2021-08-27T14:11:56-05:00 2020-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 02116 990 2019-10-01 060646597 DANBURY HOSPITAL DANB 2037397000 24 HOSPITAL AVENUE DANBURY CT 068106099 STEVEN H ROSENBERG CFO & TREASURER 2037397000 2021-08-27 1 MIKE A CINCOTTA P01595811 6172662000 2019 2022-09-23 18:48:47Z SHARON ADAMS 24 HOSPITAL AVENUE DANBURY CT 068106099 740810796 0 X WWW.DANBURYHOSPITAL.ORG X 1885 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. 14 11 3365 316 7329211 0 11094578 9772206 722977231 714827853 4087502 12684625 3714739 3111404 741874050 740396088 0 0 0 0 277072188 286966418 0 0 0 439933893 434799677 717006081 721766095 24867969 18629993 844564145 888908051 453962061 509883902 390602084 379024149 X 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. 0 0 238625886 0 208687197 SEE SCHEDULE O 142402609 0 142054618 SEE SCHEDULE O 73597038 0 75436962 SEE SCHEDULE O 203359316 0 289068048 OTHER PROGRAM SERVICESAT DANBURY HOSPITAL DURING FYE2020 APPROXIMATELY 20,000 DISCHARGES AND 51,346 EMERGENCY ROOM VISITS OCCURRED.EMERGENCY SERVICES:DANBURY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF HIGH-QUALITY EMERGENCY MEDICAL SERVICES, FOR THE MOST CRITICALLY ILL AND INJURED PATIENTS, FROM PRE-HOSPITAL EMS/PARAMEDIC SERVICES TO AN EMERGENCY DEPARTMENT FEATURING A LEVEL II TRAUMA CENTER TO A NATIONALLY RECOGNIZED CRITICAL CARE UNIT. OUR EMERGENCY DEPARTMENT FEATURES MODERN LIFESAVING TECHNOLOGY AND IS STAFFED BY BOARD-CERTIFIED PHYSICIANS AND EXPERIENCED NURSES WITH ADVANCED SKILLS. FOR PATIENTS EXPERIENCING A STROKE, DANBURY HOSPITAL IS CERTIFIED AS A STROKE CENTER BY THE JOINT COMMISSION. FOR PATIENTS EXPERIENCING AN ACUTE HEART ATTACK, DANBURY HOSPITAL IS CERTIFIED AS A PRIMARY ANGIOPLASTY CENTER. ONCE IDENTIFIED AS A CANDIDATE BY EMS OR BY THE EMERGENCY PHYSICIAN, A CRITICAL PATHWAY ENSURES THE RAPID EVALUATION OF THE PATIENT AND MOVEMENT TO THE CARDIAC CATH LAB FOR DEFINITIVE CARE TO MINIMIZE LONG-TERM CONSEQUENCES. IF NEEDED, IT'S COMFORTING TO KNOW THAT DANBURY HOSPITAL'S MARY ELLEN AND SAMUEL KLEIN, MD CRITICAL CARE UNIT HAS BEEN NATIONALLY RECOGNIZED FOR PROVIDING AN EXEMPLARY LEVEL OF CARE. WE ARE LEAPFROG COMPLIANT, AN ELITE RANKING ACHIEVED BY APPROXIMATELY 15% OF THE NATION'S HOSPITALS; IN RECENT YEARS, WE'VE ALSO EARNED THE BEACON AWARD FOR CRITICAL CARE EXCELLENCE BY THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES THREE TIMES.AS A LEVEL II TRAUMA CENTER ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS, DANBURY HOSPITAL OFFERS EXPERT 24/7 CARE BY TRAUMA SPECIALISTS, INCLUDING TRAUMA SURGEONS AND EMERGENCY PHYSICIANS. AWARDS & ACCREDITATIONS:*DESIGNATED AND VERIFIED LEVEL II TRAUMA CENTER AMERICAN COLLEGE OF SURGEONSWOMEN AND CHILDREN'S SERVICE:OUR WOMEN'S AND CHILDREN'S SERVICES FEATURES A TOP NOTCH TEAM OF OBSTETRICIANS, GYNECOLOGIST, PEDIATRICIANS, CERTIFIED MIDWIVES, PEDIATRIC HOSPITALISTS, NEONATOLOGISTS, PEDIATRIC SPECIALISTS, PHYSICIAN ASSISTANTS AND NURSES. OUR OBSTETRICIANS AND CERTIFIED NURSE MIDWIVES DELIVER BABIES IN THE HOSPITAL'S MODERN, HOME-LIKE CHILD BIRTH CENTER. THE CENTER FEATURES IN-SUITE AMENITIES, INCLUDING PRIVATE ROOMS, MASSAGE THERAPY FOR INFANTS AND MOTHERS AND WIRELESS INTERNET ACCESS. IN ADDITION ADVANCES, MINIMALLY INVASIVE ROBOTIC SURGERY FOR SEVERAL GYNECOLOGIC PROCEDURES, INCLUDING HYSTERECTOMIES, FIBROID REMOVAL, VAGINAL PROLAPSE CORRECTION, TO STOP MENORRHAGIA AND TO TREAT CERTAIN FORMS OF CERVICAL AND UTERINE CANCERS, ARE AVAILABLE AT THE HOSPITAL.AT DANBURY HOSPITAL, WE UNDERSTAND THAT A CHILD IS LIFE'S MOST PRECIOUS GIFT. NO PARENT SHOULD FEEL THE NEED TO CHOOSE BETWEEN EXPERT MEDICAL CARE AND A WARM, SUPPORTIVE, COMMUNITY ENVIRONMENT. WE ARE COMMITTED TO PROVIDING EXCEPTIONAL CARE IN A TENDER, LOVING MANNER TO THE CHILDREN OF OUR COMMUNITY.FOR CHILDREN WHO NEED HOSPITAL CARE, OUR CHILD-FRIENDLY PEDIATRIC UNIT OFFERS A VARIETY OF SUPPORTS TO MAKE YOUR CHILD'S STAY AS COMFORTABLE AS POSSIBLE FOR BOTH OF YOU. AND MANY CHILDREN REQUIRE THE CARE OF A SPECIALIST AT ONE POINT OR ANOTHER; WE MAKE IT EASIER BY BRINGING EXCELLENT PEDIATRIC SPECIALTY SERVICES INTO ONE CONVENIENT LOCATION AT OUR CHILDREN'S HEALTH AND WELLNESS CENTER.THE CHILDREN'S HEALTH AND WELLNESS CENTER IS A CHILD-FRIENDLY, INTERACTIVE ENVIRONMENT FOR WELLNESS AND HEALING. WITH YOUR CONVENIENCE IN MIND, WE OFFER A VARIETY OF PEDIATRIC SPECIALTY SERVICES IN ONE LOCATION.AT DANBURY HOSPITAL WE ARE PROUD TO PROVIDE ADVANCED SUPPORT IN OUR LEVEL IIIB SPRATT FAMILY NEONATAL INTENSIVE CARE UNIT (NICU), STAFFED 24/7 BY EXPERIENCED NEONATOLOGISTS AND NICU NURSES.WITH ADVANCED DIAGNOSTIC IMAGING AND A FULL STAFF OF PEDIATRIC SPECIALISTS, WE'RE PREPARED TO EXPECT THE UNEXPECTED.BEHAVORIAL AND MENTAL HEALTH:DANBURY HOSPITAL PROVIDES EXPERT, SUPPORTIVE INPATIENT PSYCHIATRIC SERVICES FOR ADULTS AND GERIATRIC PATIENTS WITH ACUTE PSYCHIATRIC ILLNESS OR CO-OCCURRING SUBSTANCE USE. THE UNIT OFFERS A VARIETY OF SERVICES AIMED TO STABILIZE ACUTE PSYCHIATRIC SYMPTOMS. OUR PSYCHIATRIC MULTIDISCIPLINARY TEAM INCLUDES PHYSICIAN-PSYCHIATRISTS, ADVANCED PRACTICE PSYCHIATRIC NURSES, SOCIAL WORKERS, ACTIVITY THERAPISTS, EXPERIENCED PSYCHIATRIC RNS AND SUPPORT STAFF.OUR CI CRISIS INTERVENTION TEAM LOCATED IN THE ED PROVIDES COMPREHENSIVE PSYCHIATRIC AND SAFETY ASSESSMENTS. LICENSED CLINICIANS IDENTIFY PATIENTS WHO MAY REQUIRE A BEHAVIORAL HEALTH ASSESSMENT AND PROVIDE REFERRALS TO THE APPROPRIATE LEVEL OF CARE.WE TREAT ADULTS WITH THE FOLLOWING CONDITIONS:*BIPOLAR DISORDER*DEPRESSION*ANXIETY*PSYCHOTIC DISORDERS*DUAL DIAGNOSES (MENTAL ILLNESS AND ADDICTION)RADIOLOGY/IMAGING:DANBURY HOSPITAL IS KNOWN FOR EXCELLENCE IN IMAGING SERVICES. WE ARE PROUD OF OUR BOARD-CERTIFIED RADIOLOGISTS, ADVANCED TECHNOLOGY, AND MULTIPLE CONVENIENT LOCATIONS. OUR SERVICES INCLUDE MRI, SCANS, MAMMOGRAMS, X-RAYS, AND SPECIALIZED TECHNOLOGY FOR CARDIOVASCULAR AND CANCER DIAGNOSIS AND TREATMENT. DANBURY HOSPITAL OFFERS A VARIETY OF RADIOLOGY SERVICES INCLUDING, CT, PET/CT, CT LUNG SCREENING, VIRTUAL COLONOSCOPY, MRI AND OPEN MRI, ULTRASOUND, BONE DENSITY MEASUREMENT, OSTEOPOROSIS SCREENING, GENERAL XRAY, DIGITAL MAMMOGRAPHY, DIGITAL BREAST, BREAST MRI AND ULTRASOUND, STEREOTACTIC, MRI-GUIDED AND ULTRASOUND GUIDED BREAST BIOPSY, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, CRYOBLATION, IMAGE-GUIDED BIOPSY, AND INTERVENTIONAL RADIOLOGY. QUALIFICATIONS AND ACCREDITATIONS:*AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE 2015-2020*ACCREDITED NUCLEAR MEDICINE CENTER, AMERICAN COLLEGE OF RADIOLOGYPATHOLOGY AND LABORATORY SERVICES:DANBURY HOSPITAL'S DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE IS FOCUSED ON OPERATIONAL PROFICIENCY TO ASSURE THE ACCURACY AND QUALITY OF EVERY TEST.DIRECTED BY FOUR BOARD-CERTIFIED PATHOLOGISTS WHO ARE ASSISTED BY MORE THAN A DOZEN CERTIFIED MEDICAL LABORATORY SCIENTISTS AND SUPPORTED BY A LARGE TEAM OF LABORATORY PROFESSIONALS, OUR LAB IS CLIA CERTIFIED (CLINICAL LABORATORY IMPROVEMENT AMENDMENTS). THE STATE OF CONNECTICUT HAS LICENSED US AS HIGH COMPLEXITY, MEANING WE ARE QUALIFIED TO PERFORM NON-AUTOMATED TESTS THAT REQUIRE MULTIPLE STEPS AND A HIGH-LEVEL OF TRAINING AND CARE.WE ARE PROUD OF OUR CERTIFICATIONS AND ACCREDITATIONS AND WILLINGLY PARTICIPATE IN UNANNOUNCED INSPECTIONS, ROUTINELY RECEIVING THE HIGHEST RATINGS. IN FACT, AS PART OF OUR QUALITY ASSURANCE PROCESS, WE PARTICIPATE IN RANDOM PROFICIENCY TEST SURVEYS FROM VARIOUS OUTSIDE AGENCIES TO CONSISTENTLY MEASURE AND EVALUATE THE PERFORMANCE OF OUR TESTING STAFF.QUALIFICATIONS AND ACCREDITATIONS:OUR LABORATORY IS ACCREDITED BY CLIA (LICENSE 07D0101031), CAP (LICENSE 11931-01), CT STATE (LICENSE HP0206), AABB AND NEW YORK STATE (LICENSE 3327 80700470).DANBURY HOSPITAL PARTICIPATES IN RANDOM UNANNOUNCED INSPECTIONS BY THESE AGENCIES AND ALWAYS RECEIVES THE HIGHEST SCORES. THE LABORATORY ALSO PARTICIPATES IN PROFICIENCY SURVEYS, WHICH ENSURE QUALITY RESULTS ARE ACHIEVED BY ALL TECHNOLOGISTS.TEACHING:DANBURY HOSPITAL IS PART OF A PREMIER PATIENT-CENTERED SYSTEM OF CARE DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR PATIENTS AND THE SURROUNDING COMMUNITIES OF WESTERN CONNECTICUT AND NEARBY NEW YORK STATE.AS A REGIONAL MEDICAL CENTER AND UNIVERSITY TEACHING HOSPITAL AFFILIATED WITH THE UNIVERSITY OF VERMONT COLLEGE OF MEDICINE AND YALE UNIVERSITY SCHOOL OF MEDICINE.DANBURY HOSPITAL PROVIDES A DYNAMIC ENVIRONMENT FOR TEACHING AND RESEARCH FOR OUR GRADUATE MEDICAL EDUCATION TRAINING PROGRAMS. THE HOSPITAL RECEIVED ACCREDITATION WITH COMMENDATION FROM THE JOINT COMMISSION, AND IS APPROVED TO SPONSOR RESIDENCY/FELLOWSHIP PROGRAMS BY THE ACCREDITATION COUNCIL OF GRADUATE MEDICAL EDUCATION. DANBURY HOSPITAL SPONSORS RESIDENCY TRAINING IN INTERNAL MEDICINE, PRIMARY CARE, OBSTETRICS AND GYNECOLOGY, SURGERY, PATHOLOGY, DENTISTRY, AND A FELLOWSHIP IN CARDIOVASCULAR DISEASE. RESIDENTS AND FELLOWS ARE EXPOSED TO A BROAD RANGE OF CLINICAL AND DIDACTIC EXPERIENCES THROUGHOUT THEIR TRAINING, AND HAVE MANY OPPORTUNITIES TO PRESENT AT LOCAL AND NATIONAL MEETINGS AS WELL AS PUBLISH ORIGINAL RESEARCH.A DISTINCTIVE COMPONENT OF OUR GRADUATE MEDICAL EDUCATION TRAINING PROGRAM IS OUR GLOBAL HEALTH TRACK. GLOBAL HEALTH OFFERS THE OPPORTUNITY FOR RESIDENTS TO PERFORM ROTATIONS IN THE DOMINICAN REPUBLIC, RUSSIA, UGANDA, VIETNAM, AND ZIMBABWE. 