2023-08-16T02:00:46+00:00 2022-09-30 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET CINCINNATI OH 45202 990 2021-10-01 141338586 Vassar Brothers Medical Center VASS 8454759500 45 READE PLACE POUGHKEEPSIE NY 12601 MARK K HIRKO MD PRESIDENT 8454759500 2023-08-16 true DANIEL DEBARBA 999009999 Alison Meehan P01934689 5136121400 2023-08-14 2021 2023-04-26 12:10:37Z PETER A KELLY 45 READE PLACE POUGHKEEPSIE NY 12601 837208667 false X www.nuvancehealth.org X 1882 NY BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. 15 13 2873 60 0 0 6764746 5835628 720468117 750217905 8624832 8860780 8742539 7449035 744600234 772363348 0 0 0 0 342664869 362285482 0 0 0 392067073 396291720 734731942 758577202 9868292 13786146 1245233477 1216662489 764478421 709368846 480755056 507293643 BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. false false 709435923 0 755713558 VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 350-BED FACILITY THAT HAS SERVED THE NEW YORK'S MID-HUDSON VALLEY SINCE 1887. THE MOST RECENT ADDITION TO THE CAMPUS IS A BEAUTIFUL PATIENT PAVILION, WHICH INCLUDES 264 PRIVATE PATIENT ROOMS, A 30-ROOM INTENSIVE CARE UNIT, 13 SURGICAL SUITES AND A 66-ROOM EMERGENCY AND TRAUMA CENTER. VBMC 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. VBMC HAS ESTABLISHED PRACTICES IN CARDIAC SERVICES, CANCER CARE AND WOMEN AND CHILDREN'S HEALTH SERVICES. AS A REGIONAL MEDICAL CENTER, VASSAR HOUSES THE AREA'S FIRST AND ONLY CARDIOTHORACIC SURGERY CENTER BETWEEN WESTCHESTER AND ALBANY AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION FOR PREMATURE, UNDERWEIGHT, AND CRITICALLY ILL INFANTS. INNOVATIVE PROCEDURES AND SERVICES HAVE BEEN BROUGHT TO THE VBMC CAMPUS, INCLUDING ROBOTIC ORTHOPEDIC SURGERY, NEUROSURGERY, HEPATOBILIARY CARE, AND THORACIC SURGICAL ONCOLOGY, NEGATING THE NEED TO TRAVEL FOR THIS CARE. VBMC IS A LEVEL II TRAUMA CENTER WITH ACCREDITATIONS FROM THROMBECTOMY-CAPABLE STROKE CENTER, AMERICAN COLLEGE OF SURGEONS LEVEL 2 TRAUMA CENTER, STEMI PRIMARY CORONARY INTERVENTION CENTER, AND ACGME (ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION) ACCREDITED EMERGENCY MEDICINE RESIDENCY PROGRAM. VBMC RECENTLY REOPENED ITS PEDIATRIC UNIT, THANKS TO AN ALLIANCE WITH NEW YORK CHILDREN'S MEDICAL PROVIDERS SERVICES, P.C., AN AFFILIATE OF THE NATIONALLY RANKED HEALTH SYSTEM, CONNECTICUT CHILDREN'S. THE UNIT NOW INCLUDES NINE PRIVATE ROOMS DECORATED IN A HUDSON VALLEY THEME. THROUGH THE ALLIANCE WITH NEW YORK CHILDREN'S MEDICAL PROVIDERS SERVICES, CHILDREN WHO NEED TO HOSPITALIZATION ARE CARED FOR BY PEDIATRIC HOSPITALISTS WITH YEARS OF SPECIALIZED TRAINING, IN ADDITION TO PEDIATRIC NURSES, RESPIRATORY THERAPISTS AND OTHERS. NEONATOLOGISTS FROM NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C., ALSO STAFF THE NICU. VBMC 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. VBMC HAS BEEN RECOGNIZED AS BEST REGIONAL HOSPITAL FOR EXCELLENCE BY U.S. NEWS & WORLD REPORT FOR THEIR HIGH PERFORMANCE IN COLON CANCER SURGERY, HEART FAILURE TREATMENT, HEART ATTACK, DIABETES TREATMENT, MATERNITY CARE, UNCOMPLICATED PREGNANCY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND PNEUMONIA, AND IN STROKE. FOR THE LAST SEVERAL YEARS, HEALTHGRADES HAS LISTED VBMC AS AMERICA'S 50 BEST HOSPITALS. HEALTHGRADES HAS AWARDED THE HOSPITAL AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE, CRITICAL CARE AND GASTROINTESTINAL CARE. IN ADDITION, HEALTHGRADES HAS AWARDED VBMC WITH THE CORONARY INTERVENTION EXCELLENCE AWARD, GASTROINTESTINAL CARE EXCELLENCE AWARD, NEUROSCIENCES EXCELLENCE AWARD, AS WELL AS THE STROKE CARE EXCELLENCE AWARD. VBMC HAS BEEN ACCREDITED AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AND ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) THROUGH THE AMERICAN COLLEGE OF SURGEONS. THE SURGICAL REVIEW CORPORATION HAS DESIGNATED VBMC AS A ROBOTIC CENTER OF EXCELLENCE. IN FY22, VBMC HAD 101,481 PATIENT DAYS AND 22,417 DISCHARGES IN ACUTE CARE. THERE WERE 39,586 IN EMERGENCY ROOM VISITS AND 254,565 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $17.2M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 709435923 true true false true false false false false true true true false true true true false true false false false false false false false false true true false false true true true false false false false false false false false false false false false false false true true true false false true 121 0 true 2873 true false false false false false false false false false false false false X 15 13 false false false false true true true true true false false true true true true true