Health Quest Systems Inc.

“Line 11b - prior to filing, a draft of the completed form 990 was reviewed by internal management. After that review was complete, the form 990 was posted to an intranet site for hq board members to retrieve and review (a paper copy was mailed upon their request). Contact information was provided should any questions arise. Line 12c - on an annual basis officers, directors and trustees are required to complete a conflict of interest filing which is reviewed by the chief compliance officer. All potential conflicts of interest are reviewed by the hq business ethics committee. Line 15 - compensation for the ceo, top management and other key employees is established by the health quest executive compensation committee based on information and support of an independent third party.”

“Line 19 - policies and financial statements for the affiliates 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 and bond holder agreements.”

“Health quest systems, inc did not receive more than $750,000 in federal awards in 2018, and did not qualify for an a-133 audit.”

“Entity tax id# primary activity legal domicile exempt code status public charity status direct controlling entity vassar brothers medical center 14-1338586 hospital ny 501c3 box 3 hq the foundation for vassar brothers medical center 14-1736429 fundraising ny 501c3 box 9 hq riverside diversified services, inc (parent) 14-1675545 education ny 501c3 box 9 hq alamo ambulance service inc. 14-1745417 transport ny 501c3 box 9 hq health quest home care, inc. (certified) 14-1788412 home health ny 501c3 box 9 hq health quest home care, inc. (licensed) 14-1788410 home health ny 501c3 box 9 hq northern dutchess hospital 14-1338467 hospital ny 501c3 box 3 hq northern dutchess residential health care facility 22-3129608 nursing home ny 501c3 box 9 hq ndh foundation 14-1776208 fundraising ny 501c3 box 9 hq putnam hospital center 14-6019179 hospital ny 501c3 box 3 hq putnam hospital center foundation 06-1399319 fundraising ny 501c3 box 9 hq health quest medical practice, pc 56-2669185 medical care ny 501c3 box 3 hq health quest urgent medical practice, pc 80-0152047 medical care ny 501c3 box 3 hq hudson valley cardiovascular practice, pc 46-3756713 medical care ny 501c3 box 3 hq vbh insurance co. Ltd. 98-1083868 captive insurance cayman islands hq wells manor housing development fund corporation 11-2611902 low income housing ny 501c3 box 3 hq vassar health connecticut inc. 81-5056290 hospital ct applying for 501c3 status hq vassar health quest medical practice of connecticut inc 82-1466583 medical care ct applying for 501c3 status hq”

“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. Radiolgoy c. Oncology d. Vbmc sleep lab e. Pt/ot/st f. Cardiac rehab 2. Clinical management a. Emergency room b. Oncology 3. Revenue cycle including health information management, budgets and reimbursement, revenue integrity, system business office, patient access oversight, financial clearance center, managed care and decision support 4. Facilities including courier service, construction, property management, facility operations, food service management and security management 5. Business development including strategic planning, marketing and public relations, answering service and community education 6. Corporate finance including accounts payable, payroll, general accounting, purchasing, supply chain and mailroom, practice management billing and management engineering 7. Internal audit and compliance 8. Practice management operations including physician recruitment, physician management engineering 9. Human resources and learning and development 10. Administrative including executive office, hospital support and risk management 11. Legal counsel 12. Information technology and medical technology wervices (mts) description of services: 1. Specialty staffing a. Provides non union staffing services for various specialties to the hospitals, offsite ancillary locations and the fishkill medical mall 2. Clinical management includes management oversight to system consolidated clinical services 3. Revenue cycle a. Health information management functions includes coding and transcription of medical records for all 3 hospitals b. Budget functions include preparation of annual budgets, variance reporting and maintenance of the budget module. Reimbursement functions include preparation of annual cost reports, analysis of third party rate accounts and thrid party audits. C. Revenue integrity functions include charge master analysis and development of revenue productin charges, compliance with cpt coding and establishment of appropriate charges d. System business office services includes producing claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up for the hospitals. Patient access and financial clearance center includes oversight of all centralized registration areas at the hospitals and pre-authorization for numerous hospital services to insure compliance with third party regulations e. Managed care functions include contract negotiations and analysis of contract terms f. Decision support functions include cost accounting reporting, maintenance of hbi (horizon business insight) reporting and the contract management system 4. Facilities a. Courier service provides delivery services internally throughout the hq system and bank deposit drop offs b. Construction and property management functions include contracting services for health quest projects and property management of all hq facilities c. Facility operations include management oversight of the engineering departments for the hospitals d. Food service management includes management oversight of food and nutrition departments for the hospitals e. Security functions include management oversight of all facilities to ensure the safest environment 5. Business development a. Strategic planning functions include con submissions, market data analysis and assistance with business plans b. Marketing includes advertising services, coordination of health quest advertisements and management of the hq website content c. Public relations functions include coordination of health quest communication to external custom”

“Entity tax id # amount of transfer vassar brothers medical center 14-1338586 $120,946,988 northern dutchess hospital 14-1338467 $18,478,069 putnam hospital center 14-6019179 $30,313,340 vbmc foundation 14-1736429 $89,469 ndh foundation 14-1776208 $32,232 phc foundation 06-1399319 $38,264 riverside management services, inc 14-1675544 $0 riverside diversified services, inc 14-1675545 $0 hudson valley newborn physicians, pllc 14-1811781 $331,207 alamo ambulance services, inc 14-1745417 $0 health quest home care, inc 14-1788412 $419,577 health quest medical practice, pc 56-2669185 $ 9,315,611 hq urgent medical practice, pc 80-0152047 $154,337 northern dutchess resid health care fa 22-3129608 $1,180,879 sharon hospital 81-5056290 $397,143 hudson valley cardiovascular practice 46-3756713 $2,090,432 total administrative fee $183,787,558”

“$8 - MISC”