DANBURY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: DANBURY HOSPITAL (EIN 06-0646597)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-13
IRS object ID: 202012269349302321
Schema version: 2018v3.3
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-13T14:27:22-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646597	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Danbury Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KAREN DARCY	InCareOfNm
Business Name Control	DANB	BusinessNameControlTxt
Phone	2037397000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	24 Hospital Avenue	AddressLine1Txt
City	Danbury	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	068106099	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVEN H ROSENBERG	PersonNm
Person Title	CFO & TREASURER	PersonTitleTxt
Phone	2037397000	PhoneNum
Signature	2020-08-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MIKE A CINCOTTA	PreparerPersonNm
PTIN	P01595811	PTIN
Phone	6172662000	PhoneNum
Preparation	2020-08-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	73.114.131.200	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	02007720202265000002	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	60AC1D3C41FDCBE2E4710A4EF5F9E26B834BB08D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	120CEB144A09B0F247B212AAF84468814E75FA3B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SHARON ADAMS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	24 Hospital Avenue	AddressLine1Txt
City	Danbury	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	068106099	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$742,443,074	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.danburyhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1885	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK ... SEE SCH O FOR MORE DETAIL.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3263	TotalEmployeeCnt
Total Volunteers	395	TotalVolunteersCnt
Total Gross UBI	$8,386,378	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,555,257	PYContributionsGrantsAmt
CY Contributions Grants	$11,094,578	CYContributionsGrantsAmt
PY Program Service Revenue	$684,865,168	PYProgramServiceRevenueAmt
CY Program Service Revenue	$722,977,231	CYProgramServiceRevenueAmt
PY Investment Income	$9,053,084	PYInvestmentIncomeAmt
CY Investment Income	$4,087,502	CYInvestmentIncomeAmt
PY Other Revenue	$4,534,750	PYOtherRevenueAmt
CY Other Revenue	$3,714,739	CYOtherRevenueAmt
PY Total Revenue	$707,008,259	PYTotalRevenueAmt
CY Total Revenue	$741,874,050	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$282,879,488	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$277,072,188	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$416,482,849	PYOtherExpensesAmt
CY Other Expenses	$439,933,893	CYOtherExpensesAmt
PY Total Expenses	$699,362,337	PYTotalExpensesAmt
CY Total Expenses	$717,006,081	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,645,922	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$24,867,969	CYRevenuesLessExpensesAmt
Total Assets BOY	$771,984,782	TotalAssetsBOYAmt
Total Assets EOY	$844,564,145	TotalAssetsEOYAmt
Total Liabilities BOY	$401,836,442	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$453,962,061	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$370,148,340	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$390,602,084	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$222,644,626	ExpenseAmt
Revenue	$207,730,441	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$150,991,538	ExpenseAmt
Revenue	$165,246,784	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$78,156,294	ExpenseAmt
Revenue	$82,718,239	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$184,301,170	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$267,737,887	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$636,093,628	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	false	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	false	TaxExemptBondsInd
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	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	513	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3263	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	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	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KAREN DARCY	PersonNm
Phone	2037394593	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14 RESEARCH DRIVE SUITE 201A	AddressLine1Txt
City	BETHEL	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06801	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
JOHN M MURPHY MD
EX-OFFICIO	22.0	27.0	Yes (X)	Yes (X)	$0	$1,939,062	$3,868,616
JAMES BRUNOMD TO 1001
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CARRIE L AMOS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARY ALICE DONIUS
SECRETARY	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CORNELLIUS FERREIRA MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$450,543	$44,683
PHIL FIORE JR TO 1231
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
BRUCE D HAIMS
VICE CHAIRMAN	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DOMINICK COLABELLA FROM 101
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
GREG ONEGLIA
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARY GARRETT FROM 0101
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
EMMANUEL PALMARES TO 1231
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JAMES MOSCOWITZ FROM 0101
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ANTHONY M RIZZOJR TO 1231
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ANTHEA DISNEY
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
SPENCER HOULDIN
CHAIRMAN	3.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ANNE ROBY
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
DAHLIA PLUMMER MD FROM 101
DIRECTOR	1.0	50.0	Yes (X)		$0	$519,331	$34,711
STEVEN H ROSENBERG
TREASURER	22.0	34.0		Yes (X)	$0	$3,382,107	$51,496
SHARON ADAMS
PRESIDENT	40.0	8.0		Yes (X)	$0	$655,717	$20,159
CAROLYN MCKENNA
SVP & GEN COUNSEL	16.0	19.0			$0	$542,384	$21,259	Yes (X)
CATHERINE FRIERSON
CHIEF HUMAN RESOURCE OFFICER	20.0	13.0			$0	$480,203	$18,937	Yes (X)
THOMAS KOOBATIAN MD
EXEC DIR/CHIEF OF STAFF	50.0	4.0			$0	$452,519	$50,065	Yes (X)
GRACE LINHARD
CHIEF DEVELOPMENT OFFICER	3.0	44.0			$0	$412,619	$19,545	Yes (X)
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	11.0	14.0			$0	$275,433	$2,222	Yes (X)
RICHARD FREEMAN MD
CHIEF CLINICAL OFF.	40.0	3.0			$0	$717,766	$34,612	Yes (X)
MAJID SADIGH
DIR GLOBAL HEALTH	40.0	0.0			$299,173	$0	$33,279		Yes (X)
ZACHARY M BARBOUR
ICU NURSE	40.0	0.0			$294,265	$0	$14,922		Yes (X)
MAUREEN J BURNETT
DIR WCHN NURSING	40.0	0.0			$286,464	$0	$24,472		Yes (X)
WILLIAM P MALDARELLI
PERFUSION DIRECTOR	40.0	0.0			$274,513	$0	$34,577		Yes (X)
WILLIAM DELANEY MD
CHC EXEC MED DIR	40.0	0.0			$269,502	$0	$58,248		Yes (X)
DONNA KAPLANIS
ASST. SECRETARY (FORMER)	40.0	10.0			$0	$334,925	$29,865			Yes (X)
KATHLEEN DEMATTEO
CHIEF INFOR OFF. (FORMER)	40.0	0.0			$0	$204,628	$24,746			Yes (X)
DEBRA CARRAGHER
VP OF OPERATIONS (FORMER)	40.0	0.0			$0	$195,815	$16,393			Yes (X)
ROWENA B BERGMANS
VP STRATEGIC CONTRACTING	40.0	0.0			$0	$322,745	$33,441			Yes (X)
MICHAEL DAGLIO
PRESIDENT NHA (FORMER)	3.0	43.0			$0	$465,760	$45,032			Yes (X)
RUTH GREGORY
DIRECTOR OF MATERIALS MGMT	40.0	0.0			$177,710	$0	$28,274			Yes (X)
MORRIS GROSS
VP-FACILITIES (FORMER)	40.0	4.0			$0	$260,767	$48,214			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,601,627	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,612,324	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,557,768	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	515	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
DELOITTE CONSULTING LLP
PO BOX 7247-6447	PHILADELPHIA	PA	19170	CONSULTANTS	$12,079,328
BERKLEY RESEARCH GROUP
2200 POWELL STREET SUITE 1200	EMERVILLE	CA	94608	CONSULTANTS	$4,198,442
MEDPARTNERS HIM LLC
PO BOX 740490	ATLANTA	CT	303740490	TEMP AGENCY	$2,114,219
E4 SERVICES LLC
411 GREEN VALLEY RD	SINKING SPRING	PA	19608	TEMP AGENCY	$1,766,887
ERNST YOUNG
PO BOX 640382	PITTSBURGH	PA	152640382	AUDITORS	$1,381,076

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,052,307	RelatedOrganizationsAmt
Government Grants	$3,042,271	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$11,094,578	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REV.	621990	$704,570,373	$704,570,373
LAB SERVICES REVENUE	621500	$6,034,251		$6,034,251
RENTAL INC.-AFFIL. EXEMPT	532000	$7,657,010	$7,657,010
EDUCATION	900099	$3,072,757	$3,072,757
CLINICAL TRIAL INCOME	900099	$600,072	$600,072

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,042,768	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,042,768	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$722,977,231	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,566,515	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,226,402	UnrelatedBusinessRevenueAmt
Exclusion	$2,340,113	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$475,663	TotalRevenueColumnAmt
Exclusion	$475,663	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,230,014	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$174,189	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,055,825	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,055,825	TotalRevenueColumnAmt
Related Or Exempt Func Income	$456,120	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$599,705	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,012	SecuritiesAmt
Other	$105,140	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$65,828	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,012	SecuritiesAmt
Other	$39,312	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,324	TotalRevenueColumnAmt
Exclusion	$45,324	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$394,068	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$329,007	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,061	TotalRevenueColumnAmt
Exclusion	$65,061	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ADMINISTRATIVE SERVICES	561000	$1,806,829	$1,806,829
O/S BILLING/COLL. REVENUE	561000	$526,020		$526,020
NUTRITION AND DIETARY	561000	$261,004	$261,004

Field	Value	IRS element (for citing)
Other Revenue Total	$2,593,853	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$741,874,050	TotalRevenueColumnAmt
Related Or Exempt Func Income	$717,399,100	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,386,378	UnrelatedBusinessRevenueAmt
Exclusion	$4,993,994	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,950,170	TotalAmt
Program Services	$3,350,534	ProgramServicesAmt
Management And General	$599,636	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$221,607,205	TotalAmt
Program Services	$187,967,231	ProgramServicesAmt
Management And General	$33,639,974	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,226,832	TotalAmt
Program Services	$5,281,599	ProgramServicesAmt
Management And General	$945,233	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,752,184	TotalAmt
Program Services	$26,084,002	ProgramServicesAmt
Management And General	$4,668,182	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,535,797	TotalAmt
Program Services	$12,329,263	ProgramServicesAmt
Management And General	$2,206,534	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$274,687	TotalAmt
Management And General	$274,687	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,106,072	TotalAmt
Management And General	$1,106,072	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$203,856	TotalAmt
Program Services	$172,911	ProgramServicesAmt
Management And General	$30,945	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$65,562	TotalAmt
Management And General	$65,562	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$141,543,266	TotalAmt
Program Services	$120,056,998	ProgramServicesAmt
Management And General	$21,486,268	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,509,859	TotalAmt
Program Services	$1,280,662	ProgramServicesAmt
Management And General	$229,197	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,604,583	TotalAmt
Program Services	$6,450,207	ProgramServicesAmt
Management And General	$1,154,376	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,262,904	TotalAmt
Program Services	$8,704,995	ProgramServicesAmt
Management And General	$1,557,909	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,065,111	TotalAmt
Program Services	$12,778,227	ProgramServicesAmt
Management And General	$2,286,884	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$748,471	TotalAmt
Program Services	$634,853	ProgramServicesAmt
Management And General	$113,618	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$121,794	TotalAmt
Program Services	$103,306	ProgramServicesAmt
Management And General	$18,488	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,793,335	TotalAmt
Program Services	$8,793,335	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$50,270,370	TotalAmt
Program Services	$42,639,328	ProgramServicesAmt
Management And General	$7,631,042	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,044,161	TotalAmt
Program Services	$4,453,619	ProgramServicesAmt
Management And General	$590,542	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$115,078,256	$115,078,256
STATE OF CT HOSPITAL TAX	$58,234,772	$58,234,772
EQUIPMENT RENT AND MAINT.	$13,004,520	$11,030,434	$1,974,086
LOSS ON EXTINGUISH. OF LT DEBT	$8,807,200	$8,807,200

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,195,114	TotalAmt
Program Services	$1,861,896	ProgramServicesAmt
Management And General	$333,218	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$717,006,081	TotalAmt
Program Services	$636,093,628	ProgramServicesAmt
Management And General	$80,912,453	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$41,783,385	BOYAmt
EOY	$46,282,372	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,862,876	BOYAmt
EOY	$68,410	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$83,829,093	BOYAmt
EOY	$78,208,369	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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	$15,649,522	BOYAmt
EOY	$14,359,787	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,826,568	BOYAmt
EOY	$7,666,915	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$983,722,285	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$578,147,314	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$414,810,437	BOYAmt
EOY	$405,574,971	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$15,190,089	BOYAmt
EOY	$15,326,013	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$39,591,892	BOYAmt
EOY	$59,544,477	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$141,440,920	BOYAmt
EOY	$217,532,831	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$771,984,782	BOYAmt
EOY	$844,564,145	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$89,582,692	BOYAmt
EOY	$68,281,804	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$40,380,922	BOYAmt
EOY	$35,101,419	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$240,695,000	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,177,828	BOYAmt
EOY	$350,578,838	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$401,836,442	BOYAmt
EOY	$453,962,061	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$293,935,850	BOYAmt
EOY	$308,066,174	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,516,984	BOYAmt
EOY	$39,682,147	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,695,506	BOYAmt
EOY	$42,853,763	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$370,148,340	BOYAmt
EOY	$390,602,084	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$771,984,782	BOYAmt
EOY	$844,564,145	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$24,867,969	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,051,559	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,465,784	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$11	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$103,660	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$98,928	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,257	OtherActivitiesAmt
Total Lobbying Expenditures	$203,856	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B - DESCRIPTION OF LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	DUES WERE PAID TO CHA IN THE AMOUNT OF $620,864 OF WHICH 13.68% OF THIS AMOUNT OR $84,935 WERE EXPENDED ON LOBBYING. AHA DUES OF $82,381 HAD 22.73% OR $18,725 EXPENDED ON LOBBYING ACTIVITIES. BOTH AMOUNTS ARE REFLECTED ON 1F. FEDERAL, STATE AND LOCAL OFFICIALS WERE LOBBIED DURING 2019. AS PART OF THIS MISCELLANEOUS OFFICE EXPENSE SUCH AS PHONE, COMPUTER SUPPLIES, FREIGHT, REFRESHMENT, ETC. WERE INCURRED AND WERE REFLECTED ON LINE 1I ACCORDINGLY. FISCAL YEAR 2019 REMAINED A CHALLENGING YEAR AT THE CONNECTICUT CAPITOL WITH TREMENDOUS SHORTFALLS AND BUDGET CUTS FOR PHYSICIAN REIMBURSEMENT, MENTAL HEALTH AND COMMUNITY BASED SERVICES AND THE ONGOING THREAT OF A DEVASTATING HOSPITAL TAX. AS A RESULT, FEDERAL STATE AND LOCAL ELECTED OFFICIALS WERE LOBBIED TO FIND CREATIVE SOLUTIONS AND WAYS TO DEFLECT DRASTIC CUTS AND ULTIMATELY MAINTAIN THE CURRENT LEVEL OF ACCESS FOR NEEDED SERVICES. FUNDING FOR MENTAL HEALTH AND SUBSTANCE USE PROGRAMMING WAS OF PARTICULAR IMPORTANCE. AS PART OF THIS EFFORT, STAFF AND OFFICE EXPENSES WERE HIGHER THAN IN PAST YEARS BUT ESSENTIAL TO MAINTAIN ACCESS TO NEEDED SERVICES. THE AMOUNTS SPENT ON LOBBYING WERE NOT A SIGNIFICANT PORTION OF THE HOSPITAL'S REVENUES AND MOSTLY RELATED TO THE HOSPITAL'S EXEMPT PURPOSE.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,216,458	OtherCostOrOtherBasisAmt
Book Value	$5,216,458	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$568,605,507	OtherCostOrOtherBasisAmt
Depreciation	$316,479,326	DepreciationAmt
Book Value	$252,126,181	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,638,429	OtherCostOrOtherBasisAmt
Depreciation	$6,240,357	DepreciationAmt
Book Value	$4,398,072	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$391,644,094	OtherCostOrOtherBasisAmt
Depreciation	$255,427,631	DepreciationAmt
Book Value	$136,216,463	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,617,797	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$7,617,797	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$405,574,971	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	WCHN INVESTMENTS, LLC	Desc
Book Value	$59,544,477	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$59,544,477	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (16 entries)

DescDesc	Book ValueBookValueAmt
457B ASSET	$282,756
BOND ESCROW FUND	$14
BOND ISSUANCE COST	$909,392
BULK ACCOUNTS NET OF RESERVE	$232,128
CSV ON OFFICER'S LIFE POLICY	$1,520,509
DANBURY SURGICAL CENTER	$1,862,602
DUE FROM RELATED PARTIES	$4,670,812
INTEREST IN DH/NMH FOUNDATION	$115,298,136
INVESTMENT IN SONIC LAB	$3,684,047
MALPRACTICE RECEIVABLE	$1,345,000
MORRISON DEPOSIT	$96,418
OTHER RECEIVABLES	$6,956,059
CONSTRUCTION FUND	$27,418,497
E.I.CLAIMS RECOVERY RECEIVABLE	$43,167,000
UNDEWRITERS DICOUNTS	$997,542
W. CT ORTH. SURG. CENTER	$9,091,919

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$217,532,831	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
457B LIABILITY	$282,756
ASSET RETIREMENT OBLIGATION	$184,674
DUE TO 3RD PARTIES	$20,451,052
ESTIMATED INS. CLAIMS LIABILITES	$43,167,000
INTERCO. WITH NUVANCE-BONDS	$275,725,223
MALPRACTICE TRUST FUND RESERVE	$10,752,573
SECURITY DEPOSITS	$15,560

Field	Value	IRS element (for citing)
Total Liability	$350,578,838	TotalLiabilityAmt

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	Yes (true)	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,236,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,307,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,928,791	NetCommunityBenefitExpnsAmt
Total Expense	0.02220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,680,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,157,764	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,522,304	NetCommunityBenefitExpnsAmt
Total Expense	0.06490	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$152,916,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,465,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,451,095	NetCommunityBenefitExpnsAmt
Total Expense	0.08710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	367011	PersonsServedCnt
Total Community Benefit Expns	$108,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,434	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,993	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	54	PersonsServedCnt
Total Community Benefit Expns	$20,662,556	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,708,933	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,953,623	NetCommunityBenefitExpnsAmt
Total Expense	0.01810	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	547	PersonsServedCnt
Total Community Benefit Expns	$8,341,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,674,180	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,667,727	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	144	PersonsServedCnt
Total Community Benefit Expns	$4,722,763	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,640,704	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	367756	PersonsServedCnt
Total Community Benefit Expns	$33,835,653	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,483,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,352,047	NetCommunityBenefitExpnsAmt
Total Expense	0.02840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	367756	PersonsServedCnt
Total Community Benefit Expns	$186,751,830	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,948,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,803,142	NetCommunityBenefitExpnsAmt
Total Expense	0.11550	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	55	PersonsServedCnt
Total Community Benefit Expns	$1,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,724	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	275	PersonsServedCnt
Total Community Benefit Expns	$1,057	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,057	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	715	PersonsServedCnt
Total Community Benefit Expns	$69,471	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	6	PersonsServedCnt
Total Community Benefit Expns	$58,317	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	1051	PersonsServedCnt
Total Community Benefit Expns	$130,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,569	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,357,543	BadDebtExpenseAmt
Bad Debt Expense Attributable	$670,095	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$252,440,560	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$302,923,185	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$50,482,625	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
DANBURY HOSPITAL
1	24 HOSPITAL AVENUE	DANBURY	CT	06810	www.danburyhospital.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
NEW MILFORD HOSPITAL CAMPUS
2	21 ELM STREET	NEW MILFORD	CT	06776	www.newmilfordhospital.org	Yes (X)	Yes (X)			Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
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	19	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	SEE PART VI FOR URL	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART VI FOR URL	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART VI FOR URL	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART VI FOR URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI FOR URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART VI FOR URL	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 5 - Account input from person who represent the community

