PUTNAM HOSPITAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: PUTNAM HOSPITAL CENTER (EIN 14-6019179)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-08
IRS object ID: 202422219349301227
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 H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-08T16:13:17+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	146019179	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Putnam Hospital Center	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	670 STONELEIGH AVENUE	AddressLine1Txt
City	CARMEL	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10512	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK K HIRKO	PersonNm
Person Title	PRESIDENT	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

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Putnam Hospital	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK K HIRKO PRESIDENT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	670 STONELEIGH AVENUE	AddressLine1Txt
City	CARMEL	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10512	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$108,757,484	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	1962	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	822	TotalEmployeeCnt
Total Volunteers	74	TotalVolunteersCnt
Total Gross UBI	$180,066	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$239,209	PYContributionsGrantsAmt
CY Contributions Grants	$653,092	CYContributionsGrantsAmt
PY Program Service Revenue	$113,661,851	PYProgramServiceRevenueAmt
CY Program Service Revenue	$104,789,824	CYProgramServiceRevenueAmt
PY Investment Income	$2,636,557	PYInvestmentIncomeAmt
CY Investment Income	$596,998	CYInvestmentIncomeAmt
PY Other Revenue	$4,028,655	PYOtherRevenueAmt
CY Other Revenue	$2,717,570	CYOtherRevenueAmt
PY Total Revenue	$120,566,272	PYTotalRevenueAmt
CY Total Revenue	$108,757,484	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$82,845,829	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$87,687,212	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$63,659,053	PYOtherExpensesAmt
CY Other Expenses	$63,579,815	CYOtherExpensesAmt
PY Total Expenses	$146,504,882	PYTotalExpensesAmt
CY Total Expenses	$151,267,027	CYTotalExpensesAmt
PY Revenues Less Expenses	-$25,938,610	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$42,509,543	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,427,547	TotalAssetsBOYAmt
Total Assets EOY	$159,709,350	TotalAssetsEOYAmt
Total Liabilities BOY	$98,750,909	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$105,743,589	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$57,676,638	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,965,761	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	$138,051,080	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$106,061,979	RevenueAmt
Desc	PUTNAM HOSPITAL IS A 164-BED, ACUTE CARE HOSPITAL OFFERING INNOVATIVE TECHNOLOGIES, INCLUDING ROBOT-ASSISTED SURGERY. THE HOSPITAL IS COMMITTED TO PROVIDING SAFE, CONVENIENT CARE TO MEET THE PERSONAL HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. PUTNAM HOSPITAL IS PART OF NUVANCE HEALTH, WHICH IS A SIX-HOSPITAL SYSTEM, ON 7 CAMPUSES, WITH NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. THE NUVANCE HEALTH SYSTEM GIVES THE COMMUNITY ACCESS TO A VARIETY OF SERVICES INCLUDING, BUT NOT LIMITED TO, BARIATRIC SURGERY AND MEDICAL WEIGHT LOSS, BLOOD DRAW, CRITICAL CARE, DIABETES EDUCATION, EMERGENCY SERVICES, HEART AND VASCULAR, IMAGING AND RADIOLOGY, INFUSION THERAPY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDIC CARE, PHYSICAL REHABILITATION, PRIMARY CARE, RHEUMATOLOGY, SLEEP DISORDERS, URGENT CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH, CANCER CARE, DENTISTRY, DIGESTIVE HEALTH, ENDOCRINOLOGY, GENETIC COUNSELING, HOME HEALTH CARE, INFECTIOUS DISEASE, KIDNEY DISEASE AND NEPHROLOGY, OCCUPATIONAL MEDICINE, PATIENT BLOOD MANAGEMENTS AND BLOODLESS MEDICINE, PEDIATRICS, PODIATRY, PULMONARY CARE, SENIOR CARE AND GERIATRIC MEDICINE, SURGICAL SERVICES, UROLOGY, WOUND CARE AND HYPERBARIC MEDICINE. PUTNAM HOSPITAL OFFERS ADVANCED SURGICAL SERVICES INCLUDING ORTHOPEDICS, SPINE, AND BARIATRIC SURGERY. THE HOSPITAL ALSO OFFERS STROKE CARE, A BLOOD MANAGEMENT PROGRAM, CARDIAC CARE, PSYCHIATRIC CARE INCLUDING A PARTIAL-HOSPITALIZATION PROGRAM, MATERNITY CARE, AND OUTPATIENT PHYSICAL REHABILITATION. PUTNAM HOSPITAL IS COMMITTED TO PROVIDING QUALITY SERVICE TO THE COMMUNITY AND HAS BEEN RECOGNIZED BY SEVERAL ORGANIZATIONS FOR THE QUALITY HEALTHCARE THAT IT PROVIDES TO THE REGION. PUTNAM HOSPITAL HAS BEEN RECOGNIZED AS BEST REGIONAL HOSPITAL FOR EXCELLENCE BY U.S. NEWS & WORLD REPORT FOR THEIR HIGH PERFORMANCE IN COPD TREATMENT AND KIDNEY FAILURE. THE HOSPITAL RECEIVED THE GET WITH THE GUIDELINES STROKE SILVER PLUS AWARD. PUTNAM HOSPITAL HAS RECEIVED SEVERAL ACCREDITATIONS INCLUDING MBSAQIP ACCREDITED BARIATRIC CENTER SINCE 2017, ACCREDITED AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM FROM THE AMERICA COLLEGE OF SURGEONS COMMISSION ON CANCER, BREAST HEALTH PROGRAM ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, ACCREDITED BREAST CENTER OF EXCELLENCE FROM THE AMERICAN COLLEGE OF RADIOLOGY, AS WELL AS ACCREDITATIONS IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY, FDA-CERTIFIED/MQSA APPROVED MAMMOGRAPHY FACILITY, MAMMOGRAPHY AND BREAST ULTRASOUND, AND ULTRASOUND-OB, SMALL PARTS, ABDOMEN AND GENERAL STUDIES, CT SCAN, MRI AND NUCLEAR MEDICINE. PUTNAM HOSPITAL WAS DESIGNATED BY THE SURGICAL REVIEW CORPORATION AS A ROBOTIC CENTER OF EXCELLENCE. IN FY23, PUTNAM HOSPITAL HAD 17,080 PATIENT DAYS AND 3,289 DISCHARGES IN ACUTE CARE. THERE WERE 18,920 IN EMERGENCY ROOM VISITS AND 59,563 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $3.5M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.	Desc
Total Program Service Expenses	$138,051,080	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	Yes (true)	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	false	ForeignOfficeInd
Foreign Activities	false	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	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	Yes (true)	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
IRP Document	56	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	822	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	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	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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 (28 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
JOSEPH A DEMARZO
DIRECTOR; VICE CHAIRMAN (FROM 01/01)	3.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
MARK K HIRKO MD
PRESIDENT PHC	45.5	0.5	Yes (X)	Yes (X)	$233,763	$451,523	$98,290
WAYNE RYDER
CHAIRMAN	3.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
CORRINNE DIVESTEA
DIRECTOR (FROM 01/01)	2.0	0.5	Yes (X)		$0	$0	$0
JEFFREY J REDFIELD
DIRECTOR (TO 12/31)	2.0	0	Yes (X)		$0	$0	$0
JEFFREY KELLOGG
DIRECTOR (FROM 01/01)	2.0	0.5	Yes (X)		$0	$0	$0
JOSEPH ROBERTO
