007 SERIES A BONDS1084159
DSRF 2007 SERIES B BONDS993261
DSRF 2005 BONDS1341776
DSRF THF RESERVE6851929
DSRF FACILITY PROD FUND458
DSRF IDA SERVICE2758
DEF FINANCING 2010 SERIES A814578
DEF FINANCING 2010 SERIES B309865
RESERVE FOR MISC RECEIVABLES-499495
2010 BOND INTEREST FD GENERAL1447292
2010 BOND PRINCIPAL FD GENERAL1610001
DEF FIN 2011 FIXED RATE CONVER179905
FieldValueIRS element (for citing)
Total Book Value Other Assets86415394TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
POST RETIREMENT BENEFITS$45,880,483
SPECIAL INVSTMT LIABILITIES (D$6,727,118
3RD PARTY RATE ADJMTS PAYABLE$2,265,612
MARY TOWER BUILDING$72,914
DUE TO AFFILIATES$18,918,025
ENVIRONMENTAL CONTIN LIAB (FIN$2,001,503
HITNY LIABILITY$3,445,774
GENERAL RESERVE$11,819,789
DUE TO HQ L/T$1,368,259
MED MALPRACTICE INSURANCE LIABILITY GENERAL$17,454,521
FieldValueIRS element (for citing)
Total Of Amounts109953998TotalOfAmounts
Total Revenue400707167TotalRevenue
Total Expenses382689902TotalExpenses
Excess Or Deficit For Year18017265ExcessOrDeficitForYear
Net Unrealized GL On Investments-10071756NetUnrealizedGLOnInvestments
Other-$16,219,600OtherAmount
Total Adjustments-26291356TotalAdjustments
Excess Or Deficit Per FS-8274091ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt390635411TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-10071756NetUnrealizedGainsInvestments
Revenue Not Rptd F990-10071756RevenueNotRptdF990
Revenue Subtotal400707167RevenueSubtotal
Total Revenue Per Form990400707167TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt382689902TotExpensesEtcAuditedFinclStmt
Expenses Subtotal382689902ExpensesSubtotal
Total Expenses Per Form990382689902TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Pension RelatedSchedule D Part XI Line 8Pension Related changes other than net periodic pension costs - ($11,991,564)
Transfer of EquitySchedule D Part XI Line 8Transfer of Equity, net - ($8,551,011)
Contributions VBMCFSchedule D, Part XI Line 8Contributions/writeoffs (net value) VBMC Foundation - $6,355,718
Net Assets ReleasedSchedule D, Part XI Line 8Net Assets Released from Restrictions used for operations - ($2,032,744)

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 BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14185069TotalCommunityBenefitExpense
Direct Offsetting Revenue5329171DirectOffsettingRevenue
Net Community Benefit Expense89855898NetCommunityBenefitExpense
Percent Of Total Expense0.02310PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense51958337TotalCommunityBenefitExpense
Direct Offsetting Revenue32107354DirectOffsettingRevenue
Net Community Benefit Expense19850983NetCommunityBenefitExpense
Percent Of Total Expense0.05190PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense66143406TotalCommunityBenefitExpense
Direct Offsetting Revenue37436525DirectOffsettingRevenue
Net Community Benefit Expense109706881NetCommunityBenefitExpense
Percent Of Total Expense0.07500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served1666PersonsServed
Total Community Benefit Expense58670TotalCommunityBenefitExpense
Net Community Benefit Expense58670NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served1666PersonsServed
Total Community Benefit Expense58670TotalCommunityBenefitExpense
Net Community Benefit Expense58670NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served1666PersonsServed
Total Community Benefit Expense66202076TotalCommunityBenefitExpense
Direct Offsetting Revenue37436525DirectOffsettingRevenue
Net Community Benefit Expense109765551NetCommunityBenefitExpense
Percent Of Total Expense0.07520PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,068,377BadDebtExpenseAmount
Amount Attributable To3534188AmountAttributableTo
Amount Reimbursed By Medicare128700878AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare173967845CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-45266967MedicareSurplusOrShortfall

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 Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1VASSAR BROTHERS MEDICAL CENTERBusinessNameLine1

