2024-08-13T15:56:45+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2022-10-01 815056290 Vassar Health Connecticut Inc VASS 8454759500 50 HOSPITAL HILL ROAD SHARON CT 06069 Christina McCulloch PRESIDENT 8454759500 2024-08-13 true Laura Mayo P01962945 2127733000 2024-08-13 2022 2024-08-08 14:25:15Z SHARON HOSPITAL Christina McCulloch Pres 50 HOSPITAL HILL ROAD SHARON CT 06069 49774644 false X WWW.NUVANCEHEALTH.ORG X 2016 CT Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. 12 11 345 16 0 0 1443205 253313 49317147 48664072 3201 208244 575925 474015 51339478 49599644 0 2500 0 0 35932152 36125677 0 0 0 36899568 37555727 72831720 73683904 -21492242 -24084260 44831066 42057121 82612084 103922399 -37781018 -61865278 Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. false false 66454026 49033560 SHARON HOSPITAL IS A 78-BED HOSPITAL LOCATED IN NORTHWESTERN CONNECTICUT. THE TEAM IS COMMITTED TO PROVIDING COMPASSIONATE HEALTHCARE THAT MEETS THE NEEDS OF THE COMMUNITY IT SERVES. SHARON HOSPITAL IS PART OF NUVANCE HEALTH, WHICH IS A SIX-HOSPITAL SYSTEM, ON 7 CAMPUSES, WITH NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. THE NUVANCE HEALTH SYSTEM GIVES THE COMMUNITY ACCESS TO A VARIETY OF SERVICES INCLUDING, BUT NOT LIMITED TO, BARIATRIC SURGERY AND MEDICAL WEIGHT LOSS, BLOOD DRAW, CRITICAL CARE, DIABETES EDUCATION, EMERGENCY SERVICES, HEART AND VASCULAR, IMAGING AND RADIOLOGY, INFUSION THERAPY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDIC CARE, PHYSICAL REHABILITATION, PRIMARY CARE, RHEUMATOLOGY, SLEEP DISORDERS, URGENT CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH, CANCER CARE, DENTISTRY, DIGESTIVE HEALTH, ENDOCRINOLOGY, GENETIC COUNSELING, HOME HEALTH CARE, INFECTIOUS DISEASE, KIDNEY DISEASE AND NEPHROLOGY, OCCUPATIONAL MEDICINE, PATIENT BLOOD MANAGEMENTS AND BLOODLESS MEDICINE, PEDIATRICS, PODIATRY, PULMONARY CARE, SENIOR CARE AND GERIATRIC MEDICINE, SURGICAL SERVICES, UROLOGY, WOUND CARE AND HYPERBARIC MEDICINE. SHARON HOSPITAL PROVIDES A FULL RANGE OF SERVICES INCLUDING BARIATRIC SURGERY, CARDIOLOGY SERVICES, EMERGENCY CARE, NEUROSCIENCES, ORTHOPEDICS, STROKE CARE, SURGICAL SERVICES, AND WOMEN'S SERVICES. SHARON HOSPITAL IS COMMITTED TO PROVIDING QUALITY SERVICE TO THE COMMUNITY AND HAS BEEN RECOGNIZED BY SEVERAL ORGANIZATIONS FOR THE QUALITY HEALTHCARE THAT IT PROVIDES TO THE REGION. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES HAVE AWARDED SHARON HOSPITAL A FIVE-STAR RATING FOR THE LAST THREE YEARS IN A ROW. THE HOSPITAL HAS ALSO RECEIVED THE GET WITH THE GUIDELINES STROKE GOLD PLUS BY THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. IN FY23, SHARON HOSPITAL HAD 8,359 PATIENT DAYS AND 1,656 DISCHARGES IN ACUTE CARE. THERE WERE 11,551 IN EMERGENCY ROOM VISITS AND 43,427 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $2.2M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 66454026 true true false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 49 0 true 345 true false false false false false false false false false false false false X 12 11 false false false false true true true true true false false true true true true true false false true false X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 CHRISTINA MCCULLOCH PRESIDENT SHARON HOSPITAL 46.0 0 X X 276370 83860 54169 PARI FOROOD VICE CHAIRMAN 3.0 0 X X 0 0 0 RICHARD CANTELE CHAIRMAN 3.0 0 X X 0 0 0 HUGH HILL DIRECTOR 2.0 0 X 0 0 0 JAMES QUELLA DIRECTOR 2.0 0 X 0 0 0 JOEL JONES DIRECTOR (TO 05/12) 2.0 0 X 0 0 0 JOHN CHARDE MD DIRECTOR 2.0 0 X 0 0 0 KATHRYN PALMER-HOUSE DIRECTOR 2.0 0 X 0 0 0 KENNETH SCHECHTER DIRECTOR 2.0 0 X 0 0 0 MARGARET COUGHLAN MD DIRECTOR 2.0 0 X 0 0 0 MEHRDAD NOORANI DIRECTOR 2.0 0 X 0 0 0 MIRIAM TANNEN RN NP-C DIRECTOR 2.0 0 X 0 0 0 RANDALL R DWENGER MD DIRECTOR 2.0 0 X 0 0 0 BRIAN WYATT SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01) 2.0 48.0 X 0 350253 60626 CAROLYN MCKENNA SECRETARY & CHIEF LEGAL OFFICER (TO 12/31) 2.0 48.0 X 0 811715 90668 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) 2.0 48.0 X 0 275184 43123 STEVEN H ROSENBERG FORMER CFO/TREASURER (TO 12/31) 2.0 38.0 X 0 1257989 149120 JEAN AHN CHIEF STRATEGY OFFICER 5.0 45.0 X 0 893065 95848 KATHRYN D CULLINAN CHIEF HUMAN RESOURCES OFFICER 5.0 45.0 X 0 573450 93353 MICHELLE ROBERTSON CHIEF OPERATING OFFICER 5.0 45.0 X 0 534257 65670 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 5.0 45.0 X 0 466386 65275 APRIL LAWRENCE REG RESPIRATORY THERAPIST 1.0 39.0 X 3843 191495 1782 DAWN WOODRUFF RN CHIEF NURSING OFFICER 40.0 0 X 215192 0 40430 FLOYD RENAUD RN REGISTERED NURSE 8.0 32.0 X 37984 161799 11657 IRINA M PRISHCHEPOVA RN REGISTERED NURSE 40.0 0 X 209802 0 38572 KATHERINE BENSON HOUSE SUPERVISOR 40.0 0 X 192134 0 23565 CATHERINE FRIERSON FORMER CHIEF HUMAN RESOURCES OFFICER 0.0 0.0 X 0 191718 3005 DONALD SOUCIER MD FORMER PRESIDENT OF MEDICAL STAFF 0.0 40.0 X 0 548980 51198 KERRY EATON FORMER CHIEF OPERATING OFFICER 0.0 40.0 X 0 1390099 142026 MARK K HIRKO MD FORMER PRESIDENT SHARON HOSPITAL; PRESIDENT PHC 0.0 46.0 X 451523 233763 98290 PETER CORDEAU FORMER PRESIDENT SHARON HOSPITAL; PRESIDENT NHA 0.0 46.0 X 0 723112 122438 1386848 8687125 1250815 59 true true false PHYSICIANS FOR WOMEN'S HEALTH LLC 22 WATERVILLE ROAD AVON CT 06001 OB/GYN On-Call 408206 SBK CONSTRUCTION COM LLC BRIAN KAPCHA PO BOX 580 Terryville CT 06786 Renovations/Repairs 381983 SHARON LAWN AND LANDSCAPING LLC PO BOX 822 Sharon CT 06069 Grounds maintenance 268002 NORTH AMERICAN PARTNERS IN ANESTHESIA LLC 68 SOUTH SERVICE ROAD Mellville NY 11747 Anesthesiology Services 250000 ADVANTAGE HEATING AND AIR CONDITIONING LLC 12 VALLEY VIEW LANE NEW