DIRECTOR (FROM 01/01)	2.0	0.5	Yes (X)		$0	$0	$0
JUSTIN MUENZ
DIRECTOR (FROM 01/01)	2.0	0.5	Yes (X)		$0	$0	$0
KENNETH KEARNEY
DIRECTOR	2.0	0.5	Yes (X)		$0	$0	$0
LORETTA MOLINARI
DIRECTOR (TO 12/31)	2.0	0	Yes (X)		$0	$0	$0
MARJORIE L KEITH
DIRECTOR	2.0	0.5	Yes (X)		$0	$0	$0
RAYMOND DURKIN
DIRECTOR	2.0	0.5	Yes (X)		$0	$0	$0
BRIAN WYATT
SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01)	2.0	48.0		Yes (X)	$0	$350,253	$60,626
CAROLYN MCKENNA
SECRETARY & CHIEF LEGAL OFFICER (TO 12/31)	2.0	48.0		Yes (X)	$0	$811,715	$90,668
DANIEL DEBARBA
CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01)	2.0	48.0		Yes (X)	$0	$275,184	$43,123
STEVEN H ROSENBERG
FORMER CFO/TREASURER (TO 12/31)	2.0	38.0		Yes (X)	$0	$1,257,989	$149,120
JEAN AHN
CHIEF STRATEGY OFFICER	5.0	45.0			$0	$893,065	$95,848	Yes (X)
KATHRYN D CULLINAN
CHIEF HUMAN RESOURCES OFFICER	5.0	45.0			$0	$573,450	$93,353	Yes (X)
MICHELLE ROBERTSON
CHIEF OPERATING OFFICER	5.0	45.0			$0	$534,257	$65,670	Yes (X)
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	5.0	45.0			$0	$466,386	$65,275	Yes (X)
ALI AHMAD
MEDICAL TECHNOLOGIST	40.0	0			$214,723	$0	$50,964		Yes (X)
ANNE A GAYA-NGOWE RN
CHIEF NURSING OFFICER	40.0	0			$215,093	$0	$59,565		Yes (X)
JASON J GONG
MEDICAL PHYSICIST	40.0	0.0			$230,185	$0	$14,067		Yes (X)
JULIE KARPE
DIRECTOR OF PHARMACY	40.0	0			$206,892	$0	$43,485		Yes (X)
LAURIE MUSCARI
DIRECTOR OF PATIENT CARE SERVICES	40.0	0			$207,188	$0	$43,410		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	0.0	40.0			$0	$1,390,099	$142,026			Yes (X)
PETER A KELLY
FORMER PHC PRESIDENT; VBMC PRESIDENT	0.0	46.0			$0	$949,606	$93,896			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,307,844	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,145,245	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,212,391	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	171	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
SOMERS ORTHOPAEDIC SURGERY AND SPORTS MED
664 STONELEIGH AVE	CARMEL	NY	10512	MEDICAL STAFF THOPEDIC ON-CALL	$401,717
NORTH AMERICAN PARTNERS IN ANESTHESIA LLC
68 SOUTH SERVICE ROAD	MELVILLE	NY	11747	ANESTHESIA	$213,000
Q CENTRIX LLC
ONE NORTH FRANKLIN	CHICAGO	IL	60606	ABSTRACTION	$128,036
SURGICAL INTENSIVISTS PC
401 COLUMBUS AVE LOWER LEVEL	VALHALLA	NY	10595	MEDICAL STAFF	$119,454
CAREMOUNT MEDICAL P C
90 South Bedford RD	Mount Kisko	NY	10549	Medical Staff	$104,257

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$231,501	RelatedOrganizationsAmt
Government Grants	$421,591	GovernmentGrantsAmt
Total Contributions	$653,092	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$97,920,423	$97,920,423
COVID STIMULUS FUNDS	900099	$757,367	$757,367
INPATIENT PSYCHIATRIC SERVICES	622210	$6,051,381	$6,051,381
AFFILIATE RENTAL INCOME	532000	$60,653	$60,653

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	$104,789,824	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$449,013	TotalRevenueColumnAmt
Unrelated Business Revenue	-$69,186	UnrelatedBusinessRevenueAmt
Exclusion	$518,199	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,196,163	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,196,163	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,196,163	TotalRevenueColumnAmt
Exclusion	$1,196,163	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$147,985	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$147,985	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,985	TotalRevenueColumnAmt
Exclusion	$147,985	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ERC	900099	$747,164	$747,164
ALL OTHER REVENUE	900099	$272,698	$272,698
PAYOR INCENTIVES	900099	$252,293	$252,293

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$249,252	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$249,252	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,521,407	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$108,757,484	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,061,979	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$180,066	UnrelatedBusinessRevenueAmt
Exclusion	$1,862,347	ExclusionAmt

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	$709,769	TotalAmt
Program Services	$709,769	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$63,432,675	TotalAmt
Program Services	$57,041,754	ProgramServicesAmt
Management And General	$6,390,921	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,651,774	TotalAmt
Program Services	$5,082,351	ProgramServicesAmt
Management And General	$569,423	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,768,977	TotalAmt
Program Services	$12,381,735	ProgramServicesAmt
Management And General	$1,387,242	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,124,017	TotalAmt
Program Services	$3,708,517	ProgramServicesAmt
Management And General	$415,500	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$20,256	TotalAmt
Management And General	$20,256	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$183,120	TotalAmt
Management And General	$183,120	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$447,929	TotalAmt
Management And General	$447,929	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,682	TotalAmt
Program Services	$9,606	ProgramServicesAmt
Management And General	$1,076	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$253,546	TotalAmt
Management And General	$253,546	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,167,791	TotalAmt
Program Services	$12,740,369	ProgramServicesAmt
Management And General	$1,427,422	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$220,561	TotalAmt
Program Services	$198,339	ProgramServicesAmt
Management And General	$22,222	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,234,486	TotalAmt
Program Services	$1,110,110	ProgramServicesAmt
Management And General	$124,376	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,897,652	TotalAmt
Program Services	$2,605,710	ProgramServicesAmt
Management And General	$291,942	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,952,939	TotalAmt
Program Services	$1,756,178	ProgramServicesAmt
Management And General	$196,761	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$146,022	TotalAmt
Program Services	$131,310	ProgramServicesAmt
Management And General	$14,712	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,287	TotalAmt
Program Services	$3,855	ProgramServicesAmt
Management And General	$432	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$510,520	TotalAmt
Program Services	$510,520	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,454,562	TotalAmt
Program Services	$5,804,257	ProgramServicesAmt
Management And General	$650,305	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,867,889	TotalAmt
Program Services	$1,633,824	ProgramServicesAmt
Management And General	$234,065	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$16,530,192	$16,530,192	$0
PHYSICIANS FEES	$10,874,023	$10,874,023	$0
EQUIPMENT RENTAL	$5,710,998	$5,135,608	$575,390
LICENSES AND DUES	$92,360	$83,053	$9,307

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	$151,267,027	TotalAmt
