Civic Intelligence

Health Quest Systems Inc

EIN 14-1678068 • 501(c)3 • Poughkeepsie, NY

Profile

Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.

45 Reade PlacePoughkeepsie, NY 12601

www.nuvancehealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

93rd percentile

1.02x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

91st percentile

4.26x

Higher debt load relative to revenue than 91% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

24th percentile

-2.9%

Higher net margin than 24% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

2nd percentile

-34%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

12th percentile

-15%

Faster revenue growth than 12% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$107,118,308

Down $55,802,544 (-34%) from 2023

Liabilities

Down

$109,045,479

Down $50,334,769 (-32%) from 2023

Net Assets

Down

-$1,927,171

Down $5,467,775 (-154%) from 2023

Revenue

Down

$25,622,961

Down $4,432,829 (-15%) from 2023

Expenses

Down

$26,355,832

Down $3,620,858 (-12%) from 2023

Net Income

Down

-$732,871

Down $811,971 (-1027%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0-$100MAssets 2010: $68,231,531Liabilities 2010: $68,232,643Net Assets 2010: -$1,1122010Assets 2011: $95,357,415Liabilities 2011: $95,358,534Net Assets 2011: -$1,1192011Assets 2012: $124,246,292Liabilities 2012: $124,247,407Net Assets 2012: -$1,1152012Assets 2013: $108,814,063Liabilities 2013: $108,815,163Net Assets 2013: -$1,1002013Assets 2014: $92,903,959Liabilities 2014: $97,091,753Net Assets 2014: -$4,187,7942014Assets 2015: $96,191,144Liabilities 2015: $100,521,241Net Assets 2015: -$4,330,0972015Assets 2016: $91,959,296Liabilities 2016: $101,578,542Net Assets 2016: -$9,619,2462016Assets 2017: $121,570,280Liabilities 2017: $130,732,955Net Assets 2017: -$9,162,6752017Assets 2018: $103,679,097Liabilities 2018: $113,194,960Net Assets 2018: -$9,515,8632018Assets 2019: $78,345,682Liabilities 2019: $84,591,644Net Assets 2019: -$6,245,9622019Assets 2020: $182,459,538Liabilities 2020: $171,056,769Net Assets 2020: $11,402,7692020Assets 2021: $299,235,129Liabilities 2021: $294,290,654Net Assets 2021: $4,944,4752021Assets 2022: $271,970,631Liabilities 2022: $268,554,148Net Assets 2022: $3,416,4832022Assets 2023: $162,920,852Liabilities 2023: $159,380,248Net Assets 2023: $3,540,6042023Assets 2024: $107,118,308Liabilities 2024: $109,045,479Net Assets 2024: -$1,927,1712024

Highlighted filing

2024

Assets$107,118,308
Liabilities$109,045,479
Net Assets-$1,927,171

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $91,042,4832010Expenses 2011: $101,138,6532011Expenses 2012: $127,335,0252012Revenue 2013: $144,501,738Expenses 2013: $144,501,723Net Income 2013: $152013Revenue 2014: $151,200,957Expenses 2014: $155,387,651Net Income 2014: -$4,186,6942014Revenue 2015: $156,340,913Expenses 2015: $156,483,216Net Income 2015: -$142,3032015Revenue 2016: $174,279,616Expenses 2016: $179,568,765Net Income 2016: -$5,289,1492016Revenue 2017: $182,681,496Expenses 2017: $182,224,935Net Income 2017: $456,5612017Revenue 2018: $184,878,784Expenses 2018: $185,231,980Net Income 2018: -$353,1962018Revenue 2019: $155,369,119Expenses 2019: $152,100,597Net Income 2019: $3,268,5222019Revenue 2020: $220,668,429Expenses 2020: $223,190,981Net Income 2020: -$2,522,5522020Revenue 2021: $128,637,142Expenses 2021: $134,992,156Net Income 2021: -$6,355,0142021Revenue 2022: $66,961,780Expenses 2022: $68,479,528Net Income 2022: -$1,517,7482022Revenue 2023: $30,055,790Expenses 2023: $29,976,690Net Income 2023: $79,1002023Revenue 2024: $25,622,961Expenses 2024: $26,355,832Net Income 2024: -$732,8712024

