NUVANCE HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: NUVANCE HEALTH (EIN 83-4214573)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-08
IRS object ID: 202412219349301861
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-08T16:09:15+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 CLARENDON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	021165072	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	834214573	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Nuvance Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NUVA	BusinessNameControlTxt
Phone	8454759500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL DEBARBA	PersonNm
Person Title	CFO & TREASURER	PersonTitleTxt
Signature	2024-08-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	George Pagano	PreparerPersonNm
PTIN	P01978122	PTIN
Phone	6172662000	PhoneNum
Preparation	2024-08-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN MURPHY MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	24 HOSPITAL AVE	AddressLine1Txt
City	DANBURY	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06810	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$313,609,360	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NUVANCEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2019	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1215	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$644,608	PYContributionsGrantsAmt
CY Contributions Grants	$2,955,766	CYContributionsGrantsAmt
PY Program Service Revenue	$285,472,438	PYProgramServiceRevenueAmt
CY Program Service Revenue	$308,834,855	CYProgramServiceRevenueAmt
PY Investment Income	$86,793	PYInvestmentIncomeAmt
CY Investment Income	$823,785	CYInvestmentIncomeAmt
PY Other Revenue	$252,526	PYOtherRevenueAmt
CY Other Revenue	$994,954	CYOtherRevenueAmt
PY Total Revenue	$286,456,365	PYTotalRevenueAmt
CY Total Revenue	$313,609,360	CYTotalRevenueAmt
PY Grants And Similar Paid	$359,115	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$390,046	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$154,988,247	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$163,759,138	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$134,738,864	PYOtherExpensesAmt
CY Other Expenses	$151,030,050	CYOtherExpensesAmt
PY Total Expenses	$290,086,226	PYTotalExpensesAmt
CY Total Expenses	$315,179,234	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,629,861	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,569,874	CYRevenuesLessExpensesAmt
Total Assets BOY	$196,200,422	TotalAssetsBOYAmt
Total Assets EOY	$398,882,332	TotalAssetsEOYAmt
Total Liabilities BOY	$210,379,968	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$412,163,884	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$14,179,546	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$13,281,552	NetAssetsOrFundBalancesEOYAmt
Mission	Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$185,904,780	ExpenseAmt
Grant	$390,046	GrantAmt
Revenue	$309,666,527	RevenueAmt
Desc	TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. AS THE PARENT ORGANIZATION, NUVANCE HEALTH (NH) PROVIDES EXECUTIVE AND ADMINISTRATIVE DIRECTION, GIVES SUPPORT, SETS STANDARDS FOR ITS AFFILIATES AND SUBSIDIARIES, INSURES FINANCIAL SOUNDNESS, AND ESTABLISHES NEW PROGRAMS AND SERVICES CONSISTENT WITH THEIR MISSION. ALL TAX-EXEMPT AFFILIATES SERVE INDIVIDUALS OF ALL INCOME LEVELS AND FOLLOW THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY NH.	Desc
Total Program Service Expenses	$185,904,780	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	212	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1215	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAREN DARCY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2037394593	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 RESERVE ROAD	AddressLine1Txt
City	DANBURY	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06810	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANNE ROBY
VICE CHAIRMAN (TO 12/31); CHAIR (FROM 01/01)	3.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
GREGORY W RAKOW
CHAIR (UNTIL 12/31); DIRECTOR	3.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN M MURPHY MD
PRESIDENT/CEO	3.0	47.0	Yes (X)	Yes (X)	$2,064,756	$675,844	$297,106
STEVEN V LANT
DIRECTOR; VICE CHAIR (FROM 01/01)	3.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
CARLA GUDE
DIRECTOR (TO 12/31)	2.0	4.0	Yes (X)		$0	$0	$0
DANIEL MCCARTHY
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
DAVID CYGANOWSKI
DIRECTOR (TO 3/15)	2.0	4.0	Yes (X)		$0	$0	$0
DONALD JONES
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
ELIZABETH BRADLEY PHD
DIRECTOR (From 1/1)	2.0	6.0	Yes (X)		$0	$0	$0
ERVIN R SHAMES
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
JOSEPH DIVESTEA
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
MARK GUDIS
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
MARY MADDEN
DIRECTOR (TO 12/31)	2.0	4.0	Yes (X)		$0	$0	$0
MICHAEL J NESHEIWAT MD
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
RICHARD G JABARA
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
ROBERT R DYSON
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
S JAVID SHAHID MD
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
SALVATORE CALTA JR
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
BRIAN WYATT
SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01)	2.0	48.0		Yes (X)	$269,701	$80,552	$60,626
CAROLYN MCKENNA
SECRETARY & CHIEF LEGAL OFFICER (TO 12/31)	2.0	48.0		Yes (X)	$585,032	$226,683	$90,668
DANIEL DEBARBA
CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01)	2.0	48.0		Yes (X)	$275,184	$0	$43,123
STEVEN H ROSENBERG
FORMER CFO/TREASURER (TO 12/31)	40.0	21.5		Yes (X)	$940,251	$317,738	$149,120
CHRISTOPHER M LEHRACH MD
CHIEF PHYSICIAN EXECUTIVE	6.0	44.0			$825,610	$276,784	$159,082	Yes (X)
GEOFFRY G HOOK
CHIEF INFORMATION OFFICER	37.0	13.0			$478,592	$172,129	$111,975	Yes (X)
JEAN AHN
CHIEF STRATEGY OFFICER	5.0	45.0			$687,200	$205,865	$95,848	Yes (X)
