2024-08-13T16:50:44+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2022-10-01 463756713 Hudson Valley Cardiovascular Practice PC HUDS 8454759500 1 COLUMBIA STREET Poughkeepsie NY 12601 DANIEL DEBARBA CFO & TREASURER 2024-08-13 true George Pagano P01978122 6172662000 2024-08-13 2022 2024-08-08 14:25:15Z CHRISTOPHER LEHRACH MD 1 COLUMBIA STREET Poughkeepsie NY 12601 55992836 false X WWW.NUVANCEHEALTH.ORG X 2013 NY IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. 1 0 227 0 0 0 0 0 54028893 55345122 1948 87753 1046852 559961 55077693 55992836 0 0 0 0 46295689 54022688 0 0 0 6953465 6837620 53249154 60860308 1828539 -4867472 37454411 57956633 42027232 67396926 -4572821 -9440293 IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. false false 59793640 0 55905083 HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC (HVCP) PROVIDE CARDIOVASCULAR CARE TO PATIENTS IN THE MID-HUDSON VALLEY AND NORTHWEST CONNECTICUT, WITH APPROXIMATELY 12 LOCATIONS. 87,304 PATIENTS DURING FISCAL YEAR 2023 286,794 VISITS DURING FISCAL YEAR 2023 $11,162 - CHARITY CARE DURING FISCAL YEAR 2023 HVCP SERVES INDIVIDUALS OF ALL INCOME LEVELS AND FOLLOWS THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY ITS PARENT ORGANIZATION, NUVANCE HEALTH, AND FOLLOWED BY VASSAR BROTHERS MEDICAL CENTER, NORTHERN DUTCHESS HOSPITAL, PUTNAM HOSPITAL AND SHARON HOSPITAL. 59793640 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 14 0 true 227 false false false false false false false false false false false X 1 0 false false false false true true false true true false false true true true true true true false true false NY X Karen Darcy 2037394539 100 Reserve Road Danbury CT 06810 CHRISTOPHER M LEHRACH MD HVCP PRES/CHIEF PHYSICIAN EXECUTIVE 12.0 38.0 X X 0 1102394 159082 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) 2.0 48.0 X 0 275184 43123 STEVEN H ROSENBERG FORMER CFO/TREASURER (TO 12/31) 0.5 39.5 X 0 1257989 149120 KELLI STOCK VP HEART & VASCULAR INSTITUTE 20.0 20.0 X 0 365020 31016 MARK K WARSHOFSKY MD SVP & SYS. CHAIRMAN HEART & VASC. INST. 20.0 20.0 X 0 1011135 63161 ALI HAMMOUD MD PHYSICIAN CLINICAL 40.0 0 X 992821 0 45274 JOSEPH W CHRISTIANA MD PHYSICIAN- CLINICAL 40.0 0 X 1007712 0 46708 KAMRAN HALEEM MD PHYSICIAN NON-INVASIVE 40.0 0 X 963202 0 64978 M ZUBAIR JAFAR MD PHYSICIAN INTERVENTIONAL 40.0 0 X 953251 0 65449 RAJEEV L NARAYAN MD PHYSICIAN INTERVENTIONAL 40.0 0 X 962703 0 63470 DANIEL J O'DEA MD FORMER PRESIDENT 40.0 0.0 X 1199540 0 51998 DENISE GEORGE FORMER CORPORATE SECRETARY 0.0 46.0 X 0 716575 113290 6079229 4728297 896669 52 true true false 0 0 0 0 0 0 0 0 0 NET PATIENT SERVICE REVENUE 621110 31214504 31214504 0 0 AFFILIATE SUBSIDY REVENUE 900099 22249464 22249464 0 0 HOSPITAL SERVICE REVENUE 541900 1763475 1763475 0 0 PHYSICIAN STIPEND 621110 117679 117679 0 0 0 0 0 0 0 0 0 0 55345122 87753 0 0 87753 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EMPLOYEE RETENTION CREDIT 900099 385829 385829 RESEARCH REVENUE 541700 77974 77974 QUALITY INCENTIVE 900099 61126 61126 35032 35032 0 0 559961 55992836 55905083 0 87753 0 0 0 0 0 0 0 0 0 0 0 0 742936 734080 8856 46472412 45918475 553937 0 1280881 1265613 15268 0 4038093 3989960 48133 0 1488366 1470625 17741 0 5129 0 5129 0 60621 0 60621 0 148284 0 148284 0 0 0 0 0 0 0 62097 62097 1625029 1605660 19369 0 73015 72145 870 0 303960 300337 3623 