2025-08-14T12:16:51+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2023-10-01 141338586 Vassar Brothers Medical Center VASS 8454759500 45 READE PLACE POUGHKEEPSIE NY 12601 SUSAN BROWNING PRESIDENT 8454759500 2025-08-14 true George Pagano P01978122 6172662000 2025-08-14 2023 2025-03-06 01:10:19Z SUSAN BROWNING 45 READE PLACE POUGHKEEPSIE NY 12601 904269566 false X www.nuvancehealth.org X 1882 NY Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. 14 12 3175 164 0 0 6216304 4659643 759548884 892114527 2953337 3156865 5661703 4338531 774380228 904269566 0 0 391341094 411943634 0 0 412853165 440215445 804194259 852159079 -29814031 52110487 1208509203 1229915589 710974734 655815831 497534469 574099758 Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. false false 798278334 0 895762008 VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 349-BED FACILITY THAT HAS SERVED THE NEW YORK'S MID-HUDSON VALLEY SINCE 1887. THE MOST RECENT ADDITION TO THE CAMPUS IS A BEAUTIFUL PATIENT PAVILION, WHICH INCLUDES 263 PRIVATE PATIENT ROOMS, A 30-ROOM INTENSIVE CARE UNIT, 13 SURGICAL SUITES, A CARDIAC CATHETERIZATION SUITE AND A 66-ROOM EMERGENCY AND TRAUMA CENTER. VBMC IS PART OF NUVANCE HEALTH, WHICH IS A SIX-HOSPITAL SYSTEM, ON 7 CAMPUSES, WITH NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. THE NUVANCE HEALTH SYSTEM GIVES THE COMMUNITY ACCESS TO A VARIETY OF SERVICES INCLUDING, BUT NOT LIMITED TO, BARIATRIC SURGERY AND MEDICAL WEIGHT LOSS, BLOOD DRAW, CRITICAL CARE, DIABETES EDUCATION, EMERGENCY SERVICES, HEART AND VASCULAR, IMAGING AND RADIOLOGY, INFUSION THERAPY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDIC CARE, PHYSICAL REHABILITATION, PRIMARY CARE, RHEUMATOLOGY, SLEEP DISORDERS, URGENT CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH, CANCER CARE, DENTISTRY, DIGESTIVE HEALTH, ENDOCRINOLOGY, GENETIC COUNSELING, HOME HEALTH CARE, INFECTIOUS DISEASE, KIDNEY DISEASE AND NEPHROLOGY, OCCUPATIONAL MEDICINE, PATIENT BLOOD MANAGEMENTS AND BLOODLESS MEDICINE, PEDIATRICS, PODIATRY, PULMONARY CARE, SENIOR CARE AND GERIATRIC MEDICINE, SURGICAL SERVICES, UROLOGY, WOUND CARE AND HYPERBARIC MEDICINE. VBMC HAS ESTABLISHED PRACTICES IN CARDIAC SERVICES, CANCER CARE AND WOMEN AND CHILDREN'S HEALTH SERVICES. AS A REGIONAL MEDICAL CENTER, VASSAR HOUSES THE AREA'S FIRST AND ONLY CARDIOTHORACIC SURGERY CENTER BETWEEN WESTCHESTER AND ALBANY AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION FOR PREMATURE, UNDERWEIGHT, AND CRITICALLY ILL INFANTS. INNOVATIVE PROCEDURES AND SERVICES HAVE BEEN BROUGHT TO THE VBMC CAMPUS, INCLUDING ROBOTIC ORTHOPEDIC SURGERY, LIVER AND PANCREATIC SURGERY, INTERVENTIONAL NEURORADIOLOGY, SURGICAL ONCOLOGY AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), NEGATING THE NEED TO TRAVEL FOR THIS CARE. VBMC IS A LEVEL II TRAUMA CENTER WITH A TEAM OF DEDICATED, FELLOWSHIP-TRAINED TRAUMA AND CRITICAL CARE SURGEONS. THE HOSPITAL IS ALSO CERTIFIED AS A THROMBECTOMY-CAPABLE STROKE CENTER FROM THE JOINT COMMISSION, PROVIDING QUALITY STROKE CARE. VBMC'S PEDIATRIC UNIT CONTINUES ITS ALLIANCE WITH NEW YORK CHILDREN'S MEDICAL PROVIDERS SERVICES, P.C., AN AFFILIATE OF THE NATIONALLY RANKED HEALTH SYSTEM, CONNECTICUT CHILDREN'S. THE UNIT INCLUDES NINE PRIVATE ROOMS DECORATED IN A HUDSON VALLEY THEME. THROUGH THE ALLIANCE WITH NEW YORK CHILDREN'S MEDICAL PROVIDERS SERVICES, CHILDREN WHO NEED HOSPITALIZATION ARE CARED FOR BY PEDIATRIC HOSPITALISTS WITH YEARS OF SPECIALIZED TRAINING, IN ADDITION TO PEDIATRIC NURSES, RESPIRATORY THERAPISTS AND OTHERS. NEONATOLOGISTS FROM NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C., ALSO STAFF THE NICU. VBMC IS COMMITTED TO PROVIDING QUALITY SERVICE TO THE COMMUNITY AND HAS BEEN RECOGNIZED BY SEVERAL ORGANIZATIONS FOR THE QUALITY HEALTHCARE THAT IT PROVIDES TO THE REGION. VBMC HAS ALSO BEEN RECOGNIZED AS BEST REGIONAL HOSPITAL FOR EXCELLENCE BY U.S. NEWS & WORLD REPORT FOR ITS HIGH PERFORMANCE IN COLON CANCER SURGERY, LUNG CANCER SURGERY, HEART FAILURE TREATMENT, HEART ATTACK, DIABETES TREATMENT, KIDNEY FAILURE TREATMENT, PULMONOLOGY AND LUNG SURGERY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, PNEUMONIA, TREATMENT OF LEUKEMIA, LYMPHOMA AND MYELOMA, AND IN STROKE. FOR THE LAST SEVERAL YEARS, HEALTHGRADES HAS LISTED VBMC AS AMERICA'S 50 BEST HOSPITALS. IN ADDITION, HEALTHGRADES HAS AWARDED VBMC WITH THE 100 BEST HOSPITALS FOR CARDIAC CARE, CORONARY INTERVENTION EXCELLENCE AWARD, CARDIAC CARE EXCELLENCE AWARD, GASTROINTESTINAL SURGERY EXCELLENCE AWARD, GASTROINTESTINAL CARE AWARD, AMERICA'S 100 BEST HOSPITALS FOR GASTROINTESTINAL SURGERY AWARD AND THE PULMONARY CARE EXCELLENCE AWARD. VBMC HAS BEEN NAMED TOP 5% IN THE NATION FOR CARDIOLOGY SERVICES, AND THE TOP 10% IN THE NATION FOR OVERALL CARDIAC SERVICES, CORONARY INTERVENTIONAL PROCEDURES, AND OVERALL PULMONARY SERVICES. VBMC HAS BEEN ACCREDITED AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AND ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE HOSPITAL HAS ALSO EARNED THE GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD FROM THE AMERICAN HEART ASSOCIATION, AND THE THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION FROM THE JOINT COMMISSION. THE SURGICAL REVIEW CORPORATION HAS DESIGNATED VBMC AS A ROBOTIC CENTER OF EXCELLENCE. VBMC IS A FIVE-STAR RECIPIENT FOR CORONARY INTERVENTIONAL PROCEDURES, TREATMENT OF HEART ATTACK (10 YEARS IN A ROW), TREATMENT OF HEART FAILURE (4 YEARS IN A ROW), AND TREATMENT OF PNEUMONIA (14 YEARS IN A ROW). Every three years, we align health priorities with the areas of greatest identified need and consider where our resources will generate the greatest impact. Our commitment to improving the health and well-being of our community is demonstrated through the activities outlined in our community health improvement plan. VASSAR BROTHERS MEDICAL CENTER identified the following two priorities that align with local health department and NYS Prevention Agenda priorities: * Prevent chronic diseases * Promote well-being and prevent mental and substance use disorders Workgroups developed goals, objectives, strategies, action steps, and success metrics for these priority areas. Below are key highlights showcasing the impact of our strategies in addressing health needs identified in the 2022 Community Health Needs Assessment (CHNA) and the 2023-2025 CHIP: Vassar Brothers Medical Center launched their Food as Medicine (F.A.M.) programs to connect food insecure patients meeting specific disease criteria such as uncontrolled hypertension with nutrition education, community resources and healthy food at no cost to the patient. After a period of program development, the program was implemented in April 2024 at VBMC. Vassar Brothers Medical Center launched its Community Health Day in 2022, focusing on vaccinations, screenings, and referrals for unhoused and uninsured individuals. Attendance grew from 215 in 2022 to 350 in 2024 as the event expanded to include diabetes education, smoking cessation counseling, fresh produce distribution, and free winter clothing. In 2024, over 200 mammography appointments were scheduled. The Community Care Team (CCT) at Vassar Brothers Medical Center was featured in the Healthcare Association of NYS (HANYS) 2024 publication, Connecting with Communities: Community Health Initiatives Across New York State. The publication recognizes member hospitals and healthcare systems for engaging community stakeholders to help improve the health of their communities. The initiatives described in this publication are directly linked to the priorities of the New York State Prevention Agenda. The Prevention Agenda aims