2025-08-08T16:12:20+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2023-10-01 463756713 Hudson Valley Cardiovascular Practice PC HUDS 8454759500 1 COLUMBIA STREET Poughkeepsie NY 12601 DANIEL DEBARBA CFO & TREASURER 2025-08-08 true George Pagano P01978122 6172662000 2025-08-06 2023 2025-03-06 01:10:19Z CHRISTOPHER LEHRACH MD 1 COLUMBIA STREET Poughkeepsie NY 12601 64908453 false X WWW.NUVANCEHEALTH.ORG X 2013 NY IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. 1 0 237 0 0 0 431 55345122 64832515 87753 5406 559961 70101 55992836 64908453 0 0 54022688 59288837 0 0 6837620 7113277 60860308 66402114 -4867472 -1493661 57956633 83420996 67396926 94354950 -9440293 -10933954 IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. false false 65098232 64902616 HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC (HVCP) PROVIDE CARDIOVASCULAR CARE TO PATIENTS IN THE MID-HUDSON VALLEY AND NORTHWEST CONNECTICUT, WITH APPROXIMATELY 12 LOCATIONS. 89,552 PATIENTS DURING FISCAL YEAR 2024 307,755 VISITS DURING FISCAL YEAR 2024 $245,256 - CHARITY CARE DURING FISCAL YEAR 2024 HVCP SERVES INDIVIDUALS OF ALL INCOME LEVELS AND FOLLOWS THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY ITS PARENT ORGANIZATION, NUVANCE HEALTH, AND FOLLOWED BY VASSAR BROTHERS MEDICAL CENTER, NORTHERN DUTCHESS HOSPITAL, PUTNAM HOSPITAL AND SHARON HOSPITAL. 65098232 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 17 0 true 237 true false false false false false false false false false false X 1 0 false false false false true true false true true false false true true true true true true false true false NY X Karen Darcy 2037394539 100 Reserve Road Danbury CT 06810 CHRISTOPHER M LEHRACH MD HVCP PRES/CHIEF PHYSICIAN EXECUTIVE 12.0 38.0 X X 0 1374670 64150 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER 2.0 48.0 X 0 1474165 175627 KELLY STOCK VP HEART & VASCULAR INSTITUTE 20.0 20.0 X 0 390347 32888 MARK K WARSHOFSKY MD SVP & SYS. CHAIRMAN HEART & VASC. INST. 20.0 20.0 X 0 1097649 63729 ALI HAMMOUD MD PHYSICIAN CLINICAL 40.0 0 X 1163775 0 47249 ANTHONY J PATRELLO MD PHYSICIAN INTERVENTIONAL 40.0 0 X 1178565 0 64150 JOSEPH W CHRISTIANA MD PHYSICIAN- CLINICAL 40.0 0 X 1144832 0 50191 M ZUBAIR JAFAR MD PHYSICIAN INTERVENTIONAL 40.0 0 X 1166791 0 67506 RAJEEV L NARAYAN MD PHYSICIAN INTERVENTIONAL 40.0 0 X 1187667 0 66550 DANIEL J O'DEA MD FORMER PRESIDENT 40.0 0.0 X 512281 0 54644 DENISE GEORGE FORMER CORPORATE SECRETARY 0.0 46.0 X 0 752535 39779 6353911 5089366 726463 56 true true false 0 431 431 NET PATIENT SERVICE REVENUE 621110 35360731 35360731 AFFILIATE SUBSIDY REVENUE 900099 27518196 27518196 HOSPITAL SERVICE REVENUE 541900 1784881 1784881 RESEARCH REVENUE 900099 127212 127212 PHYSICIAN STIPEND 621110 41495 41495 0 0 0 0 64832515 5406 5406 0 0 0 0 CARDIAC SERVICES TO SNF'S 900099 29000 29000 PAYOR INCENTIVES 900099 10097 10097 QUALITY INCENTIVES 900099 6554 6554 24450 24450 0 0 70101 64908453 64902616 0 5406 152358 150033 2325 52220635 51423595 797040 1372463 1351515 20948 3769996 3712455 57541 1773385 1746318 27067 3946 3946 65158 65158 103448 103448 63200 63200 1992058 1961653 30405 0 122754 120880 1874 302788 298167 4621 1220418 1201791 18627 220048 216689 3359 66816 65796 1020 13156 12955 201 989790 974683 15107 622713 550771 71942 EQUIPMENT RENTAL 922959 908872 14087 MEDICAL SUPPLIES 275315 275315 LICENSES AND DUES 128710 126744 1966 0 0 0 0 66402114 65098232 1303882 0 4214515 430386 0 0 1287669 2255408 0 0 0 0 0 0 162207 249469 6252573 4307587 2003671 1944986 0 0 0 2673597 2339397 47614974 76201350 57956633 83420996 7199496 9034267 0 0 0 0 0 0 0 0 60197430 85320683 67396926 94354950 X -9440293 -10933954 0 0 0 0 -9440293 -10933954 57956633 83420996 -1493661 0 X false true X true false X 431 431 42933593 53835647 54028893 55345122 64705303 270848558 0 0 0 42933593 53835647 54028893 55345122 64705734 270848989 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270848989 510 1015 1948 87753 5406 96632 0 510 1015 1948 87753 5406 96632 0 769598 172288 1046852 559961 197313 2746012 43703701 54008950 55077693 55992836 64908453 273691633 0.9896 0.9873 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MEDICAL RECORD, COLUMN A - 1045.0, COLUMN B - , COLUMN C - , COLUMN D - 178.0, COLUMN E - , COLUMN F - 1223.0; DESCRIPTION - MOUNTAINSIDE EKG, COLUMN A - , COLUMN B - 4396.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 4396.0; DESCRIPTION - QUALITY INCENTIVE, COLUMN A - 656251.0, COLUMN B - 14339.0, COLUMN C - 90714.0, COLUMN D - 61126.0, COLUMN E - , COLUMN F - 822430.0; DESCRIPTION - RESEARCH REVENUE, COLUMN A - 111352.0, COLUMN B - 151730.0, COLUMN C - 111589.0, COLUMN D - 77974.0, COLUMN E - 127212.0, COLUMN F - 579857.0; DESCRIPTION - OTHER REVENUE, COLUMN A - 950.0, COLUMN B - 1823.0, COLUMN C - 15400.0, COLUMN D - 33667.0, COLUMN E - 31004.0, COLUMN F - 82844.0; DESCRIPTION - EMPLOYEE RETENTION CREDIT, COLUMN A - , COLUMN B - , COLUMN C - 829149.0, COLUMN D - 385829.0, COLUMN E - , COLUMN F - 1214978.0; DESCRIPTION - PURCHASE DISCOUNT, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 1187.0, COLUMN E - , COLUMN F - 1187.0; DESCRIPTION - CARDIAC SERVICES TO SNF'S, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 29000.0, COLUMN F - 29000.0; DESCRIPTION - PAYOR INCENTIVES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 10097.0, COLUMN F - 10097.0; 1608031 643321 964710 4610577 3664266 946311 33965 33965 1944986 DUE FROM RELATED PARTIES 70062595 457B RECEIVABLE 4159496 RIGHT OF USE ASSET 1488190 OTHER RECEIVABLES 491069 76201350 DUE TO RELATED PARTIES 79979387 457 PLAN LIABILITY 4159496 LEASE LIABILITY 1181800 THIRD PARTY LIABILITY 85320683 X 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. X true false true false false false false false true false CHRISTOPHER M LEHRACH MD HVCP PRES/CHIEF PHYSICIAN EXECUTIVE 0 685447 0 443364 0 245859 0 19800 0 44350 0 1438820 0 98160 DENISE GEORGE FORMER CORPORATE SECRETARY 0 482153 0 160000 0 110382 0 19800 0 19979 0 792314 0 0 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER 0 810684 0 623143 0 40338 0 146400 0 29227 0 1649792 0 0 DANIEL J O'DEA MD FORMER PRESIDENT 469326 0 0 0 42955 0 19800 0 34844 0 566925 0 0 0 KELLY STOCK VP HEART & VASCULAR INSTITUTE 0 305398 0 75000 0 9949 0 19800 0 13088 0 423235 0 0 MARK K WARSHOFSKY MD SVP & SYS. CHAIRMAN HEART & VASC. INST. 0 834385 0 250000 0 13264 0 19800 0 43929 0 1161378 0 0 JOSEPH W CHRISTIANA MD PHYSICIAN- CLINICAL 1079813 0 33750 0 31269 0 19800 0 30391 0 1195023 0 0 0 ALI HAMMOUD MD PHYSICIAN CLINICAL 1107482 0 33750 0 22543 0 19800 0 27449 0 1211024 0 0 0 M ZUBAIR JAFAR MD PHYSICIAN INTERVENTIONAL 1113925 0 45000 0 7866 0 19800 0 47706 0 1234297 0 0 0 RAJEEV L NARAYAN MD PHYSICIAN INTERVENTIONAL 1118727 0 45000 0 23940 0 19800 0 46750 0 1254217 0 0 0 ANTHONY J PATRELLO MD PHYSICIAN INTERVENTIONAL 1132305 0 45000 0 1260 0 19800 0 44350 0 1242715 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE RECOGNITION PROGRAM AWARD: 1 HIGHEST-COMPENSATED EMPLOYEES Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC 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 TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANAGEMENT AND 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 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: CHRISTOPHER LEHRACH, MD $205,695 DENISE GEORGE $ 61,080 Schedule J, Part I, Line 7 Non-fixed payments HV CARDIO PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN A PRODUCTION INCENTIVE PLAN. HV CARDIO SETS WRVU PRODUCTION TARGETS ANNUALLY FOR ALL PHYSICIANS IN THE INCENTIVE PLAN. WHEN ANNUAL PRODUCTION EXCEEDS WRVU TARGETS ESTABLISHED, THEY ARE ELIGIBLE TO ACCRUE INCENTIVE COMPENSATION AT A FIXED RATE PER WRVU FOR EACH WRVU IN EXCESS OF THEIR TARGET. INCENTIVE COMPENSATION IS PAID QUARTERLY ONCE APPROVALS ARE OBTAINED FROM THE PHYSICIAN'S MEDICAL DIRECTOR AND CHAIRMAN. Form 990, Part VI, Line 14 RECORD RETENTION POLICY THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED BY THE AUDIT COMMITTEE, NOT THE FULL BOARD. Form 990, Part VI, Line 1a INDEPENDENT TRUSTEES THERE ARE NO INDEPENDENT TRUSTEES. HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC ("HVCP") IS A SINGLE SHAREHOLDER CORPORATION. HVCP IS PART OF AN INTEGRATED DELIVERY SYSTEM THAT DOES HAVE A MORE THAN MAJORITY INDEPENDENT BOARD. FURTHER, THIS GOVERNANCE STRUCTURE HAS NOT CHANGED RELATIVE TO INDEPENDENCE SINCE IT WAS RECOGNIZED AS EXEMPT BY THE IRS AFTER IT WAS ORGANIZED. Form 990, Part VI, Line 15 Process for Determining Compensation 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 6 Classes of members or stockholders HVCP IS A SOLE SHAREHOLDER STOCK CORPORATION WITH STOCK ISSUED TO THE PRESIDENT CHRISTOPHER M. LEHRACH, MD. HVCP IS AN AFFILIATE OF 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 CHRISTOPHER M. LEHRACH, MD IS THE SOLE SHAREHOLDER AND BOARD MEMBER OF THE ORGANIZATION AND SERVES AS THE NOMINEE OF HEALTH QUEST SYSTEMS ("HQS"). HQS (THE PARENT), THROUGH THIS RELATIONSHIP, RETAINS ULTIMATE AUTHORITY TO APPROVE/MAKE LARGE GOVERNANCE DECISIONS SUCH AS TERMINATION, MERGER OR LARGE CAPITAL EXPENDITURES. 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 PARKET 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 MARKED 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 BORADER 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 FOR THE AFFILIATE 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. Form 990, Part VII, Section A ADDITIONAL INFORMATION FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 24450, Related or Exempt Function Revenue: 24450, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Alamo Ambulance Service INC 45 READE PLACE POUGHKEEPSIE NY 12601 141745417 Transportation NY 501(c)(3) Type III-FI HQ true Danbury Hospital & New Milford Hospital Foundation Inc 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 Fundraising CT 501(c)(3) 7 WCHN true The Danbury Hospital 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 Hospital CT 501(c)(3) 3 WCHN true Eastern New York Medical Services PC 3423 DANBURY ROAD BREWSTER NY 10509 455431389 Physician Services NY 501(c)(3) 10 WCHN true Health Quest Home Care Inc (Certified) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788412 Home Health NY 501(c)(3) 10 HQ true Health Quest Home Care Inc (Licensed) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788410 Home Health NY 501(c)(3) 10 HQ true Nuvance Health Medical Practice PC 45 READE PLACE POUGHKEEPSIE NY 12601 562669185 Physician Services NY 501(c)(3) 10 HQ true Health Quest Systems Inc 45 READE PLACE POUGHKEEPSIE NY 12601 141678068 Support/Management NY 501(c)(3) 10 NUVANCE true Health Quest Urgent Medical Care Practice PC 45 READE PLACE POUGHKEEPSIE NY 12601 800152047 Physician Services NY 501(c)(3) 10 HQ true NDH Foundation 6531 SPRINGBROOK AVENUE RHINEBECK NY 12572 141776208 Fundraising NY 501(c)(3) 7 HQ true Northern Dutchess Hospital 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 