VASSAR BROTHERS HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: VASSAR BROTHERS HOSPITAL (EIN 14-1338586)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202502269349301895
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-14T12:16:51+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 CLARENDON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	021165072	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338586	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Vassar Brothers Medical Center	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUSAN BROWNING	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8454759500	PhoneNum
Signature	2025-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	George Pagano	PreparerPersonNm
PTIN	P01978122	PTIN
Phone	6172662000	PhoneNum
Preparation	2025-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN BROWNING	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$904,269,566	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nuvancehealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1882	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3175	TotalEmployeeCnt
Total Volunteers	164	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,216,304	PYContributionsGrantsAmt
CY Contributions Grants	$4,659,643	CYContributionsGrantsAmt
PY Program Service Revenue	$759,548,884	PYProgramServiceRevenueAmt
CY Program Service Revenue	$892,114,527	CYProgramServiceRevenueAmt
PY Investment Income	$2,953,337	PYInvestmentIncomeAmt
CY Investment Income	$3,156,865	CYInvestmentIncomeAmt
PY Other Revenue	$5,661,703	PYOtherRevenueAmt
CY Other Revenue	$4,338,531	CYOtherRevenueAmt
PY Total Revenue	$774,380,228	PYTotalRevenueAmt
CY Total Revenue	$904,269,566	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$391,341,094	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$411,943,634	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$412,853,165	PYOtherExpensesAmt
CY Other Expenses	$440,215,445	CYOtherExpensesAmt
PY Total Expenses	$804,194,259	PYTotalExpensesAmt
CY Total Expenses	$852,159,079	CYTotalExpensesAmt
PY Revenues Less Expenses	-$29,814,031	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$52,110,487	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,208,509,203	TotalAssetsBOYAmt
Total Assets EOY	$1,229,915,589	TotalAssetsEOYAmt
Total Liabilities BOY	$710,974,734	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$655,815,831	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$497,534,469	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$574,099,758	NetAssetsOrFundBalancesEOYAmt
Mission	Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$798,278,334	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$895,762,008	RevenueAmt
Desc	VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 349-BED FACILITY THAT HAS SERVED THE NEW YORK'S MID-HUDSON VALLEY SINCE 1887. THE MOST RECENT ADDITION TO THE CAMPUS IS A BEAUTIFUL PATIENT PAVILION, WHICH INCLUDES 263 PRIVATE PATIENT ROOMS, A 30-ROOM INTENSIVE CARE UNIT, 13 SURGICAL SUITES, A CARDIAC CATHETERIZATION SUITE AND A 66-ROOM EMERGENCY AND TRAUMA CENTER. VBMC IS PART OF NUVANCE HEALTH, WHICH IS A SIX-HOSPITAL SYSTEM, ON 7 CAMPUSES, WITH NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. THE NUVANCE HEALTH SYSTEM GIVES THE COMMUNITY ACCESS TO A VARIETY OF SERVICES INCLUDING, BUT NOT LIMITED TO, BARIATRIC SURGERY AND MEDICAL WEIGHT LOSS, BLOOD DRAW, CRITICAL CARE, DIABETES EDUCATION, EMERGENCY SERVICES, HEART AND VASCULAR, IMAGING AND RADIOLOGY, INFUSION THERAPY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDIC CARE, PHYSICAL REHABILITATION, PRIMARY CARE, RHEUMATOLOGY, SLEEP DISORDERS, URGENT CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH, CANCER CARE, DENTISTRY, DIGESTIVE HEALTH, ENDOCRINOLOGY, GENETIC COUNSELING, HOME HEALTH CARE, INFECTIOUS DISEASE, KIDNEY DISEASE AND NEPHROLOGY, OCCUPATIONAL MEDICINE, PATIENT BLOOD MANAGEMENTS AND BLOODLESS MEDICINE, PEDIATRICS, PODIATRY, PULMONARY CARE, SENIOR CARE AND GERIATRIC MEDICINE, SURGICAL SERVICES, UROLOGY, WOUND CARE AND HYPERBARIC MEDICINE. VBMC HAS ESTABLISHED PRACTICES IN CARDIAC SERVICES, CANCER CARE AND WOMEN AND CHILDREN'S HEALTH SERVICES. AS A REGIONAL MEDICAL CENTER, VASSAR HOUSES THE AREA'S FIRST AND ONLY CARDIOTHORACIC SURGERY CENTER BETWEEN WESTCHESTER AND ALBANY AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION FOR PREMATURE, UNDERWEIGHT, AND CRITICALLY ILL INFANTS. INNOVATIVE PROCEDURES AND SERVICES HAVE BEEN BROUGHT TO THE VBMC CAMPUS, INCLUDING ROBOTIC ORTHOPEDIC SURGERY, LIVER AND PANCREATIC SURGERY, INTERVENTIONAL NEURORADIOLOGY, SURGICAL ONCOLOGY AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), NEGATING THE NEED TO TRAVEL FOR THIS CARE. VBMC IS A LEVEL II TRAUMA CENTER WITH A TEAM OF DEDICATED, FELLOWSHIP-TRAINED TRAUMA AND CRITICAL CARE SURGEONS. THE HOSPITAL IS ALSO CERTIFIED AS A THROMBECTOMY-CAPABLE STROKE CENTER FROM THE JOINT COMMISSION, PROVIDING QUALITY STROKE CARE. VBMC'S PEDIATRIC UNIT CONTINUES ITS ALLIANCE WITH NEW YORK CHILDREN'S MEDICAL PROVIDERS SERVICES, P.C., AN AFFILIATE OF THE NATIONALLY RANKED HEALTH SYSTEM, CONNECTICUT CHILDREN'S. THE UNIT INCLUDES NINE PRIVATE ROOMS DECORATED IN A HUDSON VALLEY THEME. THROUGH THE ALLIANCE WITH NEW YORK CHILDREN'S MEDICAL PROVIDERS SERVICES, CHILDREN WHO NEED HOSPITALIZATION ARE CARED FOR BY PEDIATRIC HOSPITALISTS WITH YEARS OF SPECIALIZED TRAINING, IN ADDITION TO PEDIATRIC NURSES, RESPIRATORY THERAPISTS AND OTHERS. NEONATOLOGISTS FROM NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C., ALSO STAFF THE NICU. VBMC IS COMMITTED TO PROVIDING QUALITY SERVICE TO THE COMMUNITY AND HAS BEEN RECOGNIZED BY SEVERAL ORGANIZATIONS FOR THE QUALITY HEALTHCARE THAT IT PROVIDES TO THE REGION. VBMC HAS ALSO BEEN RECOGNIZED AS BEST REGIONAL HOSPITAL FOR EXCELLENCE BY U.S. NEWS & WORLD REPORT FOR ITS HIGH PERFORMANCE IN COLON CANCER SURGERY, LUNG CANCER SURGERY, HEART FAILURE TREATMENT, HEART ATTACK, DIABETES TREATMENT, KIDNEY FAILURE TREATMENT, PULMONOLOGY AND LUNG SURGERY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, PNEUMONIA, TREATMENT OF LEUKEMIA, LYMPHOMA AND MYELOMA, AND IN STROKE. FOR THE LAST SEVERAL YEARS, HEALTHGRADES HAS LISTED VBMC AS AMERICA'S 50 BEST HOSPITALS. IN ADDITION, HEALTHGRADES HAS AWARDED VBMC WITH THE 100 BEST HOSPITALS FOR CARDIAC CARE, CORONARY INTERVENTION EXCELLENCE AWARD, CARDIAC CARE EXCELLENCE AWARD, GASTROINTESTINAL SURGERY EXCELLENCE AWARD, GASTROINTESTINAL CARE AWARD, AMERICA'S 100 BEST HOSPITALS FOR GASTROINTESTINAL SURGERY AWARD AND THE PULMONARY CARE EXCELLENCE AWARD. VBMC HAS BEEN NAMED TOP 5% IN THE NATION FOR CARDIOLOGY SERVICES, AND THE TOP 10% IN THE NATION FOR OVERALL CARDIAC SERVICES, CORONARY INTERVENTIONAL PROCEDURES, AND OVERALL PULMONARY SERVICES. VBMC HAS BEEN ACCREDITED AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AND ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE HOSPITAL HAS ALSO EARNED THE GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD FROM THE AMERICAN HEART ASSOCIATION, AND THE THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION FROM THE JOINT COMMISSION. THE SURGICAL REVIEW CORPORATION HAS DESIGNATED VBMC AS A ROBOTIC CENTER OF EXCELLENCE. VBMC IS A FIVE-STAR RECIPIENT FOR CORONARY INTERVENTIONAL PROCEDURES, TREATMENT OF HEART ATTACK (10 YEARS IN A ROW), TREATMENT OF HEART FAILURE (4 YEARS IN A ROW), AND TREATMENT OF PNEUMONIA (14 YEARS IN A ROW). Every three years, we align health priorities with the areas of greatest identified need and consider where our resources will generate the greatest impact. Our commitment to improving the health and well-being of our community is demonstrated through the activities outlined in our community health improvement plan. VASSAR BROTHERS MEDICAL CENTER identified the following two priorities that align with local health department and NYS Prevention Agenda priorities: * Prevent chronic diseases * Promote well-being and prevent mental and substance use disorders Workgroups developed goals, objectives, strategies, action steps, and success metrics for these priority areas. Below are key highlights showcasing the impact of our strategies in addressing health needs identified in the 2022 Community Health Needs Assessment (CHNA) and the 2023-2025 CHIP: Vassar Brothers Medical Center launched their Food as Medicine (F.A.M.) programs to connect food insecure patients meeting specific disease criteria such as uncontrolled hypertension with nutrition education, community resources and healthy food at no cost to the patient. After a period of program development, the program was implemented in April 2024 at VBMC. Vassar Brothers Medical Center launched its Community Health Day in 2022, focusing on vaccinations, screenings, and referrals for unhoused and uninsured individuals. Attendance grew from 215 in 2022 to 350 in 2024 as the event expanded to include diabetes education, smoking cessation counseling, fresh produce distribution, and free winter clothing. In 2024, over 200 mammography appointments were scheduled. The Community Care Team (CCT) at Vassar Brothers Medical Center was featured in the Healthcare Association of NYS (HANYS) 2024 publication, Connecting with Communities: Community Health Initiatives Across New York State. The publication recognizes member hospitals and healthcare systems for engaging community stakeholders to help improve the health of their communities. The initiatives described in this publication are directly linked to the priorities of the New York State Prevention Agenda. The Prevention Agenda aims to make New York the healthiest state for people of all ages; serving as a blueprint for local community health improvement. The CCT's High Risk Navigators at Vassar Brothers Medical Center assisted with getting clients newly housed, and made client connections to physical health providers, mental health providers, and substance use providers. In FY24, Nuvance Health CCTs carried a collective caseload of 217 clients. The CCTs helped 49 homeless individuals into housing and facilitated 67 client connections to physical healthcare providers, 70 connections to behavioral healthcare providers, and 75 connections to substance use providers. Thirteen clients were connected to employment services. Since their inception, ED utilization by Nuvance CCT clients has decreased by 79%. Mental Health First Aid classes, a national evidence-based program designed to teach skills for recognizing and responding to signs of mental illness and substance use, have been expanded from Connecticut to include New York hospitals. This training is now available across all hospital communities in both New York and Connecticut, ensuring broader access to this vital resource. Other CHIP activities included transportation assistance, the Get Fit fitness program, Health Related Social Needs screenings, distribution of Narcan and Fentanyl test strips, and diaper distribution programs. Community education sessions that focused on healthy lifestyle behaviors, stroke prevention, cancer screenings and prevention, smoking cessation counseling, chronic disease self-management and stress management were offered throughout the community, often in partnership with community-based organizations, senior centers and schools. Participation in National Drug Take-Back Days across the health system, resulted in the collection of over 1,500 pounds of medication and over 800 pounds of sharps for safe disposal. Over the last year, staff have also contributed time and expertise to many community organizations and task forces throughout the communities.	Desc