203359316 0 289068048 657984849 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 612 0 1 3365 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 11 1 0 0 0 1 1 1 1 1 0 0 1 0 0 0 0 1 1 0 X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 X JOHN M MURPHY MD EX-OFFICIO (TO 12/31) 3.00 40.00 X X 0 2630052 4397460 STEVEN H ROSENBERG TREASURER 3.00 40.00 X 0 1529199 644898 SHARON ADAMS PRESIDENT 15.00 25.00 X X 421585 711477 20353 KERRY EATON CHIEF OPERATING OFF. 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REV. 621990 648437315 648437315 STIMULUS REVENUE 900099 47466700 47466700 RENT. INC.-AFFIL. EXE. 502000 7896293 7896293 LAB SERVICE REVENUE 621500 6361102 6361102 EDUCATION 900099 2475787 2475787 2190656 2190656 714827853 8929260 191632 8737628 3756762 3756762 1369597 174148 1195449 1195449 418972 776477 3506 2156 2747 1350 -2747 -1397 -1397 230495 235657 -5162 -5162 ADMINISTRATIVE SERVICES 561000 1709033 1709033 NUTRITION AND DIETARY 561000 212084 212084 1921117 740396088 708885723 7329211 14408948 X 928185 822812 105373 233015865 206562515 26453350 9332517 8273034 1059483 26829670 23783806 3045864 16860181 14946113 1914068 1199175 1199175 850683 850683 146135 129545 16590 101849 101849 156904717 139091959 17812758 1365623 1210589 155034 4903739 4347037 556702 11128506 9865132 1263374 12428171 11017251 1410920 281038 249133 31905 53713 47615 6098 10151089 10151089 47319553 41947555 5371998 5787234 5207559 579675 MEDICAL SUPPLIES 109852695 109852695 STATE OF CT HOSP. TAX 56062099 56062099 EQUIP. RENT AND MAINT. 14347161 12718386 1628775 PROFESSIONAL MEMBERSHIP 1916497 1698925 217572 721766095 657984849 63781246 0 46282372 156261888 68410 1518953 0 0 78208369 65698403 0 0 0 0 0 0 14359787 18548383 7666915 10333067 1004362686 617771283 405574971 386591403 15326013 19172 59544477 44358225 0 121664418 0 0 217532831 83914139 844564145 888908051 68281804 67882531 0 0 35101419 0 0 0 0 0 0 0 0 0 0 0 350578838 442001371 453962061 509883902 X 308066174 295342977 82535910 83681172 390602084 379024149 844564145 888908051 X 18629993 -5178961 -25028967 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 21 0 1 65109 1 78300 0 1 2705 146135 0 PART II-B, LINE 1: DUES WERE PAID TO CHA IN THE AMOUNT OF $592,553 OF WHICH 7.9% OF THIS AMOUNT OR $46,812 WERE EXPENDED ON LOBBYING. AHA DUES OF $78,463 HAD 23.32% OR $18,298 EXPENDED ON LOBBYING ACTIVITIES. BOTH AMOUNTS ARE REFLECTED ON 1F. FEDERAL, STATE AND LOCAL OFFICIALS WERE LOBBIED DURING 2020. AS PART OF THIS MISCELLANEOUS OFFICE EXPENSE SUCH AS PHONE, COMPUTER SUPPLIES, FREIGHT, REFRESHMENT, ETC. WERE INCURRED AND WERE REFLECTED ON LINE 1I ACCORDINGLY. DURING THIS HISTORIC 2020 PANDEMIC YEAR, NOTHING WAS NORMAL. HOSPITALS AS WELL AS FEDERAL, STATE AND MUNICIPAL OFFICIALS WERE OPERATING UNDER STRICT GUIDANCE FOR REMOTE ENGAGEMENT AND SOCIAL DISTANCING. HOSPITALS WERE INUNDATED WITH COVID RELATED PATIENTS DURING MULTIPLE SURGE SCENARIOS. LOBBYING WAS DIFFICULT DUE TO HIGH VOLUME PATIENT NEEDS, STAFF REASSIGNMENTS, AND CAPITOL, CONGRESS AND CT GENERAL ASSEMBLY SHUTDOWNS. ANY EFFORTS WERE FOCUSED ON IMMEDIATE NEEDS, EMERGENCY AUTHORIZATIONS, TEMPORARY REGULATIONS, FUNDING AND SUPPLIES AND EMPLOYEE ASSISTANCE PROGRAMS IN ADDITION TO TESTING AND VACCINATION. AS SUCH, OUR REPORTING WILL APPEAR DIFFERENT THAN IN PAST YEARS. THE AMOUNTS SPENT ON LOBBYING WERE NOT A SIGNIFICANT PORTION OF THE HOSPITAL'S REVENUES AND MOSTLY RELATED TO THE HOSPITAL'S EXEMPT PURPOSE. 5216458 5216458 588093032 337627553 250465479 7639664 5765695 1873969 395508001 274378035 121129966 7905531 7905531 386591403 INT IN DH/NMH FOUNDATION 121664418 F 121664418 BOND ISSUE COSTS 2019A 879138 CONSTRUCTION FUND 2019A 27661939 DANBURY SURGICAL CTR LLP 1985139 JV INVESTMENT - ASC 3822920 MALPRACTICE INSURANCE ASSETS, CURRENT PORTION 3131388 MALPRACTICE INSURANCE ASSETS, LESS CURRENT PORTION 12776627 MORRISON DEPOSIT 96418 NMH INVESTMENT 457B 83830 NMH MALPRACTICE INSURANCE 1345000 NMH OTHER RECEIVABLES LIFE 1480070 RECEIVABLE 457B LONGTERM 649010 SUM OF INTERCOMPANY RECEIVABLE 8358446 SUM OF OTHER RECEIVABLES 11027279 UNDERWRITERS DISCOUNT 2019A 964011 WEST CT ORTHO SURGICAL CTR LLC 9652924 83914139 457 PLAN LIABILITY 649010 ACCR WORKERS COMP 2150459 DEFERRED PORTION L/T 30194822 NET PREMIUM 2019A 30923709 NMH 457B HERLIHY/WEYMOUTH 83830 SECURITY DEPOSIT 12310 SUM OF INTERCOMPANY PAYABLES 5391954 BONDS PAYABLE CURRENT 2019A 5269377 SUM OF THIRD PARTY LIABILITIES 110909553 MALPRACTICE INSURANCE ASSETS, CURRENT PORTION 3131388 NMH CONDITIONAL ASSET RETI 121814 BONDS PAYABLE LT 2019A 230077220 SUM OF SELF INSURANCE LIAB 10309298 MALPRACTICE INSURANCE LIABILITIES, LESS CURRENT PORTION 12776627 442001371 X PART X, LINE 2: AS OF SEPTEMBER 30, 2020, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 25713797 13433435 12280362 0.01700 122382666 76425964 45956702 0.06370 148096463 89859399 58237064 0.08070 12 318418 129462 143 129319 0.00020 2 100 23058917 7556106 15502811 0.02150 2 373 7354397 4666869 2687528 0.00370 2 0 4562775 588346 3974429 0.00550 18 318891 35105551 12811464 22294087 0.03090 18 318891 183202014 102670863 80531151 0.11160 1 460 0 460 0.00000 2 10 8277 116 8161 0.00000 1 1837544 1178302 659242 0.00090 1 353 62155 62155 0.00010 5 363 1908436 1178418 730018 0.00100 1 8305667 0 233911358 305025602 -71114244 X 1 1 2 1 DANBURY HOSPITAL AND NEW MILFORD HOSPITAL 24 HOSPITAL AVENUE DANBURY CT 06810 WWW.NUVANCEHEALTH.ORG 0039 X X X X X A 2 NEW MILFORD HOSPITAL CAMPUS 21 ELM STREET NEW MILFORD CT 06776 WWW.NUVANCEHEALTH.ORG 0039 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V FOR URL X SEE PART V FOR URL X 1 19 1 SEE PART V FOR URL 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V FOR URL X SEE PART V FOR URL X SEE PART V FOR URL X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: PART V, LINE 5FACILITY REPORTING GROUP A:THE CHNA, INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED THROUGHOUT FYE2019, THROUGH VARIOUS STEERING COMMITTEES AND WAS APPROVED BY THE DANBURY HOSPITAL BOARD OF TRUSTEES ON NOVEMBER 14, 2019. THE CHIP WAS SUBSEQUENTLY APPROVED ON MARCH 3, 2020 (BI-MONTHLY BOARD MEETING CALENDAR). DELAYS IN BOARD APPROVAL WAS THE RESULT OF NEW BOARD STRUCTURES AND CHANGED MEETING DATES DUE TO OUR AFFILIATION WITH HEALTH QUEST SYSTEMS.