FACILITY: A THE CHNA, INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED THROUGHOUT FYE2019, THROUGH VARIOUS STEERING COMMITTEES AND WAS APPROVED BY THE DANBURY HOSPITAL BOARD OF TRUSTEES ON NOVEMBER 14, 2019. THE CHIP WAS SUBSEQUENTLY APPROVED ON MARCH 3, 2020 (BI-MONTHLY BOARD MEETING CALENDAR). DELAYS IN BOARD APPROVAL WAS THE RESULT OF NEW BOARD STRUCTURES AND CHANGED MEETING DATES DUE TO OUR AFFILIATION WITH HEALTH QUEST SYSTEMS. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES LOCAL LEVEL HEALTH RELATED DATA ABOUT DANBURY AND NEW MILFORD, AND THE SURROUNDING TOWNS OF BETHEL, BRIDGEWATER, BROOKFIELD, NEW FAIRFIELD, NEWTOWN, REDDING, RIDGEFIELD, ROXBURY, SHERMAN, SOUTHBURY, WASHINGTON AND WOODBURY. IT COMPLEMENTS THE 2019 FAIRFIELD COUNTY COMMUNITY WELLBEING INDEX, A COMPREHENSIVE REPORT ABOUT FAIRFIELD COUNTY AND THE TOWNS WITHIN IT. THE COMMUNITY WELLBEING INDEX WAS PRODUCED BY DATAHAVEN IN PARTNERSHIP WITH FAIRFIELD COUNTYS COMMUNITY FOUNDATION AND MANY OTHER REGIONAL PARTNERS, INCLUDING DANBURY HOSPITAL, NOW PART OF NUVANCE HEALTH, AND LOCAL PARTNERS SERVING THE GREATER DANBURY REGION. TOPICS COVERED IN THE INDEX INCLUDE: OVERALL COMMUNITY WELL-BEING, DEMOGRAPHIC CHANGES, HOUSING, TRANSPORTATION, EARLY CHILDHOOD EDUCATION, K-12 EDUCATION, ECONOMIC OPPORTUNITY, LEADING PUBLIC HEALTH INDICATORS (SUCH AS PREMATURE MORTALITY, CHRONIC DISEASE PREVALENCE, HEALTH BEHAVIORS, HEALTH CARE ACCESS, AND THE SOCIAL DETERMINANTS OF HEALTH) AND CIVIC LIFE. DANBURY HOSPITAL, AND ITS COMMUNITY HEALTH COMMITTEE, AND GREATER DANBURY COMMUNITY PARTNERS PARTICIPATED IN THIS EFFORT TO ASSESS THE HEALTH AND SOCIAL NEEDS OF THE GREATER DANBURY COMMUNITY. COMMUNITY PARTNERS INCLUDE: - COMMUNITY ACTION AGENCY OF WESTERN CONNECTICUT - CONNECTICUT COUNSELING CENTERS - CONNECTICUT COMMUNITY CARE - CONNECTICUT INSTITUTE FOR COMMUNITIES - DANBURY YOUTH SERVICES - JERICHO PARTNERS - REACH, NEWTOWN - REGIONAL YMCA OF WESTERN CONNECTICUT - UNITED WAY OF WESTERN CONNECTICUT - WESTERN CONNECTICUT COALITION FOR MENTAL HEALTH AND SUBSTANCE ABUSE - IN ADDITION TO THE DANBURY AND NEW MILFORD HEALTH DEPARTMENTS, THE POMPERAUG HEALTH DISTRICT AND THE HEALTH DEPARTMENTS OF BETHEL, BROOKFIELD, NEW FAIRFELD, NEWTOWN AND RIDGEFIELD WERE ACTIVE PARTICIPANTS IN THIS ASSESSMENT. THE REPORT PROVIDES ADDITIONAL LOCAL DETAIL OF RELEVANCE TO THE REGION, INCLUDING QUANTITATIVE AND QUALITATIVE DATA SPECIFIC TO THE INDIVIDUAL TOWNS WITHIN THE GREATER DANBURY REGION. IT ALSO DOCUMENTS THE PROCESS THAT DANBURY HOSPITAL AND PARTNERS USED TO CONDUCT THE REGIONAL HEALTH ASSESSMENT AND HEALTH IMPROVEMENT ACTIVITIES. THE ASSESSMENT WAS CONDUCTED UNDER THE GUIDANCE OF THE DANBURY HOSPITAL CHC. THE CHC PROVIDED OVERSIGHT OF THE 2019 CHNA IN ALIGNMENT WITH THE GOALS OF COMMUNITY PARTNERSHIP AND ADVANCEMENT OF POPULATION HEALTH. THE REPORT CONTAINS BOTH QUANTITATIVE AND QUALITATIVE DATA. QUANTITATIVE DATA WAS COLLECTED, ANALYZED AND REPORTED BY DATAHAVEN IN THE FAIRFIELD COUNTY COMMUNITY WELLBEING SURVEY (CWS). THE QUALITATIVE DATA COLLECTION WAS CONDUCTED BY THE STRATEGY GROUP LLC AND CONSISTED OF KEY INFORMANT SURVEYS (KIS) INCLUDING FOCUS GROUPS, INDIVIDUAL INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA SOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, CENTERS FOR DISEASE CONTROL AND PREVENTION, STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), COUNTY HEALTH RANKINGS AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. TYPES OF DATA INCLUDED VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. IN 2016 THE KEY FINDINGS AND HEALTH PRIORITIES IDENTIFIED IN THE GREATER DANBURY AREA CHNA WERE CHRONIC DISEASE/OBESITY, MENTAL HEALTH/SUBSTANCE ABUSE, ACCESS TO HEALTH CARE AND HEALTHY AGING. THREE YEARS LATER, WHILE THERE HAVE BEEN IMPROVEMENTS IN COMMUNITY PARTNERSHIPS, ATTENTION TO MENTAL HEALTH AND SCREENING FOR SOCIAL DETERMINANTS DATA SUGGESTS THAT THE 2016 INDICATORS REMAIN PRIORITY CONCERNS. THE CHNA, INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WAS APPROVED BY THE DANBURY HOSPITAL BOARD OF TRUSTEES ON NOVEMBER 14, 2019. THE CHIP WAS SUBSEQUENTLY APPROVED ON MARCH 3, 2020 (BI-MONTHLY BOARD MEETING CALENDAR). PART V, LINE 6A - LIST OTHER HOSPITAL FACILITIES THAT JOINTLY CONDUCTED NEEDS ASSESSMENT FACILITY: A THE CHNA WAS CONDUCTED WITH ITS NEW MILFORD HOSPITAL CAMPUS. PART V, LINE 6B - CHNA CONDUCTED BY ORGNIZATIONS OTHER THAN HOSPITAL FACILITY: A AS NOTED IN PART VI, LINE #2, NEEDS ASSESSMENT NARRATIVE, THE CHNA WAS CONDUCTED WITH VARIOUS COMMUNITY ORGANIZATIONS PARTICIPATING IN THE COMMUNITY FORUM AT DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS.