Highlighted filing

2024

Revenue$25,622,961
Expenses$26,355,832
Net Income-$732,871

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$107$109$1.93$25.6$26.4$0.73
2023Detailed filing. Detailed filing data is available for this year.$163$159$3.54$30.1$30.0$0.08
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$272$269$3.42$67.0$68.5$1.52
2021Detailed filing. Detailed filing data is available for this year.$299$294$4.94$129$135$6.36
2020Detailed filing. Detailed filing data is available for this year.$182$171$11.4$221$223$2.52
2019Summary only. Only limited summary data is available for this year.$78.3$84.6$6.25$155$152$3.27
2018Detailed filing. Detailed filing data is available for this year.$104$113$9.52$185$185$0.35
2017Summary only. Only limited summary data is available for this year.$122$131$9.16$183$182$0.46
2016Detailed filing. Detailed filing data is available for this year.$92.0$102$9.62$174$180$5.29
2015Detailed filing. Detailed filing data is available for this year.$96.2$101$4.33$156$156$0.14
2014Detailed filing. Detailed filing data is available for this year.$92.9$97.1$4.19$151$155$4.19
2013Detailed filing. Detailed filing data is available for this year.$109$109$0.00$145$145$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$124$124$0.00$127
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$95.4$95.4$0.00$101
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$68.2$68.2$0.00$91.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$26,071,233
Mission and Program Overview

Mission

Become the partner-in-health for the people throughout the core regions of western connecticut and the hudson valley of new york through the efficient delivery of excellent, innovative and compassionate care.

Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,242,923$4,375,800▼ $4,867,123
Inventories for Sale or Use$3,052,701--
Cash and Non-Interest-Bearing Accounts$2,164,721$1,532,075▼ $632,646
Prepaid Expenses and Deferred Charges$820,918$603,868▼ $217,050
Other Notes and Loans Receivable, Net$17,948$37,924▲ $19,976
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$162,920,852$107,118,308▼ $55,802,544
Other Assets Total$147,621,641$100,568,641▼ $47,053,000
Liabilities
Other Liabilities$144,621,632$95,049,736▼ $49,571,896
Accounts Payable and Accrued Expenses$14,758,616$13,995,743▼ $762,873
Total Liabilities$159,380,248$109,045,479▼ $50,334,769
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,540,604$-1,927,171▼ $5,467,775
Total Net Assets Fund Balance$3,540,604$-1,927,171▼ $5,467,775
Total Liabilities and Net Assets / Fund Balance$162,920,852$107,118,308▼ $55,802,544

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,188,257$49,379,912$50,568,169
Buildings$3,168,908$3,058,189$6,227,097
Other Land Buildings$18,635-$18,635
Other Assets Org$37,166--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Christopher StenbergVP Grad Med Educ/dioFT$147,175$347,408$494,583
Deborah a HewittAvp Professional DevelopmentFT$201,750$79,091$280,841
Ariana RoweAvp Nuvance Learning InstituteFT$169,506$47,335$216,841
Courtney MattesonAvp Nuvance Learning InstituteFT$61,869$145,268$207,137
Colin GibsonStaff PhysicianPT$44,230$5,096$49,326

Board Members and Trustees

NameTitle
Anne RobyChair
Peter a KellyFormer President Vbmc
Denise GeorgePresident Ndh & SVP Clinical Services
Peter CordeauPresident Norwalk Hospital
Mark K Hirko MdPresident Putnam Hospital
John M Murphy MdPresident/CEO
Steven V LantVice Chair
Daniel MccarthyDirector
Donald JonesDirector
Elizabeth Bradley PhdDirector
Ervin R ShamesDirector
Gregory W RakowDirector
Joseph DivesteaDirector
Mark GudisDirector
Michael J Nesheiwat MdDirector
Richard G JabaraDirector
Robert R DysonDirector
S Javid Shahid MdDirector
Salvatore Calta JrDirector
Thomas DubinDirector (form 7/26)
Timothy DeanDirector (form 7/26)
Francoise DunefskyDirector (from 07/26)
Wayne McnultyChief Compliance Officer
Daniel DebarbaCHIEF FINANCIAL OFFICER; TREASURER
Kathryn D CullinanChief Human Resources Officer
Michelle RobertsonChief Operating Officer
Christopher M Lehrach MdChief Physician Executive
Jean AhnChief Strategy Officer
DANIEL J O'DEA MDPhysician/former VP Cardio
Brian WyattSecretary & Chief Legal Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Remi Holdings LLCEquipment Maintenance6325 Ardrey Kell RD, Suite 300, Charlotte, NC 28277$2,995,966
Ciox HealthProfessional CodingPO BOX 409669, STE 280, Atlanta, GA 30384$870,404
North American Partners In Anesthesia LLPAnesthesia Residency1305 Walt Whitman Road, Mellville, NY 11747$326,783
Harmony HealthcareMedical Staffing442 W KENNEDY BLVD, Tampa, FL 33606$208,512
Revenue and Support