KATHRYN D CULLINAN
CHIEF HUMAN RESOURCES OFFICER	5.0	45.0			$472,769	$100,681	$93,353	Yes (X)
MICHELLE ROBERTSON
CHIEF OPERATING OFFICER	5.0	45.0			$534,257	$0	$65,670	Yes (X)
SHARON ADAMS
PRESIDENT DANBURY HOSPITAL; EASTERN REGIONAL PRESIDENT	10.0	38.0			$0	$958,117	$110,855	Yes (X)
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	5.0	45.0			$338,752	$127,634	$65,275	Yes (X)
ALBERT VILLARIN
CHIEF MEDICAL INFORMATION OFFICER	31.0	9.0			$375,744	$109,257	$31,035		Yes (X)
CORNELIUS FERREIRA MD
SYSTEM CHAIR PRIMARY CARE	32.0	14.0			$542,482	$146,348	$39,498		Yes (X)
DIANE KANTAROS
CHIEF QUALITY OFFICER	29.0	11.0			$462,392	$172,807	$70,892		Yes (X)
JOHN DION
SVP CORE FINANCE	29.0	11.0			$450,905	$177,875	$76,004		Yes (X)
LUIS RICHARD
CHIEF SUPPLY CHAIN OFFICER	27.0	13.0			$359,207	$181,752	$91,590		Yes (X)
CATHERINE FRIERSON
FORMER CHIEF HUMAN RESOURCES OFFICER	0.0	0.0			$0	$191,718	$3,005			Yes (X)
KERRY EATON
FORMER CHIEF OPERATING OFFICER	40.0	0.0			$955,185	$434,914	$142,026			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,618,019	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,556,698	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,796,751	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	173	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRICE WATERHOUSE COOPERS LLP
PO BOX 7247-8001	PHILADELPHIA	PA	19170	CONSULTING SERVICES	$6,020,107
ERUPTR LLC
PO BOX 744306	ATLANTA	GA	30371	DIGITAL MARKETING	$4,049,962
ERNST & YOUNG LLP
200 PLAZA DR	SECAUCUS	NJ	07094	AUDIT AND TAX SERVICES	$3,469,492
BERKELEY RESEARCH GROUP
PO BOX 676158	DALLAS	TX	75267	ANALYTICAL SUPPORT	$3,049,667
HEALTH CATALYST INC
DEPT CH 17917	PALATINE	IL	60055	SUBSCRIPTION AND SERVICE	$1,412,969

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,404,582	RelatedOrganizationsAmt
Government Grants	$548,034	GovernmentGrantsAmt
All Other Contributions	$3,150	AllOtherContributionsAmt
Noncash Contributions	$18,500	NoncashContributionsAmt
Total Contributions	$2,955,766	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEES TO EXEMPT AFFILIATES	900099	$308,118,393	$308,118,393
EDUCATION	611430	$716,462	$716,462

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$308,834,855	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$823,785	TotalRevenueColumnAmt
Exclusion	$823,785	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,111	TotalRevenueColumnAmt
Exclusion	$111,111	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$52,171	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$52,171	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,171	TotalRevenueColumnAmt
Exclusion	$52,171	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REFUNDS & REBATES	561000	$575,116	$575,116
US TREASURY RESTITUTION	900099	$201,750	$201,750
PURCHASE DISCOUNTS	900099	$53,281	$53,281

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,525	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,525	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$831,672	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$313,609,360	TotalRevenueColumnAmt
Related Or Exempt Func Income	$309,666,527	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$987,067	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$390,046	TotalAmt
Program Services	$390,046	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,644,429	TotalAmt
Program Services	$6,465,912	ProgramServicesAmt
Management And General	$4,178,517	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$776,885	TotalAmt
Program Services	$471,914	ProgramServicesAmt
Management And General	$304,971	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$121,796,237	TotalAmt
Program Services	$73,984,594	ProgramServicesAmt
Management And General	$47,811,643	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,888,451	TotalAmt
Program Services	$2,969,468	ProgramServicesAmt
Management And General	$1,918,983	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,049,343	TotalAmt
Program Services	$10,356,549	ProgramServicesAmt
Management And General	$6,692,794	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,603,793	TotalAmt
Program Services	$5,226,337	ProgramServicesAmt
Management And General	$3,377,456	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,845,033	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,845,033	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,000,000	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,000,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$465,730	TotalAmt
Program Services	$282,906	ProgramServicesAmt
Management And General	$182,824	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$65,218	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$65,218	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,318,205	TotalAmt
Program Services	$29,958,129	ProgramServicesAmt
Management And General	$19,360,076	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,654,454	TotalAmt
Program Services	$2,827,328	ProgramServicesAmt
Management And General	$1,827,126	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,196,751	TotalAmt
Program Services	$4,979,081	ProgramServicesAmt
Management And General	$3,217,670	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$59,906,355	TotalAmt
Program Services	$36,389,855	ProgramServicesAmt
Management And General	$23,516,500	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,042,053	TotalAmt
Program Services	$4,277,664	ProgramServicesAmt
Management And General	$2,764,389	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$702,439	TotalAmt
Program Services	$426,694	ProgramServicesAmt
Management And General	$275,745	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$183,927	TotalAmt
Program Services	$111,726	ProgramServicesAmt
Management And General	$72,201	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,826	TotalAmt
Program Services	$6,826	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,910,713	TotalAmt
Program Services	$5,412,774	ProgramServicesAmt