PART V, LINE 11 - EXPLANATION OF NEEDS NOT ADDRESSED AND REASONS WHY

FACILITY: A TO THE BEST OF THE HOSPITAL'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2019 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT THE HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A STEERING COMMITTEE COMPRISED OF HEALTH CARE PROVIDERS, COMMUNITY-BASED PROVIDERS, AND LOCAL GOVERNMENT AGENCIES WAS FORMED. THEY IDENTIFIED MENTAL HEALTH, OBESITY AND SUBSTANCE ABUSE, ACCESS, AND HEALTHY AGING AS THE MAIN PRIORITIES TO ADDRESS. THEY CREATED THE 2019 CHIP WHICH DETAILS SPECIFIC GOALS AND METRICS FOR EACH IDENTIFIED NEED, AND COMMUNITY BENEFIT PROGRAMS THAT WOULD HELP ACHIEVE THESE GOALS. THE NARRATIVES FOR PART II COMMUNITY BUILDING ACTIVITIES DESCRIBE ACTIONS TAKEN TO ADDRESS THE NEEDS IDENTIFIED IN THE 2019 CHNA. PART V, LINE 13H - OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED PATIENTS Facility: A PART V, SECTION B, LINE 13: THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 58.09% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG. PART V, LINE 16J - OTHER MEANS HOSPITAL FACILITY PUBLICIZED THE POLICY FACILITY: A DANBURY HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. COUNSELORS ARE ALSO AVAILABLE TO PROVIDE FURTHER ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MAIN STREET REHABILITATION CENTER
235 MAIN STREET	DANBURY	CT	06810	REHABILITATION
BREAST IMAGING CENTER
20 GERMANTOWN ROAD	DANBURY	CT	06810	DIAGNOSTIC
DANBURY HOSPITAL SLEEP LAB II
25 LAKE AVENUE-EXTENSION	Danbury	CT	06810	DIAGNOSTIC
PULMONARY SERVICES
33 GERMANTOWN ROAD	DANBURY	CT	06810	DIAGNOSTIC
THE ANTICOAGULATION CENTER
41 GERMANTOWN ROAD	SOUTHBURY	CT	06810	DIAGNOSTIC
PHYSICAL MEDICINE CENTER OF SOUTHBURY
22 OLD WATERBURY ROAD SUITE 101	SOUTHBURY	CT	06488	OUTPATIENT-PHYSICIAN CLINIC
COMM CTR FOR BEHAVIORIAL HEALTH
152 WEST STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
CENTER FOR CHILD & ADOL TREAT
152 WEST STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
DANBURY HOSPITAL LABORATORY
79 SANDPIT ROAD	DANBURY	CT	06810	DIAGNOSTIC
DANBURY HOSPITAL LAB CTR OF NEW MILFORD
120 PARK LANE SUITE A201	NEW MILFORD	CT	06776	DIAGNOSTIC
DANBURY HOSPITAL DIABETES EDUCATION CTR
41 GERMANTOWN ROAD	DANBURY	CT	06810	EDUCATION CENTER
DANBURY HOSPITAL SOUTHBURY LABORATORY
22 OLD WATERBURY ROAD SUITE 101	SOUTHBURY	CT	06488	DIAGNOSTIC
DANBURY HOSPITAL LAB CTR IN BROOKFIELD
60 OLD NEW MILFORD ROAD UNIT 1C	BROOKFIELD	CT	06804	DIAGNOSTIC
RIDGEFIELD SPECIMEN COLLECTION FACILITY
10 SOUTH STREET	RIDGEFIELD	CT	06877	DIAGNOSTIC
KENOSIA LABORATORY
51-53 KENOSIA AVENUE	DANBURY	CT	06810	DIAGNOSTIC
DANBURY HOSPITAL RESEARCH INSTITUTE
131 WEST STREET	DANBURY	CT	06813	DIAGNOSTIC
SOUTHBURY PRIMARY CARE
22 OLD WATERBURY ROAD	SOUTHBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
ADULT HEALTH CENTER
77 MAIN STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
CHILDREN'S HEALTH AND WELLNESS
79 SANDPIT ROAD SUITE 201	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
WOMEN'S HEALTH CENTER
70 MAIN STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
CARDIOVASCULAR DIAGNOSTICS OF DANBURY
41 GERMANTOWN ROAD	DANBURY	CT	06810	DIAGNOSTIC
DANBURY HOSPITAL DENTAL SERVICES
70 MAIN STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
DANBURY HOSPITAL SPECIALTY CLINIC
70 MAIN STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
DANBURY HOSPITAL COMMUNITY MEDICINE
70 MAIN STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC
DANBURY HOSPITAL PSYCHIATRY
152 WEST STREET	DANBURY	CT	06810	OUTPATIENT-PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA (FPG IS NOT USED)	ASSETS ARE FACTORED IN FOR PATIENTS WHOSE INCOME IS ABOVE 400% OF THE FEDERAL POVERTY GUIDELINES WHEN FACED WITH MEDICAL HARDSHIPS. MEDICAL HARDSHIP COMBINES AVAILABLE INCOME WITH COUNTABLE ASSETS AND IS GRANTED WHEN THE UNPAID MEDICAL BILLS EXCEED THIS FIGURE. PART I, LINE 6A - RELATED ORGANIZATION COMMUNITY BENEFIT REPORT PART I, LINE 6A & 6B: THE COMMUNITY BENEFIT REPORT IS REPORTED ON A NETWORK BASIS. IT CONTAINS THE ORGANIZATIONS COMMUNITY BENEFIT PROGRAMS AND SERVICES DESCRIPTIONS AND FINANCIAL DATA. THE FORM IS MADE AVAILABLE TO THE PUBLIC ON THE OFFICE OF HEALTHCARE ACCESS WEBSITE: HTTP://WWW.CT.GOV/DPH/CWP/VIEW.ASP?A=3902&Q=585448 PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY CHARITY CARE AT COST PERCENTAGE: TOTAL GROSS PATIENT CHARGES WRITTEN OFF TO CHARITY (INCOME STATEMENT) * PATIENT COST TO CHARGE % (SEE BELOW) = TOTAL COMMUNITY BENEFIT EXPENSE TOTAL COMMUNITY BENEFIT EXPENSES - REVENUE FROM UNCOMPENSATED CARE POOLS AND PROGRAMS (DHS * % OF COST OF UNCOMPENSATED CARE SHOWN ON THE OCHA SCHEDULE 500) = NET COMMUNITY BENEFITS EXPENSES NET COMMUNITY BENEFITS EXPENSES / TOTAL EXPENSES = % OF TOTAL EXPENSES RATIO COST TO CHARGE CALCULATION TOTAL OPERATING EXPENSES - NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAX, TOTAL COMMUNITY BENEFIT EXPENSE AND TOTAL COMMUNITY BUILDING EXPENSE =ADJUSTED PATIENT CARE COST. ADJUSTED PATIENT CARE COST DIVIDED BY GROSS PATIENT CHARGES=RATIO OF PATIENT CARE COSTS TO CHARGES. PART I, LINE 7G - COSTS ASSOCIATED WITH PHYSICANS CLINICS THERE ARE NO PHYSICIAN CLINICS INCLUDED IN THIS AMOUNT. PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE THE RATIO OF COST TO CHARGES IS APPLIED TO THE BAD DEBT EXPENSE ON THE INCOME STATEMENT.
PART III, LINE 3 - METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR	INCLUDING IN COMMUNITY BENEFIT IT IS THE POLICY OF THE HOSPITAL TO PROVIDE NECESSARY CARE TO ALL PERSONS SEEKING TREATMENT WITHOUT DISCRIMINATION ON THE GROUNDS OF AGE, RACE, CREED, NATIONAL ORIGIN OR ANY OTHER GROUNDS UNRELATED TO AN INDIVIDUAL'S NEED FOR THE SERVICE OR THE AVAILABILITY OF THE NEEDED SERVICE AT THE HOSPITAL. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT BY REFERENCE TO ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO A RESPONSIBLE PARTY'S INCOME AND THEIR COUNTABLE ASSETS. THOSE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. BECAUSE THE HOSPITAL IS NOT PAID FOR THESE SERVICES, THEY ARE CONSIDERED TO BE COMMUNITY BENEFIT. WHEN PRIVATE PAY PATIENTS ARE SENT TO THE COLLECTION AGENCY THEIR ACCOUNT IS CONSIDERED TO BE A BAD DEBT. SUBSEQUENTLY, MEDICAID MAY BE GRANTED FOR SOME OF THOSE PATIENTS. AT THAT TIME THOSE ACCOUNTS NOT GRANTED MEDICAID WOULD BECOME CHARITY CARE OR A COMMUNITY BENEFIT.
PART III, LINE 4 - BAD DEBT EXPENSE	THE NETWORKS INITIAL ESTIMATE OF THE TRANSACTION PRICE FOR SERVICES PROVIDED TO PATIENTS SUBJECT TO REVENUE RECOGNITION IS DETERMINED BY REDUCING THE TOTAL STANDARD CHARGES RELATED TO THE PATIENT SERVICES PROVIDED BY VARIOUS ELEMENTS OF VARIABLE CONSIDERATION, INCLUDING CONTRACTUAL ADJUSTMENTS, DISCOUNTS, IMPLICIT PRICE CONCESSIONS, AND OTHER REDUCTIONS TO THE NETWORKS STANDARD CHARGES. THE NETWORK DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYER COVERAGE ON THE BASIS OF CONTRACTUAL OR FORMULA-DRIVEN RATES FOR THE SERVICES RENDERED (SEE DESCRIPTION OF THIRD-PARTY PAYOR PAYMENT PROGRAMS BELOW). THE ESTIMATES FOR CONTRACTUAL ALLOWANCES AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, THE NETWORKS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. FOR UNINSURED AND UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE NETWORK DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES ON THE BASIS OF CHARGES REDUCED BY IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS INCLUDED IN THE ESTIMATE OF THE TRANSACTION PRICE ARE BASED ON THE NETWORKS HISTORICAL COLLECTION EXPERIENCE FOR APPLICABLE PATIENT PORTFOLIOS. UNDER THE NETWORKS CHARITY CARE POLICY, A PATIENT WHO IS FOUND ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE BILLED THE LESSER OF CHARGES OR PER THE FINANCIAL ASSISTANCE DISCOUNT DISCLOSED IN THE POLICY. IN NO EVENT WILL A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE NETWORKS CHARITY CARE POLICY, BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR ANY EMERGENT OR MEDICALLY NECESSARY CARE IN ACCORDANCE WITH SECTION 501(R)(5). PATIENTS WHO MEET THE NETWORKS CRITERIA FOR FREE CARE ARE PROVIDED CARE WITHOUT CHARGE; SUCH AMOUNTS ARE NOT REPORTED AS REVENUE.
PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT	DANBURY HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION STRIVES TO PROVIDE 24/7 COVERAGE, IMPROVED PATIENT ACCESS, HIGHEST CLINICAL QUALITY AS WELL AS ADDRESSING THE NEEDS OF THE COMMUNITY BY OFFERING CRITICAL SERVICES TO OUR GEOGRAPHIC AREA. AS A RESULT, THE ORGANIZATION MUST BALANCE THE COST OF THESE PROGRAMS AGAINST THE CONTINUED DECREASING GOVERNMENT REIMBURSEMENT LEVELS, UNINSURED POPULATION AND COMMUNITY NEEDS. A COST ACCOUNTING SYSTEM IS USED TO CALCULATE THE SHORTFALL, WHICH IS MEDICARE NET PATIENT REVENUE LESS APPLICABLE COSTS. PART III, LINE 9B - PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS IT IS THE POLICY OF DANBURY HOSPITAL TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) DANBURY HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. DANBURY HOSPITAL SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS. CONSISTENT WITH THIS MISSION, DANBURY HOSPITAL RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, DANBURY HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. DANBURY HOSPITAL WILL COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD. PART VI, LINE 2: NEEDS ASSESSMENT THROUGH WESTERN CT HEALTH NETWORKS ANNUAL PLANNING PROCESS, AN ENVIRONMENTAL ASSESSMENT IS CONDUCTED TO IDENTIFY HEALTHCARE GAPS AND NEEDS OF THE SERVICE AREA COMMUNITY BROUGHT ABOUT BY LOCAL AND NATIONAL TRENDS IN ECONOMIC, LEGISLATIVE, DEMOGRAPHIC, HEALTHCARE INDUSTRY AND OTHER ENVIRONMENTAL FACTORS. THESE FORCES ARE CONSIDERED AND INCORPORATED IN MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY BY HELPING TO FRAME THE PRIORITIES, GOALS AND INITIATIVES OF WESTERN CT HEALTH NETWORKS LONG RANGE AND ANNUAL STRATEGIC PLANS.
PART VI, LINE 3 - 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. PART VI, LINE 4 - COMMUNITY INFORMATION DANBURY HOSPITAL AND NEW MILFORD HOSPITAL CAMPUSES SERVE AN AREA WITH A POPULATION OF ABOUT 270,000 PEOPLE. THE SERVICE AREA INCLUDES BETHEL, BRIDGEWATER, BROOKFIELD, DANBURY, EASTON, KENT, NEW FAIRFIELD, NEW MILFORD, NEWTOWN, REDDING RIDGEFIELD, ROXBURY, SHERMAN, SOUTHBURY AND WASHINGTON (CT). THIS SERVICE AREA IS COMPRISED OF A DENSELY POPULATED CORE OF THE URBAN/SUBURBAN CITY OF DANBURY SURROUNDED BY MODERATELY AFFLUENT RESIDENTIAL AND RURAL TOWNS. IN 2019, DANBURY HAS A MEDIAN HOUSEHOLD INCOME OF $68,064 AND A POVERTY RATE OF 11.6%; AND IS LISTED AS A MEDICALLY UNDERSERVED AREA. NEW MILFORD HAS A HOUSEHOLD INCOME OF $83,676 AND A POVERTY RATE OF 5.3%. THE OVERALL POVERTY RATE FOR THE STATE IS ESTIMATED TO BE 10.1%. THE POPULATION OF THE SERVICE AREAS IS EXPECTED TO EXPERIENCE <1% GROWTH FROM 2020 TO 2025, THE COHORT AGED 65 AND OVER IS PROJECTED TO INCREASE BY 3%.
PART VI, LINE 4 - COMMUNITY BUILDING ACTIVITIES	Schedule H, PART II: COMMUNITY BUILDING ACTIVITIES: RELATES TO LINE #3, COMMUNITY SUPPORT AND LINE #6, COALITION BUILDING, TOTALING $70,528: IN CONDUCTING THE CURRENT CHNA, DANBURY HOSPITAL COLLABORATED WITH VARIOUS COMMUNITY ORGANIZATIONS TO DEVELOP, IMPLEMENT, AND MONITOR STRATEGIES TO ADDRESS IDENTIFIED PRIORITIES IN THE CHIP. WORK GROUPS WERE CREATED FOR CHRONIC DISEASE, MENTAL HEALTH/SUBSTANCE ABUSE, ACCESS, AND HEALTHY AGING. HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT ARE KEY DRIVERS OF HEALTH STATUS AND REMAIN AREAS OF SIGNIFICANT CONCERN. KEY INFORMANT SURVEYS INDICATE DIFFICULTY, PARTICULARLY FOR THE LOWER INCOME GROUPS, ACCESSING HEALTHY FOOD. THIS WAS ATTRIBUTED TO LACK OF TIME DUE TO JOB AND EXTRACURRICULAR ACTIVITIES AND DIFFICULTY FINDING RELIABLE TRANSPORTATION. CHRONIC DISEASES IMPACT LIFE SATISFACTION AND CAUSE SIGNIFICANT ECONOMIC BURDEN IN THE FORM OF OPPORTUNITY COST AND HEALTHCARE EXPENDITURE. PROGRESS FROM THE 2016 COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDES: CHRONIC DISEASE AND OBESITY PREVENTION THE CHRONIC DISEASE SUBCOMMITTEE (CDS) CONSISTING OF REPRESENTATIVES FROM THE REGIONAL YMCA OF WESTERN CONNECTICUT, DANBURY HOSPITAL, VISITING NURSES ASSOCIATION OF BETHEL AND THE HEALTH DISTRICTS OF BETHEL, BROOKFIELD, DANBURY, NEW FAIRFIELD, NEW MILFORD, NEWTOWN AND SOUTHBURY, HAS BEEN MEETING SINCE 2012. PROMINENT AMONG THE INITIATIVES HAVE BEEN PROGRAMS FOR CHILDREN AND YOUTH. THE GO! 5,2,1,0 PROGRAM HAS DEMONSTRATED SUCCESS IN INCREASING ACTIVITY AND HAS BEEN ADOPTED BY LOCAL PEDIATRICIANS, AND NINE PUBLIC SCHOOLS AND 43 SECTOR SITES. PARENTS SURVEYED REPORT MAINTAINING HEALTHY BEHAVIORS AT HOME WITH REDUCTION IN SUGARY BEVERAGES, DECREASED SCREEN TIME AND INCREASE IN CONSUMPTION OF HEALTHY FOOD. THE CDS HAS ACTIVELY SUPPORTED COMMUNITY GARDENING PROGRAMS FOR CHILDREN OF LOW INCOME FAMILIES. THE CDS HAS SUPPORTED THE EXPANSION OF THE CONNECTICUT MULTI-USE TRAIL SYSTEM INCLUDING THE STILL RIVER GREENWAY, THE SECOND MOST USED TRAIL IN THE STATE. A SURVEY OF OVER ONE THOUSAND USERS SHOWS 63% USE THE TRAILS FOR RECREATION, 49% FOR EXERCISE/WEIGHT MANAGEMENT, 45% FOR RELAXATION AND 40% FOR EXERCISE/PREVENTION. MENTAL HEALTH AND SUBSTANCE ABUSE THE MENTAL HEALTH AND SUBSTANCE ABUSE SUBCOMMITTEE (MHSA) IS LED BY THE WESTERN CONNECTICUT COALITION REGIONAL BEHAVIORAL HEALTH ACTION ORGANIZATION REGION 5. REGION 5 CONDUCTED AN ASSESSMENT OF THE BEHAVIORAL HEALTH NEEDS IN 2019. RESULTS OF THE DATA COLLECTION AND FOCUS GROUP, REPORTED IN THE REGIONAL PRIORITY REPORT SHOWS WIDESPREAD CONCERN ABOUT THE PREVALENCE OF MENTAL HEALTH ISSUES. THESE CONCERNS INCLUDE RATES OF ANXIETY AND DEPRESSION IN YOUNG PEOPLE, LACK OF APPROPRIATE SERVICES FOR NONACUTE MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND TREATMENT PROVIDERS REACHING FOR MEDICATIONS BEFORE CONSIDERING ALTERNATIVE THERAPIES. THERE WERE DISCUSSIONS ABOUT THE RISKS OF ADDICTION COMPOUNDING BEHAVIORAL HEALTH PROBLEMS. PRESCRIPTION DRUG MISUSE IS SEEN AS AN ONGOING CHALLENGE. IN REGION 5, RECENT TREATMENT DATA SUPPORTED KEY INFORMANT ASSERTIONS THAT BENZODIAZEPINES AND AMPHETAMINES ARE ACCESSIBLE AND MISUSED BY YOUTH AND ADULTS ALIKE. DURING 2018, 33% OF ALL WESTERN CONNECTICUT OVERDOSE FATALITIES WERE RELATED TO ONE FORM OR ANOTHER OF THESE PRESCRIPTION MEDICATIONS. THE CONSEQUENCES OF ALCOHOL, AND UNDERAGE DRINKING, WERE ALSO RANKED IN THE TOP THREE. THIS IS LIKELY BECAUSE IT REMAINS THE MOST WIDELY USED OF ALL SUBSTANCES. THE MENTAL HEALTH AND SUBSTANCE ABUSE SUBCOMMITTEE OF THE COMMUNITY HEALTH COMMITTEE HAS GUIDED THE DEVELOPMENT OF SEVERAL COMMUNITY HEALTH PROGRAMS. THESE HAVE BEEN EXPANDED AND SCALED SINCE 2016 WITH THE GOALS OF IMPROVING ACCESS TO APPROPRIATE CARE FOR CHILDREN AND ADULTS AND PROVIDING EDUCATION TO INCREASE AWARENESS AND PROMOTE PREVENTION. THE BEHAVIORAL HEALTH INTEGRATION PROGRAM WAS IMPLEMENTED IN 2015 TO IMPROVE ACCESS FOR PATIENTS WITH BEHAVIORAL HEALTH ISSUES. THESE ISSUES MAY RANGE FROM DEPRESSION AND ANXIETY TO SLEEP DISTURBANCE AND GRIEF REACTIONS TO SUBSTANCE MISUSE. THERE IS ALSO THE OPPORTUNITY TO ADDRESS HEALTH BEHAVIORS, SUCH AS SMOKING, LACK OF EXERCISE, OBESITY AND SUBSTANCE USE, WHICH ARE THE MAIN CAUSES OF POOR HEALTH OUTCOMES IN OUR COUNTRY. THIS BEHAVIORAL HEALTH INTEGRATION MODEL INCORPORATES BEHAVIORAL HEALTH CONSULTANTS (BHCS) TO OUR PRIMARY CARE TEAMS. BHCS ARE EXPERIENCED BEHAVIORAL HEALTH SOCIAL WORKERS WHO SERVE AS MEMBERS OF THE CARE TEAM THAT INCLUDES THE PHYSICIAN, NURSE, MEDICAL ASSISTANT, CARE MANAGER AND OFFICE STAFF. USING THIS MODEL, THE PRIMARY CARE TEAM IS BETTER ABLE TO MEET THE MEDICAL AND EMOTIONAL HEALTH NEEDS OF THEIR PATIENTS IN A COORDINATED, PATIENT CENTERED AND CONVENIENT MANNER. FOR THE MORE VULNERABLE RESIDENTS IN OUR COMMUNITY, THE GREATER DANBURY COMMUNITY CARE TEAM (DCCT) WAS STARTED IN 2014. SINCE THEN IT HAS EXPANDED TO INCLUDE MORE THAN 30 ORGANIZATIONS THAT MEET WEEKLY TO ORGANIZE PATIENT-CENTERED OUTREACH AND NAVIGATION FOR VULNERABLE AND HIGH-NEED RESIDENTS OF GREATER DANBURY. THE DCCT HAS SERVED MORE THAN 200 PEOPLE PROVIDING CONNECTION TO NEEDED PRIMARY CARE, MENTAL HEALTH, ADDICTION AND SOCIAL SERVICES. EFFORTS OF THE DCCT HAVE RESULTED IN DECREASED EMERGENCY DEPARTMENT UTILIZATION, INDICATING AN INCREASE IN MEDICAL AND SOCIAL STABILITY FOR THE RESIDENTS SERVED. RECOGNIZING THE UNIQUE NEEDS OF PATIENTS WITH SUBSTANCE USE DISORDERS, DANBURY HOSPITAL ADDED A PEER RECOVERY SPECIALIST TO THE GREATER DANBURY CCT. PEER RECOVERY SPECIALISTS ARE MOTIVATED, ENERGETIC INDIVIDUALS WITH LIVED EXPERIENCE AND SPECIALIZED TRAINING TO BETTER ENGAGE PATIENTS WHO HAVE SUBSTANCE USE DISORDERS. THE PEERS PROVIDE DIRECT OUTREACH AND ASSISTANCE IN CONNECTING PATIENTS TO APPROPRIATE CARE. THE INTERPROFESSIONAL COMMUNITY ACADEMIC NAVIGATION (ICAN) PROGRAM WAS STARTED IN 2016 AS A COLLABORATIVE EFFORT BETWEEN WESTERN CONNECTICUT HEALTH NETWORK AND SACRED HEART UNIVERSITY. THIS PROGRAM EXPANDS THE REACH OF THE CCT WHILE OFFERING AN INNOVATIVE TEACHING OPPORTUNITY FOR UNDERGRADUATE SOCIAL WORK AND GRADUATE LEVEL NURSING STUDENTS. UNDER THE GUIDANCE OF A FACULTY CLINICAL ADVISOR, THE ICAN TEAM PROVIDES DIRECT IN-PERSON AND TELEPHONE OUTREACH SERVICES TO PATIENTS WHO NEED CONNECTION TO MEDICAL, MENTAL HEALTH, SOCIAL OR SUBSTANCE SERVICES. THIS PROGRAM NOT ONLY HAS IMMEDIATE IMPACT ON THE PATIENTS WE SERVE, IT ALSO PROVIDES IMPACTFUL TRAINING FOR FUTURE CAREGIVERS WORKING WITH OUR MOST VULNERABLE COMMUNITY MEMBERS. HEALTHY AGING THE HEALTHY AGING SUBCOMMITTEE WAS CONVENED IN 2016 FOLLOWING THE COMMUNITY HEALTH NEEDS ASSESSMENT OF THAT YEAR. AMONG OTHER PROGRAMS, HEALTHY AGING HAS FOCUSED ON FALL PREVENTION. DANBURY HOSPITAL AND WCHN HAVE EFFECTIVELY ENHANCED COMMUNITY PARTNERSHIPS AND WORKED TO DEVELOP THE INFRASTRUCTURE NEEDED TO IMPROVE COMMUNITY WELLNESS. WHILE SOME INDICATORS HAVE IMPROVED, SUCH AS EMERGENCY DEPARTMENT UTILIZATION, ACCESS TO INTEGRATED CARE, ASTHMA RATES IN ALL COMMUNITIES AND THE RATE OF DIABETES IN DANBURY, MANY MEASURES HAVE CONTINUED TO WORSEN. OBESITY AND HYPERTENSION CONTINUE TO INCREASE AT AN ALARMING RATE AND THE NUMBER OF RESIDENTS WITHOUT A MEDICAL HOME HAS INCREASED. OPIOID OVERDOSE RATES CONTINUE TO CLIMB AND ACCESS TO ADDICTION TREATMENT REMAINS CHALLENGING. MORE ARE STRUGGLING FINANCIALLY AND INCREASED NUMBERS ARE POSTPONING HEALTHCARE DUE TO COST. RELATED TO LINE #2, ECONOMIC DEVELOPMENT, AND LINE #7, COMMUNITY HEALTH IMPROVEMENT ADVOCACY TOTALING $60,041 VARIOUS WCHN OFFICIALS PARTICIPATED IN CHAMBER OF COMMERCE MEETINGS AND EVENTS, WORKING TO PROMOTE ECONOMIC DEVELOPMENT IN THE DANBURY HOSPITAL AREA. STATE AND LOCAL ELECTED OFFICIALS AND AGENCY HEADS WERE LOBBIED IN SUPPORT OF MAINTAINING PATIENT ACCESS TO ESSENTIAL SERVICES FOR THE UNINSURED AND UNDER INSURED. THE TOTAL ADVOCACY INVESTMENT FOR FY2019 IS $58,317, WHICH INCLUDES INDIRECT AND DIRECT STAFFING EXPENSES.
Part VI, Line 5 - Promotion of Community Health	PART VI EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSE DANBURY HOSPITAL AND NEW MILFORD HOSPITAL SERVED 378,807 PERSONS THROUGH OVER 420 COMMUNITY HEALTH OCCURRENCES IN FY19. ONE OF THE HIGHEST IMPACT OUTREACH ACTIVITIES INCLUDED 345,701 INDIVIDUALS SERVED THROUGH HEALTH TALK WITH AN ESTIMATED VIEWERSHIP OF 5,000 PER SHOW. HEALTH TALK AIRS ON COMCAST, CHANNEL 23 AT 7:30 PM THURSDAYS AND 11:30 AM FRIDAYS. IT IS ALSO AVAILABLE ON WCHN'S WEBSITES, SOCIAL MEDIA AND THROUGH LINKS IN VITAL SIGNS. IT IS A PUBLIC SERVICE TELEVISION PROGRAM PRODUCED BY THE COMMUNITY RELATIONS DEPARTMENT TO PROMOTE HEALTH AWARENESS AND EDUCATION. TOPICS INCLUDED COPING WITH ANXIETY, SURGERY IN THE ELDERLY POPULATION, CAUSES & PREVENTION OF HEPATITIS C AND COLORECTAL CANCER GUIDELINES, TO NAME SOME EXAMPLES. OVER 50% OF THE BOARD MEMBERS ARE INDEPENDENT AND DO NOT GET PAID BY DANBURY HOSPITAL. DANBURY HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINICAL CARE IN ADDITION TO EXPANDING OUR SERVICE AREA.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	WESTERN CONNECTICUT HEALTH NETWORK (WCHN) IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF THREE COMMUNITY HOSPITALS AND THEIR AFFILIATED ENTITIES. IN ADDITION TO DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, AND NORWALK HOSPITAL THE CONTINUUM OF CARE INCLUDES A LARGE MEDICAL GROUP, HOME HEALTH CARE SERVICES, A NATIONALLY RENOWNED BIOMEDICAL RESEARCH INSTITUTE, THE DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION, INC. NORWALK HOSPITAL FOUNDATION, AND OTHER RELATED AFFILIATES. THE WCHN'S MISSION IS TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. FOR FY2019, THE NETWORK PROVIDED APPROXIMATELY $27,810,000 IN TOTAL CHARITY CARE. DANBURY HOSPITAL, ITS NEW MILFORD HOSPITAL CAMPUS AND NORWALK HOSPITAL PROVIDE MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE NETWORK'S MISSION STATEMENT, AS NOTED ABOVE, FOR 2019, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, $9,613,000, DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, $15,928,000. ALL HOSPITALS NOTED ABOVE HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS THEY CAN JOIN THE MEDICAL STAFF. WESTERN CONNECTICUT MEDICAL GROUP, INC. (WCMG): THE MISSION OF WCMG IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE COMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO THEIR PATIENTS NEEDS. THEY SUPPORT A COMMITMENT TO ADVANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS IN THEIR COMMUNITY BY DELIVERING QUALITY CARE, PARTICIPATING IN MEDICAL RESEARCH AND MEDICAL RESIDENCY PROGRAMS AND THE PROVISION OF MEDICAL SERVICES TO PATIENTS. FOR 2019, WCMG PROVIDED APPROXIMATELY $2,164,000 IN CHARITY CARE. DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION INC. (DH/NMHF): DH/NMHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS AND OTHER DANBURY NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NORWALK HOSPITAL FOUNDATION (NHF): NHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO NORWALK HOSPITAL AND OTHER NOT-FOR-PROFIT NORWALK HOSPITAL AFFILIATES. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. (WCHNA): WCHNA'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. FOR 2019, WCHNA PROVIDED APPROXIMATELY $57,000 IN CHARITY CARE. WESTERN CONNECTICUT HOME CARE, INC. (WCHC): WCHC PROVIDES STATE OF THE ART CLINICAL SERVICES RANGING FROM PEDIATRIC PATIENTS TO THE ELDERLY UTILIZING BEST PRACTICE IN HOME CARE TO MEET THE NEEDS OF THEIR PATIENTS. FOR 2019, WCHC PROVIDED APPROXIMATELY $48,000 IN CHARITY CARE. EASTERN NEW YORK MEDICAL SERVICES, P.C. (ENYMS): THE MISSION AT ENYMS IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND GASTROENTEROLOGY HEALTH CARE IN THE COMMUNITIES WE SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS NEEDS. PART VI, LINE 7 - STATES FILING COMMUNITY BENEFIT REPORT CT
PART V - EXPLANATION OF NUMBER OF FACILITY TYPE	13 DIAGNOSTIC CENTERS 11 OUTPATIENT PHYSICIAN CLINICS 1 REHABILITATION CENTER 1 EDUCATION CENTER ADDITIONAL INFORMATION PART I, LINE 3B: THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 58.72% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG. PART I, LINE 7E: WCHN PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE. BELOW IS A LIST OF ALL THE PROGRAMS OFFERED WITH A BRIEF DESCRIPTION: - CANCER: 6,650 SERVED THROUGH FREE WIG DISTRIBUTION, LOOK GOOD, FEEL BETTER PROGRAM, TALKS, AND FOOD FOR LIFE COOKING & NUTRITION CLASSES, - SENIOR OUTREACH: 316 SERVED THROUGH SENIOR SUPPERS AT NMH, AGING MASTERY PROGRAM, AND OTHER TALKS - HEALTH FAIRS: 20,192 SERVED THROUGH FAIRS IN NEWTOWN, RIDGEFIELD (THE DAY-LONG DESTINATION WELLNESS AND FOUNDERS HALL), DANBURY AND NEW MILFORD (TWO-DAY LONG VILLAGE FAIRS DAYS), AND CORPORATE HEALTH FAIRS. - DIABETES EDUCATION: 97 SERVED THROUGH TALKS AND FAIRS - HEART DISEASE: 209 SERVED THROUGH EDUCATION - LECTURES: 346,534 SERVED THROUGH HEALTH TALK (INCLUDING REPEATS AND SOCIAL MEDIA REACH), LIBRARY, ROTARY, SENIOR RESIDENCE AND CORPORATE LECTURES. HEALTH TALK AIRS ON COMCAST; 50 SHOWS AIRED WITH A VIEWERSHIP OF 5,000 PER SHOW. - NUTRITION/WELLNESS: 1,124 SERVED THROUGH PLOW TO PLATE PROGRAM, TALKS, HIGH SCHOOL FAIRS, LETS GET COOKING, AND THE WALKING PROJECT CLASSES. - SKIN CANCER SCREENINGS: 214 SERVED AT NEW MILFORD HOSPITAL - BEHAVIORAL HEALTH: 1,131 SERVED THROUGH MEETINGS, LECTURES AND WORK GROUPS - BLOOD DRIVES: 544 SERVED.
PART V, LINE 7A AND 7B:	THE COMPLETE URLS ARE AS FOLLOWS: FOR BOTH DH AND NMH: THE MOST RECENTLY COMPLETED CHNA, BESIDES BEING AVAILABLE UPON REQUEST, WAS MADE AVAILABLE ON: HTTPS://WWW.DANBURYHOSPITAL.ORG/ABOUT-US/ABOUT-DANBURY-HOSPITAL HTTPS://WWW.NEWMILFORDHOSPITAL.ORG/ABOUT-US/ABOUT-US HTTPS://WWW.WESTERNCONNECTICUTHEALTHNETWORK.ORG/ABOUT-US/ABOUT-US HTTP://WWW.CHIME.ORG/ADVOCACY/COMMUNITY-HEALTH/ PART V, LINE 10A: THE COMPLETE URL FOR DANBURY HOSPITAL AND NEW MILFORD HOSPITAL, ARE AS FOLLOWS: HTTPS://WWW.DANBURYHOSPITAL.ORG/ABOUT-US/ABOUT-US PART V, LINE 10B: ALTHOUGH LINE 10B SHOULD BE BLANK, DUE TO SOFTWARE LIMITATIONS, IT IS CURRENTLY CHECKED AS "NO". PART V, LINES #16A, B, AND C: THE COMPLETE URL FOR DANBURY HOSPITAL AND NEW MILFORD HOSPITAL, ARE AS FOLLOWS: HTTPS://WWW.DANBURYHOSPITAL.ORG/PATIENT-AND-VISITORS-INFO/BILLING/BILLING/ FINANCIAL-ASSISTANCE-POLICY PART V, SECTION B, LINE 13: THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 58.66% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG.