Total Program Service Expenses	$798,278,334	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	119	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3175	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAREN DARCY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2037394593	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 RESERVE ROAD	AddressLine1Txt
City	DANBURY	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06810	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KEVIN CLEARY
VICE CHAIR (TO 12/31); CHAIR (FROM 01/01)	3.0	0	Yes (X)	Yes (X)	$0	$0	$0
SHAY HUMPHREY ESQ
CHAIR (TO 12/31); DIRECTOR (FROM 01/01)	3.0	0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN TINKELMAN
DIRECTOR; VICE CHAIR (FROM 01/01)	3.0	0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN BROWNING
PRESIDENT & WESTERN REGIONAL PRESIDENT	38.0	10.0	Yes (X)	Yes (X)	$825,355	$0	$135,682
BARRY ROTHFELD
DIRECTOR (12/31/23)	2.0	0	Yes (X)		$0	$0	$0
DARRELL WHEELER
DIRECTOR (FROM 01/01)	2.0	0	Yes (X)		$0	$0	$0
DEBRA DOMBER
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
FRANCOISE DUNEFSKY
Director (to 12/31/23)	2.0	6.0	Yes (X)		$0	$0	$0
JAMES WALKER
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
KIMBERLY HELLER MD
DIRECTOR	2.0	40.0	Yes (X)		$0	$500,177	$47,686
RONALD TATELBAUM MD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
THOMAS ROBINSON MD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
TIMOTHY DEAN
DIRECTOR	2.0	6.0	Yes (X)		$0	$0	$0
WESLEY EUGENE DIXON
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
BRIAN WYATT
SECRETARY & CHIEF LEGAL OFFICER	2.0	48.0		Yes (X)	$0	$634,212	$124,638
DANIEL DEBARBA
CHIEF FINANCIAL OFFICER; TREASURER	2.0	48.0		Yes (X)	$0	$1,474,165	$175,627
JEAN AHN
CHIEF STRATEGY OFFICER	5.0	45.0			$0	$981,131	$98,768	Yes (X)
KATHRYN D CULLINAN
CHIEF HUMAN RESOURCES OFFICER	5.0	45.0			$0	$716,393	$111,060	Yes (X)
MICHELLE ROBERTSON
CHIEF OPERATING OFFICER	5.0	45.0			$0	$1,338,248	$187,713	Yes (X)
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	5.0	45.0			$0	$535,402	$33,749	Yes (X)
CORINA MARCU
VP MEDICAL AFFAIRS	30.0	10.0			$486,874	$161,805	$24,226		Yes (X)
EILISH C HOURIHAN RN
CHIEF NURSING OFFICER	40.0	0			$452,840	$0	$27,420		Yes (X)
EVA H SKELLY RN
REGISTERED NURSE	39.0	1.0			$407,587	$5,351	$28,457		Yes (X)
KEVIN B BOLAND
DIRECTOR CARDIO PERFUSION	40.0	0			$410,515	$0	$63,304		Yes (X)
WILLIAM V BEGG MD
FORMER VPMA/CHAIR EMERG SVCS DANBURY	7.0	33.0			$123,822	$539,002	$43,780		Yes (X)
PETER A KELLY
FORMER PRESIDENT VBMC	0.0	0.0			$240,080	$0	$14,267			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,947,073	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,885,886	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,116,377	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	924	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WALSH CONSIGLI JV
929 West Adams ST	Chicago	IL	60607	CONSTRUCTION MANAGEMENT	$1,663,877
NORTH AMERICAN PARTNERS IN ANESTHESIA LLC
1305 WALT WHITMAN RD STE 300	Melville	NY	11747	Anesthesiology Services	$714,309
KONS MSO HOLDINGS LLC
5 HIGH RIDGE PARK 2ND FL	stamford	CT	06905	MEDICAL STAFFING	$701,250
PREMIER MEDICAL GROUP
82 WASHINGTON ST STE 100	POUGHKEEPSIE	NY	12601	MEDICAL STAFFING	$652,629
SIZEWISE RENTALS
PO BOX 320	ELLIS	KS	67637	EQUIPMENT RENTALS	$568,039

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,345,407	RelatedOrganizationsAmt
Government Grants	$1,301,966	GovernmentGrantsAmt
All Other Contributions	$12,270	AllOtherContributionsAmt
Total Contributions	$4,659,643	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT service revenue	621110	$887,758,113	$887,758,113
AFFILIATE RENTAL INCOME	532000	$2,046,773	$2,046,773
GME	611430	$1,137,489	$1,137,489
Covid Stimulus	900099	$918,803	$918,803
Research Revenue	900099	$132,080	$132,080

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$121,269	TotalRevenueColumnAmt
Related Or Exempt Func Income	$121,269	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$892,114,527	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,158,488	TotalRevenueColumnAmt
Exclusion	$2,158,488	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$691,050	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$691,050	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$691,050	TotalRevenueColumnAmt
Exclusion	$691,050	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$998,377	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$998,377	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$998,377	TotalRevenueColumnAmt
Exclusion	$998,377	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B Revenue	561000	$2,264,503	$2,264,503
Payor Incentives	561000	$999,781	$999,781
Fellowship Program Reimbursement	900099	$102,165	$102,165

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$281,032	TotalRevenueColumnAmt
Related Or Exempt Func Income	$281,032	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,647,481	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$904,269,566	TotalRevenueColumnAmt
Related Or Exempt Func Income	$895,762,008	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,847,915	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,051,782	TotalAmt
Program Services	$968,713	ProgramServicesAmt
Management And General	$83,069	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$298,527,814	TotalAmt
Program Services	$274,950,196	ProgramServicesAmt
Management And General	$23,577,618	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,605,955	TotalAmt
Program Services	$16,215,443	ProgramServicesAmt
Management And General	$1,390,512	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$76,507,909	TotalAmt
Program Services	$70,465,342	ProgramServicesAmt
Management And General	$6,042,567	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,250,174	TotalAmt
Program Services	$16,808,782	ProgramServicesAmt
Management And General	$1,441,392	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$351,507	TotalAmt
Management And General	$351,507	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,615,309	TotalAmt
Management And General	$4,615,309	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,746,142	TotalAmt
Management And General	$1,746,142	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$132,986	TotalAmt
Program Services	$122,483	ProgramServicesAmt
Management And General	$10,503	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$797,867	TotalAmt
Management And General	$797,867	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$52,990,188	TotalAmt
Program Services	$48,805,042	ProgramServicesAmt
Management And General	$4,185,146	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,066,620	TotalAmt
Program Services	$1,903,399	ProgramServicesAmt
Management And General	$163,221	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,910,520	TotalAmt
Program Services	$5,443,709	ProgramServicesAmt
Management And General	$466,811	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,358,015	TotalAmt
Program Services	$15,066,065	ProgramServicesAmt
Management And General	$1,291,950	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,570,138	TotalAmt
Program Services	$10,656,333	ProgramServicesAmt
Management And General	$913,805	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$482,294	TotalAmt
Program Services	$444,203	ProgramServicesAmt
Management And General	$38,091	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$463,369	TotalAmt
Program Services	$426,772	ProgramServicesAmt
Management And General	$36,597	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,797,322	TotalAmt
Program Services	$14,797,322	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$47,677,918	TotalAmt
Program Services	$43,912,333	ProgramServicesAmt
Management And General	$3,765,585	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,714,151	TotalAmt
Program Services	$6,499,808	ProgramServicesAmt
Management And General	$1,214,343	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$144,661,522	$144,661,522
PHYSICIAN FEES	$105,738,298	$105,738,298
EQUIPMENT RENTAL AND MAINTENANCE	$18,613,675	$17,143,574	$1,470,101
UROC PROFIT SHARE JV	$3,067,071	$2,824,835	$242,236

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$460,533	TotalAmt
Program Services	$424,160	ProgramServicesAmt
Management And General	$36,373	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$852,159,079	TotalAmt
Program Services	$798,278,334	ProgramServicesAmt
Management And General	$53,880,745	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,528,669	BOYAmt
EOY	$3,227,938	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$81,492,367	BOYAmt
EOY	$97,289,517	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,212,221	BOYAmt