Management And General	$3,497,939	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,675,454	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,675,454	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL/MAINT.	$398,474	$242,052	$156,422
LICENSES & DUES	$1,359,030	$825,537	$533,493
MEDICAL SUPPLIES	$158,553	$158,553	$0
PHYSICIAN FEES	$140,835	$140,835	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$315,179,234	TotalAmt
Program Services	$185,904,780	ProgramServicesAmt
Management And General	$129,274,454	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$153,238	BOYAmt
EOY	$833,297	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$417,910	BOYAmt
EOY	$333,410	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,310,514	BOYAmt
EOY	$34,985,200	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$76,423,868	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$17,074,576	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$30,064,200	BOYAmt
EOY	$59,349,292	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$143,254,560	BOYAmt
EOY	$303,381,133	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$196,200,422	BOYAmt
EOY	$398,882,332	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,246,071	BOYAmt
EOY	$60,201,840	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$157,133,897	BOYAmt
EOY	$351,962,044	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$210,379,968	BOYAmt
EOY	$412,163,884	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$14,179,546	BOYAmt
EOY	-$13,281,552	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$14,179,546	BOYAmt
EOY	-$13,281,552	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$196,200,422	BOYAmt
EOY	$398,882,332	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,569,874	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,467,868	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	18	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (18 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
DANBURY HOSPITAL AND NEW MILFORD HOSPITAL FOUNDATION INC
237425557	7	Yes (true)	$0	$0
THE DANBURY HOSPITAL
060646597	3	Yes (true)	$0	$0
EASTERN NEW YORK MEDICAL SERVICES PC
455431389	9	Yes (true)	$0	$0
HEALTH QUEST HOME CARE INC (CERTIFIED)
141788412	9	Yes (true)	$0	$0
HEALTH QUEST HOME CARE INC (LICENSED)
141788410	9	Yes (true)	$0	$0
HEALTH QUEST SYSTEMS INC
141678068	9	Yes (true)	$0	$0
NDH FOUNDATION
141776208	7	Yes (true)	$0	$0
NORTHERN DUTCHESS HOSPITAL
141338467	3	Yes (true)	$0	$0
NORTHERN DUTCHESS RESIDENTIAL HEALTHCARE FACILITY INC
223129608	9	Yes (true)	$0	$0
NORWALK HOSPITAL FOUNDATION INC
222577707	7	Yes (true)	$0	$0
PUTNAM HOSPITAL CENTER
146019179	3	Yes (true)	$0	$0
THE NORWALK HOSPITAL ASSOCIATION
066068853	3	Yes (true)	$0	$0
VASSAR BROTHERS HOSPITAL FOUNDATION
141736429	7	Yes (true)	$0	$0
VASSAR BROTHERS MEDICAL CENTER
141338586	3	Yes (true)	$0	$0
VASSAR HEALTH CONNECTICUT INC
815056290	3	Yes (true)	$0	$0
WESTERN CONNECTICUT HOME CARE INC
060655138	9	Yes (true)	$0	$0
WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES INC
222594968	9	Yes (true)	$0	$0
NUVANCE HEALTH MEDICAL PRACTICE CT INC
061137531	9	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	18	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part IV, Section A, Line 1 DESCRIPTION OF HOW SUPPORTED ORGANIZATIONS ARE DESIGNATED	THE CORPORATION WAS FORMED AS A RESULT OF THE AFFILIATION OF HEALTH QUEST SYSTEMS, INC. ("HQ") AND WESTERN CONNECTICUT HEALTH NETWORK, INC. ("WCHN") AND SERVES AS THE ULTIMATE PARENT OF THE COMBINED HOSPITAL SYSTEM. HQ OPERATES A HEALTH CARE SYSTEM PRIMARILY SERVING NEW YORK AND CONNECTICUT, AND HQ IS THE SOLE MEMBER OF FOUR LICENSED ACUTE CARE HOSPITALS AND DIRECTLY OR INDIRECTLY CONTROLS CERTAIN OTHER ENTITIES THAT PROVIDE AND SUPPORT HEALTH CARE AND HEALTH CARE-RELATED SERVICES. WCHN OPERATES A HEALTH CARE SYSTEM PRIMARILY SERVING CONNECTICUT, AND WCHN IS THE SOLE MEMBER OF TWO LICENSED ACUTE CARE HOSPITALS AND DIRECTLY OR INDIRECTLY CONTROLS CERTAIN OTHER ENTITIES THAT PROVIDE AND SUPPORT HEALTH CARE AND HEALTH CARE-RELATED SERVICES (ALL ENTITIES OF HQ AND WCHN ARE COLLECTIVELY REFERRED TO AS SYSTEM AFFILIATES). AS THE ULTIMATE PARENT OF THE HOSPITAL SYSTEM, THE CORPORATION IS DIRECTLY RESPONSIBLE FOR OVERSEEING CORE FINANCIAL AND OPERATIONAL FUNCTIONS FOR THE SYSTEM. A MAJORITY VOTE OF THE BOARD OF NUVANCE HEALTH IS REQUIRED FOR MANY ACTIONS OF NUVANCE HEALTH AS WELL AS THE VARIOUS SYSTEM AFFILIATES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: MATERIAL REVISIONS TO THE STRATEGIC PLAN; ADOPTION OR ANY MATERIAL REVISIONS TO THE CAPITAL AND OPERATING BUDGETS; CREATION OF ANY CORPORATION FOR WHICH ANY SYSTEM AFFILIATE IS THE SOLE OR CONTROLLING MEMBER/SHAREHOLDER; ADOPTION OF OR REVISIONS TO ANY SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES; APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS WHICH INCLUDES REVIEW OF THE SYSTEM-WIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF INDEPENDENT AUDITORS; ADOPTION OR REVISION TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT FUNDS; ADOPTION OR AMENDMENT TO ANY QUALIFIED OR NONQUALIFIED BENEFIT PLANS; AND ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEM-WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE. SUPER-MAJORITY VOTE OF THE NUVANCE BOARD IS REQUIRED FOR OTHER ACTIONS SUCH AS A CLOSURE OR SALE OF A HOSPITAL; ANY CESSATION OF ANY SERVICE LINE; ANY CHANGE IN TAX STATUS; ANY MERGER, CONSOLIDATION, OR SIMILAR TRANSACTION; ANY AMENDMENTS TO ANY ORGANIZATIONAL DOCUMENTS OF ANY SYSTEM AFFILIATES; TERMINATION OR APPOINTMENT OF THE CEO; AND ELECTION OR REMOVAL OF ANY OFFICER OF ANY SYSTEM AFFILIATE WHO IS NOT AN EMPLOYEE OR CONTRACTOR. BY THE NUVANCE BOARD CARRYING OUT THE ABOVE DESCRIBED DUTIES AND THROUGH ATTENDANCE AT ITS REGULARLY SCHEDULED BOARD MEETINGS AS WELL AS VARIOUS BOARD COMMITTEE MEETINGS, NUVANCE HEALTH ENSURES THAT THE ACTIVITIES OF EACH SYSTEM AFFILIATE ARE FURTHERING THEIR INDIVIDUAL AND COLLECTIVE EXEMPT PURPOSES.
Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee	PER BYLAWS 2.8 MANNER OF ACTING (A) ACTIONS REQUIRING THE MAJORITY VOTE. THE ACT OF A MAJORITY OF THE DIRECTORS PRESENT AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE BOARD (A "MAJORITY VOTE"), UNLESS THE PRESENCE OF OR ACT OF A GREATER NUMBER IS SPECIFICALLY REQUIRED BY THESE BYLAWS, THE CORPORATION'S CERTIFICATE OF INCORPORATION, OR THE ACT. WITHOUT LIMITING THE FOREGOING, THE FOLLOWING ACTIONS SHALL REQUIRE A MAJORITY VOTE OF THE BOARD: (XII) APPROVAL OF THE ADOPTION OF OR AMENDMENT TO THE POLICIES AND PROCEDURES GOVERNING: (A) INDEMNIFICATION OF TRUSTEES AND OFFICERS OF THE CORPORATION OR ANY SYSTEM AFFILIATE; (B) CONFLICTS OR DUALITIES OF INTEREST; AND (C) SUCH OTHER POLICIES AS THE BOARD MAY FROM TIME TO TIME DETERMINE. (XXII) ELECTION OR REMOVAL OF AN OFFICER OF THE CORPORATION OR ANY SYSTEM AFFILIATE WHO IS NOT AN EMPLOYEE OR CONTRACTOR OF THE CORPORATION OR SUCH SYSTEM AFFILIATE.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities	PER BYLAWS 2.8 MANNER OF ACTING (A) ACTIONS REQUIRING THE MAJORITY VOTE. THE ACT OF A MAJORITY OF THE DIRECTORS PRESENT AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE BOARD (A "MAJORITY VOTE"), UNLESS THE PRESENCE OF OR ACT OF A GREATER NUMBER IS SPECIFICALLY REQUIRED BY THESE BYLAWS, THE CORPORATION'S CERTIFICATE OF INCORPORATION, OR THE ACT. WITHOUT LIMITING THE FOREGOING, THE FOLLOWING ACTIONS SHALL REQUIRE A MAJORITY VOTE OF THE BOARD: (XI) ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEM WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE, INCLUDING BUT NOT LIMITED TO CONTROL, SUPERVISION AND RESOLUTION OF ANY MATTERS INVOLVING LITIGATION, PRE LITIGATION DISPUTES AND COMPLIANCE INVESTIGATIONS OR PROCEEDINGS ON BEHALF OF THE CORPORATION OR ANY SYSTEM AFFILIATE.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$20,015	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$442,740	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,975	OtherActivitiesAmt
Total Lobbying Expenditures	$465,730	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	Nuvance Health's advocacy efforts in Connecticut, New York and Washington, DC are focused on representing the system's patient-centered interests among government officials at the local, state, and national levels. Nuvance Health officials meet with municipal and county elected officials, and state agencies and legislators to discuss healthcare needs in their districts and how our system can best help meet those needs. We also keep our local elected and planning officials informed of plans and work on public health matters, and progress on new facilities, medical technology, programs and services. Work includes coordination with various stakeholders on updating of the community needs assessment and health improvement plans. On the federal level, Nuvance Health meets with members of Congress and United States Senators from Connecticut and New York and their staffs to discuss issues including access to high-quality, affordable care, healthcare reform, wage indices, hiring efforts in an era of physician and nursing shortages and community education and outreach efforts.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,539,171	OtherCostOrOtherBasisAmt
Depreciation	$739,106	DepreciationAmt
Book Value	$3,800,065	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,648,009	OtherCostOrOtherBasisAmt
Depreciation	$16,335,470	DepreciationAmt
Book Value	$45,312,539	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,236,688	OtherCostOrOtherBasisAmt
Book Value	$10,236,688	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$59,349,292	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$236,984,215
RIGHT OF USE ASSET - OPERATING	$54,222,462
CASH SURRENDER VALUE	$8,133,240
RIGHT OF USE ASSET - FINANCING	$1,919,025
DEFERRED COMPENSATION	$1,756,450
MISCELLANEOUS RECEIVABLES	$358,753
LONG TERM PREPAID EXPENSES	$6,988

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$303,381,133	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO RELATED PARTIES	$195,580,116
LINE OF CREDIT	$100,000,000
LEASE LIABILITY - OPERATING	$53,310,107
DEFFERED COMPENSATION	$1,756,450
LEASE LIABILITY - FINANCING	$1,315,371

Field	Value	IRS element (for citing)
Total Liability	$351,962,044	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	AS OF SEPTEMBER 30, 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	1	1	revenue	MALPRACTICE INS.	$43,613,325
Central America and the Caribbean	1	1	investment	Malpractice Ins.	$1,877,373
Central America and the Caribbean	1	1	expenditures	malpractice ins.	$52,701,336

Field	Value	IRS element (for citing)
Subtotal Offices	3	SubtotalOfficesCnt
Subtotal Employees	3	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	3	TotalOfficeCnt
Total Employee	3	TotalEmployeeCnt
Subtotal Spent	$98,192,034	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$98,192,034	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
DUTCHESS COUNTY REGIONAL CHAMBER OF COMMERCE
1 CIVIC CENTER PLAZA SUITE 400	POUGHKEEPSIE	NY	12601	140978000	501(C)(6)	$20,000	IN SUPPORT OF LOCAL ECONOMY AND BUSINESSES
SPARROW'S NEST OF THE HUDSON VALLEY
946 ROUTE 376 SUITE 7	WAPPINGER FALLS	NY	12590	462573747	501(C)(3)	$20,000	IN SUPPORT OF SERVICES FOR FAMILIES WHO ARE EXPERIENCING THE HARDSHIPS OF A CANCER DIAGNOSIS THROUGH DELIVERY OF MEALS AND SUPPLIES
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$20,000	IN SUPPORT OF CARDIOVASCULAR RESEARCH, HEALTH, AND WELLNESS
AMERICAN CANCER SOCIETY
PO BOX 1357	NEW YORK	NY	10018	131788491	501(C)(3)	$20,000	IN SUPPORT OF CANCER RESEARCH, HEALTH, AND WELLNESS
MILES OF HOPE BREAST CANCER FOUNDATION
PO BOX 405	LAGRANGEVILLE	NY	12540	134281796	501(C)(3)	$20,000	IN SUPPORT OF LOCAL FAMILIES AFFECTED BY BREAST CANCER DIAGNOSIS
DUTCHESS OUTREACH
29 N HAMILTON STREET	POUGHKEEPSIE	NY	12601	222339537	501(C)(3)	$16,000	IN SUPPORT OF ADDRESSING AND ERADICATING MALNOURISHMENT IN THE GREATER POUGHKEEPSIE AREA.
