2023-08-16T02:02:48+00:00 2022-09-30 346565596 ERNST YOUNG US LLP 221 EAST 4TH STREET CINCINNATI OH 45202 990 2021-10-01 815056290 Vassar Health Connecticut Inc VASS 8454759500 50 HOSPITAL HILL ROAD SHARON CT 06069 Christina McCulloch PRESIDENT 8454759500 2023-08-16 true daniel debarba 999009999 Alison Meehan P01934689 5136121400 2023-08-14 2021 2023-04-26 12:10:37Z SHARON HOSPITAL Christina McCulloch Pres 50 HOSPITAL HILL ROAD SHARON CT 06069 51339478 false X WWW.NUVANCEHEALTH.ORG X 2016 CT 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. 13 12 387 18 0 0 10960 1443205 49048224 49317147 3305 3201 380942 575925 49443431 51339478 0 0 0 0 32351908 35932152 0 0 0 32764270 36899568 65116178 72831720 -15672747 -21492242 42119488 44831066 58408264 82612084 -16288776 -37781018 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 66197946 0 49718490 SHARON HOSPITAL IS A 78-BED HOSPITAL LOCATED IN NORTHWESTERN CONNECTICUT. THE TEAM IS COMMITTED TO PROVIDING COMPASSIONATE HEALTHCARE THAT MEETS THE NEEDS OF THE COMMUNITY IT SERVES. SHARON 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. SHARON HOSPITAL PROVIDES A FULL RANGE OF SERVICES INCLUDING BARIATRIC SURGERY, CARDIOLOGY SERVICES, EMERGENCY CARE, NEUROSCIENCES, ORTHOPEDICS, STROKE CARE, SURGICAL SERVICES, AND WOMEN'S SERVICES. SHARON 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. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES HAVE AWARDED SHARON HOSPITAL A FIVE-STAR RATING FOR THE LAST THREE YEARS IN A ROW. THE HOSPITAL HAS RECENTLY RECEIVED A FIVE-STAR PULMONARY RECIPIENT AWARD AND A FIVE-STAR CARDIAC RECIPIENT AWARD FROM HEALTHGRADES. SHARON HOSPITAL HAS ALSO RECEIVED THE GET WITH THE GUIDELINES STROKE GOLD PLUS BY THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. IN FY22, SHARON HOSPITAL HAD 8,304 PATIENT DAYS AND 1,771 DISCHARGES IN ACUTE CARE. THERE WERE 10,080 IN EMERGENCY ROOM VISITS AND 42,892 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $1.1M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 66197946 true true false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 49 0 true 387 true false false false false false false false false false false false false X 13 12 false false false false true true true true true false false true true true true true false false true false X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 CHRISTINA MCCULLOCH PRESIDENT SHARON HOSPITAL (FROM 7/5) 46.0 0 X X 300662 0 19665 MARK K HIRKO MD PRESIDENT SHARON HOSPITAL (TO 7/5) 20.0 26.0 X X 240055 387669 104269 PARI FOROOD VICE CHAIRMAN 3.0 0 X X 0 0 0 RICHARD CANTELE CHAIRMAN 3.0 0 X X 0 0 0 HUGH HILL DIRECTOR 2.0 0 X 0 0 0 JAMES QUELLA DIRECTOR 2.0 0 X 0 0 0 JOEL JONES DIRECTOR 2.0 0 X 0 0 0 JOHN CHARDE MD DIRECTOR 2.0 0 X 0 0 0 KATHRYN PALMER-HOUSE DIRECTOR 2.0 0 X 0 0 0 KENNETH SCHECHTER DIRECTOR 2.0 0 X 0 0 0 MARGARET COUGHLAN MD DIRECTOR 2.0 0 X 0 0 0 MEHRDAD NOORANI DIRECTOR 2.0 0 X 0 0 0 MIRIAM TANNEN RN NP-C DIRECTOR 2.0 0 X 0 0 0 RANDALL R DWENGER 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 APRIL LAWRENCE REG RESPIRATORY THERAPIST 0.0 40.0 X 596 177082 0 CANDY E OSBORN RN REGISTERED NURSE 40.0 0 X 156226 0 45827 DAWN WOODRUFF RN DIRECTOR OF PATIENT CARE SERVICES 40.0 0 X 198264 0 37428 IRINA M PRISHCHEPOVA RN REGISTERED NURSE 40.0 0 X 180393 0 35244 MINDY E MILTON RN REGISTERED NURSE 40.0 0 X 155697 0 10858 DONALD SOUCIER MD FORMER PRESIDENT OF MEDICAL STAFF 0.0 40.0 X 16192 551596 58157 MICHAEL HOLZHUETER FORMER ASSISTANT SECRETARY 0.0 0.0 X 0 135692 0 PETER CORDEAU FORMER PRESIDENT