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	Yes (true)	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	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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
JOHN M MURPHY MD
EX-OFFICIO	$0	$1,259,730	$0	$675,000	$0	$4,332	$0	$3,831,127	$0	$37,489	$0	$5,807,678	$0	$0
CORNELLIUS FERREIRA MD
DIRECTOR	$0	$445,168	$0	$4,770	$0	$605	$0	$13,500	$0	$31,183	$0	$495,226	$0	$0
DAHLIA PLUMMER MD FROM 101
DIRECTOR	$0	$457,435	$0	$59,078	$0	$2,818	$0	$13,500	$0	$21,211	$0	$554,042	$0	$0
STEVEN H ROSENBERG
TREASURER	$0	$587,926	$0	$165,000	$0	$2,629,181	$0	$13,500	$0	$37,996	$0	$3,433,603	$0	$0
SHARON ADAMS
PRESIDENT	$0	$514,644	$0	$135,000	$0	$6,073	$0	$13,500	$0	$6,659	$0	$675,876	$0	$0
CAROLYN MCKENNA
SVP & GEN COUNSEL	$0	$412,743	$0	$125,000	$0	$4,641	$0	$13,500	$0	$7,759	$0	$563,643	$0	$0
CATHERINE FRIERSON
CHIEF HUMAN RESOURCE OFFICER	$0	$365,753	$0	$110,000	$0	$4,450	$0	$13,500	$0	$5,437	$0	$499,140	$0	$0
THOMAS KOOBATIAN MD
EXEC DIR/CHIEF OF STAFF	$0	$374,225	$0	$75,000	$0	$3,294	$0	$16,200	$0	$33,865	$0	$502,584	$0	$0
GRACE LINHARD
CHIEF DEVELOPMENT OFFICER	$0	$327,281	$0	$80,000	$0	$5,338	$0	$16,200	$0	$3,345	$0	$432,164	$0	$0
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER	$0	$226,794	$0	$45,000	$0	$3,639	$0	$0	$0	$2,222	$0	$277,655	$0	$0
RICHARD FREEMAN MD
CHIEF CLINICAL OFF.	$0	$570,594	$0	$130,000	$0	$17,172	$0	$13,036	$0	$21,576	$0	$752,378	$0	$0
MAJID SADIGH
DIR GLOBAL HEALTH	$293,050	$0	$0	$0	$6,123	$0	$13,500	$0	$19,779	$0	$332,452	$0	$0	$0
ZACHARY M BARBOUR
ICU NURSE	$280,426	$0	$13,788	$0	$51	$0	$5,012	$0	$9,910	$0	$309,187	$0	$0	$0
MAUREEN J BURNETT
DIR WCHN NURSING	$272,729	$0	$12,500	$0	$1,235	$0	$18,114	$0	$6,358	$0	$310,936	$0	$0	$0
WILLIAM P MALDARELLI
PERFUSION DIRECTOR	$238,037	$0	$34,000	$0	$2,476	$0	$23,094	$0	$11,483	$0	$309,090	$0	$0	$0
WILLIAM DELANEY MD
CHC EXEC MED DIR	$266,730	$0	$0	$0	$2,772	$0	$27,000	$0	$31,248	$0	$327,750	$0	$0	$0
DONNA KAPLANIS
ASST. SECRETARY (FORMER)	$0	$87,882	$0	$14,500	$0	$232,543	$0	$26,625	$0	$3,240	$0	$364,790	$0	$0
KATHLEEN DEMATTEO
CHIEF INFOR OFF. (FORMER)	$0	$96,821	$0	$105,000	$0	$2,807	$0	$21,600	$0	$3,146	$0	$229,374	$0	$0
DEBRA CARRAGHER
VP OF OPERATIONS (FORMER)	$0	$193,896	$0	$0	$0	$1,919	$0	$13,500	$0	$2,893	$0	$212,208	$0	$0
ROWENA B BERGMANS
VP STRATEGIC CONTRACTING	$0	$258,920	$0	$62,000	$0	$1,825	$0	$13,500	$0	$19,941	$0	$356,186	$0	$0
MICHAEL DAGLIO
PRESIDENT NHA (FORMER)	$0	$463,565	$0	$0	$0	$2,195	$0	$16,200	$0	$28,832	$0	$510,792	$0	$0
RUTH GREGORY
DIRECTOR OF MATERIALS MGMT	$154,894	$0	$20,200	$0	$2,616	$0	$17,980	$0	$10,294	$0	$205,984	$0	$0	$0
MORRIS GROSS
VP-FACILITIES (FORMER)	$0	$219,850	$0	$33,000	$0	$7,917	$0	$27,000	$0	$21,214	$0	$308,981	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART 1, LINE 1A - RELEVANT INFORMATION REGARDING COMPENSATION BENEFITS

FOR THE FOLLOWING INDIVIDUALS, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND: SHARON ADAMS ROWENA B. BERGMANS DEBRA CARRAGHER MICHAEL DAGLIO KATHLEEN DEMATTEO RICHARD FREEMAN, MD CATHY FRIERSON MORRIS GROSS THOMAS KOOBATIAN, MD GRACE LINHARD CAROLYN MCKENNA WAYNE MCNULTY STEVEN H. ROSENBERG PART I, LINE 4 - RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT, EQUITY-BASED COMPENSATION PART I, LINE 4A-RECEIVED SEVERANCE DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2018, DONNA KAPLANIS RECEIVED $232,000 IN A LUMP SUM SEVERANCE PAYMENT WITHIN 60 DAYS OF THE TERMINATION DATE OF MARCH 30, 2018. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS PAYMENT.

SCHEDULE J, PART I, LINE 4B

WESTERN CONNECTICUT HEALTH NETWORK (WCHN), A RELATED ORGANIZATION, PREVIOUSLY ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR THE SERP, AMOUNTS PROMISED TO ELIGIBLE EXECUTIVES ARE BASED ON TARGETED RETIREMENT BENEFITS AND THE PAYMENT OF BENEFITS IS SUBJECT TO VESTING. THE BENEFITS AT THE VESTED AGE ARE PROVIDED IN THE FORM OF AN ACTUARIAL EQUIVALENT LUMP SUM PLUS A TAX GROSS-UP AMOUNT TO THE PARTICIPANTS. WCHN MAINTAINS AN ACCRUAL ON ITS BOOKS FOR THE PARTICIPANTS OF THE SERP. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. IN PRIOR YEARS, NEITHER THE ACCRUAL NOR THE CHANGE IN ACTUARIAL VALUE WERE REPORTED ON SCHEDULE J, PART II AS REQUIRED. HOWEVER, THE ACCRUAL WAS REPORTED BOTH ON WCHNS FORM 990, PART X AND SCHEDULE D, PART X. OF THE INDIVIDUALS REPORTED ON SCHEDULE J, PART II, ONLY JOHN M. MURPHY, MD, STEVEN H. ROSENBERG AND MICHAEL DAGLIO PARTICIPATED IN THE SERP AND ACCRUED ANY BENEFITS. AS OF SEPTEMBER 30, 2018, THE AGGREGATE ACCRUAL NOT PREVIOUSLY REPORTED ON SCHEDULE J, PART II FOR DR. MURPHY WAS $14,191,218. AS OF SEPTEMBER 30, 2018, THERE WAS NO AGGREGATE ACCRUAL FOR MR. ROSENBERG AS HIS BENEFIT WAS CASHED OUT. DURING CALENDAR YEAR 2018, HE RECEIVED A PAYMENT IN THE AMOUNT OF $2,619,020, THE FULL AMOUNT OF HIS ACCRUED BENEFIT, WHICH IS CURRENTLY REPORTED ON SCHEDULE J, PART II. ADDITIONALLY, THERE WAS NO ACCRUED BENEFIT FOR MR. DAGLIO AS OF SEPTEMBER 30, 2018. AT THE TIME OF HIS DEPARTURE FROM THE ORGANIZATION, MR. DAGLIOS ACCRUED BENEFIT OF $425,709 WAS EXTINGUISHED, WITH NO PAYMENTS BEING MADE TO MR. DAGLIO. FOR CALENDAR YEAR 2018, DR. MURPHY ACCRUED A BENEFIT OF $3,817,627 FROM THE SERP, WHICH IS REPORTED ON SCHEDULE J, PART II. AS OF SEPTEMBER 30, 2019, THE AGGREGATE ACCRUED BENEFIT FOR MR. MURPHY WAS $18,673,242, WHICH INCLUDES $4,482,024 THAT WAS ACCRUED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019. THIS IS REPORTED ON FORM 990, PART X AND SCHEDULE D, PART X. NO OTHER INDIVIDUALS REPORTED ON SCHEDULE J, PART II ACCRUED OR RECEIVED A BENEFIT DURING CALENDAR YEAR 2018. ALTHOUGH MR. ROSENBERG CASHED OUT ALL OF HIS BENEFIT THAT HAD ACCRUED THROUGH 2018, HE WILL CONTINUE TO BE A PARTICIPANT IN AND ACCRUE BENEFITS IN THE SERP. MR. ROSENBERG ACCRUED A BENEFIT OF $370,000 UNDER THE WCHN SERP. THIS BENEFIT WAS CASHED OUT DURING CALENDAR YEAR 2019, WITH MR. ROSENBERG RECEIVING A PAYMENT IN THE AMOUNT OF $311,957. THIS PAYMENT WILL BE REPORTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990 TO BE FILED FOR THE YEAR ENDED SEPTEMBER 30, 2020. PART I, LINE 6 - COMPENSATION CONTINGENT ON NET EARNINGS OR RELATED ORGANIZATION NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATIONS LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THIS PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR: -TIER I, CEO, SENIOR EXECUTIVE -TIER II, EXECUTIVE -TIER III, SENIOR LEADER (A) -TIER III, SENIOR LEADER (B) -TIER IV, LEADER 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 HEALTHS COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTHS 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. PART III - ADDITIONAL INFORMATION THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, WESTERN CONNECTICUT HEALTH NETWORK, INC. WHICH USED THE FOLLOWING METHODS DESCRIBED BELOW TO ESTABLISH TOP MANAGEMENT'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT FOR PHYSICIAN EXECUTIVES -COMPENSATION SURVEY OR STUDY -APPROVAL BY BOARD COMPENSATION COMMITTEE