FAMILY SERVICES INC
29 NORTH HAMILTON STREET	POUGHKEEPSIE	NY	12601	141338399	501(C)(3)	$15,000	IN SUPPORT OF SERVICES FOR BATTERED WOMEN, CHILDREN, AND SERVICES FOR LOCAL AT-RISK YOUTH
ULSTER COUNTY REGIONAL CHAMBER OF COMMERCE
214 FAIR STREET	KINGSTON	NY	12401	141260937	501(C)(6)	$12,500	IN SUPPORT OF LOCAL ECONOMY AND BUSINESSES.
PREMIER CARES FOUNDATION
PO BOX 93	PLEASANT VALLEY	NY	12569	450990732	501(C)(3)	$10,000	IN SUPPORT OF UNDERSERVED AND UNDERINSURED UROLOGICAL AND GASTROINTESTINAL PATIENTS IN THE COMMUNITY.
RIVERBROOK REGIONAL YMCA
404 DANBURY ROAD	WILTON	CT	06897	060853258	501(C)(3)	$9,500	SUPPORTING AND ADDRESSING YOUTH DEVELOPMENT FOR HEALTHY LIVING.
DUTCHESS COMMUNITY COLLEGE FOUNDATION
53 PENDELL ROAD	POUGHKEEPSIE	NY	12601	222484101	501(C)(3)	$7,500	IN SUPPORT OF HELPING STUDENTS IN OUR COMMUNITIES HAVE ACCESS TO COMMUNITY COLLEGE AND A BROAD RANGE OF LEARNING OPPORTUNITIES, HEALTH AND WELLNESS.
TRIANGLE COMMUNITY CENTER
650 WEST AVE	NORWALK	CT	06580	223079559	501(C)(3)	$7,500	IN SUPPORT OF ADVOCATING FOR AND CREATING COMMUNITY AWARENESS FOR THE LGBTQ COMMUNITY.
GREATER DANBURY CHAMBER OF COMMERCE
1 IVES STREET SUITE 301	DANBURY	CT	06810	060608502	501(C)(6)	$7,250	IN SUPPORT OF LOCAL ECONOMY AND BUSINESSES.
NORTHWEST CONNECTICUT CHAMBER OF COMMERCE
333 KENNEDY DRIVE SUITE R101	TORRINNGTON	CT	06790	060564714	501(C)(6)	$7,020	IN SUPPORT OF COMMUNITY PROGRAMMING IN THE NORTHWEST CONNECTICUT CORNER.
ALZHEIMER'S ASSOCIATION
225 N MICHIGAN AVENUE FLOOR 17	CHICAGO	IL	60601	133039601	501(C)(3)	$6,000	IN SUPPORT OF ALZHEIMER'S AND DEMENTIA RESEARCH, HEALTH, AND WELLNESS.
ABILITY BEYOND DISABILITY
4 BERKSHIRE BLVD	BETHEL	CT	60801	060776594	501(C)(3)	$5,550	IN SUPPORT OF THOSE LIVING WITH DISABILITIES AND STRUGGLING WITH MENTAL OR PHYSICAL CHALLENGES.