Program Services	$138,051,080	ProgramServicesAmt
Management And General	$13,215,947	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,007,559	BOYAmt
EOY	$2,123,963	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,591,572	BOYAmt
EOY	$10,408,031	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	$3,425,990	BOYAmt
EOY	$3,534,191	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$337,486	BOYAmt
EOY	$985,714	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$214,071,263	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$156,659,617	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,826,337	BOYAmt
EOY	$57,411,646	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$47,427,817	BOYAmt
EOY	$51,904,848	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,000	BOYAmt
EOY	$40,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,765,786	BOYAmt
EOY	$33,300,957	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,427,547	BOYAmt
EOY	$159,709,350	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,241,581	BOYAmt
EOY	$13,547,799	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$11,908	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,324,337	BOYAmt
EOY	$17,058,586	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	$67,184,991	BOYAmt
EOY	$75,125,296	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,750,909	BOYAmt
EOY	$105,743,589	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	$44,965,622	BOYAmt
EOY	$41,012,540	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,711,016	BOYAmt
EOY	$12,953,221	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$57,676,638	BOYAmt
EOY	$53,965,761	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,427,547	BOYAmt
EOY	$159,709,350	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$42,509,543	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,953,283	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$34,845,383	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)
Hospital	Yes (X)	HospitalInd

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	$10,682	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$10,682	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	A PORTION OF THE HEALTHCARE EDUCATION PROJECT DUES, THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, AND THE NORMET DUES, PAID BY PUTNAM HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,193,282	OtherCostOrOtherBasisAmt
Book Value	$1,193,282	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,955,126	OtherCostOrOtherBasisAmt
Depreciation	$54,973,247	DepreciationAmt
Book Value	$42,981,879	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,322,495	OtherCostOrOtherBasisAmt
Depreciation	$101,686,370	DepreciationAmt
Book Value	$11,636,125	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,600,360	OtherCostOrOtherBasisAmt
Book Value	$1,600,360	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$57,411,646	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	POOLED INVESTMENTS	Desc
Book Value	$51,904,848	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$51,904,848	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN FOUNDATION	$14,549,347
OPERATING LEASE RIGHT OF USE ASSETS	$9,328,962
MALPRACTICE GROSS UP ASSET	$5,048,561
DUE FROM RELATED PARTIES	$1,978,904
MISCELLANEOUS RECEIVABLES	$1,853,180
DSRF 2016A BONDS	$531,771
INVESTMENT IN JV	$10,232

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$33,300,957	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
DUE TO RELATED PARTIES	$52,578,759
LEASE LIABILITY	$8,125,612
ASSET RETIREMENT OBLIGATION	$6,583,330
MALPRACTICE GROSS UP LIABILITY	$5,048,561
THIRD PARTY LIABILITIES	$1,752,487
UNFUNDED ABO	$1,000,008
MISCELLANEOUS LIABILITY	$36,539
SECURITY DEPOSIT LIABILITY
ACCRUED INTEREST
OPEARTING LEASE LIABILITY

Field	Value	IRS element (for citing)
Total Liability	$75,125,296	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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,386,670	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,386,670	NetCommunityBenefitExpnsAmt
Total Expense	0.0092	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,077,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,533,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,543,965	NetCommunityBenefitExpnsAmt
Total Expense	0.0763	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,464,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,533,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,930,635	NetCommunityBenefitExpnsAmt
Total Expense	0.0855	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,462	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,462	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,228,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,252,764	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,975,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0131	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,195,071	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$805,556	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$735	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$735	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,269,319	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,447,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,821,484	NetCommunityBenefitExpnsAmt
Total Expense	0.0187	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$27,733,592	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,981,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,752,119	NetCommunityBenefitExpnsAmt
Total Expense	0.1041	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,003	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,003	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$400	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,403	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,776,281	BadDebtExpenseAmt
Reimbursed By Medicare	$41,144,625	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$72,068,629	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,924,004	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PUTNAM HOSPITAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	670 STONELEIGH AVENUE	AddressLine1Txt
City	CARMEL	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10512	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NUVANCEHEALTH.ORG	WebsiteAddressTxt
