Nuvance Health Medical Practice PC

“Line 11a - form 990 is reviewed by the vp of finance for health quest systems, inc. And a copy is provided to dr. Tatelbaum, the single shareholder for his review. Line 12c - all potential conflicts of interest are reviewed by the health quest business ethics committee on behalf of the affiliate. In addition, conflict of interest statements are completed by board members and key employees on an annual basis and reviewed by the health quest corporate compliance department. Line 15a/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.”

“Line 19 - policies and financial statements for the affiliate 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.”

“Ronald tatelbaum, md is the single shareholder for hqmp.”

“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 Hudson Valley Home Care, Inc (Certified) 14-1788412 Home Health NY 501c3 Box 9 HQ Hudson Valley Home Care, Inc (Licensed) 14-1788410 Home Health NY 501c3 Box 9 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 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 Health Serve Information Technologies, LLC 14-1797086 IT Support NY 501c3 Box 3 HQ Health Quest Laboratory Support Services, LLC 45-4370644 Medical Laboratory NY 501c3 Box 3 HQ One Columbia Street, LLC 46-1626016 Real Estate Mgmt NY 501c3 Box 3 HQ Hudson Valley Cardiovasular Practice, PC 46-3756713 Medical Care NY 501c3 Box 3 HQ”

“Health Quest Systems, Inc Allocation of Support Services/Shared Expenses/Cash Funding General: The following services are considered shared services for Health Quest affiliates and the cost to provide these services are allocated to each entity which benefits from the service based on a pre defined allocation methodology: 1. Specialty Staffing a. VBMC Surgical b. Radiology c. Oncology d. VBMC Sleep Lab e. PT/OT/ST f. Cardiac Rehab 2. Clinical Management a. Emergency Room b. Pharmacy c. Cardiac d. Oncology 3. Revenue Cycle including health information management, budgets and reimbursement, revenue cycle, system business office, patient access oversight, financial clearance center, managed care and decision support 4. Facilities including courier service, construction, property management, facility operations, food service management and security 5. Business Development including strategic planning, marketing and public relations, answering service and community education 6. Corporate Finance including accounts payable, payroll, general accounting, purchasing, supply chain and mailroom, practice management billing and management engineering 7. Internal Audit and Compliance 8. Practice management operations including physician recruitment, physician management and centralized scheduling 9. Human Resources and learning and development 10. Administrative including Executive office, Hospital Support and risk management 11. Legal Counsel 12. Information Technology and Medical Technology Services (MTS) Description of Services: 1. Specialty staffing a. Provides non union staffing services for various specialties to the hospitals, offsite ancillary locations and the Fishkill Medical Mall 2. Clinical management includes management oversight to system consolidated clinical services 3. Revenue Cycle - a. Health Information Management functions includes coding and transcription of medical records for all 3 hospitals b. Budget functions include preparation of annual budgets, variance reporting and maintenance of the budget module Reimbursement functions include preparation of annual cost reports, analysis of third party rate accounts and third party audits c. Revenue cycle functions include charge master analysis and development of revenue producing charges, compliance with CPT coding and establishment of appropriate charges d. System business office services includes producing claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up for the hospitals. Patient access and financial clearance center includes oversight of all centralized registration areas at the hospitals and pre-authorization for numerous hospital services to insure compliance with third party regulations e. Managed Care functions include contract negotiations and analysis of contract terms f. Decision Support functions include cost accounting reporting, maintenance of HBI (Horizon Business Insight) reporting and the contract management system 4. Facilities - a. Courier service provides delivery services internally throughout the HQ system and bank deposit drop offs b. Construction and property management functions include contracting services for Health Quest projects and property management of all HQ facilities c. Facility operations include management oversight of the engineering departments for the hospitals d. Food Service management includes management oversight of food and nutrition departments for the hospitals e. Security functions include management oversight of all facilities to ensure the safest environment 5. Business Development - a. Strategic Planning functions include CON submissions, market data analysis and assistance with business plans b. Marketing includes advertising services, coordination of joint Health Quest advertisements and reduction of expenses associated with larger campaigns c. Public relations functi”

“Administrative Fees and Subsidies The administrative fees/subsidies are based on expenses associated with the practice providing the following services to its Affiliated Hospitals at cost. Hospitalists: The physicians employed by the Hospitalist program admit and provide care to inpatients at VBMC, PHC and NDH allowing the patient's private/primary community physician to remain in their office. The care is provided on a continuous basis to the patient throughout the day, night and the weekends. The specific requirements of the group are detailed below: "24/7 coverage "Medical Director administrative time: 18 hours per week Includes: scheduling, payroll, recruitment, evaluation of growth, review financial records. "Night coverage: 15 hour shift. 6 hours are spent on billable patient care. Remaining 9 hours (63 hours per week) are involved with covering existing team and being available for ER evaluations or new consults. These hours are critical for excellent care and are not billable. "Day MD administrative time: filling our forms, conferences with patients/family/staff beyond E/M billable time, signing charts. 1 hour each per provider or 3 hours per day- 21 hours per week "Case management advisor "Participate in QI programs at the hospital "Chair of information management committee. "Nursing Education. "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant Intensivists: The physicians employed by the Intensivist (triple boarded) program provide care to critically ill patients in the intensive care and critical care units at VBMC. The appropriate level of care warranted by the acuity of the patient is provided on a continuous basis to the patient throughout the day, night and for the weekends. The specific requirements of the group are detailed below: "24/7 coverage for code stats- Lead team, intubate, place lines, emergency pacemakers, etc. "24/7 rapid consultations available for medical staff. "24/7 availability to triage patients moving into or out of intensive care "24/7 coverage of ED evaluations and urgent/emergent advice of critically ill adults. "Mandated coverage for an average of 15 ICU patients/day "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and problems with the quality of services. "Written reports- goals, objectives and standards for services. "Scheduling providers "Participate in community outreach programs and community education. "Review financial report. "Ensures that all providers are compliant Surgical PA Program The Physician Assistants employed by the Surgical PA program assist during surgical procedures at VBMC, PHC and NDH. This service is extremely important to the community of surgeons due to a shortage (and aging) of general surgeons in the Dutchess County. This program reduces the need for surgeons to double-up during procedures. The specific requirements of the group are detailed below: "Direct and coordinate all clinical matters. "Develop cost effective care, cost containment measures, assist in operating and capital budgets including projections of revenue and expenditures "Ensure the consistency, quality of services provided. "Analyze clinical outcomes, and identify deficiencies. "Resolve patients and pr”

“Transfer of equity - $12,212,655; miscellaneous - $14”