2025-08-14T12:20:17+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-10-01 066068853 The Norwalk Hospital Association NORW 2037394593 34 Maple Street NORWALK CT 06850 DANIEL DEBARBA CFO/TREASURER 2025-08-14 true Laura Mayo P01962945 2127733000 2025-08-14 2023 2025-03-06 01:10:19Z PETER CORDEAU 34 Maple Street NORWALK CT 06850 439570620 false X www.nuvancehealth.org X 1893 CT Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. 17 14 1876 105 592591 0 18994605 12012412 391559286 409549190 1849864 7691400 6558481 3836971 418962236 433089973 47500 33887 0 176142907 185856628 0 0 267153914 281352399 443344321 467242914 -24382085 -34152941 720288595 693807819 285754310 272799493 434534285 421008326 Improve the health of every person in our community through the efficient delivery of excellent, innovative and compassionate care. false false 431366587 33887 411886544 NORWALK HOSPITAL IS A 366-BED HOSPITAL THAT CARES FOR PATIENTS, THEIR LOVED ONES AND RESIDENTS IN FAIRFIELD COUNTY, CONNECTICUT, AND THE SURROUNDING NEW YORK METROPOLITAN AREA. NORWALK 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. NORWALK HOSPITAL IS AN ACUTE CARE, ACADEMIC HOSPITAL THAT PROVIDES PATIENTS WITH THE LATEST IN MEDICAL, SURGICAL AND WELLNESS SERVICES. NORWALK HOSPITAL PROVIDES SERVICES TO THE COMMUNITY THROUGH OUR LEVEL II TRAUMA CENTER, THROMBECTOMY-CAPABLE STROKE CENTER AND JOINT REPLACEMENT CENTER OF EXCELLENCE TO ADVANCED CANCER, HEART, AND NEUROSCIENCES CARE. OUR TEAMS INCLUDE TOP MEDICAL AND SURGICAL TALENT, AND WE INVEST IN TECHNOLOGY AND COLLABORATE WITH LEADING DOCTORS AND SCIENTISTS TO BRING TOP-NOTCH SERVICES TO FAIRFIELD COUNTY. NORWALK HOSPITAL PARTICIPATES IN VARIOUS CLINICAL TRIALS AND RESEARCH, WHICH BRINGS NEW TREATMENT OPTIONS TO OUR PATIENTS. NORWALK 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. NORWALK HOSPITAL HAS BEEN NAMED AMONG THE TOP 1% AND A TOP 50 HOSPITAL FOR CLINCIAL EXCELLENCE BY HEALTHGRADES, AND IT RANKS IN THE TOP 5% IN THE NATION FOR CARDIOLOGY SERVICES, OVERALL GI SERVICES, OVERALL PULMONARY SERVICES, NEUROSCIENCES (2 YEARS IN A ROW), AND TREATMENT OF STROKE (3 YEARS IN A ROW). THE HOSPITAL HAS ALSO BEEN NAMED TOP 10% IN THE NATION FOR GASTROINTESTINAL SURGERY, AND GI MEDICAL TREATMENT. LEAPFROG HAS GIVEN NORWALK HOSPITAL A PATIENT SAFETY GRADE A FOR ITS EXCELLENT PATIENT CARE. US NEWS AND WORLD REPORT RANKS NORWALK HOSPITAL AS A HIGH-PERFORMING HOSPITAL COMPARED TO OTHER CONNECTICUT AND US HOSPITALS. NORWALK HOSPITAL HAS BEEN RECOGNIZED AS BEST REGIONAL HOSPITAL FOR EXCELLENCE BY U.S. NEWS & WORLD REPORT FOR OUR HIGH PERFORMANCE IN HEART FAILURE TREATMENT, DIABETES TREATMENT, HIP FRACTURE, COPD TREATMENT, AND HIGH PERFORMANCE IN STROKE TREATMENT. HEALTHGRADES HAS LISTED NORWALK HOSPITAL AS AMERICA'S 50 BEST HOSPITALS. HEALTHGRADES HAS ALSO AWARDED THE HOSPITAL WITH THE CRITICAL CARE EXCELLENCE AWARD, GASTROINTESTINAL CARE EXCELLENCE AWARD, NEUROSCIENCES EXCELLENCE AWARD (3 YEARS IN A ROW), STROKE CARE EXCELLENCE AWARD (6 YEARS IN A ROW), AND THE PULMONARY CARE EXCELLENCE AWARD (9 YEARS IN A ROW). THE HOSPITAL WAS LISTED ON THE GET WITH THE GUIDELINES STROKE GOLD PLUS WITH TARGET: TYPE 2 DIABETES HONOR ROLL, GET WITH THE GUIDELINES STROKE GOLD PLUS WITH TARGET: STROKE HONOR ROLL ELITE. NORWALK HOSPITAL IS A FIVE-STAR RECEIPIENT FOR TREATMENT OF HEART FAILURE (7 YEARS IN A ROW), UPPER GASTROINTESTINAL SURGERIES, COLORECTAL SURGERIES (4 YEARS IN A ROW), TREATMENT OF GI BLEED, TREATMENT OF BOWEL OBSTRUCTION, TREATMENT OF PANCREATITIS (2 YEARS IN A ROW), TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, TREATMENT OF PNEUMONIA (10 YEARS IN A ROW), CRANIAL NEUROSURGERY, AND TREATMENT OF STROKE (18 YEARS IN A ROW). THE BARIATRIC DEPARMENT HAS HELD THE MBSAQIP BARIATRIC CENTER ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS AND AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY SINCE 2006. 