SHARON HOSPITAL; PRESIDENT NHA 0.0 46.0 X 0 640690 126898 1248085 8283966 1128048 59 true true false PHYSICIANS FOR WOMENS HEALTH 50 Amenia RD Sharon CT 06069 OB/GYN On-Call 347569 NORTH AMERICAN PARTNERS IN ANESTHESIA LLP 1305 Walt Whitman RD Mellville NY 11747 Anesthesiology Services 300000 SBK CONSTRUCTION COM LLC PO Box 580 Terryville CT 06786 Renovations/Repairs 200340 SHARON LAWN AND LANDSCAPING LLC 1 Lovers Lane Sharon CT 06069 Grounds maintenance 162778 SABOOH SULTAN MUBBASHAR 123 Peck Hill RD Woodbridge CT 06525 Director and On-Call Doctor 158972 8 0 0 0 1443205 0 0 0 1443205 NET PATIENT SERVICE REVENUE 621110 34949258 34949258 0 0 INPATIENT PSYCHIATRIC SERVICE REVENUE 621110 12019119 12019119 0 0 COVID STIMULUS FUNDS 900099 1369100 1369100 0 0 AFFILIATE INCOME - DIGITAL HEALTH 531120 884862 884862 0 0 AFFILIATE RENTAL INCOME 531120 94808 94808 0 0 0 0 0 0 49317147 3201 0 0 3201 0 0 0 0 0 0 0 0 111108 0 0 0 111108 0 111108 0 0 111108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EMPLOYEE RETENTION CREDIT 900099 375878 375878 0 0 CAFETERIA REVENUE 722514 63474 0 0 63474 MEDICAL STAFF APPLICATION 900099 6050 6050 0 0 19415 19415 0 0 464817 51339478 49718490 0 177783 X 0 0 0 0 0 0 0 0 1023566 911084 112482 0 0 0 0 0 29261172 26045588 3215584 0 735603 654766 80837 0 3418687 3042999 375688 0 1493124 1329041 164083 0 0 0 0 0 98018 0 98018 0 177980 0 177980 0 19373 17244 2129 0 0 0 38463 0 38463 0 8417449 7492435 925014 0 183778 163582 20196 0 1931249 1719019 212230 0 1423715 1267259 156456 0 0 0 0 0 2211728 1968676 243052 0 30921 27523 3398 0 0 0 0 0 22057 19633 2424 0 0 0 0 0 0 0 0 0 4261412 3793115 468297 0 916075 801846 114229 0 PHYSICIAN FEES 8737688 8737688 0 0 MEDICAL SUPPLIES 6398453 6398453 0 0 EQUIP RENTAL/MAINTENANCE 1601590 1425587 176003 0 LICENSES DUES 367790 327373 40417 0 61829 55035 6794 0 72831720 66197946 6633774 0 792438 2040034 0 0 0 0 5340129 5479090 0 0 0 0 0 0 1148947 1336348 475470 420140 36534053 13035848 24277286 23498205 0 0 0 0 8795650 7700250 1289568 4356999 42119488 44831066 6766383 7417415 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51641881 75194669 58408264 82612084 X -16322890 -37815132 34114 34114 0 0 0 0 0 0 -16288776 -37781018 42119488 44831066 -21492242 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 19373 false false 19373 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE CHA DUES, AND THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, PAID BY SHARON HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 940000 940000 21622724 4916052 16706672 0 0 0 13516717 8119796 5396921 454612 0 454612 23498205 DUE FROM RELATED PARTIES 2831969 ESTIMATED INSURANCE CLAIMS RECEIVABLE 940186 OPERATING LEASE RIGHT OF USE ASSETS OTHER RECEIVABLES 476585 Operating Lease ROU Asset 108259 4356999 DUE TO RELATED PARTIES 68318437 DUE TO AFFILIATES DUE TO THIRD PARTY CURRENT 5935780 ESTIMATED INSURANCE CLAIMS 940186 LEASE LIABILITY OPERATING L/T LEASE OBLIGATIONS CAPITAL LEASE OTHER LIABILITIES 266 75194669 X 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 1031008 478617 552391 0.0076 11117487 4109084 7008403 0.0962 0 0.0 0 0 12148495 4587701 7560794 0.1038 10669 0 10669 0.0001 235141 107725 127416 0.0017 8176554 3629887 4546667 0.0624 23671 0 23671 0.0003 2458 0 2458 0.0000 0 0 8448493 3737612 4710881 0.0647 0 0 20596988 8325313 12271675 0.1685 0 0.0 566 566 0.0000 0 0.0 0 0.0 0 0.0 2170 2170 0.0000 2733 2733 0.0000 0 0.0 0 0.0 0 0 5469 0 5469 0.0001 true 1015098 0 26699215 39057874 -12358659 X true true 1 1 VASSAR HEALTH CONNECTICUT