141338467 Hospital NY 501(c)(3) 3 HQ true Northern Dutchess Residential Healthcare Facility Inc 6525 SPRINGBROOK AVENUE RHINEBECK NY 12572 223129608 Nursing Home NY 501(c)(3) 10 HQ true Norwalk Hospital Foundation Inc 34 MAPLE STREET NORWALK CT 06850 222577707 Fundraising CT 501(c)(3) 7 WCHN true Nuvance Health 45 READE PLACE POUGHKEEPSIE NY 12601 834214573 Support/Management NY 501(c)(3) Type III-FI NA false Nuvance Health Medical Practice CT Inc 100 RESERVE ROAD DANBURY CT 06810 061137531 Physician Services CT 501(c)(3) 10 WCHN true Putnam Hospital 670 STONELEIGH AVENUE CARMEL NY 10512 146019179 Hospital NY 501(c)(3) 3 HQ true Putnam Hospital Center Foundation Inc 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 Fundraising NY 501(c)(3) Type I HQ true The Norwalk Hospital Association 34 MAPLE STREET NORWALK CT 06850 066068853 Hospital CT 501(c)(3) 3 WCHN true Vassar Brothers Hospital Foundation 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 Fundraising NY 501(c)(3) 7 HQ true Vassar Brothers Medical Center 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 Hospital NY 501(c)(3) 3 HQ true Vassar Health Connecticut Inc 50 HOSPITAL HILL ROAD SHARON CT 06069 815056290 Hospital CT 501(c)(3) 3 HQ true Wells Manor Housing Development Fund Corp 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 Low Income NY 501(c)(3) PF HQ true Western Connecticut Home Care Inc 100 SAW MILL ROAD DANBURY CT 06810 060655138 Home Healthcare CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Affiliates Inc 100 RESERVE ROAD DANBURY CT 06810 222594968 Outpatient Health Care Services CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Inc 100 RESERVE ROAD DANBURY CT 06810 222594977 Support/Management CT 501(c)(3) Type II WCHN true Western Connecticut Health Network Investments LLC 100 Reserve Road Danbury CT 06810 475523212 Investments CT 501(c)(3) Type I NA false NEW MILFORD MRI LLC 100 RESERVE ROAD DANBURY CT 06810 271877801 INACTIVE CT NA N/A false false NORWALK SURGERY CENTER LLC 40 CROSS STREET SUITE 120 NORWALK CT 06851 272394942 SURGERY CENTER CT NA N/A false false SWC COPORATION 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT NA C Corporation false TACONIC IPA INC 45 READE PLACE POUGHKEEPSIE NY 12601 223007320 MEDICAL CARE NY NA C Corporation false VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC 100 RESERVE ROAD DANBURY CT 06810 821466583 MEDICAL CARE CT NA C Corporation false NUVANCE HEALTH INSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY11102 980438151 MALPRACTICE CJ NUVANCE HEALTH C Corporation false false false false false false false false false false false false true true false false true true true true Nuvance Health M 5519251 Cost Method Nuvance Health Q 424524 Cost Method Vassar Brothers Hospital Foundation S 202000 Cost Method The Danbury Hospital P 165355 Cost Method Health Quest Systems Inc M 1221333 Cost Method Health Quest Systems Inc P 1242200 Cost Method Northern Dutchess Hospital L 1658425 Cost Method Northern Dutchess Hospital Q 2242634 Cost Method Nuvance Health Medical Practice PC L 60363 Cost Method Nuvance Health Medical Practice PC P 197507 Cost Method Nuvance Health Medical Practice CT Inc L 90974 Cost Method Putnam Hospital L 66975 Cost Method Putnam Hospital Q 91845 Cost Method Vassar Brothers Medical Center L 9264875 Cost Method Vassar Brothers Medical Center Q 14774004 Cost Method Vassar Brothers Medical Center R 333668 Cost Method Vassar Health Connecticut Inc (Sharon Hospital) L 451290 Cost Method Vassar Health Connecticut Inc (Sharon Hospital) Q 640325 Cost Method Western Connecticut Health Network Inc P 17740499 Cost Method