2024-08-13T17:01:00+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2022-10-01 060646597 The Danbury Hospital DANB 2037397000 24 HOSPITAL AVENUE DANBURY CT 068106099 SHARON ADAMS PRESIDENT DH AND EASTERN REGIONAL 2024-08-13 true Laura Mayo P01962945 2127733000 2024-08-13 2022 2024-08-08 14:25:15Z SHARON ADAMS 24 HOSPITAL AVENUE DANBURY CT 068106099 874408446 false X www.nuvancehealth.org X 1886 CT Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. 13 10 3293 213 4211179 0 14265367 9662792 789716542 855797273 8292136 3429898 6549805 3485223 818823850 872375186 24119 95000 0 304923416 339240409 0 0 482870487 507987866 787818022 847323275 31005828 25051911 931003057 900891336 456524247 394185296 474478810 506706040 Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. false false 784389905 95000 854937825 DANBURY HOSPITAL IS A 456-BED ACUTE CARE HOSPITAL THAT OFFERS AWARD-WINNING PATIENT CARE. FOR MORE THAN 130 YEARS, THE HOSPITAL HAS DELIVERED MISSION-DRIVEN SERVICES TO THE COMMUNITY. THE HOSPITAL IS COMMITTED TO PROVIDING SAFE, CONVENIENT CARE TO MEET THE PERSONAL HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. DANBURY 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. DANBURY HOSPITAL FEATURES ADVANCED TECHNOLOGIES, MAKING US A DESTINATION FOR INNOVATIVE SERVICES. THE HOSPITAL OFFERS BOTH MINIMALLY INVASIVE AND ROBOT-ASSISTED SURGERY AND IS DESIGNATED BY THE SURGICAL REVIEW CORPORATION AS A ROBOTIC CENTER OF EXCELLENCE. DANBURY HOSPITAL HAS THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION FROM THE JOINT COMMISSION AND OFFERS HIGHLY ADVANCED CARDIAC AND VASCULAR CARE. OTHER FEATURES INCLUDE A STATE-OF-THE-ART LEVEL III NICU AND COMPASSIONATE PSYCHIATRIC CARE, INCLUDING A PARTIAL-HOSPITALIZATION PROGRAM. DANBURY 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. DANBURY HOSPITAL IS JOINT COMMISSION ACCREDITED WITH A GOLD SEAL OF DISTINCTION. THE HOSPITAL HAS RECEIVED ADVANCED CERTIFICATION AND A GOLD SEAL OF DISTINCTION FOR EXCELLENCE IN PALLIATIVE CARE, SPINE, TOTAL HIP AND KNEE REPLACEMENT. THE HOSPITALS BARIATRIC DEPARTMENT RECEIVED MBSAQUIP BARIATRIC CENTER ACCREDITATION. DANBURY HOSPITAL HAS RECEIVED A CENTER FOR RADIATION ONCOLOGY ACCREDITATION, A NUCLEAR MEDICINE CENTER ACCREDITATION AND BREAST IMAGING CENTER OF EXCELLENCE FROM THE AMERICAN COLLEGE OF RADIOLOGY. THE COLLEGE OF SURGEONS HAS AWARDED DANBURY HOSPITAL WITH THE ROBOTIC CENTER OF EXCELLENCE, WHICH WAS THE FIRST IN THE STATE OF CONNECTICUT. IT HAS DESIGNATED AND VERIFIED THE HOSPITAL AS A LEVEL II TRAUMA CENTER AND ACCREDITED US WITH PRAXAIR CANCER CENTER COMMISSION ON CANCER. US NEWS & WORLD REPORT HAS AWARDED DANBURY HOSPITAL AS HIGH PERFORMANCE IN HEART FAILURE TREATMENT, HIGH PERFORMANCE IN HEART ATTACK, COPD TREATMENT AND STROKE TREATMENT. DANBURY HOSPITAL HAS BEEN NAMED AMOUNG THE TOP 5% IN THE NATION FOR GASTROINTESTINAL SURGERY AND SURGICAL CARE. THE HOSPITAL HAS ALSO BE NAMED TOP 10% IN THE NATION FOR CARDIOLOGY SERVICES AND TREATMENT OF STROKE. DANBURY HOSPITAL IS A FIVE-STAR RECIPIENT FOR TREATMENT OF HEART FAILURE FOR THREE YEARS IN A ROW. THE HOSPITAL IS ALSO A FIVE-STAR RECIPIENT FOR TREATMENT OF HEART ATTACK, UPPER GASTROINTESTINAL SURGERIES, COLORECTAL SURGERIES, TREATMENT OF GI BLEED, TREATMENT OF BOWEL OBSTRUCTION, TOTAL KNEE REPLACEMENT, TOTAL HIP REPLACEMENT, TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND TREATMENT OF STROKE OTHER ACCREDITATIONS AND AWARDS INCLUDE BREAST HEALTH PROGRAM ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, THREE-STAR RATING FOR LUNG CANCER RESECTION OUTCOMES FROM THE SOCIETY OF THORACIC SURGEONS, HIGH PERFORMANCE IN DIABETES TREATMENT FROM U.S. NEWS & WORLD REPORT, AND THE CIRCLE OF LIFE AWARD CELEBRATING INNOVATION IN PALLIATIVE AND END-OF-LIFE CARE FROM THE AMERICAN HOSPITAL ASSOCIATION. IN FY23, DANBURY HOSPITAL HAD 93,679 PATIENT DAYS AND 21,008 DISCHARGES IN ACUTE CARE. THERE WERE 69,895 IN EMERGENCY ROOM VISITS AND 459,056 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $31.1M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 784389905 true true false true false false false false false true false true true true true false true false false false false false false false false true true false true true false false false false false false true false true false false false false true true true false false true 340 0 true 3293 true true true false false false false false false false false false false false X 13 10 false false false false true true true true true false false true true true true true false false true true false X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 BRUCE D HAIMS ESQ VICE CHAIRMAN 3.0 0 X X 0 0 0 MARY GARRETT CHAIRMAN 3.0 0 X X 0 0 0 SHARON ADAMS PRESIDENT DANBURY HOSPITAL; EASTERN REGIONAL PRESIDENT 34.0 14.0 X X 958117 0 110855 ANTHEA DISNEY DIRECTOR (TO 12/31) 2.0 0 X 0 0 0 CARRIE L AMOS DIRECTOR (TO 12/31) 2.0 0 X 0 0 0 CORNELIUS FERREIRA MD DIRECTOR (TO 12/31)/SYS. CHAIR PRIMARY CARE (TO 02/24) 2.0 44.0 X 0 688830 39498 DAHLIA PLUMMER MD DIRECTOR/STAFF PHYSICIAN 2.0 40.0 X 0 1028857 43898 JAMES MOSKOWITZ DIRECTOR 2.0 0 X 0 0 0 KIM MORGAN DIRECTOR (FROM 01/01) 2.0 0 X 0 0 0 LISA A ESNEAULT DIRECTOR 2.0 2.0 X 0 0 0 MARIA GARCIA DIRECTOR (FROM 01/01) 2.0 0 X 0 0 0 MICHELLE JAMES DIRECTOR (FROM 01/01) 2.0 0 X 0 0 0 ROBERT HACKNEY DIRECTOR 2.0 0 X 0 0 0 ROBERT PARKER DIRECTOR (FROM 01/01) 2.0 0 X 0 0 0 ROBERT SAVINO DO DIRECTOR (FROM 01/01) 2.0 40.0 X 0 232877 31871 ROBIN GOODRICH EdD RN DIRECTOR (FROM 01/01) 2.0 0 X 0 0 0 SPENCER HOULDIN DIRECTOR (TO 12/31) 2.0 0 X 0 0 0 BRIAN WYATT SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01) 2.0 48.0 X 0 350253 60626 CAROLYN MCKENNA SECRETARY & CHIEF LEGAL OFFICER (TO 12/31) 2.0 48.0 X 0 811715 90668 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) 2.0 48.0 X 0 275184 43123 STEVEN H ROSENBERG FORMER CFO/TREASURER (TO 12/31) 2.0 38.0 X 0 1257989 149120 JEAN AHN CHIEF STRATEGY OFFICER 5.0 45.0 X 0 893065 95848 KATHRYN D CULLINAN CHIEF