MILFORD CT 06776 INSTALLATIONS/REPAIRS 231148 8 242050 11263 253313 NET PATIENT SERVICE REVENUE 621110 43151907 43151907 PSYCHIATRIC SERVICE REVENUE 621110 4504668 4504668 AFFILIATE INCOME- DIGITAL HEALTH 900099 910373 910373 AFFILIATE RENTAL INCOME 531120 97124 97124 0 0 0 0 48664072 19370 19370 104527 104527 0 104527 104527 363874 175000 0 188874 188874 188874 EMPLOYEE RETENTION CREDIT 900099 178715 178715 PAYOR INCENTIVES 900099 150697 150697 TOURO MEDICAL EDUCATION 900099 23150 23150 16926 16926 0 0 369488 49599644 49033560 0 312771 X 2500 2500 0 0 443027 388903 54124 22797 20012 2785 29679022 26053165 3625857 879420 771982 107438 3555691 3121296 434395 1545720 1356881 188839 7797 7797 76155 76155 186282 186282 26673 23414 3259 40155 40155 8247815 7240188 1007627 0 91725 80519 11206 981507 861597 119910 1188778 1043546 145232 1920399 1685786 234613 34590 30364 4226 1329 1167 162 42379 42379 4333940 3804467 529473 938192 840850 97342 PHYSICIAN FEES 9982830 9982830 MEDICAL SUPPLIES 6565977 6565977 EQUIP RENTAL/MAINTENANCE 2666462 2340703 325759 LICENSES & DUES 222707 195500 27207 35 0 35 0 73683904 66454026 7229878 0 2040034 2063193 5479090 4978396 0 0 1336348 1124584 420140 480716 40499765 16050023 23498205 24449742 0 0 7700250 6604850 4356999 2355640 44831066 42057121 7417415 5136144 0 75194669 98786255 82612084 103922399 X -37815132 -61899392 34114 34114 -37781018 -61865278 44831066 42057121 -24084260 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 26673 false false 26673 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE CHA DUES, AND THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, PAID BY SHARON HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 835000 835000 23416208 6026553 17389655 14604138 10023470 4580668 1644419 1644419 24449742 Operating Lease ROU Asset ESTIMATED INSURANCE CLAIMS RECEIVABLE 1052466 DUE FROM RELATED PARTIES 866126 OTHER RECEIVABLES 373710 DEFERRED COMPENSATION 63307 RIGHT OF USE ASSET - FINANCE 31 2355640 DUE TO RELATED PARTIES 95717826 ASSET RETIREMENT OBLIGATION 1530000 estimated insurance claims, malpractice 1052467 DUE TO THIRD PARTY PAYORS 419455 DEFERRED COMPENSATION 63307 OTHER LIABILITIES 3200 98786255 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote AS OF SEPTEMBER 30, 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. true true X true X 300 true X true true true false false 1067352 1067352 0.0145 11981955 4939272 7042683 0.0956 0 0.0 0 0 13049307 4939272 8110035 0.1101 28082 28082 0.0004 161227 90129 71098 0.0010 5136603 2324889 2811714 0.0382 0 0.0 9418 9418 0.0001 0 0 5335330 2415018 2920312 0.0396 0 0 18384637 7354290 11030347 0.1497 0 0.0 718 718 0.0000 1016 1016 0.0000 0 0.0 0 0.0 7174 7174 0.0001 5680 5680 0.0001 0 0.0 0 0.0 0 0 14588 0 14588 0.0002 true 1511723 0 24918929 42501292 -17582363 X true true 1 1 VASSAR HEALTH CONNECTICUT INC 50 HOSPITAL HILL ROAD SHARON CT 06069 WWW.NUVANCEHEALTH.ORG 0076 X X X X VASSAR HEALTH CONNECTICUT INC 1 false false true X X X X X X X X X 22 true false false true X WWW.NUVANCEHEALTH.ORG/COMMUNITY X X true 23 true WWW.NUVANCEHEALTH.ORG/COMMUNITY false true X 300.0 400.0 X X X X X X X true true X X X X true X HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. SHARON HOSPITAL HAS A COMMUNITY HEALTH COMMITTEE THAT INCLUDES REPRESENTATIVES FROM THE HOSPITAL COMMUNITIES, THE HOSPITAL BOARD LEADERSHIP, ADMINISTRATIVE LEADERSHIP FROM THE NUVANCE HEALTH NETWORK, LOCAL HEALTH DIEPARTMENT DIRECTORS, COMMUNITY STAKEHOLDERS, AND OTHER KEY HOSPITAL STAKEHOLDERS. THE SHARON HOSPITAL BOARD OVERSAW THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE IMPLEMENTATION OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WAS DEVELOPED THROUGHOUT FY2022; THROUGH VARIOUS STEERING COMMITTEES, AND WAS APPROVED BY THE SHARON HOSPITAL BOARD OF TRUSTEES ON DECEMBER 5, 2022. THE CHIP WAS SUBSEQUENTLY APPROVED ON FEBRURY 6, 2023 BY THE NUVANCE HEALTH BOARD. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDED LOCAL LEVEL QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA FOR BOTH THE CONNECTICUT AND NEW YORK HOSPITAL SERVICE AREAS. IN THE CHNA, THE CONNECTICUT HOSPITAL SERVICE AREA IS PRESENTED BY TOWN, INCLUDING SHARON AND THE SURROUNDING COMMUNITIES OF CANAAN, CORNWALL, GOSHEN, KENT, NORTH CANAAN, SALISBURY, AND WARREN. NEW YORK HOSPTIAL SERVICE AREA DATA IS PRESENTED BY ZIP CODE FOR THE COMMUNITIES OF AMENIA, ANCRAM, ANCRAMDALE, COPAKE, DOVER PLAINS, MILLBROOK, MILLERTON, PINE PLAINS, STANFORDVILLE, WASSAIC, AND WINGDALE. ONE SOURCE OF DATA INFORMING THE 2023 - 2025 CHIP WAS THE CHNA COMMUNITY SURVEY, DEPLOYED IN THE GREATER SHARON HOSPITAL SERVICE AREA, UTLIZING THE GNYHA SURVEY TOOL. THIS SURVEY COLLECTED INFORMATION FROM ADULTS AGED 18 AND OVER WHO LIVED IN A ZIP CODE OR COUNTY SERVED BY THE HOSPITAL. THE SURVEY WAS DEPLOYED TO GARNER RESIDENT INPUT REGARDING HEALTH PRIORITIES BASED ON PERCEIVED IMPORTANCE AND SATISFACTION WITH SERVICES PROVIDED. THE WEB AND PAPER - BASED TOOL WAS MADE AVAILABLE IN A VARIETY OF LANGUAGES, SUCH AS ENGLISH, SPANISH, RUSSIAN, CHINESE, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, POLISH, AND ARABIC. IN ADDITION TO DEPLOYING THE GNYHA'S COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, QUALITATIVE AND QUANTITATIVE DATA WAS ALSO COLLECTED, ANALYZED AND REPORTED BY DATAHAVEN IN THE FAIRFIELD COUNTY COMMUNITY WELLBEING SURVEY (CWS). FOR THIS REPORT, THE QUALITATIVE DATA COLLECTION INCLUDED KEY INFORMANT SURVEYS (KIS) INCLUDING FOCUS GROUPS, INDIVIDUAL INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA SOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, CENTERS FOR DISEASE CONTROL AND