Address Address

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

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 (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3CPART I, LINE 3CN/A
PART I, LINE 6APART I, LINE 6AHEALTH QUEST SYSTEMS, INC PREPARES THE COMMUNITY BENEFIT REPORT, HOWEVER, THE REPORT DOES DETAIL OUR SPECIFIC COMMUNITY BENEFITS FOR EACH FACILITY WITHIN HEALTH QUEST.
PART I, LINE 7, COLUMN FPART I, LINE 7, COLUMN FTOTAL BAD DEBT EXPENSE = $14,709,865
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 GOVERMENT 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 8COST TO CHARGE RATIO - USED WORKSHEET #2
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 19PART V, LINE 19The 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 ASSESSMENTIN THE HUDSON VALLEY, THE LOCAL HEALTH DEPARTMENTS FORMED A COALITION WHICH SPEARHEADED THE COMMUNITY HEALTH ASSESSMENTS. HEALTH QUEST HOSPITALS PARTICIPATED IN THE PLANNING SESSION ALONG WITH NUMEROUS COMMUNITY AGENCIES. HEALTH QUEST WILL BE FOCUSED ON THE FOLLOWING - ACCESS TO QUALITY HEALTH CARE, CHRONIC DISEASE, HEALTHY MOTHERS, HELATHY BABIES, HEALTHY CHILDREN, MENTAL HEALTH AND SUBSTANCE ABUSE, AND PHYSICAL ACTIVITY AND NUTRITION. VASSAR BROTHERS MEDICAL CENTER IS WORKING TO: A. INCREASE EARLY ENTRY INTO PRENATAL CARE BY IMPLEMENTING A "GO BEFORE YOU SHOW" CAMPAIGN. WE HAVE CREATED A PRENATAL TASK FORCE WITH MEMBERS OF OUR COMMUNITY AND NEIGHBORING COUNTIES AND ARE ADAPTING ROCKLAND COUNTY'S SUCCESSFUL PROGRAM TO FIT DUTCHESS COUNTY'S NEEDS. WE EXPECT THE PROGRAM TO GO LIVE IN NOVEMBER 2012. B. IMPROVE SELF-MANAGEMENT OF DIABETES BY IMPLEMENTING A PATIENT NAVIGATOR. THIS PROGRAM IS STILL IN DEVELOPMENT. C. IMPROVE ACCESS TO CARE BY IMPLEMENTING AN ADVANCE CARE PLANNING PROGRAM. ACP FACILITATORS ARE TRAINED FROM BOTH WITHIN AND WITHOUT THE HOSPITAL. SEVERAL REQUESTS FOR SERVICES HAVE BEEN RECEIVED BASED ON NEWSPAPER ARTICLES AND COMMUNITY EDUCATION EVENTS. WE HAVE GREAT EXPECTATIONS FOR THIS PROGRAM AND WILL CONTINUE TO GROW AND PROMOTE IT. ADDITIONALLY, HEALTH QUEST PROVIDED SEVERAL THOUSAND TICK REMOVAL KITS TO THE DUTCHESS COUNTY DEPARTMENT OF HEALTH AFTER THEY LOST THEIR FUNDING STREAM. ALL HQ HOSPITALS CONDUCT SCREENINGS, LECTURES AND CLASSES IN ADDITION TO WHAT IS LISTED ABOVE. UNDER THE NEW GOVERNANCE MODEL, THE HOSPITAL BOARDS WILL FOCUS ON COMMUNITY NEEDS ASSESSMENT, PRIORITIZATION AND PROGRAM DEVELOPMENT.
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 INFORMATIONAPPLIES TO ALL HOSPITAL SERVICE AREAS 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 REPORTHEALTH QUEST, THE PARENT COMPANY OF VASSAR BROTHERS MEDICAL CENTER, FILES A SYSTEM-WIDE COMMUNITY SERVICE PLAN WITH NYS DEPARTMENT OF HEALTH.
PART V, LINE 13PART V, LINE 13FINANCIAL 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.

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 (10 entries)

Base 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
050158401319760521970243000360580746115024300
STEPHEN KATZ MD
0335641039589000147000336410423571014700
JANET READY
032858503882906030147000111820393899014700
JEFFREY KRUGER
01730600118960001114702054302166460
MARGARET CUSUMANO
0216441017144000140570243200271962014196
DANIEL PAVORD
242705111910147002500329359914700
KEVIN BOLAND
224606113730141982409227426914700
KATHLEEN MANTARO
25406599110147001372729240314700
GEORGE SHEROUSE
210237000282052384420
BOOH PARK
193375095011603170892230170

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY - STATE OF NEW YORK
146000293649903UK52007-09-0618093913PURCHASE MED EQUIP & REFUND PRIORfalsefalsefalse
DUTCHESS COUNTY LOCAL DEV CORP
273106797267045AQ52010-12-1534762345CONSTRUCTION OF FAC & REFUND PRIORfalsefalsefalse
DUTCHESS COUNTY INDUSTRIAL DEV AGENCY
141613685267041HG92011-01-2117111463REFUND PRIOR BOND 6/28/05falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount 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
15412120195310141351375367816024911928508603120619138418003151992008falsetruefalsetrue
450000034762446000597852273299014367894112276028295799truefalsefalsetrue
800000171114631313188001370440001697441902006truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0truefalse
0
falsefalsefalsefalse0falsetrue
0
falsefalsefalsefalse0falsetrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 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.