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. NORWALK Hospital focused their community benefit activities on the following two priorities: * Prevent chronic diseases * Addressing Behavioral Health needs 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: The Community Care Team's (CCT) High Risk Navigators at Norwalk Hospital 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 CCT's 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%. Norwalk Hospital's Senior Community Care Team facilitates a weekly care coordination forum focused on addressing the needs of high-risk seniors in the community. Approximately 40 new patients a year are served. Outcomes include connections to skilled nursing facilities, housing, adult day care, Meals on Wheels, Agency on Aging, home care, and social services. Norwalk Hospitals focused on promoting referrals from the hospital emergency departments to peer recovery specialists at Connecticut Community for Addiction Recovery (CCAR), resulting in over 200 referrals a year. CCAR helps people navigate the recovery community by connecting them with others in recovery and providing access to area treatment and support services. 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 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. Over the last year, staff have also contributed time and expertise to many community organizations and task forces throughout the communities. IN FY24, NORWALK HOSPITAL HAD 44,120 PATIENT DAYS AND 9,813 DISCHARGES IN ACUTE CARE. THERE WERE 37,833 IN EMERGENCY ROOM VISITS AND 132,075 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $39.1M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 431366587 true true false true false false false false false true false true true true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false true true true false false true 227 0 true 1876 true true true false false false false false false false false false false false X 17 14 false false false false true true true true true false false true true true true true false false true true false X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 PABLO COLON VICE CHAIR (TO 12/31); CHAIR (FROM 01/01) 3.0 0 X X 0 0 0 PETER CORDEAU PRESIDENT NORWALK HOSPITAL 46.0 0.0 X X 775400 0 63284 SUSAN BEYMAN DIRECTOR; VICE CHAIR (FROM 01/01) 3.0 0 X X 0 0 0 THOMAS DUBIN CHAIR (TO 12/31/23); DIRECTOR 3.0 6.0 X X 0 0 0 AMY AHASIC MD DIRECTOR 2.0 40.5 X 0 487928 68476 CURTIS STEWART DIRECTOR (FROM 1/1) 42.0 0 X 52253 0 173 DANIELLE ROBINSON PHD DIRECTOR 2.0 0 X 0 0 0 JAMES DIMONEKAS DIRECTOR 2.0 0 X 0 0 0 KAREN GOTTLIEB DIRECTOR 2.0 0 X 0 0 0 LEONARD DINARDO DIRECTOR 2.0 0 X 0 0 0 MARY GRACE GUDIS DIRECTOR 2.0 0 X 0 0 0 MICHAEL L WITHERSPOON JD DIRECTOR 2.0 0 X 0 0 0 PATRICIA S BAM DIRECTOR 2.0 0 X 0 0 0 PETER CAMPBELL DIRECTOR 2.0 0 X 0 0 0 PETER HERBERT DIRECTOR 2.0 0 X 0 0 0 SEAN ARMSTRONG DIRECTOR (FROM 