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MAIN ELMOOD LLC
SEE PART V	$814,115	RENTAL OF SPACE	false
O G INDUSTRIES
SEE PART V	$399,276	CONSTRUCTION WORK	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	DURING THE YEAR THE FOLLOWING TRANSACTIONS ARE AT ARM'S LENGTH, ENTERED INTO THE ORDINARY COURSE OF BUSINESS AND IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY: ANTHONY RIZZO, JR., A DIRECTOR AT DANBURY HOSPITAL OWNS A BUILDING AT 70 MAIN STREET THAT DANBURY HOSPITAL RENTS SPACE FROM. GREG ONEGLIA A DIRECTOR AT DANBURY HOSPITAL OWNS O & G INDUSTRIES A CONSTRUCTION COMPANY THAT DID WORK FOR DANBURY HOSPITAL.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VII (ADDT'L 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 IX, COLUMN D	ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990, ALL FUNDRAISING EXPENSES WERE INCURRED BY THE DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION, INC.
FORM 990, PART VI, LINE 7A	THE SOLE MEMBER SHALL BE RESPONSIBLE FOR ELECTING, AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED.
FORM 990, PART VI, SECTION B, 12A, 13 AND 14	THE POLICIES EXIST AT THE PARENT LEVEL, WHICH ARE FOLLOWED BY EACH ENTITY AND ARE APPROVED BY THE PARENT BOARD, BUT NOT EACH INDIVIDUAL BOARD. THIS EXCLUDES THE RECORD RETENTION POLICY, WHICH IS APPROVED ONLY BY THE PARENT AUDIT COMMITTEE.
FORM 990, PART VI, LINE 16B	WHILE A WRITTEN POLICY HAS NOT BEEN ADOPTED REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURES, MANAGEMENT FOLLOWS A PROCEDURE IN WHICH ALL POSSIBLE JOINT VENTURE ARRANGEMENTS ARE EVALUATED UNDER APPLICABLE FEDERAL TAX LAWS. MANAGEMENT UTILIZED THE SERVICES OF APPROPRIATE CONSULTANTS AND LEGAL COUNSEL TO EVALUATE EACH JOINT VENTURE OPPORTUNITY. THIS EVALUATION ALSO INCLUDES AN ANALYSIS OF HOW THE JOINT VENTURE WILL FURTHER THE HOSPITAL'S MISSION. THE HOSPITAL HAS TAKEN ALL APPROPRIATE STEPS TO SAFEGUARD ITS TAX EXEMPT STATUS WITH RESPECTS TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES.
FORM 990, PART I, LINE 1 - CONTINUED	THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS MEDICAL SERVICE LINE DANBURY HOSPITAL'S MEDICAL SERVICE LINE CONSISTS OF THE FOLLOWING SERVICES: INPATIENT CASES: GASTROINTESTINAL 1,936 INFECTIOUS DISEASE 1,590 INTERNAL MEDICINE 811 NEUROLOGY MEDICINE 540 RENAL/UROLOGY MEDICINE 1,028 PULMONARY MEDICINE 1,487 ALL OTHER INPATIENT 2,532 OUTPATIENT SERVICE LINE CASES: O/P MEDICINE 11,068 O/P MEDICINE COMM. CLINIC 5,723 O/P MEDICAL ONCOLOGY 16,369 O/P PULMONARY MEDICINE 4,977 DIGESTIVE DISEASES: OUR DIGESTIVE DISEASE CENTER IS STAFFED BY RENOWNED FELLOWSHIP-TRAINED GASTROENTEROLOGISTS. WE OFFER LEADING DIAGNOSIS AND TREATMENT OF A WIDE RANGE OF DIGESTIVE DISEASES AND CONDITIONS, WHILE PROVIDING INDIVIDUALIZED TREATMENT FOR EVERY PATIENT. OUR SERVICES INCLUDE: ABLATION THERAPY FOR BARRETT'S ESOPHAGUS, COLON CANCER SCREENING, COLONOSCOPY, CRYOTHERAPY, ENDOSCOPY, ENDOSCOPIC ULTRASOUND AND FINE-NEEDLE ASPIRATION, LACTOSE TOLERANCE TESTING, AND WIRELESS CAPSULE ENDOSCOPY. INFECTIOUS DISEASE: DANBURY HOSPITAL'S INFECTIOUS DISEASE SPECIALISTS TREAT THE FULL RANGE OF INFECTIOUS DISEASES, INCLUDING CONDITIONS CAUSED BY LIVING ORGANISMS (BACTERIA, VIRUSES, FUNGI AND PARASITES), HIV, AND RELATED CONDITIONS, LYME DISEASE, CHRONIC AND WOUND-RELATED INFECTION, AND TRAVEL-RELATED INFECTION. OUR DOCTORS HAVE EXPERTISE IN THE PROPER USE OF ANTIBIOTICS AND OTHER ANTI-INFECTIVE MEDICINES TO TREAT DISEASE AND ALSO COLLABORATE WITH PRIMARY CARE DOCTORS, SPECIALISTS AND SURGEONS TO ENSURE A COMPREHENSIVE, PERSONALIZED TREATMENT PLAN FOR EACH PATIENT. INTERNAL MEDICINE: HAVING A PRIMARY CARE PROVIDER (PCP) IS ONE OF THE MOST IMPORTANT STEPS YOU CAN TAKE WHEN IT COMES TO YOUR HEALTH. WITH A PCP, YOU HAVE A PROVIDER WHO TAKES THE TIME TO GET TO KNOW EVERY ASPECT OF YOUR HEALTHCARE NEEDS AND BUILD A TRUSTING RELATIONSHIP WITH YOU-AND IS FOCUSED ON YOUR OVERALL HEALTH AND WELLNESS. OUR PCPS ARE COMMITTED TO UNDERSTAND ALL YOUR NEEDS WHETHER CLINICAL OR PERSONAL, AND DEVELOP A PERSONALIZED PLAN JUST FOR YOU. THEY ARE COMMITTED TO TREATING YOU LIKE A PERSON, NOT A NUMBER ON A CHART. WHATEVER YOUR MEDICAL NEEDS, DANBURY HOSPITAL PROVIDES EXPERT CARE IN THE WARM, FOCUSED AND PERSONAL MANNER YOU DESERVE. SPECIALISTS IN PRIMARY CARE, OUR FAMILY MEDICINE PHYSICIANS TREAT INFANTS, CHILDREN AND ADULTS OF ALL AGES. SERVICES INCLUDE PREVENTIVE MEDICINE (INCLUDING VACCINES AND IMMUNIZATIONS), DIAGNOSIS AND TREATMENT OF CHRONIC AND ACUTE ILLNESSES AND INJURIES, AND COORDINATION OF SPECIALTY CARE. OUR FAMILY PHYSICIANS ARE TRAINED TO PROVIDE MEDICAL CARE FOR PATIENTS RANGING IN AGE FROM PEDIATRICS THROUGH ADULT AND GERIATRICS. NEUROLOGY AND STROKE: WE OFFER EXPERTISE IN TREATMENT OF NEUROLOGICAL DISORDERS, INCLUDING STROKE, EPILEPSY, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE AND VERTIGO. ONE OF THE NATION'S FIRST HOSPITALS TO EARN PRIMARY STROKE CENTER ACCREDITATION FROM THE JOINT COMMISSION AND RECEIVE THE SILVER PERFORMANCE AWARD FROM THE AHA'S STROKE ASSOCIATION FOR THE QUALITY OF CARE WE PROVIDE. WE HAVE BEEN REGULARLY RECOGNIZED BY THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH FOR CONSISTENTLY DEMONSTRATING THE ABILITY TO RAPIDLY DIAGNOSE AND TREAT STROKE. COMMITTED TO REMAINING ON THE FOREFRONT OF RAPID AND EFFECTIVE STROKE CARE, WE CONTINUE TO INCORPORATE THE LATEST EFFECTIVE TREATMENTS. UROLOGY: OUR EXPERT UROLOGISTS TREAT CONDITIONS SUCH AS: -FEMALE UROLOGIC DISORDERS, INCLUDING URINARY INCONTINENCE AND VOIDING DYSFUNCTION -INFERTILITY -KIDNEY, BLADDER, PROSTATE AND TESTICULAR CANCER -KIDNEY STONES -MALE SEXUAL DIFFICULTIES -PROSTATE CANCER -URINARY TRACT INFECTIONS -VASECTOMY AND VASECTOMY REVERSAL PROCEDURES WE PERFORM INCLUDE: -EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR KIDNEY STONES -LAPAROSCOPIC NEPHRECTOMY -MINIMALLY INVASIVE PHOTO-VAPORIZATION OF THE PROSTATE -MINIMALLY INVASIVE SURGICAL TREATMENT FOR FEMALE INCONTINENCE -PYELOPLASTY PULMONOLOGY: WE OFFER OUTSTANDING DIAGNOSIS, TREATMENT AND CARE FOR PATIENTS WITH ALL TYPES OF PULMONARY CONDITIONS. WE PERFORM SPECIALIZED SERVICES, SUCH AS CARDIOPULMONARY EXERCISE TESTING TO MEASURE DEGREE OF FITNESS AND AID IN THE ASSESSMENT OF SHORTNESS OF BREATH; SPECIFIC DIAGNOSTIC ASTHMA TESTING; AND TESTING TO DETERMINE THE NEED FOR SUPPLEMENTAL OXYGEN FOR EVERYDAY LIVING AND AIR TRAVEL. ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FORM 990, PART III, LINE 4B - PROGRAM SERVICE ACCOMPLISHMENTS	SURGERY SERVICE LINE INPATIENT CASES: MAJOR JOINT REPLACEMENT 1,086 TRAUMA SURGERY 659 MINOR GI SURGERY 231 GENERAL SURGERY 375 UROLOGY SURGERY 160 COLON/BOWEL SURGERY 255 OBESITY SURGERY 127 SPINAL SURGERY 437 ALL OTHER INPATIENT SURGERY 590 OUTPATIENT SERVICE LINE CASES: ABDOMEN GI SURGERY 1,364 BREAST SURGERY-NON PLASTIC 348 ENDOSCOPY 13,670 MISC. GENERAL SURGERY 481 ORAL SURGERY 89 OPTHALMOLOGY 655 UROLOGY 987 PAIN INJECTION PROCEDURES 318 HEAD/NECK SURGERY 459 PLASTIC SURGERY 439 ALL OTHER OUTPATIENT SURGERY 1,931 GENERAL SURGERY: DANBURY HOSPITAL TAKES PRIDE IN A SURGICAL SERVICES DEPARTMENT THAT OFFERS EVERY ADVANTAGE: HIGHLY TRAINED SURGEONS WHO ARE ATTENTIVE TO PATIENT NEEDS AND EXPERIENCED WITH THE LATEST TECHNOLOGY, INCLUDING MINIMALLY INVASIVE APPROACHES. MANY OF OUR SURGEONS HAVE ADVANCED FELLOWSHIP TRAINING IN SPECIALTIES SUCH AS ONCOLOGY, COLORECTAL AND BARIATRIC SURGERY. DANBURY HOSPITAL'S SURGEONS ARE CONTINUALLY RECOGNIZED FOR THEIR EXPERIENCE, EXCELLENT OUTCOMES, AND EXPERTISE IN MINIMALLY INVASIVE SURGICAL TECHNIQUES. HERE ARE JUST SOME OF THE AWARDS WE'VE BEEN PRIVILEGED TO RECEIVE: - INTERSOCIETAL ACCREDITATION COMMISSION'S VEIN CENTER ACCREDITATION FOR THE VASCULAR SURGICAL SERVICE (2015) - JOINT COMMISSION TOP PERFORMER, AMERICA'S IMPROVING QUALITY AND SAFETY (2014/13) - RECERTIFICATION, JOINT COMMISSION DISEASE SPECIFIC CERTIFICATION IN HIP ARTHROPLASTY, KNEE ARTHROPLASTY AND SPINE SURGERY (2015) - THE CENTER FOR WEIGHT LOSS SURGERY HAS BEEN NAMED: A COMPREHENSIVE CENTER WITH THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) (2015 - 2018) - A BARIATRIC CENTER FOR EXCELLENCE UNDER THE CLINICAL SCIENCE INSTITUTE (CSI) OF OPTUM (2015) -MBSAQIP ACCREDITED BARIATRIC CENTER, 2006 - PRESENT -AMERICAN COLLEGE OF SURGEONS & AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY - RECIPIENT OF THE AETNA INSTITUTE OF QUALITY BARIATRIC DESIGNATION - RECIPIENT OF THE HEALTHGRADES PATEINT SAFETY EXCELLENCE AWARD. - NATIONAL ACCREDITATION PROGRAM FOR BREAST ENTERS - COMMITTED TO PROVIDE THE HIGHEST LEVEL OF QUALITY BREAST CARE. AT DANBURY HOSPITAL OUR EXPERT SURGEONS EXCEL AT USING ADVANCED TECHNOLOGY TO PERFORM MINIMALLY INVASIVE PROCEDURES, ALLOWING PATIENTS TO UNDERGO SURGERY WITH LESS PAIN, SHORTER HOSPITAL STAYS, AND QUICKER RECOVERY PERIODS. SURGEONS USE VERY SMALL INCISIONS, MEANING LESS TRAUMA TO THE BODY, LESS BLOOD LOSS, SMALLER SCARS AND A LOWER NEED FOR PAIN MEDICATION. OUR SURGEONS HAVE BEEN RECOGNIZED FOR EXCELLENCE IN LAPAROSCOPIC TECHNIQUES PERFORMED IN MANY SURGICAL SPECIALTIES INCLUDING WEIGHT LOSS, COLORECTAL, AND GENERAL SURGICAL PROCEDURES. FOR ROBOTIC SURGERY, WE USE THE LATEST, MOST ADVANCED ROBOTIC TECHNOLOGY AVAILABLE, THE DA VINCI SURGICAL SYSTEM. WE ARE COMMITTED TO STAYING AT THE FOREFRONT OF INNOVATION, EQUIPPING OUR SURGEONS WITH SOPHISTICATED TECHNOLOGY SO THEY CAN OFFER INNOVATIVE SURGICAL PROCEDURES HERE IN OUR COMMUNITY. OUR DA VINCI SURGICAL SYSTEM GIVES SURGEONS BETTER VISUALIZATION AND TOOLS THAT IMPROVE DEXTERITY. WITH MORE CONTROL THEY CAN OPERATE WITH GREATER PRECISION. OUR DOCTORS USE THIS ADVANCED TECHNOLOGY TO PERFORM A WIDE RANGE OF PROCEDURES, INCLUDING SINGLE-INCISION ROBOTIC SURGERY. AS A LEVEL II TRAUMA CENTER, DANBURY HOSPITAL'S TEAM OF BOARD CERTIFIED SURGEONS PROVIDE IMMEDIATE, 24/7 CARE FOR ACUTE AND LIFE-THREATENING INJURIES TO CHILDREN AND ADULTS. ORTHOPEDIC SURGERY: OUR CENTER FOR ADVANCED ORTHOPEDIC AND SPINE CARE HAS EARNED THE "CENTER OF EXCELLENCE" DESIGNATION FROM THE JOINT COMMISSION FOR PROVIDING COMPREHENSIVE, MULTIDISCIPLINARY CARE, INCLUDING HIP, KNEE, SHOULDER, AND ANKLE REPLACEMENT. OUR DANBURY HOSPITAL ORTHOPEDIC SURGEONS OFFER A WIDE ARRAY OF JOINT REPLACEMENT PROCEDURES. OUR CONTINUUM OF CARE INCLUDES: A CARE COORDINATOR WHO PROVIDES EDUCATION AND GUIDANCE EVERY STEP OF THE WAY, PRE-OP THROUGH YOUR REHABILITATION. PRE-ADMISSION TESTING IN OUR DEDICATED UNIT, DESIGNED TO MEET THE UNIQUE NEEDS OF JOINT REPLACEMENT PATIENTS AND FAMILIES. SERVICES INCLUDE INDIVIDUALIZED PATIENT EDUCATION, NURSING AND ANESTHESIA ASSESSMENTS, AND COLLABORATION WITH YOU ON PLANNING A PAIN MANAGEMENT PROGRAM FOR YOUR SURGICAL RECOVERY. DEDICATED ORTHOPEDIC OPERATING ROOMS AND CLINICAL SUPPORT STAFF. A COMFORTABLE ORTHOPEDIC RECOVERY UNIT WITH PHYSICIAN ASSISTANTS, NURSING AND REHABILITATION STAFF SPECIALLY TRAINED TO CARE FOR TOTAL JOINT REPLACEMENT PATIENTS. -ADVANCED, DIGITAL DIAGNOSTIC IMAGING TECHNOLOGY.-ACUTE IN-HOSPITAL THERAPY SERVICES. -OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY. -ACCESS TO HOME CARE SERVICES WITH WESTERN CONNECTICUT HOME CARE (FORMERLY DVNA). DIGESTIVE DISEASE: OUR EXPERT GENERAL AND DIGESTIVE DISEASE SURGEONS SPECIALIZE IN MAJOR AND MINOR SURGICAL PROCEDURES OF THE ABDOMEN, DIGESTIVE TRACT, ENDOCRINE SYSTEM, BREASTS, SKIN AND BLOOD VESSELS. UROLOGIC SURGERY: DANBURY HOSPITAL UROLOGISTS ARE KNOWN NATIONALLY FOR INNOVATION. PROCEDURES PERFORMED INCLUDE: EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR KIDNEY STONES; LAPAROSCOPIC NEPHRECTOMY, MINIMALLY INVASIVE PHOTO-VAPORIZATION OF THE PROSTATE; MINIMALLY INVASIVE SURGICAL TREATMENT FOR FEMALE INCONTINENCE AND PYELOPLASTY. DANBURY HOSPITAL'S COLON AND RECTAL SURGEONS TREAT A VARIETY OF ANORECTAL CONDITIONS USING SURGICAL INTERVENTION. BARIATRIC/WEIGHT LOSS SURGERY: AT DANBURY HOSPITAL OUR EXPERT SURGEONS EXCEL AT USING ADVANCED TECHNOLOGY TO PERFORM MINIMALLY INVASIVE PROCEDURES, ALLOWING PATIENTS TO UNDERGO SURGERY WITH LESS PAIN, SHORTER HOSPITAL STAYS, AND QUICKER RECOVERY PERIODS. SURGEONS USE VERY SMALL INCISIONS, MEANING LESS TRAUMA TO THE BODY, LESS BLOOD LOSS, SMALLER SCARS AND A LOWER NEED FOR PAIN MEDICATION. OUR SURGEONS HAVE BEEN RECOGNIZED FOR EXCELLENCE IN LAPAROSCOPIC TECHNIQUES PERFORMED IN MANY SURGICAL SPECIALTIES INCLUDING WEIGHT LOSS, COLORECTAL, AND GENERAL SURGICAL PROCEDURES. NEUROSURGERY: BOARD-CERTIFIED NEUROSURGEONS DIAGNOSE AND TREAT DISORDERS THAT AFFECT ANY PORTION OF THE NERVOUS SYSTEM, INCLUDING THE BRAIN, SPINAL CORD AND ITS SURROUNDING STRUCTURES AND THE PERIPHERAL NERVES. CONDITIONS INCLUDE BRAIN ANEURYSMS, CEREBRAL ANEURYSMS, CHRONIC SUBDURAL HEMATOMA, COMA, CONCUSSIONS, DEGENERATIVE DISC DISEASE, DISC HERNIATION, EPILEPSY, HEAD TRAUMA, SEIZURES, SPINAL COMPRESSION FRACTURES, SPINAL CORD INJURY, SPINAL CORD TUMORS, STENOSIS, STROKE, AND TORTICOLLIS. ACCREDITATION TO THE PRAXAIR CANCER CENTER, AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, 2015. ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FORM 990, PART III, LINE 4C - PROGRAM SERVICE ACCOMPLISHMENTS	CARDIOVASCULAR SERVICES DANBURY HOSPITALS CARDIOVASCULAR SERVICE LINE CONSISTS OF THE FOLLOWING SERVICES: INPATIENT CASES: CARDIAC MEDICINE 1,440 CARDIAC SURGERY 266 CARDIAC PCI MEDICINE 301 CARDIAC VASCULAR SURGERY 280 ALL OTHER INPATIENT CARDIOVASCULAR SERVS. 430 OUTPATIENT SERVICE LINE CASES: ANTICOAGULATION CLINIC 5,544 CARDIAC DIAGNOSTIC CLINIC 9,934 NON INVASIVE VASCULAR LAB 6,077 CARDIAC REHABILITATION 3,700 ALL OTHER OUTPATIENT CARDIOVASCULAR SERVS. 10,361 DANBURY HOSPITAL OFFERS A PREMIER CARDIOVASCULAR PROGRAM TO MEET THE NEEDS OF PATIENTS WITH CARDIAC AND VASCULAR PROBLEMS. LED BY A SPECIALIST TEAM OF CARDIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS AND VASCULAR SURGEONS, THIS PROGRAM HAS ACHIEVED WIDE ACCLAIM FOR PROVIDING LEADING-EDGE PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION OF CARDIOVASCULAR DISEASE. AT DANBURY HOSPITALS PRAXAIR CENTER, WE PROVIDE EXPERT, COLLABORATIVE, MULTIDISCIPLINARY CARE, INPATIENT AND OUTPATIENT, FOR THE FULL RANGE OF CARDIOVASCULAR CONDITIONS, INCLUDING THOSE THAT AFFECT THE HEART, HEART VALVES AND THE VASCULAR SYSTEM. WE OFFER THE FULL SPECTRUM OF ADVANCED TREATMENTS AND PROCEDURES FOR CARDIOVASCULAR DISEASE IN THE AREAS OF: -GENERAL CARDIOLOGY -CARDIAC SURGERY -VASCULAR SURGERY -INTERVENTIONAL CARDIOLOGY -ELECTROPHYSIOLOGY -STRUCTURAL HEART COMMON HEART & VASCULAR CONDITIONS WE TREAT: -ATRIAL FIBRILLATION (IRREGULAR HEARTBEAT) -CONGESTIVE HEART FAILURE -HEART ATTACK -CHEST PAIN -CORONARY ARTERY DISEASE -PERIPHERAL ARTERY DISEASE OUR EXPERT PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES AND SUPPORT STAFF ARE SERIOUS ABOUT THEIR ROLE IN SUPPORTING THE HEART HEALTH OF EVERYONE IN OUR COMMUNITY. WHETHER FOR SCREENING, DIAGNOSTIC TESTS OR TREATMENT FOR A HEART OR VALVE CONDITION, WE PROVIDE COMPASSIONATE CARE THAT IS PERSONALIZED TO YOUR NEEDS. DIAGNOSTICS AND TESTS WE OFFER INCLUDE: -ANGIOGRAM -CORONARY ANGIOGRAPHY -DIAGNOSTIC ELECTROPHYSIOLOGY STUDIES (EPS) -ECHOCARDIOGRAM -HOLTER MONITOR -STRESS TESTS -HEART AND VASCULAR TREATMENTS AND PROCEDURES AMONG THE ADVANCED TREATMENTS AND PROCEDURES WE PROVIDE ARE: -ABDOMINAL AORTIC ANEURYSM (AAA) SURGERY -ANGIOPLASTY -AORTIC VALVE REPLACEMENT -CARDIOVERSION -CATHETER ABLATION -DEEP VEIN THROMBOSIS (DVT) THERAPY -HEART BYPASS SURGERY -HYBRID CONVERGENT PROCEDURE FOR ATRIAL FIBRILLATION (AFIB) -MITRAL VALVE REPAIR/REPLACEMENT -OPEN HEART SURGERY -PACEMAKER AND ICD PLACEMENT -STENT PLACEMENT -TAVR -THORACIC AORTIC ANEURYSM SURGERY, OPEN AWARDS & ACCREDITATIONS AT DANBURY HOSPITAL, OUR CARDIOVASCULAR PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION STAFF AND PROGRAMS ARE HONORED TO HAVE EARNED THE FOLLOWING NATIONAL RECOGNITIONS AND AWARDS: CHEST PAIN CENTER ACCREDITATION* FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE MISSION LIFELINE EMS AWARD, AMERICAN HEART ASSOCIATION (2014) RE-ACCREDITATION ECHOCARDIOGRAPHY, INTERSOCIETAL ACCREDITATIONS COMMISSION (IAC) (2014 2020) RE-ACCREDITATION NUCLEAR MEDICINE, AMERICAN COLLEGE OF RADIOLOGY (2015 2021) ACCREDITATION FROM THE VASCULAR SURGERY VEIN CENTER, INTERSOCIETAL ACCREDITATION COMMISSION RECERTIFICATION PRIMARY STROKE CENTER BY JOINT COMMISSION GET WITH THE GUIDELINES - HEART FAILURE SILVER PLUS AWARD, 2018 AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION	OTHER PROGRAM SERVICES AT DANBURY HOSPITAL DURING FYE2018, APPROXIMATELY 21,000 DISCHARGES AND 72,000 EMERGENCY ROOM VISITS OCCURRED. EMERGENCY SERVICES: EMERGENCY SERVICES - DANBURY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF HIGH-QUALITY EMERGENCY MEDICAL SERVICES, FOR THE MOST CRITICALLY ILL AND INJURED PATIENTS, FROM PRE-HOSPITAL EMS/PARAMEDIC SERVICES TO AN EMERGENCY DEPARTMENT FEATURING A LEVEL II TRAUMA CENTER TO A NATIONALLY RECOGNIZED CRITICAL CARE UNIT. OUR EMERGENCY DEPARTMENT FEATURES MODERN LIFESAVING TECHNOLOGY AND IS STAFFED BY BOARD-CERTIFIED PHYSICIANS AND EXPERIENCED NURSES WITH ADVANCED SKILLS. FOR PATIENTS EXPERIENCING A STROKE, DANBURY HOSPITAL IS CERTIFIED AS A STROKE CENTER BY THE JOINT COMMISSION. FOR PATIENTS EXPERIENCING AN ACUTE HEART ATTACK, DANBURY HOSPITAL IS CERTIFIED AS A PRIMARY ANGIOPLASTY CENTER. ONCE IDENTIFIED AS A CANDIDATE BY EMS OR BY THE EMERGENCY PHYSICIAN, A CRITICAL PATHWAY ENSURES THE RAPID EVALUATION OF THE PATIENT AND MOVEMENT TO THE CARDIAC CATH LAB FOR DEFINITIVE CARE TO MINIMIZE LONG-TERM CONSEQUENCES. IF NEEDED, IT'S COMFORTING TO KNOW THAT DANBURY HOSPITALS MARY ELLEN AND SAMUEL KLEIN, MD CRITICAL CARE UNIT HAS BEEN NATIONALLY RECOGNIZED FOR PROVIDING AN EXEMPLARY LEVEL OF CARE. WE ARE LEAPFROG COMPLIANT, AN ELITE RANKING ACHIEVED BY APPROXIMATELY 15% OF THE NATIONS HOSPITALS; IN RECENT YEARS, WE'VE ALSO EARNED THE BEACON AWARD FOR CRITICAL CARE EXCELLENCE BY THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES THREE TIMES. AS A LEVEL II TRAUMA CENTER ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS, DANBURY HOSPITAL OFFERS EXPERT 24/7 CARE BY TRAUMA SPECIALISTS, INCLUDING TRAUMA SURGEONS AND EMERGENCY PHYSICIANS. WOMEN AND CHILDRENS SERVICE: OUR WOMENS AND CHILDREN'S SERVICES FEATURES A TOP NOTCH TEAM OF OBSTETRICIANS, GYNECOLOGIST, PEDIATRICIANS, CERTIFIED MIDWIVES, PEDIATRIC HOSPITALISTS, NEONATOLOGISTS, PEDIATRIC SPECIALISTS, PHYSICIAN ASSISTANTS AND NURSES. OUR OBSTETRICIANS AND CERTIFIED NURSE MIDWIVES DELIVER BABIES IN THE HOSPITAL'S MODERN, HOME-LIKE CHILD BIRTH CENTER. THE CENTER FEATURES IN-SUITE AMENITIES, INCLUDING PRIVATE ROOMS, MASSAGE THERAPY FOR INFANTS AND MOTHERS AND WIRELESS INTERNET ACCESS. IN ADDITION ADVANCES, MINIMALLY INVASIVE ROBOTIC SURGERY FOR SEVERAL GYNECOLOGIC PROCEDURES, INCLUDING HYSTERECTOMIES, FIBROID REMOVAL, VAGINAL PROLAPSE CORRECTION, TO STOP MENORRHAGIA AND TO TREAT CERTAIN FORMS OF CERVICAL AND UTERINE CANCERS, ARE AVAILABLE AT THE HOSPITAL. AT DANBURY HOSPITAL, WE UNDERSTAND THAT A CHILD IS LIFES MOST PRECIOUS GIFT. NO PARENT SHOULD FEEL THE NEED TO CHOOSE BETWEEN EXPERT MEDICAL CARE AND A WARM, SUPPORTIVE, COMMUNITY ENVIRONMENT. WE ARE COMMITTED TO PROVIDING EXCEPTIONAL CARE IN A TENDER, LOVING MANNER TO THE CHILDREN OF OUR COMMUNITY. FOR CHILDREN WHO NEED HOSPITAL CARE, OUR CHILD-FRIENDLY PEDIATRIC UNIT OFFERS A VARIETY OF SUPPORTS TO MAKE YOUR CHILDS STAY AS COMFORTABLE AS POSSIBLE FOR BOTH OF YOU. AND MANY CHILDREN REQUIRE THE CARE OF A SPECIALIST AT ONE POINT OR ANOTHER; WE MAKE IT EASIER BY BRINGING EXCELLENT PEDIATRIC SPECIALTY SERVICES INTO ONE CONVENIENT LOCATION AT OUR CHILDRENS HEALTH AND WELLNESS CENTER. THE CHILDREN'S HEALTH AND WELLNESS CENTER IS A CHILD-FRIENDLY, INTERACTIVE ENVIRONMENT FOR WELLNESS AND HEALING. WITH YOUR CONVENIENCE IN MIND, WE OFFER A VARIETY OF PEDIATRIC SPECIALTY SERVICES IN ONE LOCATION. AT DANBURY HOSPITAL WE ARE PROUD TO PROVIDE ADVANCED SUPPORT IN OUR LEVEL IIIB SPRATT FAMILY NEONATAL INTENSIVE CARE UNIT (NICU), STAFFED 24/7 BY EXPERIENCED NEONATOLOGISTS AND NICU NURSES. WITH ADVANCED DIAGNOSTIC IMAGING AND A FULL STAFF OF PEDIATRIC SPECIALISTS, WERE PREPARED TO EXPECT THE UNEXPECTED. BEHAVORIAL AND MENTAL HEALTH: DANBURY HOSPITAL PROVIDES EXPERT, SUPPORTIVE INPATIENT PSYCHIATRIC SERVICES FOR ADULTS AND GERIATRIC PATIENTS WITH ACUTE PSYCHIATRIC ILLNESS OR CO-OCCURRING SUBSTANCE USE. THE UNIT OFFERS A VARIETY OF SERVICES AIMED TO STABILIZE ACUTE PSYCHIATRIC SYMPTOMS. OUR PSYCHIATRIC MULTIDISCIPLINARY TEAM INCLUDES PHYSICIAN-PSYCHIATRISTS, ADVANCED PRACTICE PSYCHIATRIC NURSES, SOCIAL WORKERS, ACTIVITY THERAPISTS, EXPERIENCED PSYCHIATRIC RNS AND SUPPORT STAFF. OUR CI CRISIS INTERVENTION TEAM LOCATED IN THE ED PROVIDES COMPREHENSIVE PSYCHIATRIC AND SAFETY ASSESSMENTS. LICENSED CLINICIANS IDENTIFY PATIENTS WHO MAY REQUIRE A BEHAVIORAL HEALTH ASSESSMENT AND PROVIDE REFERRALS TO THE APPROPRIATE LEVEL OF CARE. WE TREAT ADULTS WITH THE FOLLOWING CONDITIONS: -BIPOLAR DISORDER -DEPRESSION -ANXIETY -PSYCHOTIC DISORDERS -DUAL DIAGNOSES (MENTAL ILLNESS AND ADDICTION) RADIOLOGY/IMAGING: DANBURY HOSPITAL IS KNOWN FOR EXCELLENCE IN IMAGING SERVICES. WE ARE PROUD OF OUR BOARD-CERTIFIED RADIOLOGISTS, ADVANCED TECHNOLOGY, AND MULTIPLE CONVENIENT LOCATIONS. OUR SERVICES INCLUDE MRI, SCANS, MAMMOGRAMS, X-RAYS, AND SPECIALIZED TECHNOLOGY FOR CARDIOVASCULAR AND CANCER DIAGNOSIS AND TREATMENT. DANBURY HOSPITAL OFFERS A VARIETY OF RADIOLOGY SERVICES INCLUDING, CT, PET/CT, CT LUNG SCREENING, VIRTUAL COLONOSCOPY, MRI AND OPEN MRI, ULTRASOUND, BONE DENSITY MEASUREMENT, OSTEOPOROSIS SCREENING, GENERAL XRAY, DIGITAL MAMMOGRAPHY, DIGITAL BREAST, BREAST MRI AND ULTRASOUND, STEREOTACTIC, MRI-GUIDED AND ULTRASOUND GUIDED BREAST BIOPSY, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, CRYOBLATION, IMAGE-GUIDED BIOPSY, AND INTERVENTIONAL RADIOLOGY. QUALIFICATIONS AND ACCREDITATIONS: - AMERICAN COLLEGE OF RADIOLOGY ACCREDITED IN PEDIATRIC CT IMAGING. - AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE 2015-2021 PATHOLOGY AND LABORATORY SERVICES: DANBURY HOSPITALS DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE IS FOCUSED ON OPERATIONAL PROFICIENCY TO ASSURE THE ACCURACY AND QUALITY OF EVERY TEST. DIRECTED BY FOUR BOARD-CERTIFIED PATHOLOGISTS WHO ARE ASSISTED BY MORE THAN A DOZEN CERTIFIED MEDICAL LABORATORY SCIENTISTS AND SUPPORTED BY A LARGE TEAM OF LABORATORY PROFESSIONALS, OUR LAB IS CLIA CERTIFIED (CLINICAL LABORATORY IMPROVEMENT AMENDMENTS). THE STATE OF CONNECTICUT HAS LICENSED US AS HIGH COMPLEXITY, MEANING WE ARE QUALIFIED TO PERFORM NON-AUTOMATED TESTS THAT REQUIRE MULTIPLE STEPS AND A HIGH-LEVEL OF TRAINING AND CARE. WE ARE PROUD OF OUR CERTIFICATIONS AND ACCREDITATIONS AND WILLINGLY PARTICIPATE IN UNANNOUNCED INSPECTIONS, ROUTINELY RECEIVING THE HIGHEST RATINGS. IN FACT, AS PART OF OUR QUALITY ASSURANCE PROCESS, WE PARTICIPATE IN RANDOM PROFICIENCY TEST SURVEYS FROM VARIOUS OUTSIDE AGENCIES TO CONSISTENTLY MEASURE AND EVALUATE THE PERFORMANCE OF OUR TESTING STAFF. QUALIFICATIONS AND ACCREDITATIONS: OUR LABORATORY IS ACCREDITED BY CLIA (LICENSE #07D0101031), CAP (LICENSE #11931-01), CT STATE (LICENSE #HP0206), AABB AND NEW YORK STATE (LICENSE #3327 80700470). DANBURY HOSPITAL PARTICIPATES IN RANDOM UNANNOUNCED INSPECTIONS BY THESE AGENCIES AND ALWAYS RECEIVES THE HIGHEST SCORES. THE LABORATORY ALSO PARTICIPATES IN PROFICIENCY SURVEYS, WHICH ENSURE QUALITY RESULTS ARE ACHIEVED BY ALL TECHNOLOGISTS.