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due0TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DANIEL ARONZON MD
1/3 OWNER OF BUILDINGS99288HQ AFFILIATES RENT SPACEfalse
RICHARD CHAZEN
PARTNER IN CHAZEN CO53418SURVEYING SVCS/RENT FOR HQ AFFfalse
BARRY ROTHFIELD
PUBLISHER OF POK JOURNAL416451NEWSPAPER ADVERTISING FOR HQ Afalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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 4, 5, 6, 7A and 7BLINE 4 - Health Quest Systems, Inc. ("HQ") - Bylaw Amendments - Summary of Changes. HQ / Hospitals - 2010 Bylaw Amendments. HQ amended its bylaws on July 19, 2010 in order to streamline HQ's governance and promote management and operational efficiencies. In addition, bylaw amendments were made by each of HQ's affiliated hospitals (Vassar Brothers Medical Center ("VBMC" - 5/14/2010), Northern Dutchess Hospital ("NDH" - 5/25/2010), and Putnam Hospital Center ("PHC" - 6/30/2010) (collectively referred to as the "Hospitals"). Key Elements of Hospital / HQ Bylaw Changes. The bylaw amendments made several key changes: first, they confirm and enable HQ's existing and available powers under New York law as the sole member and active parent of the Hospitals; second, they focus each Hospital's board on patient safety, quality of care, and community health needs including through the elimination of all but three (3) required Hospital committees (i.e., the (i) Executive, (ii) Quality, Patient Satisfaction and Medical Staff Credentialing and (iii) Community Health Needs Committees); and third, other governance streamlining changes are implemented through the HQ and Hospital Bylaw changes (for example, several HQ committees are combined, many Hospital committees are being eliminated, and HQ's role and power as the sole member and active parent of each Hospital has been confirmed and further enabled). LINE 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. a. 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.
POLICIES 1FORM 990 PART VI SECTION B LINE 11AA COPY OF THE 990 DOCUMENT WAS PROVIDED 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 SCH H.
POLICIESFORM 990 PART VI SECTION B LINE 12C AND 15BLINE 12 C 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 15 B COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HEALTH QUEST EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY.
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 Directo controlling Entity Vassar Brothers Medical Center 14-1338586 Hospital NY 501c3 Box 3 HQ The Foundation for Vassar Brothers Medical Center 14-1736429 Fundraising NY 501c3 Box 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
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 HQSCH R, PART V, LINE 2 (1)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. Lab Management 3. Pharmacy 4. Revenue Cycle including health information management, budgets and reimbursement, revenue cycle, system business office, patient access oversight, financial clearance center, managed care and decision support 5. Facilities including courier service, construction, property management, facility operations, hotel management and security 6. Business Development including strategic planning, marketing and public relations, answering service and community education 7. Corporate Finance including accounts payable, payroll, general accounting, purchasing and supply chain, practice management billing and management engineering 8. Internal Audit and Compliance 9. Practice management operations including physician recruitment and physician management 10. Human Resources 11. Administrative including Executive office, Hospital Support and risk management 12. Legal Counsel 13. Information Technology and Medical Technology Services (MTS) Description of Services: 1. Specialty staffing a. Provides non union staffing services for various specialties to the hospitals, offsite ancillary locations and the Fishkill Medical Mall 2. Lab management includes oversight of the outsourced lab services for each hospital 3. Pharmacy management includes oversight of all pharmacy departments 4. Revenue Cycle - a. Health Information Management functions includes coding and transcription of medical records for all 3 hospitals b. Budget functions include preparation of annual budgets, variance reporting and maintenance of the budget module Reimbursement functions include preparation of annual cost reports, analysis of third party rate accounts and third party audits c. Revenue cycle functions include charge master analysis and development of revenue producing charges, compliance with CPT coding and establishment of appropriate charges d. System business office services includes producing claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up for the hospitals. Patient access and financial clearance center includes oversight of all centralized registration areas at the hospitals and pre-authorization for numerous hospital services to insure compliance with third party regulations e. Managed Care functions include contract negotiations and analysis of contract terms f. Decision Support functions include cost accounting reporting, maintenance of HBI (Horizon Business Insight) reporting and the contract management system 5. Facilities - a. Courier service provides delivery services internally throughout the HQ system and bank deposit drop offs b. Construction and property management functions include contracting services for Health Quest projects and property management of all HQ facilities c. Facility operations include management oversight of the engineering departments for the hospitals d. Hotel Management functions include management oversight of food and nutrition departments for the hospitals e. Security functions include management oversight