EOY	$18,646,939	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,751,120	BOYAmt
EOY	$3,639,515	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,326,802,864	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$561,165,544	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$777,657,501	BOYAmt
EOY	$765,637,320	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$175,268,366	BOYAmt
EOY	$204,535,970	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,732,741	BOYAmt
EOY	$18,141,149	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$131,866,218	BOYAmt
EOY	$118,797,241	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,208,509,203	BOYAmt
EOY	$1,229,915,589	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,318,666	BOYAmt
EOY	$58,588,579	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$447,850,242	BOYAmt
EOY	$441,039,447	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,661,893	BOYAmt
EOY	$2,318,832	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,143,933	BOYAmt
EOY	$153,868,973	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$710,974,734	BOYAmt
EOY	$655,815,831	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$477,910,071	BOYAmt
EOY	$555,037,187	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,624,398	BOYAmt
EOY	$19,062,571	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$497,534,469	BOYAmt
EOY	$574,099,758	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,208,509,203	BOYAmt
EOY	$1,229,915,589	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$52,110,487	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$27,430,518	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,975,716	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$132,986	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$132,986	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A PORTION OF THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, THE NORMET DUES AND HEALTHCARE EDUCATION PROJECT, PAID BY VASSAR BROTHERS MEDICAL CENTER, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,190,951	BeginningYearBalanceAmt
End Year Balance	$2,190,951	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,211,758	OtherCostOrOtherBasisAmt
Book Value	$19,211,758	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$834,687,348	OtherCostOrOtherBasisAmt
Depreciation	$216,875,672	DepreciationAmt
Book Value	$617,811,676	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$458,937,077	OtherCostOrOtherBasisAmt
Depreciation	$344,289,872	DepreciationAmt
Book Value	$114,647,205	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,966,681	OtherCostOrOtherBasisAmt
Book Value	$13,966,681	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$765,637,320	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	POOLED INVESTMENTS	Desc
Book Value	$204,535,970	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$204,535,970	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (16 entries)

DescDesc	Book ValueBookValueAmt
DSRF 2005 BOND
DSRF 2010 BOND
DSRF 2012 BOND
DSRF 2014 BOND
DSRF 2016B BOND
DSRF 2019B BOND
INTEREST IN FOUNDATION	$52,353,368
INSURANCE RECEIVABLE	$29,003,013
DUE FROM RELATED PARTIES	$15,821,918
ASSETS UNDER BOND INDENTURES	$8,139,431
RIGHT OF USE ASSET - OPERATING	$6,865,227
MISC RECEIVABLES	$4,199,504
RIGHT OF USE ASSET - FINANCE	$2,004,347
DEFERRED COMPENSATION	$395,173
DUE FROM THIRD PARTY PAYORS
SECURITY DEPOSITS	$15,260

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$118,797,241	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
DUE TO RELATED PARTIES	$61,947,920
POST RETIREMENT BENEFITS	$43,289,426
INSURANCE LIABILITY	$29,003,013
DUE FROM THIRD PARTY PAYORS	$8,029,257
OPERATING LEASE LIABILITY	$6,966,592
Finance Lease Liability	$2,198,226
ASSET RETIREMENT OBLIGATION	$2,018,016
DEFERRED COMPENSATION	$395,173
SECURITY DEPOSIT LIABILITY	$21,350

Field	Value	IRS element (for citing)
Total Liability	$153,868,973	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	AS OF SEPTEMBER 30, 2024, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,017,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,017,805	NetCommunityBenefitExpnsAmt
Total Expense	0.0071	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,962,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,580,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,382,818	NetCommunityBenefitExpnsAmt
Total Expense	0.0544	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$129,980,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,580,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,400,623	NetCommunityBenefitExpnsAmt
Total Expense	0.0615	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$223,806	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$223,806	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,020,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,688,888	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,331,524	NetCommunityBenefitExpnsAmt
Total Expense	0.0274	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$437,631,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$366,439,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,192,362	NetCommunityBenefitExpnsAmt
Total Expense	0.0835	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$374,196	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$374,196	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$527,978	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$527,978	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$483,777,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$388,128,054	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,649,866	NetCommunityBenefitExpnsAmt
Total Expense	0.1122	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$613,758,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$465,708,087	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$148,050,489	NetCommunityBenefitExpnsAmt
Total Expense	0.1737	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,538	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,889	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,889	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,588	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,588	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,727	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,727	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$19,742	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,742	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$748,742	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$179,458,165	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$136,084,811	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$43,373,354	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VASSAR BROTHERS MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 READE PLACE	AddressLine1Txt
City	POUGHKEEPSIE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NUVANCEHEALTH.ORG	WebsiteAddressTxt
State License	1302001H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	VASSAR BROTHERS MEDICAL CENTER	BusinessNameLine1Txt

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

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. EVERY THREE YEARS, THE NEW YORK STATE (NYS) DEPARTMENT OF HEALTH (DOH) REQUIRES LOCAL HEALTH DEPARTMENTS (LHD) TO SUBMIT COMMUNITY HEALTH ASSESSMENTS (CHA) AND HOSPITALS TO SUBMIT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). LHDS AND HOSPITALS COLLABORATE WITH COMMUNITY PARTNERS AND RESIDENTS TO CREATE COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) AND COMMUNITY SERVICE PLANS (CSP), RESPECTIVELY. THESE ASSESSMENTS AND PLANS ARE MEANT TO MEET SEVERAL REQUIREMENTS FROM NYS PUBLIC HEALTH LAW AND THE AFFORDABLE CARE ACT. IN RECENT YEARS, THE NYSDOH HAS ENCOURAGED LHDS AND HOSPITALS TO COLLABORATE IN THE CREATION OF THESE DOCUMENTS TO BETTER SERVE THEIR COMMUNITIES. IN 2017, THE SEVEN LHDS OF THE MID-HUDSON REGION (M-H REGION), INCLUDING DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER, AND WESTCHESTER COUNTIES, CREATED THE LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE WITH THE GOAL OF CONDUCTING REGIONAL RESIDENT AND PROVIDER SURVEYS, CREATING A REGIONAL CHA, AND COLLABORATING ON COMMON CHIP PRIORITIES. THIS REGIONAL APPROACH WAS CONTINUED FOR THE 2022 CHA, CHIP, AND CSP CYCLE, WITH THE COLLABORATIVE BEING RENAMED THE HUDSON VALLEY PUBLIC HEALTH COLLABORATIVE (HVPHC). A CHA DEPICTS A COMPREHENSIVE REVIEW OF A COMMUNITY'S CURRENT HEALTH STATUS, FACTORS CONTRIBUTING TO HIGHER HEALTH RISKS OR POORER HEALTH OUTCOMES, AND COMMUNITY RESOURCES AVAILABLE TO IMPROVE HEALTH. WHEN CONDUCTING THE REGIONAL CHA, THE HVPHC GATHERS DATA AND INFORMATION FROM AS MANY SOURCES AS POSSIBLE SO THAT A COMPREHENSIVE ASSESSMENT CAN BE COMPLETED. THE CHA CAN THEN INFORM THE COMMUNITY TO MAKE DECISIONS AND DEVELOP PLANS TO IMPROVE THE HEALTH OF THE REGION. THE LHDS CONTRACTED WITH SIENA COLLEGE RESEARCH INSTITUTE (SCRI) TO CONDUCT A REGIONAL COMMUNITY HEALTH SURVEY AS A COMPONENT OF THE REGIONAL CHA. SCRI, ON BEHALF OF THE SEVEN LOCAL HEALTH DEPARTMENTS (LHDS) OF THE MID-HUDSON REGION, CONDUCTED A PUBLIC OPINION SURVEY OF RESIDENTS FROM MARCH 14, 2022, TO MAY 22, 2022. RESPONDENTS WERE CONTACTED VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, AND ONLINE RECRUITMENT FROM EACH COUNTY AT VARIOUS IN-PERSON EVENTS AND OTHER COMMUNITY PARTNERSHIPS TO ENHANCE REPRESENTATION AND MEET BUDGET CONSTRAINTS. THE DESIGN OF THE LANDLINE SAMPLE WAS CONDUCTED TO ENSURE THE SELECTION OF BOTH LISTED AND UNLISTED TELEPHONE NUMBERS, USING RANDOM DIGIT DIALING (RDD). THE CELL PHONE SAMPLE WAS DRAWN FROM A SAMPLE OF DEDICATED WIRELESS TELEPHONE EXCHANGES FROM WITHIN EACH OF THE COUNTIES. RESPONDENTS WERE SCREENED FOR RESIDENCE IN NYS AND SPECIFIED COUNTIES. DATA FROM ALL FOUR SOURCES WERE COMBINED AND WEIGHTED AS ONE UNIVERSE TO PROVIDE A REPRESENTATIVE SAMPLE OF MID-HUDSON REGION RESIDENTS. TO FURTHER SUPPLEMENT THE DATA COLLECTED, MEMBERS OF THE HVPHC HELD FOCUS GROUPS AND CONDUCTED A SURVEY OF COMMUNITY PARTNERS TO UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. ALONG WITH THE PRIMARY DATA COLLECTED THROUGH THE SURVEYS AND FOCUS GROUPS, SECONDARY DATA WERE COMPILED TO DISPLAY HEALTH INDICATORS FOR THE M-H REGION. EACH HEALTH INDICATOR WAS NARRATED TO CONTEXTUALIZE THE DATA AND OUTLINE HOW EACH INDICATOR RELATES. THE REGIONAL COMMUNITY HEALTH ASSESSMENT WAS WRITTEN BY THE HVPHC AND IS INTENDED TO SERVE AS A REFERENCE FOR KEY HEALTH INFORMATION FOR ALL STAKEHOLDERS WITHIN THE MID-HUDSON REGION AND ASSIST THEM IN IDENTIFYING AND PRIORITIZING THE HEALTH NEEDS OF THE REGION AND ITS COMMUNITIES. AN ADDITIONAL GOAL OF THIS PROJECT IS TO INITIATE COLLABORATION TO ADDRESS KEY HEALTH ISSUES IN THE REGION AND TO INFORM THE CHIPS OF EACH COUNTY AND THE CSPS OF NON-PROFIT 501(C)(3) HOSPITALS. IN ADDITION TO THE SIENA COLLEGE RESEARCH INSTITUTE COMMUNITY SURVEY, NUVANCE HEALTH PARTICIPATED IN THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) 2022 CHNA SURVEY OF ADULTS AGED 18 OR OLDER WHO LIVE IN A ZIP CODE OR COUNTY SERVED BY THE HOSPITAL. THE SURVEY WAS INTENDED TO GARNER RESIDENT INPUT ON COMMUNITY HEALTH PRIORITIES BASED ON PERCEIVED IMPORTANCE AND SATISFACTION. THE SURVEY USED A NON-PROBABILITY CONVENIENCE SAMPLE. A WEB-BASED SURVEY TOOL AND A PAPER-BASED TOOLS WERE USED TO COLLECT THE SURVEY DATA FROM APRIL 11, 2022, THROUGH JUNE 30, 2022. SURVEYS WERE AVAILABLE IN ELEVEN LANGUAGES - ENGLISH, SPANISH, CHINESE, RUSSIAN, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, ARABIC, AND POLISH. A DETAILED OUTLINE OF COMMUNITY RESPONSES CAN BE FOUND IN THE COMMUNITY SERVICE PLAN LOCATED AT WWW.NUVANCEHEALTH.ORG/COMMUNITY