to make New York the healthiest state for people of all ages; serving as a blueprint for local community health improvement. The CCT's High Risk Navigators at Vassar Brothers Medical Center assisted with getting clients newly housed, and made client connections to physical health providers, mental health providers, and substance use providers. In FY24, Nuvance Health CCTs carried a collective caseload of 217 clients. The CCTs helped 49 homeless individuals into housing and facilitated 67 client connections to physical healthcare providers, 70 connections to behavioral healthcare providers, and 75 connections to substance use providers. Thirteen clients were connected to employment services. Since their inception, ED utilization by Nuvance CCT clients has decreased by 79%. Mental Health First Aid classes, a national evidence-based program designed to teach skills for recognizing and responding to signs of mental illness and substance use, have been expanded from Connecticut to include New York hospitals. This training is now available across all hospital communities in both New York and Connecticut, ensuring broader access to this vital resource. Other CHIP activities included transportation assistance, the Get Fit fitness program, Health Related Social Needs screenings, distribution of Narcan and Fentanyl test strips, and diaper distribution programs. Community education sessions that focused on healthy lifestyle behaviors, stroke prevention, cancer screenings and prevention, smoking cessation counseling, chronic disease self-management and stress management were offered throughout the community, often in partnership with community-based organizations, senior centers and schools. Participation in National Drug Take-Back Days across the health system, resulted in the collection of over 1,500 pounds of medication and over 800 pounds of sharps for safe disposal. Over the last year, staff have also contributed time and expertise to many community organizations and task forces throughout the communities. 798278334 true true false true false false false false true true true false true true true false true false false false false false false false false true true false false true true true false false false false false false false false false false false false false false true true true false false true 119 0 true 3175 true false false false false false false false false false false false false X 14 12 false false false false true true true true true false false true true true true true false false true true true NY X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 KEVIN CLEARY VICE CHAIR (TO 12/31); CHAIR (FROM 01/01) 3.0 0 X X 0 0 0 SHAY HUMPHREY ESQ CHAIR (TO 12/31); DIRECTOR (FROM 01/01) 3.0 0 X X 0 0 0 STEVEN TINKELMAN DIRECTOR; VICE CHAIR (FROM 01/01) 3.0 0 X X 0 0 0 SUSAN BROWNING PRESIDENT & WESTERN REGIONAL PRESIDENT 38.0 10.0 X X 825355 0 135682 BARRY ROTHFELD DIRECTOR (12/31/23) 2.0 0 X 0 0 0 DARRELL WHEELER DIRECTOR (FROM 01/01) 2.0 0 X 0 0 0 DEBRA DOMBER DIRECTOR 2.0 0 X 0 0 0 FRANCOISE DUNEFSKY Director (to 12/31/23) 2.0 6.0 X 0 0 0 JAMES WALKER DIRECTOR 2.0 0 X 0 0 0 KIMBERLY HELLER MD DIRECTOR 2.0 40.0 X 0 500177 47686 RONALD TATELBAUM MD DIRECTOR 2.0 0 X 0 0 0 THOMAS ROBINSON MD DIRECTOR 2.0 0 X 0 0 0 TIMOTHY DEAN DIRECTOR 2.0 6.0 X 0 0 0 WESLEY EUGENE DIXON DIRECTOR 2.0 0 X 0 0 0 BRIAN WYATT SECRETARY & CHIEF LEGAL OFFICER 2.0 48.0 X 0 634212 124638 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER 2.0 48.0 X 0 1474165 175627 JEAN AHN CHIEF STRATEGY OFFICER 5.0 45.0 X 0 981131 98768 KATHRYN D CULLINAN CHIEF HUMAN RESOURCES OFFICER 5.0 45.0 X 0 716393 111060 MICHELLE ROBERTSON CHIEF OPERATING OFFICER 5.0 45.0 X 0 1338248 187713 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 5.0 45.0 X 0 535402 33749 CORINA MARCU VP MEDICAL AFFAIRS 30.0 10.0 X 486874 161805 24226 EILISH C HOURIHAN RN CHIEF NURSING OFFICER 40.0 0 X 452840 0 27420 EVA H SKELLY RN REGISTERED NURSE 39.0 1.0 X 407587 5351 28457 KEVIN B BOLAND DIRECTOR CARDIO PERFUSION 40.0 0 X 410515 0 63304 WILLIAM V BEGG MD FORMER VPMA/CHAIR EMERG SVCS DANBURY 7.0 33.0 X 123822 539002 43780 PETER A KELLY FORMER PRESIDENT VBMC 0.0 0.0 X 240080 0 14267 2947073 6885886 1116377 924 true true false WALSH CONSIGLI JV 929 West Adams ST Chicago IL 60607 CONSTRUCTION MANAGEMENT 1663877 NORTH AMERICAN PARTNERS IN ANESTHESIA LLC 1305 WALT WHITMAN RD STE 300 Melville NY 11747 Anesthesiology Services 714309 KONS MSO HOLDINGS LLC 5 HIGH RIDGE PARK 2ND FL stamford CT 06905 MEDICAL STAFFING 701250 PREMIER MEDICAL GROUP 82 WASHINGTON ST STE 100 POUGHKEEPSIE NY 12601 MEDICAL STAFFING 652629 SIZEWISE RENTALS PO BOX 320 ELLIS KS 67637 EQUIPMENT RENTALS 568039 20 3345407 1301966 12270 4659643 NET PATIENT service revenue 621110 887758113 887758113 AFFILIATE RENTAL INCOME 532000 2046773 2046773 GME 611430 1137489 1137489 Covid Stimulus 900099 918803 918803 Research Revenue 900099 132080 132080 121269 121269 0 0 892114527 2158488 2158488 691050 691050 0 691050 691050 998377 998377 0 998377 998377 340B Revenue 561000 2264503 2264503 Payor Incentives 561000 999781 999781 Fellowship Program Reimbursement 900099 102165 102165 281032 281032 0 0 3647481 904269566 895762008 0 3847915 1051782 968713 83069 298527814 274950196 23577618 17605955 16215443 1390512 76507909 70465342 6042567 18250174 16808782 1441392 351507 351507 4615309 4615309 1746142 1746142 132986 122483 10503 797867 797867 52990188 48805042 4185146 0 2066620 1903399 163221 5910520 5443709 466811 16358015 15066065 1291950 11570138 10656333 913805 482294 444203 38091 463369 426772 36597 14797322 14797322 47677918 43912333 3765585 7714151 6499808 1214343 MEDICAL SUPPLIES 144661522 144661522 PHYSICIAN FEES 105738298 105738298 EQUIPMENT RENTAL AND MAINTENANCE 18613675 17143574 1470101 UROC PROFIT SHARE JV 3067071 2824835 242236 460533 424160 36373 0 852159079 798278334 53880745 0 2528669 3227938 81492367 97289517 0 0 0 0 16212221 18646939 2751120 3639515 1326802864 561165544 777657501 765637320 175268366 204535970 0 20732741 18141149 131866218 118797241 1208509203 1229915589 52318666 58588579 447850242 441039447 0 0 6661893 2318832 204143933 153868973 710974734 655815831 X 477910071 555037187 19624398 19062571 497534469 574099758 1208509203 1229915589 X 52110487 27430518 -2975716 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 132986 false false false 132986 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, THE NORMET DUES AND HEALTHCARE EDUCATION PROJECT, PAID BY VASSAR BROTHERS MEDICAL CENTER, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 2190951 2190951 2190951 2190951 2190951 2190951 2190951 2190951 2190951 2190951 0.0 1.0 0.0 false false 19211758 19211758 834687348 216875672 617811676 458937077 344289872 114647205 13966681 13966681 765637320 POOLED INVESTMENTS 204535970 F 204535970 DSRF 2005 BOND DSRF 2010 BOND DSRF 2012 BOND DSRF 2014 BOND DSRF 2016B BOND DSRF 2019B BOND INTEREST IN FOUNDATION 52353368 INSURANCE RECEIVABLE 29003013 DUE FROM RELATED PARTIES 15821918 ASSETS UNDER BOND INDENTURES 8139431 RIGHT OF USE ASSET - OPERATING 6865227 MISC RECEIVABLES 4199504 RIGHT OF USE ASSET - FINANCE 2004347 DEFERRED COMPENSATION 395173 DUE FROM THIRD PARTY PAYORS SECURITY DEPOSITS 15260 118797241 DUE TO RELATED PARTIES 61947920 POST RETIREMENT BENEFITS 43289426 INSURANCE LIABILITY 29003013 DUE FROM THIRD PARTY PAYORS 8029257 OPERATING LEASE LIABILITY 6966592 Finance Lease Liability 2198226 ASSET RETIREMENT OBLIGATION 2018016 DEFERRED COMPENSATION 395173 SECURITY DEPOSIT LIABILITY 21350 153868973 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote AS OF SEPTEMBER 30, 