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE MAJORITY OF GRANTS WERE MADE TO IRC SECTIONS 501(C) (3) AND 501(C) (6) ORGANIZATIONS, THEREFORE IT WAS NOT NECESSARY TO REVIEW THE PUBLIC CHARITY STATUS OF THE DONEE. THE PURPOSE OF THE GRANT FUNDS ARE REVIEWED AND APPROVED BY NUVANCE HEALTH OFFICERS TO ASSURE COMPLIANCE WITH DONOR INTENTIONS AND/OR BOARD APPROVALS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN M MURPHY MD
PRESIDENT/CEO	$1,126,394	$414,987	$922,788	$0	$15,574	$260,857	$199,150	$65,186	$24,425	$8,345	$2,288,331	$749,375	$0	$255,000
DANIEL DEBARBA
CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01)	$267,926	$0	$0	$0	$7,258	$0	$33,150	$0	$9,973	$0	$318,307	$0	$0	$0
CAROLYN MCKENNA
SECRETARY & CHIEF LEGAL OFFICER (TO 12/31)	$420,510	$154,925	$155,000	$0	$9,522	$71,758	$63,612	$24,648	$1,741	$667	$650,385	$251,998	$0	$68,250
STEVEN H ROSENBERG
FORMER CFO/TREASURER (TO 12/31)	$530,902	$194,794	$366,729	$0	$42,620	$122,944	$101,037	$34,143	$10,368	$3,572	$1,051,656	$355,453	$0	$106,440
BRIAN WYATT
SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01)	$217,138	$79,998	$51,000	$0	$1,563	$554	$14,091	$4,209	$32,087	$10,239	$315,879	$95,000	$0	$0
KERRY EATON
FORMER CHIEF OPERATING OFFICER	$558,608	$196,391	$368,632	$100,000	$27,945	$138,523	$96,450	$43,915	$1,141	$520	$1,052,776	$479,349	$0	$117,960
CATHERINE FRIERSON
FORMER CHIEF HUMAN RESOURCES OFFICER	$0	$121,667	$0	$0	$0	$70,051	$0	$2,215	$0	$790	$0	$194,723	$0	$68,520
SHARON ADAMS
PRESIDENT DANBURY HOSPITAL; EASTERN REGIONAL PRESIDENT	$0	$639,488	$0	$200,000	$0	$118,629	$0	$104,995	$0	$5,860	$0	$1,068,972	$0	$78,600
JEAN AHN
CHIEF STRATEGY OFFICER	$352,139	$124,358	$318,564	$0	$16,497	$81,507	$71,516	$21,424	$2,199	$709	$760,915	$227,998	$0	$69,000
KATHRYN D CULLINAN
CHIEF HUMAN RESOURCES OFFICER	$248,505	$95,474	$200,000	$0	$24,264	$5,207	$56,886	$12,114	$19,364	$4,989	$549,019	$117,784	$0	$0
GEOFFRY G HOOK
CHIEF INFORMATION OFFICER	$327,392	$122,272	$150,000	$0	$1,200	$49,857	$53,630	$19,288	$28,688	$10,369	$560,910	$201,786	$0	$49,200
CHRISTOPHER M LEHRACH MD
CHIEF PHYSICIAN EXECUTIVE	$498,807	$163,271	$315,430	$0	$11,373	$113,513	$87,220	$29,240	$31,690	$10,932	$944,520	$316,956	$0	$88,823
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	$249,844	$92,049	$84,000	$0	$4,908	$35,585	$37,522	$14,138	$9,901	$3,714	$386,175	$145,486	$0	$33,780
MICHELLE ROBERTSON
CHIEF OPERATING OFFICER	$400,296	$0	$0	$0	$133,961	$0	$49,038	$0	$16,632	$0	$599,927	$0	$0	$0
JOHN DION
SVP CORE FINANCE	$343,410	$126,520	$100,000	$0	$7,495	$51,355	$44,510	$17,558	$10,036	$3,900	$505,451	$199,333	$0	$48,600
CORNELIUS FERREIRA MD
SYSTEM CHAIR PRIMARY CARE	$383,562	$130,724	$145,500	$0	$13,420	$15,624	$14,412	$3,888	$16,393	$4,805	$573,287	$155,041	$0	$0
DIANE KANTAROS
CHIEF QUALITY OFFICER	$330,307	$121,693	$125,000	$0	$7,085	$51,114	$50,403	$18,837	$1,203	$449	$513,998	$192,093	$0	$48,300
LUIS RICHARD
CHIEF SUPPLY CHAIN OFFICER	$252,799	$93,136	$100,000	$50,000	$6,408	$38,616	$34,339	$17,375	$27,110	$12,766	$420,656	$211,893	$0	$36,000
ALBERT VILLARIN
CHIEF MEDICAL INFORMATION OFFICER	$278,632	$101,604	$80,000	$0	$17,112	$7,653	$14,178	$4,122	$9,731	$3,004	$399,653	$116,383	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND AND/OR EMPLOYEE RECOGNITION PROGRAM AWARD: 1 KEY EMPLOYEES 4 HIGHEST-COMPENSATED EMPLOYEES 1 FORMER
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: JOHN M. MURPHY, MD $246,036 STEVEN H. ROSENBERG $108,180 KERRY EATON $110,402 CHRISTOPHER LEHRACH $98,160 SHARON ADAMS $86,695 JEAN AHN $74,640 CAROLYN MCKENNA $69,960 GEOFFRY HOOK $54,618 DIANE KANTAROS $50,940 KATHRYN CULLINAN $50,700 JOHN DION $50,580 MICHELLE ROBERTSON $37,203 LUIS RICHARD $36,360 WAYNE MCNULTY $33,360 DANIEL DEBARBA $26,320
Schedule J, Part I, Line 7 Non-fixed payments	NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH-QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THE PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR; - TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE - TIER II, EXECUTIVE (A) - TIER II, PHYSICIAN EXECUTIVES (B) - TIER III, SENIOR LEADER (A) - TIER III, SENIOR LEADER (B) - TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: - QUALITY AND SERVICE - PEOPLE AND CULTURE - PATIENT EXPERIENCE - FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. NUVANCE HEALTH EXECUTIVE LONG TERM INCENTIVE PLAN (EXCERPTS FROM) ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 EXECUTIVE POSITIONS SHALL BE ELIGIBLE EMPLOYEES TO PARTICIPATE IN THE PLAN. UNDER THE PLAN, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE INCENTIVE AWARD PAYMENTS BASED UPON THE ACHIEVEMENT OF SELECTED AND STRATEGICALLY IMPORTANT PERFORMANCE GOALS IDENTIFIED FOR EACH PERFORMANCE PERIOD. THE AWARD OPPORTUNITIES FOR AN ELIGIBLE EMPLOYEE WITH RESPECT TO A PERFORMANCE PERIOD SHALL BE EXPRESSED AS A PERCENTAGE OF HIS OR HER AVERAGE BASE SALARY IN EFFECT DURING THE APPLICABLE PERFORMANCE PERIOD. PRIOR TO THE BEGINNING OF EACH PERFORMANCE PERIOD, THE COMMITTEE MAY ESTABLISH A MINIMUM PERFORMANCE REQUIREMENT FOR NUVANCE HEALTH. NO FINAL AWARDS MAY BE GRANTED TO ANY PARTICIPANT FOR A PERFORMANCE PERIOD IN WHICH MINIMUM PERFORMANCE REQUIRMENTS, IN ANY, WERE NOT MET. THE FINAL AWARD PAYABLE TO EACH PARTICIPANT WILL BE DETERMINED WITHIN 60 DAYS FOLLOWING THE END OF THE PERFORMANCE PERIOD. AWARDS FOR A GIVEN PERFORMANCE PERIOD WILL BE PAID IN A SINGLE LUMP-SUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED.