PREVENTION, STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), COUNTY HEALTH RANKINGS, AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. TYPES OF DATA INCLUDED VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. IN ADDITION TO SHARON HOSPITAL CONDUCTING INTERNAL DATA ANALYSIS ON INPATIENT ADMISSIONS, EMERGENCY DEPARTMENT VISITS AND QUALITY MEASURES., DATA WAS ALSO SUPPLEMENTED BY A SIENA COLLEGE RESEARCH INSTITUTE COMMUNITY HEALTH SURVEY, HIGHLIGHTING OPPORTUNITIES FOR THE COMMUNITY. THE GOAL OF THIS SURVEY WAS TO LEARN MORE ABOUT THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITY SHARON HOSPITAL SERVES. SIENA COLLEGE RESEARCH INSTITUTE CONDUCTED A RANDOM-DIGIT REGIONAL COMMUNITY HEALTH SURVEY, WHICH WAS DESIGEND TO SUPPLEMENT THE REGIONAL CHNA AND GAUGE RESIDENT'S PERCEPTION OF THE HEALTH AND RESOURCES IN THEIR COMMUNITIES. FOUNDED IN 1980 AT SIENA COLLEGE IN NEW YORK'S CAPITAL DISTRICT, THE SIENA COLLEGE RESEARCH INSTITUTE CONDUCTS REGIONAL, STATEWIDE, AND NATIONAL SURVEYS ON BUSINESS, ECONOMIC, POLITICAL, VOTER, SOCIAL, ACADEMIC, AND HISTORICAL ISSUES. THE SURVEY INCLUDED BOTH EXPERT AND PUBLIC OPINION POLLS. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. A PRINTED COPY OF THE CHNA IS AVAILABLE IN THE HOSPITAL ADMINISTRATION OFFICES. IT IS ALSO AVAILABLE BY REQUEST IN THE NUVANCE HEALTH ADMINISTRATIVE OFFICES. THE CHNA WAS SHARED WITH THE HOSPITAL BOARD AND THE COMMUNITY HEALTH COMMITTEE FOR ADDITIONAL DISTRIBUTION THROUGHOUT THEIR NETWORKS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. TO THE BEST OF THE HOSPITAL'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY WERE BEING ADDRESSED BY THE 2023 - 2025 CHIP. WITH THE COMPREHENSIVE 2022 COMMUNITY HEALTH ASSESSMENT, ALL PRIOR COMMUNITY BASED INITIATIVES WERE REEVALUATED AND ADDITIONAL PROGRAMS WERE DEVELOPED AS PART OF THE 2023 - 2025 CHIP. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 CHNA, THE SHARON HOSPITAL COMMUNITY HEALTH COMMITTEE, COMPRISED OF HEALTH CARE PROVIDERS, COMMUNITY-BASED PROVIDERS, THE LOCAL HEALTH DEPARTMENT, AND LOCAL GOVERNMENT AGENCIES, ANALYZED THE WIDE RANGE OF DATA RESOURCES AND THEY IDENTIFIED CHRONIC DISEASE PREVENTION, AND PROMOTION OF WELL-BEING AND PREVENTION OF MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS AS MAIN PRIORITIES TO BE ADDRESSED IN THE 2023 - 2025 CHIP. WITH THE NUVANCE HEALTH 2023 - 2025 CHIP, NUVANCE HEALTH WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS EXISTING DISPARITIES AND WILL PROMOTE OPTIMAL HEALTH AND POSITIVE OUTCOMES. KEY INITIATIVES, ADDRESSING BOTH FOCUS AREAS INCLUDE: * ASSIGNING LCSWS TO PRIMARY CARE PRACTICES TO PROVIDE MENTAL HEALTH SERVICES TO COMMUNITY MEMBERS * PARTICIPATING IN LITCHFIELD COUNTY OPIOD TASK FORCE EFFORTS TO DISTRIBUTE NARCAN KITS TO COMMUNITY MEMBERS * DEVELOPING AN EXPANDED COMMUNITY RESOURCE PAMPHLET * PARTNERING WITH THE ALZHEIMER'S ASSOCIATION IN PROVIDING EDUCATION TO NUNVANCE HEALTH PROVIDERS ON EARLY RECOGNITION OF DEMENTIA AND ON SERVICES MADE AVAILABLE BY THE ALZHEIMER'S ASSOCIATION TO IMPROVE QUALITY OF LIFE * OFFERING MENTAL HEALTH FIRST AID TRAINING * INCREASING ACCESS TO SPECIALTY SERVICES BY PROVIDING A VIRTUAL HEALTH OFFICE FOR SPECIALTY TELEHEALTH SERVICES * HIRING A DIETICIAN TO SUPPORT NUTRITIONAL EDUCATION IN THE COMMUNITY * PROVIDING OVER 100 CHRONIC CONDITION MANAGEMENT, WELLNESS, AND PREVENTION RESOURCE VIDEOS IN THE NUVANCEHEALTH.ORG WEBSITE (IN ENGLISH AND SPANISH) * CONTINUING PARTICIPATION IN THE DOVER LION'S FOOD PROGRAM, PROVIDING EDUCATION ON HEALTH EATING TO SCHOOL-AGED CHILDREN Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 56.33% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. A PATIENT MAY QUALIFY FOR "MEDICAL HARDSHIP" EVEN IF THEIR INCOME EXCEEDS 400% OF THE FPG. A PATIENT'S UNPAID MEDICAL DEBT IS FACTORED IN WHEN DETERMINING MEDICAL HARDSHIP. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. SHARON HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. COUNSELORS ARE ALSO AVAILABLE TO PROVIDE FURTHER ASSISTANCE. 0 Schedule H, Part I, Line 3c factors other than FPG in determining eligibility ASSETS ARE FACTORED IN FOR PATIENTS WHOSE INCOME IS ABOVE 400% OF THE FEDERAL POVERTY GUIDELINES WHEN FACED WITH MEDICAL HARDSHIPS. MEDICAL HARDSHIP COMBINES AVAILABLE INCOME WITH COUNTABLE ASSETS AND IS GRANTED WHEN THE UNPAID MEDICAL BILLS EXCEED THIS FIGURE. Schedule H, Part I, Line 7 CHARITY CARE AT COST PERCENTAGE A COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, AND USED TO DETERMINE FINANCIAL ASSISTANCE AT COST. COST ACCOUNTING WAS USED TO DETERMINE MEDICARE COST, MEDICAID COST, AND THE COST FOR SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7e Community health improvement services and community benefit operations SHARON HOSPITAL PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS, GRANTS/SPONSORSHIPS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE AND TO TARGETED POPULATIONS. BELOW IS A LIST OF SOME OF THE PROGRAMS OFFERED/SUPPORTED. *ADVOCACY FOR LEGISLATION, PROGRAMS, SERVICES AND FUNDING THAT ADDRESS COMMUNITY NEEDS AND HEALTH DISPARITIES *ADRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS *ADDRESSING CANCER THROUGH BREAST CANCER SCREENING LECTURES, THE NURSE NAVIGATOR SPEAKER SERIES, AND LUNG CANCER PREVENTION Q & A. *ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS *ADDRESSING INFECTIOUS DISEASE THROUGH COVID-19 AND FLU VACCINATION CLINICS *ADRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE NEW MILFORD WALKING PROJECT AND THE GET FIT CHALLENGE. *ADDRESSING BEHAVIORAL HEALTH NEEDSADVOCACY THROUGH VIRTUAL MEETINGS INCLUDING CHA MENTAL HEALTH WORK