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES LOCAL LEVEL HEALTH RELATED DATA ABOUT DANBURY AND NEW MILFORD, AND THE SURROUNDING TOWNS OF BETHEL, BRIDGEWATER, BROOKFIELD, NEW FAIRFIELD, NEWTOWN, REDDING, RIDGEFIELD, ROXBURY, SHERMAN, SOUTHBURY, WASHINGTON, AND WOODBURY. IT COMPLEMENTS THE 2019 FAIRFIELD COUNTY COMMUNITY WELLBEING INDEX, A COMPREHENSIVE REPORT ABOUT FAIRFIELD COUNTY AND THE TOWNS WITHIN IT. THE COMMUNITY WELLBEING INDEX WAS PRODUCED BY DATAHAVEN IN PARTNERSHIP WITH FAIRFIELD COUNTY'S COMMUNITY FOUNDATION AND MANY OTHER REGIONAL PARTNERS, INCLUDING DANBURY HOSPITAL, NOW PART OF NUVANCE HEALTH, AND LOCAL PARTNERS SERVING THE GREATER DANBURY REGION. TOPICS COVERED IN THE INDEX INCLUDE: OVERALL COMMUNITY WELL-BEING, DEMOGRAPHIC CHANGES, HOUSING, TRANSPORTATION, EARLY CHILDHOOD EDUCATION, K-12 EDUCATION, ECONOMIC OPPORTUNITY, LEADING PUBLIC HEALTH INDICATORS (SUCH AS PREMATUREMORTALITY, CHRONIC DISEASE PREVALENCE, HEALTH BEHAVIORS, HEALTH CARE ACCESS, AND THE SOCIAL DETERMINANTS OF HEALTH) AND CIVIC LIFE.DANBURY HOSPITAL, AND ITS COMMUNITY HEALTH COMMITTEE, AND GREATER DANBURY COMMUNITY PARTNERS PARTICIPATED IN THIS EFFORT TO ASSESS THE HEALTH AND SOCIAL NEEDS OF THE GREATER DANBURY COMMUNITY. COMMUNITY PARTNERS INCLUDE:*COMMUNITY ACTION AGENCY OF WESTERN CONNECTICUT*CONNECTICUT COUNSELING CENTERS*CONNECTICUT COMMUNITY CARE*CONNECTICUT INSTITUTE FOR COMMUNITIES*DANBURY YOUTH SERVICES*JERICHO PARTNERS*REACH, NEWTOWN*REGIONAL YMCA OF WESTERN CONNECTICUT*UNITED WAY OF WESTERN CONNECTICUT*WESTERN CONNECTICUT COALITION FOR MENTAL HEALTH AND SUBSTANCE ABUSE*IN ADDITION TO THE DANBURY AND NEW MILFORD HEALTH DEPARTMENTS, THE POMPERAUG HEALTH DISTRICT AND THE HEALTH DEPARTMENTS OF BETHEL, BROOKFIELD, NEW FAIRFELD, NEWTOWN AND RIDGEFIELD WERE ACTIVE PARTICIPANTSIN THIS ASSESSMENT.THE REPORT PROVIDES ADDITIONAL LOCAL DETAIL OF RELEVANCE TO THE REGION, INCLUDING QUANTITATIVE AND QUALITATIVE DATA SPECIFIC TO THE INDIVIDUAL TOWNS WITHIN THE GREATER DANBURY REGION. IT ALSO DOCUMENTS THE PROCESS THAT DANBURY HOSPITAL AND PARTNERS USED TO CONDUCT THE REGIONAL HEALTH ASSESSMENT AND HEALTH IMPROVEMENT ACTIVITIES.THE ASSESSMENT WAS CONDUCTED UNDER THE GUIDANCE OF THE DANBURY HOSPITAL CHC. THE CHC PROVIDED OVERSIGHT OF THE 2019 CHNA IN ALIGNMENT WITH THE GOALS OF COMMUNITY PARTNERSHIP AND ADVANCEMENT OF POPULATION HEALTH. THE REPORT CONTAINS BOTH QUANTITATIVE AND QUALITATIVE DATA. QUANTITATIVE DATA WAS COLLECTED, ANALYZED AND REPORTED BY DATAHAVEN IN THE FAIRFIELD COUNTY COMMUNITY WELLBEING SURVEY (CWS). THE QUALITATIVE DATA COLLECTION WAS CONDUCTED BY THE STRATEGY GROUP LLC AND CONSISTED OF 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 2016 THE KEY FINDINGS AND HEALTH PRIORITIES IDENTIFIED IN THE GREATER DANBURY AREA CHNA WERE CHRONIC DISEASE/OBESITY, MENTAL HEALTH/SUBSTANCE ABUSE, ACCESS TO HEALTH CARE AND HEALTHY AGING. THREE YEARS LATER, WHILE THERE HAVE BEEN IMPROVEMENTS IN COMMUNITY PARTNERSHIPS, ATTENTION TO MENTAL HEALTH AND SCREENING FOR SOCIAL DETERMINANTS DATA SUGGESTS THAT THE 2016 INDICATORS REMAIN PRIORITY CONCERNS. PART V, LINE 7A AND 7BTHE COMPLETE URLS ARE AS FOLLOWS FOR BOTH DH AND NMH:THE MOST RECENTLY COMPLETED CHNA, BESIDES BEING AVAILABLE UPON REQUEST, WAS MADE AVAILABLE ON:HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFITHTTP://WWW.CHIME.ORG/ADVOCACY/COMMUNITY-HEALTH/PART V, LINE 10ATHE URL TO ACCESS THE REPORTS IS:HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: DANBURY HOSPITAL AND NEW MILFORD HOSPITAL, - FACILITY 2: NEW MILFORD HOSPITAL CAMPUS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: PART V, LINE 6AFACILITY: NEW MILFORD HOSPITAL CAMPUSTHE CHNA WAS CONDUCTED WITH DANBURY HOSPITAL.FACILITY: DANBURY HOSPITAL.THE CHNA WAS CONDUCTED WITH ITS NEW MILFORD HOSPITAL CAMPUS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: CHNA CONDUCTED BY ORGNIZATIONS OTHER THAN HOSPITALFACILITY: DANBURY HOSPITALAS NOTED IN PART VI, LINE #2, NEEDS ASSESSMENT NARRATIVE, THE CHNA WAS CONDUCTED WITH VARIOUS COMMUNITY ORGANIZATIONS PARTICIPATING IN THE COMMUNITY FORUM AT DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: TO THE BEST OF THE HOSPITAL'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2019 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT THE HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A STEERING COMMITTEE COMPRISED OF HEALTH CARE PROVIDERS, COMMUNITY-BASED PROVIDERS, AND LOCAL GOVERNMENT AGENCIES WAS FORMED. THEY IDENTIFIED MENTAL HEALTH, OBESITY AND SUBSTANCE ABUSE, ACCESS, AND HEALTHY AGING AS THE MAIN PRIORITIES TO ADDRESS. THEY CREATED THE 2019 CHIP WHICH DETAILS SPECIFIC GOALS AND METRICS FOR EACH IDENTIFIED NEED, AND COMMUNITY BENEFIT PROGRAMS THAT WOULD HELP ACHIEVE THESE GOALS. DURING 2020 THERE WAS A "PAUSE" WITH ALL OUR ACTIVITIES AND WITH COMMUNITY PROVIDERS TO FOCUS ON RESPONSE TO THE COVID-19 PANDEMIC. THE NARRATIVES FOR PART II COMMUNITY BUILDING ACTIVITIES DESCRIBE ACTIONS TAKEN TO ADDRESS THE NEEDS IDENTIFIED IN THE 2019 CHNA. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED PATIENTSFACILITY: DANBURY HOSPITALTHE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 58.66% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG.PART V, LINES 16A, B AND C THE COMPLETE URL FOR DANBURY HOSPITAL AND NEW MILFORD HOSPITAL, ARE AS FOLLOWS:HTTPS://WWW.DANBURYHOSPITAL.ORG/PATIENT-AND-VISITORS-INFO/BILLING/BILLING/FINANCIAL-ASSISTANCE-POLICY FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16J: OTHER MEANS HOSPITAL FACILITY PUBLICIZED THE POLICYFACILITY: DANBURY HOSPITALDANBURY 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. PART V, SECTION D - EXPLANATION OF NUMBER OF FACILITY TYPE 13 DIAGNOSTIC CENTERS20 OUTPATIENT PHYSICIAN CLINICS1 REHABILITATION CENTER1 EDUCATION CENTER2 SURGERY CENTERS 36 1 - RIDGEFIELD SURGICAL CENTER 901 ETHAN ALLEN HIGHWAY RIDGEFIELD CT 06879 SURGERY CENTER 2 - MAIN STREET REHAB 235 MAIN STREET DANBURY CT 06810 REHAB CENTER 3 - PULMONARY SERVICE 33 GERMANTOWN ROAD DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 4 - RENAL DIALYSIS 111 OSBORNE STREET DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 5 - BREAST IMAGING CENTER 20 GERMANTOWN ROAD DANBURY CT 06810 DIAGNOSTIC 6 - ENDOSCOPY SERVICE 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 7 - CENTER OF BEHAVIORAL HEALTH 152 WEST STREET DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 8 - CARDIOVASCULAR DIAGNOSTICS 41 GERMANTOWN ROAD DANBURY CT 06810 DIAGNOSTIC 9 - ASSOCIATED NEUROLOGIST 69 SAND PIT ROAD DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 10 - DANBURY LABORATORY 79 SAND PIT ROAD DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 11 - NEUROSURGICAL ASSOCIATES 79 SAND PIT ROAD DANBURY CT 06810 DIAGNOSTIC 12 - ECHO SERVICES 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 13 - MRI 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 14 - DIABETES EDUCATION 41 GERMANTOWN ROAD DANBURY CT 06810 EDUCATION 15 - NUCLEAR MEDICINENUCLEAR CARDIOLOGY 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 16 - ANTICOAGULATION CENTER 41 GERMANTOWN ROAD DANBURY CT 06810 DIAGNOSTIC 17 - DIAGNOSTIC RADIOLOGYULTRA SOUNDPET SCAN 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 18 - CARDIOVASCULAR DIAGNOSTICS 22 OLD WATERBURY RD SOUTHBURY CT 06487 DIAGNOSTIC 19 - NEW MILFORD LABORATORY 120 OLD PARK LANE NEW MILFORD CT 06776 OUTPATIENT PHYSICIAN CLINIC 20 - STRESS TESTING 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 21 - BROOKFIELD LABORATORY 401 FEDERAL ROAD BROOKFIELD CT 06705 OUTPATIENT PHYSICIAN CLINIC 22 - LABORATORY PATIENT SERVICES 51-53 KENOSIA AVENUE DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 23 - SOUTHBURY LABORATORY 22 OLD WATERBURY ROAD SOUTHBURY CT 06487 OUTPATIENT PHYSICIAN CLINIC 24 - MCA SURGERY CENTER 111 OSBORNE STREET DANBURY CT 06810 SURGERY CENTER 25 - NONINVASIVE VASCULARBONEDENSITY 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 26 - CARDIOLOGY SUPPORT CENTER 111 OSBORNE STREET DANBURY CT 06810 DIAGNOSTIC 27 - RIDGEFIELD PRIMARY CARE 21 SOUTH STREET RIDGEFIELD CT 06879 OUTPATIENT PHYSICIAN CLINIC 28 - COMMUNITY HEALTH 70 MAIN STREET DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 29 - RIDGEFIELD LABORATORY 10 SOUTH STREET RIDGEFIELD CT 06879 OUTPATIENT PHYSICIAN CLINIC 30 - BREWSTER MEDICAL CENTER 3423 DASNBURY ROAD BREWSTER NY 10509 OUTPATIENT PHYSICIAN CLINIC 31 - BROOKFIELD PRIMARY CARE 401 FEDERAL ROAD BROOKFIELD CT 06705 OUTPATIENT PHYSICIAN CLINIC 32 - PRIMARY CAREMEDICAL ASSOCIATES 79 SAND PIT ROAD DANBURY CT 06810 OUTPATIENT PHYSICIAN CLINIC 33 - FAMILY MEDICINEINTERNAL MEDICINE 427 MAIN STREET MONROE CT 06468 OUTPATIENT PHYSICIAN CLINIC 34 - INTERNAL MEDICINEPEDIATRICS 130 ROUTE 37 NEW FAIRFIELD CT 06812 OUTPATIENT PHYSICIAN CLINIC 35 - NEWTOWN PRIMARY 168-170 MOUNT PLEASANT ROAD NEWTOWN CT 06470 OUTPATIENT PHYSICIAN CLINIC 36 - INTERNAL MEDICINE 20 OLD RIDGEBURY ROAD WILTON CT 06897 OUTPATIENT PHYSICIAN CLINIC 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. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS REPORTED ON A NETWORK BASIS. THE COMMUNITY BENEFIT REPORT IS PREPARED BY A RELATED ORGANIZATION, NUVANCE HEALTH (EIN: 83-4214573).IT CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAMS AND SERVICES' DESCRIPTIONS AND FINANCIAL DATA AND CAN BE ACCESSED AT HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT. PART I, LINE 7: CHARITY CARE AT COST PERCENTAGE:TOTAL GROSS PATIENT CHARGES WRITTEN OFF TO CHARITY (INCOME STATEMENT) * PATIENT COST TO CHARGE % (SEE BELOW) = TOTAL COMMUNITY BENEFIT EXPENSETOTAL COMMUNITY BENEFIT EXPENSES - REVENUE FROM UNCOMPENSATED CARE POOLS AND PROGRAMS (DHS * % OF COST OF UNCOMPENSATED CARE SHOWN ON THE OCHA SCHEDULE 500) = NET COMMUNITY BENEFITS EXPENSESNET COMMUNITY BENEFITS EXPENSES / TOTAL EXPENSES = % OF TOTAL EXPENSESRATIO COST TO CHARGE CALCULATIONTOTAL OPERATING EXPENSES - NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAX, TOTAL COMMUNITY BENEFIT EXPENSE AND TOTAL COMMUNITY BUILDING EXPENSE =ADJUSTED PATIENT CARE COST.ADJUSTED PATIENT CARE COST DIVIDED BY GROSS PATIENT CHARGES=RATIO OF PATIENT CARE COSTS TO CHARGES.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.PART I, LINE 7EDANBURY/NEW MILFORD HOSPITALS PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE. BELOW IS A LIST OF ALL THE PROGRAMS OFFERED WITH A BRIEF DESCRIPTION:*CANCER: 210 SERVED THROUGH GRIEF & LOSS LECTURES, EATING WELL WEBINARS, AND MOVING FORWARD INTO CANCER SURVIVORSHIP WORKSHOPS. *HEALTH FAIRS: 805 SERVED THROUGH FAIRS IN BETHEL, CANDLEWOOD VALLEY AND MISSION HEALTH DAY.*DIABETES EDUCATION: 74 SERVED THROUGH AN IN-PERSON DANBURY WOMEN'S CLUB LECTURE.*HEART DISEASE: 34 SERVED THROUGH EDUCATION AND LECTURES AT THE DANBURY LIBRARY, NEWTOWN COMMUNITY CENTER AND BETHEL HEALTH CARE.*LECTURES: 266,000 SERVED THROUGH HEALTH TALK (INCLUDING REPEAT SHOWS) AND LECTURES SUCH AS AT THE DANBURY MENS CLUB, HERITAGE VILLAGE, CARTUS CORPORATION AND A COMMUNITY FORUM. HEALTH TALK AIRS ON COMCAST; 49 SHOWS AIRED WITH A VIEWERSHIP OF 5,000 PER SHOW.*NUTRITION/WELLNESS: 312 SERVED THROUGH A LECTURE AT THE NEW MILFORD FOOD PANTRY, LET'S GET COOKING AT NEW MILFORD HOSPITAL AND THE NEW MILFORD SENIOR CENTER.*BEHAVIORAL HEALTH: 373 SERVED THROUGH MEETINGS AND OPIOID WORK GROUPS, FOR EXAMPLE.*SUPPORT GROUPS: 651 SERVED THROUGH A COVID-LOSS GROUP VIA ZOOM, GRIEF RECOVERY AND MEDITATION.*COVID-RELATED COMMUNITY HEALTH EDUCATION: 50,229 SERVED THROUGH TIPS ON COPING, FAQ'S ON THE WEBSITE, AND EDUCATIONAL HAND-OUTS.*BLOOD DRIVES: 175 SERVED.PART I, LINE 7GTHERE ARE NO PHYSICIAN CLINICS INCLUDED IN THIS AMOUNT. PART II, COMMUNITY BUILDING ACTIVITIES: RELATES TO LINE #3, COMMUNITY SUPPORT AND LINE #6, COALITION BUILDING, TOTALING $70,528:IN CONDUCTING THE CURRENT CHNA, DANBURY HOSPITAL COLLABORATED WITH VARIOUS COMMUNITY ORGANIZATIONS TO DEVELOP, IMPLEMENT, AND MONITOR STRATEGIES TO ADDRESS IDENTIFIED PRIORITIES IN THE CHIP. WORK GROUPS WERE CREATED FOR CHRONIC DISEASE, MENTAL HEALTH/SUBSTANCE ABUSE, ACCESS, AND HEALTHY AGING.HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT ARE KEY DRIVERS OF HEALTH STATUS AND REMAIN AREAS OF SIGNIFICANT CONCERN. KEY INFORMANT SURVEYS INDICATE DIFFICULTY, PARTICULARLY FOR THE LOWER INCOME GROUPS, ACCESSING HEALTHY FOOD. THIS WAS ATTRIBUTED TO LACK OF TIME DUE TO JOB AND EXTRACURRICULAR ACTIVITIES AND DIFFICULTY FINDING RELIABLE TRANSPORTATION. CHRONIC DISEASES IMPACT LIFE SATISFACTION AND CAUSE SIGNIFICANT ECONOMIC BURDEN IN THE FORM OF OPPORTUNITY COST AND HEALTHCARE EXPENDITURE.PROGRESS FROM THE 2016 COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDES:CHRONIC DISEASE AND OBESITY PREVENTIONTHE CHRONIC DISEASE SUBCOMMITTEE (CDS) CONSISTING OF REPRESENTATIVES FROM THE REGIONAL YMCA OF WESTERN CONNECTICUT, DANBURY HOSPITAL, VISITING NURSES ASSOCIATION OF BETHEL AND THE HEALTH DISTRICTS OF BETHEL, BROOKFIELD, DANBURY, NEW FAIRFIELD, NEW MILFORD, NEWTOWN AND SOUTHBURY, HAS BEEN MEETING SINCE 2012. PROMINENT AMONG THE INITIATIVES HAVE BEEN PROGRAMS FOR CHILDREN AND YOUTH. THE GO! 5,2,1,0 PROGRAM HAS DEMONSTRATED SUCCESS IN INCREASING ACTIVITY AND HAS BEEN ADOPTED BY LOCAL PEDIATRICIANS, AND NINE PUBLIC SCHOOLS AND 43 SECTOR SITES. PARENTS SURVEYED REPORT MAINTAINING HEALTHY BEHAVIORS AT HOME WITH REDUCTION IN SUGARY BEVERAGES, DECREASED SCREEN TIME AND INCREASE IN CONSUMPTION OF HEALTHY FOOD. THE CDS HAS ACTIVELY SUPPORTED COMMUNITY GARDENING PROGRAMS FOR CHILDREN OF LOW INCOME FAMILIES. THE CDS HAS SUPPORTED THE EXPANSION OF THE CONNECTICUT MULTI-USE TRAIL SYSTEM INCLUDING THE STILL RIVER GREENWAY, THE SECOND MOST USED TRAIL IN THE STATE. A SURVEY OF OVER ONE THOUSAND USERS SHOWS 63% USE THE TRAILS FOR RECREATION, 49% FOR EXERCISE/WEIGHT MANAGEMENT, 45% FOR RELAXATION AND 40% FOR EXERCISE/PREVENTION.MENTAL HEALTH AND SUBSTANCE ABUSE THE MENTAL HEALTH AND SUBSTANCE ABUSE SUBCOMMITTEE (MHSA) IS LED BY THE WESTERN CONNECTICUT COALITION REGIONAL BEHAVIORAL HEALTH ACTION ORGANIZATION REGION 5. REGION 5 CONDUCTED AN ASSESSMENT OF THE BEHAVIORAL HEALTH NEEDS IN 2019. RESULTS OF THE DATA COLLECTION AND FOCUS GROUP, REPORTED IN THE REGIONAL PRIORITY REPORT SHOWS WIDESPREAD CONCERN ABOUT THE PREVALENCE OF MENTAL HEALTH ISSUES. THESE CONCERNS INCLUDE RATES OF ANXIETY AND DEPRESSION IN YOUNG PEOPLE, LACK OF APPROPRIATE SERVICES FOR NONACUTE MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND TREATMENT PROVIDERS REACHING FOR MEDICATIONS BEFORE CONSIDERING ALTERNATIVE THERAPIES. THERE WERE DISCUSSIONS ABOUT THE RISKS OF ADDICTION COMPOUNDING BEHAVIORAL HEALTH PROBLEMS. PRESCRIPTION DRUG MISUSE IS SEEN AS AN ONGOING CHALLENGE. IN REGION 5, RECENT TREATMENT DATA SUPPORTED KEY INFORMANT ASSERTIONS THAT BENZODIAZEPINES AND AMPHETAMINES ARE ACCESSIBLE AND MISUSED BY YOUTH AND ADULTS ALIKE. DURING 2018, 33% OF ALL WESTERN CONNECTICUT OVERDOSE FATALITIES WERE RELATED TO ONE FORM OR ANOTHER OF THESE PRESCRIPTION MEDICATIONS. THE CONSEQUENCES OF ALCOHOL, AND UNDERAGE DRINKING, WERE ALSO RANKED IN THE TOP THREE. THIS IS LIKELY BECAUSE IT REMAINS THE MOST WIDELY USED OF ALL SUBSTANCES. THE MENTAL HEALTH AND SUBSTANCE ABUSE SUBCOMMITTEE OF THE COMMUNITY HEALTH COMMITTEE HAS GUIDED THE DEVELOPMENT OF SEVERAL COMMUNITY HEALTH PROGRAMS. THESE HAVE BEEN EXPANDED AND SCALED SINCE 2016 WITH THE GOALS OF IMPROVING ACCESS TO APPROPRIATE CARE FOR CHILDREN AND ADULTS AND PROVIDING EDUCATION TO INCREASE AWARENESS AND PROMOTE PREVENTION. THE BEHAVIORAL HEALTH INTEGRATION PROGRAM WAS IMPLEMENTED IN 2015 TO IMPROVE ACCESS FOR PATIENTS WITH BEHAVIORAL HEALTH ISSUES. THESE ISSUES MAY RANGE FROM DEPRESSION AND ANXIETY TO SLEEP DISTURBANCE AND GRIEF REACTIONS TO SUBSTANCE MISUSE. THERE IS ALSO THE OPPORTUNITY TO ADDRESS HEALTH BEHAVIORS, SUCH AS SMOKING, LACK OF EXERCISE, OBESITY AND SUBSTANCE USE, WHICH ARE THE MAIN CAUSES OF POOR HEALTH OUTCOMES IN OUR COUNTRY. THIS BEHAVIORAL HEALTH INTEGRATION MODEL INCORPORATES BEHAVIORAL HEALTH CONSULTANTS (BHCS) TO OUR PRIMARY CARE TEAMS. BHCS ARE EXPERIENCED BEHAVIORAL HEALTH SOCIAL WORKERS WHO SERVE AS MEMBERS OF THE CARE TEAM THAT INCLUDES THE PHYSICIAN, NURSE, MEDICAL ASSISTANT, CARE MANAGER AND OFFICE STAFF. USING THIS MODEL, THE PRIMARY CARE TEAM IS BETTER ABLE TO MEET THE MEDICAL AND EMOTIONAL HEALTH NEEDS OF THEIR PATIENTS IN A COORDINATED, PATIENT CENTERED AND CONVENIENT MANNER. FOR THE MORE VULNERABLE RESIDENTS IN OUR COMMUNITY, THE GREATER DANBURY COMMUNITY CARE TEAM (DCCT) WAS STARTED IN 2014. SINCE THEN IT HAS EXPANDED TO INCLUDE MORE THAN 30 ORGANIZATIONS THAT MEET WEEKLY TO ORGANIZE PATIENT-CENTERED OUTREACH AND NAVIGATION FOR VULNERABLE AND HIGH-NEED RESIDENTS OF GREATER DANBURY. THE DCCT HAS SERVED MORE THAN 200 PEOPLE PROVIDING CONNECTION TO NEEDED PRIMARY CARE, MENTAL HEALTH, ADDICTION AND SOCIAL SERVICES. EFFORTS OF THE DCCT HAVE RESULTED IN DECREASED EMERGENCY DEPARTMENT UTILIZATION, INDICATING AN INCREASE IN MEDICAL AND SOCIAL STABILITY FOR THE RESIDENTS SERVED. RECOGNIZING THE UNIQUE NEEDS OF PATIENTS WITH SUBSTANCE USE DISORDERS, DANBURY HOSPITAL ADDED A PEER RECOVERY SPECIALIST TO THE GREATER DANBURY CCT. PEER RECOVERY SPECIALISTS ARE MOTIVATED, ENERGETIC INDIVIDUALS WITH LIVED EXPERIENCE AND SPECIALIZED TRAINING TO BETTER ENGAGE PATIENTS WHO HAVE SUBSTANCE USE DISORDERS. THE PEERS PROVIDE DIRECT OUTREACH AND ASSISTANCE IN CONNECTING PATIENTS TO APPROPRIATE CARE. THE INTERPROFESSIONAL COMMUNITY ACADEMIC NAVIGATION (ICAN) PROGRAM WAS STARTED IN 2016 AS A COLLABORATIVE EFFORT BETWEEN WESTERN CONNECTICUT HEALTH NETWORK AND SACRED HEART UNIVERSITY. THIS PROGRAM EXPANDS THE REACH OF THE CCT WHILE OFFERING AN INNOVATIVE TEACHING OPPORTUNITY FOR UNDERGRADUATE SOCIAL WORK AND GRADUATE LEVEL NURSING STUDENTS. UNDER THE GUIDANCE OF A FACULTY CLINICAL ADVISOR, THE ICAN TEAM PROVIDES DIRECT