1/1) 2.0 0 X 0 0 0 SUSAN WEINBERGER DIRECTOR 2.0 0 X 0 0 0 THOMAS AYOUB Director (To 12/31/23) 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 ELIZABETH BRICE RN NURSE 40.0 0 X 296258 0 33818 LESLIE LINCOLN RN CHIEF NURSING OFFICER 40.0 0 X 325634 0 47864 NINA KALACH PHYSICIST 40.0 0 X 251914 0 43314 SANGEETHA CHACKO NURSE 40.0 0 X 243179 0 32912 STEPHEN M PAPP VP OPERATIONS 38.0 2.0 X 339288 20395 32426 SHARON ADAMS FORMER COO/CNO; PRESIDENT DH 0.0 48.0 X 0 1060780 22810 2283926 7248654 1076632 399 true true false PREMIER IMAGING LLC 2 RIVERVIEW D SUITE 104 Danbury CT 06810 IMAGE READINGS AND RESEARCH 968095 LECHASE CONSTRUCTION SERVICES LLC 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 CONSTRUCTION 802907 ORTHOCONNECTICUT PC 2 RIVERVIEW DRIVE DANBURY CT 06810 MEDICAL SERVICES 631500 DANBURY RADIOLOGICAL ASSOCIATES 60 NEWTOWN RD UNIT 45 DANBURY CT 06810 IMAGE READINGS 362001 SIZEWISE RENTALS PO BOX 320 ELLIS KS 67637 EQUIPMENT RENTALS 328676 16 9709163 2293710 9539 12012412 NET PATIENT SERVICE REVENUE 621110 404262739 404262739 EMS Outside Services 621910 1581746 1581746 Affiliate Rental Income 532000 1490508 1490508 GRADUATE MEDICAL EDUCATION 611430 1108143 1108143 Lab Service Revenue 900099 592591 592591 513463 513463 0 0 409549190 1258392 1258392 1181517 1181517 859072 7119 851953 0 851953 851953 178022 11457911 6384442 178022 5073469 5251491 5251491 144159 89086 55073 55073 INCOME PAYOR INCENTIVES 900099 1000893 1000893 NORWALK SURGERY CENTER INCOME 621400 906232 906232 NCHC REIMBURSEMENT 900099 461089 461089 561731 561731 0 0 2929945 433089973 411886544 592591 8598426 33887 33887 852165 752039 100126 144700278 127694592 17005686 6582843 5809385 773458 24806958 21892240 2914718 8914384 7866980 1047404 17760 17760 555712 555712 851217 851217 89321 78826 10495 157059 157059 39568242 34919132 4649110 0 1061069 936398 124671 2951446 2604661 346785 7809937 6892301 917636 7610373 6716185 894188 405338 357712 47626 156950 138509 18441 3856399 3856399 28211328 24896610 3314718 3691456 3099483 591973 PHYSICIAN FEES 80261392 80261392 MEDICAL SUPPLIES 60291520 60291520 STATE OF CT HOSPITAL TAX 30719953 30719953 EQUIPMENT RENTAL AND MAINT. 11815405 10427142 1388263 1270522 1121241 149281 0 467242914 431366587 35876327 0 11758552 22014312 1404969 39449119 40109752 0 0 0 0 7583281 7956920 15505828 12969762 687434748 456877594 244184269 230557154 0 150286206 163516834 250116371 216683085 720288595 693807819 36477004 38509789 209219 0 0 249277306 234080485 285754310 272799493 X 356738884 340809998 77795401 80198328 434534285 421008326 720288595 693807819 X -34152941 7982769 30000 12614213 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 89321 false false false 89321 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE CHA DUES, THE AMERICAN HOSPITAL ASSOCIATION DUES, AND THE GREATER NEW YORK HOSPITAL ASSOCIATION DUES, PAID BY NORWALK HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 16276016 16276016 356491262 208428628 148062634 11704330 8935825 2768505 265475519 239513141 25962378 37487621 37487621 230557154 BENEFICIAL INT. NH FDN. 163516834 F 163516834 ROU ASSET - FINANCE 77739270 INTEREST IN INVESTMENT HELD BY WCHN INC. LLC 69662032 DUE FROM RELATED PARTIES 38014391 MALPRACTICE GROSS UP ASSET 13487501 ROU ASSET - OPERATING 9934621 JV INVESTMENT 4487493 OTHER RECEIVABLES 2472002 CONSTRUCTION FUND 2019A SONIC RECEIVABLE 