Revenue Composition

Contributions and Grants
$419,514
Program Service Revenue
$25,071,889
Investment Income
$-62,207
Other Revenue
$193,765
Change in Net Assets
$-732,871
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,605,250
Other Expenses$8,750,582
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,564,406$3,921,282-$14,485,688
Fees for Services Other$3,083,515$1,144,534$0$4,228,049
Other Employee Benefits$1,058,382$392,849-$1,451,231
Depreciation Depletion$1,030,188$382,384-$1,412,572
Payroll Taxes$888,815$329,909-$1,218,724
Office Expenses$461,062$171,136-$632,198
Pension Plan Contributions$327,898$121,709-$449,607
Occupancy$276,344$102,573-$378,917
Information Technology$224,774$83,431-$308,205
Travel$220,041$81,675-$301,716
Conferences and Meetings$78,877$29,277-$108,154
All Other Expenses$62,510$23,203$0$85,713
Other Expenses$66,600$33,010-$66,600
Advertising$3,895$1,446-$5,341
Fees for Services Accounting-$3,698-$3,698
Insurance-$2,571-$2,571
Fees for Services Legal-$1,969-$1,969
Fees for Service Investment Mgmnt Fees-$120-$120
Total Functional Expenses$19,257,414$7,098,418$0$26,355,832
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$71,217,640
Workers Compensation Reserve$16,838,998
Lease Liabilities$5,920,339
Deferred Compensation Liability$1,072,759
Deposit Liability-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 14

The organization follows a record retention policy that has been reviewed and approved by the audit committee of the organization, but not the full board of directors.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

SALVATORE CALTA AND STEVEN LANT - Business relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

Nuvance health is the sole member of health quest systems, inc. On february 28, 2024, nuvance health entered into an affiliation agreement with northwell health, inc. ("northwell"), pursuant to which northwell or an affiliated entity would become the active parent and sole corporate member of nuvance health. This transaction was subject to the receipt of regulatory approvals and the satisfaction of closing conditions. Effective may 1, 2025, the parties closed the transaction and northwell, inc. (which is the ultimate sole corporate member of northwell) became the sole corporate member of northwell health system, inc., which became the parent entity of nuvance health.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The chair, vice chair, secretary, and treasurer of the board of directors of the member (nuvance health) and the chief executive officer and president of the member shall serve in the same roles at health quest systems. Any officer of the corporation may be removed at any time with or without cause by the member in accordance with the bylaws of the member.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Certain fundamental decisions to be undertaken by health quest systems require the approval of the member, including but not limited to the following: (i) election and removal of the directors of the board and the directors or managers of each corporate affiliate and the officers; (ii) adoption or any material revisions of capital and operating budgets; (iii) approval of all audited financial statements which includes review of the system-wide accounting policies and controls and the selection of independent auditors; (iv) adoption of or revisions to policies relating to the control and supervision of the investment of health quest system's funds; (v) adoption of or amendment to any qualified or non-qualified benefit plan; (vi) adoption of or revisions to any system-wide quality, performance and credentialing standards and procedures; (vii) adoption of, revisions to and oversight of any system-wide policies and practices relating to regulatory compliance; (viii) any closure, sale or transfer of a hospital owned or controlled; (ix) any cessation of any service line; (x) any change in the tax status of, or revision of, the charity care policies; (xi) termination, appointment or rescission of an appointment of the chief executive officer or the president; (xii) any assignment for the benefit of creditors, the filing of any petition in voluntary bankruptcy, the filing of any petition or answer seeking reorganization, or an arrangement with creditors under the federal bankcrupty law; (xiii) any amendments to the corporation's or to any corporate affiliate's organizational documents; (xiv) any merger, consolidation, or similar transaction; (xv) any incurrence, assumption, or guarantee of debt.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The forms 990 for nuvance health and affiliated entities are prepared by the nuvance health tax department with assistance from various departments throughout the organization. The returns are reviewed by management and an independent accounting firm. A complete draft is then posted to an intranet site for nuvance health board members, the ultimate parent of the organization, to review the returns prior to filing. The forms 990 are then signed and filed with the irs.

Form 990, Part VI, Line 12C Conflict of interest policy

Officers, trustees/directors, key employees and other disqualified persons are required to complete a conflict-of-interest questionnaire annually. Responses are reviewed by the chief compliance, audit & privacy officer. Also, they are required to disclose any conflict to the board or directly to the chairman prior to any meeting. After a potential conflict of interest is disclosed along with all related material facts, the board proceeds to discuss and determine through a majority vote of the disinterested members whether an actual conflict or duality of interest exists. If the interested person is present at the start of the discussion, he or she may answer questions related to the matter and provide additional, relevant facts but is required to leave the meeting during deliberations regarding whether an actual conflict or duality of interest exists.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