0 1357402 1341222 16180 0 0 0 0 0 516798 510638 6160 0 79746 78795 951 0 0 0 0 0 13209 13052 157 0 0 0 0 0 0 0 0 0 947154 935864 11290 0 595004 517518 77486 0 EQUIPMENT RENTAL 703015 694635 8380 LICENSES AND DUES 179065 176929 2136 MEDICAL SUPPLIES 168092 168092 0 0 0 0 60860308 59793640 1066668 0 2534687 4214515 0 0 0 0 1386378 1287669 0 0 0 0 0 0 0 0 116236 162207 5891939 3888268 2518161 2003671 0 0 0 0 3007797 2673597 27891152 47614974 37454411 57956633 4147755 7199496 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37879477 60197430 42027232 67396926 -4572821 -9440293 0 0 0 0 0 0 0 0 -4572821 -9440293 37454411 57956633 -4867472 0 X false true X true false X 0 23219858 42933593 53835647 54028893 55345122 229363113 0 0 0 23219858 42933593 53835647 54028893 55345122 229363113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229363113 72 510 1015 1948 87753 91298 0 72 510 1015 1948 87753 91298 0 302755 769598 172288 1046852 559961 2851454 23522685 43703701 54008950 55077693 55992836 232305865 0.9873 0.9872 0 0.0 X Schedule A, Part III THE ORGANIZATION FILED A SHORT PERIOD RETURN FOR FISCAL YEAR 2019 (1/1/19-9/30/19). AS A RESULT OF THE MERGER WITH WESTERN CONNECTICUT HEALTH NETWORK (WCHN), HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC CHANGED ITS TAX YEAR FROM 12/31 TO 9/30 TO ALIGN WITH WCHN AND AFFILIATES. THE AMOUNTS REPORTED IN COLUMN (A) FOR 2018 REPRESENT THE 9 MONTH PERIOD FOR FISCAL YEAR ENDED 9/30/19 AND THE AMOUNTS REPORTED IN COLUMN (B) FOR 2019 REPRESENT THE 12-MONTH PERIOD ENDED 9/30/20. DUE TO REPORTING THE SHORT PERIOD FISCAL YEAR 2019 IN COLUMN (C), 2019, THE PUBLIC SUPPORT REPORTED IN PART III, SECTIONS A & B IS AS FOLLOWS: (A) 2018 (YEAR ENDING 9/30/2019) (B) 2019 (YEAR ENDING 9/30/2020) (C) 2020 (YEAR ENDING 9/30/2021) (D) 2021 (YEAR ENDING 9/30/2022) (E) 2022 (YEAR ENDING 9/30/2023) Schedule A, Part III, Line 12 Other Income DESCRIPTION - MEDICAL RECORD, COLUMN A - 593.0, COLUMN B - 1045.0, COLUMN C - , COLUMN D - , COLUMN E - 178.0, COLUMN F - 1816.0; DESCRIPTION - MOUNTAINSIDE EKG, COLUMN A - 3416.0, COLUMN B - , COLUMN C - 4396.0, COLUMN D - , COLUMN E - , COLUMN F - 7812.0; DESCRIPTION - NYS CONTROLLER (TAX REFUND), COLUMN A - 86644.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 86644.0; DESCRIPTION - PEPSI COMMISSION, COLUMN A - 428.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 428.0; DESCRIPTION - QUALITY INCENTIVE, COLUMN A - 43121.0, COLUMN B - 656251.0, COLUMN C - 14339.0, COLUMN D - 90714.0, COLUMN E - 61126.0, COLUMN F - 865551.0; DESCRIPTION - RESEARCH REVENUE, COLUMN A - 168553.0, COLUMN B - 111352.0, COLUMN C - 151730.0, COLUMN D - 111589.0, COLUMN E - 77974.0, COLUMN F - 621198.0; DESCRIPTION - STUDY REVENUE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0; DESCRIPTION - OTHER REVENUE, COLUMN A - , COLUMN B - 950.0, COLUMN C - 1823.0, COLUMN D - 15400.0, COLUMN E - 33667.0, COLUMN F - 51840.0; DESCRIPTION - EMPLOYEE RETENTION CREDIT, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 829149.0, COLUMN E - 385829.0, COLUMN F - 1214978.0; DESCRIPTION - PURCHASE DISCOUNT, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 1187.0, COLUMN F - 1187.0; 1596402 589826 1006576 4295537 3298442 997095 2003671 DUE FROM RELATED PARTIES 42139773 457B RECEIVABLE 3122185 RIGHT OF USE ASSET 1903050 OTHER RECEIVABLES 449966 47614974 DUE