HUMAN RESOURCES OFFICER 5.0 45.0 X 0 573450 93353 MICHELLE ROBERTSON CHIEF OPERATING OFFICER 5.0 45.0 X 0 534257 65670 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 5.0 45.0 X 0 466386 65275 DAWN P MARTIN RN CHIEF NURSING OFFICER 40.0 0 X 371475 0 32017 JENNIFER L FILIPPONE VP NETWORK OPERATIONS 20.0 20.0 X 387908 0 18986 LOLA J LAMBROPOULOS REGISTERED NURSE 40.0 0 X 326665 0 56028 THOMAS J KAHL DDS DEPT CHAIR DENTISTRY 40.0 0 X 329260 0 58976 WILLIAM DELANEY MD CHC EXECUTIVE MEDICAL DIRECTOR 40.0 0 X 365825 0 72108 CATHERINE FRIERSON FORMER CHIEF HUMAN RESOURCES OFFICER 0.0 0.0 X 0 191718 3005 JOHN M MURPHY MD NUVANCE CEO/FORMER DIRECTOR 2.0 48.0 X 0 2740600 297106 KERRY EATON FORMER CHIEF OPERATING OFFICER 0.0 40.0 X 0 1390099 142026 THOMAS KOOBATIAN MD EXEC DIR/CHIEF OF STAFF-NMH 0.0 44.0 X 0 518136 58383 2739250 11953416 1628440 769 true true false MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 MEDICAL STAFFING 2233709 BERKELEY RESEARCH GROUP PO BOX 676158 DALLAS TX 75267 DATA ANALYSIS/RESEARCH SERVICES 2042185 DANBURY RADIOLOGICAL ASSOCIATES 60 Newtown RD Danbury CT 06810 Image reading 650231 V MICHAEL SIMKO 7 WAKELEY ST FL 2 SEYMOUR CT 06483 LEGAL 561300 ASSOCIATED NEUROLOGISTS 79 SAND PIT ROAD SUITE 301 Danbury CT 06810 MEDICAL STAFFING 528760 33 6078250 3581365 3177 43940 9662792 NET PATIENT SERVICE REVENUE 621990 834772836 834772836 MANAGEMENT FEES TO EXEMPT AFFILIATES 502000 4156539 4156539 LAB SERVICE REVENUE 621500 3803445 3803445 RENTAL INCOME EXEMPT 502000 3786540 3786540 STIMULUS REVENUE 900099 3365876 3365876 5912037 5912037 0 0 855797273 1479236 -137372 1616608 3086578 3086578 1119952 171046 948906 0 948906 403800 545106 -683700 1170773 1622989 -683700 -452216 -1135916 -1135916 235345 239225 -3880 -3880 ADMINISTRATIVE SERVICES 561000 1499983 1499983 EMPLOYEE RETENTION CREDIT 561000 1010840 1010840 NUTRITION AND DIETARY 561000 25617 25617 3757 3757 0 0 2540197 872375186 854937825 4211179 3563390 95000 95000 1041569 922473 119096 269314565 238509603 30804962 13014361 11526266 1488095 40617455 35973154 4644301 15252459 13508455 1744004 37628 37628 1108823 1108823 2513086 2513086 190689 168885 21804 104296 104296 57023489 50503281 6520208 0 1238849 1097196 141653 6249711 5535103 714608 16154302 14307179 1847123 11417096 10111637 1305459 349161 309237 39924 374288 331491 42797 9373665 9373665 47361255 41945851 5415404 7025571 5712359 1313212 MEDICAL SUPPLIES 147184883 147184883 PHYSICIAN FEES 120471688 120471688 STATE OF CT HOSPITAL TAX 53512193 53512193 EQUIPMENT RENTAL AND MAINTENANCE 24075858 21322964 2752894 2221335 1967342 253993 0 847323275 784389905 62933370 0 2629279 16457626 1556374 1068398 84987770 77483021 0 0 0 0 18510988 20766247 4748255 4668995 1065864714 749359658 349746338 316505056 12973 12044 32296527 129406532 134004055 307108021 329925894 931003057 900891336 63152144 48650583 0 0 393372103 345534713 456524247 394185296 X 390082881 421435108 84395929 85270932 474478810 506706040 931003057 900891336 X 25051911 1976426 5198893 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 190689 false false false 190689 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE CHA DUES, THE AMERICAN HOSPITAL ASSOCIATION DUES AND THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, PAID BY THE DANBURY HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 5216458 5216458 618005678 398585755 219419923 6135550 4729509 1406041 431590471 346044394 85546077 4916557 4916557 316505056 INT IN DH/NMH FOUNDATION 134004055 F 134004055 MALPRACTICE INSURANCE ASSETS, CURRENT PORTION MALPRACTICE INSURANCE ASSETS, LESS CURRENT PORTION DUE FROM RELATED PARTIES 209552597 INTEREST IN INVESTMENTS HELD BY WCHN INV LLC 34273626 OPERATING LEASE RIGHT OF USE ASSETS 23842460 MALPRACTICE GROSS UP ASSET 23015792 INVESTMENT IN JOINT VENTURES 15160393 OTHER MISCELLANEOUS RECEIVABLES 9088171 CONSTRUCTION FUND 2019A 6991448 FINANCE LEASE RIGHT OF USE ASSET 6816906 INVESTMENT 457B 1088083 UNDERWRITERS DISCOUNT 2019A BOND ISSUE COSTS 2019A MORRISON DEPOSIT 96418 WEST CT ORTHO SURGICAL CTR LLC JV INVESTMENT - ASC DANBURY SURGICAL CTR LLP NMH OTHER RECEIVABLES LIFE NMH MAPLRACTICE INSURANCE 329925894 LONG TERM DEBT 236267858 OPERATING LEASE LIABILITY 25516085 MALPRACTICE GROSS UP LIABILITY 23053792 DEFERRED REVENUE 17490366 THIRD PARTY LIABILITIES 16776716 PROVISION FOR MALPRACTICE CLAIMS 9359069 FINANCE LEASE LIABILITY 7167867 DUE TO RELATED PARTIES 5220103 LONG TERM LIABILITY DANBURY SURGERY 2097000 ASSET RETIREMENT OBLIGATION 1484665 475B PLAN LIABILITY 1088083 NHM MALPRACTICE INSURANCE GROSS UP LIABILITY NMH CONDITIONAL ASSET RETIREMENT SECURITY DEPOSITS 13109 MALPRACTICE INSURANCE ASSETS, CURRENT PORTION NMH CONDITIONAL ASSET RETIREMENT BONDS PAYABLE LT 2019A MALPRACTICE INSURANCE LIABILITIES, LESS CURRENT PORTION BONDS PAYABLE DEPT-2019A BOND NET PREMIUM ON 2019A BOND DEFERRED PORTION OF L/T DEBT ACCR WORKERS COMP 345534713 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote AS OF SEPTEMBER 30, 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. true true X true X 300 true X true true false true true 8915390 8915390 0.0105 168024335 101738586 66285749 0.0782 0 0.0 0 0 176939725 101738586 75201139 0.0888 15 91588 91588 0.0001 2 28522331 9465881 19056450 0.0225 1 25413097 23367147 2045950 0.0024 1 6056657 607110 5449547 0.0064 1 6447 6447 0.0000 20 0 60090120 33440138 26649982 0.0315 20 0 237029845 135178724 101851121 0.1202 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1349893 1271667 78226 0.0001 5723 5723 0.0000 16780 16780 0.0000 0 0.0 0 0 1372396 1271667 100729 0.0001 true 8041649 0 321988380 369975412 -47987032 X true true 2 1 DANBURY & NEW MILFORD HOSPITALS 24 HOSPITAL AVENUE DANBURY CT 06810 WWW.NUVANCEHEALTH.ORG 0039 X X X X X A 2 NEW MILFORD HOSPITAL CAMPUS 21 ELM STREET NEW MILFORD CT 06776 WWW.NUVANCEHEALTH.ORG 0039 X X X A A 2 false false true X X X X X X X X 22 true false false true X WWW.NUVANCEHEALTH.ORG/COMMUNITY X X true 23 true WWW.NUVANCEHEALTH.ORG/COMMUNITY false true X 300.0 400.0 X X X X X X X true true X X X X true X HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY 1: DANBURY & NEW MILFORD HOSPITALS & FACILITY 2: NEW MILFORD HOSPITAL CAMPUS. FACILITY REPORTING GROUP A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED THROUGHOUT FY2022, AND WAS APPROVED BY THE DANBURY HOSPITAL BOARD OF TRUSTEES ON DECEMBER 12, 2022. THE CHIP WAS SUBSEQUENTLY APPROVED ON FEBRURY 2, 2023 BY THE NUVANCE HEALTH BOARD. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDED LOCAL LEVEL QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA ABOUT DANBURY AND NEW MILFORD, AND THE SURROUNDING TOWNS OF BETHEL, BRIDGEWATER, BROOKFIELD, NEW FAIRFIELD, NEWTOWN, REDDING, RIDGEFIELD, ROXBURY, SHERMAN, SOUTHBURY, WASHINGTON, AND WOODBURY. IT ALSO DOCUMENTS THE PROCESS THAT DANBURY HOSPITAL, AND PARTNERS, USED TO CONDUCT THE REGIONAL HEALTH ASSESSMENT AND HEALTH IMPROVEMENT ACTIVITIES. ONE SOURCE OF DATA INFORMING THE 2023 - 2025 CHIP WAS THE CHNA COMMUNITY SURVEY, DEPLOYED IN THE GREATER DANBURY SERVICE AREA, UTLIZING THE GNYHA SURVEY TOOL. THIS SURVEY COLLECTED INFORMATION FROM ADULTS AGED 18 AND OVER WHO LIVED IN A ZIP CODE OR COUNTY SERVED BY THE HOSPITAL. THE SURVEY WAS DEPLOYED TO GARNER RESIDENT INPUT REGARDING HEALTH PRIORITIES BASED ON PERCEIVED IMPORTANCE AND SATISFACTION WITH SERVICES PROVIDED. THE WEB AND PAPER - BASED TOOL WAS MADE AVAILABLE IN A VARIETY OF LANGUAGES, SUCH AS ENGLISH, SPANISH, RUSSIAN, CHINESE, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, POLISH, AND ARABIC. IN ADDITION TO DEPLOYING THE GNYHA'S COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, QUALITATIVE AND QUANTITATIVE DATA WAS ALSO COLLECTED, ANALYZED AND REPORTED BY DATAHAVEN IN THE FAIRFIELD COUNTY COMMUNITY WELLBEING SURVEY (CWS). FOR THIS REPORT, THE QUALITATIVE DATA COLLECTION INCLUDED KEY INFORMANT SURVEYS (KIS) INCLUDING FOCUS GROUPS, INDIVIDUAL INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA SOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, CENTERS FOR DISEASE CONTROL AND PREVENTION, STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), COUNTY HEALTH RANKINGS, AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. TYPES OF DATA INCLUDED VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. ALSO COMPILED BY DATAHAVEN, THE GREATER DANBURY 2022 EQUITY PROFILE REPORT WAS INSTRUMENTAL IN UNDERSTANDING THE COMMUNITY'S NEEDS. THE EQUITY PROFILE REPORT WAS DESIGNED TO INFORM LOCAL - LEVEL EFFORTS TO IMPROVE COMMUNITY WELL-BEING AND RACIAL EQUITY, PROVIDING DETAILED INFORMATION ABOUT THE GREATER DANBURY SERVICE AREA POPULATION, EDUCATION LEVEL, MEDIAN HOUSEHOLD INCOME, AVERAGE LIFE EXPECTANCY, MOST PREVALENT HEALTH DISPARITIES, COMPOSITION OF ITS HOUSEHOLDS, AND PERCENTAGE OF FAMILIES THAT ARE CONSIDERED COST - BURDENED IN THE REGION, MEANING THAT THESE FAMILIES SPEND AT LEAST 30 PERCENT OF THEIR INCOME ON HOUSING COSTS. IN ORDER TO COMPILE A COMPRHENSIVE CHNA REPORT AND TO GUIDE THE DEVELOPMENT OF THE CHIP, NUVANCE HEALTH CONTRACTED WITH COMMUNITY RESEARCH CONSULTING (CRC), A WOMEN-OWNED BUSINESS THAT SEPCIALIZES IN CONDUCTING STAKEHOLDER RESEARCH TO ILLUMINATE DISPARITIES AND UNDERLYING INEQUITIES AND TRANSFORM DATA INTO PRACTICAL AND IMPACTFUL STRATEGIES TO ADVANCE HEALTH AND SOCIAL EQUITY. CRC CLOSELY PARTNERED WITH THE DANBURY HOSPITAL COMMUNITY HEALTH COMMITTEE (CHC), WHICH OVERSAW AND GUIDED THE CHNA PROCESS, IN ALIGNMENT WITH THE GOALS OF COMMUNITY PARTNERS, CLOSELY PARTNERING TO ADVANCE POPULATION HEALTH. AS CRC COMPILED THE 2022 CHNA REPORT, KEY FINDINGS AND HEALTH PRIORITIES IDENTIFIED IN THE GREATER DANBURY AREA CHNA, INFORMING THE 2023-2025 CHIP, WERE: ADDRESS CHRONIC DESEASES, PROMOTE WELL-BEING AND ADDRESS MENTAL HEALTH AND SUBSTANCE USE DISORDERS. TO SUPPORT THE DEVELOPMENT OF A COMPREHENSIVE CHNA INFORMING THE 2023 - 2025 CHIP, COMMUNITY PARTNERSHIPS WERE NURTURED AND LEVERAGED TO ENSURE THAT THE COMMUNITY'S VOICE IS HEARD REGARDING ALL HEALTH - RELATED NEEDS. BOTH THE DANBURY HOSPITAL AND ITS COMMUNITY HEALTH COMMITTEE, AND GREATER DANBURY COMMUNITY PARTNERS PARTICIPATED IN THIS EFFORT TO ASSESS THE HEALTH AND SOCIAL NEEDS OF THE GREATER DANBURY COMMUNITY. COMMUNITY PARTNERS INCLUDED: *COMMUNITY ACTION AGENCY OF WESTERN CONNECTICUT *CONNECTICUT COUNSELING CENTERS *CONNECTICUT COMMUNITY CARE *CONNECTICUT INSTITUTE FOR COMMUNITIES *DANBURY YOUTH SERVICES *JERICHO PARTNERS *REACH, NEWTOWN *REGIONAL YMCA OF WESTERN CONNECTICUT *UNITED WAY OF WESTERN CONNECTICUT *WESTERN CONNECTICUT COALITION FOR MENTAL HEALTH AND SUBSTANCE ABUSE *IN ADDITION TO THE DANBURY AND NEW MILFORD HEALTH DEPARTMENTS, THE POMPERAUG HEALTH DISTRICT AND THE HEALTH DEPARTMENTS OF BETHEL, BROOKFIELD, NEW FAIRFELD, NEWTOWN AND RIDGEFIELD WERE ACTIVE PARTICIPANTS IN THIS ASSESSMENT. Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP - A. 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 A, 1 Facility A, 1 - FACILITY REPORTING GROUP - A. TO THE BEST OF THE HOSPITAL'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY WERE BEING ADDRESSED BY THE 2023-2025 CHIP. WITH THE COMPREHENSIVE 2022 COMMUNITY HEALTH ASSESSMENT, ALL PRIOR COMMUNITY BASED INITIATIVES WERE REEVALUATED AND ADDITIONAL PROGRAMS WERE DEVELOPED AS PART OF THE 2023 - 2025 CHIP. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 CHNA, THE DANBURY HOSPITAL, COMMUNITY HEALTH COMMITTEE, COMPRISED OF HEALTH CARE PROVIDERS, COMMUNITY-BASED PROVIDERS, THE LOCAL HEALTH DEPARTMENT, AND LOCAL GOVERNMENT AGENCIES ANALYZED THE WIDE RANGE OF DATA RESOURCES, AND THEY IDENTIFIED CHRONIC DISEASE PREVENTION, AND PROMOTION OF WELL-BEING AND PREVENTION OF MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS AS MAIN PRIORITIES TO BE ADDRESSED IN THE 2023- 2025 CHIP. WITH THE NUVANCE HEALTH 2023 - 2025 CHIP, NUVANCE HEALTH WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS EXISTING DISPARITIES AND WILL PROMOTE OPTIMAL HEALTH AND POSITIVE OUTCOMES. KEY INITIATIVES, ADDRESSING BOTH FOCUS AREAS, INCLUDE: * IMPLEMENTING A FOOD AS MEDICINE PROGRAM IN PARTNERSHIP WITH THE UNITED WAY HEALTHY SAVINGS PROGRAM TO BRING HEALTHY FRESH FOODS TO THE FAMILIES IN NEED. * COLLABORATING WITH COMMUNITY PARTNERS REGARDING DIABETES PREVENTION PROGRAMS TO REDUCE THE PREVALENCE OF DIABETES IN THE COMMUNITY * CONDUCTING THE ANNUAL MISSION HEALTH DAY , BRINGING HEALTH SCREEININGS, AND VACCINATIONS TO THE COMMUNITY FREE OF CHARGE, AND ALSO PROVIDING REFERRALS TO PRIMARY CARE SERVICES * OFFERING SMOKING CESSATION PROGRAMS TO COMMUNITY MEMBERS * PARTICIPATING ON THE AGE WELL COMMUNITY COUNCIL OF DANBURY AND UNITED WAY TO ADDRESS COMMUNITY ISOLATION AND DEPRESSION. * PROVIDING SUPPORT GROUPS, EDUCATION ON ANXIETY, COPING SKILLS, FALLS PREVENTION, CAREGIVING, EMOTIONAL AND BERAVEMENT SUPPORT, HEALTH SCREENING AND PREVENTION, AND SHARING INFORMATION ON COMMUNITY BASED RESOURCES * EXPANDING THE SERVICES OF THE DANBURY HOSPITAL COMMUNITY CARE TEAM, CONNECTING LOCAL RESIDENTS TO HOUSING, HEALTHY FOOD RESOURCES, MENTAL HEALTH, PRIMARY AND SPECIALTY CARE SERVICES, AND SUBSTANCE USE PREVENTION AND TREATMENT * IMPLEMENTING THE FREQUENT VISITOR PROGRAM AT DANBURY HOSPITAL TO LEVERAGE COMMUNITY HEALTH WORKERS TO CONNECT VULNERABLE COMMUNITY MEMBERS TO ESSENTIAL SERVICES * ESTABLISHING THE ROUND-TRIP TRANSPORTATION PROGRAM IN THE DANBURY HOSPITAL SERVICE AREA, TO PROVIDE TRANSPORTATION SERVICES TO COMMUNITY MEMBERS FOR MEDICAL APPOINTMENTS * PLACING REFERRALS FROM THE DANBURY AND NEW MILFORD HOSPITAL EMERGENCY DEPARTMENTS TO CCAR'S EMERGENCY DEPARTMENT COACHING PROGRAM TO PROVIDE ADDICTION SUPPORT SERVICES * PARTNERING 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. * IMPLEMENTING THE CT DIAPER CONNECTIONS PROGRAM TO IMPACT CHILD HEALTH AND MATERNAL DEPRESSION * OFFERING MENTAL HEALTH FIRST AID TRAINING * COLLABORATING WITH GREENWOODS COUNSELING OF LITCHFIELD TO DISTRIBUTE NARCAN AND FENTANYL TESTING STRIPS AT NEW MILFORD HOSPITAL * PROVIDING OVER 100 CHRONIC CONDITION MANAGEMENT, WELLNESS, AND PREVENTION RESOURCE VIDEOS ON THE NUVANCEHEALTH.ORG WEBSITE (IN ENGLISH AND SPANISH) Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP - A. THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 61.48% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP - A. 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 A, 1 Facility A, 1 - FACILITY REPORTING GROUP - A. THE DANBURY 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. 14 FRANK J KELLY MEDICAL ARTS CENTER 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC/OP PHYSICIAN CLINIC MAIN STREET REHABILITATION CENTER 235 MAIN STREET DANBURY CT 06810 REHAB CENTER OUTPATIENT REHABILITATION FACILITY 79 SAND PIT ROAD DANBURY CT 06810 DIAGNOSTIC/OP PHYSICIAN CLINIC PULMONARY TESTING AND REHAB EEG AND SLEEP CENTER 33 GERMANTOWN ROAD DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC SOUTHBURY GERIATRIC CENTER 22 OLD WATERBURY ROAD SOUTHBURY CT 06488 DIAGNOSTIC/OP PHYSICIAN CLINIC DANBURY HOSPITAL BREAST CENTER 20 GERMANTOWN ROAD DANBURY CT 06810 DIAGNOSTIC COMMUNITY CENTER OF BEHAVIORAL HEALTH 152 WEST STREET DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC ANTICOAGULATION CENTER 41 GERMANTOWN ROAD DANBURY CT 06810 DIAGNOSTIC COMMUNITY HEALTH CENTER DENTAL CLINIC 70 MAIN STREET DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC COMMUNITY HEALTH SPECIALTY CLINIC 70 MAIN STREET DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC CENTER FOR CHILD AND ADOLESCENT TREATMENT SERVICES 152 WEST STREET DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC DANBURY SLEEP DISORDER LAB AT ETHAN ALLEN INN 21 LAKE AVENUE EXTENSION DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC NEW MILFORD BEHAVIORAL HEALTH GROUP SITE 25 POPLAR STREET NEW MILFORD CT 06776 OUTPATIENT PHYSICIAN CLINIC NEW MILFORD HOSPITAL BEHAVIORAL HEALTH SERVICES 23 POPLAR STREET NEW MILFORD CT 06776 OUTPATIENT PHYSICIAN CLINIC Schedule H, Part I, Line 3c IN CONNECTICUT, 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 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 7e Community health improvement services and community benefit operations DANBURY/NEW MILFORD HOSPITALS 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, SERVICES AND FUNDING THAT ADDRESS COMMUNITY NEEDS AND HEALTH DISPARITIES *ADRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS *ADDRESSING CANCER THROUGH BREAST CANCER SCREENING LECTURES, THE NURSE NAVIGATOR SPEAKER SERIES, AND LUNG CANCER PREVENTION Q & A. *ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS *ADDRESSING INFECTIOUS DISEASE THROUGH COVID-19 AND FLU VACCINATION CLINICS *ADRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE NEW MILFORD WALKING PROJECT AND THE GET FIT CHALLENGE. *ADDRESSING BEHAVIORAL HEALTH NEEDS ADVOCACY THROUGH VIRTUAL MEETINGS INCLUDING CHA MENTAL HEALTH WORK GROUP and the COMMUNITY CARE TEAM *PROVIDING SUPPORT GROUPS *SENIORS HEALTH AND WELLNESS VIA OUTREACH AND EDUCATION GRANTS AND IN-KIND SUPPORT WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS: * ALZHEIMER'S ASSOCIATION * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * AMERICAN LUNG ASSOCIATION * ARTHRITIS FOUNDATION * ABILITY BEYOND * ANN'S PLACE * BEN'S BELLS * DANBURY FARMERS MARKET COMMUNITY COLLABORATIVE * NEW AMERICAN DREAM FOUNDATION * BOY SCOUTS OF AMERICA * RIDGEFIELD LIBRARY * BOOTH LIBRARY * DANBURY CHAMBER OF COMMERCE * NEW MILFORD CHAMBER OF COMMERCE * UNITED WAY OF WESTERN CONNECTICUT * CATHERINE VIOLET HUBBARD FOUNDATION * REGIONAL HOSPICE * REGIONAL YMCA * CATHOLIC CHARITIES * CENTER FOR EMPOWERMENT AND EDUCATION * KNIGHTS OF COLUMBUS * PRIDE IN THE HILLS * VILLAGE FAIR DAYS * CT INSTITUTE FOR COMMUNITIES * NEW MILFORD PARKS AND REC * NEWTOWN YOUTH AND FAMILY SERVICES * DANBURY YOUTH SERVICES * FOUNDERS HALL * HOUSATONIC HABITAT FOR HUMMANITY * NEW MILFORD WHEELS PROGRAM * SAMARITAN HEALTH SERVICES Schedule H, Part I, Line 7g Subsidized health services THE AMOUNTS REPORTED AS SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE PHYSICIAN CLINIC COSTS. Schedule H, Part II Community Building Activities COALITION BUILDING $78,226 DANBURY HOSPITAL AND NEW MILFORD HOSPITAL ARE COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFIND FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. AS PART OF ITS 2022-2024 COMMUNITY SERVICE PLAN, DANBURY HOSPITAL WILL FOCUS EFFORTS ON CHRONIC DISEASE PREVENTION, MENTAL AND SUBSTANCE USE DISORDERS, AND PROMOTING WELL-BEING. WORKFORCE DEVELOPMENT $16,780 A SUMMER INTERNSHIP PROGRAM WAS HELD AT THE RUDY L. RUGGLES RESEARCH INSTITUTE. THE PROGRAM WAS OFFERED TO HIGH SCHOOL STUDENTS, AND SUPPORTED SKILL DEVELOPMENT AND CAREER DEVELOPMENT. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $5,723 ICAN PROGRAM - DANBURY HOSPITAL AND NEW MILFORD HOSPITAL SUPPORT POLICIES AND PROGRAMS THAT HELP IMPROVE PUBLIC HEALTH AND ACCESS TO HEALTH CARE SERVICES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount DANBURY AND NEW MILFORD HOSPITALS FOLLOW GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THEIR 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 IT IS THE POLICY OF THE HOSPITAL TO PROVIDE NECESSARY CARE TO ALL PERSONS SEEKING TREATMENT WITHOUT DISCRIMINATION ON THE GROUNDS OF AGE, RACE, CREED, NATIONAL ORIGIN OR ANY OTHER GROUNDS UNRELATED TO AN INDIVIDUAL'S NEED FOR THE SERVICE OR THE AVAILABILITY OF THE NEEDED SERVICE AT THE HOSPITAL. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT BY REFERENCE TO ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO A RESPONSIBLE PARTY'S INCOME AND THEIR COUNTABLE ASSETS. THOSE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. BECAUSE THE HOSPITAL IS NOT PAID FOR THESE SERVICES, THEY ARE CONSIDERED TO BE COMMUNITY BENEFIT. WHEN PRIVATE PAY PATIENTS ARE SENT TO THE COLLECTION AGENCY THEIR ACCOUNT IS CONSIDERED TO BE A BAD DEBT. SUBSEQUENTLY, MEDICAID MAY BE GRANTED FOR SOME OF THOSE PATIENTS. AT THAT TIME THOSE ACCOUNTS NOT GRANTED MEDICAID WOULD BECOME CHARITY CARE OR A COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 DANBURY HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION STRIVES TO PROVIDE 24/7 COVERAGE, IMPROVED PATIENT ACCESS, HIGHEST CLINICAL QUALITY AS WELL AS ADDRESSING THE NEEDS OF THE COMMUNITY BY OFFERING CRITICAL SERVICES TO OUR GEOGRAPHIC AREA. AS A RESULT, THE ORGANIZATION MUST BALANCE THE COST OF THESE PROGRAMS AGAINST THE CONTINUED DECREASING GOVERNMENT REIMBURSEMENT LEVELS, UNINSURED POPULATION AND COMMUNITY NEEDS. A COST ACCOUNTING SYSTEM IS USED TO CALCULATE THE SHORTFALL, WHICH IS MEDICARE NET PATIENT REVENUE LESS APPLICABLE COSTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF THE DANBURY 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) THE DANBURY 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. THE 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, THE DANBURY 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, THE DANBURY HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS 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. THE 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 A - DANBURY & NEW MILFORD HOSPITALS: Line 16a URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - DANBURY & NEW MILFORD HOSPITALS: Line 16b URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - DANBURY & NEW MILFORD HOSPITALS: Line 16c URL: HTTPS://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 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 IDENTIFY 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 DANBURY HOSPITAL AND NEW MILFORD HOSPITAL CAMPUSES SERVE AN AREA WITH A POPULATION OF ABOUT 260,000 PEOPLE. UNDERSTANDING CHANGES IN POPULATION DEMOGRAPHICS IS CRITICAL TO PLAN FOR CHANGES IN HEALTHCARE, HOUSING, ECONOMIC OPPORTUNITY, EDUCATION, SOCIAL SERVICES, TRANSPORTATION, AND OTHER ESSENTIAL INFRASTRUCTURE ELEMENTS. CONNECTICUT OVERALL IS AN AGING STATE. DANBURY HOSPITALS PRIMARY SERVICE AREA AVERAGE AGE (43.2) TRENDS SLIGHTLY HIGHER THAN THE STATE AVERAGE OF 42.1. THE SERVICE AREA IS PROJECTED TO INCREASE BY 2,948 PEOPLE FROM 2023 TO 2028. THE MOST SIGNIFICANT GROWTH (14.57%) WILL OCCUR IN PEOPLE 65 AND UP. THE CITY OF DANBURY IS A MAJORITY-MINORITY CITY, WITH A RACIAL AND ETHNIC DIVERSITY OF RESIDENTS UNMATCHED IN THE SURROUNDING AREAS. REGIONALLY, GREATER DANBURY IS LESS DIVERSE THAN CONNECTICUT, ALTHOUGH CONSISTENT WITH STATEWIDE TRENDS, THE REGION IS BECOMING MORE DIVERSE, WITH GROWTH EXPECTED IN EVERY GROUP OTHER THAN WHITE/NON-HISPANIC. THE GREATER DANBURY AREA HAS A SUBSTANTIAL POPULATION OF UNDOCUMENTED RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IN THE DANBURY PSA IS $97,145, COMPARED TO $83,572 STATEWIDE, AND FEWER RESIDENTS OR CHILDREN IN GREATER DANBURY (7%) LIVE IN POVERTY COMPARED TO THE STATE OVERALL (10%) (CT DATAHAVEN.ORG). THE CT DEPARTMENT OF LABOR INDICATES THERE WAS A 3.5% ANNUAL UNEMPLOYMENT RATE IN THE DANBURY AREA FOR 2023, WHICH IS LOWER THAN THE CT STATE AVERAGE OF 3.9%. APPROXIMATELY 9% OF THE POPULATION IN FAIRFIELD COUNTY ARE LIVING IN POVERTY, WHICH IS LOWER THAN THE STATE AVERAGE OF 10% (CTDATAHAVEN.ORG). APPROXIMATELY 6.3% OF THE DANBURY/NEW MILFORD MARKET ARE UNINSURED, WHILE MEDICAID (19%), MEDICARE (20%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (55%). (SOURCE: THE CLARITAS COMPANY). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), SEVERAL PARTS OF FAIRFIELD COUNTY HAVE BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW INCOME POPULATIONS. Schedule H, Part VI, Line 5 Promotion of community health DANBURY HOSPITAL IS A REGIONAL 456-BED ACUTE CARE TEACHING HOSPITAL WITH NATIONALLY RECOGNIZED LEADERSHIP THAT OFFERS AWARD-WINNING PATIENT CARE. FOR MORE THAN 135 YEARS, THE HOSPITAL HAS DELIVERED MISSION-DRIVEN SERVICES TO THE COMMUNITY. WE ARE COMMITTED TO PROVIDING SAFE, CONVENIENT CARE TO MEET THE PERSONAL HEALTHCARE NEEDS OF OUR RESIDENTS. WE ARE PART OF NUVANCE HEALTH, A NETWORK OF SEVEN COMMUNITY HOSPITAL LOCATIONS AND NUMBEROUS OUTPATIENT FACILITIES IN THE HUDSON VALLEY NEW YORK AND WESTERN CONNECTICUT AREAS. OUR PATIENTS BENEFIT FROM THE VARIOUS MULTISPECIALTY GROUPS AND SERVICES ACROSS THE SYSTEM. OUR FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND OUR DIGESTIVE HEALTH INSTITUTE. OUR FEATURED SERVICE LINES INCLUDE PRIMARY CARE, A LEVEL II TRAUMA CENTER, MATERNAL AND INFANT CARE, INCLUDING A LEVEL IIIB NEONATAL INTENSIVE CARE UNIT, AND AN ADULT PSYCHIATRIC CARE UNIT. DANBURY HOSPITAL ALSO OFFERS: - PRIMARY CARE AND PEDIATRICS - LABORATORY TESTING, IMAGING AND RADIOLOGY - GENERAL, ORTHOPEDIC, SPINE AND BREAST SURGERY - BARIATRIC AND METABOLIC WEIGHT LOSS SERVICES - WOUND CARE - PULMONARY SERVICES - PHYSICAL MEDICINE AND REHABILITATION - HOME CARE DANBURY HOSPITAL HAS A CAMPUS AT NEW MILFORD HOSPITAL SERVING RESIDENTS OF SOUTHERN LITCHFIELD COUNTY. 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 ADDRESSING THE SOCIAL DRIVERS 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. OVER 50% OF THE BOARD MEMBERS ARE INDEPENDENT COMMUNITY VOLUNTEERS AND DO NOT GET PAID BY DANBURY HOSPITAL. DANBURY HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINICAL 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. DANBURY HOSPITAL AND NEW MILFORD HOSPITAL HAS PROVIDED $75,201,139 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 true SCHOLARSHIPS FOR STUDENTS ATTENDING NURSING SCHOOL 38 95000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. NUVANCE FOUNDATIONS NURSING SCHOLARSHIP GRANTS ARE AVAILABLE TO EMPLOYEES OF NUVANCE HEALTH AND ITS AFFILIATES. THE PURPOSE OF THE GRANT FUNDS IS REVIEWED AND APPROVED BY FOUNDATION OFFICERS TO ASSURE COMPLIANCE WITH DONOR INTENTIONS AND/OR BOARD APPROVALS. AN ANNUAL CYCLE TO DETERMINE AWARDS IS FOLLOWED. ANNUAL CYCLE FOR THE NUVANCE HEALTH AND AFFILIATES NURSING SCHOLARSHIPS: FEBRUARY: * NURSING SCHOLARSHIP COMMITTEE MEMBERSHIP IS CONFIRMED. THE COMMITTEE CONSISTS OF NURSING LEADERSHIP, RNS AND FOUNDATION STAFF MEMBERS. * THE COMMITTEE REVIEWS THE SCHOLARSHIP APPLICATION FORM FROM THE PREVIOUS YEAR AND RECOMMENDS MODIFICATIONS. * CURRENT FUNDS AVAILABLE IN EACH SCHOLARSHIP ARE VERIFIED. * DETERMINATION IS MADE AS TO THE DOLLAR AMOUNT TO BE AWARDED FROM EACH SCHOLARSHIP BASED ON THE CURRENT FUNDS. * APPLICATION DEADLINE SET MARCH: * UPDATED NURSING SCHOLARSHIP APPLICATION FORM IS UPLOADED TO THE NH/DHNMH PORTAL * VSO ANNOUNCEMENT IS WRITTEN AND GLOBAL EMAIL SENT NOTIFYING THAT THE APPLICATION IS NOW AVAILABLE AND THE DEADLINE IS SPECIFIED MARCH/APRIL: * COMPLETED APPLICATIONS ARE RECEIVED * APPLICATION INFORMATION IS RECORDED ON A SPREADSHEET * APPLICATIONS ARE SCANNED AND SAVED APRIL: * SCANNED APPLICATIONS ARE EMAILED TO THE COMMITTEE FOR REVIEW * NURSING SCHOLARSHIP COMMITTEE REVIEW/AWARD MEETING SET * AT DEADLINE, THE APPLICATION IS REMOVED FROM THE PORTAL AND NO FURTHER APPLICATIONS ARE ACCEPTED * NURSING SCHOLARSHIP COMMITTEE MEETS AND ALL COMPLETED APPLICATIONS ARE REVIEWED * AWARD WINNERS ARE AGREED UPON MAY: * AWARD RECIPIENTS ARE ANNOUNCED BY MAIL, EMAIL, VSO * SCHOLARSHIP DONORS RECEIVE THANK YOU LETTERS CONTAINING THE NAMES OF THE AWARDEES OF THEIR SCHOLARSHIPS * REIMBURSEMENTS ARE REQUESTED BY AWARDEES - PAID THROUGH PAYROLL/AP MAY/JUNE: * THANK YOU NOTES FROM AWARD WINNERS ARE RECEIVED * SHARED WITH LIVING SCHOLARSHIP DONORS AT THE NURSING SCHOLARSHIP TEA IN SEPTEMBER X true true false true false false false false false true false JOHN M MURPHY MD NUVANCE CEO/FORMER DIRECTOR 0 1541381 0 922788 0 276431 0 264336 0 32770 0 3037706 0 255000 SHARON ADAMS PRESIDENT DANBURY HOSPITAL; EASTERN REGIONAL PRESIDENT 639488 0 200000 0 118629 0 104995 0 5860 0 1068972 0 78600 0 CORNELIUS FERREIRA MD DIRECTOR (TO 12/31)/SYS. CHAIR PRIMARY CARE (TO 02/24) 0 514286 0 145500 0 29044 0 18300 0 21198 0 728328 0 0 DAHLIA PLUMMER MD DIRECTOR/STAFF PHYSICIAN 0 997600 0 24265 0 6992 0 18300 0 25598 0 1072755 0 0 ROBERT SAVINO DO DIRECTOR (FROM 01/01) 0 166464 0 52877 0 13536 0 14066 0 17805 0 264748 0 0 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) 0 267926 0 0 0 7258 0 33150 0 9973 0 318307 0 0 CAROLYN MCKENNA SECRETARY & CHIEF LEGAL OFFICER (TO 12/31) 0 575435 0 155000 0 81280 0 88260 0 2408 0 902383 0 68250 STEVEN H ROSENBERG FORMER CFO/TREASURER (TO 12/31) 0 725696 0 366729 0 165564 0 135180 0 13940 0 1407109 0 106440 BRIAN WYATT SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01) 0 297136 0 51000 0 2117 0 18300 0 42326 0 410879 0 0 KERRY EATON FORMER CHIEF OPERATING OFFICER 0 754999 0 468632 0 166468 0 140365 0 1661 0 1532125 0 117960 CATHERINE FRIERSON FORMER CHIEF HUMAN RESOURCES OFFICER 0 121667 0 0 0 70051 0 2215 0 790 0 194723 0 68520 THOMAS KOOBATIAN MD EXEC DIR/CHIEF OF STAFF-NMH 0 399517 0 94000 0 24619 0 18300 0 40083 0 576519 0 0 JEAN AHN CHIEF STRATEGY OFFICER 0 476497 0 318564 0 98004 0 92940 0 2908 0 988913 0 69000 KATHRYN D CULLINAN CHIEF HUMAN RESOURCES OFFICER 0 343979 0 200000 0 29471 0 69000 0 24353 0 666803 0 0 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 0 341893 0 84000 0 40493 0 51660 0 13615 0 531661 0 33780 MICHELLE ROBERTSON CHIEF OPERATING OFFICER 0 400296 0 0 0 133961 0 49038 0 16632 0 599927 0 0 WILLIAM DELANEY MD CHC EXECUTIVE MEDICAL DIRECTOR 294910 0 60313 0 10602 0 33550 0 38558 0 437933 0 0 0 JENNIFER L FILIPPONE VP NETWORK OPERATIONS 288618 0 70500 0 28790 0 18300 0 686 0 406894 0 0 0 THOMAS J KAHL DDS DEPT CHAIR DENTISTRY 266991 0 54049 0 8220 0 33550 0 25426 0 388236 0 0 0 LOLA J LAMBROPOULOS REGISTERED NURSE 256246 0 68000 0 2419 0 18300 0 37728 0 382693 0 0 0 DAWN P MARTIN RN CHIEF NURSING OFFICER 283756 0 63000 0 24719 0 18300 0 13717 0 403492 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND AND/OR EMPLOYEE RECOGNITION PROGRAM AWARD: 3 HIGHEST COMPENSATED EMPLOYEES 1 OFFICER/DIRECTOR Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE DANBURY HOSPITAL 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: JOHN M. MURPHY, MD $246,036 STEVEN H. ROSENBERG $108,180 KERRY EATON $110,402 SHARON ADAMS $86,695 JEAN AHN $74,640 CAROLYN MCKENNA $69,960 