INC 50 HOSPITAL HILL ROAD SHARON CT 06069 WWW.NUVANCEHEALTH.ORG 0076 X X X X VASSAR HEALTH CONNECTICUT INC 1 false false true X X X X X X X X X 22 true false false 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 HEALTH CONNECTICUT, INC.. SHARON HOSPITAL HAS A COMMUNITY HEALTH COMMITTEE THAT INCLUDES REPRESENTATIONS OF THE HOSPITAL COMMUNITIES, THE HOSPITAL BOARD LEADERSHIP, ADMINISTRATIVE LEADERSHIP FORM THE NUVANCE HEALTH NETWORK, LOCAL HEALTH DEPARTMENT DIRECTORS, COMMUNITY STAKEHOLDERS, AND OTHER KEY HOSPITAL STAKEHOLDERS. THE SHARON HOSPITAL BOARD OVERSAW THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE IMPLEMENTATION OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED THROUGHOUT FY2022, THROUGH VARIOUS STEERING COMMITTEES AND WAS APPROVED BY THE SHARON HOSPITAL BOARD OF TRUSTEES ON DECEMBER 5, 2022. THE CHIP WAS SUBSEQUENTLY APPROVED ON FEBRUARY 6, 2023 BY THE NUVANCE HEALTH BOARD. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDED LOCAL LEVEL QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA FOR BOTH THE CONNECTICUT AND NEW YORK HOSPITAL SERVICE AREAS. IN THE CHNA, THE CONNECTICUT HOSPITAL SERVICE AREA IS PRESENTED BY TOWN, INCLUDING SHARON AND THE SORROUNDING COMMUNITIES OF CANAAN, CORNWALL, GOSHEN, KENT, NORTH CANAAN, SALISBURY, AND WARREN. NEW YORK HOSPITAL SERVICE AREA DATA IS PRESENTED BY ZIP CODE FOR THE COMMUNITIES OF AMENIA, ANCRAM, ANCRAMDALE, COPAKE, DOVER PLAINS, MILLBROOK, MILLERTON, PINE PLAINS, STANFORDVILLE, WASSAIC, AND WINGDALE. ONE SOURCE OF DATA INFORMING THE 2023 - 2025 CHIP WAS THE CHNA COMMUNITY SURVEY, DEPLOYED IN THE GREATER SHARON HOSPITAL SERVICE AREA, UTILIZING 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, CHIENESE, 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. IN ADDITION TO SHARON HOSPITAL CONDUCTING INTERNAL DATA ANALYSIS ON INPATIENT ADMISSIONS, EMERGENCY DEPARTMENT VISITS AND QUALITY MEASURES, DATA WAS ALSO SUPPLEMENTED BY A SIENA COLLEGE RESEARCH INSTITUTE COMMUNITY HEALTH SURVEY, HIGHLIGHTING OPPORTUNITIES FOR THE COMMUNITY. THE GOAL OF THIS SURVEY WAS TO LEARN MORE ABOUT THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITY SHARON HOSPITAL SERVES. SIENA COLLEGE RESEARCH INSTITUTE CONDUCTED A RANDOM-DIGIT REGIONAL COMMUNITY HEALTH SURVEY, WHICH WAS DESIGNED TO SUPPLEMENT THE REGIONAL CHNA AND GAUGE RESIDENT'S PERCEPTION OF THE HEALTH AND RESOURCES IN THEIR COMMUNITIES. FOUNDED IN 1980 AT SIENA COLLAGE IN NEW YORK'S CAPITAL DISTRICT, THE SIENA COLLEGE RESEARCH INSTITUTE CONDUCTS REGIONAL, STATEWIDE, AND NATIONAL SURVEYS ON BUSINESS, ECONOMIC, POLITICAL, VOTER, SOCIAL, ACADEMIC, AND HISTORICAL ISSUES. THE SURVEY INCLUDED BOTH EXPERT AND PUBLIC OPINION POLLS. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. A PRINTED COPY OF THE CHNA IS AVAILABLE IN THE HOSPITAL ADMINISTRATION OFFICES. IT IS ALSO AVAILABLE BY REQUEST IN THE 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 HEALTH CONNECTICUT, INC.. TO WORK TOWARD HEALTH EQUITY, NUVANCE HEALTH COMMITS TO ENSURING HOSPITAL RESOURCES AND ACTIVITIES BUILD UPON EXISTING PRIORITIES AND COLLABORATIVE ACTIVITIES, WHILE ENSURING RESPONSIVENESS TO EMERGENT NEEDS. DETERMINATION OF PRIORITIES MADE BY LEADERSHIP OF NUVANCE HEALTH INCLUDED REVIEW OF EXISTING COMMITMENTS, NEW RESEARCH FINDINGS, AND COMMUNITY FEEDBACK. NUVANCE HEALTH WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES AS PART OF ITS 2023- 2025 COMMUNITY SERVICE PLAN (CSP): PREVENT CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. NUVANCE HEALTH IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. TOGETHER WITH THESE PARTNERS AND STAKEHOLDERS, NUVANCE HEALTH CREATED A CSP THAT REFLECTS COLLECTIVE HEALTH IMPACT STRATEGY AND THE MANY STRENGTHS AND ASSETS OF OUR COMMUNITY PARTNERS TO ADDRESS THESE NEEDS. THE IDENTIFIED PRIORITIES ALIGN WITH AND ADVANCE THE NEW YORK STATE PREVENTION AGENDA. IN ACCORDANCE WITH THE PREVENTION AGENDA, THE NUVANCE HEALTH 2023 - 2025 CSP WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS DISPARITIES AND PROMOTE OPTIMAL HEALTH IMPROVEMENT OUTCOMES. KEY INITIATIVES FOR SHARON HOSPITAL INCLUDE: PROMOTING CULTURAL AWARENESS TO MEET THE NEEDS OF DIVERSE POPULATIONS: PROMOTING CULTURALLY SENSITIVE SERVICES TO BE PROVIDED TO THE SHARON HOSPITAL SERVICE AREA COMMUNITY, NUVANCE HEALTH EMBARKED ON A COMPREHENSIVE EDUCATION STRATEGY TO ENSURE THAT THE WORK FORCE IS WELL EQUIPPED TO ANTICIPATE THE CULTURAL NUANCES THAT NEED TO BE CONSIDERED TO SERVE ALL POPULATIONS THE BEST. THROUGHOUT THE ORGANIZATION, CULTURAL HUMILITY TRAINING WILL BE ROLLED OUT BETWEEN 2022 AND 2025. IN ADDITION TO EDUCATION, INCREASING THE DIVERSITY OF THE COMMUNITY HEALTH COMMITTEE WILL ALSO BE EXPLORED, TO ENSURE THAT THE VOICES OF ALL POPULATIONS ARE CONSIDERED WHILE WORKING TOWARDS MEETING THE NEEDS OF ALL COMMUNITIES. INCREASING ACCESS TO LINGUISTICALLY APPROPRIATE COMMUNITY BASED RESOURCE LIST: THE NUVANCE HEALTH COMMUNITY RESOURCES PAMPHLET WILL BE TRANSLATED INTO SPANISH AND THIS PAMPHLET WILL BE DISTRIBUTED AT THE EMERGENCY ROOMS, ON DEPARTMENTS PRIOR TO DISCHARGE, AND AT COMMUNITY-BASED EVENTS TO PROMOTE HEALTHY EATING AND TO PREVENT CHRONIC DISEASES IN CHILDREN: THE LION (LET'S IMPROVE OUR NUTRITION) SCHOOL PROGRAM PILOT WAS IMPLEMENTED DURING THE 2018/2019 SCHOOL YEAR. SHARON AND THE TOWN OF DOVER LIONS CLUB CO-SPONSORED THE LION PROGRAM AT WINGDALE ELEMENTARY SCHOOL IN SHARON'S PRIMARY SERVICE AREA. EACH MONTH, 250 K-2 STUDENTS WERE INTRODUCED TO HEALTHY EATING AND OFFERED HEALTHY FOOD TASTINGS AT LUNCH. FOODS SERVED INCLUDED FRUITS AND VEGETABLES. STUDENTS RECEIVED A TAKE-HOME FOOD TASTING NUTRITION WORKSHEET AND ADA-PREPARED INFORMATION ON PREDIABETES FOR THEIR PARENTS. SHARON AND THE LION'S CLUB PLANNED TO EXPAND THE PROGRAM FOR THE 2019/2020 AND 2020/2021 SCHOOL YEAR, BUT PLANS WERE PUT ON-HOLD DUE TO COVID-19. AS PART OF THE 2023- 2025 COMMUNITY HEALTH IMPROVEMENT PLAN, THIS PROGRAM WILL CONTINUE AND WILL PROMOTE HEALTHY EATING AND CHRONIC DISEASE PREVENTION IN THE SCHOOL AGED POPULATION. ADDRESSING CHRONIC DISEASE PREVENTION, NUVANCE HEALTH WILL IMPLEMENT TWO COMMUNITY BASED PROGRAMS AT INTERFAITH/CULTURAL CENTERS AND IN PUBLIC LIBRARIES IN THE SHARON HOSPITAL SERVICE AREA. PARTNERING WITH THE AMERICAN HEART ASSOCIATION, NUVANCE HEALTH WILL PROVIDE CHRONIC DISEASE PREVENTION EDUCATION TO COMMUNITY MEMBERS FOCUSING ON BLOOD PRESSURE CONTROL FIRST AND WILL DISCUSS ADDITIONAL CHRONIC CONDITIONS, SUCH AS COPD, ASTHMA, IMPORTANCE OF PREVENTATIVE CARE, SUCH AS BREAST AND COLON CANCER SCREENING. THIS PROGRAM, FIRST FOCUSING ON HYPERTENSION, WILL INCLUDE PROVIDING BLOOD PRESSURE CUFFS TO THOSE AT HIGH RISK FOR HYPERTENSION, ALSO PROVIDING EVIDENCE-BASED GUIDELINES FOR HOME MANAGEMENT OF HIGH BLOOD PRESSURE. WITH THESE PROGRAMS COMMUNITY MEMBERS WILL LEARN ABOUT COMMUNITY BASED RESOURCES SUCH AS ACCESS TO AFFORDABLE MEDICATIONS AND LOCAL CARE PROVIDERS AS WELL. PROMOTING FOOD SECURITY IN THE COMMUNITY - NUVANCE HEALTH WILL ESTABLISH A PARTNERSHIP WITH THE NORTHEAST COMMUNITY CENTER, CONNECTING FOOD SECURITY PROGRAMS TO NUVANCE HEALTH BY PROMOTING