IN-PERSON AND TELEPHONE OUTREACH SERVICES TO PATIENTS WHO NEED CONNECTION TO MEDICAL, MENTAL HEALTH, SOCIAL OR SUBSTANCE SERVICES. THIS PROGRAM NOT ONLY HAS IMMEDIATE IMPACT ON THE PATIENTS WE SERVE, IT ALSO PROVIDES IMPACTFUL TRAINING FOR FUTURE CAREGIVERS WORKING WITH OUR MOST VULNERABLE COMMUNITY MEMBERS.HEALTHY AGING THE HEALTHY AGING SUBCOMMITTEE WAS CONVENED IN 2016 FOLLOWING THE COMMUNITY HEALTH NEEDS ASSESSMENT OF THAT YEAR. AMONG OTHER PROGRAMS, HEALTHY AGING HAS FOCUSED ON FALL PREVENTION.DANBURY HOSPITAL AND WCHN HAVE EFFECTIVELY ENHANCED COMMUNITY PARTNERSHIPS AND WORKED TO DEVELOP THE INFRASTRUCTURE NEEDED TO IMPROVE COMMUNITY WELLNESS. WHILE SOME INDICATORS HAVE IMPROVED, SUCH AS EMERGENCY DEPARTMENT UTILIZATION, ACCESS TO INTEGRATED CARE, ASTHMA RATES IN ALL COMMUNITIES AND THE RATE OF DIABETES IN DANBURY, MANY MEASURES HAVE CONTINUED TO WORSEN. OBESITY AND HYPERTENSION CONTINUE TO INCREASE AT AN ALARMING RATE AND THE NUMBER OF RESIDENTS WITHOUT A MEDICAL HOME HAS INCREASED. OPIOID OVERDOSE RATES CONTINUE TO CLIMB AND ACCESS TO ADDICTION TREATMENT REMAINS CHALLENGING. MORE ARE STRUGGLING FINANCIALLY AND INCREASED NUMBERS ARE POSTPONING HEALTHCARE DUE TO COST.RELATED TO LINE #2, ECONOMIC DEVELOPMENT, AND LINE #7, COMMUNITY HEALTH IMPROVEMENT ADVOCACY TOTALING $60,041VARIOUS WCHN OFFICIALS PARTICIPATED IN CHAMBER OF COMMERCE MEETINGS AND EVENTS, WORKING TO PROMOTE ECONOMIC DEVELOPMENT IN THE DANBURY HOSPITAL AREA. STATE AND LOCAL ELECTED OFFICIALS AND AGENCY HEADS WERE LOBBIED IN SUPPORT OF MAINTAINING PATIENT ACCESS TO ESSENTIAL SERVICES FOR THE UNINSURED AND UNDER INSURED. THE TOTAL ADVOCACY INVESTMENT FOR FY2019 IS $58,317, WHICH INCLUDES INDIRECT AND DIRECT STAFFING EXPENSES. PART III, LINE 2: THE RATIO OF COST TO CHARGES IS APPLIED TO THE BAD DEBT EXPENSE ON THE INCOME STATEMENT. PART III, LINE 3: IT IS THE POLICY OF THE HOSPITAL TO PROVIDE NECESSARY CARE TO ALL PERSONS SEEKING TREATMENT WITHOUT DISCRIMINATION ON THE GROUNDS OF AGE, RACE, CREED, NATIONAL ORIGIN OR ANY OTHER GROUNDS UNRELATED TO AN INDIVIDUAL'S NEED FOR THE SERVICE OR THE AVAILABILITY OF THE NEEDED SERVICE AT THE HOSPITAL. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT BY REFERENCE TO ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO A RESPONSIBLE PARTY'S INCOME AND THEIR COUNTABLE ASSETS. THOSE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. BECAUSE THE HOSPITAL IS NOT PAID FOR THESE SERVICES, THEY ARE CONSIDERED TO BE COMMUNITY BENEFIT.WHEN PRIVATE PAY PATIENTS ARE SENT TO THE COLLECTION AGENCY THEIR ACCOUNT IS CONSIDERED TO BE A BAD DEBT. SUBSEQUENTLY, MEDICAID MAY BE GRANTED FOR SOME OF THOSE PATIENTS. AT THAT TIME THOSE ACCOUNTS NOT GRANTED MEDICAID WOULD BECOME CHARITY CARE OR A COMMUNITY BENEFIT. PART III, LINE 4: PLEASE SEE FOOTNOTE 2 OF THE AUDITED FINANCIAL STATEMENTS (PAGES 22-26). PART III, LINE 8: DANBURY HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION STRIVES TO PROVIDE 24/7 COVERAGE, IMPROVED PATIENT ACCESS, HIGHEST CLINICAL QUALITY AS WELL AS ADDRESSING THE NEEDS OF THE COMMUNITY BY OFFERING CRITICAL SERVICES TO OUR GEOGRAPHIC AREA. AS A RESULT, THE ORGANIZATION MUST BALANCE THE COST OF THESE PROGRAMS AGAINST THE CONTINUED DECREASING GOVERNMENT REIMBURSEMENT LEVELS, UNINSURED POPULATION AND COMMUNITY NEEDS. A COST ACCOUNTING SYSTEM IS USED TO CALCULATE THE SHORTFALL, WHICH IS MEDICARE NET PATIENT REVENUE LESS APPLICABLE COSTS. PART III, LINE 9B: IT IS THE POLICY OF DANBURY HOSPITAL TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) DANBURY HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. THE HOSPITAL SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS. CONSISTENT WITH THIS MISSION, DANBURY HOSPITAL RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, DANBURY 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.THE HOSPITAL WILL COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD PART VI, LINE 2: THROUGH WESTERN CT HEALTH NETWORKS ANNUAL PLANNING PROCESS, AN ENVIRONMENTAL ASSESSMENT IS CONDUCTED TO IDENTIFY HEALTHCARE GAPS AND NEEDS OF THE SERVICE AREA COMMUNITY BROUGHT ABOUT BY LOCAL AND NATIONAL TRENDS IN ECONOMIC, LEGISLATIVE, DEMOGRAPHIC, HEALTHCARE INDUSTRY AND OTHER ENVIRONMENTAL FACTORS. THESE FORCES ARE CONSIDERED AND INCORPORATED IN MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY BY HELPING TO FRAME THE PRIORITIES, GOALS AND INITIATIVES OF WESTERN CT HEALTH NETWORKS LONG RANGE AND ANNUAL STRATEGIC PLANS. PART VI, LINE 3: 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. PART VI, LINE 4: DANBURY HOSPITAL AND NEW MILFORD HOSPITAL CAMPUSES SERVE AN AREA WITH A POPULATION OF ABOUT 270,000 PEOPLE. THE SERVICE AREA INCLUDES BETHEL, BRIDGEWATER, BROOKFIELD, DANBURY, EASTON, KENT, NEW FAIRFIELD, NEW MILFORD, NEWTOWN, REDDING RIDGEFIELD, ROXBURY, SHERMAN, SOUTHBURY, AND WASHINGTON (CT). THIS SERVICE AREA IS COMPRISED OF A DENSELY POPULATED CORE OF THE URBAN/SUBURBAN CITY OF DANBURY SURROUNDED BY MODERATELY AFFLUENT RESIDENTIAL AND RURAL TOWNS. IN 2019, DANBURY HAS A MEDIAN HOUSEHOLD INCOME OF $68,064 AND A POVERTY RATE OF 11.6%; AND IS LISTED AS A MEDICALLY UNDERSERVED AREA. NEW MILFORD HAS A HOUSEHOLD INCOME OF $83,676 AND A POVERTY RATE OF 5.3%. THE OVERALL POVERTY RATE FOR THE STATE IS ESTIMATED TO BE 10.1%. THE POPULATION OF THE SERVICE AREAS IS EXPECTED TO EXPERIENCE <1% GROWTH FROM 2020 TO 2025, THE COHORT AGED 65 AND OVER IS PROJECTED TO INCREASE BY 3%. PART VI, LINE 5: DANBURY HOSPITAL AND NEW MILFORD HOSPITAL SERVED OVER 319,000 PERSONS THROUGH OVER 240 COMMUNITY HEALTH OCCURRENCES IN FY20. WHEN THE PANDEMIC PROMPTED THE CANCELLATION OF IN-PERSON EVENTS, LECTURES WERE HELD VIA ZOOM. ONE OF THE HIGHEST IMPACT OUTREACH ACTIVITIES INCLUDED 245,000 INDIVIDUALS SERVED THROUGH HEALTH TALK WITH AN ESTIMATED VIEWERSHIP OF 5,000 PER SHOW. HEALTH TALK AIRS ON COMCAST, CHANNEL 23 AT 7:30 PM THURSDAYS AND 11:30 AM FRIDAYS. IT IS ALSO AVAILABLE ON NUVANCE HEALTH'S WEBSITES, SOCIAL MEDIA AND THROUGH LINKS IN VITAL SIGNS. IT IS A PUBLIC SERVICE TELEVISION PROGRAM PRODUCED BY THE COMMUNITY RELATIONS DEPARTMENT TO PROMOTE HEALTH AWARENESS AND EDUCATION. TOPICS INCLUDED PANCREATIC CANCER & CANCER RESEARCH, HEART HEALTH & CARDIAC WELLNESS AND DEPRESSION & ANXIETY, TO NAME SOME TOPICS.OVER 50% OF THE BOARD MEMBERS ARE INDEPENDENT AND DO NOT GET PAID BY DANBURY HOSPITAL. DANBURY HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF.SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINICAL CARE IN ADDITION TO EXPANDING OUR SERVICE AREA. PART VI, LINE 6: NUVANCE HEALTH IS AN INTEGRATED HEALTH SYSTEM OFERING CONVENIENT, ACCESSIBLE AND AFFORDABLE CARE TO OUR COMMUNITY MEMBERS. OUR TALENTED TEAM OF MORE THAN 15,000 COMPASSIONATE CAREGIVERS PROVIDE HIGH-QUALITY CARE THROUGH: COMMUNITY HOSPITALS, PRIMARY CARE AND SPECIALTY PRACTICE LOCATIONS, OUTPATIENT SETTINGS, HOME CARE SERVICES, A SKILLED NURSING HOME AND REHABILITATION FACILITY AND TELEHEALTH VISITS. FOR FY2020, THE NETWORK PROVIDED APPROXIMATELY $42,588,000 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 2020, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, $9,613,000, DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, $15,928,000.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 2020 THEY PROVIDED APPROXIMATELY $2,051,000 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 2020, WCHNA PROVIDED APPROXIMATELY $57,000 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. FOR 2020, WCHC PROVIDED APPROXIMATELY $48,000 IN CHARITY CARE.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 $2,000 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 $9,577,000 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 $1,793,000 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 $1,829,000 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 $996,000 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 $125,000 IN CHARITY CARE.NUVANCE HEALTH MEDICAL PRACTICE, PC 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 $157,000 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 $301,000 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. HEALTH QUEST HOME CARE PROVIDED APPROXIMATELY $111,000 IN CHARITY CARE.WELLS MANOR HOUSING DEVELOP. FUND CORP. IS A PRIVATE FOUNDATION. WELLS MANOR OPERATES AN APARTMENT COMPLEX OF 75 UNITS UNDER SECTION 202 OF THE NATIONAL HOUSING ACT OF 1959 AND SECTION 8 OF THE NATIONAL HOUSING ACT OF 1937, REGULATED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. 