false false true true true NY X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 KEVIN CLEARY DIRECTOR; VICE CHAIRMAN (FROM 1/1) 3.0 0 X X 0 0 0 PETER A KELLY PRESIDENT 40.0 6.0 X X 295492 478880 98394 SHAY HUMPHREY ESQ VICE CHAIRMAN (TO 12/31); CHAIRMAN (FROM 1/1) 3.0 0 X X 0 0 0 TIMOTHY DEAN CHAIRMAN (TO 12/31); DIRECTOR 3.0 0 X X 0 0 0 BARRY ROTHFELD DIRECTOR 2.0 0 X 0 0 0 CHARLES O'MARA DIRECTOR (TO 12/31) 2.0 0 X 0 0 0 CHERYL BOWERS DIRECTOR 2.0 0 X 0 0 0 DEBRA DOMBER DIRECTOR 2.0 0 X 0 0 0 ELIZABETH BRADLEY PHD DIRECTOR 2.0 0 X 0 0 0 FRANCOISE DUNEFSKY DIRECTOR 2.0 0 X 0 0 0 JAMES WALKER DIRECTOR 2.0 0 X 0 0 0 JOHN REID DIRECTOR 2.0 0 X 0 0 0 KIMBERLY HELLER MD DIRECTOR 2.0 40.0 X 0 506543 50062 RONALD TATELBAUM MD DIRECTOR 2.0 0 X 0 0 0 SIMON GORWARA MD DIRECTOR/HVCP PHYSICIAN (TO 12/31) 2.0 40.0 X 0 822473 54183 STEVEN TINKELMAN DIRECTOR 2.0 0 X 0 0 0 THOMAS ROBINSON MD DIRECTOR 2.0 0 X 0 0 0 CAROLYN MCKENNA SECRETARY/CHIEF LEGAL OFFICER 2.0 48.0 X 0 721694 91469 DANIEL DEBARBA CHIEF FINANCIAL OFFICER (FROM 8/29) 2.0 48.0 X 0 0 0 STEVEN H ROSENBERG TREASURER/CFO (TO 8/29) 2.0 48.0 X 0 1287226 144768 CATHERINE FRIERSON CHIEF HUMAN RESOURCES OFFICER (TO 1/15) 4.0 46.0 X 0 874360 81429 GRACE LINHARD CHIEF DEVELOPMENT OFFICER 4.0 38.5 X 0 523470 67736 JEAN AHN CHIEF STRATEGY OFFICER 5.0 45.0 X 0 877181 92674 KERRY EATON CHIEF OPERATING OFFICER (TO 7/2) 6.3 43.7 X 0 1678743 145243 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 5.0 45.0 X 0 428563 66383 CINDY A CZAPLINSKI VP OPERATIONS 40.0 0 X 393828 0 46505 EILISH C HOURIHAN RN CHIEF NURSING OFFICER 40.0 0 X 438720 0 26024 EVA H SKELLY RN REGISTERED NURSE 40.0 0 X 271233 0 2750 KEVIN B BOLAND DIRECTOR CARDIO PERFUSION 40.0 0 X 390791 0 63088 WILLIAM V BEGG MD VP MEDICAL AFFAIRS 40.0 0.0 X 545467 20761 46239 ANN ARMATER FORMER SVP DEVELOPMENT 0.0 0.0 X 331357 0 0 JOSEPH MULLANY FORMER PRESIDENT VBMC 0.0 0.0 X 0 441346 0 MICHAEL HOLZHUETER FORMER ASSISTANT SECRETARY 0.0 0.0 X 0 135692 0 ROBERT FRIEDBERG FORMER HQ PRESIDENT AND CEO 0.0 0.0 X 0 1153846 0 2666888 9950778 1076947 796 true true false WALSH CONSIGLI JV 929 West Adams ST Chicago IL 60607 Construction 4929557 NORTH AMERICAN PARTNERS IN ANESTHESIA LLP 1305 Walt Whitman RD Mellville NY 11747 Anesthesiology Services 2784294 ORTHOPEDIC ASSOCIATES OF DUTCHESS COUNTY 1910 South RD Poughkeepsie NY 12601 Trauma, Orthopedic, and Hand On-Call services 664650 FRONTIER IMAGING SERVICES PO Box 771139 Chicago IL 60677 Equipment Maintenance 450253 HYMAN HAYES ASSOCIATES 800 Troy-Schnectady RD Latham NY 12110 Architectural, construction administration 320364 20 3776661 2058967 2597 5835628 NET PATIENT service revenue 621110 735145074 735145074 0 0 COVID-19 STIMULUS 900099 12148853 12148853 0 0 AFFILIATE RENTAL INCOME 532000 2149884 2149884 0 0 Clinical Trial Income 900099 532837 532837 0 0 Affiliate Therapy Services 900099 125523 125523 0 0 115734 115734 0 0 750217905 4101400 4101400 988340 0 988340 0 988340 988340 69604699 64845319 4759380 0 4759380 4759380 Employee Retention Credit 561000 5189085 5189085 0 0 Cafeteria/Meal Sales 561000 965042 0 0 965042 Physician Stipend 561000 121905 121905 0 0 184663 184663 0 0 6460695 772363348 755713558 0 10814162 0 0 0 0 0 0 0 0 1010586 923423 87163 0 0 0 0 0 262407867 239775108 22632759 0 23338439 21325491 2012948 0 60182841 54992052 5190789 0 15345749 14022173 1323576 0 258297 0 258297 0 965691 0 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true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 61714 false false 61714 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, THE NORMET DUES AND HEALTHCARE EDUCATION PROJECT, PAID BY VASSAR BROTHERS MEDICAL CENTER, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 2190951 2190951 2190951 2190951 2190951 2190951 2190951 2190951 2190951 2190951 0.0 1.0 0.0 false false 19326758 19326758 737703904 176074295 561629609 436843738 305119625 131724113 66411901 66411901 779092381 POOLED INVESTMENTS 160150667 F 160150667 INSURANCE RECEIVABLE 23934405 DUE FROM RELATED PARTIES 43567782 DEFERRED COMPENSATION 280849 RIGHT OF USE ASSET INSURANCE LIABILITY DUE FROM THIRD PARTY PAYORS 8147240 INTEREST IN FOUNDATION 49605716 MISC RECEIVABLES 7379445 DSRF 2005 BOND 2041 DSRF 2010 BOND 388 DSRF 2012 BOND 618662 DSRF 2014 BOND 546574 DSRF 2016B BOND 5577668 DSRF 2019B BOND 1564466 RIGHT OF USE ASSET - OPERATING 2204991 RIGHT OF USE ASSET - FINANCE 252195 143682422 DUE TO RELATED PARTIES 101005731 POST RETIREMENT BENEFITS 53095456 DEFERRED COMPENSATION 280849 Finance Lease Liability 1401242 FIN47 LIABILITY 5211336 SECURITY DEPOSIT