NETWORKING WITH LOCAL FOOD PANTRIES. A LIST OF LOCAL FOOD PANTRIES AND ADDITIONAL SOURCES OF HEALTHY FOOD WILL BE SHARED WITH THE COMMUNITY MEMBERS RECEIVING CARE AT SHARON HOSPITAL. PROMOTING SAFE DISPOSAL OF PRESCRIPTION MEDICATIONS: ON NATIONAL PRESCRIPTION DRUG TAKE-BACK DAY, SHARON AND LOCAL LAW ENFORCEMENT HAVE TEAMED UP TO HELP COMMUNITY MEMBERS SAFELY DISPOSE OF UNWANTED PRESCRIPTION, OVER THE COUNTER AND PET MEDICATIONS EACH YEAR DURING THE FALL. TO ADDRESS MENTAL HEALTH AND WELLNESS, AND TO ACTIVELY PARTICIPATE IN THE PREVENTION OF ACCIDENTAL OVERDOSE ON OPIOIDS, NUVANCE HEALTH WILL PARTICIPATE IN THE LITCHFIELD COUNTY OPIOID TASK FORCE EFFORTS, WILL ASSIST IN DISTRIBUTING NARCAN KITS AND FENTANYL TEST STRIPS. MENTAL HEALTH AID TRAINING - THE MENTAL HEALTH FIRST AID TRAINING PROGRAM PROVIDES COMMUNITIES WITH THE KNOWLEDGE AND SKILLS TO HELP INDIVIDUALS EXPERIENCING A MENTAL HEALTH PROBLEM OR CRISIS. PARTICIPANTS LEARN ABOUT COMMON RISK FACTORS, WARNING SIGNS OF MENTAL HEALTH ISSUES, HOW TO BETTER ASSIST SOMEONE EXPERIENCING A CRISIS AND OFFER ANSWERS TO KEY QUESTIONS SUCH AS "WHAT DO I DO? AND "WHERE CAN I FIND HELP?" THE PROGRAM IS OFFERED EVERY OTHER MONTH AT THE HOSPITAL. SHARON HELD CLASSES PRIOR TO COVID-19 IN 2020 AND HAS AN INSTRUCTOR BEING TRAINED TO OFFER THESE VIRTUALLY IN 2021 AND WILL CONTINUE PROVIDING AND EXPANDING THIS PROGRAM TO LOCAL LIBRARIES, TOWN HALLS AND FAITH BASED ORGANIZATIONS WITH THE ASSISTANCE OF THE GRADUATE MEDICAL EDUCATION DEPARTMENTS. TO PROMOTE INCLUSION OF THE DIVERSE POPULATIONS NUVANCE HEALTH SERVES, NUVANCE HEALTH WILL EXPLORE PROVIDING THIS PROGRAM TO COMMUNITY MEMBERS IN SPANISH, IN ADDITION TO ENGLISH. THE HOSPITAL ALSO PROVIDES A NUMBER OF ADDITIONAL COMMUNITY PROGRAMS THROUGHOUT THE YEAR IN OTHER AREAS THEY IDENTIFIED SUCH AS A COMMUNITY EXERCISE PROGRAM, CHILDBIRTH EDUCATION FOR EXPECTANT FAMILIES, NO- COST CAR SEAT SAFETY CHECKS AND FREE REPLACEMENTS, COMPLIMENTARY CPR CLASSES, NO COST SHARPS RETURN, SUPPORT GROUPS AND EDUCATIONAL LECTURES. 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. EXAMPLES OF OTHER COMMUNITY HEATH NEEDS THAT WERE IDENTIFIED IN THE 2022 CHNA THAT ARE NOT DIRECTLY REFLECTED IN THE SHARON HOSPITAL'S CHIP INCLUDE HOUSING AND ACCESS TO ORAL HEALTH CARE. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 56.33% 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 HEALTH CONNECTICUT, INC.. 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 HEALTH CONNECTICUT, INC.. SHARON 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. 0 Schedule H, Part I, Line 3c 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 SHARON HOSPITAL 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. *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. MANY LECTURES WERE HELD VIA OUR HOSPITALS' SOCIAL MEDIA CHANNELS. *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 NEEDSADVOCACY 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 * BOY SCOUTS OF AMERICA * SANDY HOOK PROMISE * NW CT CHAMBER OF COMMERCE * TRI STATE CHAMBER OF COMMERCE * VNA HOSPICE * UNITED WAY OF W. CT * CATHOLIC CHARITIES * JANE LLOYD FOUNDATION * COMMUNITY HEALTH AND WELLNESS CENTER * EASTERN DUTCHESS ROAD RACE * HOTCHKISS LIBRARY * KENT CHAMBER OF COMMERCE * SALISBURY FORUM * SHARON DAY CARE * SHARON FIRE DEPARTMENT * STISSING CENTER * WARNER THEATRE * CT HOUSING COALITION 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 ECONOMIC DEVELOPMENT $566 REPRESENTATIVES FROM SHARON HOSPITAL MEET WITH VARIOUS COMMUNITY ORGANIZATIONS TO DISCUSS GROWTH AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITY. COALITION BUILDING $2,170 SHARON 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, WE WILL FOCUS EFFORTS ON PREVENTING CHRONIC DISEASES AND PROMOTING WELL-BEING AND PREVENTING MENTAL AND SUBSTANCE USE DISORDERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $2,733 SHARON HOSPITAL OFFERS THE EXPERTISE OF OUR STAFF AND RESOURCES OF THE HOSPITAL IN A NUMBER OF COMMUNITY-BUILDING ACTIVITIES THAT IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITY. SHARON HOSPITAL, WHICH IS PART OF THE NUVANCE HEALTH SYSTEM, PARTICIPATES IN THE CT HEALTH CARE COALITION (CT HCC). THIS IS A DIVERSE GROUP OF HOSPITALS, HEALTHCARE NETWORKS, HEALTHCARE PROVIDERS, STATE HEALTH AGENCIES, AND EMERGENCY MANAGEMENT AGENCIES. THEIR PURPOSE IS TO DEVELOP AND EDUCATE HEALTHCARE PREPAREDNESS AND RESPONSE CAPABILITIES THROUGHOUT THE STATE OF CONNECTICUT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount SHARON HOSPITAL 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 SHARON HOSPITAL 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 SHARON 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) SHARON 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. SHARON 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, SHARON 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, SHARON HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. SHARON 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 - VASSAR HEALTH CONNECTICUT, INC.: Line 16a URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - VASSAR HEALTH CONNECTICUT, INC.: Line 16b URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - VASSAR HEALTH CONNECTICUT, INC.: 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 SHARON HOSPITAL IS A 78-BED FACILITY THAT HAS SERVED NORTHWESTERN CONNECTICUT SINCE 1909. SHARON IS LOCATED IN THE NORTHWEST CORNER OF THE STATE AND HAS A PRIMARY SERVICE AREA (PSA) THAT INCLUDES THE NORTHEASTERN AREA OF DUTCHESS COUNTY IN NEW YORK, AS WELL AS THE WESTERN PARTS OF LITCHFIELD COUNTY IN CONNECTICUT. IT IS ONE OF THREE HOSPITALS IN LITCHFIELD COUNTY, CT. CONNECTICUT AND NEW YORK OVERALL ARE AGING STATES. BETWEEN 2022 AND 2027, THE POPULATION AGED 65 OR OLDER IS PROJECTED TO INCREASE 14.2% AND 16.9%, RESPECTIVELY, THE LARGEST INCREASE OF ANY REPORTED AGE GROUP. THE TOTAL POPULATION FOR CONNECTICUT AND NEW YORK IS PROJECTED TO INCREASE 1.2% AND 4.9%, RESPECTIVELY. THE SHARON HOSPITAL SERVICE AREA POPULATION IS PROJECTED TO INCREASE +1,549 PEOPLE OR 2.7% FROM 2022 TO 2027, ALTHOUGH CONSISTENT WITH AN AGING DEMOGRAPHIC, THIS GROWTH WILL OCCUR EXCLUSIVELY AMONG ADULT POPULATIONS. THE POPULATION AGED 65 OR OLDER WILL INCREASE BY +1,904 PEOPLE OR 12.8% FROM 2022 TO 2027, WHILE THE CHILD POPULATION UNDER AGE 18 WILL DECLINE BY -297 PEOPLE OR -3.1%. THE CT DEPARTMENT OF LABOR INDICATES THERE WAS A 3.3% ANNUAL UNEMPLOYMENT RATE IN LITCHFIELD COUNTY FOR 2022. APPROXIMATELY 9.3% OF THE POPULATION IN LITCHFIELD COUNTY ARE LIVING IN POVERTY (CENSUS.GOV). APPROXIMATELY 4% OF SHARON'S MARKET ARE UNINSURED, WHILE MEDICAID (21%), MEDICARE (27%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (48%). (SOURCE: THE CLARITAS COMPANY). ACCORDING TO THE HEALTH RESOURCES SERVICES ADMINISTRATION (HRSA.GOV), THE EASTERN PART OF DUTCHESS COUNTY THAT FALLS WITHIN SHARON'S SERVICE AREA HAS BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW INCOME POPULATIONS. THERE ARE NO MEDICALLY UNDERSERVED POPULATIONS IDENTIFIED ON THE CT SIDE OF SHARON'S SERVICE AREA. Schedule H, Part VI, Line 5 Promotion of community health SHARON HOSPITAL IS A RURAL COMMUNITY 78-BED ACUTE CARE HOSPITAL THAT OFFERS AWARD-WINNING PATIENT CARE. FOR MORE THAN 125 YEARS, THE HOSPITAL HAS DELIVERED MISSION-DRIVEN SERVICES TO THE COMMUNITY. WE ARE COMMITTED TO PROVIDING SAFE, CONVENIENT CARE TO MEET YOUR PERSONAL HEALTHCARE NEEDS. WE ARE PART OF NUVANCE HEALTH, A NETWORK OF SEVEN COMMUNITY HOSPITAL LOCATIONS AND NUMEROUS OUTPATIENT FACILITIES IN THE HUDSON VALLEY AND WESTERN CONNECTICUT. 