GROUP and the COMMUNITY CARE TEAM *PROVIDING SUPPORT GROUPS *SENIORS HEALTH AND WELLNESS VIA OUTREACH AND EDUCATION GRANTS AND IN-KIND SUPPORT WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS: * ALZHEIMER'S ASSOCIATION * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * AMERICAN LUNG ASSOCIATION * ARTHRITIS FOUNDATION * NW CT CHAMBER OF COMMERCE * KENT SANTA FUND * UNITED WAY OF WESTERN CONNECTICUT * CATHOLIC CHARITIES * JANE LLOYD FOUNDATION * HOTCHKISS LIBRARY * HOUSATONIC YOUTH SERVICE BUREAU * KENT CHAMBER OF COMMERCE * SALISBURY FORUM * SALISBURY VOLUNTEER AMBULANCE SERVICE * SHARON DAY CARE Schedule H, Part I, Line 7g Subsidized health services THE AMOUNTS REPORTED AS SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE PHYSICIAN CLINIC COSTS. Schedule H, Part II Community Building Activities COALITION BUILDING $7,174 SHARON HOSPITAL IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. AS PART OF ITS 2022-2024 COMMUNITY SERVICE PLAN, WE WILL FOCUS EFFORTS ON PREVENTING CHRONIC DISEASES AND PROMOTING WELL-BEING AND PREVENTING MENTAL AND SUBSTANCE USE DISORDERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $5,680 SHARON HOSPITAL OFFERS THE EXPERTISE OF OUR STAFF AND RESOURCES OF THE HOSPITAL IN A NUMBER OF COMMUNITY-BUILDING ACTIVITIES THAT IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITY. SHARON HOSPITAL, WHICH IS PART OF THE NUVANCE HEALTH SYSTEM, PARTICIPATES IN THE CT HEALTH CARE COALITION (CT HCC). THIS IS A DIVERSE GROUP OF HOSPITALS, HEALTHCARE NETWORKS, HEALTHCARE PROVIDERS, STATE HEALTH AGENCIES, AND EMERGENCY MANAGEMENT AGENCIES. THEIR PURPOSE IS TO DEVELOP AND EDUCATE HEALTHCARE PREPAREDNESS AND RESPONSE CAPABILITIES THROUGHOUT THE STATE OF CONNECTICUT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount SHARON HOSPITAL FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SHARON HOSPITAL DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 18-23 OF NUVANCE HEALTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs SHARON 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF SHARON HOSPITAL TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) SHARON HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. SHARON HOSPITAL SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS. CONSISTENT WITH THIS MISSION, SHARON HOSPITAL RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, SHARON HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. SHARON HOSPITAL WILL COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD. Schedule H, Part V, Section B, Line 16a FAP website - VASSAR HEALTH CONNECTICUT, INC.: Line 16a URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - VASSAR HEALTH CONNECTICUT, INC.: Line 16b URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - VASSAR HEALTH CONNECTICUT, INC.: Line 16c URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH COMMITTEE THAT MEETS REGULARLY TO ASSESS ANY ADDITIONAL HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMITTEE PROVIDES OVERSIGHT TO THE HOSPITAL'S COMMUNITY HEALTH PRIORITIES, INCLUDING NEEDS ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS AND OTHER POPULATION HEALTH INITIATIVES. THEY HELP GUIDE PRIORITY ISSUES FOR ACTION TO IMPROVE COMMUNITY HEALTH AND HELP INFORM, GUIDE AND SHARE SUCCESSFUL PROGRAMS AND STRATEGIES THAT ADDRESS HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. ALSO, SIGNS ARE POSTED THROUGHOUT THE HOSPITAL AND COUNSELORS ARE AVAILABLE TO PROVIDE FURTHER ASSISTANCE. ALL UNINSURED INPATIENTS ARE INTERVIEWED BY FINANCIAL COUNSELORS AND ASSESSED FOR ELIGIBILITY FOR ASSISTANCE PROGRAMS. THE HOSPITAL PROVIDES INFORMATIONAL HANDOUTS TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION WHICH REFERS THEM TO FINANCIAL COUNSELING IF THEY WOULD LIKE ASSISTANCE WITH THEIR BILLS. FURTHER, THE HOSPITAL MAILS NOTICES TO ALL SELF-PAY ACCOUNTS REFERRING THEM TO FINANCIAL COUNSELING IF THEY NEED ASSISTANCE. THE COLLECTION DEPARTMENT WILL ALSO REFER PATIENTS TO FINANCIAL COUNSELING WHEN A PATIENT INDICATES THAT THEY CANNOT AFFORD THEIR BALANCES; AND FINALLY, SCHEDULERS REFER UNINSURED PATIENTS TO FINANCIAL COUNSELING PRIOR TO THEIR TEST OR PROCEDURE. THE POLICY AND APPLICATIONS FOR ASSISTANCE ARE ALSO AVAILABLE ONLINE, AS WELL AS UPON REQUEST AT THE HOSPITAL. Schedule H, Part VI, Line 4 Community information SHARON HOSPITAL IS A 78-BED FACILITY THAT HAS SERVED NORTHWESTERN CONNECTICUT SINCE 1909. SHARON IS LOCATED IN THE NORTHWEST CORNER OF THE STATE AND HAS A PRIMARY SERVICE AREA (PSA) THAT INCLUDES THE NORTHEASTERN AREA OF DUTCHESS COUNTY IN NEW YORK, AS WELL AS THE WESTERN PARTS OF LITCHFIELD COUNTY IN CONNECTICUT. IT IS ONE OF THREE HOSPITALS IN LITCHFIELD COUNTY, CT. THE SHARON HOSPITAL SERVICE AREA POPULATION IS PROJECTED TO DECREASE BY 294 PEOPLE OR .52% FROM 2023 TO 2028. THE MOST SIGNIFICANT GROWTH WILL OCCUR IN THE POPULATION AGED 65 OR OLDER, WHICH WILL INCREASE BY 1,445 PEOPLE OR 12.8% FROM 2023 TO 2028, WHILE THE POPULATION UNDER AGE 18 WILL DECLINE BY 548 PEOPLE OR 6%. THE HISPANIC POPULATION WILL SEE THE LARGEST GROWTH OF 17.4% BETWEEN 2023 AND 2028, WHILE ASIAN AND PACIFIC ISLANDERS AND WHITE/NON-HISPANIC POPULATIONS WILL DECLINE BY 5.6% AND 4.1%, RESPECTIVELY. LITCHFIELD COUNTY HAS A LOWER UNEMPLOYMENT RATE THAN THE STATE. AS OF DECEMBER 2022, UNEMPLOYMENT RATES STATEWIDE AND IN LITCHFIELD WERE 3.2% AND 2.7%, RESPECTIVELY (CTDATAHAVEN.ORG). APPROXIMATELY 8% OF THE POPULATION IN LITCHFIELD COUNTY ARE LIVING IN POVERTY (CTDATAHAVEN.ORG). APPROXIMATELY 4% OF SHARON'S MARKET ARE UNINSURED, WHILE MEDICAID (21%), MEDICARE (27%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (48%) (SOURCE: THE CLARITAS COMPANY). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), THE EASTERN PART OF DUTCHESS COUNTY THAT FALLS WITHIN SHARON'S SERVICE AREA HAS BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW INCOME POPULATIONS. THERE ARE NO MEDICALLY UNDERSERVED POPULATIONS IDENTIFIED ON THE CT SIDE OF SHARON'S SERVICE AREA. Schedule H, Part VI, Line 5 Promotion of community health SHARON HOSPITAL IS A RURAL COMMUNITY 78-BED ACUTE CARE HOSPITAL THAT OFFERS AWARD-WINNING PATIENT CARE. FOR MORE THAN 125 YEARS, THE HOSPITAL HAS DELIVERED MISSION-DRIVEN SERVICES TO THE COMMUNITY. WE ARE COMMITTED TO PROVIDING SAFE, CONVENIENT CARE TO MEET YOUR PERSONAL HEALTHCARE NEEDS. WE ARE PART OF NUVANCE HEALTH, A NETWORK OF SEVEN COMMUNITY HOSPITAL LOCATIONS AND NUMEROUS OUTPATIENT FACILITIES IN THE HUDSON VALLEY AND WESTERN CONNECTICUT. OUR PATIENTS BENEFIT FROM THE VARIOUS MULTISPECIALTY GROUPS AND SERVICES ACROSS THE SYSTEM. OUR FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND OUR DIGESTIVE HEALTH INSTITUTE. OUR FEATURED SERVICE LINES INCLUDE: * PRIMARY CARE AND PEDIATRICS * LABORATORY TESTING, IMAGING AND RADIOLOGY * GENERAL AND ORTHOPEDIC SURGERY * WOUND CARE OUR EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES IS A LONG-TERM AND VERY COLLABORATIVE ONE TO ADDRESS PUBLIC HEALTH ISSUES AND OPPORTUNITIES IN OUR REGION. OUR ROLE IN IMPROVING HEALTH MAY BE AS A LEADER, PARTNER, FACILITATOR, FUNDER, ADVOCATE, CHAMPION, OR OBSERVER. IN THESE ROLES, WE EMBRACE THE SOCIAL DETERMINANTS OF HEALTH AND APPLY STRATEGIES AND TACTICS INCLUDING HEALTH EDUCATION, OUTREACH AND SCREENINGS VIA COLLABORATIONS, DATA COLLECTION AND RESEARCH, HEALTH CLINICS AND FAIRS, SPONSORSHIPS, AND SUBJECT MATTER EXPERT SPEAKER PRESENTATIONS. FOR MORE DETAILED INFORMATION AND EXAMPLES, SEE SCHEDULE H, PART I, LINE 7E. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS WHO LIVE AND WORK IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE FACILITY. IN ADDITION, ANY SURPLUS REVENUE IS REINVESTED INTO THE HOSPITAL, ITS STAFF AND THE COMMUNITY. SHARON REALIZES THIS IS NECESSARY TO ACHIEVE AND MAINTAIN HIGH-QUALITY STANDARDS, KEEP UP WITH THE RAPID ADVANCEMENT IN TECHNOLOGY, PROVIDE START-UP CAPITAL FOR NEW PROGRAMS, AND EXPAND EXISTING FACILITIES AND PROGRAMS IN ORDER TO PROVIDE QUALITY CARE TO THE COMMUNITY. Schedule H, Part VI, Line 6 Affiliated health care system NUVANCE HEALTH IS AN INTEGRATED HEALTH SYSTEM OFERING CONVENIENT, ACCESSIBLE AND AFFORDABLE CARE TO OUR COMMUNITY MEMBERS. OUR TALENTED TEAM OF MORE THAN 15,000 COMPASSIONATE CAREGIVERS PROVIDE HIGH-QUALITY CARE THROUGH: COMMUNITY HOSPITALS, PRIMARY CARE AND SPECIALTY PRACTICE LOCATIONS, OUTPATIENT SETTINGS, HOME CARE SERVICES, AND TELEHEALTH VISITS. SHARON HOSPITAL HAS PROVIDED $8,110,035 WORTH OF CARE THROUGH FINANCIAL ASSISTANCE AT COST AND ITS MEDICAID SHORTFALL. NUVANCE HEALTH HAS SEVEN HOSPITALS (DANBURY HOSPITAL, NEW MILFORD HOSPITAL, NORWALK HOSPITAL, SHARON HOSPITAL, VASSAR BROTHERS MEDICAL CENTER, NORTHERN DUTCHESS HOSPITAL AND PUTNAM HOSITPAL) THAT PROVIDE A FULL RANGE OF MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE SYSTEM'S MISSION STATEMENT. ALL OF OUR HOSPITALS HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS THEY CAN JOIN THE MEDICAL STAFF. THERE ARE FIVE FOUNDATIONS THAT HELP SUPPORT OUR HOSPITALS AND AFFILIATES (DANBURY HOSPITAL AND NEW MILFORD HOSPITAL FOUNDATION, INC., NORWALK HOSPITAL FOUNDATION, VASSAR BROTHERS HOSPITAL FOUNDATION, NDH FOUNDATION AND PUTNAM HOSPITAL CENTER FOUNDATION). EACH FOUNDATION'S MISSION IS TO RAISE FUNDS, REINVEST, ADMINISTER FUNDS AND MAKE DISTRIBUTIONS TO THE HOSPITALS AND THEIR NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NUVANCE HEALTH HAS FOUR MEDICAL GROUPS (NUVANCE HEALTH MEDICAL PRACTICE CT, INC., NUVANCE HEALTH MEDICAL PRACTICE, P.C., EASTERN NEW YORK MEDICAL SERVICES, P.C. AND HUDSON VALLEY CARDIOVASCULAR PRACTICE, P.C.). THE MEDICAL PRACTICES PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES TO RESIDENTS IN THEIR COMMUNITIES AND SURROUNDING AREAS. THEY PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE COMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO THEIR PATIENTS' NEEDS. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. NUVANCE HAS THREE HOME CARE ENTITIES (WESTERN CONNECTICUT HOME CARE, INC., HEALTH QUEST HOME CARE, INC. (CERTIFIED) AND HEALTH QUEST HOME CARE, INC. (LICENSED). OUR HOME CARE PROGRAMS PROVIDE COMPREHENSIVE HEALTH SERVICES TO SELECTED PATIENTS WHO CAN BE CARED FOR AT HOME, THUS REDUCING THE EXPENSE ASSOCIATED WITH HOSPITALIZATION AND ALLOWING PATIENTS TO BE TREATED IN THE COMFORT AND FAMILIARITY OF THEIR HOMES. THESE SERVICES INCLUDE SKILLED NURSING, THERAPIES (PHYSICAL, OPERATIONAL AND SPEECH), MEDICAL SOCIAL SERVICES, AND HOME HEALTH AIDS. ALAMO AMBULANCE SERVICES, INC. IS A LICENSED AMBULANCE TRNSPORT SERVICE WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES, NEW YORK. Schedule H, Part VI, Line 7 State filing of community benefit report CT, NY X true true false true false false false false false true false MARK K HIRKO MD FORMER PRESIDENT SHARON HOSPITAL; PRESIDENT PHC 371998 111618 0 115000 79525 7145 48191 24949 17002 8148 516716 266860 55200 0 CHRISTINA MCCULLOCH PRESIDENT SHARON HOSPITAL 202687 80419 64500 0 9183 3441 39545 11999 1991 634 317906 96493 0 0 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) 0 267926 0 0 0 7258 0 33150 0 9973 0 318307 0 0 CAROLYN MCKENNA SECRETARY & CHIEF LEGAL OFFICER (TO 12/31) 0 575435 0 155000 0 81280 0 88260 0 2408 0 902383 0 68250 STEVEN H ROSENBERG FORMER CFO/TREASURER (TO 12/31) 0 725696 0 366729 0 165564 0 135180 0 13940 