TEACHING:	DANBURY HOSPITAL IS PART OF A PREMIER PATIENT-CENTERED SYSTEM OF CARE DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR PATIENTS AND THE SURROUNDING COMMUNITIES OF WESTERN CONNECTICUT AND NEARBY NEW YORK STATE. AS A REGIONAL MEDICAL CENTER AND UNIVERSITY TEACHING HOSPITAL AFFILIATED WITH THE UNIVERSITY OF VERMONT COLLEGE OF MEDICINE AND YALE UNIVERSITY SCHOOL OF MEDICINE. DANBURY HOSPITAL PROVIDES A DYNAMIC ENVIRONMENT FOR TEACHING AND RESEARCH FOR OUR GRADUATE MEDICAL EDUCATION TRAINING PROGRAMS. THE HOSPITAL RECEIVED ACCREDITATION WITH COMMENDATION FROM THE JOINT COMMISSION, AND IS APPROVED TO SPONSOR RESIDENCY/FELLOWSHIP PROGRAMS BY THE ACCREDITATION COUNCIL OF GRADUATE MEDICAL EDUCATION. DANBURY HOSPITAL SPONSORS RESIDENCY TRAINING IN INTERNAL MEDICINE, PRIMARY CARE, OBSTETRICS AND GYNECOLOGY, SURGERY, PATHOLOGY, DENTISTRY, AND A FELLOWSHIP IN CARDIOVASCULAR DISEASE. RESIDENTS AND FELLOWS ARE EXPOSED TO A BROAD RANGE OF CLINICAL AND DIDACTIC EXPERIENCES THROUGHOUT THEIR TRAINING, AND HAVE MANY OPPORTUNITIES TO PRESENT AT LOCAL AND NATIONAL MEETINGS AS WELL AS PUBLISH ORIGINAL RESEARCH. A DISTINCTIVE COMPONENT OF OUR GRADUATE MEDICAL EDUCATION TRAINING PROGRAM IS OUR GLOBAL HEALTH TRACK. GLOBAL HEALTH OFFERS THE OPPORTUNITY FOR RESIDENTS TO PERFORM ROTATIONS IN THE DOMINICAN REPUBLIC, RUSSIA, UGANDA, VIETNAM AND ZIMBABWE. RESEARCH: STATE-OF-THE-ART COLLABORATIVE PRECISION MEDICINE PROGRAM IS TO BE INITIATED AT WCHN. THE PROGRAM WOULD LINK GYNECOLOGIC/ONCOLOGY PATIENT CLINICAL CARE AND GENOMIC INFORMATION TO IMPROVED TREATMENT AND SURVEILLANCE. THIS IS THE FUTURE OF HEALTH CARE WHERE PATIENT CARE WOULD EVOLVE FROM A ONE-SIZE-FITS-ALL TO A MORE PERSONALIZED APPROACH TOWARDS DISEASE DIAGNOSIS AND TREATMENT. WE HOPE TO EXPAND THIS APPROACH TO THE DIAGNOSIS AND TREATMENT OF DISEASE IN OTHER THERAPEUTIC AREAS SUCH AS DIABETES AND CARDIOVASCULAR DISEASE. THE WCHN BIOMEDICAL RESEARCH INSTITUTE HAD ADDED A NEW RESEARCH GROUP, LABORATORY FOR TRANSLATIONAL RESEARCH, TO ITS CURRENT DEPARTMENTS. THIS RESEARCH GROUP IS BEING DIRECTED BY DR. JOHN MARTIGNETTI, MD, PHD, ASSOCIATE PROFESSOR AT THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. DR. MARTIGNETTI HAS ESTABLISHED A BENCH TO BEDSIDE APPROACH TO A PERSONALIZED MEDICINE PROGRAM FOR OVARIAN CANCER AT MOUNT SINAI. THE PERSONALIZED APPROACH TO OVARIAN CANCER PATIENT CARE WOULD IMPROVE OUTCOMES AS IT WOULD LINK PATIENT CLINICAL CARE AND GENOMIC INFORMATION TO IMPROVE DETECTION, SURVEILLANCE, PROGNOSIS AND TREATMENT. WE HAVE PUT TOGETHER ALL THE NECESSARY COMPONENTS OF A BIOREPOSITORY THAT WILL BE PART OF A CORE PROGRAM TO SUPPORT RESEARCH PROGRAMS AIMED AT BIOMARKER DISCOVERY, VALIDATION AND DEVELOPMENT OF NOVEL THERAPEUTICS. THE BIOREPOSITORY WILL HOUSE FROZEN PATIENTS TISSUE, PATIENT DERIVED CELL LINES AND BLOOD/PLASMA FOR RESEARCH PURPOSES. ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH DANBURY HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FORM 990, PART VI, LINE 4 - SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS - JOINED A NEW HEALTH SYSTEM (NUVANCE HEALTH) SERVING NEW YORK AND CONNECTICUT THAT IS OVERSEEN BY HQ-WCHN HEALTH SYSTEM, INC. - ANY ACTION UNDER APPLICABLE LAW, THE CERTIFICATE OF INCORPORATION OR THESE BYLAWS MAY BE TAKEN WITHOUT A MEETING, WITHOUT PRIOR NOTICE AND WITHOUT A VOTE, IF THE MEMBER GIVES ITS WRITTEN CONSENT TO SUCH ACTION IN A MANNER CONSISTENT WITH LAW AND THE MEMBER'S CORPORATE GOVERNANCE DOCUMENTS. - EXCEPT AS APPROVED BY THE MEMBER, AND TO THE EXTENT PERMITTED BY THE ACT, ALL COMMITTEES SHALL BE ADVISORY IN NATURE AND SHALL NOT HAVE AUTHORITY TO ACT ON BEHALF OF THE BOARD OR THE CORPORATION. NON-BOARD MEMBERS MAY BE APPOINTED TO ANY COMMITTEE. - ALL DIRECTORS SHALL BE AT LEAST EIGHTEEN YEARS OF AGE, SHALL COMPLY WITH ALL POLICIES GOVERNING MEMBERS OF THE BOARD, AND SHALL MEET ALL QUALIFICATION CRITERIA ESTABLISHED BY THE BOARD. DIRECTORS NEED NOT BE RESIDENTS OF THE STATE OF CONNECTICUT. THE MINIMUM NUMBER OF VOTING MEMBERS OF THE BOARD HAS DECREASED. THE CORPORATION SHALL HAVE NOT LESS THAN SIX (WAS 12) AND NOT MORE THAN 18 (WAS 25). THE CEO POSITION HAS BEEN REMOVED.
FORM 990, PART VI, LINE 6 - EXPLANATION OF CLASSES OF MEMBERS	OR SHAREHOLDER WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF DANBURY HOSPITAL. ON APRIL 3, 2019, WESTERN CONNECTICUT HEALTH SYSTEM MERGED WITH HEALTH QUEST SYSTEMS TO FORM NUVANCE HEALTH SYSTEM. IN CONNECTION WITH THE MERGER, A NEW ENTITY, NUVANCE HEALTH, WAS CREATED. NUVANCE HEALTH IS THE SOLE MEMBER OF BOTH WESTERN CONNECTICUT HEALTH NETWORK, INC. AND HEALTH QUEST SYSTEMS, INC.
FORM 990, PART VI, LINE 7B - DECISIONS OF GOVERNING BODY	APPROVAL BY MEMBERS OR SHAREHOLDERS CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER. A) THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A SUBSIDIARY ("DANBURY SUBSIDIARY") SHALL NOT REQUIRE APPROVAL BY THE BOARD AND ARE RESERVED SOLELY TO THE MEMBER: -THE AMENDMENT OF THE HOSPITAL'S BYLAWS; -THE ELECTION OR REMOVAL OF A DIRECTOR; -APPROVAL OF INVESTMENT POLICIES; -APPROVAL OF THE ADOPTION OF OR AMENDMENT TO ANY QUALIFIED OR ANY NON-QUALIFIED BENEFIT PLAN; -APPROVAL OF THE ADOPTION OF OR ANY AMENDMENT TO THE POLICIES AND PROCEDURES GOVERNING A) INDEMNIFICATION OF DIRECTORS AND OFFICERS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; B) CONFLICTS OR DUALITIES OF INTEREST; C) ACCOUNTING AND INVESTMENT STANDARDS AND PRACTICES AND D) SUCH OTHER POLICIES THE MEMBER MAY DETERMINE; -APPROVAL OF SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES TO WHICH THE HOSPITAL OR ANY DANBURY SUBSIDIARY IS EXPECTED TO ADHERE; - AND APPROVAL OF REGULATORY COMPLIANCE AND METHODOLOGY FOR PHYSICIAN COMPENSATION ARRANGEMENTS. THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A DANBURY SUBSIDIARY, WHICH REQUIRE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: -THE ELECTION AND REMOVAL OF A DIRECTOR OF A DANBURY SUBSIDIARY; -THE ELECTION OF THE OFFICERS OF THE HOSPITAL; -APPROVAL OF ALL OPERATING AND CAPITAL BUDGETS OF THE HOSPITAL AND DANBURY SUBSIDIARY; -APPROVAL OF ANY AMENDMENT OR RESTATEMENT OF THE HOSPITAL'S CERTIFICATE OF INCORPORATION, BYLAWS, OR OPERATING AGREEMENT OF ANY DANBURY SUBSIDIARY; -APPROVAL OF ANY SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; -APPROVAL OF THE CREATION OF ANY CORPORATION OF WHICH THE HOSPITAL OR A DANBURY SUBSIDIARY IS THE SOLE OR CONTROLLING MEMBER OR SOLE OR CONTROLLING SHAREHOLDER; THE MERGER OR CONSOLIDATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANOTHER CORPORATION; AND THE REORGANIZATION, LIQUIDATION OR DISSOLUTION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; -APPROVAL OF ANY LOANS BY THE HOSPITAL OR ANY DANBURY SUBSIDIARY, OR THE INCURRING OF ANY INDEBTEDNESS, SECURED OR UNSECURED, WHICH EXCEEDS TWO MILLION DOLLARS ($2.0 MILLION) OR WHICH HAS A TERM LONGER THAN ONE YEAR; -APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF TWO MILLION DOLLARS ($2.0 MILLION) OR ANY INCREASE IN ANY APPROVED ANNUAL OPERATING OR CAPITAL BUDGET. -APPROVAL OF ANY AGREEMENT OR TRANSACTION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY INVOLVING AN AMOUNT GREATER THAN TWO MILLION DOLLARS ($2.0 MILLION) WITH ANOTHER INDIVIDUAL OR ENTITY; -APPROVAL OF THE AFFILIATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANY OTHER ENTITY FOR THE PURPOSES OF THE JOINT CONDUCT OF BUSINESS; -CREATION OF ANY COMMITTEE WHICH SHALL HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OR ON BEHALF OF ANY DANBURY SUBSIDIARY; -APPROVAL OF ANY CONVEYANCE OF, OR THE GRANTING OF MORTGAGES OR TRUSTS ON ANY REAL PROPERTY ASSETS OF THE HOSPITAL OR OF ANY DANBURY SUBSIDIARY; -APPROVAL OF THE STRATEGIC PLAN OF THE HOSPITAL AND OF ANY DANBURY SUBSIDIARY; AND -APPROVAL OF ANY COMMENCEMENT, CESSATION, LOCATION, RELOCATION OR CONSOLIDATION OF SIGNIFICANT CLINICAL SERVICES PROVIDED BY THE HOSPITAL OR ANY DANBURY SUBSIDIARY.
FORM 990, PART VI, LINE 11B - FORM 990 REVIEW PROCESS	STEVEN ROSENBERG, SVP/CFO OF WESTERN CONNECTICUT HEALTH NETWORK, INC., WILL REVIEW THE FORM 990 PRIOR TO IT BEING SENT TO THE IRS. A PRELIMINARY FORM 990, IS PRESENTED TO THE AUDIT COMMITTEE IN JULY, WHO REVIEWS IT ON BEHALF OF THE BOARD. E&Y IS ON HAND TO REVIEW THE FORM 990 WITH THE AUDIT COMMITTEE AND ANSWER ANY QUESTIONS. PRIOR TO THE FORM 990 BEING FILED WITH THE IRS, THE BOARD WILL RECEIVE A FULL AND ACCURATE COPY ON A SECURED WEBSITE FOR THEIR REVIEW.
FORM 990, PART VI, LINE 12C - EXPLANATION OF MONITORING	AND ENFORCEMENT OF CONFLICTS THE ORGANIZATION'S PROCESS FOR MONITORING AND ENFORCING CONFLICTS OF INTEREST PURPOSE AND SCOPE: INDIVIDUAL MEMBERS OF THE BOARD OF DIRECTORS (BOARD) OF NUVANCE HEALTH (NUVANCE HEALTH) AND ITS DULY AUTHORIZED COMMITTEES (COMMITTEES) MUST PERFORM THEIR RESPONSIBILITIES CONSISTENT WITH FIDUCIARY OBLIGATIONS TO NUVANCE HEALTH AND IN A MANNER THAT SUPPORTS THE CHARITABLE PURPOSES OF NUVANCE HEALTH. THIS CONFLICT OF INTEREST POLICY (THE POLICY) ESTABLISHES BOARD STANDARDS OF CONDUCT THAT REFLECT AND SUPPLEMENT THE STANDARDS ESTABLISHED BY FEDERAL OR STATE LAW OR OTHER POLICIES OF THE BOARD. THIS POLICY COVERS EACH MEMBER OF THE NUVANCE HEALTH BOARD OF DIRECTORS, NON-EMPLOYED NUVANCE HEALTH OFFICERS (IF ANY), AND NON-EMPLOYED COMMITTEE MEMBERS (FOR CONVENIENCE, ALL REFERRED TO HEREIN AS DIRECTORS). THIS POLICY ALSO COVERS ANY CANDIDATE FOR A DIRECTOR POSITION. GENERAL STATEMENTS REGARDING DIRECTOR CONDUCT AND CONFLICT OF INTEREST: EACH DIRECTOR MUST ACT WITH HONESTY, FAIRNESS AND INTEGRITY IN ALL ASPECTS OF HIS OR HER CONDUCT AS A MEMBER OF THE BOARD OR ITS COMMITTEES. THIS REQUIRES, IN PART, THAT THE DIRECTOR ALWAYS EXERCISE HIS OR HER IMPARTIAL, INDEPENDENT JUDGMENT ON BEHALF OF NUVANCE HEALTH IN A MANNER THE DIRECTOR REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF NUVANCE HEALTH. EACH DIRECTOR ALSO HAS AN OBLIGATION TO ASSIST NUVANCE HEALTH TO OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES IN RECOGNITION OF ITS NON-PROFIT AND TAX-EXEMPT STATUS. IF A DIRECTOR ACTS IN PURSUIT OF A SELF- INTEREST, OR FOR BENEFIT OF ANY PARTY OTHER THAN NUVANCE HEALTH, OR OTHERWISE INTENTIONALLY ALLOWS THE ASSETS OF NUVANCE HEALTH TO BE USED FOR PRIVATE RATHER THAN PUBLIC INTEREST, THE DIRECTOR ACTS INCONSISTENT WITH HIS OR HER FIDUCIARY OBLIGATION TO NUVANCE HEALTH AND ITS OBLIGATION TO OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES. THIS POLICY ASSISTS NUVANCE HEALTH AND ITS DIRECTORS TO COMPLY WITH ACCEPTABLE STANDARDS OF CONDUCT. THE POLICY DESCRIBES POTENTIAL CONFLICTS OF INTEREST AND DUALITIES OF INTEREST, PROVIDES OPPORTUNITIES FOR DIRECTORS TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AND DUALITIES OF INTEREST, AND ESTABLISHES A FRAMEWORK FOR EVALUATING AND MANAGING POTENTIAL CONFLICTS OF INTEREST AND DUALITIES OF INTEREST THAT MAY, UNDER CERTAIN CIRCUMSTANCES, BE ACTUAL CONFLICTS OF INTEREST. NUVANCE HEALTH EMBRACES THE VIEW THAT IT MAY BE ADVERSE TO ITS INTERESTS TO REQUIRE THAT ALL DIRECTORS BE FREE FROM ALL POTENTIAL AND ACTUAL CONFLICTS OF INTEREST OR DUALITIES OF INTEREST TO SERVE NUVANCE HEALTH. NUVANCE HEALTH IS BEST GOVERNED BY CIVIC AND BUSINESS LEADERS WHO, BY VIRTUE OF THEIR BREADTH OF RESPONSIBILITIES AND RELATIONSHIPS OUTSIDE OF NUVANCE HEALTH, MAY FROM TIME TO TIME IDENTIFY MATTERS TO BE DISCLOSED AND EVALUATED UNDER THIS POLICY. SIMILARLY, NUVANCE HEALTH INTENDS TO INCLUDE ON THE BOARD MEMBERS OF MANAGEMENT AS WELL AS MEMBERS OF THE AFFILIATED MEDICAL STAFFS TO OBTAIN CRITICALLY VALUABLE VIEWPOINTS ON THE OPERATIONS, QUALITY AND SAFETY OF THE HOSPITALS AND OTHER HEALTHCARE FACILITIES OPERATED BY NUVANCE HEALTH. IF A BOARD MEMBERS POTENTIAL OR ACTUAL CONFLICT OF INTEREST OR DUALITY OF INTEREST MAY BE SUCCESSFULLY NAVIGATED THROUGH DISCLOSURE, EVALUATION, AND MANAGEMENT UNDER THIS POLICY, NUVANCE HEALTH DESIRES AND INVITES THE CONTINUED PARTICIPATION OF SUCH MEMBERS ON ITS BOARD. DUTY TO DISCLOSE: DIRECTORS HAVE AN ONGOING AND CONTINUAL OBLIGATION TO DISCLOSE PROMPTLY TO NUVANCE HEALTH POTENTIAL CONFLICTS OF INTEREST. THIS DISCLOSURE MAY BE ACCOMPLISHED THROUGH ONE OR MORE OF THE FOLLOWING: - MEETING DISCLOSURE. PRIOR TO THE START OF ANY BOARD OR COMMITTEE MEETING, EACH DIRECTOR MUST DISCLOSE TO THE BOARD OR COMMITTEE THE EXISTENCE OF ANY POTENTIAL CONFLICT OF INTEREST RELATING TO ANY IMPENDING ACTION BEFORE THE BOARD OR COMMITTEE AND ALL RELEVANT AND RELATED MATERIAL FACTS. - AD HOC DISCLOSURE. IF A DIRECTOR BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST BETWEEN MEETINGS OF THE BOARD OR COMMITTEE, THE DIRECTOR MUST DISCLOSE SUCH INFORMATION TO THE CHAIRPERSON OF THE BOARD, NUVANCE HEALTH GENERAL COUNSEL, OR THE NUVANCE HEALTH CHIEF EXECUTIVE OFFICER (CEO). GENERAL COUNSEL OR THE CEO WILL, IN TURN, NOTIFY APPROPRIATE BOARD OR COMMITTEE MEMBERS. - REQUIRED PERIODIC DISCLOSURES. EACH DIRECTOR MUST EVALUATE HIS OR HER INTERESTS ON AT LEAST AN ANNUAL BASIS AND COMPLETE, TO THE BEST OF HIS OR HER ABILITY, AN ANNUAL POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORM. IN ADDITION, EACH CANDIDATE FOR A DIRECTOR POSITION MUST COMPLETE THE ANNUAL POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORM AS PART OF THE DIRECTOR QUALIFICATION ASSESSMENT. THE FACT THAT A DIRECTOR MADE A DISCLOSURE UNDER ONE OF THE METHODS DESCRIBED ABOVE MAY NOT BE SUFFICIENT TO SATISFY A DIRECTORS DISCLOSURE OBLIGATION IF, AT THE TIME OF SPECIFIC BOARD ACTION, IT IS CLEAR TO THE DIRECTOR THAT THE BOARD IS EITHER UNAWARE OF THE DISCLOSURE OR HAS NOT COMPLETED A REVIEW OF THE DISCLOSURE. IN SUCH CASES, THE DIRECTOR MUST MAKE AN ADDITIONAL DISCLOSURE PRIOR TO ANY RELATED BOARD ACTION AT THE MEETING. BOARD AND COMMITTEE EVALUATION OF DISCLOSED POTENTIAL CONFLICTS OF INTEREST: AFTER A DIRECTOR DISCLOSES TO THE BOARD OR COMMITTEE A POTENTIAL CONFLICT OF INTEREST AND ALL RELATED MATERIALS FACTS, THE BOARD OR COMMITTEE MUST PROCEED TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED DIRECTOR IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL RELEVANT FACTS BUT SHALL LEAVE THE BOARD OR COMMITTEE MEETING DURING THE DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IN DETERMINING WHETHER AN ACTUAL CONFLICT OR A DUALITY OF INTEREST EXISTS, THE BOARD MUST REVIEW APPLICABLE STANDARDS, INCLUDING WHETHER A REASONABLE PERSON MAY CONCLUDE FROM THE DISCLOSED INFORMATION THAT THE DIRECTORS ACTIONS ON BEHALF OF NUVANCE HEALTH ARE NOT IMPARTIAL AND INDEPENDENT, AND/OR THAT A REASONABLE PERSON MAY CONCLUDE THAT THE DIRECTOR MAY BE ACTING IN HIS OR HER SELF INTEREST AND/OR IN THE INTEREST OF A PARTY (INCLUDING ANOTHER DIRECTOR) OTHER THAN NUVANCE HEALTH. THIS ANALYSIS MAY BE PERFORMED WITH RESPECT TO A CURRENT PROPOSED ACTION BEFORE THE BOARD OR ACTIONS THE BOARD MAY CONSIDER AT FUTURE MEETINGS. - NO ACTUAL CONFLICT. IF THE BOARD OR COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST DOES NOT EXIST, THE BOARD OR COMMITTEE (INCLUDING THE DISCLOSING DIRECTOR) MUST PROCEED TO CONSIDER WHETHER ANY RELEVANT ACTION BEFORE THE BOARD IS IN THE BEST INTEREST OF NUVANCE HEALTH. - DUALITY OF INTEREST. IF THE BOARD OR COMMITTEE DETERMINES THAT A DUALITY OF INTEREST EXISTS, THE BOARD OR COMMITTEE (INCLUDING THE DISCLOSING DIRECTOR) MUST PROCEED TO CONSIDER WHETHER ANY RELEVANT ACTION BEFORE THE BOARD IS IN THE BEST INTEREST OF NUVANCE HEALTH. THE BOARD OR COMMITTEE MAY ALSO DEFINE PARAMETERS FOR MANAGING THE DUALITY OF INTEREST SO AS NOT TO BECOME, OR BE PERCEIVED AS, AN ACTUAL CONFLICT. - ACTUAL CONFLICT. IF THE BOARD DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE FOLLOWING PROCEDURE APPLIES FOR ANY MATTERS BEFORE THE BOARD REQUIRING ACTION THAT RELATE TO THE CONFLICT: - THE INTERESTED DIRECTOR MUST NOT BE PRESENT DURING THE PORTION OF ANY BOARD OR COMMITTEE MEETING DURING DISCUSSION OF THE APPLICABLE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE CONFLICT IS DISCUSSED OR VOTED ON, UNLESS THE BOARD OR COMMITTEE INVITES THE DIRECTOR TO PROVIDE INFORMATION RELATING TO THE PROPOSED ARRANGEMENT OR TRANSACTION.
FORM 990, PART VI, LINE 12C - EXPLANATION OF MONITORING	AND ENFORCEMENT OF CONFLICTS - CONTINUED - THE CHAIR OF THE BOARD OR COMMITTEE MAY, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALL ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. - AFTER EXERCISING APPROPRIATE DILIGENCE (INCLUDING EVALUATING THE ALTERNATIVES RAISED BY THE DISINTERESTED PERSON OR COMMITTEE DESCRIBED ABOVE), THE BOARD OR COMMITTEE (EXCLUDING THE DIRECTOR WITH THE CONFLICT OF INTEREST) MUST DETERMINE THE PROBABILITY AND ADVANTAGE OF A TRANSACTION OR ARRANGEMENT WITHOUT A CONFLICT OF INTEREST. - IF AN ALTERNATIVE TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE MUST DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF NUVANCE HEALTH AND FOR ITS OWN BENEFIT. - EXCEPT AS OTHERWISE PROVIDED, THE DIRECTOR WITH THE CONFLICT OF INTEREST SHALL BE PRECLUDED FROM PARTICIPATING IN ANY ISSUE PRESENTED TO THE BOARD OR COMMITTEE INVOLVING THE TRANSACTION OR ARRANGEMENT. - IN CIRCUMSTANCES WHERE A DIRECTOR HAS A SIGNIFICANT, ONGOING AND IRRECONCILABLE CONFLICT OF INTEREST AND WHERE SUCH PERSONAL OR OUTSIDE INTEREST, RELATIONSHIP OR RESPONSIBILITY SIGNIFICANTLY IMPEDES THE DIRECTORS ABILITY TO CARRY OUT HIS/HER FIDUCIARY RESPONSIBILITY TO NUVANCE HEALTH, RESIGNATION FROM THE BOARD OR THE CONFLICTING INTEREST MAY BE APPROPRIATE OR REQUIRED. RECORD OF PROCEEDINGS: THE MINUTES OF THE BOARD AND COMMITTEES THAT CONSIDER ANY CONFLICT OF INTEREST MATTER RAISED BY OR REGARDING ANY DIRECTOR SHALL INCLUDE: - THE NAMES OF THE DIRECTOR(S) ASSOCIATED WITH POTENTIAL CONFLICT OF INTEREST; THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST; WHETHER THE BOARD DETERMINED THAT THERE WAS AN ACTUAL CONFLICT OF INTEREST; THE CONSIDERATIONS UPON WHICH THE BOARD BASED ITS DECISION; AND HOW EACH DIRECTOR VOTED ON THE MATTER; AND - THE NAMES OF ALL PERSONS PRESENT FOR DISCUSSION OR VOTES RELATING TO THE UNDERLYING PROPOSED ACTION AND THE GENERAL CONTENT OF THE DISCUSSIONS.
FORM 990, PART VI, LINE 15B - COMPENSATION	REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES: NUVANCE HEALTHS EXECUTIVE TOTAL REWARDS PHILOSOPHY IS DESIGNED TO ALIGN WITH THE COMPANYS STRATEGIC DIRECTION, AND TO REINFORCE ITS CORE MISSION, VISION AND VALUES. IN ORDER TO ACHIEVE ITS OVERALL PERFORMANCE OBJECTIVES, NUVANCE HEALTH PROVIDES TOTAL REWARDS PROGRAMS THAT RECOGNIZE EXECUTIVES FOR PERFORMING WORK WELL TO ENSURE THE ACHIEVEMENT OF COMPANY GOALS. THESE PROGRAMS SERVE TO PROMOTE THE ATTRACTION, ENGAGEMENT, AND RETENTION OF TALENTED EXECUTIVES THROUGHOUT THEIR CAREERS WITH NUVANCE HEALTH. THE TOTAL REWARDS PROGRAMS ARE DESIGNED TO BE MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES REFLECTIVE OF BEST PRACTICES, AND DIFFERENTIATED TO CREATE STRONG COMPETITIVE ADVANTAGE. TOTAL REWARDS PROGRAMS ARE REVIEWED ON AN ONGOING BASIS TO ENSURE CONTINUED MARKET COMPETITIVENESS, RELEVANT VALUE TO EXECUTIVES, AND FISCAL RESPONSIBILITY. TOTAL REWARDS FOR NUVANCE HEALTH EXECUTIVES CONSISTS OF KEY COMPONENTS OF COMPENSATION AND BENEFITS. OVERALL EXECUTIVE REWARDS PROGRAM WILL EMPHASIZE PERFORMANCE-BASED ELEMENTS, WHEREBY TARGETED LEVELS OF COMPENSATION WILL ONLY BE ACHIEVED IF THE ORGANIZATION AND INDIVIDUAL ACHIEVE STRETCH GOALS AND OBJECTIVES. BASED ON THE LABOR MARKETS FOR TALENT FOR EXECUTIVE ROLES, NUVANCE HEALTH WILL UTILIZE A WEIGHTED BLEND OF BOTH NATIONAL COMPARABLY-SIZED HEALTH CARE PROVIDER MARKET DATA WITH A +30% GEOGRAPHIC DIFFERENTIAL APPLIED (DIFFERENTIAL TO BE VALIDATED ON A PERIODIC BASIS) AT TWO-THIRDS WEIGHT AND NATIONAL COMPARABLY-SIZED GENERAL INDUSTRY DATA, FOR IDENTIFIED ROLES WHERE SKILL SETS OVERLAP AT ONE-THIRD WEIGHT. GEOGRAPHIC DIFFERENTIAL REFLECTS THE OBSERVED AND REPORTED COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTHS OPERATING REGION AND THE BROADER NATIONAL HEALTH CARE PROVIDER MARKET. NUVANCE HEALTHS TOTAL REWARDS PHILOSOPHY AND PRACTICES ARE TARGETED AT THE 50TH PERCENTILE OF THE RELEVANT MARKET FOR BASE SALARY, AND 75TH PERCENTILE FOR TOTAL CASH AND TOTAL DIRECT (WHERE AVAILABLE) COMPENSATION ELEMENTS IF TARGET PERFORMANCE IS ACHIEVED UNDER VARIABLE COMPENSATION PROGRAMS. NUVANCE HEALTHS 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 ORGANIZATIONS STRATEGY AND SUCCESS. OUR GOVERNANCE PROMOTES CONSISTENCY AND EQUITY; PROVIDES CLARITY AND GUIDANCE TO DECISION-MAKERS; ENSURES STANDARD PROCESSES AND PROCEDURES FOR ASSESSING, CALIBRATING, ADMINISTERING, AND DELIVERING EFFECTIVE TOTAL REWARDS THROUGHOUT THE NUVANCE HEALTH SYSTEM. OVERSIGHT AND GOVERNANCE OF THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS FOR ELIGIBLE EXECUTIVES/DISQUALIFIED INDIVIDUALS (CURRENTLY CEO, PRESIDENT AND TIERS 1 AND 2) WILL BE AT THE COMPENSATION COMMITTEE OF THE BOARD LEVEL, AND WILL FOLLOW A STRUCTURED AND RIGOROUS PROCESS TO ENSURE COMPLIANCE WITH INTERMEDIATE SANCTIONS UNDER IRS GUIDELINES.
FORM 990, PART VI, LINE 19 - OTHER ORGANIZATION	DOCUMENTS PUBLICLY AVAILABLE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII - COMPENSATION EXPLANATION	JAMES BRUNO, MD (TO 10/01) JAMES BRUNO, MD. WAS A DIRECTOR UNTIL OCTOBER 1, 2018. PHIL FIORE, JR. (TO 12/31) PHIL FIORE, JR. WAS A DIRECTOR UNTIL DECEMBER 31, 2018. DOMINICK COLABELLA (FROM 1/01) DOMINICK COLABELLA BECAME A DIRECTOR ON JANUARY 1, 2019. MARY GARRETT (FROM 01/01) MARY GARRETT BECAME A DIRECTOR ON JANUARY 1, 2019. EMMANUEL PALMARES (TO 12/31) EMMANUEL PALMARES WAS DIRECTOR UNTIL DECEMBER 31, 2018. JAMES MOSCOWITZ (FROM 01/01) JAMES MOSCOWITZ BECAME A DIRECTOR ON JANUARY 1, 2019. ANTHONY M RIZZO,JR. (TO 12/31) ANTHONY M. RIZZO, JR. WAS A DIRECTOR UNTIL DECEMBER 31, 2018. DAHLIA PLUMMER, MD (FROM 1/01) DAHLIA PLUMMER, MD. BECAME A DIRECTOR ON JANUARY 1, 2019.
FORM 990, PART XI, LINE 9	CHANGE IN INTEREST IN DH AND NMH FOUND $ 4,333,999 CT LABORATORY PARTNERSHIP BILLING AND REVENUE INCOME -526,020 EQUITY TRANSFER FROM WCHNIC 21,000,000 EQUITY TRANSFER TO WCHN-W/O OF INTERCOMPANY -33,371,000 TRANSFER FROM DH AND NMH FOUNDATION 3,097,237 TOTAL $ -5,465,784
FORM 990 PART IX LINE 11G	DESCRIPTION:HEALTHCARE PROFESSIONALS TOTAL FEES:98239638
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASE SERVICES TOTAL FEES:43303628