TO RELATED PARTIES 55620416 457 PLAN LIABILITY 3122185 LEASE LIABILITY 1454828 THIRD PARTY LIABILITY 1 60197430 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote AS OF SEPTEMBER 30, 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. X true false true false false false false false true false CHRISTOPHER M LEHRACH MD HVCP PRES/CHIEF PHYSICIAN EXECUTIVE 0 662078 0 315430 0 124886 0 116460 0 42622 0 1261476 0 88823 DENISE GEORGE FORMER CORPORATE SECRETARY 0 460108 0 150000 0 106467 0 77580 0 35710 0 829865 0 57240 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) 0 267926 0 0 0 7258 0 33150 0 9973 0 318307 0 0 STEVEN H ROSENBERG FORMER CFO/TREASURER (TO 12/31) 0 725696 0 366729 0 165564 0 135180 0 13940 0 1407109 0 106440 DANIEL J O'DEA MD FORMER PRESIDENT 1158490 0 0 0 41050 0 18300 0 33698 0 1251538 0 0 0 KELLI STOCK VP HEART & VASCULAR INSTITUTE 0 294956 0 59500 0 10564 0 18300 0 12716 0 396036 0 0 MARK K WARSHOFSKY MD SVP & SYS. CHAIRMAN HEART & VASC. INST. 0 802611 0 196500 0 12024 0 18300 0 44861 0 1074296 0 0 JOSEPH W CHRISTIANA MD PHYSICIAN- CLINICAL 562326 0 416792 0 28594 0 18300 0 28408 0 1054420 0 0 0 KAMRAN HALEEM MD PHYSICIAN NON-INVASIVE 562660 0 378341 0 22201 0 18300 0 46678 0 1028180 0 0 0 ALI HAMMOUD MD PHYSICIAN CLINICAL 572289 0 399109 0 21423 0 18300 0 26974 0 1038095 0 0 0 M ZUBAIR JAFAR MD PHYSICIAN INTERVENTIONAL 581214 0 366103 0 5934 0 18300 0 47149 0 1018700 0 0 0 RAJEEV L NARAYAN MD PHYSICIAN INTERVENTIONAL 563091 0 376121 0 23491 0 18300 0 45170 0 1026173 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE RECOGNITION PROGRAM AWARD: 2 HIGHEST-COMPENSATED EMPLOYEES 1 former officer Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC RELIED ON NUVANCE HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA ON OTHER KEY EMPLOYEES. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan EFFECTIVE OCTOBER 1, 2020, NUVANCE HEALTH ESTABLISHED AN EXECUTIVE RETIREMENT PLAN IN ORDER TO PROVIDE NONQUALIFIED DEFINED CONTRIBUTION RETIREMENT BENEFITS TO DESIGNATED KEY MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM, SELECTED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 OR TIER 2 EXECUTIVE POSITIONS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN CALENDAR YEAR 2022, THE AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. FOR CALENDAR YEAR 2022, AMOUNTS EARNED BY KEY MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM WERE AS FOLLOWS: STEVEN H. ROSENBERG $108,180 CHRISTOPHER LEHRACH, MD $98,160 DENISE GEORGE $59,280 DANIEL DEBARBA $26,320 Schedule J, Part I, Line 7 Non-fixed payments HV CARDIO PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN A PRODUCTION INCENTIVE PLAN. HV CARDIO SETS WRVU PRODUCTION TARGETS ANNUALLY FOR ALL PHYSICIANS IN THE INCENTIVE PLAN. WHEN ANNUAL PRODUCTION EXCEEDS WRVU TARGETS ESTABLISHED, THEY ARE ELIGIBLE TO ACCRUE INCENTIVE COMPENSATION AT A FIXED RATE PER WRVU FOR EACH WRVU IN EXCESS OF THEIR TARGET. INCENTIVE COMPENSATION IS PAID QUARTERLY ONCE APPROVALS ARE OBTAINED FROM THE PHYSICIAN'S MEDICAL DIRECTOR AND CHAIRMAN. Form 990, Part VI, Line 14 RECORD RETENTION POLICY THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED BY THE AUDIT COMMITTEE, NOT THE FULL BOARD. Form 990, Part VI, Line 1a INDEPENDENT TRUSTEES THERE ARE NO INDEPENDENT TRUSTEES. HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC ("HVCP") IS A SINGLE SHAREHOLDER CORPORATION. HVCP IS PART OF AN INTEGRATED DELIVERY SYSTEM THAT DOES HAVE A MORE THAN MAJORITY INDEPENDENT BOARD. FURTHER, THIS GOVERNANCE STRUCTURE HAS NOT CHANGED RELATIVE TO INDEPENDENCE SINCE IT WAS RECOGNIZED AS EXEMPT BY THE IRS AFTER IT WAS ORGANIZED. Form 990, Part VI, Line 15 Process for Determining Compensation 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 6 Classes of members or stockholders HVCP IS A SOLE SHAREHOLDER STOCK CORPORATION WITH STOCK ISSUED TO THE PRESIDENT CHRISTOPHER M. LEHRACH, MD. HVCP IS AN AFFILIATE OF HEALTH QUEST SYSTEMS, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHRISTOPHER M. LEHRACH, MD IS THE SOLE SHAREHOLDER AND BOARD MEMBER OF THE ORGANIZATION AND SERVES AS THE NOMINEE OF HEALTH QUEST SYSTEMS ("HQS"). HQS (THE PARENT), THROUGH THIS RELATIONSHIP, RETAINS ULTIMATE AUTHORITY TO APPROVE/MAKE LARGE GOVERNANCE DECISIONS SUCH AS TERMINATION, MERGER OR LARGE CAPITAL EXPENDITURES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS 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 PARKET 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 MARKED 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 COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTH'S OPERATING REGION AND THE BORADER 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. 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 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. Form 990, Part VII, Section A ADDITIONAL INFORMATION FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH 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" FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 35032, Related or Exempt Function Revenue: 35032, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Alamo Ambulance Service INC 45 READE PLACE POUGHKEEPSIE NY 12601 141745417 Transportation NY 501(c)(3) Type III-FI HQ true Danbury Hospital & New Milford Hospital Foundation Inc 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 Fundraising CT 501(c)(3) 7 WCHN true The Danbury Hospital 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 Hospital CT 501(c)(3) 3 WCHN true Eastern New York Medical Services PC 3423 DANBURY ROAD BREWSTER NY 10509 455431389 Physician Services NY 501(c)(3) 10 WCHN true Health Quest Home Care Inc (Certified) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788412 Home Health NY 501(c)(3) 10 HQ true Health Quest Home Care Inc (Licensed) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788410 Home Health NY 501(c)(3) 10 HQ true Nuvance Health Medical Practice PC 45 READE PLACE POUGHKEEPSIE NY 12601 562669185 Physician Services NY 501(c)(3) 10 HQ true Health Quest Systems Inc 45 READE PLACE POUGHKEEPSIE NY 12601 141678068 Support/Management NY 501(c)(3) 10 NUVANCE true Health Quest Urgent Medical Care Practice PC 45 READE PLACE ATTN LEGAL DEPT POUGHKEEPSIE NY 12601 800152047 Physician Services NY 501(c)(3) 10 HQ true NDH Foundation 6531 SPRINGBROOK AVENUE RHINEBECK NY 12572 141776208 Fundraising NY 501(c)(3) 7 HQ true Northern Dutchess Hospital 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 141338467 Hospital NY 501(c)(3) 3 HQ true Northern Dutchess Residential Healthcare Facility Inc 6525 SPRINGBROOK AVENUE RHINEBECK NY 12572 223129608 Nursing Home NY 501(c)(3) 10 HQ true Norwalk Hospital Foundation