Schedule J, Part I, Line 3 ADDITIONAL INFORMATION	THE ORGANIZATION RELIED ON THE FOLLOWING METHODS DESCRIBED BELOW TO ESTABLISH TOP MANAGEMENT'S COMPENSATION: -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT FOR PHYSICIAN EXECUTIVES -COMPENSATION SURVEY OR STUDY -APPROVAL BY BOARD COMPENSATION COMMITTEE -COMPENSATION COMMITTEE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
STATE OF CONNECTICUT HEALTH AND EDUCATIONAL Facilities Authority
A	060806186	20775DCU4	2019-08-28	$389,588,167	ACQUIRE AND RENOVATE FACILITIES	false	false	false
DUTCHESS COUNTY LOCAL DEVELOPMENT CORPORATION
B	273106797	267045MK5	2019-08-28	$115,040,480	ACQUIRE AND RENOVATE FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$33,970,000	$391,431,328	$2,693,283	$376,838,865	$11,899,180	2023	false	false	false	Yes (true)
B	$13,500,000	$115,306,826	$1,135,983	$114,170,843		2021	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0222	0.0	0.0222	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.0207	0.0	0.0207	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	Yes (true)	Yes (true)
B	false	Yes (true)	false	false	false	false	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I BOND ISSUES	(A) ISSUER NAME: STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: ACQUIRE AND RENOVATE FACILITIES (A) ISSUER NAME: DUTCHESS COUNTY LOCAL DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: ACQUIRE AND RENOVATE FACILITIES
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 DESCRIPTION OF ORGANIZATION MISSION	IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE.
Form 990, Part VI, Line 14 written document retention and destruction policy	THE ORGANIZATION FOLLOWS A 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 15 PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY 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 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 2 Family/business relationships amongst interested persons	SALVATORE CALTA AND STEVEN LANT - Business relationship
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 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 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 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. 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 AND BOND HOLDER AGREEMENTS.
Form 990, Part VII, Section A ADDITIONAL INFORMATION	FOR THOSE OFFICERS AND KEY 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.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 1525, Related or Exempt Function Revenue: 1525, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Healthcare Professionals - Total Expense: 488717, Program Service Expense: 296869, Management and General Expenses: 191848, Fundraising Expenses: 0; Purchased Services - Total Expense: 48829488, Program Service Expense: 29661260, Management and General Expenses: 19168228, Fundraising Expenses: 0;
Schedule F, Part I expenditures for and investments outside the U.S.	ALL INFORMATION FOR PART I, LINE 3, COLUMN (F) IS ACCOUNTED FOR ON THE AUDITED FINANCIAL STATEMENTS ON THE ACCRUAL BASIS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Alamo Ambulance Service Inc
45 Reade Place Attn Legal Dept	Poughkeepsie	NY	12601	141745417	Transportation	NY	501(c)(3)	Type III-FI	HQ	Yes (true)
Danbury Hospital & New Milford Hospital Foundation Inc
24 Hospital Avenue Danbury	Danbury	CT	06810	237425557	Fundraising	CT	501(c)(3)	7	WCHN	Yes (true)
The Danbury Hospital
24 Hospital Avenue	Danbury	CT	06810	060646597	Hospital	CT	501(c)(3)	3	WCHN	Yes (true)
Eastern New York Medical Services PC
3423 Danbury Road	Brewster	NY	10509	455431389	Physician Services	NY	501(c)(3)	10	WCHN	Yes (true)
Health Quest Home Care Inc (Certified)
2649 South Road Suite 220	Poughkeepsie	NY	12601	141788412	Home Health	NY	501(c)(3)	10	HQ	Yes (true)
Health Quest Home Care Inc (Licensed)
2649 South Road Suite 220	Poughkeepsie	NY	12601	141788410	Home Health	NY	501(c)(3)	10	HQ	Yes (true)
Nuvance Health Medical Practice PC
45 Reade Place Attn Legal Dept	Poughkeepsie	NY	12601	562669185	Physician Services	NY	501(c)(3)	10	HQ	Yes (true)
Health Quest Systems Inc
45 Reade Place	Poughkeepsie	NY	12601	141678068	Support/Management	NY	501(c)(3)	10	NUVANCE	Yes (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	Yes (true)
Hudson Valley Cardiovascular Practice PC
1 Columbia	Poughkeepsie	NY	12601	463756713	Physician Services	NY	501(c)(3)	10	HQ	Yes (true)
NDH Foundation
6531 Springbrook Avenue	Rhinebeck	NY	12572	141776208	Fundraising	NY	501(c)(3)	7	HQ	Yes (true)
Northern Dutchess Hospital
6511 Springbrook Avenue	Rhinebeck	NY	12572	141338467	Hospital	NY	501(c)(3)	3	HQ	Yes (true)
Northern Dutchess Residential Healthcare Facility Inc
6525 Springbrook Avenue	Rhinebeck	NY	12572	223129608	Nursing Home	NY	501(c)(3)	10	HQ	Yes (true)
Norwalk Hospital Foundation Inc
34 Maple Street	Norwalk	CT	06850	222577707	Fundraising	CT	501(c)(3)	7	WCHN	Yes (true)