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. Elizabeth Gillotti Family Member 75649 Elizabeth Gilotti is a family member of Kim Morgan, a director of the filing organization. Elizabeth Gilotti was paid reasonable compensation as an employee of the filing organization false X 30875 Market value X HANDMAID QUILTS 67 13065 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Clothing and household goods - LINE 5: THE NUMBER IN COLUMN (B) OF LINE 5 REPRESENTS THE TOTAL NUMBER OF CLOTHING AND HOUSEHOLD GOODS CONTRIBUTED DURING FY23. Other - HANDMAID QUILTS LINE 25: THE NUMBER IN COLUMN (B) OF LINE 25 REPRESENTS THE TOTAL NUMBER OF HANDMAID QUILTS CONTRIBUTED DURING FY23. Form 990, Part VI, Line 13 AND 14 THE POLICIES EXIST AT THE PARENT LEVEL, WHICH ARE FOLLOWED BY EACH ENTITY AND ARE APPROVED BY THE PARENT BOARD, BUT NOT THE BOARD OF THE DANBURY HOSPITAL. THIS EXCLUDES THE RECORD RETENTION POLICY, WHICH IS APPROVED ONLY BY THE PARENT AUDIT COMMITTEE. Form 990, Part VI, Line 16b WHILE A WRITTEN POLICY HAS NOT BEEN ADOPTED REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURES, MANAGEMENT FOLLOWS A PROCEDURE IN WHICH ALL POSSIBLE JOINT VENTURE ARRANGEMENTS ARE EVALUATED UNDER APPLICABLE FEDERAL TAX LAWS. MANAGEMENT UTILIZED THE SERVICES OF APPROPRIATE CONSULTANTS AND LEGAL COUNSEL TO EVALUATE EACH JOINT VENTURE OPPORTUNITY. THIS EVALUATION ALSO INCLUDES AN ANALYSIS OF HOW THE JOINT VENTURE WILL FURTHER THE HOSPITAL'S MISSION. THE HOSPITAL HAS TAKEN ALL APPROPRIATE STEPS TO SAFEGUARD ITS TAX EXEMPT STATUS WITH RESPECTS TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES. Form 990, Part VI, Line 6 Classes of members or stockholders WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF THE DANBURY HOSPITAL. NUVANCE HEALTH IS THE SOLE MEMBER OF WESTERN CONNECTICUT HEALTH NETWORK, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER SHALL BE RESPONSIBLE FOR ELECTING, AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER. A) THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A SUBSIDIARY ("DANBURY SUBSIDIARY") SHALL NOT REQUIRE APPROVAL BY THE BOARD AND ARE RESERVED SOLELY TO THE MEMBER: *THE AMENDMENT OF THE HOSPITAL'S BYLAWS; *THE ELECTION OR REMOVAL OF A DIRECTOR; *APPROVAL OF INVESTMENT POLICIES; *APPROVAL OF THE ADOPTION OF OR AMENDMENT TO ANY QUALIFIED OR ANY NON-QUALIFIED BENEFIT PLAN; *APPROVAL OF THE ADOPTION OF OR ANY AMENDMENT TO THE POLICIES AND PROCEDURES GOVERNING A) INDEMNIFICATION OF DIRECTORS AND OFFICERS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; B) CONFLICTS OR DUALITIES OF INTEREST; C) ACCOUNTING AND INVESTMENT STANDARDS AND PRACTICES AND D) SUCH OTHER POLICIES THE MEMBER MAY DETERMINE; *APPROVAL OF SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES TO WHICH THE HOSPITAL OR ANY DANBURY SUBSIDIARY IS EXPECTED TO ADHERE; *AND APPROVAL OF REGULATORY COMPLIANCE AND METHODOLOGY FOR PHYSICIAN COMPENSATION ARRANGEMENTS. THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A DANBURY SUBSIDIARY, WHICH REQUIRE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: *THE ELECTION OF THE OFFICERS OF THE HOSPITAL; *APPROVAL OF ALL OPERATING AND CAPITAL BUDGETS OF THE HOSPITAL AND DANBURY SUBSIDIARY; *APPROVAL OF ANY AMENDMENT OR RESTATEMENT OF THE HOSPITAL'S CERTIFICATE OF INCORPORATION, BYLAWS, OR OPERATING AGREEMENT OF ANY DANBURY SUBSIDIARY; *APPROVAL OF ANY SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; *APPROVAL OF THE CREATION OF ANY CORPORATION OF WHICH THE HOSPITAL OR A DANBURY SUBSIDIARY IS THE SOLE OR CONTROLLING MEMBER OR SOLE OR CONTROLLING SHAREHOLDER; THE MERGER OR CONSOLIDATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANOTHER CORPORATION; AND THE REORGANIZATION, LIQUIDATION OR DISSOLUTION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; *APPROVAL OF ANY LOANS BY THE HOSPITAL OR ANY DANBURY SUBSIDIARY, OR THE INCURRING OF ANY INDEBTEDNESS, SECURED OR UNSECURED, WHICH EXCEEDS TWO MILLION DOLLARS ($2.0 MILLION) OR WHICH HAS A TERM LONGER THAN ONE YEAR; *APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF TWO MILLION DOLLARS ($2.0 MILLION) OR ANY INCREASE IN ANY APPROVED ANNUAL OPERATING OR CAPITAL BUDGET. *APPROVAL OF ANY AGREEMENT OR TRANSACTION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY INVOLVING AN AMOUNT GREATER THAN TWO MILLION DOLLARS ($2.0 MILLION) WITH ANOTHER INDIVIDUAL OR ENTITY; *APPROVAL OF THE AFFILIATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANY OTHER ENTITY FOR THE PURPOSES OF THE JOINT CONDUCT OF BUSINESS; *CREATION OF ANY COMMITTEE WHICH SHALL HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OR ON BEHALF OF ANY DANBURY SUBSIDIARY; *APPROVAL OF ANY CONVEYANCE OF, OR THE GRANTING OF MORTGAGES OR TRUSTS ON ANY REAL PROPERTY ASSETS OF THE HOSPITAL OR OF ANY DANBURY SUBSIDIARY; *APPROVAL OF THE STRATEGIC PLAN OF THE HOSPITAL AND OF ANY DANBURY SUBSIDIARY; AND *APPROVAL OF ANY COMMENCEMENT, CESSATION, LOCATION, RELOCATION OR CONSOLIDATION OF SIGNIFICANT CLINICAL SERVICES PROVIDED BY THE HOSPITAL OR ANY DANBURY SUBSIDIARY. 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 FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. Form 990, Part VII, Section A ADDITIONAL 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 3 THE DANBURY HOSPITAL ("DH") IS REPORTING INCOME FROM THE INVESTMENT OF TAX-EXEMPT BOND PROCEEDS ON FORM 990, PART VIII, LINE 4. THIS INCOME IS ALLOCATED TO DH FROM ITS PARENT, NUVANCE HEALTH. PURSUANT TO THE FORM 990 INSTRUCTIONS, NUVANCE HEALTH REPORTS ALL REQUIRED INFORMATION ON FORM 990, SCHEDULE K FOR THE TAX-EXEMPT BOND ISSUANCES OF THE NUVANCE OBLIGATED GROUP, OF WHICH DH IS INCLUDED. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 5912037, Related or Exempt Function Revenue: 5912037, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 3757, Related or Exempt Function Revenue: 3757, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 9 COLUMN (D) ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON FORM 990, PART I, LINE 8, ALL FUNDRAISING EXPENSES WERE INCURRED BY THE DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION, INC. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN EQUITY INTEREST IN THE FOUNDATIONS - 4597523; BOARD DESIGNATED NET ASSET TRANSFER - 601370; Alamo Ambulance Service Inc 45 READE PLACE ATTN LEGAL DEPT POUGHKEEPSIE NY 12601 141745417 Transportation NY 501(c)(3) Type III-FI HQ true Danbury Hospital & New Milford Hospital Foundation Inc 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 Fundraising CT 501(c)(3) 7 WCHN true Eastern New York Medical Services PC 3423 DANBURY ROAD BREWSTER NY 10509 455431389 Physician Services NY 501(c)(3) 10 WCHN true Health Quest Home Care Inc (Certified) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788412 Home Health NY 501(c)(3) 10 HQ true Health Quest Home Care Inc (Licensed) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788410 Home Health NY 501(c)(3) 10 HQ true Nuvance Health Medical Practice PC 45 READE PLACE ATTN LEGAL DEPT POUGHKEEPSIE NY 12601 562669185 Physician Services NY 501(c)(3) 10 HQ true Health Quest Systems Inc 45 READE PLACE POUGHKEEPSIE NY 12601 141678068 Support/Management NY 501(c)(3) 10 NUVANCE true Health Quest Urgent Medical Care Practice PC 45 READE PLACE ATTN LEGAL DEPT POUGHKEEPSIE NY 12601 800152047 Physician Services NY 501(c)(3) 10 HQ true Hudson Valley Cardiovascular Practice PC 1 COLUMBIA POUGHKEEPSIE NY 12601 463756713 Physician Services NY 501(c)(3) 10 HQ true NDH Foundation 6531 SPRINGBROOK AVENUE RHINEBECK NY 12572 141776208 Fundraising NY 501(c)(3) 7 HQ true Northern Dutchess Hospital 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 141338467 Hospital NY 501(c)(3) 3 HQ true Northern Dutchess Residential Healthcare Facility Inc 6525 SPRINGBROOK AVENUE RHINEBECK NY 12572 223129608 Nursing Home NY 501(c)(3) 10 HQ true Norwalk Hospital Foundation Inc 34 MAPLE STREET NORWALK CT 06850 222577707 Fundraising CT 501(c)(3) 7 WCHN true Nuvance Health 45 READE PLACE 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 true Putnam Hospital 670 STONELEIGH AVENUE CARMEL NY 10512 146019179 Hospital NY 501(c)(3) 3 HQ true Putnam Hospital Center Foundation Inc 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 Fundraising NY 501(c)(3) Type I HQ true The Norwalk Hospital Association 34 MAPLE STREET NORWALK CT 06850 066068853 Hospital CT 501(c)(3) 3 WCHN true Vassar Brothers Hospital Foundation 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 Fundraising NY 501(c)(3) 7 HQ true Vassar Brothers Medical Center 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 Hospital NY 501(c)(3) 3 HQ true Vassar Health Connecticut Inc 50 HOSPITAL HILL ROAD SHARON CT 06069 815056290 Hospital CT 501(c)(3) 3 HQ true Wells Manor Housing Development Fund Corp 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 Low Income NY 501(c)(3) PF HQ true Western Connecticut Home Care Inc 100 Saw Mill Road DANBURY CT 06810 060655138 Home Healthcare CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Affiliates Inc 100 RESERVE ROAD DANBURY CT 06810 222594968 Outpatient Health Care Services CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Inc 100 RESERVE ROAD DANBURY CT 06810 222594977 Support/Management CT 501(c)(3) Type II NUVANCE true Western Connecticut Health Network Investments LLC 100 Reserve Road Danbury CT 06810 475523212 Investments CT 501(c)(3) Type I NA false NEW MILFORD MRI LLC 100 RESERVE ROAD DANBURY CT 06810 271877801 INACTIVE CT NA Related false true NORWALK SURGERY CENTER LLC 40 CROSS STREET SUITE 120 NOWRALK CT 06851 272394942 SURGERY CENTER CT NA N/A false false NUVANCE HEALTH INSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY11102 980438151 MALPRACTICE CJ NUVANCE HEALTH C Corporation false SWC COPORATION 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT NA C Corporation false TACONIC IPA INC 45 READE PLACE Poughkeepsie NY 10601 223007320 MEDICAL CARE NY NA C Corporation false VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC 100 RESERVE ROAD DANBURY CT 06810 821466583 MEDICAL CARE CT NA C Corporation false false false true false false false false false false true false true true false false true true true true Danbury Hospital and New Milford Hospital Foundation Inc C 5572789 Cost Method Danbury Hospital and New Milford Hospital Foundation Inc P 5330127 Cost Method Danbury and New Milford Hospital Foundation L 110452 Cost Method Health Quest Home Care Inc Q 724159 Cost Method Health Quest Systems Inc P 40176405 Cost Method Health Quest Systems Inc L 727770 Cost Method Hudson Valley Cardiovascular Practice Q 3450211 Cost Method Hudson Valley Cardiovascular Practice M 60238 Cost Method Northern Dutchess Residential Health Facility Inc Q 467695 Cost Method Norwalk Hospital Foundation C 500600 Cost Method Nuvance Health M 82126352 Cost Method Nuvance Health Q 75968666 Cost Method Nuvance Health S 1946049 Cost Method Nuvance Health Medical Practice CT Inc M 114914873 Cost Method Nuvance Health Medical Practice CT Inc Q 111416641 Cost Method Nuvance Health Medical Practice CT Inc J 3472493 Cost Method SWC Corporation Q 97153 Cost Method SWC Corporation R 92261 Cost Method The Norwalk Hospital Association P 1859950 Cost Method The Norwalk Hospital Association S 1016357 Cost Method The Norwalk Hospital Association L 885441 Cost Method WCHN PHO ACO P 700000 Cost Method Western Connecticut Health Network Affiliates M 472162 Cost Method Western Connecticut Health Network Affiliates J 255996 Cost Method Western Connecticut Health Network Affiliates Q 213767 Cost Method Western Connecticut Health Network Inc Q 54029208 Cost Method Western Connecticut Health Network Inc S 5747954 Cost Method Western Connecticut Health Network Inc M 4629685 Cost Method Western Connecticut Home Care Inc P 70736 Cost Method Western Connecticut Home Care Inc L 64455 Cost Method Western CT Health Network PHO P 96394 Cost Method Eastern New York Medical Services PC Q 330000 Cost Method Eastern New York Medical Services PC M 330000 Cost Method