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. PART VI, LINE 7 - STATES FILING COMMUNITY BENEFIT REPORT CT X 1 1 0 1 0 0 0 0 0 1 0 JOHN M MURPHY MD EX-OFFICIO (TO 12/31) 0 1492100 0 1133596 0 4356 0 4366519 0 30941 0 7027512 0 0 STEVEN H ROSENBERG TREASURER 0 653858 0 532200 0 343141 0 605000 0 39898 0 2174097 0 311957 SHARON ADAMS PRESIDENT 140138 447971 280000 258683 1447 4823 0 13750 827 5776 422412 731003 0 0 KERRY EATON CHIEF OPERATING OFF. (FROM 12/11) 0 651644 0 291322 0 126445 0 72427 0 1339 0 1143177 0 0 CAROLYN MCKENNA SECRETARY (FROM 01/01) 0 467018 0 489986 0 6566 0 13750 0 39898 0 1017218 0 0 CATHERINE FRIERSON CHIEF HUMAN RESOURCE OFFIC 0 433583 0 427792 0 2794 0 13750 0 5358 0 883277 0 0 GRACE LINHARD CHIEF DEVELOPMENT OFFICER 0 348637 0 226500 0 27756 0 16500 0 3973 0 623366 0 0 THOMAS KOOBATIAN MD EXEC DIR/CHIEF OF STAFF 0 372160 0 90000 0 23686 0 19250 0 34487 0 539583 0 0 CORNELLIUS FERREIRA MD DIRECTOR 0 432037 0 58162 0 977 0 13750 0 31887 0 536813 0 0 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 0 301969 0 185000 0 4913 0 13226 0 13926 0 519034 0 0 DAHLIA PLUMMER MD DIRECTOR 0 460416 0 15467 0 6365 0 13750 0 21235 0 517233 0 0 RICHARD FREEMAN MD CHIEF CLINICAL OFF (TO 5/13) 0 292477 0 100000 0 23936 0 13750 0 10049 0 440212 0 0 ROWENA B BERGMANS VP STRATEGIC CONTRACTING 0 273560 0 72000 0 3706 0 13750 0 18660 0 381676 0 0 WILLIAM DELANEY MD CHC EXEC MED DIR 277360 0 27658 0 2957 0 27200 0 31101 0 366276 0 0 0 WILLIAM P MALDARELLI PERFUSION DIRECTOR 234377 0 75400 0 19140 0 24750 0 11860 0 365527 0 0 0 MAJID SADIGH DIR GLOBAL HEALTH 296475 0 1000 0 23248 0 13750 0 21474 0 355947 0 0 0 KORRINE A ROTH SENIOR DIRECTOR OF QUALITY 206221 0 112000 0 1427 0 10414 0 25837 0 355899 0 0 0 DEBORAH CASEY STAFF PHYSICIAN 294505 0 0 0 958 0 11738 0 11594 0 318795 0 0 0 MORRIS GROSS VP-FACILITIES (FORMER) 0 161470 0 0 0 6948 0 26104 0 13238 0 207760 0 0 RUTH GREGORY DIRECTOR OF MATERIALS MGMT 155718 0 15600 0 2801 0 17769 0 10373 0 202261 0 0 0 PART I, LINE 1A FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND: 1 OFFICER PART I, LINE 4B WESTERN CONNECTICUT HEALTH NETWORK (WCHN), A RELATED ORGANIZATION, PREVIOUSLY ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR THE SERP, AMOUNTS PROMISED TO ELIGIBLE EXECUTIVES ARE BASED ON TARGETED RETIREMENT BENEFITS AND THE PAYMENT OF BENEFITS IS SUBJECT TO VESTING. THE BENEFITS AT THE VESTED AGE ARE PROVIDED IN THE FORM OF AN ACTUARIAL EQUIVALENT LUMP SUM PLUS A TAX GROSS-UP AMOUNT TO THE PARTICIPANTS. WCHN MAINTAINS AN ACCRUAL ON ITS BOOKS FOR THE PARTICIPANTS OF THE SERP. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. JOHN M. MURPHY, MD, AND STEVEN H. ROSENBERG PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF SEPTEMBER 30, 2020. FOR CALENDAR YEAR 2019, STEVEN H. ROSENBERG RECEIVED A PAYOUT OF $311,957, WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. KERRY EATON PARTICIPATES IN A SERP PLAN WITH HEALTH QUEST SYSTEMS, INC. (HEALTH QUEST), A RELATED ORGANIZATION. HEALTH QUEST MADE THE FOLLOWING CONTRIBUTIONS TO THE PARTICIPANTS, WHICH ARE REPORTED ON SCHEDULE J, PART II: KERRY EATON - $65,467 PART I, LINE 7 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. X 10159 300480 FAIR MARKET VALUE X 221369 588255 FAIR MARKET VALUE 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: MEDICAL SERVICE LINE DANBURY HOSPITAL'S MEDICAL SERVICE LINE CONSISTS OF THE FOLLOWING SERVICES: INPATIENT CASES: GASTROINTESTINAL 1,770 INFECTIOUS DISEASE 1,425 INTERNAL MEDICINE 658 NEUROLOGY MEDICINE 468 RENAL/UROLOGY MEDICINE 797 PULMONARY MEDICINE 1,741 ALL OTHER INPATIENT 2,383 OUTPATIENT SERVICE LINE CASES: O/P MEDICINE 9,353 O/P MEDICINE COMM. CLINIC 3,753 O/P MEDICAL ONCOLOGY 14,671 O/P PULMONARY MEDICINE 3,487 DIGESTIVE DISEASES: OUR DIGESTIVE DISEASE CENTER IS STAFFED BY RENOWNED FELLOWSHIP-TRAINED GASTROENTEROLOGISTS. WE OFFER LEADING DIAGNOSIS AND TREATMENT OF A WIDE RANGE OF DIGESTIVE DISEASES AND CONDITIONS, WHILE PROVIDING INDIVIDUALIZED TREATMENT FOR EVERY PATIENT. OUR SERVICES INCLUDE: ABLATION THERAPY FOR BARRETT'S ESOPHAGUS, COLON CANCER SCREENING, COLONOSCOPY, CRYOTHERAPY, ENDOSCOPY, ENDOSCOPIC ULTRASOUND AND FINE-NEEDLE ASPIRATION, LACTOSE TOLERANCE TESTING, AND WIRELESS CAPSULE ENDOSCOPY ENDOSCOPIC TREATMENT OF PANCREATIC DISEASE. INFECTIOUS DISEASE: OUR TEAM IS TRAINED TO DIAGNOSE AND TREAT A RANGE OF INFECTIOUS DISEASES, SO YOU RECEIVE THE LATEST CARE, CLOSE TO HOME. THE SPECIALISTS UNDERSTAND HOW YOUR BODY FIGHTS INFECTION (IMMUNOLOGY), HOW INFECTIONS ARE TRANSMITTED (EPIDEMIOLOGY) AND HOW THEY ARE CONTROLLED. WE TREAT INFECTIOUS DISEASES FROM CONDITIONS CAUSED BY LIVING ORGANISMS (BACTERIA, VIRUSES, FUNGI AND PARASITES) TO COVID-19, HIV AND RELATED CONDITIONS. YOU RECEIVE ADVANCED CARE FOR LYME DISEASE AS WELL AS WOUND-RELATED AND TRAVEL-RELATED INFECTIONS. THE INFECTIOUS DISEASE TEAM UNDERSTANDS HOW TO EFFECTIVELY USE ANTIBIOTICS AND OTHER ANTI-INFECTIVE MEDICINES TO TREAT DISEASE. WE COLLABORATE WITH PRIMARY DOCTORS, SPECIALISTS AND SURGEONS, SO YOU RECEIVE A COORDINATED, PERSONALIZED TREATMENT PLAN. AWARDS & ACCREDITATIONS ACCREDITATED HYPERBARIC UNIT FOR WOUND CARE UNDERSEA & MEDICAL SOCIETY 2020 INTERNAL MEDICINE: HAVING A PRIMARY CARE PROVIDER (PCP) IS ONE OF THE MOST IMPORTANT STEPS YOU CAN TAKE WHEN IT COMES TO YOUR HEALTH. WITH A PCP, YOU HAVE A PROVIDER WHO TAKES THE TIME TO GET TO KNOW EVERY ASPECT OF YOUR HEALTHCARE NEEDS AND BUILD A TRUSTING RELATIONSHIP WITH YOU-AND IS FOCUSED ON YOUR OVERALL HEALTH AND WELLNESS. OUR PCPS ARE COMMITTED TO UNDERSTAND ALL YOUR NEEDS WHETHER CLINICAL OR PERSONAL AND DEVELOP A PERSONALIZED PLAN JUST FOR YOU. THEY ARE COMMITTED TO TREATING YOU LIKE A PERSON, NOT A NUMBER ON A CHART. WHATEVER YOUR MEDICAL NEEDS, DANBURY HOSPITAL PROVIDES EXPERT CARE IN THE WARM, FOCUSED AND PERSONAL MANNER YOU DESERVE. SPECIALISTS IN PRIMARY CARE, OUR FAMILY MEDICINE PHYSICIANS TREAT INFANTS, CHILDREN AND ADULTS OF ALL AGES. SERVICES INCLUDE PREVENTIVE MEDICINE (INCLUDING VACCINES AND IMMUNIZATIONS), DIAGNOSIS AND TREATMENT OF CHRONIC AND ACUTE ILLNESSES AND INJURIES, AND COORDINATION OF SPECIALTY CARE. OUR FAMILY PHYSICIANS ARE TRAINED TO PROVIDE MEDICAL CARE FOR PATIENTS RANGING IN AGE FROM PEDIATRICS THROUGH ADULT AND GERIATRICS. NEUROLOGY AND STROKE: WE OFFER EXPERTISE IN TREATMENT OF NEUROLOGICAL DISORDERS, INCLUDING STROKE, EPILEPSY, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE AND VERTIGO. ONE OF THE NATION'S FIRST HOSPITALS TO EARN PRIMARY STROKE CENTER ACCREDITATION FROM THE JOINT COMMISSION AND RECEIVE THE SILVER PERFORMANCE AWARD FROM THE AHA'S STROKE ASSOCIATION FOR THE QUALITY OF CARE WE PROVIDE. WE HAVE BEEN REGULARLY RECOGNIZED BY THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH FOR CONSISTENTLY DEMONSTRATING THE ABILITY TO RAPIDLY DIAGNOSE AND TREAT STROKE. COMMITTED TO REMAINING ON THE FOREFRONT OF RAPID AND EFFECTIVE STROKE CARE, WE CONTINUE TO INCORPORATE THE LATEST EFFECTIVE TREATMENTS. UROLOGY: OUR EXPERT UROLOGISTS TREAT CONDITIONS SUCH AS: *FEMALE UROLOGIC DISORDERS, INCLUDING URINARY INCONTINENCE AND VOIDING DYSFUNCTION *INFERTILITY *KIDNEY, BLADDER, PROSTATE AND TESTICULAR CANCER *KIDNEY STONES *MALE SEXUAL DIFFICULTIES *PROSTATE CANCER *URINARY TRACT INFECTIONS *VASECTOMY AND VASECTOMY REVERSAL PROCEDURES WE PERFORM INCLUDE: *EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR KIDNEY STONES *LAPAROSCOPIC NEPHRECTOMY *MINIMALLY INVASIVE PHOTO-VAPORIZATION OF THE PROSTATE *MINIMALLY INVASIVE SURGICAL TREATMENT FOR FEMALE INCONTINENCE *PYELOPLASTY PULMONOLOGY: WE OFFER OUTSTANDING DIAGNOSIS, TREATMENT AND CARE FOR PATIENTS WITH ALL TYPES OF PULMONARY CONDITIONS. WE PERFORM SPECIALIZED SERVICES, SUCH AS CARDIOPULMONARY EXERCISE TESTING TO MEASURE DEGREE OF FITNESS AND AID IN THE ASSESSMENT OF SHORTNESS OF BREATH; SPECIFIC DIAGNOSTIC ASTHMA TESTING; AND TESTING TO DETERMINE THE NEED FOR SUPPLEMENTAL OXYGEN FOR EVERYDAY LIVING AND AIR TRAVEL. ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS: SURGERY SERVICE LINE INPATIENT CASES: MAJOR JOINT REPLACEMENT 817 TRAUMA SURGERY 592 MINOR GI SURGERY 258 GENERAL SURGERY 327 UROLOGY SURGERY 166 COLON/BOWEL SURGERY 243 OBESITY SURGERY 98 SPINAL SURGERY 352 ALL OTHER INPATIENT SURGERY 514 OUTPATIENT SERVICE LINE CASES: ABDOMEN GI SURGERY 1,038 BREAST SURGERY-NON PLASTIC 245 ENDOSCOPY 9,678 MISC. GENERAL SURGERY 334 ORAL SURGERY 65 OPTHALMOLOGY 419 UROLOGY 766 PAIN INJECTION PROCEDURES 153 HEAD/NECK SURGERY 255 PLASTIC SURGERY 441 ALL OTHER OUTPATIENT SURGERY 1,439 GENERAL SURGERY: DANBURY HOSPITAL TAKES PRIDE IN A SURGICAL SERVICES DEPARTMENT THAT OFFERS EVERY ADVANTAGE: HIGHLY TRAINED SURGEONS WHO ARE ATTENTIVE TO PATIENT NEEDS AND EXPERIENCED WITH THE LATEST TECHNOLOGY, INCLUDING MINIMALLY INVASIVE APPROACHES. MANY OF OUR SURGEONS HAVE ADVANCED FELLOWSHIP TRAINING IN SPECIALTIES SUCH AS ONCOLOGY, COLORECTAL AND BARIATRIC SURGERY. DANBURY HOSPITAL'S SURGEONS ARE CONTINUALLY RECOGNIZED FOR THEIR EXPERIENCE, EXCELLENT OUTCOMES, AND EXPERTISE IN MINIMALLY INVASIVE SURGICAL TECHNIQUES. HERE ARE JUST SOME OF THE AWARDS WE'VE BEEN PRIVILEGED TO RECEIVE: DANBURY HOSPITAL IS JOINT COMMISSION ACCREDITED WITH GOLD SEAL OF DISTINCTION WE ALSO HAVE THE FOLLOWING SPECIALTY DESIGNATIONS: CERTIFICATION AND GOLD SEAL OF DISTINCTION FOR EXCELLENCE IN PALLIATIVE CARE CERTIFICATION AND GOLD SEAL OF DISTINCTION FOR EXCELLENCE IN SPINE CERTIFICATION AND GOLD SEAL OF DISTINCTION FOR EXCELLENCE IN STROKE CERTIFICATION AND GOLD SEAL OF DISTINCTION FOR EXCELLENCE IN TOTAL HIP REPLACEMENT CERTIFICATION AND GOLD SEAL OF DISTINCTION FOR EXCELLENCE IN TOTAL KNEE REPLACEMENT CIRCLE OF LIFE AWARD: CELEBRATING INNOVATION OF PALLIATIVE AND END-OF-LIFE CARE AMERICAN HOSPITAL ASSOCIATION AT DANBURY HOSPITAL OUR EXPERT SURGEONS EXCEL AT USING ADVANCED TECHNOLOGY TO PERFORM MINIMALLY INVASIVE PROCEDURES, ALLOWING PATIENTS TO UNDERGO SURGERY WITH LESS PAIN, SHORTER HOSPITAL STAYS, AND QUICKER RECOVERY PERIODS. SURGEONS USE VERY SMALL INCISIONS, MEANING LESS TRAUMA TO THE BODY, LESS BLOOD LOSS, SMALLER SCARS AND A LOWER NEED FOR PAIN MEDICATION. OUR SURGEONS HAVE BEEN RECOGNIZED FOR EXCELLENCE IN LAPAROSCOPIC TECHNIQUES PERFORMED IN MANY SURGICAL SPECIALTIES INCLUDING WEIGHT LOSS, COLORECTAL, AND GENERAL SURGICAL PROCEDURES. FOR ROBOTIC SURGERY, WE USE THE LATEST, MOST ADVANCED ROBOTIC TECHNOLOGY AVAILABLE, THE DA VINCI SURGICAL SYSTEM. WE ARE COMMITTED TO STAYING AT THE FOREFRONT OF INNOVATION, EQUIPPING OUR SURGEONS WITH SOPHISTICATED TECHNOLOGY SO THEY CAN OFFER INNOVATIVE SURGICAL PROCEDURES HERE IN OUR COMMUNITY. OUR DA VINCI SURGICAL SYSTEM GIVES SURGEONS BETTER VISUALIZATION AND TOOLS THAT IMPROVE DEXTERITY. WITH MORE CONTROL THEY CAN OPERATE WITH GREATER PRECISION. OUR DOCTORS USE THIS ADVANCED TECHNOLOGY TO PERFORM A WIDE RANGE OF PROCEDURES, INCLUDING SINGLE-INCISION ROBOTIC SURGERY. AS A LEVEL II TRAUMA CENTER, DANBURY HOSPITAL'S TEAM OF BOARD CERTIFIED SURGEONS PROVIDE IMMEDIATE, 24/7 CARE FOR ACUTE AND LIFE-THREATENING INJURIES TO CHILDREN AND ADULTS. ORTHOPEDIC SURGERY: OUR CENTER FOR ADVANCED ORTHOPEDIC AND SPINE CARE HAS EARNED THE "CENTER OF EXCELLENCE" DESIGNATION FROM THE JOINT COMMISSION FOR PROVIDING COMPREHENSIVE, MULTIDISCIPLINARY CARE, INCLUDING HIP, KNEE, SHOULDER, AND ANKLE REPLACEMENT. OUR DANBURY HOSPITAL ORTHOPEDIC SURGEONS OFFER A WIDE ARRAY OF JOINT REPLACEMENT PROCEDURES. OUR CONTINUUM OF CARE INCLUDES: A CARE COORDINATOR WHO PROVIDES EDUCATION AND GUIDANCE EVERY STEP OF THE WAY, PRE-OP THROUGH YOUR REHABILITATION. PRE-ADMISSION TESTING IN OUR DEDICATED UNIT, DESIGNED TO MEET THE UNIQUE NEEDS OF JOINT REPLACEMENT PATIENTS AND FAMILIES. SERVICES INCLUDE INDIVIDUALIZED PATIENT EDUCATION, NURSING AND ANESTHESIA ASSESSMENTS, AND COLLABORATION WITH YOU ON PLANNING A PAIN MANAGEMENT PROGRAM FOR YOUR SURGICAL RECOVERY. DEDICATED ORTHOPEDIC OPERATING ROOMS AND CLINICAL SUPPORT STAFF. A COMFORTABLE ORTHOPEDIC RECOVERY UNIT WITH PHYSICIAN ASSISTANTS, NURSING AND REHABILITATION STAFF SPECIALLY TRAINED TO CARE FOR TOTAL JOINT REPLACEMENT PATIENTS. *ADVANCED, DIGITAL DIAGNOSTIC IMAGING TECHNOLOGY *ACUTE IN-HOSPITAL THERAPY SERVICES *OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY *ACCESS TO HOME CARE SERVICES WITH WESTERN CONNECTICUT HOME CARE (FORMERLY DVNA) DIGESTIVE DISEASE: OUR EXPERT GENERAL AND DIGESTIVE DISEASE SURGEONS SPECIALIZE IN MAJOR AND MINOR SURGICAL PROCEDURES OF THE ABDOMEN, DIGESTIVE TRACT, ENDOCRINE SYSTEM, BREASTS, SKIN AND BLOOD VESSELS. UROLOGIC SURGERY: DANBURY HOSPITAL UROLOGISTS ARE KNOWN NATIONALLY FOR INNOVATION. PROCEDURES PERFORMED INCLUDE: EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR KIDNEY STONES; LAPAROSCOPIC NEPHRECTOMY, MINIMALLY INVASIVE PHOTO-VAPORIZATION OF THE PROSTATE; MINIMALLY INVASIVE SURGICAL TREATMENT FOR FEMALE INCONTINENCE AND PYELOPLASTY. DANBURY HOSPITAL'S COLON AND RECTAL SURGEONS TREAT A VARIETY OF ANORECTAL CONDITIONS USING SURGICAL INTERVENTION. BARIATRIC/WEIGHT LOSS SURGERY: AT DANBURY HOSPITAL OUR EXPERT SURGEONS EXCEL AT USING ADVANCED TECHNOLOGY TO PERFORM MINIMALLY INVASIVE PROCEDURES, ALLOWING PATIENTS TO UNDERGO SURGERY WITH LESS PAIN, SHORTER HOSPITAL STAYS, AND QUICKER RECOVERY PERIODS. SURGEONS USE VERY SMALL INCISIONS, MEANING LESS TRAUMA TO THE BODY, LESS BLOOD LOSS, SMALLER SCARS AND A LOWER NEED FOR PAIN MEDICATION. OUR SURGEONS HAVE BEEN RECOGNIZED FOR EXCELLENCE IN LAPAROSCOPIC TECHNIQUES PERFORMED IN MANY SURGICAL SPECIALTIES INCLUDING WEIGHT LOSS, COLORECTAL, AND GENERAL SURGICAL PROCEDURES. *THE CENTER FOR WEIGHT LOSS SURGERY HAS BEEN NAMED: A COMPREHENSIVE CENTER WITH THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) (2015 - 2020) *MBSAQIP ACCREDITED BARIATRIC CENTER, 2006 PRESENT *AMERICAN COLLEGE OF SURGEONS & AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY NEUROSURGERY: BOARD-CERTIFIED NEUROSURGEONS DIAGNOSE AND TREAT DISORDERS THAT AFFECT ANY PORTION OF THE NERVOUS SYSTEM, INCLUDING THE BRAIN, SPINAL CORD AND ITS SURROUNDING STRUCTURES AND THE PERIPHERAL NERVES. CONDITIONS INCLUDE BRAIN ANEURYSMS, CEREBRAL ANEURYSMS, CHRONIC SUBDURAL HEMATOMA, COMA, CONCUSSIONS, DEGENERATIVE DISC DISEASE, DISC HERNIATION, EPILEPSY, HEAD TRAUMA, SEIZURES, SPINAL COMPRESSION FRACTURES, SPINAL CORD INJURY, SPINAL CORD TUMORS, STENOSIS, STROKE, AND TORTICOLLIS. ACCREDITATION TO THE PRAXAIR CANCER CENTER, AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS: CARDIOVASCULAR SERVICES DANBURY HOSPITAL'S CARDIOVASCULAR SERVICE LINE CONSISTS OF THE FOLLOWING SERVICES: INPATIENT CASES: CARDIAC MEDICINE 1,327 CARDIAC SURGERY 184 CARDIAC PCI MEDICINE 304 CARDIAC VASCULAR SURGERY 252 ALL OTHER INPATIENT CARDIOVASCULAR SERVS 396 OUTPATIENT SERVICE LINE CASES: ANTICOAGULATION CLINIC 5,298 CARDIAC DIAGNOSTIC CLINIC 8,429 NON INVASIVE VASCULAR LAB 4,830 CARDIAC REHABILITATION 2,019 ALL OTHER OUTPATIENT CARDIOVASCULAR SERVS 9,553 DANBURY HOSPITAL OFFERS A PREMIER CARDIOVASCULAR PROGRAM TO MEET THE NEEDS OF PATIENTS WITH CARDIAC AND VASCULAR PROBLEMS. LED BY A SPECIALIST TEAM OF CARDIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS AND VASCULAR SURGEONS, THIS PROGRAM HAS ACHIEVED WIDE ACCLAIM FOR PROVIDING LEADING-EDGE PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION OF CARDIOVASCULAR DISEASE. AT DANBURY HOSPITAL'S PRAXAIR CENTER, WE PROVIDE EXPERT, COLLABORATIVE, MULTIDISCIPLINARY CARE, INPATIENT AND OUTPATIENT, FOR THE FULL RANGE OF CARDIOVASCULAR CONDITIONS, INCLUDING THOSE THAT AFFECT THE HEART, HEART VALVES AND THE VASCULAR SYSTEM. WE OFFER THE FULL SPECTRUM OF ADVANCED TREATMENTS AND PROCEDURES FOR CARDIOVASCULAR DISEASE IN THE AREAS OF: *GENERAL CARDIOLOGY *CARDIAC SURGERY *VASCULAR SURGERY *INTERVENTIONAL CARDIOLOGY *ELECTROPHYSIOLOGY *STRUCTURAL HEART COMMON HEART & VASCULAR CONDITIONS WE TREAT: *ATRIAL FIBRILLATION (IRREGULAR HEARTBEAT) *CONGESTIVE HEART FAILURE *HEART ATTACK *CHEST PAIN *CORONARY ARTERY DISEASE *PERIPHERAL ARTERY DISEASE OUR EXPERT PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES AND SUPPORT STAFF ARE SERIOUS ABOUT THEIR ROLE IN SUPPORTING THE HEART HEALTH OF EVERYONE IN OUR COMMUNITY. WHETHER FOR SCREENING, DIAGNOSTIC TESTS OR TREATMENT FOR A HEART OR VALVE CONDITION, WE PROVIDE COMPASSIONATE CARE THAT IS PERSONALIZED TO YOUR NEEDS. DIAGNOSTICS AND TESTS WE OFFER INCLUDE: *ANGIOGRAM *CORONARY ANGIOGRAPHY *DIAGNOSTIC ELECTROPHYSIOLOGY STUDIES (EPS) *ECHOCARDIOGRAM *HOLTER MONITOR *STRESS TESTS *HEART AND VASCULAR TREATMENTS AND PROCEDURES AMONG THE ADVANCED TREATMENTS AND PROCEDURES WE PROVIDE ARE: *ABDOMINAL AORTIC ANEURYSM (AAA) SURGERY *ANGIOPLASTY *AORTIC VALVE REPLACEMENT *CARDIOVERSION *CATHETER ABLATION *DEEP VEIN THROMBOSIS (DVT) THERAPY *HEART BYPASS SURGERY *HYBRID CONVERGENT PROCEDURE FOR ATRIAL FIBRILLATION (AFIB) *MITRAL VALVE REPAIR/REPLACEMENT *OPEN HEART SURGERY *PACEMAKER AND ICD PLACEMENT *STENT PLACEMENT *TAVR *THORACIC AORTIC ANEURYSM SURGERY, OPEN AWARDS & ACCREDITATIONS AT DANBURY HOSPITAL, OUR CARDIOVASCULAR PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION STAFF AND PROGRAMS ARE HONORED TO HAVE EARNED THE FOLLOWING NATIONAL RECOGNITIONS AND AWARDS: *GET WITH THE GUIDELINES HEART FAILURE GOLD PLUS WITH TYPE 2 DIABETES HONOR ROLL 2020, AMERICAN HEART ASSOCIATION *GET WITH THE GUIDELINES MISSION LIFELINE STEMI RECEIVING CENTER GOLD PLUS 2020, AMERICAN HEART ASSOCIATION *HIGH PERFORMING IN HEART FAILURE TREATMENT & HIGH PERFORMING IN COPD TREATMENT U.S. NEWS & WORLD REPORT HIGH PERFORMANCE RANKING *CHEST PAIN CENTER WITH PRIMARY PCI ACCREDITATION *SOCIETY OF CARDIOVASCULAS PATIENT CARE (SCPC) PRIOR TO 2018 AND THE AMERICAN COLLEGE OF CARDIOLOGY 2018-2020 ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES CONTINUED RESEARCH: STATE-OF-THE-ART COLLABORATIVE PRECISION MEDICINE PROGRAM IS TO BE INITIATED AT WCHN/NUVANCEHEALTH THE PROGRAM WOULD LINK GYNECOLOGIC/ONCOLOGY PATIENT CLINICAL CARE AND GENOMIC INFORMATION TO IMPROVED TREATMENT AND SURVEILLANCE. THIS IS THE FUTURE OF HEALTH CARE WHERE PATIENT CARE WOULD EVOLVE FROM A ONE-SIZE-FITS-ALL TO A MORE PERSONALIZED APPROACH TOWARDS DISEASE DIAGNOSIS AND TREATMENT. WE HOPE TO EXPAND THIS APPROACH TO THE DIAGNOSIS AND TREATMENT OF DISEASE IN OTHER THERAPEUTIC AREAS SUCH AS DIABETES AND CARDIOVASCULAR DISEASE. AT WCHN/NUVANCE HEALTH, RESEARCH AND INNOVATION ARE A TOP PRIORITY UNLOCKING ADVANCEMENTS THAT IMPROVE HEALTH CARE NOW AND IN THE FUTURE. RUDY L. RUGGLES BIOMEDICAL RESEARCH INSTITUTE'S RENOWNED SCIENTISTS PERFORM TRANSLATIONAL RESEARCH, WHICH USES SCIENTIFIC FINDINGS TO IMPROVE THE STANDARD OT PATIENT CARE AND ADVANCE OUR COMMUNITIES HEALTH. WE HAVE PUT TOGETHER ALL THE NECESSARY COMPONENTS OF A BIOREPOSITORY THAT WILL BE PART OF A CORE PROGRAM TO SUPPORT RESEARCH PROGRAMS AIMED AT BIOMARKER DISCOVERY, VALIDATION AND DEVELOPMENT OF NOVEL THERAPEUTICS. THE BIOREPOSITORY WILL HOUSE FROZEN PATIENTS TISSUE, PATIENT DERIVED CELL LINES AND BLOOD/PLASMA FOR RESEARCH PURPOSES. ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FORM 990, PART VI, SECTION A, LINE 2 LISA ESNEAULT AND ANNE ROBY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF DANBURY HOSPITAL. NUVANCE HEALTH IS THE SOLE MEMBER OF WESTERN CONNECTICUT HEALTH NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER SHALL BE RESPONSIBLE FOR ELECTING, AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER. A) THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A SUBSIDIARY ("DANBURY SUBSIDIARY") SHALL NOT REQUIRE APPROVAL BY THE BOARD AND ARE RESERVED SOLELY TO THE MEMBER: *THE AMENDMENT OF THE HOSPITAL'S BYLAWS; *THE ELECTION OR REMOVAL OF A DIRECTOR; *APPROVAL OF INVESTMENT POLICIES; *APPROVAL OF THE ADOPTION OF OR AMENDMENT TO ANY QUALIFIED OR ANY NON-QUALIFIED BENEFIT PLAN; *APPROVAL OF THE ADOPTION OF OR ANY AMENDMENT TO THE POLICIES AND PROCEDURES GOVERNING A) INDEMNIFICATION OF DIRECTORS AND OFFICERS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; B) CONFLICTS OR DUALITIES OF INTEREST; C) ACCOUNTING AND INVESTMENT STANDARDS AND PRACTICES AND D) SUCH OTHER POLICIES THE MEMBER MAY DETERMINE; *APPROVAL OF SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES TO WHICH THE HOSPITAL OR ANY DANBURY SUBSIDIARY IS EXPECTED TO ADHERE; *AND APPROVAL OF REGULATORY COMPLIANCE AND METHODOLOGY FOR PHYSICIAN COMPENSATION ARRANGEMENTS. THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A DANBURY SUBSIDIARY, WHICH REQUIRE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: *THE ELECTION OF THE OFFICERS OF THE HOSPITAL; *APPROVAL OF ALL OPERATING AND CAPITAL BUDGETS OF THE HOSPITAL AND DANBURY SUBSIDIARY; *APPROVAL OF ANY AMENDMENT OR RESTATEMENT OF THE HOSPITAL'S CERTIFICATE OF INCORPORATION, BYLAWS, OR OPERATING AGREEMENT OF ANY DANBURY SUBSIDIARY; *APPROVAL OF ANY SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; *APPROVAL OF THE CREATION OF ANY CORPORATION OF WHICH THE HOSPITAL OR A DANBURY SUBSIDIARY IS THE SOLE OR CONTROLLING MEMBER OR SOLE OR CONTROLLING SHAREHOLDER; THE MERGER OR CONSOLIDATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANOTHER CORPORATION; AND THE REORGANIZATION, LIQUIDATION OR DISSOLUTION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; *APPROVAL OF ANY LOANS BY THE HOSPITAL OR ANY DANBURY SUBSIDIARY, OR THE INCURRING OF ANY INDEBTEDNESS, SECURED OR UNSECURED, WHICH EXCEEDS TWO MILLION DOLLARS ($2.0 MILLION) OR WHICH HAS A TERM LONGER THAN ONE YEAR; *APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF TWO MILLION DOLLARS ($2.0 MILLION) OR ANY INCREASE IN ANY APPROVED ANNUAL OPERATING OR CAPITAL BUDGET. *APPROVAL OF ANY AGREEMENT OR TRANSACTION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY INVOLVING AN AMOUNT GREATER THAN TWO MILLION DOLLARS ($2.0 MILLION) WITH ANOTHER INDIVIDUAL OR ENTITY; *APPROVAL OF THE AFFILIATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANY OTHER ENTITY FOR THE PURPOSES OF THE JOINT CONDUCT OF BUSINESS; *CREATION OF ANY COMMITTEE WHICH SHALL HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OR ON BEHALF OF ANY DANBURY SUBSIDIARY; *APPROVAL OF ANY CONVEYANCE OF, OR THE GRANTING OF MORTGAGES OR TRUSTS ON ANY REAL PROPERTY ASSETS OF THE HOSPITAL OR OF ANY DANBURY SUBSIDIARY; *APPROVAL OF THE STRATEGIC PLAN OF THE HOSPITAL AND OF ANY DANBURY SUBSIDIARY; AND *APPROVAL OF ANY COMMENCEMENT, CESSATION, LOCATION, RELOCATION OR CONSOLIDATION OF SIGNIFICANT CLINICAL SERVICES PROVIDED BY THE HOSPITAL OR ANY DANBURY SUBSIDIARY. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12 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. 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, SECTION B, LINES 13 & 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 DANBURY HOSPITAL. THIS EXCLUDES THE RECORD RETENTION POLICY, WHICH IS APPROVED ONLY BY THE PARENT AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15B 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 +30% 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 75TH 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. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 16B WHILE A WRITTEN POLICY HAS NOT BEEN ADOPTED REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURES, MANAGEMENT FOLLOWS A PROCEDURE IN WHICH ALL POSSIBLE JOINT VENTURE ARRANGEMENTS ARE EVALUATED UNDER APPLICABLE FEDERAL TAX LAWS. MANAGEMENT UTILIZED THE SERVICES OF APPROPRIATE CONSULTANTS AND LEGAL COUNSEL TO EVALUATE EACH JOINT VENTURE OPPORTUNITY. THIS EVALUATION ALSO INCLUDES AN ANALYSIS OF HOW THE JOINT VENTURE WILL FURTHER THE HOSPITAL'S MISSION. THE HOSPITAL HAS TAKEN ALL APPROPRIATE STEPS TO SAFEGUARD ITS TAX EXEMPT STATUS WITH RESPECTS TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VII (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. JOHN M. MURPHY, MD, WAS A DIRECTOR UNTIL DECEMBER 31, 2019. MARY ALICE DONIUS, FORMERLY THE SECRETARY, BECAME A DIRECTOR ON JANUARY 1, 2020. CAROLYN MCKENNA BECAME THE SECRETARY ON JANUARY 1, 2020. KERRY EATON BECAME A KEY EMPLOYEE ON DECEMBER 11, 2019. RICHARD FREEMAN WAS A KEY EMPLOYEE UNTIL MAY 13, 2020. FORM 990, PART IX, LINE 11G HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 98,951,127. MANAGEMENT AND GENERAL EXPENSES 12,672,138. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,623,265. PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 40,140,832. MANAGEMENT AND GENERAL EXPENSES 5,140,620. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,281,452. FORM 990, PART IX, COLUMN D ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990, ALL FUNDRAISING EXPENSES WERE INCURRED BY THE DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION, INC. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO WCHN -45,812,000. TRANSFER TO NUVANCE HEALTH INSURANCE COMPANY 14,799,034. CHANGE IN EQUITY INTEREST IN THE FOUNDATIONS 6,366,133. TRANSFER OF ANTENNAE REVENUE FROM WCHN -383,642. WCHNI, LLC PARTNERSHIP K-1 RECONCILIATION 1,508. 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