of all facilities to ensure the safest environment 6. Business Development - a. Strategic Planning functions include CON submissions, market data analysis and assistance with business plans b. Marketing includes advertising services, coordination of joint Health Quest advertisements and reduction of expenses associated with larger campaigns c. Public relations functions include coordination of Health Quest communication to external customers, patients and media d. Oversight of the outsourced answering services for physicians affiliated with the hospitals and HQMP e. Community education functions include training classes specific to life saving techniques 7. Finance - a. Accounts payable functions include scheduling vendor payments, insuring flow of goods and services, maintaining days cash on hand goals and maintaining days in accounts payable b. Payroll functions include biweekly employee payments and tax filings in accordance with Human Resources and Payroll policies c. General Accounting functions include preparation of financial statements, account analysis, contract reconciliation, tax filings, investment coordination, insurance coordination and coordination of internal and external audit functions d. Purchasing and supply chain functions include procurement services, contract negotiations, price negotiations, capital purchase negotiations, including negotiations for maintenance contracts, upgrades to equipment, etc. e. Practice management billing functions include producing all claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up services for all employed HQ physicians f. Management Engineering functions include evaluating each area within HQ to ensure compliance with various productivity benchmarks optimizing staffing ratios 8. Internal Audit and Compliance includes oversight of the corporate compliance program, internal audit, HIPAA compliance and contract review and compliance 9. Human Resource functions include recruitment, compensation, benefit administration and employee training 10. Physician management operations functions include oversight of all HQ physician practices and physician recruitment functions 11. Administrative functions include oversight of the Health Quest system, hospital management and risk management 12. Legal Counsel functions include internal legal services for HQ and coordination of all outsourced legal initiatives 13. Information Technology and MTS - a. IT provides information technology support for all applications and telephony support within HQ. In addition provides project management services for all new and upgrades to current IT applications. b. MTS/Biomed includes technical services provided to each hospital for equipment repair and maintenance Shared Expenses: In addition to services provided by support departments, certain insurance policies are consolidated for all Health Quest entities. These include property insurance, general and professional liability, cyber insurance and Directors and Officers insurance. Affiliate Cash Shortfalls: Affiliate cash shortfalls are funded by the entity(s) benefiting from the affiliate services. Examples include Health Quest Medical Practice and the Thompson House. The cash shortfall funding is based on the percentage of benefit received (percentage of revenue by division for HQMP and admissions to the Thompson House from the hospitals) Allocation Methodology: Net Revenue - lab management, budgets, revenue cycle, managed care, decision support, all facilities (excluding construction), business development, general accounting, management engineering, internal audit and compliance, executive office, legal, information technology and MTS # of visits/procedures - staffing specialties Historical trends - health information management, pharmacy and hospital support Cash collections - patient accounting and the financial clearance center # of FTE's - payroll and human resources Non payroll expenses - accounts payable and purchasing Project based - construction # of FTE's allocated to physician sites - Practice management billing, operations and physician practice management System Benefits: 1. Financial planning 2. Revenue enhancement 3. Improved cash collections 4. Enhanced managed care contract rates 5. Optimized medical records coding 6. Savings for supplies, contracts, insurance and capital purchases 7. Staffing reduction through shared services 8. Enhanced employee benefit programs
RECONCILIATION OF NET ASSETS990 PART XI, LINE 5ADDITIONAL PENSION LIABILITY - ($11,991,564) TRANSFER OF EQUITY - ($8,551,010) CHANGE IN INTEREST IN FOUNDATION - $6,355,718 NET ASSETS FROM RESTRICTIONS USED FOR OPERATIONS - ($2,032,744) UNREALIZED LOSS - ($10,071,756) PERM RESTRICTED MISC - ($318)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DANIEL ARONZON MD TITLE:CEO/PRESIDENT HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JANET READY TITLE:COO HOURS:5

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HEALTHSERVE INFORMATION TECHNOLOGIESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line145 READE PLACEAddressLine1
CityPOUGHKEEPSIECity
StateNYState
ZIP Code12601ZIPCode
FieldValueIRS element (for citing)
EIN141797086EIN
Primary ActivitiesINFO TECHPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income62203TotalIncome
EOY Assets555824EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VBMCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
HEALTH QUEST SYSTEMS INC
45 READE PLACEPOUGHKEEPSIENY12601141678068SUPPORT SERVNY501C(3)BOX 9HQ
SEE SCHEDULE 0
N/A

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-8ShareOfTotalIncome
Share Of EOY Assets20134ShareOfEOYAssets
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH QUEST SYSTEMS INC
A692739RENT AT COST
HEALTH QUEST SYSTEMS INC
O59788514SEE SCHEDULE O