State License	3950000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PUTNAM HOSPITAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.NUVANCEHEALTH.ORG/COMMUNITY	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.NUVANCEHEALTH.ORG/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Putnam Hospital. EVERY THREE YEARS, THE NEW YORK STATE (NYS) DEPARTMENT OF HEALTH (DOH) REQUIRES LOCAL HEALTH DEPARTMENTS (LHD) TO SUBMIT COMMUNITY HEALTH ASSESSMENTS (CHA) AND HOSPITALS TO SUBMIT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). LHDS AND HOSPITALS COLLABORATE WITH COMMUNITY PARTNERS AND RESIDENTS TO CREATE COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) AND COMMUNITY SERVICE PLANS (CSP), RESPECTIVELY. THESE ASSESSMENTS AND PLANS ARE MEANT TO MEET SEVERAL REQUIREMENTS FROM NYS PUBLIC HEALTH LAW AND THE AFFORDABLE CARE ACT. IN RECENT YEARS, THE NYSDOH HAS ENCOURAGED LHDS AND HOSPITALS TO COLLABORATE IN THE CREATION OF THESE DOCUMENTS TO BETTER SERVE THEIR COMMUNITIES. IN 2017, THE SEVEN LHDS OF THE MID-HUDSON REGION (M-H REGION), INCLUDING DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER, AND WESTCHESTER COUNTIES, CREATED THE LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE WITH THE GOAL OF CONDUCTING REGIONAL RESIDENT AND PROVIDER SURVEYS, CREATING A REGIONAL CHA, AND COLLABORATING ON COMMON CHIP PRIORITIES. THIS REGIONAL APPROACH WAS CONTINUED FOR THE 2022 CHA, CHIP, AND CSP CYCLE, WITH THE COLLABORATIVE BEING RENAMED THE HUDSON VALLEY PUBLIC HEALTH COLLABORATIVE (HVPHC). A CHA DEPICTS A COMPREHENSIVE REVIEW OF A COMMUNITY'S CURRENT HEALTH STATUS, FACTORS CONTRIBUTING TO HIGHER HEALTH RISKS OR POORER HEALTH OUTCOMES, AND COMMUNITY RESOURCES AVAILABLE TO IMPROVE HEALTH. WHEN CONDUCTING THE REGIONAL CHA, THE HVPHC GATHERS DATA AND INFORMATION FROM AS MANY SOURCES AS POSSIBLE SO THAT A COMPREHENSIVE ASSESSMENT CAN BE COMPLETED. THE CHA CAN THEN INFORM THE COMMUNITY TO MAKE DECISIONS AND DEVELOP PLANS TO IMPROVE THE HEALTH OF THE REGION. THE LHDS CONTRACTED WITH SIENA COLLEGE RESEARCH INSTITUTE (SCRI) TO CONDUCT A REGIONAL COMMUNITY HEALTH SURVEY AS A COMPONENT OF THE REGIONAL CHA. SCRI, ON BEHALF OF THE SEVEN LOCAL HEALTH DEPARTMENTS (LHDS) OF THE MID-HUDSON REGION, CONDUCTED A PUBLIC OPINION SURVEY OF RESIDENTS FROM MARCH 14, 2022, TO MAY 22, 2022. RESPONDENTS WERE CONTACTED VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, AND ONLINE RECRUITMENT FROM EACH COUNTY AT VARIOUS IN-PERSON EVENTS AND OTHER COMMUNITY PARTNERSHIPS TO ENHANCE REPRESENTATION AND MEET BUDGET CONSTRAINTS. THE DESIGN OF THE LANDLINE SAMPLE WAS CONDUCTED TO ENSURE THE SELECTION OF BOTH LISTED AND UNLISTED TELEPHONE NUMBERS, USING RANDOM DIGIT DIALING (RDD). THE CELL PHONE SAMPLE WAS DRAWN FROM A SAMPLE OF DEDICATED WIRELESS TELEPHONE EXCHANGES FROM WITHIN EACH OF THE COUNTIES. RESPONDENTS WERE SCREENED FOR RESIDENCE IN NYS AND SPECIFIED COUNTIES. DATA FROM ALL FOUR SOURCES WERE COMBINED AND WEIGHTED AS ONE UNIVERSE TO PROVIDE A REPRESENTATIVE SAMPLE OF MID-HUDSON REGION RESIDENTS. TO FURTHER SUPPLEMENT THE DATA COLLECTED, MEMBERS OF THE HVPHC HELD FOCUS GROUPS AND CONDUCTED A SURVEY OF COMMUNITY PARTNERS TO UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. ALONG WITH THE PRIMARY DATA COLLECTED THROUGH THE SURVEYS AND FOCUS GROUPS, SECONDARY DATA WERE COMPILED TO DISPLAY HEALTH INDICATORS FOR THE M-H REGION. EACH HEALTH INDICATOR WAS NARRATED TO CONTEXTUALIZE THE DATA AND OUTLINE HOW EACH INDICATOR RELATES. THE REGIONAL COMMUNITY HEALTH ASSESSMENT WAS WRITTEN BY THE HVPHC AND IS INTENDED TO SERVE AS A REFERENCE FOR KEY HEALTH INFORMATION FOR ALL STAKEHOLDERS WITHIN THE MID-HUDSON REGION AND ASSIST THEM IN IDENTIFYING AND PRIORITIZING THE HEALTH NEEDS OF THE REGION AND ITS COMMUNITIES. AN ADDITIONAL GOAL OF THIS PROJECT IS TO INITIATE COLLABORATION TO ADDRESS KEY HEALTH ISSUES IN THE REGION AND TO INFORM THE CHIPS OF EACH COUNTY AND THE CSPS OF NON-PROFIT 501(C)(3) HOSPITALS. IN ADDITION TO THE SIENA COLLEGE RESEARCH INSTITUTE COMMUNITY SURVEY, NUVANCE HEALTH PARTICIPATED IN THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) 2022 CHNA SURVEY OF ADULTS AGED 18 OR OLDER WHO LIVE IN A ZIP CODE OR COUNTY SERVED BY THE HOSPITAL. THE SURVEY WAS INTENDED TO GARNER RESIDENT INPUT ON COMMUNITY HEALTH PRIORITIES BASED ON PERCEIVED IMPORTANCE AND SATISFACTION. THE SURVEY USED A NON-PROBABILITY CONVENIENCE SAMPLE. A WEB-BASED SURVEY TOOL AND A PAPER-BASED TOOLS WERE USED TO COLLECT THE SURVEY DATA FROM APRIL 11, 2022, THROUGH JUNE 30, 2022. SURVEYS WERE AVAILABLE IN ELEVEN LANGUAGES - ENGLISH, SPANISH, CHINESE, RUSSIAN, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, ARABIC, AND POLISH. A DETAILED OUTLINE OF COMMUNITY RESPONSES CAN BE FOUND IN THE COMMUNITY SERVICE PLAN LOCATED AT WWW.NUVANCEHEALTH.ORG/COMMUNITY
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Putnam Hospital. THE MID-HUDSON REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENT WAS CREATED THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN THE FOLLOWING ORGANIZATIONS: BLYTHEDALE CHILDREN'S HOSPITAL; BON SECOURS CHARITY HEALTH SYSTEM, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; BURKE REHABILITAION CENTER, ELLENVILLE REGIONAL HOSPITAL, GARNET HEALTH; HEALTHALLIANCE HOSPITAL, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; MONTEFIORE MOUNT VERNON HOSPITAL; MONTEFIORE NEW ROCHELLE HOSPITAL; MONTEFIORE NYACK HOSPITAL; MONTEFIORE ST. LUKE'S CORNWALL; NEW YORK PRESBYTERIAN HUDSON VALLEY AND LAWENCE HOSITALS; NORTHERN WESTCHESTER HOSPITAL; PHELPS HOSPITAL; ST. JOSEPH'S MEDICAL CENTER; ST. JOHN'S RIVERSIDE HOSPITAL; WESTCHESTER MEDICAL CENTER; WHITE PLAINS HOSPITAL AND THE HOSPITALS OF NUVANCE HEALTH.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Putnam Hospital. NUVANCE HEALTH PARTICIPATED IN THE MID-HUDSON REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY SEVEN HEALTH DEPARTMENTS AND AREA HEALTH SYSTEMS. THE HEALTH DEPARTMENTS INCLUDED: DUTCHESS COUNTY DEPARTMENT OF BEHAVIORAL & COMMUNITY HEALTH; ORANGE COUNTY DEPARTMENT OF HEALTH; PUTNAM COUNTY DEPARTMENT OF HEALTH; ROCKLAND COUNTY DEPARTMENT OF HEALTH; SULLIVAN COUNTY PUBLIC HEALTH SERVICES; ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH; AND WESTCHESTER COUNTY DEPARTMENT OF HEALTH.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - PUTNAM HOSPITAL. THE CHNA IS AVAILABLE UPON REQUEST IN THE HOSPITAL AND NUVANCE HEALTH ADMINISTRATIVE OFFICES. THE CHNA WAS SHARED WITH THE HOSPITAL BOARD AND THE COMMUNITY HEALTH COMMITTEE FOR ADDITIONAL DISTRIBUTION THROUGHOUT THEIR NETWORKS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Putnam Hospital. TO WORK TOWARD HEALTH EQUITY, NUVANCE HEALTH COMMITS TO ENSURING HOSPITAL RESOURCES AND ACTIVITIES BUILD UPON EXISTING PRIORITIES AND COLLABORATIVE ACTIVITIES, WHILE ENSURING RESPONSIVENESS TO EMERGENT NEEDS. DETERMINATION OF PRIORITIES MADE BY LEADERSHIP OF NUVANCE HEALTH INCLUDED REVIEW OF EXISTING COMMITMENTS, NEW RESEARCH FINDINGS, AND COMMUNITY FEEDBACK. NUVANCE HEALTH WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES AS PART OF ITS 2023-2025 COMMUNITY SERVICE PLAN (CSP): PREVENT CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. NUVANCE HEALTH IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. TOGETHER WITH THESE PARTNERS AND STAKEHOLDERS, NUVANCE HEALTH CREATED A CSP THAT REFLECTS COLLECTIVE HEALTH IMPACT STRATEGY AND THE MANY STRENGTHS AND ASSETS OF OUR COMMUNITY PARTNERS TO ADDRESS THESE NEEDS. THE IDENTIFIED PRIORITIES ALIGN WITH AND ADVANCE THE NEW YORK STATE PREVENTION AGENDA. IN ACCORDANCE WITH THE PREVENTION AGENDA, THE NUVANCE HEALTH 2023-2025 CSP WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS DISPARITIES AND PROMOTE OPTIMAL HEALTH IMPROVEMENT OUTCOMES. KEY