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. THE MID-HUDSON REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENT WAS CREATED THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN THE FOLLOWING ORGANIZATIONS: BLYTHEDALE CHILDREN'S HOSPITAL; BON SECOURS CHARITY HEALTH SYSTEM, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; BURKE REHABILITAION CENTER, ELLENVILLE REGIONAL HOSPITAL, GARNET HEALTH; HEALTHALLIANCE HOSPITAL, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; MONTEFIORE MOUNT VERNON HOSPITAL; MONTEFIORE NEW ROCHELLE HOSPITAL; MONTEFIORE NYACK HOSPITAL; MONTEFIORE ST. LUKE'S CORNWALL; NEW YORK PRESBYTERIAN HUDSON VALLEY AND LAWENCE HOSITALS; NORTHERN WESTCHESTER HOSPITAL; PHELPS HOSPITAL; ST. JOSEPH'S MEDICAL CENTER; ST. JOHN'S RIVERSIDE HOSPITAL; WESTCHESTER MEDICAL CENTER; WHITE PLAINS HOSPITAL AND THE HOSPITALS OF NUVANCE HEALTH.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. NUVANCE HEALTH PARTICIPATED IN THE MID-HUDSON REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY SEVEN HEALTH DEPARTMENTS AND AREA HEALTH SYSTEMS. THE HEALTH DEPARTMENTS INCLUDED: DUTCHESS COUNTY DEPARTMENT OF BEHAVIORAL & COMMUNITY HEALTH; ORANGE COUNTY DEPARTMENT OF HEALTH; PUTNAM COUNTY DEPARTMENT OF HEALTH; ROCKLAND COUNTY DEPARTMENT OF HEALTH; SULLIVAN COUNTY PUBLIC HEALTH SERVICES; ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH; AND WESTCHESTER COUNTY DEPARTMENT OF HEALTH.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. THE CHNA IS AVAILABLE UPON REQUEST IN THE HOSPITAL AND NUVANCE HEALTH ADMINISTRATIVE OFFICES. THE CHNA WAS SHARED WITH THE HOSPITAL BOARD AND THE COMMUNITY HEALTH COMMITTEE FOR ADDITIONAL DISTRIBUTION THROUGHOUT THEIR NETWORKS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. TO WORK TOWARD OPTIMAL COMMUNITY HEALTH, NUVANCE HEALTH COMMITS TO ENSURING HOSPITAL RESOURCES AND ACTIVITIES BUILD UPON EXISTING PRIORITIES AND COLLABORATIVE ACTIVITIES, WHILE ENSURING RESPONSIVENESS TO EMERGENT NEEDS. DETERMINATION OF PRIORITIES MADE BY LEADERSHIP OF NUVANCE HEALTH INCLUDED REVIEW OF EXISTING COMMITMENTS, NEW RESEARCH FINDINGS, AND COMMUNITY FEEDBACK. NUVANCE HEALTH WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES AS PART OF ITS 2022- 2024 COMMUNITY SERVICE PLAN (CSP): PREVENT CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. NUVANCE HEALTH IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. TOGETHER WITH THESE PARTNERS AND STAKEHOLDERS, NUVANCE HEALTH CREATED A CSP THAT REFLECTS COLLECTIVE HEALTH IMPACT STRATEGY AND THE MANY STRENGTHS AND ASSETS OF OUR COMMUNITY PARTNERS TO ADDRESS THESE NEEDS. THE IDENTIFIED PRIORITIES ALIGN WITH AND ADVANCE THE NEW YORK STATE PREVENTION AGENDA. IN ACCORDANCE WITH THE PREVENTION AGENDA, THE NUVANCE HEALTH 2023-2025 CSP WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS DISPARITIES AND PROMOTE OPTIMAL HEALTH IMPROVEMENT OUTCOMES. KEY INITIATIVES AT VASSAR BROTHERS MEDICAL CENTER INCLUDE: * HOST COMMUNITY HEALTH DAY TO PROVIDE VACCINATIONS, SCREENINGS, AND EDUCATION * OFFER THE GET FIT PROGRAM * PROVIDE MENTAL HEALTH FIRST AID TRAINING * SCALE UP ACTIVITIES OF COMMUNITY CARE TEAM (CCT) TO COORDINATE HEALTH AND SOCIAL SERVICES FOR PATIENTS * PROVIDE OVER 100 CHRONIC CONDITION MANAGEMENT, WELLNESS, AND PREVENTION RESOURCE VIDEOS ON THE NUVANCEHEALTH.ORG WEBSITE (IN ENGLISH AND SPANISH) * CONDUCT SBIRT AND DEPRESSION SCREENING IN PRIMARY CARE PRACTICES * ASSIGN LCSWS TO PRIMARY CARE PRACTICES TO PROVIDE MENTAL HEALTH SERVICES TO COMMUNITY MEMBERS * PARTNER WITH THE ALZHEIMER'S ASSOCIATION IN PROVIDING EDUCATION TO NUVANCE HEALTH PROVIDERS ON EARLY RECOGNITION OF DEMENTIA AND ON SERVICES MADE AVAILABLE BY THE ALZHEIMER'S ASSOCIATION TO IMPROVE QUALITY OF LIFE * PROVIDE OPIOID EDUCATION, NARCAN TRAINING, AND HANDS-ONLY CPR TRAINING * OFFER FREE ACCESS TO ONLINE, ON-DEMAND OPIOID EDUCATION FOR NON-CLINICAL STAFF AND LAY RESPONDERS (BY THE AMERICAN HEART ASSOCIATION) * IMPLEMENT A FOOD AS MEDICINE PROGRAM IN PARTNERSHIP WITH DUTCHESS OUTREACH AND THE CULINARY INSTITUTE OF AMERICA AND PROVIDE HEALTHY FRESH FOODS TO PERSONS IN NEED TO IMPROVE HEALTH DISPARITIES, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES FOR MEANINGFUL COMMUNITY IMPACT. THROUGH THE CHNA RESEARCH AND ONGOING ENGAGEMENT OF COMMUNITY REPRESENTATIVES, NUVANCE HEALTH COLLECTED INPUT TO DETERMINE THE MOST PRESSING HEALTH NEEDS AFFECTING RESIDENTS IN THE NEW YORK SERVICE AREA. PRIORITY HEALTH NEEDS WERE DETERMINED THROUGH DISCUSSIONS WITH EACH HOSPITAL'S COMMUNITY HEALTH COMMITTEE AND INPUT FROM COMMUNITY STAKEHOLDERS INCLUDING PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE PROVIDERS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, AND COMMUNITY MEMBERS. NUVANCE HEALTH REVIEWED RECOMMENDATIONS FOR PRIORITY AREAS IN CONSIDERATION WITH EXISTING RESOURCES AND GAPS IN SERVICES TO DETERMINE WHICH COMMUNITY HEALTH PRIORITIES THE HOSPITALS COULD BEST IMPACT. IN DETERMINING PRIORITY AREAS, SOME HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA WILL NOT BE DIRECTLY ADDRESSED IN NUVANCE HEALTH'S CHIP, HOWEVER THESE NEEDS WILL CONTINUE TO BE MET THROUGH CLINICAL CARE SERVICES. THESE ISSUES INCLUDE SEXUALLY TRANSMITTED INFECTIONS (STIS), IMMUNIZATIONS, TICKBORNE DISEASE, AND HARMFUL ALGAL BLOOMS. IN ADDITION TO CLINICAL CARE SERVICES, NUVANCE HEALTH WILL CONTINUE TO SUPPORT COMMUNITY WIDE EFFORTS TO RAISE AWARENESS FOR PREVENTIVE HEALTH MEASURES AND SUPPORT REGIONAL ORGANIZATIONS THAT FOCUS ON THESE ISSUES. THE VBMC COMMUNITY HEALTH COMMITTEES MEET ON A REGULAR BASIS TO VIEW PROGRESS TOWARD THE GOALS STATED THE COMMUNITY SERVICE PLAN AND DETERMINE IF ANY CHANGES TO OBJECTIVES ARE REQUIRED. ADDITIONALLY, NUVANCE HEALTH COMPILES DATA ON EACH IMPLEMENTATION AREA AND REPORTS IT TO THE NEW YORK STATE DEPARTMENT OF HEALTH ON AN ANNUAL BASIS.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. NUVANCE'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FEDERAL POVERTY GUIDELINES AND A 58.46% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FEDERAL POVERTY GUIDELINES. THE 58.46% IS THE AMOUNTS GENERALLY BILLED (AGB) UTILIZING THE "LOOK BACK METHOD" BASED ON COMMERCIAL AND MEDICARE FEE-FOR-SERVICE RATES.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. A PATIENT MAY QUALIFY FOR "MEDICAL HARDSHIP" EVEN IF THEIR INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES. A PATIENT'S TOTAL UNPAID MEDICAL DEBT IS CONSIDERED WHEN DETERMINING MEDICAL HARDSHIP. MEDICAL HARDSHIP IS DETERMINED BY COMPARING A PATIENT'S AVAILABLE INCOME TO THEIR UNPAID MEDICAL DEBT AND IS GRANTED AT 100% FREE CARE WHEN THEIR UNPAID MEDICAL DEBT EXCEEDS THEIR AVAILABLE INCOME.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. VASSAR BROTHER'S MEDICAL CENTER HAS MESSAGES ON ALL BILLING STATEMENTS PROVIDING INFORMATION REGARDING HOW A PATIENT CAN OBTAIN ASSISTANCE WITH THEIR MEDICAL BILLS. FINANCIAL COUNSELORS ARE ALSO AVAILABLE ON-SITE AT VASSAR BROTHER'S MEDICAL CENTER TO PROVIDE FURTHER ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
FISHKILL AMBULATORY SURGERY CENTER
200 WESTAGE BUSINESS CENTER	FISHKILL	NY	12524	OUTPATIENT SAME DAY SURGICAL AND PAIN MANAGEMENT SERVICES
VBMC CARDIAC TESTING CENTER
1 COLUMBIA STREET	POUGHKEEPSIE	NY	12540	OUTPATIENT CARDIAC TESTING AND REHAB SERVICES
CARDIAC TESTING - NEW WINDSOR
939 LITTLE BRITAIN ROAD	NEW WINDSOR	NY	12553	OUTPATIENT CARDIAC TESTING AND REHAB SERVICES
ULSTER RADIATION ONCOLOGY CENTER
111 MARYS AVENUE	KINGSTON	NY	12401	OUTPATIENT ONCOLOGY AND INFUSION SERVICES
VASSAR BROTHERS HOSP WOUND CARE CTR
21 FOX STREET	POUGHKEEPSIE	NY	12691	OUTPATIENT WOUND CARE AND HYPERBARIC SERVICES
VBMC CARDIAC TESTING & REHAB CENTER
115 DELAFIELD STREET	POUGHKEEPSIE	NY	12601	OUTPATIENT CARDIAC TESTING AND REHAB SERVICES
CARDIAC TESTING - FISHKILL
60 MERRITT BOULEVARD	FISHKILL	NY	12524	OUTPATIENT CARDIAC TESTING AND REHAB SERVICES

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN DETERMINING ELIGIBILITY	VASSAR BROTHER'S MEDICAL CENTER PROVIDES CHARITY CARE TO PATIENTS BELOW 400% OF THE FEDERAL POVERTY GUIDELINES; THIS IS KNOWN AS "FINANCIAL HARDSHIP". PATIENTS UNDER 300% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND PATIENTS BETWEEN 300%-400% OF THE POVERTY LEVEL RECEIVE PARTIAL CHARITY CARE. VASSAR BROTHER'S MEDICAL CENTER, HOWEVER, ALSO HELPS PATIENTS' WHO'S INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES WHEN FACED WITH INSURMOUNTABLE MEDICAL DEBT. THIS TYPE OF CHARITY CARE IS KNOWN AS "MEDICAL HARDSHIP". MEDICAL HARDSHIP COMPARES AVAILABLE INCOME TO UNPAID MEDICAL DEBT AND IS APPROVED AT 100% FREE CARE WHEN THE UNPAID MEDICAL BILLS EXCEED AVAILABLE INCOME. ASSETS ARE NOT CONSIDERED.