2024, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. true true X true X 300 true X true true true false true false 6017805 6017805 0.0071 123962851 77580033 46382818 0.0544 0 0.0 0 0 129980656 77580033 52400623 0.0615 223806 223806 0.0003 45020412 21688888 23331524 0.0274 437631528 366439166 71192362 0.0835 374196 374196 0.0004 527978 527978 0.0006 0 0 483777920 388128054 95649866 0.1122 0 0 613758576 465708087 148050489 0.1737 0 0.0 0 0.0 2538 2538 0.0000 0 0.0 0 0.0 3889 3889 0.0000 3588 3588 0.0000 9727 9727 0.0000 0 0.0 0 0 19742 0 19742 0.0000 true 748742 0 179458165 136084811 43373354 X true true 1 1 VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 WWW.NUVANCEHEALTH.ORG 1302001H X X X X VASSAR BROTHERS MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true true 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 WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE X 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 BROTHERS MEDICAL CENTER. EVERY THREE YEARS, THE NEW YORK STATE (NYS) DEPARTMENT OF HEALTH (DOH) REQUIRES LOCAL HEALTH DEPARTMENTS (LHD) TO SUBMIT COMMUNITY HEALTH ASSESSMENTS (CHA) AND HOSPITALS TO SUBMIT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). LHDS AND HOSPITALS COLLABORATE WITH COMMUNITY PARTNERS AND RESIDENTS TO CREATE COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) AND COMMUNITY SERVICE PLANS (CSP), RESPECTIVELY. THESE ASSESSMENTS AND PLANS ARE MEANT TO MEET SEVERAL REQUIREMENTS FROM NYS PUBLIC HEALTH LAW AND THE AFFORDABLE CARE ACT. IN RECENT YEARS, THE NYSDOH HAS ENCOURAGED LHDS AND HOSPITALS TO COLLABORATE IN THE CREATION OF THESE DOCUMENTS TO BETTER SERVE THEIR COMMUNITIES. IN 2017, THE SEVEN LHDS OF THE MID-HUDSON REGION (M-H REGION), INCLUDING DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER, AND WESTCHESTER COUNTIES, CREATED THE LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE WITH THE GOAL OF CONDUCTING REGIONAL RESIDENT AND PROVIDER SURVEYS, CREATING A REGIONAL CHA, AND COLLABORATING ON COMMON CHIP PRIORITIES. THIS REGIONAL APPROACH WAS CONTINUED FOR THE 2022 CHA, CHIP, AND CSP CYCLE, WITH THE COLLABORATIVE BEING RENAMED THE HUDSON VALLEY PUBLIC HEALTH COLLABORATIVE (HVPHC). A CHA DEPICTS A COMPREHENSIVE REVIEW OF A COMMUNITY'S CURRENT HEALTH STATUS, FACTORS CONTRIBUTING TO HIGHER HEALTH RISKS OR POORER HEALTH OUTCOMES, AND COMMUNITY RESOURCES AVAILABLE TO IMPROVE HEALTH. WHEN CONDUCTING THE REGIONAL CHA, THE HVPHC GATHERS DATA AND INFORMATION FROM AS MANY SOURCES AS POSSIBLE SO THAT A COMPREHENSIVE ASSESSMENT CAN BE COMPLETED. THE CHA CAN THEN INFORM THE COMMUNITY TO MAKE DECISIONS AND DEVELOP PLANS TO IMPROVE THE HEALTH OF THE REGION. THE LHDS CONTRACTED WITH SIENA COLLEGE RESEARCH INSTITUTE (SCRI) TO CONDUCT A REGIONAL COMMUNITY HEALTH SURVEY AS A COMPONENT OF THE REGIONAL CHA. SCRI, ON BEHALF OF THE SEVEN LOCAL HEALTH DEPARTMENTS (LHDS) OF THE MID-HUDSON REGION, CONDUCTED A PUBLIC OPINION SURVEY OF RESIDENTS FROM MARCH 14, 2022, TO MAY 22, 2022. RESPONDENTS WERE CONTACTED VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, AND ONLINE RECRUITMENT FROM EACH COUNTY AT VARIOUS IN-PERSON EVENTS AND OTHER COMMUNITY PARTNERSHIPS TO ENHANCE REPRESENTATION AND MEET BUDGET CONSTRAINTS. THE DESIGN OF THE LANDLINE SAMPLE WAS CONDUCTED TO ENSURE THE SELECTION OF BOTH LISTED AND UNLISTED TELEPHONE NUMBERS, USING RANDOM DIGIT DIALING (RDD). THE CELL PHONE SAMPLE WAS DRAWN FROM A SAMPLE OF DEDICATED WIRELESS TELEPHONE EXCHANGES FROM WITHIN EACH OF THE COUNTIES. RESPONDENTS WERE SCREENED FOR RESIDENCE IN NYS AND SPECIFIED COUNTIES. DATA FROM ALL FOUR SOURCES WERE COMBINED AND WEIGHTED AS ONE UNIVERSE TO PROVIDE A REPRESENTATIVE SAMPLE OF MID-HUDSON REGION RESIDENTS. TO FURTHER SUPPLEMENT THE DATA COLLECTED, MEMBERS OF THE HVPHC HELD FOCUS GROUPS AND CONDUCTED A SURVEY OF COMMUNITY PARTNERS TO UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. ALONG WITH THE PRIMARY DATA COLLECTED THROUGH THE SURVEYS AND FOCUS GROUPS, SECONDARY DATA WERE COMPILED TO DISPLAY HEALTH INDICATORS FOR THE M-H REGION. EACH HEALTH INDICATOR WAS NARRATED TO CONTEXTUALIZE THE DATA AND OUTLINE HOW EACH INDICATOR RELATES. THE REGIONAL COMMUNITY HEALTH ASSESSMENT WAS WRITTEN BY THE HVPHC AND IS INTENDED TO SERVE AS A REFERENCE FOR KEY HEALTH INFORMATION FOR ALL STAKEHOLDERS WITHIN THE MID-HUDSON REGION AND ASSIST THEM IN IDENTIFYING AND PRIORITIZING THE HEALTH NEEDS OF THE REGION AND ITS COMMUNITIES. AN ADDITIONAL GOAL OF THIS PROJECT IS TO INITIATE COLLABORATION TO ADDRESS KEY HEALTH ISSUES IN THE REGION AND TO INFORM THE CHIPS OF EACH COUNTY AND THE CSPS OF NON-PROFIT 501(C)(3) HOSPITALS. IN ADDITION TO THE SIENA COLLEGE RESEARCH INSTITUTE COMMUNITY SURVEY, NUVANCE HEALTH PARTICIPATED IN THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) 2022 CHNA SURVEY OF ADULTS AGED 18 OR OLDER WHO LIVE IN A ZIP CODE OR COUNTY SERVED BY THE HOSPITAL. THE SURVEY WAS INTENDED TO GARNER RESIDENT INPUT ON COMMUNITY HEALTH PRIORITIES BASED ON PERCEIVED IMPORTANCE AND SATISFACTION. THE SURVEY USED A NON-PROBABILITY CONVENIENCE SAMPLE. A WEB-BASED SURVEY TOOL AND A PAPER-BASED TOOLS WERE USED TO COLLECT THE SURVEY DATA FROM APRIL 11, 2022, THROUGH JUNE 30, 2022. SURVEYS WERE AVAILABLE IN ELEVEN LANGUAGES - ENGLISH, SPANISH, CHINESE, RUSSIAN, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, ARABIC, AND POLISH. A DETAILED OUTLINE OF COMMUNITY RESPONSES CAN BE FOUND IN THE COMMUNITY SERVICE PLAN LOCATED AT WWW.NUVANCEHEALTH.ORG/COMMUNITY Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. THE MID-HUDSON REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENT WAS CREATED THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN THE FOLLOWING ORGANIZATIONS: BLYTHEDALE CHILDREN'S HOSPITAL; BON SECOURS CHARITY HEALTH SYSTEM, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; BURKE REHABILITAION CENTER, ELLENVILLE REGIONAL HOSPITAL, GARNET HEALTH; HEALTHALLIANCE HOSPITAL, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; MONTEFIORE MOUNT VERNON HOSPITAL; MONTEFIORE NEW ROCHELLE HOSPITAL; MONTEFIORE NYACK HOSPITAL; MONTEFIORE ST. LUKE'S CORNWALL; NEW YORK PRESBYTERIAN HUDSON VALLEY AND LAWENCE HOSITALS; NORTHERN WESTCHESTER HOSPITAL; PHELPS HOSPITAL; ST. JOSEPH'S MEDICAL CENTER; ST. JOHN'S RIVERSIDE HOSPITAL; WESTCHESTER MEDICAL CENTER; WHITE PLAINS HOSPITAL AND THE HOSPITALS OF NUVANCE HEALTH. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. NUVANCE HEALTH PARTICIPATED IN THE MID-HUDSON REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY SEVEN HEALTH DEPARTMENTS AND AREA HEALTH SYSTEMS. THE HEALTH DEPARTMENTS INCLUDED: DUTCHESS COUNTY DEPARTMENT OF BEHAVIORAL & COMMUNITY HEALTH; ORANGE COUNTY DEPARTMENT OF HEALTH; PUTNAM COUNTY DEPARTMENT OF HEALTH; ROCKLAND COUNTY DEPARTMENT OF HEALTH; SULLIVAN COUNTY PUBLIC HEALTH SERVICES; ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH; AND WESTCHESTER COUNTY DEPARTMENT OF HEALTH. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. THE CHNA IS AVAILABLE UPON REQUEST IN THE HOSPITAL AND NUVANCE HEALTH ADMINISTRATIVE OFFICES. THE CHNA WAS SHARED WITH THE HOSPITAL BOARD AND THE COMMUNITY HEALTH COMMITTEE FOR ADDITIONAL DISTRIBUTION THROUGHOUT THEIR NETWORKS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. TO WORK TOWARD OPTIMAL COMMUNITY HEALTH, NUVANCE HEALTH COMMITS TO ENSURING HOSPITAL RESOURCES AND ACTIVITIES BUILD UPON EXISTING PRIORITIES AND COLLABORATIVE ACTIVITIES, WHILE ENSURING RESPONSIVENESS TO EMERGENT NEEDS. DETERMINATION OF PRIORITIES MADE BY LEADERSHIP OF NUVANCE HEALTH INCLUDED REVIEW OF EXISTING COMMITMENTS, NEW RESEARCH FINDINGS, AND COMMUNITY FEEDBACK. NUVANCE HEALTH WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES AS PART OF ITS 2022- 2024 COMMUNITY SERVICE PLAN (CSP): PREVENT CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. NUVANCE HEALTH IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. TOGETHER WITH THESE PARTNERS AND STAKEHOLDERS, NUVANCE HEALTH CREATED A CSP THAT REFLECTS COLLECTIVE HEALTH IMPACT STRATEGY AND THE MANY STRENGTHS AND ASSETS OF OUR COMMUNITY PARTNERS TO ADDRESS THESE NEEDS. THE IDENTIFIED PRIORITIES ALIGN WITH AND ADVANCE THE NEW YORK STATE PREVENTION AGENDA. IN ACCORDANCE WITH THE PREVENTION AGENDA, THE NUVANCE HEALTH 2023-2025 CSP WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS DISPARITIES AND PROMOTE OPTIMAL HEALTH IMPROVEMENT OUTCOMES. KEY INITIATIVES AT VASSAR BROTHERS MEDICAL CENTER INCLUDE: * HOST COMMUNITY HEALTH DAY TO PROVIDE VACCINATIONS, SCREENINGS, AND EDUCATION * OFFER THE GET FIT PROGRAM * PROVIDE MENTAL HEALTH FIRST AID TRAINING * SCALE UP ACTIVITIES OF COMMUNITY CARE TEAM (CCT) TO COORDINATE HEALTH AND SOCIAL SERVICES FOR PATIENTS * PROVIDE OVER 100 CHRONIC CONDITION MANAGEMENT, WELLNESS, AND PREVENTION RESOURCE VIDEOS ON THE NUVANCEHEALTH.ORG WEBSITE (IN ENGLISH AND SPANISH) * CONDUCT SBIRT AND DEPRESSION SCREENING IN PRIMARY CARE PRACTICES * ASSIGN LCSWS TO PRIMARY CARE PRACTICES TO PROVIDE MENTAL HEALTH SERVICES TO COMMUNITY MEMBERS * PARTNER WITH THE ALZHEIMER'S ASSOCIATION IN PROVIDING EDUCATION TO NUVANCE HEALTH PROVIDERS ON EARLY RECOGNITION OF DEMENTIA AND ON SERVICES MADE AVAILABLE BY THE ALZHEIMER'S ASSOCIATION TO IMPROVE QUALITY OF LIFE * PROVIDE OPIOID EDUCATION, NARCAN TRAINING, AND HANDS-ONLY CPR TRAINING * OFFER FREE ACCESS TO ONLINE, ON-DEMAND OPIOID EDUCATION FOR NON-CLINICAL STAFF AND LAY RESPONDERS (BY THE AMERICAN HEART ASSOCIATION) * IMPLEMENT A FOOD AS MEDICINE PROGRAM IN PARTNERSHIP WITH DUTCHESS OUTREACH AND THE CULINARY INSTITUTE OF AMERICA AND PROVIDE HEALTHY FRESH FOODS TO PERSONS IN NEED TO IMPROVE HEALTH DISPARITIES, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES FOR MEANINGFUL COMMUNITY IMPACT. THROUGH THE CHNA RESEARCH AND ONGOING ENGAGEMENT OF COMMUNITY REPRESENTATIVES, NUVANCE HEALTH COLLECTED INPUT TO DETERMINE THE MOST PRESSING HEALTH NEEDS AFFECTING RESIDENTS IN THE NEW YORK SERVICE AREA. PRIORITY HEALTH NEEDS WERE DETERMINED THROUGH DISCUSSIONS WITH EACH HOSPITAL'S COMMUNITY HEALTH COMMITTEE AND INPUT FROM COMMUNITY STAKEHOLDERS INCLUDING PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE PROVIDERS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, AND COMMUNITY MEMBERS. NUVANCE HEALTH REVIEWED RECOMMENDATIONS FOR PRIORITY AREAS IN CONSIDERATION WITH EXISTING RESOURCES AND GAPS IN SERVICES TO DETERMINE WHICH COMMUNITY HEALTH PRIORITIES THE HOSPITALS COULD BEST IMPACT. IN DETERMINING PRIORITY AREAS, SOME HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA WILL NOT BE DIRECTLY ADDRESSED IN NUVANCE HEALTH'S CHIP, HOWEVER THESE NEEDS WILL CONTINUE TO BE MET THROUGH CLINICAL CARE SERVICES. THESE ISSUES INCLUDE SEXUALLY TRANSMITTED INFECTIONS (STIS), IMMUNIZATIONS, TICKBORNE DISEASE, AND HARMFUL ALGAL BLOOMS. IN ADDITION TO CLINICAL CARE SERVICES, NUVANCE HEALTH WILL CONTINUE TO SUPPORT COMMUNITY WIDE EFFORTS TO RAISE AWARENESS FOR PREVENTIVE HEALTH MEASURES AND SUPPORT REGIONAL ORGANIZATIONS THAT FOCUS ON THESE ISSUES. THE VBMC COMMUNITY HEALTH COMMITTEES MEET ON A REGULAR BASIS TO VIEW PROGRESS TOWARD THE GOALS STATED THE COMMUNITY SERVICE PLAN AND DETERMINE IF ANY CHANGES TO OBJECTIVES ARE REQUIRED. ADDITIONALLY, NUVANCE HEALTH COMPILES DATA ON EACH IMPLEMENTATION AREA AND REPORTS IT TO THE NEW YORK STATE DEPARTMENT OF HEALTH ON AN ANNUAL BASIS. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. NUVANCE'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FEDERAL POVERTY GUIDELINES AND A 58.46% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FEDERAL POVERTY GUIDELINES. THE 58.46% IS THE AMOUNTS GENERALLY BILLED (AGB) UTILIZING THE "LOOK BACK METHOD" BASED ON COMMERCIAL AND MEDICARE FEE-FOR-SERVICE RATES. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. A PATIENT MAY QUALIFY FOR "MEDICAL HARDSHIP" EVEN IF THEIR INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES. A PATIENT'S TOTAL UNPAID MEDICAL DEBT IS CONSIDERED WHEN DETERMINING MEDICAL HARDSHIP. MEDICAL HARDSHIP IS DETERMINED BY COMPARING A PATIENT'S AVAILABLE INCOME TO THEIR UNPAID MEDICAL DEBT AND IS GRANTED AT 100% FREE CARE WHEN THEIR UNPAID MEDICAL DEBT EXCEEDS THEIR AVAILABLE INCOME. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VASSAR BROTHERS MEDICAL CENTER. VASSAR BROTHER'S MEDICAL CENTER HAS MESSAGES ON ALL BILLING STATEMENTS PROVIDING INFORMATION REGARDING HOW A PATIENT CAN OBTAIN ASSISTANCE WITH THEIR MEDICAL BILLS. FINANCIAL COUNSELORS ARE ALSO AVAILABLE ON-SITE AT VASSAR BROTHER'S MEDICAL CENTER TO PROVIDE FURTHER ASSISTANCE. 7 FISHKILL AMBULATORY SURGERY CENTER 200 WESTAGE BUSINESS CENTER FISHKILL NY 12524 OUTPATIENT SAME DAY SURGICAL AND PAIN MANAGEMENT SERVICES VBMC CARDIAC TESTING CENTER 1 COLUMBIA STREET POUGHKEEPSIE NY 12540 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES CARDIAC TESTING - NEW WINDSOR 939 LITTLE BRITAIN ROAD NEW WINDSOR NY 12553 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES ULSTER RADIATION ONCOLOGY CENTER 111 MARYS AVENUE KINGSTON NY 12401 OUTPATIENT ONCOLOGY AND INFUSION SERVICES VASSAR BROTHERS HOSP WOUND CARE CTR 21 FOX STREET POUGHKEEPSIE NY 12691 OUTPATIENT WOUND CARE AND HYPERBARIC SERVICES VBMC CARDIAC TESTING & REHAB CENTER 115 DELAFIELD STREET POUGHKEEPSIE NY 12601 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES CARDIAC TESTING - FISHKILL 60 MERRITT BOULEVARD FISHKILL NY 12524 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN DETERMINING ELIGIBILITY VASSAR BROTHER'S MEDICAL CENTER PROVIDES CHARITY CARE TO PATIENTS BELOW 400% OF THE FEDERAL POVERTY GUIDELINES; THIS IS KNOWN AS "FINANCIAL HARDSHIP". PATIENTS UNDER 300% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND PATIENTS BETWEEN 300%-400% OF THE POVERTY LEVEL RECEIVE PARTIAL CHARITY CARE. VASSAR BROTHER'S MEDICAL CENTER, HOWEVER, ALSO HELPS PATIENTS' WHO'S INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES WHEN FACED WITH INSURMOUNTABLE MEDICAL DEBT. THIS TYPE OF CHARITY CARE IS KNOWN AS "MEDICAL HARDSHIP". MEDICAL HARDSHIP COMPARES AVAILABLE INCOME TO UNPAID MEDICAL DEBT AND IS APPROVED AT 100% FREE CARE WHEN THE UNPAID MEDICAL BILLS EXCEED AVAILABLE INCOME. ASSETS ARE NOT CONSIDERED. Schedule H, Part I, Line 7 CHARITY CARE AT COST PERCENTAGE A COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, AND USED TO DETERMINE FINANCIAL ASSISTANCE AT COST. COST ACCOUNTING WAS USED TO DETERMINE MEDICARE COST, MEDICAID COST, AND THE COST FOR SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7e COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS VASSAR BROTHERS MEDICAL CENTER PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS, GRANTS/SPONSORSHIPS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE AND TARGETED POPULATIONS. BELOW IS A LIST OF SOME OF THE PROGRAMS OFFERED/SUPPORTED. *ADVOCACY FOR LEGISLATION, PROGRAMS, SERVICE AND FUNDING THAT ADDRESS COMMUNITY NEEDS AND HEALTH DISPARITIES *ADRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS *ADDRESSING CANCER THROUGH BREAST CANCER SCREENINGS, ARTICLES ON NUVANCE HEALTHLINE AND SOCIAL MEDIA POSTS. MANY LECTURES WERE HELD VIA OUR HOSPITALS' SOCIAL MEDIA CHANNELS. NUVANCE HEALTH ALSO PROMOTED EDUCATIONAL VIDEOS. *ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS *ADDRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE GET FIT CHALLENGE. *PROVIDING SUPPORT GROUPS *SENIORS HEALTH AND WELLNESS VIA OUTREACH AND EDUCATION GRANTS AND IN-KIND SUPPORT WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS : * ALZHEIMER'S ASSOCIATION * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * AMERICAN RED CROSS OF THE HUDSON VALLEY * ANGELS OF LIGHT * ARTS MID-HUDSON * BENEDICTINE HEALTH FOUNDATION * BIG GAY HUDSON VALLEY * BOY SCOUTS OF AMERICA (GREATER HV COUNCIL) * BREAKTHROUGH T1D * CHILDREN'S HOME OF POUGHKEEPSIE * CITY OF POUGHKEEPSIE * COVECARE CENTER * CUNNEEN-HACKETT ARTS CENTER * CYSTIC FIBROSIS FOUNDATION - NY CHAPTER * DUTCHESS COMMUNITY COLLEGE FOUNDATION * DUTCHESS COUNTY CHAMBER OF COMMERCE * DUTCHESS COUNTY INTERFAITH COUNCIL * DUTCHESS COUNTY PRIDE CENTER * DUTCHESS OUTREACH * DUTCHESS TOURISM * EASTERN DUTCHESS ROAD RUNNERS CLUB * ELLENVILLE REGIONAL HOSPITAL * FAMILY SERVICES * GRACE SMITH HOUSE * GREYSTONE PROGRAMS * HABITAT FOR HUMANITY OF DUTCHESS COUNTY * HILLTOP HANOVER FARM AND ENVIRONMENTAL CENTER * HUDSON RIVER HOUSING * HUDSON VALLEY AUTO ENTHUSIASTS * HUDSON VALLEY HOSPICE FOUNDATION * JDRF (JUVENILE DIABETES RESEARCH FOUNDATION) * MENDED HEARTS OF THE HUDSON VALLEY, CHAPTER 5 * MENTAL HEALTH AMERICA OF DUTCHESS COUNTY * MID-HUDSON DISCOVERY MUSEUM * MILES OF HOPE BREAST CANCER FOUNDATION * PARKINSON'S DISEASE SUPPORT GROUP MID-HUDSON VALLEY * PATTERN FOR PROGRESS * PEGASUS THERAPEUTIC RIDING * PEOPLE USA * PREMIER CARES FOUNDATION * PUTNAM PRIDE * REBUILDING TOGETHER DUTCHESS COUNTY * REGIONAL FOOD BANK OF THE HUDSON VALLEY * SCENIC HUDSON * SECOND CHANCE FOODS * SPARROW'S NEST * SUPPORT CONNECTION * THE BARDAVON * THE CENTER FOR THE PREVENTION OF CHILD ABUSE * THE CHAMBER FOUNDATION * THE HAITI PROJECT * THINK DUTCHESS * TMI PROJECT * UNITED WAY OF THE DUTCHESS-ORANGE REGION * VASSAR TEMPLE * WALKWAY OVER THE HUDSON * WESTCHESTER COMMUNITY OPPORTUNITY PROGRAM (PUTNAM CAP) Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES THE AMOUNTS REPORTED AS SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE PHYSICIAN CLINIC COSTS. Schedule H, Part I, Line 6a CURRENT YEAR COMMUNITY BENEFIT REPORT VASSAR BROTHERS MEDICAL CENTER FILED ITS COMMUNITY BENEFIT REPORT WITH THE NEW YORK DEPARTMENT OF HEALTH IN DECEMBER 2024. Schedule H, Part II Community Building Activities COMMUNITY SUPPORT $2,538 MEMBERS OF THE SECURITY TEAM AND COMMUNITY EDUCATION TEAM AT VASSAR BROTHERS HOSPITAL PARTICIPATED IN TRAINING PROGRAMS THAT TEACH THE COMMUNITY ABOUT ACTIVE SHOOTER SITUATIONS. COALITION BUILDING $3,889 VASSAR BROTHERS HOSPITAL MEDICAL CENTER (VBMC) IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY THROUGH THE VBMC COMMUNITY CARE TEAM (CCT). THE CCT MEETS REGULARLY WITH COMMUNITY PARTNERS TO COORDINATE CARE FOR AT-RISK INDIVIDUALS IN THE COMMUNITY. VBMC ALSO PARTICIPATES IN COLLABORATIVE EFFORTS WITH THE ALZHEIMER'S ASSOCIATION. MENTAL HEALTH ASSOCIATION, RHINEBECK PREPAREDNESS HEALTHCARE COALITION, AND MORE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $3,588 VASSAR BROTHERS MEDICAL CENTER IS COMMITTED TO SUPPORTING PROGRAMS TO SAFEGUARD AND IMPROVE PUBLIC HEALTH, SUCH AS HAVING INVOLVEMENT IN THE DUTCHESS COUNTY COALITION MEETINGS TO SCHEDULE CAR SEAT SAFETY EVENTS. WORKFORCE DEVELOPMENT $9,727 THROUGH VARIOUS APPROACHES SUCH AS CAREER FAIRS, HIGH SCHOOL IMMERSION PROGRAMS, LECTURES, AND INFORMATIONAL SESSIONS, VASSAR BROTHERS MEDICAL CENTER CONSISTENTLY PROVIDES OPPORTUNITY TO INTEREST THE COMMUNITY IN THE HEALTHCARE FIELD, EDUCATE ON DIFFERENT ROLES WITHIN HEALTHCARE, AND PROVIDE POSSIBLE EMPLOYMENT OPPORTUNITIES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount VBMC FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY. Schedule H, Part III, Line 3 Bad Debt Expense Methodology VBMC DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 17-22 OF NUVANCE HEALTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION HAS A MEDICARE SHORTALL IN THE AGGREGATE. A PORTION OF THAT SHORTFALL IS BEING REPORTED AS COMMUNITY BENEFIT IN SCHEDULE H, PART I, LINE 7. THE RESIDUAL MEDICARE ACTIVITY IS REPORTED IN SCHEDULE H, PART III, LINE 8. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE COMPANY'S COSTS FOR THE PATIENTS IN THE COMMUNITY. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL WAS THE COST TO CHARGE RATIO FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF VASSAR BROTHERS MEDICAL CENTER TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) VASSAR BROTHERS MEDICAL CENTER MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. VASSAR BROTHERS MEDICAL CENTER SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS. CONSISTENT WITH THIS MISSION, VASSAR BROTHERS MEDICAL CENTER RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, VASSAR BROTHERS MEDICAL CENTER WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. VASSAR BROTHERS MEDICAL CENTER WOULD COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD. Schedule H, Part V, Section B, Line 16a FAP website - VASSAR BROTHERS MEDICAL CENTER: Line 16a URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - VASSAR BROTHERS MEDICAL CENTER: Line 16b URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - VASSAR BROTHERS MEDICAL CENTER: Line 16c URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE THAT MEETS REGULARLY TO ASSESS ANY ADDITIONAL HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMITTEE PROVIDES OVERSIGHT TO THE HOSPITAL'S COMMUNITY HEALTH PRIORITIES, INCLUDING NEEDS ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS AND OTHER POPULATION HEALTH INITIATIVES. THEY HELP GUIDE PRIORITY ISSUES FOR ACTION TO IMPROVE COMMUNITY HEALTH AND HELP INFORM, GUIDE AND SHARE SUCCESSFUL PROGRAMS AND STRATEGIES THAT ADDRESS HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. ALSO, SIGNS ARE POSTED THROUGHOUT THE HOSPITAL AND COUNSELORS ARE AVAILABLE TO PROVIDE FURTHER ASSISTANCE. ALL UNINSURED INPATIENTS ARE INTERVIEWED BY FINANCIAL COUNSELORS AND ASSESSED FOR ELIGIBILITY FOR ASSISTANCE PROGRAMS. THE HOSPITAL PROVIDES INFORMATIONAL HANDOUTS TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION, WHICH REFERS THEM TO FINANCIAL COUNSELING IF THEY WOULD LIKE ASSISTANCE WITH THEIR BILLS. FURTHER, THE HOSPITAL MAILS NOTICES TO ALL SELF-PAY ACCOUNTS REFERRING THEM TO FINANCIAL COUNSELING IF THEY NEED ASSISTANCE. THE COLLECTION DEPARTMENT WILL ALSO REFER PATIENTS TO FINANCIAL COUNSELING WHEN A PATIENT INDICATES THAT THEY CANNOT AFFORD THEIR BALANCES; AND FINALLY, SCHEDULERS REFER UNINSURED PATIENTS TO FINANCIAL COUNSELING PRIOR TO THEIR TEST OR PROCEDURE. THE POLICY AND APPLICATIONS FOR ASSISTANCE ARE ALSO AVAILABLE ONLINE, AS WELL AS UPON REQUEST AT THE HOSPITAL. Schedule H, Part VI, Line 4 Community information VASSAR BROTHERS MEDICAL CENTER (VBMC) IS LOCATED IN POUGHKEEPSIE, NEW YORK IN DUTCHESS COUNTY. THE HOSPITAL PRIMARILY SERVES RESIDENTS OF 25 ZIP CODES ALONG THE HUDSON RIVER, STRETCHING FROM HYDE PARK IN THE NORTH TO NEWBURGH IN THE SOUTH ALONG THE NEW YORK AND CONNECTICUT STATE BORDERS. THE VBMC SERVICE AREA POPULATION IS PROJECTED TO INCREASE BY 3,919 PEOPLE OR 1.17% FROM 2024 TO 2029, ALTHOUGH CONSISTENT WITH NEW YORK STATE TRENDS, THIS GROWTH WILL OCCUR LARGELY AMONG OLDER ADULT POPULATIONS. THE POPULATION AGED 65 OR OLDER WILL INCREASE BY 9,942 PEOPLE OR 15.98% FROM 2024 TO 2029, WHILE THE POPULATION UNDER 18 WILL DECREASE BY 2,464 PEOPLE OR 3.9% AND THE POPULATION AGED 45-64 WILL DECREASE BY 5,127 OR 5.8%. THE VBMC SERVICE AREA IS SLIGHTLY LESS RACIALLY AND ETHNICALLY DIVERSE THAN NEW YORK OVERALL, ALTHOUGH CONSISTENT WITH STATEWIDE TRENDS, PEOPLE OF COLOR ARE THE FASTEST GROWING POPULATIONS WITHIN THE SERVICE AREA. BETWEEN 2023 AND 2024, THE WHITE POPULATION WITHIN THE VBMC SERVICE AREA IS PROJECTED TO DECREASE BY 5.4%. THE HISPANIC POPULATION IS PROJECTED TO DECREASE BY 16%. ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, DUTCHESS COUNTY HAD AN UNEMPLOYMENT RATE OF 3.1% AT THE END OF 2024. APPROXIMATELY 8.6% OF THE POPULATION IN DUCHESS COUNTY ARE LIVING IN POVERTY (CENSUS.GOV). APPROXIMATELY 4.6% OF VBMC'S MARKET ARE UNINSURED, WHILE MEDICAID (27%), MEDICARE (20.6%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (48%). (SOURCE: THE CLARITAS COMPANY, 2021). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), BOTH THE EASTERN PART OF DUTCHESS COUNTY AND POUGHKEEPSIE HAVE BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW INCOME POPULATIONS. Schedule H, Part VI, Line 5 Promotion of community health VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 349-BED FACILITY THAT HAS SERVED NEW YORK'S MID-HUDSON VALLEY SINCE 1887. OUR MOST RECENT ADDITION, THE STUNNING PATIENT PAVILION, INCLUDES 293 PRIVATE PATIENT ROOMS, 13 SURGICAL SUITES AND A 66-ROOM EMERGENCY AND TRAUMA CENTER. PHYSICIANS, SURGEONS, AND SPECIALISTS BRING INNOVATIVE PROCEDURES AND SERVICES TO OUR COMMUNITY, INCLUDING ROBOTIC ORTHOPEDIC SURGERY, LIVER AND PANCREATIC SURGERY, INTERVENTIONAL NEURORADIOLOGY, SURGICAL ONCOLOGY AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). WE ARE PART OF NUVANCE HEALTH, A NETWORK OF SEVEN COMMUNITY HOSPITAL LOCATIONS AND NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. OUR PATIENTS BENEFIT FROM THE VARIOUS SERVICES AND MULTISPECIALTY GROUPS ACROSS THE HEALTH SYSTEM. OVERLOOKING THE BEAUTIFUL HUDSON RIVER IN THE CITY OF POUGHKEEPSIE, NY, OUR MEDICAL STAFF HAS EXPERTISE IN CARDIAC SERVICES, CANCER CARE, AND WOMEN AND CHILDREN'S HEALTH SERVICES. OUR FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND OUR DIGESTIVE HEALTH INSTITUTE. AS A RENOWNED REGIONAL MEDICAL CENTER, WE HOUSE THE AREA'S FIRST CARDIOTHORACIC SURGERY PROGRAM BETWEEN WESTCHESTER AND ALBANY, A LEVEL II TRAUMA CENTER, AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION FOR PREMATURE AND CRITICALLY ILL INFANTS. OUR FEATURED SERVICE LINES INCLUDE: * PRIMARY CARE * INPATIENT PEDIATRICS * BEHAVIORAL AND MENTAL HEALTH * WEIGHT LOSS SURGERY (BARIATRICS) * HERNIA CARE OUR EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITITES IS A LONG-TERM AND VERY COLLABORATIVE ONE TO ADDRESS PUBLIC HEALTH ISSUES AND OPPORTUNITIES IN OUR REGION. OUR ROLE IN IMPROVING HEALTH MAY BE AS A LEADER, PARTNER, FACILITATOR, FUNDER, ADVOCATE, CHAMPION, OR OBSERVER. IN THESE ROLES, WE EMBRACE THE SOCIAL DETERMINANTS OF HEALTH AND APPLY STRATEGIES AND TACTICS INCLUDING HEALTH EDUCATION, OUTREACH AND SCREENINGS VIA COLLABORATIONS, DATA COLLECTION AND RESEARCH, HEALTH CLINICS AND FAIRS, SPONSORSHIPS, AND SUBJECT MATTER EXPERT SPEAKER PRESENTATIONS. FOR MORE DETAILED INFORMATION AND EXAMPLES, SEE SCHEDULE H, PART I, LINE 7E. VASSAR'S BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS WHO LIVE AND WORK IN THE COMMUNITY. VASSAR BROTHERS MEDICAL CENTER ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINCAL CARE IN ADDITION TO EXPANDING OUR SERVICE AREA. Schedule H, Part VI, Line 6 Affiliated health care system NUVANCE HEALTH IS AN INTEGRATED HEALTH SYSTEM OFERING CONVENIENT, ACCESSIBLE AND AFFORDABLE CARE TO OUR COMMUNITY MEMBERS. OUR TALENTED TEAM OF MORE THAN 15,000 COMPASSIONATE CAREGIVERS PROVIDE HIGH-QUALITY CARE THROUGH: COMMUNITY HOSPITALS, PRIMARY CARE AND SPECIALTY PRACTICE LOCATIONS, OUTPATIENT SETTINGS, HOME CARE SERVICES, AND TELEHEALTH VISITS. VASSAR BROTHERS MEDICAL CENTER HAS PROVIDED $52,994,861 WORTH OF CARE THROUGH FINANCIAL ASSISTANCE AT COST AND ITS MEDICAID SHORTFALL. NUVANCE HEALTH HAS SEVEN HOSPITALS (DANBURY HOSPITAL, NEW MILFORD HOSPITAL, NORWALK HOSPITAL, SHARON HOSPITAL, VASSAR BROTHERS MEDICAL CENTER, NORTHERN DUTCHESS HOSPITAL AND PUTNAM HOSPITAL) THAT PROVIDE A FULL RANGE OF MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE SYSTEM'S MISSION STATEMENT. ALL OF OUR HOSPITALS HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS, THEY CAN JOIN THE MEDICAL STAFF. THERE ARE FIVE FOUNDATIONS THAT HELP SUPPORT OUR HOSPITALS AND AFFILIATES (DANBURY HOSPITAL AND NEW MILFORD HOSPITAL FOUNDATION, INC., NORWALK HOSPITAL FOUNDATION, VASSAR BROTHERS HOSPITAL FOUNDATION, NDH FOUNDATION AND PUTNAM HOSPITAL CENTER FOUNDATION). EACH FOUNDATION'S MISSION IS TO RAISE FUNDS, REINVEST, ADMINISTER FUNDS AND MAKE DISTRIBUTIONS TO THE HOSPITALS AND THEIR NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NUVANCE HEALTH HAS FOUR MEDICAL GROUPS (NUVANCE HEALTH MEDICAL PRACTICE CT, INC., NUVANCE HEALTH MEDICAL PRACTICE, P.C., EASTERN NEW YORK MEDICAL SERVICES, P.C. AND HUDSON VALLEY CARDIOVASCULAR PRACTICE, P.C.). THE MEDICAL PRACTICES PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES TO RESIDENTS IN THEIR COMMUNITIES AND SURROUNDING AREAS. THEY PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE CUMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND THE THEIR PATIENTS' NEEDS. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. NUVANCE HEALTH HAS THREE HOME CARE ENTITIES (WESTERN CONNECTICUT HOME CARE, INC., HEALTH QUEST HOME CARE, INC. (CERTIFIED) AND HEALTH QUEST HOME CARE, INC. (LICENSED). OUR HOME CARE PROGRAMS PROVIDE COMPREHENSIVE HEALTH SERVICES TO SELECTED PATIENTS WHO CAN BE CARED FOR AT HOME, THUS REDUCING THE EXPENSE ASSOCIATED WITH HOSPITALIZATION AND ALLOWING PATIENTS TO BE TREATED IN THE COMFORT AND FAMILIARITY OF THEIR HOMES. THESE SERVICES INCLUDE SKILLED NURSING, THERAPIES (PHYSICAL, OPERATIONAL AND SPEECH), MEDICAL SOCIAL SERVICES, AND HOME HEALTH AIDS. ALAMO AMBULANCE SERVICES, INC. IS A LICENSED AMBULANCE TRANSPORT SERVICE WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES IN NEW YORK. Schedule H, Part VI, Line 7 State filing of community benefit report CT, NY X true true false true false false false false false true false PETER A KELLY FORMER PRESIDENT VBMC 185107 0 50000 0 4973 0 14106 0 161 0 254347 0 0 0 SUSAN BROWNING PRESIDENT & WESTERN REGIONAL PRESIDENT 638937 0 155000 0 31418 0 96416 0 39266 0 961037 0 0 0 KIMBERLY HELLER MD DIRECTOR 0 461401 0 0 0 38776 0 19800 0 27886 0 547863 0 0 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER 0 810684 0 623143 0 40338 0 146400 0 29227 0 1649792 0 0 BRIAN WYATT SECRETARY & CHIEF LEGAL OFFICER 0 480215 0 150000 0 3997 0 77562 0 47076 0 758850 0 0 JEAN AHN CHIEF STRATEGY OFFICER 0 492851 0 458046 0 30234 0 95760 0 3008 0 1079899 0 0 KATHRYN D CULLINAN CHIEF HUMAN RESOURCES OFFICER 0 407193 0 275000 0 34200 0 86100 0 24960 0 827453 0 0 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER 0 352913 0 100000 0 82489 0 19800 0 13949 0 569151 0 33360 MICHELLE ROBERTSON CHIEF OPERATING OFFICER 0 808556 0 486914 0 42778 0 145200 0 42513 0 1525961 0 0 WILLIAM V BEGG MD FORMER VPMA/CHAIR EMERG SVCS DANBURY 123293 420116 0 115500 529 3386 1252 18548 2243 21737 127317 579287 0 0 KEVIN B BOLAND DIRECTOR CARDIO PERFUSION 406281 0 0 0 4234 0 19800 0 43504 0 473819 0 0 0 EILISH C HOURIHAN RN CHIEF NURSING OFFICER 370018 0 80500 0 2322 0 26206 0 1214 0 480260 0 0 0 CORINA MARCU VP MEDICAL AFFAIRS 385577 161285 101000 0 297 520 14861 4939 3140 1286 504875 168030 0 0 EVA H SKELLY RN REGISTERED NURSE 358950 5317 45409 0 3228 34 0 0 28087 370 435674 5721 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: 1 OFFICER/DIRECTOR 1 HIGHEST-COMPENSATED EMPLOYEES Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation VASSAR BROTHERS MEDICAL CENTER RELIED ON NUVANCE HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA ON OTHER KEY EMPLOYEES. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan EFFECTIVE OCTOBER 1, 2020, NUVANCE HEALTH ESTABLISHED AN EXECUTIVE RETIREMENT PLAN IN ORDER TO PROVIDE NONQUALIFIED DEFINED CONTRIBUTION RETIREMENT BENEFITS TO DESIGNATED KEY MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM, SELECTED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 OF TIER 2 EXECUTIVE POSITIONS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN CALENDAR YEAR 2023, THE FOLLOWING AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C RETIREMENT AND OTHER DEFERRED COMPENSATION: DANIEL DEBARBA $126,600 MICHELLE ROBERTSON $125,400 SUSAN BROWNING $ 76,616 JEAN AHN $ 75,960 KATHERINE CULLINAN $ 66,300 BRIAN WYATT $ 57,763 FOR CALENDAR YEAR 2023, THE FOLLOWING AMOUNTS EARNED AND PAID TO PARTICIPANTS WERE REPORTED ON SCHEDULE J, PART II, COLUMN B(iii) OTHER REPORTABLE COMPENSATION: WAYNE MCNULTY $ 72,355 Schedule J, Part I, Line 7 Non-fixed payments NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (ALIP) (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH-QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THE PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR. - TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE - TIER II, EXECUTIVE (A) - TIER II, PHYSICIAN EXECUTIVES (B) - TIER III, SENIOR LEADER (A) - TIER III, SENIOR LEADER (B) - TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: - QUALITY AND SERVICE - PEOPLE AND CULTURE - PATIENT EXPERIENCE - FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. NUVANCE HEALTH EXECUTIVE LONG TERM INCENTIVE PLAN (EXCERPTS FROM) ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 AND TIER II (A) EXECUTIVE POSITIONS SHALL BE ELIGIBLE EMPLOYEES TO PARTICIPATE IN THE PLAN. UNDER THE PLAN, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE INCENTIVE AWARD PAYMENTS BASED UPON THE ACHIEVEMENT OF SELECTED AND STRATEGICALLY IMPORTANT PERFORMANCE GOALS IDENTIFIED FOR EACH PERFORMANCE PERIOD. THE AWARD OPPORTUNITIES FOR AN ELIGIBLE EMPLOYEE WITH RESPECT TO A PERFORMANCE PERIOD SHALL BE EXPRESSED AS A PERCENTAGE OF HIS OR HER AVERAGE BASE SALARY IN EFFECT DURING THE APPLICABLE PERFORMANCE PERIOD. PRIOR TO THE BEGINNING OF EACH PERFORMANCE PERIOD, THE COMMITTEE MAY ESTABLISH A MINIMUM PERFORMANCE REQUIREMENT FOR NUVANCE HEALTH. NO FINAL AWARDS MAY BE GRANTED TO ANY PARTICIPANT FOR A PERFORMANCE PERIOD IN WHICH MINIMUM PERFORMANCE REQUIRMENTS, IF ANY, WERE NOT MET. THE FINAL AWARD PAYABLE TO EACH PARTICIPANT WILL BE DETERMINED WITHIN 60 DAYS FOLLOWING THE END OF THE PERFORMANCE PERIOD. AWARDS FOR A GIVEN PERFORMANCE PERIOD WILL BE PAID IN A SINGLE LUMP-SUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED. A DUTCHESS COUNTY LOCAL DEV CORP 273106797 267045GX4 2016-07-07 406680960 CONSTRUCT, RENOVATE, EQUIP FACILITY false false false A 4495000 416791845 48004473 3361803 365425569 2021 false false true true A false true true true false 0.0031 0.0 0.0031 false false true A false false false true false false false true true A false Schedule K, Part IV, Line 2c ISSUER NAME: DUTCHESS COUNTY LOCAL DEV CORP DATE THE REBATE CALCULATION WAS PERFORMED: 06/30/2021 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. Schedule K, Part I LINE A, COLUMN E TOTAL ISSUE PRICE PER IRS FORM 8038 $438,672,526, ALLOCATED BETWEEN 3 ORGANIZATIONS: VASSAR BROTHERS MEDICAL CENTER (FEIN: 14-1338586) PUTNAM HOSPITAL (FEIN: 14-6019179) NORTHERN DUTCHESS HOSPITAL (FEIN: 14-1338467) Schedule K, Part II, Line 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. Schedule K, Part IV, Line 2c COLUMN A Issuer name: DUTCHESS COUNTY LOCAL DEV CORP The calculation for computing no rebate due was performed on 06/30/2021 Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION (CON'T) IN FY24, VBMC HAD 111,810 PATIENT DAYS AND 22,452 DISCHARGES IN ACUTE CARE. THERE WERE 41,446 IN EMERGENCY ROOM VISITS AND 280,067 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $22.9M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. Form 990, Part VI, Line 14 document retention and destruction policy THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF VASSAR BROTHERS MEDICAL CENTER ("VBMC") IS HEALTH QUEST SYSTEMS, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC. ON FEBRUARY 28, 2024, NUVANCE HEALTH ENTERED INTO AN AFFILIATION AGREEMENT WITH NORTHWELL HEALTH, INC. ("NORTHWELL"), PURSUANT TO WHICH NORTHWELL OR AN AFFILIATED ENTITY WOULD BECOME THE ACTIVE PARENT AND SOLE CORPORATE MEMBER OF NUVANCE HEALTH. THIS TRANSACTION WAS SUBJECT TO THE RECEIPT OF REGULATORY APPROVALS AND THE SATISFACTION OF CLOSING CONDITIONS. EFFECTIVE MAY 1, 2025, THE PARTIES CLOSED THE TRANSACTION AND NORTHWELL, INC. (WHICH IS THE ULTIMATE SOLE CORPORATE MEMBER OF NORTHWELL) BECAME THE SOLE CORPORATE MEMBER OF NORTHWELL HEALTH SYSTEM, INC., WHICH BECAME THE PARENT ENTITY OF NUVANCE HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER (HEALTH QUEST SYSTEMS, INC.) SHALL ELECT VASSAR BROTHERS MEDICAL CENTER'S (VBMC'S) OFFICERS. SUBJECT TO THE APPROVAL OF THE MEMBER, ANY VACANCY OR VACANCIES OCCURRING IN ANY OFFICE MAY BE FILLED UNTIL THE NEXT MEETING AT WHICH OFFICERS ARE ELECTED BY THE AFFIRMATIVE VOTE OF THE REMAINING DIRECTORS IN OFFICE AT ANY MEETING OF THE BOARD, THOUGH SUCH REMAINING DIRECTORS MAY CONSTITUTE LESS THAN A QUORUM. ANY OFFICER MAY BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY VBMC REQUIRE THE APPROVAL OF THE MEMBER, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (I) ELECTION OR REMOVAL OF A DIRECTOR OR AN OFFICER WHO IS NOT AN EMPLOYEE OR CONTRACTOR; (II) AMENDMENT OF VBMC'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF VBMC'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF VBMC'S QUALIFIED OR NON-QUALIFIED BENEFIT PLANS; (V) ADOPTION OF OR REVISIONS TO ANY SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES; (VI) APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS WHICH INCLUDES REVIEW OF THE SYSTEM-WIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF THE INDEPENDENT AUDITORS; (VII) ADOPTION OF OR ANY MATERIAL REVISIONS TO THE CAPITAL BUDGET AND OPERATING BUDGET; (VIII) ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEM-WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE; (IX) ANY CESSATION OF ANY SERVICE LINE OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY; (X) ANY CLOSURE, SALE OR TRANSFER OF A HOSPITAL; (XI) ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, THE FILING OF ANY PETITION IN VOLUNTARY BANKRUPTCY, THE FILING OF ANY PETITION OR ANSWER SEEKING REORGANIZATION, OR AN ARRANGEMENT WITH CREDITORS UNDER THE FEDERAL BANKRUPTCY LAW; (XII) ANY CHANGE IN THE TAX STATUS OF OR REVISION OF, THE CHARITY CARE POLICIES; (XIII) ANY MERGER, CONSOLIDATION OR SIMILAR TRANSACTION; (XIV) ANY INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY DEBT. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORMS 990 FOR NUVANCE HEALTH AND AFFILIATED ENTITIES ARE PREPARED BY THE NUVANCE HEALTH TAX DEPARTMENT WITH ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE RETURNS ARE REVIEWED BY MANAGEMENT AND AN INDEPENDENT ACCOUNTING FIRM. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE HEALTH BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW THE RETURNS PRIOR TO FILING. THE FORMS 990 ARE THEN SIGNED AND FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy OFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT & PRIVACY OFFICER. ALSO THEY ARE REQUIRED TO DISCLOSE ANY CONFLICT TO THE BOARD OR DIRECTLY TO THE CHAIRMAN PRIOR TO ANY MEETING. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. Form 990, Part VI, Line 15b Process to establish compensation of other employees NUVANCE HEALTH'S EXECUTIVE TOTAL REWARDS PHILOSOPHY IS DESIGNED TO ALIGN WITH THE COMPANY'S STRATEGIC DIRECTION, AND TO REINFORCE ITS CORE MISSION, VISION AND VALUES. IN ORDER TO ACHIEVE ITS OVERALL PERFORMANCE OBJECTIVES, NUVANCE HEALTH PROVIDES TOTAL REWARDS PROGRAMS THAT RECOGNIZE EXECUTIVES FOR PERFORMING WORK WELL TO ENSURE THE ACHIEVEMENT OF COMPANY GOALS. THESE PROGRAMS SERVE TO PROMOTE THE ATTRACTION, ENGAGEMENT, AND RETENTION OF TALENTED EXECUTIVES THROUGHOUT THEIR CAREERS WITH NUVANCE HEALTH. THE TOTAL REWARDS PROGRAMS ARE DESIGNED TO BE MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES REFLECTIVE OF BEST PRACTICES, AND DIFFERENTIATED TO CREATE STRONG COMPETITIVE ADVANTAGE. TOTAL REWARDS PROGRAMS ARE REVIEWED ON AN ONGOING BASIS TO ENSURE CONTINUED MARKET COMPETITIVENESS, RELEVANT VALUE TO EXECUTIVES, AND FISCAL RESPONSIBILITY. TOTAL REWARDS FOR NUVANCE HEALTH EXECUTIVES CONSISTS OF KEY COMPONENTS OF COMPENSATION AND BENEFITS. OVERALL EXECUTIVE REWARDS PROGRAM WILL EMPHASIZE PERFORMANCE-BASED ELEMENTS, WHEREBY TARGETED LEVELS OF COMPENSATION WILL ONLY BE ACHIEVED IF THE ORGANIZATION AND INDIVIDUAL ACHIEVE STRETCH GOALS AND OBJECTIVES. BASED ON THE LABOR MARKETS FOR TALENT FOR EXECUTIVE ROLES, NUVANCE HEALTH WILL UTILIZE A WEIGHTED BLEND OF BOTH NATIONAL COMPARABLY-SIZED HEALTH CARE PROVIDER MARKET DATA WITH A +25% GEOGRAPHIC DIFFERENTIAL APPLIED (DIFFERENTIAL TO BE VALIDATED ON A PERIODIC BASIS) AT TWO-THIRDS WEIGHT AND NATIONAL COMPARABLY-SIZED GENERAL INDUSTRY DATA, FOR IDENTIFIED ROLES WHERE SKILL SETS OVERLAP AT ONE-THIRD WEIGHT. GEOGRAPHIC DIFFERENTIAL REFLECTS THE OBSERVED AND REPORTED EXECUTIVE COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTH'S OPERATING REGION AND THE BROADER NATIONAL HEALTH CARE PROVIDER MARKET. NUVANCE HEALTH'S TOTAL REWARDS PHILOSOPHY AND PRACTICES ARE TARGETED AT THE 50TH PERCENTILE OF THE RELEVANT MARKET FOR BASE SALARY, AND 62.5TH PERCENTILE FOR TOTAL CASH AND TOTAL DIRECT (WHERE AVAILABLE) COMPENSATION ELEMENTS IF TARGET PERFORMANCE IS ACHIEVED UNDER VARIABLE COMPENSATION PROGRAMS. NUVANCE HEALTH'S COMMITTEE HAS DISCRETION TO POSITION INDIVIDUAL LEVELS ABOVE OR BELOW THIS TARGETED COMPETITIVE POSITIONING, BASED ON SUCH FACTORS AS POSITIONING TO MARKET, HIGH DEMAND SKILLSETS AND DIFFICULT TO FILL OR CRITICAL TO THE ORGANIZATION'S STRATEGY AND SUCCESS. OUR GOVERNANCE PROMOTES CONSISTENCY AND EQUITY; PROVIDES CLARITY AND GUIDANCE TO DECISION-MAKERS; ENSURES STANDARD PROCESSES AND PROCEDURES FOR ASSESSING, CALIBRATING, ADMINISTERING, AND DELIVERING EFFECTIVE TOTAL REWARDS THROUGHOUT THE NUVANCE HEALTH SYSTEM. OVERSIGHT AND GOVERNANCE OF THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS FOR ELIGIBLE EXECUTIVES/DISQUALIFIED INDIVIDUALS (CURRENTLY CEO, PRESIDENT AND TIERS 1 AND 2) WILL BE AT THE COMPENSATION COMMITTEE OF THE BOARD LEVEL AND WILL FOLLOW A STRUCTURED AND RIGOROUS PROCESS TO ENSURE COMPLIANCE WITH INTERMEDIATE SANCTIONS UNDER IRS GUIDELINES. COMPENSATION REVIEW AND APPROVAL PROCESS IS IDENTICAL TO THE PROCESS FOR THE CEO. AN ANNUAL LETTER OF REASONABLENESS IS PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY WILLIS TOWERS WATSON AS CONSULTANT TO THE BOARD. IN THIS ANNUAL ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO SELECT EXECUTIVES, AN OPINION IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO THE INCLUDED EXECUTIVES FOR EACH FISCAL YEAR. A BI-ANNUAL LETTER OF REASONABLENESS FOR PHYSICIAN COMPENSATION IS ALSO PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE BY KORN FERRY HAY AS A CONSULTANT TO THE BOARD. THIS ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO PHYSICIANS IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO EACH PHYSICIAN. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. Form 990, Part VII, Section A additional information FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. Form 990, Part VIII, Line 2f Other Program Service Revenue Other - Total Revenue: 121269, Related or Exempt Function Revenue: 121269, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 281032, Related or Exempt Function Revenue: 281032, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances change in equity interest in the foundation - 3924547; change in pension obligation - -6900263; 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 06850 222577707 Fundraising CT 501(c)(3) 7 WCHN true Nuvance Health 45 READE PLACE POUGHKEEPSIE NY 12601 834214573 Support/Management NY 501(c)(3) Type III-FI NA false Nuvance Health Medical Practice CT Inc 100 RESERVE ROAD DANBURY CT 06810 061137531 Physician Services CT 501(c)(3) 10 WCHN true Putnam Hospital 670 STONELEIGH AVENUE CARMEL NY 10512 146019179 Hospital NY 501(c)(3) 3 HQ true Putnam Hospital Center Foundation Inc 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 Fundraising NY 501(c)(3) Type I HQ true The Norwalk Hospital Association 34 MAPLE STREET NORWALK CT 06850 066068853 Hospital CT 501(c)(3) 3 WCHN true Vassar Brothers Hospital Foundation 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 Fundraising NY 501(c)(3) 7 HQ true Vassar Health Connecticut Inc 50 Hospital Hill Road Sharon CT 06069 815056290 Hospital CT 501(c)(3) 3 HQ true Wells Manor Housing Development Fund Corp 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 Low Income NY 501(c)(3) PF HQ true Western Connecticut Home Care Inc 100 SAW MILL ROAD DANBURY CT 06810 060655138 Home Healthcare CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Affiliates Inc 100 RESERVE ROAD DANBURY CT 06810 222594968 Outpatient Health Care Services CT 501(c)(3) 10 WCHN true Western Connecticut Health Network Inc 100 RESERVE ROAD DANBURY CT 06810 222594977 Support/Management CT 501(c)(3) Type II 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 false false false true false false false false false false true false true true false false true true true true Nuvance Health Medical Practice PC J 1815183 Cost Method Northern Dutchess Hospital L 78072 Cost Method Hudson Valley Cardiovascular Practice M 9264875 Cost Method Nuvance Health M 91166798 Cost Method Nuvance Health Medical Practice CT Inc M 2142644 Cost Method Nuvance Health Medical Practice PC M 21779016 Cost Method Hudson Valley Cardiovascular Practice P 14774004 Cost Method Northern Dutchess Residential Health Facility Inc P 973285 Cost Method Vassar Brothers Hospital Foundation P 3371318 Cost Method Health Quest Home Care Inc (Certified) Q 60977 Cost Method Health Quest Home Care Inc (Licensed) Q 6775 Cost Method Northern Dutchess Hospital Q 489370 Cost Method Nuvance Health Q 165348015 Cost Method Nuvance Health Medical Practice CT Inc Q 2160724 Cost Method Nuvance Health Medical Practice PC Q 22392264 Cost Method Putnam Hospital Q 1956648 Cost Method Vassar Health Connecticut Inc (Sharon Hospital) Q 99009 Cost Method Northern Dutchess Hospital R 567442 Cost Method Nuvance Health Medical Practice PC R 884997 Cost Method Putnam Hospital Center R 236108 Cost Method Vassar Brothers Hospital Foundation R 233393 Cost Method Vassar Health Connecticut Inc (Sharon Hospital) R 99009 Cost Method Vassar Health Quest Medical Practice of Connecticut Inc R 203431 Cost Method Hudson Valley Cardiovascular Practice S 333668 Cost Method Nuvance Health S 364318 Cost Method Danbury Hospital M 1433183 Cost Method Danbury Hospital Q 1406276 Cost Method Health Quest Systems Inc J 173693 Cost Method Health Quest Systems Inc M 14208763 Cost Method Health Quest Systems Inc P 3815138 Cost Method Health Quest Systems Inc R 1119207 Cost Method Vassar Brothers Hospital Foundation C 3318323 Cost Method Western Connecticut Health Network Inc Q 19111123 Cost Method