INITIATIVES FOR PUTNAM HOSPITAL INCLUDE: * MENTAL HEALTH FIRST AID TRAINING * PUTNAM CAP: DIETICIANS PROVIDE ON-SITE RESOURCES REGARDING HEALTHY EATING * DISTRIBUTION OF CANCER PREVENTION EDUCATIONAL MATERIALS AT COMMUNITY EVENTS * BE AND STAY HEALTHY LIFESTYLE CHANGES TRAINING * EXPAND PRIMARY CARE SERVICES IN THE GREATER PUTNAM SERVICE AREA * CANCER SCREENING EVENTS * PARTICIPATE IN COMMUNITY PRESCRIPTION TAKE BACK EFFORTS * PROVIDE CANCER SUPPORT GROUPS * PARTICIPATE IN NEEDLE AND SYRINGE COLLECTION EFFORTS * SERVE ON THE PUTNAM COUNTY TRANSPORTATION SUBCOMMITTEE TO EXPLORE IMPROVED SERVICS FOR COMMUNITY MEMBERS * PROVIDE OVER 100 CHRONIC CONDITION MANAGEMENT, WELLNESS, AND PREVENTION RESOURCE VIDEOS ON THE NUVANCEHEALTH.ORG WEBSITE (IN ENGLISH AND SPANISH) * CONDUCT SBIRT AND DEPRESSION SCREENING IN PRIMARY CARE PRACTICES * ASSIGN LCSWS TO PRIMARY CARE PRACTICES TO PROVIDE MENTAL HEALTH SERVICE TO COMMUNITY MEMBERS * PARTNER WITH THE ALZHEIMER'S ASSOCIATION IN PROVIDING EDUCATION TO NUVANCE HEALTH PROVIDERS ON EARLY RECOGNITION OF DEMENTIA AND ON SERVICES MADE AVAILABLE BY THE ALZHEIMER'S ASSOCIATION TO IMPROVE QUALITY OF LIFE * OPIOID EDUCATION, NARCAN TRAINING, AND HANDS-ONLY CPR TRAINING * FREE ACCESS TO ONLINE, ON-DEMAND OPIOID EDUCATION FOR NON-CLINICAL STAFF AND LAY RESPONDERS (BY THE AMERICAN HEART ASSOCIATION) TO IMPROVE HEALTH DISPARITIES, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES FOR MEANINGFUL COMMUNITY IMPACT. THROUGH THE CHNA RESEARCH AND ONGOING ENGAGEMENT OF COMMUNITY REPRESENTATIVES, NUVANCE HEALTH COLLECTED INPUT TO DETERMINE THE MOST PRESSING HEALTH NEEDS AFFECTING RESIDENTS IN THE NEW YORK SERVICE AREA. PRIORITY HEALTH NEEDS WERE DETERMINED THROUGH DISCUSSIONS WITH EACH HOSPITAL'S COMMUNITY HEALTH COMMITTEE AND INPUT FROM COMMUNITY STAKEHOLDERS INCLUDING PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE PROVIDERS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, AND COMMUNITY MEMBERS. NUVANCE HEALTH REVIEWED RECOMMENDATIONS FOR PRIORITY AREAS IN CONSIDERATION WITH EXISTING RESOURCES AND GAPS IN SERVICES TO DETERMINE WHICH COMMUNITY HEALTH PRIORITIES THE HOSPITALS COULD BEST IMPACT. IN DETERMINING PRIORITY AREAS, SOME HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA WILL NOT BE DIRECTLY ADDRESSED IN NUVANCE HEALTH'S CHIP, HOWEVER THESE NEEDS WILL CONTINUE TO BE MET THROUGH CLINICAL CARE SERVICES. THESE ISSUES INCLUDE SEXUALLY TRANSMITTED INFECTIONS (STIS), IMMUNIZATIONS, TICKBORNE DISEASE, AND HARMFUL ALGAL BLOOMS. IN ADDITION TO CLINICAL CARE SERVICES, NUVANCE HEALTH WILL CONTINUE TO SUPPORT COMMUNITY WIDE EFFORTS TO RAISE AWARENESS FOR PREVENTIVE HEALTH MEASURES AND SUPPORT REGIONAL ORGANIZATIONS THAT FOCUS ON THESE ISSUES. PUTNAM HOSPITAL'S COMMUNITY HEALTH COMMITTEES MEETS ON A REGULAR BASIS TO VIEW PROGRESS TOWARD THE GOALS STATED THE COMMUNITY SERVICE PLAN AND DETERMINE IF ANY CHANGES TO OBJECTIVES ARE REQUIRED. ADDITIONALLY, NUVANCE HEALTH COMPILES DATA ON EACH IMPLEMENTATION AREA AND REPORTS IT TO THE NEW YORK STATE DEPARTMENT OF HEALTH ON AN ANNUAL BASIS.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Putnam Hospital. THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 64.76% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Putnam Hospital. A PATIENT MAY QUALIFY FOR "MEDICAL HARDSHIP" EVEN IF THEIR INCOME EXCEEDS 400% OF THE FPG. A PATIENT'S UNPAID MEDICAL DEBT IS FACTORED IN WHEN DETERMINING MEDICAL HARDSHIP.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Putnam Hospital. PUTNAM HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. COUNSELORS ARE ALSO AVAILABLE TO PROVIDE FURTHER ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PHC OUTPATIENT REHABILITATION SERVICES
2985 NAVAJO ROAD	YORKTOWN	NY	10598	OUTPATIENT REHABILITATION SERVICES
PHC OP REHAB CENTER - PAWLING
551 ROUTE 22	PAWLING	NY	12464	OUTPATIENT REHABILITATION SERVICES
PHC OP REHAB SVCS - KATONAH SATELLITE
160 HARRIS ROAD	BEDFORD HILLS	NY	10507	OUTPATIENT REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7e COMM HEALTH IMPROVEMENT SVCS AND COMM BENEFIT FROM VAR OPS	PUTNAM HOSPITAL PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS, GRANTS/SPONSORSHIPS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE AND TO TARGETED POPULATIONS. BELOW IS A LIST OF SOME OF THE PROGRAMS OFFERED/SUPPORTED. ADVOCACY FOR LEGISLATION, PROGRAMS, SERVICE AND FUNDING THAT ADDRESS COMMUNITY NEEDS AND HEALTH DISPARITIES ADRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS ADDRESSING CANCER THROUGH BREAST CANCER SCREENINGS, ARTICLES ON NUVANCE HEALTHLINE AND SOCIAL MEDIA POSTS. ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS ADRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE GET FIT CHALLENGE. PROVIDING SUPPORT GROUPS SENIORS HEALTH AND WELLNESS VIA OUTREACH AND EDUCATION FACILITATING AND HOSTING AN ANNUAL KIDS' DAY THAT INCLUDES INTERACTIVE HEALTH AND SAFETY EXHIBITS, CHILD IDENTIFICATION PROGRAM AND A TEDDY BEAR CLINIC. HOSPITAL DEPARTMENTS ARE ON HAND TO PRIVDE HEALTH AND WELLNESS EDUCATION, CAR SEAT SAFETY, FIRE TRUCK AND AMBULANCE TOURS, AND MORE. GRANTS AND IN-KIND SUPPORT WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS: * ALZHEIMER'S ASSOCIATION * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * AMERICAN LUNG ASSOCIATION * AMERICAN RED CROSS * CYSTIC FIBROSIS NY STATE CHAPTER * COVE CARE CENTER * GREEN CHINMEYS * HAMLET OF CARMEL CIVIC ASSOCIATION * HILLTOP HANOVER FARM * HUDSON VALLEY HOSPICE * LEGAL SERVICES OF THE HUDSON VALLEY * MENDED HEARTS OF THE HUDSON VALLEY * MILES OF HOPE BREAST CANCER FOUNDATION * PEGASUS THERAPUTIC RIDING * PUTNAM COMMUNITY ACTION PARTNERSHIP * PUTNAM COMMUNITY CARES * PUTNAM COUNTY MARINE CORPS LEAGUE * PUTNAM PRIDE * REGIONAL FOOD BANK OF NE NY AND FOOD BANK OF THE HUDSON VALLEY * SECOND CHANCE FOODS * SPARROW'S NEST OF THE HUDSON VALLEY * SUN RIVER HEALTH * SUPPORT CONNECTION * UNITED WAY
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FOR FREE OR DISCOUNTED CARE	ASSETS ARE FACTORED IN FOR PATIENTS WHOSE INCOME IS ABOVE 400% OF THE FEDERAL POVERTY GUIDELINES WHEN FACED WITH MEDICAL HARDSHIPS. MEDICAL HARDSHIP COMBINES AVAILABLE INCOME WITH COUNTABLE ASSETS AND IS GRANTED WHEN THE UNPAID MEDICAL BILLS EXCEED THIS FIGURE.
Schedule H, Part I, Line 7 CHARITY CARE AT COST PERCENTAGE METHODOLOGY	A COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, AND USED TO DETERMINE FINANCIAL ASSISTANCE AT COST. COST ACCOUNTING WAS USED TO DETERMINE MEDICARE COST, MEDICAID COST, AND THE COST FOR SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 6a CURRENT YEAR COMMUNITY BENEFIT REPORT	Putnam Hospital Center has historically filed community benefit reports with the New York Department of Health. At the written request of the State, Putnam Hospital Center did not prepare a community benefit report for the current year as the State updates it's 2025-2030 Prevention Agenda cycle. It is expected that Putnam Hospital Center will resume preparing and submitting community benefit reports to New York once the State provides new guidance.