688454 457 PLAN ASSET 188165 SECURITY DEPOSIT 9156 216683085 LEASE LIABILITY - FINANCE 95163017 INTERCO. WITH NUVANCE - BONDS 93158732 MALPR. GROSS UP LIABILITY 13487501 DUE TO THIRD PARTIES 11632361 LEASE LIABILITY - OPERATING 10043873 ASSET RETIREMENT OBLIGATION 5599311 DUE TO RELATED PARTIES 2429238 MALPRACTICE RESERVE 1516343 LONG TERM DISABILITY RESERVE 861944 457 PLAN LIABILITY 188165 234080485 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote AS OF SEPTEMBER 30, 2024, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. true true X true X 300 true X true true true false true false 10075579 2303249 7772330 0.0166 103416379 75737627 27678752 0.0592 0 0.0 0 0 113491958 78040876 35451082 0.0759 235343 235343 0.0005 18949142 8243304 10705838 0.0229 207490307 166193140 41297167 0.0884 1334935 734387 600548 0.0013 1383687 461089 922598 0.0020 0 0 229393414 175631920 53761494 0.1151 0 0 342885372 253672796 89212576 0.1909 0 0.0 1062 1062 0.0000 0 0.0 0 0.0 0 0.0 8583 8583 0.0000 0 0.0 43740 43740 0.0001 0 0.0 0 0 53385 0 53385 0.0001 true 5396637 0 48779843 50971433 -2191590 X true true NORWALK SURGERY CENTER AMBULATORY SURGERY CENTER 0.8318 0.0 0.1682 1 1 NORWALK HOSPITAL 24 STEVENS STREET NORWALK CT 06850 NUVANCEHEALTH.ORG 0053 X X X X NORWALK HOSPITAL 1 false false true X 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 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 3 Facility , 1 Facility , 1 - NORWALK HOSPITAL. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES LOCAL LEVEL HEALTH RELATED DATA ABOUT NORWALK AND THE SURROUNDING TOWNS OF NEW CANAAN, WESTON, WESTPORT AND WILTON AND COMPLEMENTS THE 2023 FAIRFIELD COUNTY COMMUNITY WELLBEING INDEX, A COMPREHENSIVE REPORT ABOUT FAIRFIELD COUNTY AND THE TOWNS WITHIN IT. THE COMMUNITY WELLBEING INDEX WAS PRODUCED BY DATAHAVEN IN PARTNERSHIP WITH FAIRFIELD COUNTY'S COMMUNITY FOUNDATION AND MANY OTHER REGIONAL PARTNERS, INCLUDING NORWALK HOSPITAL, NOW PART OF NUVANCE HEALTH, AND LOCAL PARTNERS SERVING THE GREATER NORWALK REGION. TOPICS COVERED IN THE INDEX INCLUDE: OVERALL COMMUNITY WELL-BEING, DEMOGRAPHIC CHANGES, HOUSING, TRANSPORTATION, EARLY CHILDHOOD EDUCATION, K-12 EDUCATION, ECONOMIC OPPORTUNITY, LEADING PUBLIC HEALTH INDICATORS (SUCH AS PREMATURE MORTALITY, CHRONIC DISEASE PREVALENCE, HEALTH BEHAVIORS, HEALTH CARE ACCESS, AND THE SOCIAL DETERMINANTS OF HEALTH) AND CIVIC LIFE. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORWALK HOSPITAL. THE 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 NORWALK HOSPITAL BOARD OF TRUSTEES ON SEPTEMBER 30, 2022. THE CHIP WAS APPROVED BY THE NUVANCE HEALTH BOARD ON FEBRUARY 7, 2023. NORWALK HOSPITAL, AND ITS COMMUNITY HEALTH COMMITTEE (CHC), NORWALK HEALTH DEPARTMENT AND GREATER NORWALK COMMUNITY PARTNERS, PARTICIPATED IN THIS EFFORT TO ASSESS THE HEALTH AND SOCIAL NEEDS OF THE GREATER NORWALK COMMUNITY. COMMUNITY PARTNERS INCLUDE: -AMERICARES FREE CLINICS -COMMUNITY HEALTH CENTERS, INC. -DARIEN HEALTH DEPARTMENT -NEW CANAAN HEALTH DEPARTMENT -NAACP -NORWALK ACTS -NORWALK COMMUNITY HEALTH CENTER -NORWALK HEALTH DEPARTMENT -POSITIVE DIRECTIONS -REGIONAL BEHAVIORAL HEALTH ACTION ORGANIZATION -RIVERBROOK REGIONAL YMCA -TOWN OF RIDGEFIELD -WESTPORT/WESTON HEALTH DISTRICT THE CHNA REPORT PROVIDES ADDITIONAL LOCAL DETAIL OF RELEVANCE TO THE REGION, INCLUDING QUANTITATIVE AND QUALITATIVE DATA SPECIFIC TO THE INDIVIDUAL TOWNS