Schedule H, Part I, Line 7 CHARITY CARE AT COST PERCENTAGE	A COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, AND USED TO DETERMINE FINANCIAL ASSISTANCE AT COST. COST ACCOUNTING WAS USED TO DETERMINE MEDICARE COST, MEDICAID COST, AND THE COST FOR SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7e COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS	VASSAR BROTHERS MEDICAL CENTER PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS, GRANTS/SPONSORSHIPS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE AND TARGETED POPULATIONS. BELOW IS A LIST OF SOME OF THE PROGRAMS OFFERED/SUPPORTED. ADVOCACY FOR LEGISLATION, PROGRAMS, SERVICE AND FUNDING THAT ADDRESS COMMUNITY NEEDS AND HEALTH DISPARITIES ADRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS ADDRESSING CANCER THROUGH BREAST CANCER SCREENINGS, ARTICLES ON NUVANCE HEALTHLINE AND SOCIAL MEDIA POSTS. MANY LECTURES WERE HELD VIA OUR HOSPITALS' SOCIAL MEDIA CHANNELS. NUVANCE HEALTH ALSO PROMOTED EDUCATIONAL VIDEOS. ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS ADDRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE GET FIT CHALLENGE. 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 RED CROSS OF THE HUDSON VALLEY * ANGELS OF LIGHT * ARTS MID-HUDSON * BENEDICTINE HEALTH FOUNDATION * BIG GAY HUDSON VALLEY * BOY SCOUTS OF AMERICA (GREATER HV COUNCIL) * BREAKTHROUGH T1D * CHILDREN'S HOME OF POUGHKEEPSIE * CITY OF POUGHKEEPSIE * COVECARE CENTER * CUNNEEN-HACKETT ARTS CENTER * CYSTIC FIBROSIS FOUNDATION - NY CHAPTER * DUTCHESS COMMUNITY COLLEGE FOUNDATION * DUTCHESS COUNTY CHAMBER OF COMMERCE * DUTCHESS COUNTY INTERFAITH COUNCIL * DUTCHESS COUNTY PRIDE CENTER * DUTCHESS OUTREACH * DUTCHESS TOURISM * EASTERN DUTCHESS ROAD RUNNERS CLUB * ELLENVILLE REGIONAL HOSPITAL * FAMILY SERVICES * GRACE SMITH HOUSE * GREYSTONE PROGRAMS * HABITAT FOR HUMANITY OF DUTCHESS COUNTY * HILLTOP HANOVER FARM AND ENVIRONMENTAL CENTER * HUDSON RIVER HOUSING * HUDSON VALLEY AUTO ENTHUSIASTS * HUDSON VALLEY HOSPICE FOUNDATION * JDRF (JUVENILE DIABETES RESEARCH FOUNDATION) * MENDED HEARTS OF THE HUDSON VALLEY, CHAPTER 5 * MENTAL HEALTH AMERICA OF DUTCHESS COUNTY * MID-HUDSON DISCOVERY MUSEUM * MILES OF HOPE BREAST CANCER FOUNDATION * PARKINSON'S DISEASE SUPPORT GROUP MID-HUDSON VALLEY * PATTERN FOR PROGRESS * PEGASUS THERAPEUTIC RIDING * PEOPLE USA * PREMIER CARES FOUNDATION * PUTNAM PRIDE * REBUILDING TOGETHER DUTCHESS COUNTY * REGIONAL FOOD BANK OF THE HUDSON VALLEY * SCENIC HUDSON * SECOND CHANCE FOODS * SPARROW'S NEST * SUPPORT CONNECTION * THE BARDAVON * THE CENTER FOR THE PREVENTION OF CHILD ABUSE * THE CHAMBER FOUNDATION * THE HAITI PROJECT * THINK DUTCHESS * TMI PROJECT * UNITED WAY OF THE DUTCHESS-ORANGE REGION * VASSAR TEMPLE * WALKWAY OVER THE HUDSON * WESTCHESTER COMMUNITY OPPORTUNITY PROGRAM (PUTNAM CAP)
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 I, Line 6a CURRENT YEAR COMMUNITY BENEFIT REPORT	VASSAR BROTHERS MEDICAL CENTER FILED ITS COMMUNITY BENEFIT REPORT WITH THE NEW YORK DEPARTMENT OF HEALTH IN DECEMBER 2024.
Schedule H, Part II Community Building Activities	COMMUNITY SUPPORT $2,538 MEMBERS OF THE SECURITY TEAM AND COMMUNITY EDUCATION TEAM AT VASSAR BROTHERS HOSPITAL PARTICIPATED IN TRAINING PROGRAMS THAT TEACH THE COMMUNITY ABOUT ACTIVE SHOOTER SITUATIONS. COALITION BUILDING $3,889 VASSAR BROTHERS HOSPITAL MEDICAL CENTER (VBMC) IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY THROUGH THE VBMC COMMUNITY CARE TEAM (CCT). THE CCT MEETS REGULARLY WITH COMMUNITY PARTNERS TO COORDINATE CARE FOR AT-RISK INDIVIDUALS IN THE COMMUNITY. VBMC ALSO PARTICIPATES IN COLLABORATIVE EFFORTS WITH THE ALZHEIMER'S ASSOCIATION. MENTAL HEALTH ASSOCIATION, RHINEBECK PREPAREDNESS HEALTHCARE COALITION, AND MORE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $3,588 VASSAR BROTHERS MEDICAL CENTER IS COMMITTED TO SUPPORTING PROGRAMS TO SAFEGUARD AND IMPROVE PUBLIC HEALTH, SUCH AS HAVING INVOLVEMENT IN THE DUTCHESS COUNTY COALITION MEETINGS TO SCHEDULE CAR SEAT SAFETY EVENTS. WORKFORCE DEVELOPMENT $9,727 THROUGH VARIOUS APPROACHES SUCH AS CAREER FAIRS, HIGH SCHOOL IMMERSION PROGRAMS, LECTURES, AND INFORMATIONAL SESSIONS, VASSAR BROTHERS MEDICAL CENTER CONSISTENTLY PROVIDES OPPORTUNITY TO INTEREST THE COMMUNITY IN THE HEALTHCARE FIELD, EDUCATE ON DIFFERENT ROLES WITHIN HEALTHCARE, AND PROVIDE POSSIBLE EMPLOYMENT OPPORTUNITIES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	VBMC FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	VBMC DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 17-22 OF NUVANCE HEALTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ORGANIZATION HAS A MEDICARE SHORTALL IN THE AGGREGATE. A PORTION OF THAT SHORTFALL IS BEING REPORTED AS COMMUNITY BENEFIT IN SCHEDULE H, PART I, LINE 7. THE RESIDUAL MEDICARE ACTIVITY IS REPORTED IN SCHEDULE H, PART III, LINE 8. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE COMPANY'S COSTS FOR THE PATIENTS IN THE COMMUNITY. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL WAS THE COST TO CHARGE RATIO FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF VASSAR BROTHERS MEDICAL CENTER TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) VASSAR BROTHERS MEDICAL CENTER MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. VASSAR BROTHERS MEDICAL CENTER SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS. CONSISTENT WITH THIS MISSION, VASSAR BROTHERS MEDICAL CENTER RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, VASSAR BROTHERS MEDICAL CENTER WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. VASSAR BROTHERS MEDICAL CENTER WOULD COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD.
Schedule H, Part V, Section B, Line 16a FAP website	- VASSAR BROTHERS MEDICAL CENTER: Line 16a URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- VASSAR BROTHERS MEDICAL CENTER: Line 16b URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- VASSAR BROTHERS MEDICAL CENTER: Line 16c URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE THAT MEETS REGULARLY TO ASSESS ANY ADDITIONAL HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMITTEE PROVIDES OVERSIGHT TO THE HOSPITAL'S COMMUNITY HEALTH PRIORITIES, INCLUDING NEEDS ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS AND OTHER POPULATION HEALTH INITIATIVES. THEY HELP GUIDE PRIORITY ISSUES FOR ACTION TO IMPROVE COMMUNITY HEALTH AND HELP INFORM, GUIDE AND SHARE SUCCESSFUL PROGRAMS AND STRATEGIES THAT ADDRESS HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. ALSO, SIGNS ARE POSTED THROUGHOUT THE HOSPITAL AND COUNSELORS ARE AVAILABLE TO PROVIDE FURTHER ASSISTANCE. ALL UNINSURED INPATIENTS ARE INTERVIEWED BY FINANCIAL COUNSELORS AND ASSESSED FOR ELIGIBILITY FOR ASSISTANCE PROGRAMS. THE HOSPITAL PROVIDES INFORMATIONAL HANDOUTS TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION, WHICH REFERS THEM TO FINANCIAL COUNSELING IF THEY WOULD LIKE ASSISTANCE WITH THEIR BILLS. FURTHER, THE HOSPITAL MAILS NOTICES TO ALL SELF-PAY ACCOUNTS REFERRING THEM TO FINANCIAL COUNSELING IF THEY NEED ASSISTANCE. THE COLLECTION DEPARTMENT WILL ALSO REFER PATIENTS TO FINANCIAL COUNSELING WHEN A PATIENT INDICATES THAT THEY CANNOT AFFORD THEIR BALANCES; AND FINALLY, SCHEDULERS REFER UNINSURED PATIENTS TO FINANCIAL COUNSELING PRIOR TO THEIR TEST OR PROCEDURE. THE POLICY AND APPLICATIONS FOR ASSISTANCE ARE ALSO AVAILABLE ONLINE, AS WELL AS UPON REQUEST AT THE HOSPITAL.