Schedule H, Part II Community Building Activities	ENVIRONMENTAL IMPROVEMENTS $1,003 PUTNAM HOSPITAL OFFERED MEDICATION TAKE BACK DAYS TO ALLOW THE COMMUNITY TO COME AND SAFELY DISPOSE OF UNUSED MEDICATIONS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $400 PUTNAM HOSPITAL IS COMMITTED TO SUPPORTING POLICIES AND PROGRAMS TO SAFEGUARD OR IMPROVE PUBLIC HEALTH, INCLUDING ACCESS TO TRANSPORTATION THROUGH WORK GROUPS AND ADVISORY COUNCILS. PUTNAM HOSPITAL WILL CONTINUE ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES, INCLUDING THE PUTNAM COUNTY DEPARTMENT OF HEALTH LIVE HEALTHY, AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. AS PART OF ITS 2022-2024 COMMUNITY SERVICE PLAN, PUTNAM HOSPITAL WILL FOCUS EFFORTS ON PREVENTING CHRONIC DISEASES AND PROMOTING WELL-BEING AND PREVENTING MENTAL AND SUBSTANCE USE DISORDERS. PUTNAM HOSPITAL OFFERS THE EXPERTISE OF OUR STAFF AND RESOURCES OF THE HOSPITAL IN A NUMBER OF COMMUNITY-BUILDING ACTIVITIES THAT IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITY. PUTNAM HOSPITAL PARTICIPATES IN THE COMMUNITIES THAT CARE COALITION (CTC). CTC INCLUDES ALL SECTORS OF THE COMMUNITY (HEALTH CARE, FAMILIES, SCHOOLS, LAW ENFORCEMENT, BUSINESSES, ETC.) AND TAKES A PROACTIVE, DATA-DRIVEN APPROACH TO IDENTIFY AND PRIORITIZE AREAS NEEDING INTERVENTIONS. STAFF ALSO SIT ON THE BOARD OF THE PREVENTION COUNCIL OF PUTNAM COUNTY WHICH IS DEDICATED TO PROMOTING EDUCATION AND AWARENESS RELATED TO SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TO THE RESIDENTS OF PUTNAM COUNTY, BY PROVIDING THE COMMUNITY WITH UP-TO-DATE INFORMATION AND SERVICES RELATED TO PREVENTION, TREATMENT AND RECOVERY.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	PH FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	PH DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FOOTNOTE ON AUDITED FINANCIALS THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 18-23 OF NUVANCE HEALTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE COMPANY'S COSTS FOR THE PATIENTS IN THE COMMUNITY. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL WAS THE COST TO CHARGE RATIO FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF PUTNAM HOSPITAL TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) PUTNAM HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. PUTNAM HOSPITAL SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS. CONSISTENT WITH THIS MISSION, PUTNAM HOSPITAL RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, PUTNAM HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. PUTNAM HOSPITAL WILL COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD.
Schedule H, Part V, Section B, Line 16a FAP website	- PUTNAM HOSPITAL CENTER: Line 16a URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- PUTNAM HOSPITAL CENTER: Line 16b URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- PUTNAM HOSPITAL CENTER: Line 16c URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE THAT MEETS REGULARLY TO ASSESS ANY ADDITIONAL HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMITTEE PROVIDES OVERSIGHT TO THE HOSPITAL'S COMMUNITY HEALTH PRIORITIES, INCLUDING NEEDS ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS AND OTHER POPULATION HEALTH INITIATIVES. THEY HELP GUIDE PRIORITY ISSUES FOR ACTION TO IMPROVE COMMUNITY HEALTH AND HELP INFORM, GUIDE AND SHARE SUCCESSFUL PROGRAMS AND STRATEGIES THAT ADDRESS HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. ALSO, SIGNS ARE POSTED THROUGHOUT THE HOSPITAL AND COUNSELORS ARE AVAILABLE TO PROVIDE FURTHER ASSISTANCE. ALL UNINSURED INPATIENTS ARE INTERVIEWED BY FINANCIAL COUNSELORS AND ASSESSED FOR ELIGIBILITY FOR ASSISTANCE PROGRAMS. THE HOSPITAL PROVIDES INFORMATIONAL HANDOUTS TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION WHICH REFERS THEM TO FINANCIAL COUNSELING IF THEY WOULD LIKE ASSISTANCE WITH THEIR BILLS. FURTHER, THE HOSPITAL MAILS NOTICES TO ALL SELF-PAY ACCOUNTS REFERRING THEM TO FINANCIAL COUNSELING IF THEY NEED ASSISTANCE. THE COLLECTION DEPARTMENT WILL ALSO REFER PATIENTS TO FINANCIAL COUNSELING WHEN A PATIENT INDICATES THAT THEY CANNOT AFFORD THEIR BALANCES; AND FINALLY, SCHEDULERS REFER UNINSURED PATIENTS TO FINANCIAL COUNSELING PRIOR TO THEIR TEST OR PROCEDURE. THE POLICY AND APPLICATIONS FOR ASSISTANCE ARE ALSO AVAILABLE ONLINE, AS WELL AS UPON REQUEST AT THE HOSPITAL.
Schedule H, Part VI, Line 4 Community information	PUTNAM HOSPITAL (PH) IS LOCATED IN CARMEL, NEW YORK IN PUTNAM COUNTY. THE HOSPITAL PRIMARILY SERVES RESIDENTS OF NINE ZIP CODES ALONG THE NEW YORK AND CONNECTICUT STATE BORDER. THE PH SERVICE AREA POPULATION OF 102,206 IS PROJECTED TO STAY RELATIVELY FLAT FROM 2023 TO 2028, WITH A .29% DECLINE. CONSISTENT WITH NEW YORK STATE TRENDS, THE ONLY GROWTH WILL OCCUR AMONG OLDER ADULT POPULATIONS. THE POPULATION AGED 65 OR OLDER WILL INCREASE BY 2,657 PEOPLE OR 24% FROM 2023 TO 2028, WHILE THE CHILD POPULATION UNDER AGE 18 WILL DECREASE BY 1,137 PEOPLE OR 6.3%. THE PH SERVICE AREA IS LESS RACIALLY AND ETHNICALLY DIVERSE THAN NEW YORK OVERALL, ALTHOUGH CONSISTENT WITH STATEWIDE TRENDS, PEOPLE OF COLOR ARE THE FASTEST GROWING POPULATIONS WITHIN THE SERVICE AREA. BETWEEN 2023 AND 2028, THE WHITE POPULATION WITHIN THE PH SERVICE AREA IS PROJECTED TO DECREASE BY 6.2%, WHILE ALL OTHER RACIAL AND ETHNIC GROUPS ARE PROJECTED TO GROW 15% OR MORE. THE LATINX POPULATION IS PROJECTED TO BE ONE OF THE FASTEST GROWING DEMOGRAPHICS AT 19.7%. ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, THE PUTNAM COUNTY REGION HAD AN UNEMPLOYMENT RATE OF 3.2% IN 2023. APPROXIMATELY 6.3% OF THE POPULATION IN PUTNAM COUNTY ARE LIVING IN POVERTY (CENSUS.GOV). APPROXIMATELY 3% OF PH'S MARKET ARE UNINSURED, WHILE MEDICAID (19%), MEDICARE (21%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (56%) (SOURCE: CLARITAS). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), THERE ARE NO MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN PUTNAM COUNTY.
Schedule H, Part VI, Line 5 Promotion of community health	PUTNAM HOSPITAL IS COMMITTED TO PROVIDING SAFE, COMPASSIONATE CARE TO MEET YOUR UNIQUE HEALTHCARE NEEDS. WE ARE A 164-BED, ACUTE CARE HOSPITAL OFFERING INNOVATIVE TECHNOLOGIES, INCLUDING ROBOT-ASSISTED SURGERY. WE ARE PART OF NUVANCE HEALTH, A NETWORK OF SEVEN COMMUNITY HOSPITAL LOCATIONS AND NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. OUR PATIENTS BENEFIT FROM THE VARIOUS SERVICES AND MULTISPECIALTY GROUPS ACROSS THE HEALTH SYSTEM. OUR FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND OUR DIGESTIVE HEALTH INSTITUTE. OUR FEATURED SERVICE LINES INCLUDE MATERNAL AND INFANT CARE, A PSYCHIATRIC CARE UNIT AND ADVANCED SURGICAL SERVICES INCLUDING ORTHOPEDICS, SPINE AND BARIATRIC SURGERY. * PRIMARY CARE * WOUND CARE AND HYPERBARIC OXYGEN THERAPY * BEHAVIORAL HEALTH * BARIATRIC SURGERY AND MEDICAL WEIGHT LOSS * BLOODLESS CARE MEDICINE * ORTHOPEDIC CARE OUR EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITITES IS A LONG-TERM AND VERY COLLABORATIVE ONE TO ADDRESS PUBLIC HEALTH ISSUES AND OPPORTUNITIES IN OUR REGION. OUR ROLE IN IMPROVING HEALTH MAY BE AS A LEADER, PARTNER, FACILITATOR, FUNDER, ADVOCATE, CHAMPION, OR OBSERVER. IN THESE ROLES, WE EMBRACE THE SOCIAL DETERMINANTS OF HEALTH AND APPLY STRATEGIES AND TACTICS INCLUDING HEALTH EDUCATION, OUTREACH AND SCREENINGS VIA COLLABORATIONS, DATA COLLECTION AND RESEARCH, HEALTH CLINICS AND FAIRS, SPONSORSHIPS, AND SUBJECT MATTER EXPERT SPEAKER PRESENTATIONS. FOR MORE DETAILED INFORMATION AND EXAMPLES, SEE SCHEDULE H, PART I, LINE 7E. PUTNAM'S BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS WHO LIVE AND WORK IN THE COMMUNITY. PUTNAM HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINCAL CARE IN ADDITION TO EXPANDING OUR SERVICE AREA.