WITHIN THE GREATER NORWALK REGION. IT ALSO DOCUMENTS THE PROCESS THAT NORWALK HOSPITAL AND PARTNERS USED TO CONDUCT THE REGIONAL HEALTH ASSESSMENT AND HEALTH IMPROVEMENT ACTIVITIES. THE COMMUNITY HEALTH ASSESSMENT WAS CONDUCTED UNDER THE GUIDANCE OF THE NORWALK HOSPITAL CHC. THE CHC PROVIDED OVERSIGHT OF THE 2022 CHNA IN ALIGNMENT WITH THE GOALS OF COMMUNITY PARTNERSHIP AND ADVANCEMENT OF POPULATION HEALTH. THE REPORT CONTAINS BOTH QUANTITATIVE AND QUALITATIVE DATA. QUANTITATIVE DATA WAS COLLECTED, ANALYZED AND REPORTED BY DATAHAVEN IN THE FAIRFIELD COUNTY COMMUNITY WELLBEING SURVEY (CWS). THE QUALITATIVE DATA COLLECTION WAS CONDUCTED BY COMMUNITY RESEARCH CONSULTING, LLC AND CONSISTED OF KEY INFORMANT SURVEYS (KIS) INCLUDING FOCUS GROUPS, INDIVIDUAL INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA SOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, CENTERS FOR DISEASE CONTROL AND PREVENTION, STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), COUNTY HEALTH RANKINGS AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. TYPES OF DATA INCLUDED VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. ANOTHER SOURCE OF DATA INFORMING THE 2023 - 2025 CHIP WAS THE CHNA COMMUNITY SURVEY, DEPLOYED IN THE GREATER NORWALK 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 NORWALK 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, CHIENESE, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, POLISH, AND ARABIC. IN ORDER TO COMPILE A COMPREHENSIVE CHNA REPORT AND TO GUIDE THE DEVELOPMENT OF THE CHIP, NUVANCE HEALTH CONTRACTED WITH COMMUNITY RESEARCH CONSULTING (CRC), A WOMEN-OWNED BUSINESS THAT SPECIALIZES IN CONDUCTING STAKEHOLDER RESEARCH TO ILLUMINATE DISPARITIES AND UNDERLYING INEQUITIES AND TRANSFORM DATA INTO PRACTICAL AND IMPACTFUL STRATEGIES TO ADVANCE HEALTH AND SOCIAL EQUITY. CRC CLOSELY PARTNERED WITH THE NORWALK HOSPITAL COMMUNITY HEALTH COMMITTEE (CHC), WHICH OVERSAW AND GUIDED THE CHNA PROCESS, IN ALIGNMENT WITH THE GOALS OF COMMUNITY PARTNERS, CLOSELY PARTNERING TO ADVANCE POPULATION HEALTH. AS CRC COMPILED THE 2022 CHNA REPORT BASED ON THE 2022 KEY CHNA FINDINGS, THE HEALTH PRIORITIES THAT WERE IDENTIFIED FOR THE GREATER NORWALK AREA CHIP WERE ADDRESSING PREVENTING CHRONIC DISEASES AND, PROMOTING WELL-BEING, AND ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NORWALK HOSPITAL. 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 - NORWALK HOSPITAL. TO THE BEST OF THE ORGANIZATION'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2023-2025 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT NORWALK HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A COMMUNITY HEALTH COMMITTEE WAS CREATED OF OVER 100 COMMUNITY RESIDENTS AND PROFESSIONALS REPRESENTING VARIOUS ORGANIZATIONS. THEY IDENTIFIED PREVENTING CHRONIC DISEASE AND ADDRESSING BEHAVIORAL HEALTH NEEDS AS THE MAIN PRIORITIES TO ADDRESS, WHICH INFORMED THE DEVELOPMENT OF THE 2023-2025 CHIP. THE CHIP DETAILS SPECIFIC GOALS AND METRICS FOR EACH IDENTIFIED NEED AND COMMUNITY BENEFIT PROGRAMS THAT WOULD HELP ACHIEVE THESE GOALS. KEY INITIATIVES, ADDRESSING BOTH OF THE FOCUS AREAS OF CHRONIC DISEASE PREVENTION AND PROMOTION OF WELL-BEING AND PREVENTING MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS FOR THIS REGION INCLUDE: * IN PARTNERSHIP WITH A COMMUNITY HEALTH CENTER, IMPLEMENT A COMMUNITY BLOOD PRESSURE MANAGEMENT PROGRAM * OFFER SMOKING