LIABILITY 21350 INSURANCE LIABILITY 23934405 184950369 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote AS OF SEPTEMBER 30, 2022, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. true true X true X 300 true X true true true false false 8298438 813086 7485352 0.0099 114087198 58877104 55210094 0.0728 0 0.0 0 0 122385636 59690190 62695446 0.0826 2502 78583 78583 0.0001 30990992 10470181 20520811 0.0271 3916130 3223824 692306 0.0009 103507 103507 0.0001 605 3829 2597 1232 0.0000 0 3107 35093041 13696602 21396439 0.0282 0 3107 157478677 73386792 84091885 0.1109 0 0.0 327 327 0.0000 44 1031 1031 0.0000 0 0.0 0 0.0 220 2487 2487 0.0000 0 0.0 0 0.0 0 0.0 0 264 3845 0 3845 0.0000 true 6796517 308241087 362572676 -54331589 X true true 1 1 VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 WWW.NUVANCEHEALTH.ORG 1302001H X X X X VASSAR BROTHERS MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true true true X WWW.NUVANCEHEALTH.ORG//COMMUNITY X X true 22 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 , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. 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 - VASSAR BROTHERS MEDICAL CENTER. 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 - VASSAR BROTHERS MEDICAL CENTER. 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 - VASSAR BROTHERS MEDICAL CENTER. 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 - VASSAR BROTHERS MEDICAL CENTER. 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 2022- 2024 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 2022-2024 CSP WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS DISPARITIES AND PROMOTE OPTIMAL HEALTH IMPROVEMENT OUTCOMES. KEY INITIATIVES AT VASSAR BROTHERS MEDICAL CENTER INCLUDE: * FOOD AS MEDICINE PROGRAM * PARTNER WITH CLINICAL NUTRITION TEAM TO PROVIDE OBESITY PREVENTION EDUCATION AND HEALTHY NUTRITION EDUCATION TO COMMUNITY * ASSESS AND EXPAND EXISTING PATIENT EDUCATION MATERIALS' AVAILABILITY IN MULTIPLE LANGUAGES * HOST COMMUNITY HEALTH DAY TO PROVIDE VACCINATIONS, SCREENINGS, AND EDUCATION * GET FIT PROGRAM * LIBRARY HYPERTENSION PROGRAM IN PARTNERSHIP WITH AHA TO CONDUCT HYPERTENSION EDUCATION AND SCREENING * MENTAL HEALTH FIRST AID TRAINING * SCALE UP ACTIVITIES OF COMMUNITY CARE TEAM (CCT) TO COORDINATE HEALTH AND SOCIAL SERVICES FOR PATIENTS, INCLUDING HIRING COMMUNITY HEALTH WORKERS * PARTNER WITH LOCAL HEALTH DEPARTMENT PUBLIC EDUCATION COORDINATORS TO PROVIDE NARCAN TRAINING AND KITS TO BE DISTRIBUTED TO THE COMMUNITY * IMPLEMENT "TRAIN THE TRAINER" FOR OPIOID OVERDOSE PREVENTION PROGRAM FOR NUVANCE HEALTH STAFF; PROVIDE TWO VIRTUAL TRAININGS PER MONTH * CONTROLLED SUBSTANCE AGREEMENT WITH PATIENTS IN PRIMARY CARE * PARTICIPATE IN PRESCRIPTION TAKE BACK EVENTS IN PARTNERSHIP WITH DUTCHESS COUNTY HEALTH DEPARTMENT, LOCAL DEA, AND LAW ENFORCEMENT. 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. THE HOSPITAL COMMUNITY HEALTH NEEDS COMMITTEES MEET 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 - VASSAR BROTHERS MEDICAL CENTER. THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 57.46% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. 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 - VASSAR BROTHERS MEDICAL CENTER. VASSAR BROTHERS MEDICAL CENTER 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. 7 FISHKILL AMBULATORY SURGERY CENTER 200 WESTAGE BUSINESS CENTER FISHKILL NY 12524 OUTPATIENT SAME DAY SURGICAL AND PAIN MANAGEMENT SERVICES VBMC CARDIAC TESTING CENTER 1 COLUMBIA STREET POUGHKEEPSIE NY 12540 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES VBMC CARDIAC TESTING & REHAB CENTER 115 DELAFIELD STREET POUGHKEEPSIE NY 12601 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES VASSAR BROTHERS HOSP WOUND CARE CTR 21 FOX STREET POUGHKEEPSIE NY 12691 OUTPATIENT WOUND CARE AND HYPERBARIC SERVICES CARDIAC TESTING - NEW WINDSOR 939 LITTLE BRITAIN ROAD NEW WINDSOR NY 12553 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES ULSTER RADIATION ONCOLOGY CENTER 111 MARYS AVENUE KINGSTON NY 12401 OUTPATIENT ONCOLOGY AND INFUSION SERVICES CARDIAC TESTING - FISHKILL 60 MERRITT BOULEVARD FISHKILL NY 12524 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES Schedule H, Part I, Line 3c factors other than FPG in determining eligibility 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 VASSAR BROTHERS MEDICAL CENTER PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS, GRANTS/SPONSORSHIPS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE. BELOW IS A LIST OF SOME OF THE PROGRAMS OFFERED/Supported: *ADDRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS *ADDRESSING CANCER THROUGH BREAST CANCER SCREENINGS, ARTICLES ON NUVANCE HEALTHLINE AND SOCIAL MEDIA POSTS. MANY LECTURES WERE HELD VIA OUR HOSPITALS' SOCIAL MEDIA CHANNELS. NUVANCE HEALTH ALSO PROMOTED EDUCATIONAL VIDEOS. *ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS *ADDRESSING INFECTIOUS DISEASE THROUGH COVID-19 AND FLU VACCINATION CLINICS *ADDRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE GET FIT CHALLENGE. *PROVIDING SUPPORT GROUPS *SENIORS HEALTH AND WELLNESS VIA OUTREACH AND EDUCATION SOME OF THE 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 * ANDERSON FOUNDATION FOR AUTISM * CATHARINE STREET COMMUNITY CENTER * CHILD ABUSE PREVENTION CENTER * CHILDREN'S HOME OF POUGHKEEPSIE * CYSTIC FIBROSIS NY STATE CHAPTER * DUTCHESS COUNTY PRIDE CENTER * DUTCHESS OUTREACH * FAMILY SERVICES * HOPE FOR HEROES * HUDSON RIVER HOUSING * HUDSON VALLEY HOSPICE * LEGAL SERVICES OF THE HUDSON VALLEY * MENDED HEARTS OF THE HUDSON VALLEY * MILES OF HOPE BREAST CANCER FOUNDATION * REBUILDING TOGETHER DUTCHESS COUNTY * REGIONAL FOOD BANK OF NE NY AND FOOD BANK OF THE HUDSON VALLEY * SPARROW'S NEST OF THE HUDSON VALLEY * SUN RIVER HEALTH * UNITED WAY 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 ENVIRONMENTAL IMPROVEMENTS $327 REPRESENTATIVES FROM VASSAR BROTHERS HOSPITAL ATTEND DUTCHESS COUNTY ECONOMIC ADVISORY COUNCIL MEETINGS TO DISCUSS GROWTH AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITY. COMMUNITY SUPPORT $1,031 MEMBERS OF THE SECURITY TEAM AT VASSAR BROTHERS HOSPITAL PARTICIPATED IN TRAINING PROGRAMS THAT TEACH THE COMMUNITY ABOUT ACTIVE SHOOTER SITUATIONS. COALITION BUILDING $2,487 VASSAR BROTHERS HOSPITAL IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. AS PART OF ITS 2022-2024 COMMUNITY SERVICE PLAN, VASSAR BROTHERS HOSPITAL WILL FOCUS EFFORTS ON PREVENTING CHRONIC DISEASES AND PROMOTING WELL-BEING AND PREVENTING MENTAL AND SUBSTANCE USE DISORDERS. DUTCHESS COUNTY CONTINUES TO PROGRESS ON THE DESIGN AND DEVELOPMENT OF A NEW STATE-OF-THE-ART YOUTH FACILITY THAT WILL SERVE AS HOME TO THE COUNTY'S PATH TO PROMISE INITIATIVE AT THE FORMER YMCA SITE ON MONTGOMERY STREET IN THE CITY OF POUGHKEEPSIE. A REPRESENTATIVE OF VASSAR BROTHERS HOPSITAL IS A MEMBER OF THE ADVISORY COMMITTEE FOR THE YOUTH OPPORTUNITY UNION (YOU) INITIATIVE. THE YOUTH OPPORTUNITY UNION ADVISORY COMMITTEE PROVIDES ESSENTIAL INPUT AND FEEDBACK ON THE PROJECT. YOU ADVISORY COMMITTEE MEMBERS HELP PROMOTE VARIOUS PUBLIC OUTREACH EVENT AND OPPORTUNITIES. THE WEBSITE WWW.THE-YOU.ORG PROVIDES UPDATES AND INFORMATION ABOUT THE YOU, AND ENCOURAGES THE CONSTITUENCIES THEY REPRESENT TO ENGAGED IN THE DEVELOPMENT OF THE YOU. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount VBMC 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 VBMC 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 THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 21-26 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 THE MEDICARE COST REPORT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF VASSAR BROTHERS MEDICAL CENTER 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) VASSAR BROTHERS MEDICAL CENTER 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. VASSAR BROTHERS MEDICAL CENTER 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, VASSAR BROTHERS MEDICAL CENTER RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, VASSAR BROTHERS MEDICAL CENTER 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. VASSAR BROTHERS MEDICAL CENTER 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 - VASSAR BROTHERS MEDICAL CENTER: Line 16a URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - VASSAR BROTHERS MEDICAL CENTER: Line 16b URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - VASSAR BROTHERS MEDICAL CENTER: 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 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 VASSAR BROTHERS MEDICAL CENTER (VBMC) IS LOCATED IN POUGHKEEPSIE, NEW YORK IN DUTCHESS COUNTY. THE HOSPITAL PRIMARILY SERVES RESIDENTS OF 25 ZIP CODES ALONG THE HUDSON RIVER, STRETCHING FROM HYDE PARK IN THE NORTH TO NEWBURGH IN THE SOUTH ALONG THE NEW YORK AND CONNECTICUT STATE BORDERS. THE VBMC SERVICE AREA POPULATION IS PROJECTED TO INCREASE +18,398 PEOPLE OR 5.4% FROM 2022 TO 2027, ALTHOUGH CONSISTENT WITH NEW YORK STATE TRENDS, THIS GROWTH WILL OCCUR LARGELY AMONG OLDER ADULT POPULATIONS. THE POPULATION AGED 65 OR OLDER WILL INCREASE BY +11,412 PEOPLE OR 19.1% FROM 2022 TO 2027, WHILE THE CHILD POPULATION UNDER AGE 18 WILL INCREASE BY +873 PEOPLE OR 1.3%. THE VBMC SERVICE AREA IS SLIGHTLY 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 2022 AND 2027, THE WHITE POPULATION WITHIN THE VBMC SERVICE AREA IS PROJECTED TO GROW 1.3%, WHILE ALL OTHER RACIAL AND ETHNIC GROUPS ARE PROJECTED TO GROW 8% OR MORE. THE LATINX POPULATION IS PROJECTED TO BE ONE OF THE FASTEST GROWING DEMOGRAPHICS AT +14.3%. ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, THE DUTCHESS COUNTY/PUTNAM COUNTY REGION HAD AN UNEMPLOYMENT RATE OF 4.8% IN DECEMBER OF 2022. APPROXIMATELY 9.7% OF THE POPULATION IN DUCHESS COUNTY ARE LIVING IN POVERTY (CENSUS.GOV). APPROXIMATELY 3.7% OF VBMC'S MARKET ARE UNINSURED, WHILE MEDICAID (27%), MEDICARE (20%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (50%). (SOURCE: THE CLARITAS COMPANY, 2021). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), BOTH THE EASTERN PART OF DUTCHESS COUNTY AND POUGHKEEPSIE 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 VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 350-BED FACILITY THAT HAS SERVED NEW YORK'S MID-HUDSON VALLEY SINCE 1887. OUR MOST RECENT ADDITION, THE STUNNING PATIENT PAVILION, INCLUDES 294 PRIVATE PATIENT ROOMS, 13 SURGICAL SUITES AND A 66-ROOM EMERGENCY AND TRAUMA CENTER. PHYSICIANS, SURGEONS, AND SPECIALISTS BRING INNOVATIVE PROCEDURES AND SERVICES TO OUR COMMUNITY, INCLUDING ROBOTIC ORTHOPEDIC SURGERY, LIVER AND PANCREATIC SURGERY, INTERVENTIONAL NEURORADIOLOGY, SURGICAL ONCOLOGY AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). 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. OVERLOOKING THE BEAUTIFUL HUDSON RIVER IN THE CITY OF POUGHKEEPSIE, NY, OUR MEDICAL STAFF HAS EXPERTISE IN CARDIAC SERVICES, CANCER CARE, AND WOMEN AND CHILDREN'S HEALTH SERVICES. OUR FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND OUR DIGESTIVE HEALTH INSTITUTE. AS A RENOWNED REGIONAL MEDICAL CENTER, WE HOUSE THE AREA'S FIRST CARDIOTHORACIC SURGERY PROGRAM BETWEEN WESTCHESTER AND ALBANY, A LEVEL II TRAUMA CENTER, AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION FOR PREMATURE AND CRITICALLY ILL INFANTS. OUR FEATURED SERVICE LINES INCLUDE: * PRIMARY CARE * INPATIENT PEDIATRICS * BEHAVIORAL AND MENTAL HEALTH * WEIGHT LOSS SURGERY (BARIATRICS) * HERNIA CARE OUR EFFORT TO IMPROVE THE HEALTH OF OUR communities 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. VASSAR'S BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS WHO LIVE AND WORK IN THE COMMUNITY. VASSAR BROTHERS MEDICAL CENTER 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 offering 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, A SKILLED NURSING HOME AND REHABILITATION FACILITY AND TELEHEALTH VISITS. FOR FY2022, THE NETWORK PROVIDED APPROXIMATELY $87,245,319 IN TOTAL CHARITY CARE. DANBURY HOSPITAL, ITS NEW MILFORD HOSPITAL CAMPUS AND NORWALK HOSPITAL PROVIDE 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 NETWORK'S MISSION STATEMENT, AS NOTED ABOVE, FOR FY2022, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, $28,765,372, DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, $27,799,213. ALL HOSPITALS NOTED ABOVE HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS THEY CAN JOIN THE MEDICAL STAFF. NUVANCE HEALTH MEDICAL PRACTICE CT, INC. (NHMPCT): THE MISSION of NHMPCT IS TO 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. THEY SUPPORT A COMMITMENT TO ADVANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS IN THEIR COMMUNITY BY DELIVERING QUALITY CARE, PARTICIPATING IN MEDICAL RESEARCH AND MEDICAL RESIDENCY PROGRAMS AND THE PROVISION OF MEDICAL SERVICES TO PATIENTS. FOR 2022 THEY PROVIDED APPROXIMATELY $6,300,375 IN CHARITY CARE. DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION INC. (DH/NMHF): DH/NMHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS AND OTHER DANBURY NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NORWALK HOSPITAL FOUNDATION (NHF): NHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO NORWALK HOSPITAL AND OTHER NOT-FOR-PROFIT NORWALK HOSPITAL AFFILIATES. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. (WCHNA): WCHNA'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. FOR FY2022, WCHNA PROVIDED APPROXIMATELY $91,583 IN CHARITY CARE. WESTERN CONNECTICUT HOME CARE, INC. (WCHC): WCHC PROVIDES STATE OF THE ART CLINICAL SERVICES RANGING FROM PEDIATRIC PATIENTS TO THE ELDERLY UTILIZING BEST PRACTICE IN HOME CARE TO MEET THE NEEDS OF THEIR PATIENTS. EASTERN NEW YORK MEDICAL SERVICES, P.C. (ENYMS): THE MISSION AT ENYMS IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND GASTROENTEROLOGY HEALTH CARE IN THE COMMUNITIES WE SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS' NEEDS. EASTERN NEW YORK MEDICAL SERVICES, PC. PROVIDED APPROXIMATELY $8,931 IN CHARITY CARE. VASSAR BROTHERS MEDICAL CENTER (VBMC) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIEND SERVICES FOR RESIDENTS OF MID-HUDSON VALLEY. VBMC PROVIDED APPROXIMATELY $17,205,786 IN CHARITY CARE. THE FOUNDATION OF VBMC'S PRINCIPAL ACTIVITY IS THE SOLICITATION, RECEIPT, HOLDING, INVESTMENT AND ADMINISTRATION OF CONTRIBUTION ON BEHALF OF VBMC. PUTNAM HOSPITAL CENTER (PHC) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY. PHC PROVIDED APPROXIMATELY $2,195,382 IN CHARITY CARE. PUTNAM HOSPITAL CENTER FOUNDATION ACTIVELY SOLICITS CONTRIBUTIONS FROM THE PUBLIC THROUGH DIRECT MAILINGS, FUND-RAISING PROGRAMS AND OTHER ACTIVITIES. NORTHERN DUTCHESS HOSPITAL (NDH) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY. NDH PROVIDED APPROXIMATELY $2,898,598 IN CHARITY CARE. NORTHERN DUTCHESS HOSPITAL FOUNDATION (NDH) FOUNDATION ACTIVELY SOLIICITS CONTRIBUTIONS FROM THE PUBLIC THROUGH DIRECT MAILINGS, FUND-RAISING PROGRAMS AND OTHER ACTIVITIES. VASSAR HEALTH CT, INC DBA SHARON HOSPITAL (SH) PROVIDES GENERAL ACUTE CARE WITH A RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS IN THE NORTHWEST CONNECTICUT COMMUNITY. SH PROVIDED APPROXIMATELY $1,069,468 IN CHARITY CARE. NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY OPERATES AND MAINTAINS A RESIDENTIAL HEALTHCARE FACILITY FOR THE CARE AND TREATMENT OF PERSONS WHO REQUIRE MEDICAL CARE AND RELATED SERVICES. NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY-PROVIDED APPROXIMATELY $164,980 IN CHARITY CARE. NUVANCE HEALTH MEDICAL PRACTICE, PC (HQMP) IS THE BENEFICIAL OWNER OF VARIOUS PHYSICIAN PRACTICES THAT PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY AND IN THE NORTHWEST CONNECTICUT COMMUNITY. NUVANCE HEALTH MEDICAL PRACTICE, PC PROVIDED APPROXIMATELY $924,614 IN CHARITY CARE. HUDSON VALLEY CARDIOVASCULAR PRACTICE (HVCP) PROVIDES INVASIVE AND NONINVASIVE CARDIOVASCULAR, DIAGOSTIC AND THERAPEUTIC SERVICES AND IS LOCATED THROUGHOUT THE MID-HUDSON VALLEY AND NORTHWEST CONNECTICUT COMMUNITY. HUDSON VALLEY CARDIOVASCULAR PRACTICE PROVIDED APPROXIMATELY $1,017 IN CHARITY CARE. HEALTH QUEST HOME CARE, INC WAS FORMED TO OPERATE A HOME HEALTH CARE SERVICE BUSINESS SERVING RESIDENTS OF THE MID-HUDSON VALLEY. ALAMO AMBULANCE SERVICES, INC'S ASSETS WERE SOLD IN SEPTEMBER 2009; HOWEVER, IT HAS MAINTAINED ITS LICENSE TO PROVIDE TRANSPORT AND EMERGENCY MEDICAL SERVICES TO SICK, DISABLED, OR INJURED PERSONS, GENERALLY WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES, NEW YORK. Schedule H, Part VI, Line 7 State filing of community benefit report CT, NY X true true true true false false false false false true false PETER A KELLY PRESIDENT 138462 461538 150000 0 7030 17342 36832 59691 714 1157 333038 539728 0 0 SIMON GORWARA MD DIRECTOR/HVCP PHYSICIAN (TO 12/31) 0 767737 0 35992 0 18744 0 14621 0 39562 0 876656 0 0 KIMBERLY HELLER MD DIRECTOR 0 477167 0 0 0 29376 0 24569 0 25493 0 556605 0 0 ROBERT FRIEDBERG FORMER HQ PRESIDENT AND CEO 0 0 0 0 0 1153846 0 0 0 0 0 1153846 0 0 MICHAEL HOLZHUETER FORMER ASSISTANT SECRETARY 0 0 0 0 0 135692 0 0 0 0 0 135692 0 0 CAROLYN MCKENNA SECRETARY/CHIEF LEGAL OFFICER 0 557902 0 150000 0 13792 0 89553 0 1916 0 813163 0 0 STEVEN H ROSENBERG TREASURER/CFO (TO 8/29) 0 702249 0 532996 0 51981 0 128920 0 15848 0 1431994 0 0 ANN ARMATER FORMER SVP DEVELOPMENT 3648 0 0 0 327709 0 0 0 0 0 331357 0 0 0 JOSEPH MULLANY FORMER PRESIDENT VBMC 0 0 0 0 0 441346 0 0 0 0 0 441346 0 0 JEAN AHN CHIEF STRATEGY OFFICER 0 463032 0 389376 0 24773 0 89758 0 2916 0 969855 0 0 KERRY EATON CHIEF OPERATING OFFICER (TO 7/2) 0 733500 0 714680 0 230563 0 143327 0 1916 0 1823986 0 198886 CATHERINE FRIERSON CHIEF HUMAN RESOURCES OFFICER (TO 1/15) 0 462968 0 398328 0 13064 0 76649 0 4780 0 955789 0 0 GRACE LINHARD CHIEF DEVELOPMENT OFFICER 0 368733 0 125000 0 29737 0 64424 0 3312 0 591206 0 0 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 0 332183 0 90000 0 6380 0 53522 0 12861 0 494946 0 0 WILLIAM V BEGG MD VP MEDICAL AFFAIRS 446987 20761 92000 0 6480 0 23594 898 21153 594 590214 22253 0 0 KEVIN B BOLAND DIRECTOR CARDIO PERFUSION 369838 0 0 0 20953 0 23575 0 39513 0 453879 0 0 0 CINDY A CZAPLINSKI VP OPERATIONS 352491 0 36000 0 5337 0 22288 0 24217 0 440333 0 0 0 EILISH C HOURIHAN RN CHIEF NURSING OFFICER 352961 0 80000 0 5759 0 24737 0 1287 0 464744 0 0 0 EVA H SKELLY RN REGISTERED NURSE 258227 0 10675 0 2331 0 0 0 2750 0 273983 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments FOR THE FOLLOWING, TAXABLE COMPENSATION REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR TRAVEL STIPENDS: ONE OFFICER TWO HIGHEST COMPENSATED EMPLOYEES Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation VASSAR BROTHERS MEDICAL 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 4a Severance or change-of-control payment DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2021, MICHAEL HOLZHUETER RECEIVED $135,692 IN SEVERANCE PAYMENTS, SUBSEQUENT TO HIS TERMINATION DATE OF DECEMBER 11, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2021, ROBERT FRIEDBERG RECEIVED $1,153,846 IN SEVERANCE PAYMENTS, SUBSEQUENT TO HIS TERMINATION DATE OF DECEMBER 11, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2021, JOSEPH MULLANY RECEIVED $441,346 IN SEVERANCE PAYMENTS, SUBSEQUENT TO HIS TERMINATION DATE OF AUGUST 1, 2020. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2021, ANN ARMATER RECEIVED $290,523 IN SEVERANCE PAYMENTS, SUBSEQUENT TO HER TERMINATION DATE OF DECEMBER 31, 2020. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan KERRY EATON PARTICIPATED IN A SERP PLAN, WITH HEALTH QUEST SYSTEMS, INC. (HEALTH QUEST), A RELATED ORGANIZATION. AS OF JANUARY 15, 2021, THE HEALTH QUEST SERP PLAN WAS TERMINATED. KERRY EATON RECEIVED A PAYOUT OF $198,885.55 IN CALENDAR YEAR 2021 WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990 FOR THE CURRENT YEAR. 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 OF 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 2021, THE AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (C) - RETIREMENT AND OTHER DEFERRED COMPENSATION. FOR CALENDAR YEAR 2021, AMOUNTS EARNED BY THE FOLLOWING KEY MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM WERE AS FOLLOWS: -STEVEN H. ROSENBERG $106,440 -PETER A. KELLY $72,600 -KERRY EATON $117,960 -CAROLYN MCKENNA $68,250 -CATHERINE FRIERSON $68,520 -GRACE LINHARD $44,280 -WAYNE MCNULTY $33,780 -JEAN AHN $69,000 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. THIS 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 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 REQUIREMENTS, 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. A DUTCHESS COUNTY LOCAL DEV CORP 273106797 267045GX4 2016-07-07 406680960 CONSTRUCT, RENOVATE, EQUIP FACILITY false false false A 885000 416791845 48004473 3361803 365425569 2021 false false true true A false true true true false 0.0057 0.0 0.0057 false false true A false false false true false false false true true A false Schedule K, Part IV, Line 2c 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 LINE A, COLUMN E 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 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. Schedule K, Part IV, Line 2c COLUMN A Issuer name: DUTCHESS COUNTY LOCAL DEV CORP The calculation for computing no rebate due was performed on 06/30/2021 Form 990, Part VI, Line 14 document retention and destruction 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 VASSAR BROTHERS MEDICAL CENTER ("VBMC") 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 VASSAR BROTHERS MEDICAL CENTER'S (VBMC'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 VBMC 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 VBMC'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF VBMC'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF VBMC'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 SYSTEM-WIDE 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 67.5TH 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 2f Other Program Service Revenue Research Revenue - Total Revenue: 115734, Related or Exempt Function Revenue: 115734, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL RECORDS - Total Revenue: 878, Related or Exempt Function Revenue: 878, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; MEDICAL STAFF - NEW Applicant - Total Revenue: 60400, Related or Exempt Function Revenue: 60400, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; PURCHASE DISCOUNT - Total Revenue: 84364, Related or Exempt Function Revenue: 84364, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; FMM - MANAGEMENT CONTRACT - Total Revenue: 29826, Related or Exempt Function Revenue: 29826, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; CME OTHER REVENUE - Total Revenue: 38775, Related or Exempt Function Revenue: 38775, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; CARDIO FITNESS CENTER - Total Revenue: 539, Related or Exempt Function Revenue: 539, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; QUALITY INCENTIVE PROGRAM REVEnue - Total Revenue: 250, Related or Exempt Function Revenue: 250, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; HC-QUALITY INSURANCE INCENTIVE - Total Revenue: 13350, Related or Exempt Function Revenue: 13350, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; HC-STUDY REVENUE POK CLINICAL - Total Revenue: -57131, Related or Exempt Function Revenue: -57131, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; All other revenue - Total Revenue: 13412, Related or Exempt Function Revenue: 13412, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances change in pension obligation - 59485113; change in equity interest in the foundation - -8790924; Alamo Ambulance Service Inc 45 READE PLACE POUGHKEEPSIE NY 12601 141745417 Transportation NY 501(c)(3) Type III-FI HQ true Danbury Hospital & New Milford Hospital Foundation Inc 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 Fundraising CT 501(c)(3) 7 WCHN true The Danbury Hospital 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 Hospital CT 501(c)(3) 3 WCHN true Eastern New York Medical Services PC 3423 Danbury Road Brewster NY 10509 455431389 Physician Services NY 501(c)(3) 10 WCHN true Health Quest Home Care Inc (Certified) 2649 South Road Suite 220 Poughkeepsie NY 12601 141788412 Home Health NY 501(c)(3) 10 HQ true Health Quest Home Care Inc (Licensed) 2649 South Road Suite 220 Poughkeepsie NY 12601 141788410 Home Health NY 501(c)(3) 10 HQ true Nuvance Health Medical Practice PC 45 READE PLACE POUGHKEEPSIE NY 12601 562669185 Physician Services NY 501(c)(3) 10 HQ true Health Quest Systems Inc 45 READE PLACE POUGHKEEPSIE NY 12601 141678068 Support/Management NY 501(c)(3) 10 NUVANCE true Health Quest Urgent Medical Care Practice PC 45 READE PLACE 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 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 Center 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 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 New Milford MRI LLC 100 Reserve Road Danbury CT 06810 271877801 INACTIVE CT NA N/A 0 0 false false Norwalk Surgery Center LLC 40 CROSS STREET STE 120 NORWALK CT 06851 272394942 SURGERY CENTER CT NA N/A 0 0 false false Western Connecticut Health Network Investments LLC 100 Reserve Road Danbury CT 06810 475523212 INVESTMENTS CT NA N/A 0 0 false false Nuvance Health Insurance Company Ltd 23 LIME TREE BAY PO BOX 105 GRAND CAYMAN CJ 980438151 MALPRACTICE CJ NA C Corporation 0 0 false SWC Corporation 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT NA C Corporation 0 0 false Taconic IPA Inc 45 Reade Place Poughkeepsie NY 12601 223007320 MEDICAL CARE NY NA C Corporation 0 0 false Vassar Health Quest Medical Practice of Connecticut Inc 100 RESERVE ROAD DANBURY CT 06810 821466583 MEDICAL CARE CT NA C Corporation 0 0 false false false true false false false false false false true false true true false false true true true true HEALTH QUEST SYSTEMS INC J 885126 Cost Method HEALTH QUEST SYSTEMS INC M 18807128 Cost Method HEALTH QUEST SYSTEMS INC P 11731188 Cost Method HEALTH QUEST SYSTEMS INC Q 4200416 Cost Method HEALTH QUEST SYSTEMS INC S 275192 Cost Method HUDSON VALLEY CARDIOVASCULAR PRACTICE PC M 1481644 Cost Method HUDSON VALLEY CARDIOVASCULAR PRACTICE PC P 61647 Cost Method HUDSON VALLEY CARDIOVASCULAR PRACTICE PC R 8558703 Cost Method Northern Dutchess Hospital L 72958 Cost Method Northern Dutchess Hospital P 20113330 Cost Method Northern Dutchess Hospital Q 249406 Cost Method NORTHERN DUTCHESS RESIDENTIAL HEALTHCARE FACILITY INC R 487395 Cost Method Nuvance Health M 71756638 Cost Method Nuvance Health P 66047725 Cost Method Nuvance Health Q 1409525 Cost Method NUVANCE HEALTH MEDICAL PRACTICE CT INC M 1631416 Cost Method NUVANCE HEALTH MEDICAL PRACTICE CT INC R 1628108 Cost Method NUVANCE HEALTH MEDICAL PRACTICE PC J 1746401 Cost Method NUVANCE HEALTH MEDICAL PRACTICE PC M 85010137 Cost Method NUVANCE HEALTH MEDICAL PRACTICE PC P 655095 Cost Method NUVANCE HEALTH MEDICAL PRACTICE PC Q 79753 Cost Method NUVANCE HEALTH MEDICAL PRACTICE PC R 88743727 Cost Method Putnam Hospital Center P 111025 Cost Method Putnam Hospital Center Q 64888 Cost Method THE DANBURY HOSPITAL M 300084 Cost Method THE DANBURY HOSPITAL P 1068560 Cost Method THE DANBURY HOSPITAL Q 1669332 Cost Method VASSAR BROTHERS HOSPITAL FOUNDATION C 3773980 Cost Method VASSAR BROTHERS HOSPITAL FOUNDATION Q 242665 Cost Method VASSAR BROTHERS HOSPITAL FOUNDATION R 57897 Cost Method VASSAR BROTHERS HOSPITAL FOUNDATION S 253847 Cost Method VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC Q 61069 Cost Method WESTERN CONNECTICUT HEALTH NETWORK INC P 5626161 Cost Method WESTERN CONNECTICUT HEALTH NETWORK INC S 5800000 Cost Method