Inc 34 MAPLE STREET NORWALK CT 06850 222577707 Fundraising CT 501(c)(3) 7 WCHN true Nuvance Health 45 READE PLACE POUGHKEEPSIE NY 12601 834214573 Support/Management NY 501(c)(3) Type III-FI NA false Nuvance Health Medical Practice CT Inc 100 RESERVE ROAD DANBURY CT 06810 061137531 Physician Services CT 501(c)(3) 10 WCHN true Putnam Hospital 670 STONELEIGH AVENUE CARMEL NY 10512 146019179 Hospital NY 501(c)(3) 3 HQ true Putnam Hospital Center Foundation Inc 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 Fundraising NY 501(c)(3) Type I HQ true The Norwalk Hospital Association 34 MAPLE STREET NORWALK CT 06850 066068853 Hospital CT 501(c)(3) 3 WCHN true Vassar Brothers Hospital Foundation 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 Fundraising NY 501(c)(3) 7 HQ true Vassar Brothers Medical Center 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 Hospital NY 501(c)(3) 3 HQ true Vassar Health Connecticut Inc 50 HOSPITAL HILL ROAD SHARON CT 06069 815056290 Hospital CT 501(c)(3) 3 HQ true Wells Manor Housing Development Fund Corp 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 Low Income NY 501(c)(3) PF HQ true Western Connecticut Home Care Inc 100 SAW MILL ROAD DANBURY CT 06810 060655138 Home Healthcare CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Affiliates Inc 100 RESERVE ROAD DANBURY CT 06810 222594968 Outpatient Health Care Services CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Inc 100 RESERVE ROAD DANBURY CT 06810 222594977 Support/Management CT 501(c)(3) Type II WCHN true Western Connecticut Health Network Investments LLC 100 Reserve Road Danbury CT 06810 475523212 Investments CT 501(c)(3) Type I NA false NEW MILFORD MRI LLC 100 RESERVE ROAD DANBURY CT 06810 271877801 INACTIVE CT NA N/A false false NORWALK SURGERY CENTER LLC 40 CROSS STREET SUITE 120 NORWALK CT 06851 272394942 SURGERY CENTER CT NA N/A false false SWC COPORATION 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT NA C Corporation false TACONIC IPA INC 45 READE PLACE POUGHKEEPSIE NY 12601 223007320 MEDICAL CARE NY NA C Corporation false VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC 100 RESERVE ROAD DANBURY CT 06810 821466583 MEDICAL CARE CT NA C Corporation false NUVANCE HEALTH INSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY11102 980438151 MALPRACTICE CJ NUVANCE HEALTH C Corporation false false false false false false false false false false false false true true false false true true true false Danbury Hospital and New Milford Hospital Foundation Inc R 57300 Cost Method Danbury Hospital L 60238 Cost Method Danbury Hospital P 3450211 Cost Method Health Quest Systems Inc M 968197 Cost Method Health Quest Systems Inc P 3356948 Cost Method Northern Dutchess Hospital L 3052969 Cost Method Nuvance Health M 4870476 Cost Method Nuvance Health P 664441 Cost Method Nuvance Health Medical Practice PC P 414224 Cost Method Nuvance Health Medical Practice CT Inc R 338279 Cost Method Nuvance Health Medical Practice CT Inc P 153861 Cost Method Putnam Hospital L 1557204 Cost Method Putnam Hospital Q 94452 Cost Method Vassar Brothers Medical Center L 16382040 Cost Method Vassar Brothers Medical Center Q 1602864 Cost Method Vassar Health Connecticut Inc R 53129 Cost Method Vassar Health Connecticut Inc L 1320612 Cost Method Western Connecticut Health Network Inc P 11979046 Cost Method