CESSATION PROGRAMS * PROVIDE SUPPORT GROUPS FOR MULTIPLE POPULATIONS * PROVIDE EDUCATION ON COPING SKILLS, FALLS PREVENTION, CAREGIVING, INJURY PREVENTION, HEART HEALTH, CANCER SCREENING, LUNG HEALTH, STROKE PREVENTION, AND METABOLIC DISORDERS AND SHARE INFORMATION ON COMMUNITY BASED RESOURCES * IMPLEMENT AN ADOLESCENT INTENSIVE OUTPATIENT PROGRAM (IOP) AT NORWALK HOSPITAL * INCREASE THE NUMBER OF PATIENT CARE CONNECTIONS IN NORWALK HOSPITAL'S HIGH RISK COMMUNITY NAVIGATION PROGRAMS * LEAD A SENIOR "COMMUNITY CARE TEAM" CONSISTING OF MEMBERSHIP FROM KEY COMMUNITY ORGANIZATIONS * ASSIST WITH THE DISTRIBUTION OF SUICIDE PREVENTION RESOURCE MATERIAL FROM THE HUB * PROVIDE FREE COMMUNITY PSYCHIATRIC EVALUATIONS * OFFER MENTAL HEALTH FIRST AID TRAINING * CONDUCT COLLABORATIVE HOME VISITS WITH THE NORWALK POLICE DEPARTMENT BEHAVIORAL HEALTH UNIT * IMPLEMENT THE CT DIAPER CONNECTIONS PROGRAM * PROVIDE OVER 100 CHRONIC CONDITION MANAGEMENT, WELLNESS, AND PREVENTION RESOURCE VIDEOS ON THE NUVANCEHEALTH.ORG WEBSITE (IN ENGLISH AND SPANISH) * PROVIDE FREE VIRTUAL HEALTH TALKS GIVEN BY CREDENTIALED CLINICIANS, COVERING TOPICS ADDRESSING HEALTH PROMOTION, ILLNESS PREVENTION, CANCER DETECTION, CHRONIC CONDITION MANAGEMENT, MENTAL HEALTH OPTIMIZATION, FALLS PREVENTION, GENERAL SAFETY, AND MANY OTHER TOPICS * FACILITATE THE ROUND-TRIP TRANSPORTATION PROGRAM IN THE NORWALK HOSPITAL SERVICE AREA, TO PROVIDE TRANSPORTATION SERVICES TO COMMUNITY MEMBERS FOR MEDICAL APPOINTMENTS * PLACE REFERRALS FROM THE NORWALK HOSPITAL EMERGENCY DEPARTMENT TO CCAR'S EMERGENCY DEPARTMENT COACHING PROGRAM TO PROVIDE ADDICTION SUPPORT SERVICES * PROVIDE OUTPATIENT DIABETES SELF-MANAGEMENT CLASSES TO ASSIST COMMUNITY MEMBERS WITH MEDICATION MANAGEMENT, BLOOD SUGAR MONITORING, NUTRITION AND MEAL PLANNING, AND HABITS TO ENHANCE HEALTH AND REDUCE COMPLICATIONS * LEAD THE NORWALK HOSPITAL COMMUNITY CARE TEAM, CONNECTING LOCAL RESIDENTS TO HOUSING, HEALTHY FOOD RESOURCES, MENTAL HEALTH CARE, PRIMARY AND SPECIALTY CARE SERVICES, EMPLOYMENT OPPORTUNITIES, AND SUBSTANCE USE PREVENTION AND TREATMENT * LEAD THE FREQUENT VISITOR PROGRAM AT NORWALK HOSPITAL TO CONNECT VULNERABLE COMMUNITY MEMBERS TO ESSENTIAL SERVICES * PROVIDE A FREE PRESCRIPTION DRUG PROGRAM FOR UNINSURED PATIENTS IN THE NORWALK COMMUNITY Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORWALK HOSPITAL. 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 62.31% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FEDERAL POVERTY GUIDELINES. THE 62.31% 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 - NORWALK HOSPITAL. A PATIENT MAY QUALIFY FOR "MEDICAL HARDSHIP" EVEN IF THEIR INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES. A PATIENT'S UNPAID MEDICAL DEBT IS FACTORED IN WHEN DETERMINING MEDICAL HARDSHIP. MEDICAL HARDSHIP IS DETERMINED BY COMBINING A PATIENT'S AVAILABLE INCOME WITH THEIR COUNTABLE ASSETS AND IS GRANTED WHEN THEIR UNPAID MEDICAL DEBT EXCEEDS THIS FIGURE. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - NORWALK HOSPITAL. NORWALK HOSPITAL 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 NORWALK HOSPITAL TO PROVIDE FURTHER ASSISTANCE. 