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 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
Western CT Health Network Affiliat
95 Locust Avenue	Danbury	CT	06810	222594968	OP HLTHCR SVC	CT	501(C)(3)	10	WCHN	Yes (true)
Western CT Health Network Inc
24 Hospital Avenue	danbury	CT	06810	222594977	PROGRAM DEVLP	CT	501(C)(3)	12 TYPE II	NUVANCE	Yes (true)
Danbury & New Milford Hosp Found
24 Hospital Avenue	Danbury	CT	06810	237425557	ADMIN CONTRIB	CT	501(C)(3)	7	WCHN	Yes (true)
Western CT Home Care Inc
4 Liberty Street	Danbury	CT	06810	060655138	HOME HLTHCARE	CT	501(C)(3)	10	WCHN	Yes (true)
Western CT Medical Group Inc
14 Research Drive Suite 201A	Bethel	CT	06801	061137531	PHYSICIAN SVC	CT	501(C)(3)	10	WCHN	Yes (true)
Eastern NY Medical Services PC
14 Research Drive Suite 201A	Bethel	CT	06801	455431389	PHYSICIAN SVC	NY	501(C)(3)	10	WCHN	Yes (true)
The Norwalk Hospital Association
24 Stevens Street	Norwalk	CT	06850	066068853	HEALTH SVCS	CT	501(C)(3)	3	WCHN	Yes (true)
Norwalk Hospital Foundation
24 Stevens Street	Norwalk	CT	06850	222577707	FUNDRAISING	CT	501(C)(3)	7	WCHN	Yes (true)
ALAMO AMBULANCE SERVICES INC
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	141745417	TRANSPORT	NY	501(C)(3)	10	HQ	Yes (true)
VASSAR BROTHERS HOSPITAL FOUNDATION
45 READE PLACE	POUGHKEEPSIE	NY	12601	141736429	FUNDRAISING	NY	501(C)(3)	7	HQ	Yes (true)
HEALTH QUEST HOME CARE INC (CERT)
2649 SOUTH ROAD	POUGHKEEPSIE	NY	12601	141788412	HOME HEALTH	NY	501(C)(3)	10	HQ	Yes (true)
HEALTH QUEST HOME CARE INC (LIC)
2649 SOUTH ROAD	POUGHKEEPSIE	NY	12601	141788410	HOME HEALTH	NY	501(C)(3)	10	HQ	Yes (true)
HEALTH QUEST SYSTEMS INC
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	141678068	MANAGEMENT	NY	501(C)(3)	10	NUVANCE	Yes (true)
NDH FOUNDATION
PO BOX 5002	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 RES HLTH FACILITY
6525 SPRINGBROOK AVENUE	RHINEBECK	NY	12572	223129608	NURSING HOME	NY	501(C)(3)	10	HQ	Yes (true)
PUTNAM HOSPITAL CENTER
670 STONELEIGH AVENUE	CARMEL	NY	10512	146019179	HOSPITAL	NY	501(C)(3)	3	HQ	Yes (true)
HEALTH QUEST MEDICAL PRACTICE PC
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	562669185	MEDICAL CARE	NY	501(C)(3)	12 TYPE I	HQ	Yes (true)
HEALTH QUEST URGENT MED PRAC PC
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	800152047	MEDICAL CARE	NY	501(C)(3)	12 TYPE I	HQ	Yes (true)
HUDSON VALLEY CARDIOVASCULAR PRAC
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	463756713	MEDICAL CARE	NY	501(C)(3)	12 TYPE I	HQ	Yes (true)
RIVERSIDE DIVERSIFIED SERVICES INC
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	141675545	EDUCATION	NY	501(C)(3)	10	HQ	Yes (true)
NUVANCE HEALTH
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	834214573	SUPPORT	NY	501(C)(3)	12 TYPE III	NA	false
PUTNAM HOSPITAL CENTER FOUNDATION I
670 STONELEIGH AVENUE	CARMEL	NY	10512	061399319	FUNDRAISING	NY	501(C)(3)	12 TYPE I	HQ	Yes (true)
VASSAR BROTHERS MEDICAL CENTER
45 READE PLACE	POUGHKEEPSIE	NY	12601	141338586	HOSPITAL	NY	501(C)(3)	3	HQ	Yes (true)
VASSAR HEALTH CONNECTICUT INC
50 HOSPITAL HILL ROAD	SHARON	CT	06069	815056290	HOSPITAL	CT	501(C)(3)	3	HQ	Yes (true)
VASSAR HQ MED PRACTICE OF CT INC
1351 ROUTE 55	LAGRANGEVILLE	NY	12540	821466583	MEDICAL CARE	CT	APPLY 501C3	12 TYPE I	HQ	Yes (true)
WELLS MANOR HOUSING DEVELOP FUND COR
6 WELLS MANOR LANE SUITE 76	RHINEBECK	NY	12572	112611902	LOW INCOME	NY	501(C)(3)	N/A	HQ	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
New Milford MRI
21 Elm Street	New Milford	CT	06776	271877801	INACTIVE	CT	DH	RELATED	$0	$0	false	$0	false	1.00000
Norwalk Surgery
40 Cross Street	Norwalk	CT	06851	272394942	SURGERY CENTER	CT	NA	N/A	$0	$0	false	$0	false
WCHN INVESTMENTS
24 HOSPITAL AVE	DANBURY	CT	06810	475523212	INVESTMNTS	CT	WCHN	EXCLUDED	$3,097,584	$59,544,473	false	-$4,943	false	0.14680