Schedule H, Part VI, Line 4 Community information	VASSAR BROTHERS MEDICAL CENTER (VBMC) IS LOCATED IN POUGHKEEPSIE, NEW YORK IN DUTCHESS COUNTY. THE HOSPITAL PRIMARILY SERVES RESIDENTS OF 25 ZIP CODES ALONG THE HUDSON RIVER, STRETCHING FROM HYDE PARK IN THE NORTH TO NEWBURGH IN THE SOUTH ALONG THE NEW YORK AND CONNECTICUT STATE BORDERS. THE VBMC SERVICE AREA POPULATION IS PROJECTED TO INCREASE BY 3,919 PEOPLE OR 1.17% FROM 2024 TO 2029, ALTHOUGH CONSISTENT WITH NEW YORK STATE TRENDS, THIS GROWTH WILL OCCUR LARGELY AMONG OLDER ADULT POPULATIONS. THE POPULATION AGED 65 OR OLDER WILL INCREASE BY 9,942 PEOPLE OR 15.98% FROM 2024 TO 2029, WHILE THE POPULATION UNDER 18 WILL DECREASE BY 2,464 PEOPLE OR 3.9% AND THE POPULATION AGED 45-64 WILL DECREASE BY 5,127 OR 5.8%. THE VBMC SERVICE AREA IS SLIGHTLY LESS RACIALLY AND ETHNICALLY DIVERSE THAN NEW YORK OVERALL, ALTHOUGH CONSISTENT WITH STATEWIDE TRENDS, PEOPLE OF COLOR ARE THE FASTEST GROWING POPULATIONS WITHIN THE SERVICE AREA. BETWEEN 2023 AND 2024, THE WHITE POPULATION WITHIN THE VBMC SERVICE AREA IS PROJECTED TO DECREASE BY 5.4%. THE HISPANIC POPULATION IS PROJECTED TO DECREASE BY 16%. ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, DUTCHESS COUNTY HAD AN UNEMPLOYMENT RATE OF 3.1% AT THE END OF 2024. APPROXIMATELY 8.6% OF THE POPULATION IN DUCHESS COUNTY ARE LIVING IN POVERTY (CENSUS.GOV). APPROXIMATELY 4.6% OF VBMC'S MARKET ARE UNINSURED, WHILE MEDICAID (27%), MEDICARE (20.6%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (48%). (SOURCE: THE CLARITAS COMPANY, 2021). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), BOTH THE EASTERN PART OF DUTCHESS COUNTY AND POUGHKEEPSIE HAVE BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW INCOME POPULATIONS.
Schedule H, Part VI, Line 5 Promotion of community health	VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 349-BED FACILITY THAT HAS SERVED NEW YORK'S MID-HUDSON VALLEY SINCE 1887. OUR MOST RECENT ADDITION, THE STUNNING PATIENT PAVILION, INCLUDES 293 PRIVATE PATIENT ROOMS, 13 SURGICAL SUITES AND A 66-ROOM EMERGENCY AND TRAUMA CENTER. PHYSICIANS, SURGEONS, AND SPECIALISTS BRING INNOVATIVE PROCEDURES AND SERVICES TO OUR COMMUNITY, INCLUDING ROBOTIC ORTHOPEDIC SURGERY, LIVER AND PANCREATIC SURGERY, INTERVENTIONAL NEURORADIOLOGY, SURGICAL ONCOLOGY AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). WE ARE PART OF NUVANCE HEALTH, A NETWORK OF SEVEN COMMUNITY HOSPITAL LOCATIONS AND NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. OUR PATIENTS BENEFIT FROM THE VARIOUS SERVICES AND MULTISPECIALTY GROUPS ACROSS THE HEALTH SYSTEM. OVERLOOKING THE BEAUTIFUL HUDSON RIVER IN THE CITY OF POUGHKEEPSIE, NY, OUR MEDICAL STAFF HAS EXPERTISE IN CARDIAC SERVICES, CANCER CARE, AND WOMEN AND CHILDREN'S HEALTH SERVICES. OUR FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND OUR DIGESTIVE HEALTH INSTITUTE. AS A RENOWNED REGIONAL MEDICAL CENTER, WE HOUSE THE AREA'S FIRST CARDIOTHORACIC SURGERY PROGRAM BETWEEN WESTCHESTER AND ALBANY, A LEVEL II TRAUMA CENTER, AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION FOR PREMATURE AND CRITICALLY ILL INFANTS. OUR FEATURED SERVICE LINES INCLUDE: * PRIMARY CARE * INPATIENT PEDIATRICS * BEHAVIORAL AND MENTAL HEALTH * WEIGHT LOSS SURGERY (BARIATRICS) * HERNIA CARE OUR EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITITES IS A LONG-TERM AND VERY COLLABORATIVE ONE TO ADDRESS PUBLIC HEALTH ISSUES AND OPPORTUNITIES IN OUR REGION. OUR ROLE IN IMPROVING HEALTH MAY BE AS A LEADER, PARTNER, FACILITATOR, FUNDER, ADVOCATE, CHAMPION, OR OBSERVER. IN THESE ROLES, WE EMBRACE THE SOCIAL DETERMINANTS OF HEALTH AND APPLY STRATEGIES AND TACTICS INCLUDING HEALTH EDUCATION, OUTREACH AND SCREENINGS VIA COLLABORATIONS, DATA COLLECTION AND RESEARCH, HEALTH CLINICS AND FAIRS, SPONSORSHIPS, AND SUBJECT MATTER EXPERT SPEAKER PRESENTATIONS. FOR MORE DETAILED INFORMATION AND EXAMPLES, SEE SCHEDULE H, PART I, LINE 7E. VASSAR'S BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS WHO LIVE AND WORK IN THE COMMUNITY. VASSAR BROTHERS MEDICAL CENTER ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINCAL CARE IN ADDITION TO EXPANDING OUR SERVICE AREA.
Schedule H, Part VI, Line 6 Affiliated health care system	NUVANCE HEALTH IS AN INTEGRATED HEALTH SYSTEM OFERING CONVENIENT, ACCESSIBLE AND AFFORDABLE CARE TO OUR COMMUNITY MEMBERS. OUR TALENTED TEAM OF MORE THAN 15,000 COMPASSIONATE CAREGIVERS PROVIDE HIGH-QUALITY CARE THROUGH: COMMUNITY HOSPITALS, PRIMARY CARE AND SPECIALTY PRACTICE LOCATIONS, OUTPATIENT SETTINGS, HOME CARE SERVICES, AND TELEHEALTH VISITS. VASSAR BROTHERS MEDICAL CENTER HAS PROVIDED $52,994,861 WORTH OF CARE THROUGH FINANCIAL ASSISTANCE AT COST AND ITS MEDICAID SHORTFALL. NUVANCE HEALTH HAS SEVEN HOSPITALS (DANBURY HOSPITAL, NEW MILFORD HOSPITAL, NORWALK HOSPITAL, SHARON HOSPITAL, VASSAR BROTHERS MEDICAL CENTER, NORTHERN DUTCHESS HOSPITAL AND PUTNAM HOSPITAL) THAT PROVIDE A FULL RANGE OF MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE SYSTEM'S MISSION STATEMENT. ALL OF OUR HOSPITALS HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS, THEY CAN JOIN THE MEDICAL STAFF. THERE ARE FIVE FOUNDATIONS THAT HELP SUPPORT OUR HOSPITALS AND AFFILIATES (DANBURY HOSPITAL AND NEW MILFORD HOSPITAL FOUNDATION, INC., NORWALK HOSPITAL FOUNDATION, VASSAR BROTHERS HOSPITAL FOUNDATION, NDH FOUNDATION AND PUTNAM HOSPITAL CENTER FOUNDATION). EACH FOUNDATION'S MISSION IS TO RAISE FUNDS, REINVEST, ADMINISTER FUNDS AND MAKE DISTRIBUTIONS TO THE HOSPITALS AND THEIR NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NUVANCE HEALTH HAS FOUR MEDICAL GROUPS (NUVANCE HEALTH MEDICAL PRACTICE CT, INC., NUVANCE HEALTH MEDICAL PRACTICE, P.C., EASTERN NEW YORK MEDICAL SERVICES, P.C. AND HUDSON VALLEY CARDIOVASCULAR PRACTICE, P.C.). THE MEDICAL PRACTICES PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES TO RESIDENTS IN THEIR COMMUNITIES AND SURROUNDING AREAS. THEY PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE CUMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND THE THEIR PATIENTS' NEEDS. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. NUVANCE HEALTH HAS THREE HOME CARE ENTITIES (WESTERN CONNECTICUT HOME CARE, INC., HEALTH QUEST HOME CARE, INC. (CERTIFIED) AND HEALTH QUEST HOME CARE, INC. (LICENSED). OUR HOME CARE PROGRAMS PROVIDE COMPREHENSIVE HEALTH SERVICES TO SELECTED PATIENTS WHO CAN BE CARED FOR AT HOME, THUS REDUCING THE EXPENSE ASSOCIATED WITH HOSPITALIZATION AND ALLOWING PATIENTS TO BE TREATED IN THE COMFORT AND FAMILIARITY OF THEIR HOMES. THESE SERVICES INCLUDE SKILLED NURSING, THERAPIES (PHYSICAL, OPERATIONAL AND SPEECH), MEDICAL SOCIAL SERVICES, AND HOME HEALTH AIDS. ALAMO AMBULANCE SERVICES, INC. IS A LICENSED AMBULANCE TRANSPORT SERVICE WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES IN NEW YORK.