Schedule H, Part VI, Line 6 Affiliated health care system	NUVANCE HEALTH IS AN INTEGRATED HEALTH SYSTEM OFERING CONVENIENT, ACCESSIBLE AND AFFORDABLE CARE TO OUR COMMUNITY MEMBERS. OUR TALENTED TEAM OF MORE THAN 15,000 COMPASSIONATE CAREGIVERS PROVIDE HIGH-QUALITY CARE THROUGH: COMMUNITY HOSPITALS, PRIMARY CARE AND SPECIALTY PRACTICE LOCATIONS, OUTPATIENT SETTINGS, HOME CARE SERVICES, AND TELEHEALTH VISITS. PUTNAM HOSPITAL HAS PROVIDED $12,930,635 WORTH OF CARE THROUGH FINANCIAL ASSISTANCE AT COST AND ITS MEDICAID SHORTFALL. NUVANCE HEALTH HAS SEVEN HOSPITALS (DANBURY HOSPITAL, NEW MILFORD HOSPITAL, NORWALK HOSPITAL, SHARON HOSPITAL, VASSAR BROTHERS MEDICAL CENTER, NORTHERN DUTCHESS HOSPITAL AND PUTNAM HOSITPAL) THAT PROVIDE A FULL RANGE OF MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE SYSTEM'S MISSION STATEMENT. ALL OF OUR HOSPITALS HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS THEY CAN JOIN THE MEDICAL STAFF. THERE ARE FIVE FOUNDATIONS THAT HELP SUPPORT OUR HOSPITALS AND AFFILIATES (DANBURY HOSPITAL AND NEW MILFORD HOSPITAL FOUNDATION, INC., NORWALK HOSPITAL FOUNDATION, VASSAR BROTHERS HOSPITAL FOUNDATION, NDH FOUNDATION AND PUTNAM HOSPITAL CENTER FOUNDATION). EACH FOUNDATION'S MISSION IS TO RAISE FUNDS, REINVEST, ADMINISTER FUNDS AND MAKE DISTRIBUTIONS TO THE HOSPITALS AND THEIR NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NUVANCE HEALTH HAS FOUR MEDICAL GROUPS (NUVANCE HEALTH MEDICAL PRACTICE CT, INC., NUVANCE HEALTH MEDICAL PRACTICE, P.C., EASTERN NEW YORK MEDICAL SERVICES, P.C. AND HUDSON VALLEY CARDIOVASCULAR PRACTICE, P.C.). THE MEDICAL PRACTICES PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES TO RESIDENTS IN THEIR COMMUNITIES AND SURROUNDING AREAS. THEY PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE COMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO THEIR PATIENTS' NEEDS. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. NUVANCE HAS THREE HOME CARE ENTITIES (WESTERN CONNECTICUT HOME CARE, INC., HEALTH QUEST HOME CARE, INC. (CERTIFIED) AND HEALTH QUEST HOME CARE, INC. (LICENSED). OUR HOME CARE PROGRAMS PROVIDE COMPREHENSIVE HEALTH SERVICES TO SELECTED PATIENTS WHO CAN BE CARED FOR AT HOME, THUS REDUCING THE EXPENSE ASSOCIATED WITH HOSPITALIZATION AND ALLOWING PATIENTS TO BE TREATED IN THE COMFORT AND FAMILIARITY OF THEIR HOMES. THESE SERVICES INCLUDE SKILLED NURSING, THERAPIES (PHYSICAL, OPERATIONAL AND SPEECH), MEDICAL SOCIAL SERVICES, AND HOME HEALTH AIDS. ALAMO AMBULANCE SERVICES, INC. IS A LICENSED AMBULANCE TRNSPORT SERVICE WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES, NEW YORK.
Schedule H, Part VI, Line 7 State filing of community benefit report	CT, NY

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
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 (17 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
MARK K HIRKO MD
PRESIDENT PHC	$111,618	$371,998	$115,000	$0	$7,145	$79,525	$24,949	$48,191	$8,148	$17,002	$266,860	$516,716	$0	$55,200
DANIEL DEBARBA
CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01)	$0	$267,926	$0	$0	$0	$7,258	$0	$33,150	$0	$9,973	$0	$318,307	$0	$0
CAROLYN MCKENNA
SECRETARY & CHIEF LEGAL OFFICER (TO 12/31)	$0	$575,435	$0	$155,000	$0	$81,280	$0	$88,260	$0	$2,408	$0	$902,383	$0	$68,250
STEVEN H ROSENBERG
FORMER CFO/TREASURER (TO 12/31)	$0	$725,696	$0	$366,729	$0	$165,564	$0	$135,180	$0	$13,940	$0	$1,407,109	$0	$106,440
BRIAN WYATT
SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01)	$0	$297,136	$0	$51,000	$0	$2,117	$0	$18,300	$0	$42,326	$0	$410,879	$0	$0
KERRY EATON
FORMER CHIEF OPERATING OFFICER	$0	$754,999	$0	$468,632	$0	$166,468	$0	$140,365	$0	$1,661	$0	$1,532,125	$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
PETER A KELLY
FORMER PHC PRESIDENT; VBMC PRESIDENT	$0	$618,000	$0	$226,000	$0	$105,606	$0	$92,280	$0	$1,616	$0	$1,043,502	$0	$72,600
JEAN AHN
CHIEF STRATEGY OFFICER	$0	$476,497	$0	$318,564	$0	$98,004	$0	$92,940	$0	$2,908	$0	$988,913	$0	$69,000
KATHRYN D CULLINAN
CHIEF HUMAN RESOURCES OFFICER	$0	$343,979	$0	$200,000	$0	$29,471	$0	$69,000	$0	$24,353	$0	$666,803	$0	$0
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	$0	$341,893	$0	$84,000	$0	$40,493	$0	$51,660	$0	$13,615	$0	$531,661	$0	$33,780
MICHELLE ROBERTSON
CHIEF OPERATING OFFICER	$0	$400,296	$0	$0	$0	$133,961	$0	$49,038	$0	$16,632	$0	$599,927	$0	$0
ALI AHMAD
MEDICAL TECHNOLOGIST	$183,396	$0	$31,199	$0	$128	$0	$13,233	$0	$37,731	$0	$265,687	$0	$0	$0
ANNE A GAYA-NGOWE RN
CHIEF NURSING OFFICER	$189,875	$0	$20,500	$0	$4,718	$0	$18,089	$0	$41,476	$0	$274,658	$0	$0	$0
JASON J GONG
MEDICAL PHYSICIST	$228,202	$0	$0	$0	$1,983	$0	$13,692	$0	$375	$0	$244,252	$0	$0	$0
JULIE KARPE
DIRECTOR OF PHARMACY	$205,160	$0	$0	$0	$1,732	$0	$16,022	$0	$27,463	$0	$250,377	$0	$0	$0
LAURIE MUSCARI
DIRECTOR OF PATIENT CARE SERVICES	$178,186	$0	$21,000	$0	$8,002	$0	$6,427	$0	$36,983	$0	$250,598	$0	$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 INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND AND/OR EMPLOYEE RECOGNITION PROGRAM AWARD: 3 HIGHEST COMPENSATED EMPLOYEES 1 OFFICER/DIRECTOR
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	PUTNAM HOSPITAL CENTER 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: KERRY EATON $110,402 STEVEN H. ROSENBERG $108,180 JEAN AHN $74,640 PETER A. KELLY $73,980 CAROLYN MCKENNA $69,960 MARK K. HIRKO, MD $54,840 KATHRYN CULLINAN $50,700 MICHELLE ROBERTSON $37,203 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 - TIER II(b), PHYSICIAN EXECUTIVE - 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DUTCHESS COUNTY LOCAL DEV CORP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	273106797	BondIssuerEIN
CUSIP	267045GD8	CUSIPNum
Bond Issued	2016-07-07	BondIssuedDt
Issue Price	$24,377,573	IssuePriceAmt
Purpose	CONSTRUCT & EQUIP FACILITY	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$5,509,260	RetiredAmt
Total Proceeds	$24,519,590	TotalProceedsAmt
Issuance Costs From Proceeds	$334,598	IssuanceCostsFromProceedsAmt
Working Capital Expenditures	$7,760	WorkingCapitalExpendituresAmt
Capital Expenditures	$54,554	CapitalExpendituresAmt
Other Spent Proceeds	$24,122,678	OtherSpentProceedsAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0057	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0057	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part IV, Line 2c NO REBATE DUE	(a) Issuer Name: Dutchess County Local Dev Corp Date the Rebate Computation was Performed: 06/30/2021 Note regarding the rebate computation: Since the bond proceeds have been spent and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.