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	OwnershipOwnershipPct
NUVANCE HEALTH INSURANCE CO
23 LIME TREE BAY PO BOX 105	GRAND CAYMAN	CJ	980438151	MALPRCTICE	CJ	NA	C CORP	$0	$0	Yes (true)
SWC Corporation
			222577718	PHARMACY		NA	C CORP	$0	$0	Yes (true)	24 Stevens Street	Norwalk	CT	06850	CT
ADVANCED CTR FOR REHAB MED
			061304799	INACTIVE		NA	C CORP	$0	$0	Yes (true)	24 STEVENS STREET	NORWALK	CT	06850	CT
VBH INSURANCE CO LTD
62 FORUM LANE 3RD FLOOR	GRAND CAYMAN	CJ	981083868	MALPRACTICE	CJ	NA	C CORP	$0	$0	Yes (true)						1.00000
TACONIC IPA INC
			223007320	MEDICAL CARE		NA	C CORP	$0	$0	Yes (true)	1351 ROUTE 55	LAGRANGEVILLE	NY	12540	NY

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	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	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 (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WESTERN CT HEALTH NETWORK AFFILIATES
J	$147,563	COST
WESTERN CT HEALTH NETWORK AFFILIATES
Q	$1,710,402	COST
WESTERN CT HEALTH NETWORK AFFILIATES
S	$1,858,101	COST
DANBURY & NEW MILFORD HOSP FOUND
C	$5,543,638	COST
DANBURY & NEW MILFORD HOSP FOUND
Q	$454,346	COST
DANBURY & NEW MILFORD HOSP FOUND
S	$4,412,465	COST
WESTERN CT HOME CARE INC
Q	$1,359,857	COST
WESTERN CT HOME CARE INC
R	$123,162	COST
WESTERN CT MEDICAL GROUP INC
J	$2,868,319	COST
WESTERN CT MEDICAL GROUP INC
M	$89,833,153	COST
WESTERN CT MEDICAL GROUP INC
O	$97,601	COST
WESTERN CT MEDICAL GROUP INC
P	$150,914	COST
WESTERN CT MEDICAL GROUP INC
Q	$30,242,312	COST
Western CT Medical Group Inc
S	$56,773,061	COST
EASTERN NY MEDICAL SERVICES PC
P	$301,780	COST
EASTERN NY MEDICAL SERVICES PC
Q	$243,668	COST
EASTERN NY MEDICAL SERVICES PC
S	$212,458	COST
THE NORWALK HOSPITAL ASSOCIATION
O	$355,773	COST
THE NORWALK HOSPITAL ASSOCIATION
P	$1,664,110	COST
THE NORWALK HOSPITAL ASSOCIATION
Q	$26,792,850	COST
THE NORWALK HOSPITAL ASSOCIATION
R	$10,541,831	COST
THE NORWALK HOSPITAL ASSOCIATION
S	$35,881,236	COST
SWC CORPORATION
O	$117,825	COST
SWC CORPORATION
Q	$422,967	COST
SWC CORPORATION
S	$301,997	COST
WESTERN CT HOME CARE INC
S	$1,649,601	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part III - Partnership Full Name, Address, FEIN	FormAndLineReferenceDesc
Explanation	New Milford MRI JV, LLC 27-1877801 21 Elm Street New Milford, CT 06776 Norwalk Surgery Center, LLC 27-2394942 40 Cross Street #120 Norwalk, CT 06851 WCHN Investments, LLC 47-5523212 24 Hospital Ave. Danbury, CT 06810	ExplanationTxt