Schedule H, Part VI, Line 7 State filing of community benefit report	CT, NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PETER A KELLY
FORMER PRESIDENT VBMC	$185,107	$0	$50,000	$0	$4,973	$0	$14,106	$0	$161	$0	$254,347	$0	$0	$0
SUSAN BROWNING
PRESIDENT & WESTERN REGIONAL PRESIDENT	$638,937	$0	$155,000	$0	$31,418	$0	$96,416	$0	$39,266	$0	$961,037	$0	$0	$0
KIMBERLY HELLER MD
DIRECTOR	$0	$461,401	$0	$0	$0	$38,776	$0	$19,800	$0	$27,886	$0	$547,863	$0	$0
DANIEL DEBARBA
CHIEF FINANCIAL OFFICER; TREASURER	$0	$810,684	$0	$623,143	$0	$40,338	$0	$146,400	$0	$29,227	$0	$1,649,792	$0	$0
BRIAN WYATT
SECRETARY & CHIEF LEGAL OFFICER	$0	$480,215	$0	$150,000	$0	$3,997	$0	$77,562	$0	$47,076	$0	$758,850	$0	$0
JEAN AHN
CHIEF STRATEGY OFFICER	$0	$492,851	$0	$458,046	$0	$30,234	$0	$95,760	$0	$3,008	$0	$1,079,899	$0	$0
KATHRYN D CULLINAN
CHIEF HUMAN RESOURCES OFFICER	$0	$407,193	$0	$275,000	$0	$34,200	$0	$86,100	$0	$24,960	$0	$827,453	$0	$0
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	$0	$352,913	$0	$100,000	$0	$82,489	$0	$19,800	$0	$13,949	$0	$569,151	$0	$33,360
MICHELLE ROBERTSON
CHIEF OPERATING OFFICER	$0	$808,556	$0	$486,914	$0	$42,778	$0	$145,200	$0	$42,513	$0	$1,525,961	$0	$0
WILLIAM V BEGG MD
FORMER VPMA/CHAIR EMERG SVCS DANBURY	$123,293	$420,116	$0	$115,500	$529	$3,386	$1,252	$18,548	$2,243	$21,737	$127,317	$579,287	$0	$0
KEVIN B BOLAND
DIRECTOR CARDIO PERFUSION	$406,281	$0	$0	$0	$4,234	$0	$19,800	$0	$43,504	$0	$473,819	$0	$0	$0
EILISH C HOURIHAN RN
CHIEF NURSING OFFICER	$370,018	$0	$80,500	$0	$2,322	$0	$26,206	$0	$1,214	$0	$480,260	$0	$0	$0
CORINA MARCU
VP MEDICAL AFFAIRS	$385,577	$161,285	$101,000	$0	$297	$520	$14,861	$4,939	$3,140	$1,286	$504,875	$168,030	$0	$0
EVA H SKELLY RN
REGISTERED NURSE	$358,950	$5,317	$45,409	$0	$3,228	$34	$0	$0	$28,087	$370	$435,674	$5,721	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND AND/OR AN EMPLOYEE RECOGNITION AWARD: 1 OFFICER/DIRECTOR 1 HIGHEST-COMPENSATED EMPLOYEES
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	VASSAR BROTHERS MEDICAL CENTER RELIED ON NUVANCE HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA ON OTHER KEY EMPLOYEES.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	EFFECTIVE OCTOBER 1, 2020, NUVANCE HEALTH ESTABLISHED AN EXECUTIVE RETIREMENT PLAN IN ORDER TO PROVIDE NONQUALIFIED DEFINED CONTRIBUTION RETIREMENT BENEFITS TO DESIGNATED KEY MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM, SELECTED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 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 2023, THE FOLLOWING AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C RETIREMENT AND OTHER DEFERRED COMPENSATION: DANIEL DEBARBA $126,600 MICHELLE ROBERTSON $125,400 SUSAN BROWNING $ 76,616 JEAN AHN $ 75,960 KATHERINE CULLINAN $ 66,300 BRIAN WYATT $ 57,763 FOR CALENDAR YEAR 2023, THE FOLLOWING AMOUNTS EARNED AND PAID TO PARTICIPANTS WERE REPORTED ON SCHEDULE J, PART II, COLUMN B(iii) OTHER REPORTABLE COMPENSATION: WAYNE MCNULTY $ 72,355
Schedule J, Part I, Line 7 Non-fixed payments	NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (ALIP) (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH-QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THE PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR. - TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE - TIER II, EXECUTIVE (A) - TIER II, PHYSICIAN EXECUTIVES (B) - 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 AND TIER II (A) EXECUTIVE POSITIONS SHALL BE ELIGIBLE EMPLOYEES TO PARTICIPATE IN THE PLAN. UNDER THE PLAN, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE INCENTIVE AWARD PAYMENTS BASED UPON THE ACHIEVEMENT OF SELECTED AND STRATEGICALLY IMPORTANT PERFORMANCE GOALS IDENTIFIED FOR EACH PERFORMANCE PERIOD. THE AWARD OPPORTUNITIES FOR AN ELIGIBLE EMPLOYEE WITH RESPECT TO A PERFORMANCE PERIOD SHALL BE EXPRESSED AS A PERCENTAGE OF HIS OR HER AVERAGE BASE SALARY IN EFFECT DURING THE APPLICABLE PERFORMANCE PERIOD. PRIOR TO THE BEGINNING OF EACH PERFORMANCE PERIOD, THE COMMITTEE MAY ESTABLISH A MINIMUM PERFORMANCE REQUIREMENT FOR NUVANCE HEALTH. NO FINAL AWARDS MAY BE GRANTED TO ANY PARTICIPANT FOR A PERFORMANCE PERIOD IN WHICH MINIMUM PERFORMANCE REQUIRMENTS, IF ANY, WERE NOT MET. THE FINAL AWARD PAYABLE TO EACH PARTICIPANT WILL BE DETERMINED WITHIN 60 DAYS FOLLOWING THE END OF THE PERFORMANCE PERIOD. AWARDS FOR A GIVEN PERFORMANCE PERIOD WILL BE PAID IN A SINGLE LUMP-SUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	273106797	BondIssuerEIN
CUSIP	267045GX4	CUSIPNum
Bond Issued	2016-07-07	BondIssuedDt
Issue Price	$406,680,960	IssuePriceAmt
Purpose	CONSTRUCT, RENOVATE, EQUIP FACILITY	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,495,000	RetiredAmt
Total Proceeds	$416,791,845	TotalProceedsAmt
Capitalized Interest	$48,004,473	CapitalizedInterestAmt
Issuance Costs From Proceeds	$3,361,803	IssuanceCostsFromProceedsAmt
Capital Expenditures	$365,425,569	CapitalExpendituresAmt
Substantial Completion	2021	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0031	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0031	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part IV, Line 2c	ISSUER NAME: DUTCHESS COUNTY LOCAL DEV CORP DATE THE REBATE CALCULATION WAS PERFORMED: 06/30/2021 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
Schedule K, Part I LINE A, COLUMN E	TOTAL ISSUE PRICE PER IRS FORM 8038 $438,672,526, ALLOCATED BETWEEN 3 ORGANIZATIONS: VASSAR BROTHERS MEDICAL CENTER (FEIN: 14-1338586) PUTNAM HOSPITAL (FEIN: 14-6019179) NORTHERN DUTCHESS HOSPITAL (FEIN: 14-1338467)
Schedule K, Part II, Line 3	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: DUTCHESS COUNTY LOCAL DEV CORP The calculation for computing no rebate due was performed on 06/30/2021

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION (CON'T)	IN FY24, VBMC HAD 111,810 PATIENT DAYS AND 22,452 DISCHARGES IN ACUTE CARE. THERE WERE 41,446 IN EMERGENCY ROOM VISITS AND 280,067 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $22.9M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.
Form 990, Part VI, Line 14 document retention and destruction policy	THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF VASSAR BROTHERS MEDICAL CENTER ("VBMC") IS HEALTH QUEST SYSTEMS, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC. ON FEBRUARY 28, 2024, NUVANCE HEALTH ENTERED INTO AN AFFILIATION AGREEMENT WITH NORTHWELL HEALTH, INC. ("NORTHWELL"), PURSUANT TO WHICH NORTHWELL OR AN AFFILIATED ENTITY WOULD BECOME THE ACTIVE PARENT AND SOLE CORPORATE MEMBER OF NUVANCE HEALTH. THIS TRANSACTION WAS SUBJECT TO THE RECEIPT OF REGULATORY APPROVALS AND THE SATISFACTION OF CLOSING CONDITIONS. EFFECTIVE MAY 1, 2025, THE PARTIES CLOSED THE TRANSACTION AND NORTHWELL, INC. (WHICH IS THE ULTIMATE SOLE CORPORATE MEMBER OF NORTHWELL) BECAME THE SOLE CORPORATE MEMBER OF NORTHWELL HEALTH SYSTEM, INC., WHICH BECAME THE PARENT ENTITY OF NUVANCE HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBER (HEALTH QUEST SYSTEMS, INC.) SHALL ELECT VASSAR BROTHERS MEDICAL CENTER'S (VBMC'S) OFFICERS. SUBJECT TO THE APPROVAL OF THE MEMBER, ANY VACANCY OR VACANCIES OCCURRING IN ANY OFFICE MAY BE FILLED UNTIL THE NEXT MEETING AT WHICH OFFICERS ARE ELECTED BY THE AFFIRMATIVE VOTE OF THE REMAINING DIRECTORS IN OFFICE AT ANY MEETING OF THE BOARD, THOUGH SUCH REMAINING DIRECTORS MAY CONSTITUTE LESS THAN A QUORUM. ANY OFFICER MAY BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY VBMC REQUIRE THE APPROVAL OF THE MEMBER, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (I) ELECTION OR REMOVAL OF A DIRECTOR OR AN OFFICER WHO IS NOT AN EMPLOYEE OR CONTRACTOR; (II) AMENDMENT OF VBMC'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF VBMC'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF VBMC'S QUALIFIED OR NON-QUALIFIED BENEFIT PLANS; (V) ADOPTION OF OR REVISIONS TO ANY SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES; (VI) APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS WHICH INCLUDES REVIEW OF THE SYSTEM-WIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF THE INDEPENDENT AUDITORS; (VII) ADOPTION OF OR ANY MATERIAL REVISIONS TO THE CAPITAL BUDGET AND OPERATING BUDGET; (VIII) ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEM-WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE; (IX) ANY CESSATION OF ANY SERVICE LINE OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY; (X) ANY CLOSURE, SALE OR TRANSFER OF A HOSPITAL; (XI) ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, THE FILING OF ANY PETITION IN VOLUNTARY BANKRUPTCY, THE FILING OF ANY PETITION OR ANSWER SEEKING REORGANIZATION, OR AN ARRANGEMENT WITH CREDITORS UNDER THE FEDERAL BANKRUPTCY LAW; (XII) ANY CHANGE IN THE TAX STATUS OF OR REVISION OF, THE CHARITY CARE POLICIES; (XIII) ANY MERGER, CONSOLIDATION OR SIMILAR TRANSACTION; (XIV) ANY INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY DEBT.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORMS 990 FOR NUVANCE HEALTH AND AFFILIATED ENTITIES ARE PREPARED BY THE NUVANCE HEALTH TAX DEPARTMENT WITH ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE RETURNS ARE REVIEWED BY MANAGEMENT AND AN INDEPENDENT ACCOUNTING FIRM. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE HEALTH BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW THE RETURNS PRIOR TO FILING. THE FORMS 990 ARE 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 EXECUTIVE COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTH'S OPERATING REGION AND THE BROADER NATIONAL HEALTH CARE PROVIDER MARKET. NUVANCE HEALTH'S TOTAL REWARDS PHILOSOPHY AND PRACTICES ARE TARGETED AT THE 50TH PERCENTILE OF THE RELEVANT MARKET FOR BASE SALARY, AND 62.5TH PERCENTILE FOR TOTAL CASH AND TOTAL DIRECT (WHERE AVAILABLE) COMPENSATION ELEMENTS IF TARGET PERFORMANCE IS ACHIEVED UNDER VARIABLE COMPENSATION PROGRAMS. NUVANCE HEALTH'S COMMITTEE HAS DISCRETION TO POSITION INDIVIDUAL LEVELS ABOVE OR BELOW THIS TARGETED COMPETITIVE POSITIONING, BASED ON SUCH FACTORS AS POSITIONING TO MARKET, HIGH DEMAND SKILLSETS AND DIFFICULT TO FILL OR CRITICAL TO THE ORGANIZATION'S STRATEGY AND SUCCESS. OUR GOVERNANCE PROMOTES CONSISTENCY AND EQUITY; PROVIDES CLARITY AND GUIDANCE TO DECISION-MAKERS; ENSURES STANDARD PROCESSES AND PROCEDURES FOR ASSESSING, CALIBRATING, ADMINISTERING, AND DELIVERING EFFECTIVE TOTAL REWARDS THROUGHOUT THE NUVANCE HEALTH SYSTEM. OVERSIGHT AND GOVERNANCE OF THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS FOR ELIGIBLE EXECUTIVES/DISQUALIFIED INDIVIDUALS (CURRENTLY CEO, PRESIDENT AND TIERS 1 AND 2) WILL BE AT THE COMPENSATION COMMITTEE OF THE BOARD LEVEL AND WILL FOLLOW A STRUCTURED AND RIGOROUS PROCESS TO ENSURE COMPLIANCE WITH INTERMEDIATE SANCTIONS UNDER IRS GUIDELINES. COMPENSATION REVIEW AND APPROVAL PROCESS IS IDENTICAL TO THE PROCESS FOR THE CEO. AN ANNUAL LETTER OF REASONABLENESS IS PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY WILLIS TOWERS WATSON AS CONSULTANT TO THE BOARD. IN THIS ANNUAL ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO SELECT EXECUTIVES, AN OPINION IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO THE INCLUDED EXECUTIVES FOR EACH FISCAL YEAR. A BI-ANNUAL LETTER OF REASONABLENESS FOR PHYSICIAN COMPENSATION IS ALSO PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE BY KORN FERRY HAY AS A CONSULTANT TO THE BOARD. THIS ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO PHYSICIANS IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO EACH PHYSICIAN.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS.