Nuvance Health Medical Practice CT Inc
100 Reserve Road	Danbury	CT	06810	061137531	Physician Services	CT	501(c)(3)	10	WCHN	Yes (true)
Putnam Hospital
670 Stoneleigh Avenue	Carmel	NY	10512	146019179	Hospital	NY	501(c)(3)	3	HQ	Yes (true)
Putnam Hospital Center Foundation Inc
670 Stoneleigh Avenue	Carmel	NY	10512	061399319	Fundraising	NY	501(c)(3)	Type I	HQ	Yes (true)
The Norwalk Hospital Association
34 Maple Street	Norwalk	CT	06850	066068853	Hospital	CT	501(c)(3)	3	WCHN	Yes (true)
Vassar Brothers Hospital Foundation
45 Reade Place	Poughkeepsie	NY	12601	141736429	Fundraising	NY	501(c)(3)	7	HQ	Yes (true)
Vassar Brothers Medical Center
45 Reade Place	Poughkeepsie	NY	12601	141338586	Hospital	NY	501(c)(3)	3	HQ	Yes (true)
Vassar Health Connecticut Inc
50 Hospital Hill Road	Sharon	CT	06069	815056290	Hospital	CT	501(c)(3)	3	HQ	Yes (true)
Wells Manor Housing Development Fund Corp
56 Astor Drive	Rhinebeck	NY	12572	112611902	Low Income	NY	501(c)(3)	PF	HQ	Yes (true)
Western Connecticut Home Care Inc
100 Saw Mill Road	Danbury	CT	06810	060655138	Home Healthcare	CT	501(c)(3)	10	WCHN	Yes (true)
Western Connecticut Health Network Affiliates Inc
100 Reserve Road	Danbury	CT	06810	222594968	Outpatient Health Care Services	CT	501(c)(3)	10	WCHN	Yes (true)
Western CT Health Network Inc
100 Reserve Road	Danbury	CT	06810	222594977	Support/Management	CT	501(c)(3)	Type II	NUVANCE	Yes (true)
Western Connecticut Health Network Investments LLC
100 Reserve Road	Danbury	CT	06810	475523212	Investments	CT	501(c)(3)	Type I	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
Nuvance Health Insurance Company Ltd
PO BOX 1159	GRAND CAYMAN	CJ	KY11102	980438151	Malpractice	CJ	NUVANCE HEALTH	C Corporation	$12,513,573	$139,727,902	1	Yes (true)
SWC Corporation
				222577718	Pharmacy		NA	C Corporation				Yes (true)	24 Stevens Street	Norwalk	CT	06850	CT
Taconic IPA Inc
				223007320	Medical Care		NA	C Corporation				Yes (true)	45 READE PLACE	POUGHKEEPSIE	NY	12601	CT
Vassar Health Quest Medical Practice of Connecticut Inc
				821466583	Medical Care		NA	C Corporation				Yes (true)	100 Reserve Road	Danbury	CT	06810	CT

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (47 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Danbury Hospital and New Milford Hospital Foundation Inc
C	$727,140	Cost Method
Danbury Hospital and New Milford Hospital Foundation Inc
S	$94,484	Cost Method
Danbury Hospital and New Milford Hospital Foundation Inc
L	$409,246	Cost Method
Danbury Hospital and New Milford Hospital Foundation Inc
P	$1,042,996	Cost Method
Danbury Hospital
R	$1,946,049	Cost Method
Danbury Hospital
L	$82,126,352	Cost Method
Danbury Hospital
P	$75,968,666	Cost Method
Eastern New York Medical Services PC
L	$501,022	Cost Method
Eastern New York Medical Services PC
Q	$86,018	Cost Method
Health Quest Home Care Inc
L	$473,492	Cost Method
Health Quest Systems Inc
R	$18,735,213	Cost Method
Health Quest Systems Inc
L	$211,294	Cost Method
Health Quest Systems Inc
P	$9,791,556	Cost Method
Hudson Valley Cardiovascular Practice
L	$4,870,476	Cost Method
Hudson Valley Cardiovascular Practice
Q	$664,441	Cost Method
Northern Dutchess Hospital
L	$18,874,012	Cost Method
Northern Dutchess Hospital
P	$17,341,532	Cost Method
Northern Dutchess Hospital Foundation
C	$59,531	Cost Method
Northern Dutchess Residential Health Facility Inc
L	$414,919	Cost Method
Norwalk Hospital Foundation
C	$446,614	Cost Method
Norwalk Hospital Foundation
P	$303,085	Cost Method
Nuvance Health Medical Practice PC
P	$146,297	Cost Method
Nuvance Health Medical Practice PC
L	$18,509,810	Cost Method
Nuvance Health Medical Practice CT Inc
P	$9,037,118	Cost Method
Nuvance Health Medical Practice CT Inc
L	$30,255,396	Cost Method
Putnam Hospital
L	$14,738,299	Cost Method
Putnam Hospital
Q	$1,926,753	Cost Method
SWC Corporation
L	$673,755	Cost Method
SWC Corporation
P	$644,355	Cost Method
The Norwalk Hospital Association
P	$35,729,606	Cost Method
The Norwalk Hospital Association
L	$39,316,252	Cost Method
Vassar Brothers Hospital Foundation
P	$1,046,238	Cost Method
Vassar Brothers Hospital Foundation
C	$1,171,297	Cost Method
Vassar Brothers Medical Center
L	$84,743,653	Cost Method
Vassar Brothers Medical Center
Q	$4,278,421	Cost Method
Vassar Health Connecticut Inc
L	$6,129,001	Cost Method
Vassar Health Connecticut Inc
Q	$770,907	Cost Method
WCHN PHO ACO
L	$878,883	Cost Method
WCHN PHO ACO
Q	$544,995	Cost Method
Western Connecticut Health Network Affiliates
L	$1,017,587	Cost Method
Western Connecticut Health Network Affiliates
Q	$349,983	Cost Method
Western Connecticut Health Network Inc
S	$99,938,050	Cost Method
Western Connecticut Health Network Inc
P	$169,427,654	Cost Method
Western Connecticut Home Care Inc
L	$1,222,783	Cost Method
Western Connecticut Home Care Inc
Q	$117,996	Cost Method
Western CT Health Network PHO
L	$1,468,977	Cost Method
Western CT Health Network PHO
Q	$843,278	Cost Method