Schedule K, Part I, Column (e) ISSUE PRICE	Total issue price per IRS Form 8038 - $438,672,526, allocated between 3 organizations: Vassar Brothers Medical Center (FEIN: 14-1338586) Putnam Hospital (FEIN: 14-6019179) Northern Dutchess Hospital (FEIN: 14-1338467)
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Suzanne Divestea	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Family Member	RelationshipDescriptionTxt
Transaction	$87,894	TransactionAmt
Transaction	Suzanne Divestea is a family member of Corrinne Divestea, a director of the filing organization. Suzanne Divestea was paid reasonable compensation as an employee of the filing organization.	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 14 RECORD RETENTION POLICY	THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF PUTNAM HOSPITAL ("PH") IS 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	THE MEMBER (HEALTH QUEST SYSTEMS, INC.) SHALL ELECT PUTNAM HOSPITAL'S (PH'S) OFFICERS. SUBJECT TO THE APPROVAL OF THE MEMBER, ANY VACANCY OR VACANCIES OCCURRING IN ANY OFFICE MAY BE FILLED UNTIL THE NEXT MEETING AT WHICH OFFICERS ARE ELECTED BY THE AFFIRMATIVE VOTE OF THE REMAINING DIRECTORS IN OFFICE AT ANY MEETING OF THE BOARD, THOUGH SUCH REMAINING DIRECTORS MAY CONSTITUTE LESS THAN A QUORUM. ANY OFFICER MAY BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY PUTNAM HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (I) ELECTION OR REMOVAL OF A DIRECTOR OR AN OFFICER WHO IS NOT AN EMPLOYEE OR CONTRACTOR; (II) AMENDMENT OF PUTNAM HOSPITAL'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF PUTNAM HOSPITAL'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF PUTNAM HOSPITAL'S QUALIFIED OR NON-QUALIFIED BENEFIT PLANS; (V) ADOPTION OF OR REVISIONS TO ANY SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES; (VI) APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES REVIEW OF THE SYSTEMWIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF THE INDEPENDENT AUDITORS; (VII) ADOPTION OF OR ANY MATERIAL REVISIONS TO THE CAPITAL BUDGET AND OPERATING BUDGET; (VIII) ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEM-WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE; (IX) ANY CESSATION OF ANY SERVICE LINE OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY; (X) ANY CLOSURE, SALE OR TRANSFER OF A HOSPITAL; (XI) ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, THE FILING OF ANY PETITION IN VOLUNTARY BANKRUPTCY, THE FILING OF ANY PETITION OR ANSWER SEEKING REORGANIZATION, OR AN ARRANGEMENT WITH CREDITORS UNDER THE FEDERAL BANKRUPTCY LAW; (XII) ANY CHANGE IN THE TAX STATUS OF OR REVISION OF, THE CHARITY CARE POLICIES; (XIII) ANY MERGER, CONSOLIDATION OR SIMILAR TRANSACTION; (XIV) ANY INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY DEBT.
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 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 PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILING SUCH AS THE 990 AND BOND HOLDER REQUIREMENTS.
Form 990, Part VII, Section A ADDITIONAL COMPENSATION INFORMATION	FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	STONELEIGH MANAGEMENT CONTRACT - Total Revenue: 249252, Related or Exempt Function Revenue: , Unrelated Business Revenue: 249252, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN PENSION OBLIGATION - 24602309; CHANGE IN EQUITY INTEREST IN THE FOUNDATIONS - 1427418; REALLOCATION OF COVID STIMULUS FUNDS TO OTHER NUVANCE ENTITIES - 8815656;

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	Address Line2USAddress/AddressLine2Txt
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	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	POUGHKEEPSIE	NY	12601	141788412	Home Health	NY	501(c)(3)	10	HQ	Yes (true)	SUITE 220
Health Quest Home Care Inc (Licensed)
2649 SOUTH ROAD	POUGHKEEPSIE	NY	12601	141788410	Home Health	NY	501(c)(3)	10	HQ	Yes (true)	SUITE 220
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
45 READE PLACE ATTN LEGAL DEPT	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	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 Connecticut Health Network Inc
100 Reserve Road	DANBURY	CT	06810	222594977	Support/Management	CT	501(c)(3)	Type II	WCHN	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 120 SUITE	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	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	false
SWC COPORATION
				222577718	PHARMACY		NA	C Corporation	false	24 STEVENS STREET	NORWALK	CT	06850	CT
TACONIC IPA INC
				223007320	MEDICAL CARE		NA	C Corporation	false	45 Reade Place	Poughkeepsie	NY	10601	NY
VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC
				821466583	MEDICAL CARE		NA	C Corporation	false	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
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	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 (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Danbury Hospital and New Milford Hospital Foundation Inc
P	$65,815	Cost Method
Health Quest Systems Inc
R	$161,257	Cost Method
Health Quest Systems Inc
M	$1,939,085	Cost Method
Health Quest Systems Inc
Q	$3,103,696	Cost Method
Hudson Valley Cardiovascular Practice
M	$1,557,204	Cost Method
Hudson Valley Cardiovascular Practice
P	$94,452	Cost Method
Nuvance Health
M	$14,738,299	Cost Method
Nuvance Health
P	$1,926,753	Cost Method
Nuvance Health Medical Practice PC
Q	$7,237,726	Cost Method
Nuvance Health Medical Practice PC
M	$7,461,528	Cost Method
Nuvance Health Medical Practice PC
J	$55,640	Cost Method
Putnam Hospital Center Foundation
R	$100,146	Cost Method
Putnam Hospital Center Foundation
P	$2,383,195	Cost Method
Putnam Hospital Center Foundation
C	$191,501	Cost Method
Vassar Brothers Medical Center
Q	$1,527,432	Cost Method
Vassar Brothers Medical Center
S	$111,072	Cost Method
Western Connecticut Health Network Inc
S	$205,655	Cost Method
Western Connecticut Health Network Inc
P	$9,616,147	Cost Method
The Norwalk Hospital Association
R	$2,873,597	Cost Method
The Norwalk Hospital Association
Q	$2,873,597	Cost Method
Nuvance Health Medical Practice CT Inc
M	$343,243	Cost Method
Nuvance Health Medical Practice CT Inc
P	$343,243	Cost Method
Vassar health Connecticut Inc
S	$4,215,159	Cost Method
Vassar Health Connecticut Inc
P	$4,215,159	Cost Method