Form 990, Part VII, Section A additional information	FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Other - Total Revenue: 121269, Related or Exempt Function Revenue: 121269, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other revenue - Total Revenue: 281032, Related or Exempt Function Revenue: 281032, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	change in equity interest in the foundation - 3924547; change in pension obligation - -6900263;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Alamo Ambulance Service Inc
45 READE PLACE	POUGHKEEPSIE	NY	12601	141745417	Transportation	NY	501(c)(3)	Type III-FI	HQ	Yes (true)
Danbury Hospital & New Milford Hospital Foundation Inc
24 HOSPITAL AVENUE	DANBURY	CT	06810	237425557	Fundraising	CT	501(c)(3)	7	WCHN	Yes (true)
The Danbury Hospital
24 HOSPITAL AVENUE	DANBURY	CT	06810	060646597	Hospital	CT	501(c)(3)	3	WCHN	Yes (true)
Eastern New York Medical Services PC
3423 Danbury Road	Brewster	NY	10509	455431389	Physician Services	NY	501(c)(3)	10	WCHN	Yes (true)
Health Quest Home Care Inc (Certified)
2649 South Road Suite 220	Poughkeepsie	NY	12601	141788412	Home Health	NY	501(c)(3)	10	HQ	Yes (true)
Health Quest Home Care Inc (Licensed)
2649 South Road Suite 220	Poughkeepsie	NY	12601	141788410	Home Health	NY	501(c)(3)	10	HQ	Yes (true)
Nuvance Health Medical Practice PC
45 READE PLACE	POUGHKEEPSIE	NY	12601	562669185	Physician Services	NY	501(c)(3)	10	HQ	Yes (true)
Health Quest Systems Inc
45 READE PLACE	POUGHKEEPSIE	NY	12601	141678068	Support/Management	NY	501(c)(3)	10	NUVANCE	Yes (true)
Health Quest Urgent Medical Care Practice PC
45 READE PLACE	POUGHKEEPSIE	NY	12601	800152047	Physician Services	NY	501(c)(3)	10	HQ	Yes (true)
Hudson Valley Cardiovascular Practice PC
1 Columbia	Poughkeepsie	NY	12601	463756713	Physician Services	NY	501(c)(3)	10	HQ	Yes (true)
NDH Foundation
6531 SPRINGBROOK AVENUE	RHINEBECK	NY	12572	141776208	Fundraising	NY	501(c)(3)	7	HQ	Yes (true)
Northern Dutchess Hospital
6511 SPRINGBROOK AVENUE	RHINEBECK	NY	12572	141338467	Hospital	NY	501(c)(3)	3	HQ	Yes (true)
Northern Dutchess Residential Healthcare Facility Inc
6525 SPRINGBROOK AVENUE	RHINEBECK	NY	12572	223129608	Nursing Home	NY	501(c)(3)	10	HQ	Yes (true)
Norwalk Hospital Foundation Inc
34 MAPLE STREET	NORWALK	CT	06850	222577707	Fundraising	CT	501(c)(3)	7	WCHN	Yes (true)
Nuvance Health
45 READE PLACE	POUGHKEEPSIE	NY	12601	834214573	Support/Management	NY	501(c)(3)	Type III-FI	NA	false
Nuvance Health Medical Practice CT Inc
100 RESERVE ROAD	DANBURY	CT	06810	061137531	Physician Services	CT	501(c)(3)	10	WCHN	Yes (true)
Putnam Hospital
670 STONELEIGH AVENUE	CARMEL	NY	10512	146019179	Hospital	NY	501(c)(3)	3	HQ	Yes (true)
Putnam Hospital Center Foundation Inc
670 STONELEIGH AVENUE	CARMEL	NY	10512	061399319	Fundraising	NY	501(c)(3)	Type I	HQ	Yes (true)
The Norwalk Hospital Association
34 MAPLE STREET	NORWALK	CT	06850	066068853	Hospital	CT	501(c)(3)	3	WCHN	Yes (true)
Vassar Brothers Hospital Foundation
45 READE PLACE	POUGHKEEPSIE	NY	12601	141736429	Fundraising	NY	501(c)(3)	7	HQ	Yes (true)
Vassar Health Connecticut Inc
50 Hospital Hill Road	Sharon	CT	06069	815056290	Hospital	CT	501(c)(3)	3	HQ	Yes (true)
Wells Manor Housing Development Fund Corp
56 ASTOR DRIVE	RHINEBECK	NY	12572	112611902	Low Income	NY	501(c)(3)	PF	HQ	Yes (true)
Western Connecticut Home Care Inc
100 SAW MILL ROAD	DANBURY	CT	06810	060655138	Home Healthcare	CT	501(c)(3)	10	WCHN	Yes (true)
Western Connecticut Health Network Affiliates Inc
100 RESERVE ROAD	DANBURY	CT	06810	222594968	Outpatient Health Care Services	CT	501(c)(3)	10	WCHN	Yes (true)
Western Connecticut Health Network Inc
100 RESERVE ROAD	DANBURY	CT	06810	222594977	Support/Management	CT	501(c)(3)	Type II	NUVANCE	Yes (true)
Western Connecticut Health Network Investments LLC
100 Reserve Road	Danbury	CT	06810	475523212	Investments	CT	501(c)(3)	Type I	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line2USAddress/AddressLine2Txt
New Milford MRI LLC
100 Reserve Road	Danbury	CT	06810	271877801	INACTIVE	CT	NA	N/A	false	false
Norwalk Surgery Center LLC
40 CROSS STREET	NORWALK	CT	06851	272394942	SURGERY CENTER	CT	NA	N/A	false	false	STE 120

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
Nuvance Health Insurance Company Ltd
PO BOX 1159	GRAND CAYMAN	CJ	KY11102	980438151	MALPRACTICE	CJ	NUVANCE HEALTH	C Corporation	false
SWC Corporation
				222577718	PHARMACY		NA	C Corporation	false	24 STEVENS STREET	NORWALK	CT	06850	CT
Taconic IPA Inc
				223007320	MEDICAL CARE		NA	C Corporation	false	45 Reade Place	Poughkeepsie	NY	12601	NY
Vassar Health Quest Medical Practice of Connecticut Inc
				821466583	MEDICAL CARE		NA	C Corporation	false	100 RESERVE ROAD	DANBURY	CT	06810	CT

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (33 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Nuvance Health Medical Practice PC
J	$1,815,183	Cost Method
Northern Dutchess Hospital
L	$78,072	Cost Method
Hudson Valley Cardiovascular Practice
M	$9,264,875	Cost Method
Nuvance Health
M	$91,166,798	Cost Method
Nuvance Health Medical Practice CT Inc
M	$2,142,644	Cost Method
Nuvance Health Medical Practice PC
M	$21,779,016	Cost Method
Hudson Valley Cardiovascular Practice
P	$14,774,004	Cost Method
Northern Dutchess Residential Health Facility Inc
P	$973,285	Cost Method
Vassar Brothers Hospital Foundation
P	$3,371,318	Cost Method
Health Quest Home Care Inc (Certified)
Q	$60,977	Cost Method
Health Quest Home Care Inc (Licensed)
Q	$6,775	Cost Method
Northern Dutchess Hospital
Q	$489,370	Cost Method
Nuvance Health
Q	$165,348,015	Cost Method
Nuvance Health Medical Practice CT Inc
Q	$2,160,724	Cost Method
Nuvance Health Medical Practice PC
Q	$22,392,264	Cost Method
Putnam Hospital
Q	$1,956,648	Cost Method
Vassar Health Connecticut Inc (Sharon Hospital)
Q	$99,009	Cost Method
Northern Dutchess Hospital
R	$567,442	Cost Method
Nuvance Health Medical Practice PC
R	$884,997	Cost Method
Putnam Hospital Center
R	$236,108	Cost Method
Vassar Brothers Hospital Foundation
R	$233,393	Cost Method
Vassar Health Connecticut Inc (Sharon Hospital)
R	$99,009	Cost Method
Vassar Health Quest Medical Practice of Connecticut Inc
R	$203,431	Cost Method
Hudson Valley Cardiovascular Practice
S	$333,668	Cost Method
Nuvance Health
S	$364,318	Cost Method
Danbury Hospital
M	$1,433,183	Cost Method
Danbury Hospital
Q	$1,406,276	Cost Method
Health Quest Systems Inc
J	$173,693	Cost Method
Health Quest Systems Inc
M	$14,208,763	Cost Method
Health Quest Systems Inc
P	$3,815,138	Cost Method
Health Quest Systems Inc
R	$1,119,207	Cost Method
Vassar Brothers Hospital Foundation
C	$3,318,323	Cost Method
Western Connecticut Health Network Inc
Q	$19,111,123	Cost Method