Nuvance health's executive total rewards philosophy is designed to align with the company's strategic direction, and to reinforce its core mission, vision, and values. In order to achieve its overall performance objectives, nuvance health provides total rewards programs that recognize executives for performing work well to ensure the achievement of company goals. These programs serve to promote the attraction, engagement, and retention of talented executives throughout their careers with nuvance health. The total rewards programs are designed to be market competitive, compliant with regulatory guidelines reflective of best practices, and differentiated to create strong competitive advantage. Total rewards programs are reviewed on an ongoing basis to ensure continued market competitiveness, relevant value to executives, and fiscal responsibility. Total rewards for nuvance health executives consists of key components of compensation and benefits. Overall executive rewards program will emphasize performance-based elements, whereby targeted levels of compensation will only be achieved if the organization and individual achieve stretch goals and objectives. Based on the labor markets for talent for executive roles, nuvance health will utilize a weighted blend of both national comparably sized health care provider market data with a +25% geographic differential applied (differential to be validated on a periodic basis) at two-thirds weight and national comparably sized general industry data, for identified roles where skill sets overlap at one-third weight. Geographic differential reflects the observed and reported executive compensation differential between nuvance health's operating region and the broader national health care provider market. Nuvance health's total rewards philosophy and practices are targeted at the 50th percentile of the relevant market for base salary, and 62.5th percentile for total cash and total direct (where available) compensation elements if target performance is achieved under variable compensation programs. Nuvance health's committee has discretion to position individual levels above or below this targeted competitive positioning, based on such factors as positioning to market, high demand skillsets and difficult to fill or critical to the organization's strategy and success. Our governance promotes consistency and equity; provides clarity and guidance to decision-makers; ensures standard processes and procedures for assessing, calibrating, administering, and delivering effective total rewards throughout the nuvance health system. Oversight and governance of the executive compensation philosophy and programs for eligible executives/disqualified individuals (currently ceo, president, and tiers 1 and 2) will be at the compensation committee of the board level and will follow a structured and rigorous process to ensure compliance with intermediate sanctions under irs guidelines. Compensation review and approval process is identical to the process for the ceo. An annual letter of reasonableness is presented to the executive compensation committee of the board of directors by willis towers watson as consultant to the board. In this annual assessment of the reasonableness of the total remuneration packages provided to select executives, an opinion is rendered with respect to the reasonableness of potential target and maximum total remuneration provided to the included executives for each fiscal year. A bi-annual letter of reasonableness for physician compensation is also presented to the executive compensation committee by korn ferry hay as a consultant to the board. This assessment of the reasonableness of the total remuneration packages provided to physicians is rendered with respect to the reasonableness of potential target and maximum total remuneration provided to each physician.

Form 990, Part VI, Line 19 Required documents available to the public

The governing documents, policies and financial statements are available to the public upon request. The documents are provided either electronically or as paper copies. In addition, certain financial information is available on various websites due to regulatory filings such as the 990.

Form 990, Part VII, Section A, Line 1A (ADDITIONAL INFORMATION)

For those officers and top 5 employees, for which only 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount. Note: all amounts in column f, of part vii, "estimated amount of other compensation", represent benefits, and do not reflect any compensation for which the average amount of time worked can be reflected.

Filing and Contact Details

Filer

Filer Name
Health Quest Systems Inc
EIN
14-1678068
Phone
8454759500
Address
45 READE PLACE, Poughkeepsie, NY 12601

Signing Officer

Name
Daniel Debarba
Title
Cf0 & Treasurer
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
1987
Legal Domicile
Ny
Voting Board Members
18
Independent Board Members
17
Employees
588
Volunteers
17

Preparer

Firm
Ernst & Young US Llp
Address
200 CLARENDON STREET, BOSTON, MA 02116-5072
Preparer
George Pagano
Phone
6172662000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

HEALTHCARE PROFESSIONALS - Total Expense: 322294, Program Service Expense: 235049, Management and General Expenses: 87245, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3905755, Program Service Expense: 2848466, Management and General Expenses: 1057289, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Intercompany forgiveness - -4734904;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

As of september 30, 2024, there are no unrecognized tax benefits resulting from uncertain tax positions.

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IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR (FORM 7/26)
IRS990/Form990PartVIISectionAGrp/TitleTxt18SECRETARY & CHIEF LEGAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19CHIEF FINANCIAL OFFICER; TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt20CHIEF PHYSICIAN EXECUTIVE
IRS990/Form990PartVIISectionAGrp/TitleTxt21CHIEF STRATEGY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt22CHIEF HUMAN RESOURCES OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF OPERATING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt24CHIEF COMPLIANCE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt25AVP NUVANCE LEARNING INSTITUTE
IRS990/Form990PartVIISectionAGrp/TitleTxt26VP GRAD MED EDUC/DIO

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