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 AND PEDIATRICS * LABORATORY TESTING, IMAGING AND RADIOLOGY * GENERAL AND ORTHOPEDIC SURGERY * WOUND 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. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS WHO LIVE AND WORK IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE FACILITY. IN ADDITION, ANY SURPLUS REVENUE IS REINVESTED INTO THE HOSPITAL, ITS STAFF AND THE COMMUNITY. SHARON REALIZES THIS IS NECESSARY TO ACHIEVE AND MAINTAIN HIGH-QUALITY STANDARDS, KEEP UP WITH THE RAPID ADVANCEMENT IN TECHNOLOGY, PROVIDE START-UP CAPITAL FOR NEW PROGRAMS, AND EXPAND EXISTING FACILITIES AND PROGRAMS IN ORDER TO PROVIDE QUALITY CARE TO THE COMMUNITY. 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 FY2022 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 Outpatient 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 SOLICITS 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, DIAGNOSTIC 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 MARK K HIRKO MD PRESIDENT SHARON HOSPITAL (TO 7/5) 108395 361316 125000 5550 6660 20803 30770 49691 8603 15205 279428 452565 0 0 CHRISTINA MCCULLOCH PRESIDENT SHARON HOSPITAL (FROM 7/5) 238881 0 58000 0 3781 0 17674 0 1991 0 320327 0 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 PETER CORDEAU FORMER PRESIDENT SHARON HOSPITAL; PRESIDENT NHA 0 463473 0 150000 0 27217 0 86135 0 40763 0 767588 0 0 DONALD SOUCIER MD FORMER PRESIDENT OF MEDICAL STAFF 16192 502788 0 0 0 48808 0 26952 0 31205 16192 609753 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 APRIL LAWRENCE REG RESPIRATORY THERAPIST 596 174252 0 2830 0 0 0 0 0 0 596 177082 0 0 MINDY E MILTON RN REGISTERED NURSE 134708 0 11850 0 9139 0 9338 0 1520 0 166555 0 0 0 CANDY E OSBORN RN REGISTERED NURSE 154201 0 1000 0 1025 0 9791 0 36036 0 202053 0 0 0 IRINA M PRISHCHEPOVA RN REGISTERED NURSE 163202 0 16200 0 991 0 11054 0 24190 0 215637 0 0 0 DAWN WOODRUFF RN DIRECTOR OF PATIENT CARE SERVICES 171895 0 22500 0 3869 0 12094 0 25334 0 235692 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND: TWO OFFICERS AND DIRECTORS. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation VASSAR HEALTH CONNECTICUT, INC. 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. 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 CORDEAU $60,135 - KERRY EATON $117,960 - CAROLYN MCKENNA $68,250 - CATHERINE FRIERSON $68,520 - GRACE LINHARD $44,280 - WAYNE MCNULTY $33,780 - JEAN AHN $69,000 - MARK HIRKO $55,200 - DONALD SOUCIER $60,135 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 LUMPSUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED. 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 SHARON HOSPITAL. THIS EXCLUDES THE RECORD RETENTION POLICY, WHICH IS APPROVED ONLY BY THE PARENT AUDIT COMMITTEE. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF VASSAR HEALTH CONNECTICUT INC ("SHARON HOSPITAL") 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 SYSTEM, INC.) SHALL ELECT SHARON HOSPITAL'S OFFICERS. SUBJECT TO THE APPROVAL OF THE MEMBER, ANY VACANCY OR VACANCIES OCCURRING IN ANY OFFICE OF THE CORPORATION 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 OF THE CORPORATION 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 SHARON HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (I) ELECTION OR REMOVAL OF AN OFFICER OR A DIRECTOR WHO IS NOT AN EMPLOYEE OR CONTRACTOR; (II) AMENDMENT OF THE CORPORATION'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF THE CORPORATION'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF THE CORPORATION'S QUALIFIED OR NONQUALIFIED BENEFIT PLANS; (V) ADOPTION OF OR REVISIONS TO ANY SYSTEMWIDE 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 SYSTEMWIDE 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 AS PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. Form 990, Part VII, Section A ADDITIONAL INFORMATION FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL RECORDS - Total Revenue: 56, Related or Exempt Function Revenue: 56, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; PURCHASE DISCOUNT - Total Revenue: 2750, Related or Exempt Function Revenue: 2750, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; WELLNESS CENTER - COMMUNITY ED - Total Revenue: 582, Related or Exempt Function Revenue: 582, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; REBATES AND REFUNDS - Total Revenue: 4366, Related or Exempt Function Revenue: 4366, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Employee Retention Credit - Total Revenue: 11661, Related or Exempt Function Revenue: 11661, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees Healthcare Professionals - Total Expense: 2115110, Program Service Expense: 1882676, Management and General Expenses: 232434, Fundraising Expenses: 0; Purchase Services - Total Expense: 6302339, Program Service Expense: 5609759, Management and General Expenses: 692580, Fundraising Expenses: 0; 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 06856 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 Brothers Medical Center 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 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 false true false true true true true false The Danbury Hospital P 4496643 Cost Method The Danbury Hospital Q 77488 Cost Method Health Quest Systems Inc P 3386579 Cost Method Health Quest Systems Inc R 482400 Cost Method Health Quest Systems Inc M 2289366 Cost Method Health Quest Systems Inc Q 747316 Cost Method Hudson Valley Cardiovascular Practice PC R 2881743 Cost Method Northern Dutchess Hospital Q 140410 Cost Method Northern Dutchess Hospital M 70298 Cost Method Northern Dutchess Hospital P 72651 Cost Method NDH Foundation C 1434670 Cost Method Nuvance Health P 1170362 Cost Method Nuvance Health M 7311864 Cost Method Nuvance Health Q 321348 Cost Method Nuvance Health Medical Practice PC P 76508 Cost Method Nuvance Health Medical Practice PC R 13070616 Cost Method Nuvance Health Medical Practice PC M 8294841 Cost Method Nuvance Health Medical Practice PC J 84681 Cost Method Nuvance Health Medical Practice CT M 333650 Cost Method Nuvance Health Medical Practice CT R 100000 Cost Method Nuvance Health Medical Practice CT P 328924 Cost Method Vassar Health Quest Medical Practice of CT P 674847 Cost Method Vassar Health Quest Medical Practice of CT J 71241 Cost Method The Norwalk Hospital Association P 63180 Cost Method The Norwalk Hospital Association Q 56989 Cost Method The Norwalk Hospital Association O 122170 Cost Method Western Connecticut Health Network Inc P 27355245 Cost Method