0 1407109 0 106440 BRIAN WYATT SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01) 0 297136 0 51000 0 2117 0 18300 0 42326 0 410879 0 0 PETER CORDEAU FORMER PRESIDENT SHARON HOSPITAL; PRESIDENT NHA 0 500454 0 131000 0 91658 0 79980 0 42458 0 845550 0 60135 KERRY EATON FORMER CHIEF OPERATING OFFICER 0 754999 0 468632 0 166468 0 140365 0 1661 0 1532125 0 117960 CATHERINE FRIERSON FORMER CHIEF HUMAN RESOURCES OFFICER 0 121667 0 0 0 70051 0 2215 0 790 0 194723 0 68520 DONALD SOUCIER MD FORMER PRESIDENT OF MEDICAL STAFF 0 496678 0 0 0 52302 0 18300 0 32898 0 600178 0 0 JEAN AHN CHIEF STRATEGY OFFICER 0 476497 0 318564 0 98004 0 92940 0 2908 0 988913 0 69000 KATHRYN D CULLINAN CHIEF HUMAN RESOURCES OFFICER 0 343979 0 200000 0 29471 0 69000 0 24353 0 666803 0 0 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 0 341893 0 84000 0 40493 0 51660 0 13615 0 531661 0 33780 MICHELLE ROBERTSON CHIEF OPERATING OFFICER 0 400296 0 0 0 133961 0 49038 0 16632 0 599927 0 0 KATHERINE BENSON HOUSE SUPERVISOR 182209 0 6800 0 3125 0 11663 0 11902 0 215699 0 0 0 APRIL LAWRENCE REG RESPIRATORY THERAPIST 3843 170186 0 21180 0 129 0 0 35 1747 3878 193242 0 0 IRINA M PRISHCHEPOVA RN REGISTERED NURSE 176849 0 31611 0 1342 0 12843 0 25729 0 248374 0 0 0 FLOYD RENAUD RN REGISTERED NURSE 37360 115599 581 46000 43 200 0 0 2559 9098 40543 170897 0 0 DAWN WOODRUFF RN CHIEF NURSING OFFICER 192624 0 21500 0 1068 0 13293 0 27137 0 255622 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND AND/OR AN EMPLOYEE RECOGNITION AWARD: 4 HIGHEST COMPENSATED EMPLOYEES 1 OFFICER 1 FORMER OFFICER Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation VASSAR HEALTH CONNECTICUT, INC. RELIED ON NUVANCE HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA ON OTHER KEY EMPLOYEES. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan EFFECTIVE OCTOBER 1, 2020, NUVANCE HEALTH ESTABLISHED AN EXECUTIVE RETIREMENT PLAN IN ORDER TO PROVIDE NONQUALIFIED DEFINED CONTRIBUTION RETIREMENT BENEFITS TO DESIGNATED KEY MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM, SELECTED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 OR TIER 2 EXECUTIVE POSITIONS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN CALENDAR YEAR 2022, THE AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. FOR CALENDAR YEAR 2022, AMOUNTS EARNED BY KEY MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM WERE AS FOLLOWS: STEVEN H. ROSENBERG $108,180 KERRY EATON $110,402 JEAN AHN $74,640 CAROLYN MCKENNA $69,960 PETER CORDEAU $ 61,680 MARK K. HIRKO, MD $54,840 KATHRYN CULLINAN $50,700 MICHELLE ROBERTSON $37,203 WAYNE MCNULTY $33,360 CHRISTINA MCCULLOCH $33,244 DANIEL DEBARBA $26,320 Schedule J, Part I, Line 7 Non-fixed payments NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH-QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THE PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR; - TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE - TIER II, EXECUTIVE - TIER II(b), PHYSICIAN EXECUTIVE - TIER III, SENIOR LEADER (A) - TIER III, SENIOR LEADER (B) - TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: - QUALITY AND SERVICE - PEOPLE AND CULTURE - PATIENT EXPERIENCE - FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. NUVANCE HEALTH EXECUTIVE LONG TERM INCENTIVE PLAN (EXCERPTS FROM) ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 EXECUTIVE POSITIONS SHALL BE ELIGIBLE EMPLOYEES TO PARTICIPATE IN THE PLAN. UNDER THE PLAN, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE INCENTIVE AWARD PAYMENTS BASED UPON THE ACHIEVEMENT OF SELECTED AND STRATEGICALLY IMPORTANT PERFORMANCE GOALS IDENTIFIED FOR EACH PERFORMANCE PERIOD. THE AWARD OPPORTUNITIES FOR AN ELIGIBLE EMPLOYEE WITH RESPECT TO A PERFORMANCE PERIOD SHALL BE EXPRESSED AS A PERCENTAGE OF HIS OR HER AVERAGE BASE SALARY IN EFFECT DURING THE APPLICABLE PERFORMANCE PERIOD. PRIOR TO THE BEGINNING OF EACH PERFORMANCE PERIOD, THE COMMITTEE MAY ESTABLISH A MINIMUM PERFORMANCE REQUIREMENT FOR NUVANCE HEALTH. NO FINAL AWARDS MAY BE GRANTED TO ANY PARTICIPANT FOR A PERFORMANCE PERIOD IN WHICH MINIMUM PERFORMANCE REQUIRMENTS, IN ANY, WERE NOT MET. THE FINAL AWARD PAYABLE TO EACH PARTICIPANT WILL BE DETERMINED WITHIN 60 DAYS FOLLOWING THE END OF THE PERFORMANCE PERIOD. AWARDS FOR A GIVEN PERFORMANCE PERIOD WILL BE PAID IN A SINGLE LUMP-SUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED. Form 990, Part VI, Line 13 AND 14 THE POLICIES EXIST AT THE PARENT LEVEL, WHICH ARE FOLLOWED BY EACH ENTITY AND ARE APPROVED BY THE PARENT BOARD, BUT NOT THE BOARD OF SHARON HOSPITAL. THIS EXCLUDES THE RECORD RETENTION POLICY, WHICH IS APPROVED ONLY BY THE PARENT AUDIT COMMITTEE. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF VASSAR HEALTH CONNECTICUT INC ("SHARON HOSPITAL") IS HEALTH QUEST SYSTEMS, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER (HEALTH QUEST SYSTEM, INC.) SHALL ELECT SHARON HOSPITAL'S OFFICERS. SUBJECT TO THE APPROVAL OF THE MEMBER, ANY VACANCY OR VACANCIES OCCURRING IN ANY OFFICE OF THE CORPORATION MAY BE FILLED UNTIL THE NEXT MEETING AT WHICH OFFICERS ARE ELECTED BY THE AFFIRMATIVE VOTE OF THE REMAINING DIRECTORS IN OFFICE AT ANY MEETING OF THE BOARD, THOUGH SUCH REMAINING DIRECTORS MAY CONSTITUTE LESS THAN A QUORUM. ANY OFFICER OF THE CORPORATION MAY BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY SHARON HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (I) ELECTION OR REMOVAL OF AN OFFICER OR A DIRECTOR WHO IS NOT AN EMPLOYEE OR CONTRACTOR; (II) AMENDMENT OF SHARON HOSPITAL'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF SHARON HOSPITAL'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF SHARON HOSPITAL'S QUALIFIED OR NONQUALIFIED BENEFIT PLANS; (V) ADOPTION OF OR REVISIONS TO ANY SYSTEMWIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES; (VI) APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES REVIEW OF THE SYSTEM WIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF THE INDEPENDENT AUDITORS; (VII) ADOPTION OF OR ANY MATERIAL REVISIONS TO THE CAPITAL BUDGET AND OPERATING BUDGET; (VIII) ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEMWIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE; (IX) ANY CESSATION OF ANY SERVICE LINE OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY; (X) ANY CLOSURE, SALE OR TRANSFER OF A HOSPITAL; (XI) ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, THE FILING OF ANY PETITION IN VOLUNTARY BANKRUPTCY, THE FILING OF ANY PETITION OR ANSWER SEEKING REORGANIZATION, OR AN ARRANGEMENT WITH CREDITORS UNDER THE FEDERAL BANKRUPTCY LAW; (XII) ANY CHANGE IN THE TAX STATUS OF OR REVISION OF, THE CHARITY CARE POLICIES; (XIII) ANY MERGER, CONSOLIDATION OR SIMILAR TRANSACTION; (XIV) ANY INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY DEBT. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy OFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT & PRIVACY OFFICER. ALSO, THEY ARE REQUIRED TO DISCLOSE ANY CONFLICT TO THE BOARD OR DIRECTLY TO THE CHAIRMAN PRIOR TO ANY MEETING. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. Form 990, Part VI, Line 15b Process to establish compensation of other employees NUVANCE HEALTH'S EXECUTIVE TOTAL REWARDS PHILOSOPHY IS DESIGNED TO ALIGN WITH THE COMPANY'S STRATEGIC DIRECTION, AND TO REINFORCE ITS CORE MISSION, VISION AND VALUES. IN ORDER TO ACHIEVE ITS OVERALL PERFORMANCE OBJECTIVES, NUVANCE HEALTH PROVIDES TOTAL REWARDS PROGRAMS THAT RECOGNIZE EXECUTIVES FOR PERFORMING WORK WELL TO ENSURE THE ACHIEVEMENT OF COMPANY GOALS. THESE PROGRAMS SERVE TO PROMOTE THE ATTRACTION, ENGAGEMENT, AND RETENTION OF TALENTED EXECUTIVES THROUGHOUT THEIR CAREERS WITH NUVANCE HEALTH. THE TOTAL REWARDS PROGRAMS ARE DESIGNED TO BE MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES REFLECTIVE OF BEST PRACTICES, AND DIFFERENTIATED TO CREATE STRONG COMPETITIVE ADVANTAGE. TOTAL REWARDS PROGRAMS ARE REVIEWED ON AN ONGOING BASIS TO ENSURE CONTINUED MARKET COMPETITIVENESS, RELEVANT VALUE TO EXECUTIVES, AND FISCAL RESPONSIBILITY. TOTAL REWARDS FOR NUVANCE HEALTH EXECUTIVES CONSISTS OF KEY COMPONENTS OF COMPENSATION AND BENEFITS. OVERALL EXECUTIVE REWARDS PROGRAM WILL EMPHASIZE PERFORMANCE-BASED ELEMENTS, WHEREBY TARGETED LEVELS OF COMPENSATION WILL ONLY BE ACHIEVED IF THE ORGANIZATION AND INDIVIDUAL ACHIEVE STRETCH GOALS AND OBJECTIVES. BASED ON THE LABOR MARKETS FOR TALENT FOR EXECUTIVE ROLES, NUVANCE HEALTH WILL UTILIZE A WEIGHTED BLEND OF BOTH NATIONAL COMPARABLY-SIZED HEALTH CARE PROVIDER MARKET DATA WITH A +25% GEOGRAPHIC DIFFERENTIAL APPLIED (DIFFERENTIAL TO BE VALIDATED ON A PERIODIC BASIS) AT TWO-THIRDS WEIGHT AND NATIONAL COMPARABLY-SIZED GENERAL INDUSTRY DATA, FOR IDENTIFIED ROLES WHERE SKILL SETS OVERLAP AT ONE-THIRD WEIGHT. GEOGRAPHIC DIFFERENTIAL REFLECTS THE OBSERVED AND REPORTED COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTH'S OPERATING REGION AND THE BROADER NATIONAL HEALTH CARE PROVIDER MARKET. NUVANCE HEALTH'S TOTAL REWARDS PHILOSOPHY AND PRACTICES ARE TARGETED AT THE 50TH PERCENTILE OF THE RELEVANT MARKET FOR BASE SALARY, AND 62.5TH PERCENTILE FOR TOTAL CASH AND TOTAL DIRECT (WHERE AVAILABLE) COMPENSATION ELEMENTS IF TARGET PERFORMANCE IS ACHIEVED UNDER VARIABLE COMPENSATION PROGRAMS. NUVANCE HEALTH'S COMMITTEE HAS DISCRETION TO POSITION INDIVIDUAL LEVELS ABOVE OR BELOW THIS TARGETED COMPETITIVE POSITIONING, BASED ON SUCH FACTORS AS POSITIONING TO MARKET, HIGH DEMAND SKILLSETS AND DIFFICULT TO FILL OR CRITICAL TO THE ORGANIZATION'S STRATEGY AND SUCCESS. OUR GOVERNANCE PROMOTES CONSISTENCY AND EQUITY; PROVIDES CLARITY AND GUIDANCE TO DECISION-MAKERS; ENSURES STANDARD PROCESSES AND PROCEDURES FOR ASSESSING, CALIBRATING, ADMINISTERING, AND DELIVERING EFFECTIVE TOTAL REWARDS THROUGHOUT THE NUVANCE HEALTH SYSTEM. OVERSIGHT AND GOVERNANCE OF THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS FOR ELIGIBLE EXECUTIVES/DISQUALIFIED INDIVIDUALS (CURRENTLY CEO, PRESIDENT AND TIERS 1 AND 2) WILL BE AT THE COMPENSATION COMMITTEE OF THE BOARD LEVEL, AND WILL FOLLOW A STRUCTURED AND RIGOROUS PROCESS TO ENSURE COMPLIANCE WITH INTERMEDIATE SANCTIONS UNDER IRS GUIDELINES. AN ANNUAL LETTER OF REASONABLENESS IS PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY WILLIS TOWERS WATSON AS CONSULTANT TO THE BOARD. IN THIS ANNUAL ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO SELECT EXECUTIVES, AN OPINION IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO THE INCLUDED EXECUTIVES FOR EACH FISCAL YEAR. A BI-ANNUAL LETTER OF REASONABLENESS FOR PHYSICIAN COMPENSATION IS ALSO PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE BY KORN FERRY HAY AS A CONSULTANT TO THE BOARD. THIS ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO PHYSICIANS IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO EACH PHYSICIAN. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR AS PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. Form 990, Part VII, Section A ADDITIONAL INFORMATION FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL STAFF - NEW APPLICA - Total Revenue: 6500, Related or Exempt Function Revenue: 6500, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; PURCHASE DISCOUNT - Total Revenue: 5415, Related or Exempt Function Revenue: 5415, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; WELLNESS CENTER - COMMUNITY ED - Total Revenue: 2170, Related or Exempt Function Revenue: 2170, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; All other revenue - Total Revenue: 2841, Related or Exempt Function Revenue: 2841, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees Healthcare Professionals - Total Expense: 2501246, Program Service Expense: 2195671, Management and General Expenses: 305575, Fundraising Expenses: ; Purchase Services - Total Expense: 5746569, Program Service Expense: 5044517, Management and General Expenses: 702052, Fundraising Expenses: ; Alamo Ambulance Service Inc 45 READE PLACE POUGHKEEPSIE NY 12601 141745417 Transportation NY 501(c)(3) Type III-FI HQ true Danbury Hospital & New Milford Hospital Foundation Inc 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 Fundraising CT 501(c)(3) 7 WCHN true The Danbury Hospital 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 Hospital CT 501(c)(3) 3 WCHN true Eastern New York Medical Services PC 3423 Danbury Road Brewster NY 10509 455431389 Physician Services NY 501(c)(3) 10 WCHN true Health Quest Home Care Inc (Certified) 2649 South Road Suite 220 Poughkeepsie NY 12601 141788412 Home Health NY 501(c)(3) 10 HQ true Health Quest Home Care Inc (Licensed) 2649 South Road Suite 220 Poughkeepsie NY 12601 141788410 Home Health NY 501(c)(3) 10 HQ true Nuvance Health Medical Practice PC 45 READE PLACE POUGHKEEPSIE NY 12601 562669185 Physician Services NY 501(c)(3) 10 HQ true Health Quest Systems Inc 45 READE PLACE POUGHKEEPSIE NY 12601 141678068 Support/Management NY 501(c)(3) 10 NUVANCE true Health Quest Urgent Medical Care Practice PC 45 READE PLACE POUGHKEEPSIE NY 12601 800152047 Physician Services NY 501(c)(3) 10 HQ true Hudson Valley Cardiovascular Practice PC 1 Columbia Poughkeepsie NY 12601 463756713 Physician Services NY 501(c)(3) 10 HQ true NDH Foundation 6531 SPRINGBROOK AVENUE RHINEBECK NY 12572 141776208 Fundraising NY 501(c)(3) 7 HQ true Northern Dutchess Hospital 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 141338467 Hospital NY 501(c)(3) 3 HQ true Northern Dutchess Residential Healthcare Facility Inc 6525 SPRINGBROOK AVENUE RHINEBECK NY 12572 223129608 Nursing Home NY 501(c)(3) 10 HQ true Norwalk Hospital Foundation Inc 34 MAPLE STREET NORWALK CT 06856 222577707 Fundraising CT 501(c)(3) 7 WCHN true Nuvance Health 45 READE PLACE POUGHKEEPSIE NY 12601 834214573 Support/Management NY 501(c)(3) Type III-FI NA false Nuvance Health Medical Practice CT Inc 100 RESERVE ROAD DANBURY CT 06810 061137531 Physician Services CT 501(c)(3) 10 WCHN true Putnam Hospital 670 STONELEIGH AVENUE CARMEL NY 10512 146019179 Hospital NY 501(c)(3) 3 HQ true Putnam Hospital Center Foundation Inc 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 Fundraising NY 501(c)(3) Type I HQ true The Norwalk Hospital Association 34 MAPLE STREET NORWALK CT 06850 066068853 Hospital CT 501(c)(3) 3 WCHN true Vassar Brothers Hospital Foundation 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 Fundraising NY 501(c)(3) 7 HQ true Vassar Brothers Medical Center 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 Hospital CT 501(c)(3) 3 HQ true Wells Manor Housing Development Fund Corp 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 Low Income NY 501(c)(3) PF HQ true Western Connecticut Home Care Inc 100 SAW MILL ROAD DANBURY CT 06810 060655138 Home Healthcare CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Affiliates Inc 100 RESERVE ROAD DANBURY CT 06810 222594968 Outpatient Health Care Services CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Inc 100 RESERVE ROAD DANBURY CT 06810 222594977 Support/Management CT 501(c)(3) Type II NUVANCE true Western Connecticut Health Network Investments LLC 100 Reserve Road Danbury CT 06810 475523212 Investments CT 501(c)(3) Type I NA false New Milford MRI LLC 100 Reserve Road Danbury CT 06810 271877801 INACTIVE CT NA N/A false false Norwalk Surgery Center LLC 40 CROSS STREET STE 120 NORWALK CT 06851 272394942 SURGERY CENTER CT NA N/A false false Nuvance Health Insurance Company Ltd PO BOX 1159 GRAND CAYMAN CJ KY11102 980438151 MALPRACTICE CJ NUVANCE HEALTH C Corporation false SWC Corporation 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT NA C Corporation false Taconic IPA Inc 45 Reade Place Poughkeepsie NY 12601 223007320 MEDICAL CARE NY NA C Corporation false Vassar Health Quest Medical Practice of Connecticut Inc 100 RESERVE ROAD DANBURY CT 06810 821466583 MEDICAL CARE CT NA C Corporation 8 15351325 false false false true false false false false false false true false false true false true true true true true Health Quest Systems Inc R 753091 Cost Method Health Quest Systems Inc M 755244 Cost Method Health Quest Systems Inc Q 7134699 Cost Method Hudson Valley Cardiovascular Practice S 53129 Cost Method Hudson Valley Cardiovascular Practice M 1320612 Cost Method Northern Dutchess Hospital Foundation P 657233 Cost Method Northern Dutchess Hospital Foundation C 201075 Cost Method Nuvance Health M 6129001 Cost Method Nuvance Health P 770907 Cost Method Nuvance Health Medical Practice PC J 72743 Cost Method Nuvance Health Medical Practice PC M 6665006 Cost Method Nuvance Health Medical Practice PC Q 6456476 Cost Method Nuvance Health Medical Practice CT Inc M 735606 Cost Method Nuvance Health Medical Practice CT Inc Q 593390 Cost Method The Norwalk Hospital Association O 125513 Cost Method The Norwalk Hospital Association P 1355715 Cost Method The Norwalk Hospital Association S 1500000 Cost Method Western Connecticut Health Network Inc P 26210746 Cost Method Putnam Hospital R 4215159 Cost Method Putnam Hospital Q 4215159 Cost Method