6 BEHAVIORAL HEALTH - NORWALK 14 WESTPORT AVENUE NORWALK CT 06851 OUTPATIENT BEHAVIORAL HEALTH IMAGING & RADIOLOGY AT NORWALK 761 MAIN AVENUE SUITE 112 NORWALK CT 06851 OUTPATIENT PHYSICIAN CLINIC PHYSICAL REHABILITATION AT NORWALK 520 WEST AVENUE NORWALK CT 06850 OUTPATIENT REHABILITATION SERVICES NUVANCE HEALTH BREAST CENTER AT I-PARK 761 MAIN AVENUE SUITE 107 NORWALK CT 06851 OUTPATIENT PHYSICIAN CLINIC CENTER FOR SLEEP MEDICINE 520 WEST AVENUE NORWALK CT 06850 OUTPATIENT PHYSICIAN CLINIC IMAGING & RADIOLOGY AT WESTPORT 333 POST ROAD WEST SECOND FLOOR WESTPORT CT 06880 OUTPATIENT PHYSICIAN CLINIC Schedule H, Part I, Line 3c ELIGIBILITY FOR FREE OR DISCOUNTED CARE NORWALK HOSPITAL PROVIDES CHARITY CARE TO PATIENTS BELOW 400% OF THE FEDERAL POVERTY LEVEL; THIS IS KNOWN AS "FINANCIAL HARDSHIP". PATIENTS UNDER 300% OF THE FEDERAL POVERTY LEVEL RECEIVE FREE CARE AND PATIENTS BETWEEN 300%-400% OF THE POVERTY LEVEL RECEIVE PARTIAL CHARITY CARE. NORWALK HOSPITAL, HOWEVER, ALSO HELPS PATIENTS WHOSE 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 COMBINES AVAILABLE INCOME WITH COUNTABLE ASSETS AND IS GRANTED AT 100% FREE CARE 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 NORWALK 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 *ADDRESSING 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 SUPPORTING COVID-19 CLINICS *ADDRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE GET FIT CHALLENGE. *ADDRESSING BEHAVIORAL HEALTH NEEDS ADVOCACY 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 *ADDRESSING CHILD SAFETY THROUGH SCHOOL BASED HEALTH EDUCATION PRESENTATIONS *ADDRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH TALKS AND SPEAKER BUREAUS WITH A VARIETY OF DIFFERENT TOPICS GRANTS AND IN-KIND SUPPORT WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS: * AMERICAN CANCER SOCIETY * ALZHEIMER'S ASSOCIATION * AMERICAN HEART ASSOCIATION * ARTHRITIS FOUNDATION * CONNECTICUT HOSPITAL ASSOCIATION (CHA) * ELDERHOUSE ADULT DAY CENTER * GREATER NORWALK CHAMBER OF COMMERCE * LUPUS FOUNDATION OF AMERICA * MID-FAIRFIELD AIDS PROJECT * NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP) * NEW CANAAN COMMUNITY FOUNDATION * NORWALK CHAMBER OF COMMERCE * NORWALK HEALTH DEPARTMENT * NORWALK INTERNATIONAL CULTURAL EXCHANGE (NICE) * PACIFIC HOUSE * POSITIVE DIRECTIONS * PROSPECTOR THEATRE * RON FOLEY FOUNDATION * THE NORWALK ART SPACE * TRIANGLE COMMUNITY CENTER * YALE NEW HAVEN HEALTH, CENTER FOR EMS Schedule H, Part I, Line 7f HEALTH PROFESSIONS EDUCATION NORWALK HOSPITAL HAS AN ACGME ACCREDITED MEDICAL RESIDENCY PROGRAM PARTNERED WITH YALE UNIVERSITY SCHOOL OF MEDICINE. RESIDENTS AND FELLOWS ROTATE IN THE MEDICINE, RADIOLOGY, GASTROENTEROLOGY, PULMONARY OR SLEEP PROGRAMS. THE ASSOCIATED COSTS AND REVENUES ARE DERIVED FROM THE MEDICARE COST REPORT. Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES NORWALK HOSPITAL SUBSIDIZED HEALTH SERVICES INCLUDE OP DENTAL CLINIC COSTS. NO OTHER PHYSICIAN CLINIC COSTS ARE INCLUDED HERE. Schedule H, Part II Community Building Activities COALITION BUILDING $8,583 THE COMMUNITY CARE TEAM MEETS WITH COMMUNITY PROVIDERS TO DEVELOP CARE PLANS FOR AT RISK PATIENTS. THROUGH ADDITIONAL PARTICIPATION IN COMMUNITY COLLABORATIVE EFFORTS, NORWALK HOSPITAL IS COMMITTED TO ADDRESSING THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. WORKFORCE DEVELOPMENT $43,740 MEMBERS OF NORWALK HOSPITAL'S WORKFORCE & CAREER DEVELOPMENT TEAM FACILITATE ACTIVITIES DESIGNED TO INTEREST STUDENTS IN HEALTH PROFESSIONS AND PREPARE THEM FOR HEALTHCARE CAREERS THROUGH CAREER READINESS PROGRAMS AND SUMMER IMMERSION PROGRAMS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount NHA 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 IT IS THE POLICY OF THE HOSPITAL TO PROVIDE NECESSARY CARE TO ALL PERSONS SEEKING TREATMENT WITHOUT DISCRIMINATION ON THE GROUNDS OF AGE, RACE, CREED, NATIONAL ORIGIN OR ANY OTHER GROUNDS UNRELATED TO AN INDIVIDUAL'S NEED FOR THE SERVICE OR THE AVAILABILITY OF THE NEEDED SERVICE AT THE HOSPITAL. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT BY REFERENCE TO ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO A RESPONSIBLE PARTY'S INCOME AND THEIR COUNTABLE ASSETS. THOSE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. BECAUSE THE HOSPITAL IS NOT PAID FOR THESE SERVICES, THEY ARE CONSIDERED TO BE COMMUNITY BENEFIT. WHEN PRIVATE PAY PATIENTS ARE SENT TO THE COLLECTION AGENCY THEIR ACCOUNT IS CONSIDERED TO BE A BAD DEBT. SUBSEQUENTLY, MEDICAID MAY BE GRANTED FOR SOME OF THOSE PATIENTS. AT THAT TIME THOSE ACCOUNTS NOT GRANTED MEDICAID WOULD BECOME CHARITY CARE OR A COMMUNITY BENEFIT. 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 SUBSIDIEARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs NORWALK 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 NHA 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) HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER NHA DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, NHA 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. NHA 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, THE 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, NORWALK HOSPITAL (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. NHA 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 - NORWALK HOSPITAL: Line 16a URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - NORWALK HOSPITAL: Line 16b URL: WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - NORWALK HOSPITAL: 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 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 UNDERSTANDING CHANGES IN POPULATION DEMOGRAPHICS IS CRITICAL TO PLAN FOR CHANGES IN HEALTHCARE, HOUSING, ECONOMIC OPPORTUNITY, EDUCATION, SOCIAL SERVICES, TRANSPORTATION, AND OTHER ESSENTIAL INFRASTRUCTURE ELEMENTS. NORWALK HOSPITAL SERVES AN AREA POPULATION OF ABOUT 230,856 PEOPLE AND IS PROJECTED TO EXPERIENCE MINIMAL GROWTH OF 1.47% BETWEEN 2024 AND 2029. CONNECTICUT OVERALL IS AN AGING STATE. FROM 2024 TO 2029, THE MOST SIGNIFICANT GROWTH (16%) WILL OCCURE IN THE 65-UP POPULATION, WHILE THE POPULATION AGE 45-64 WILL DECREASE BY 5% AND CHILDREN UNDER 18 WILL DECLINE BY 6%. (CLARITAS) THE CITY OF NORWALK, PART OF THE PRIMARY SEVICE AREA, IS MORE DIVERSE THAN THE SERVICE AREA, COUNTY OR STATE, WITH A LARGER PERCENTAGE OF AFRICAN AMERICAN RESIDENTS AND A SMALLER PERCENTAGE OF WHITE RESIDENTS. THE CITY OF NORWALK IS ONE OF THE MOST DIVERSE CITIES IN CONNECTICUT. THE AVERAGE HOUSEHOLD INCOME IN THE NORWLAK SERVICE AREA IS $209,078, COMPARED TO $129,394 STATEWIDE. THE CT DEPARTMENT OF LABOR INDICATES THERE WAS A 2.8% ANNUAL UNEMPLOYMENT RATE IN THE BRIDGEPORT-STAMFORD-NORWALK, CT METROPOLITAN AREA AT THE END OF 2024, WHICH IS LOWER THAN ITS LONG-TERM AVAERAGE AND SLIGHTLY LOWER THAN THE CT STATE AVERAGE OF 3.4%. APPROXIMATELY 9% OF THE POPULATION IN FAIRFIELD COUNTY ARE LIVING IN POVERTY, WHICH IS BELOW THE STATE POVERTY RATE OF 10% (CENSUS.GOV). APPROXIMATELY 8% OF THE NORWALK MARKET ARE UNINSURED, WHILE MEDICAID (16%), MEDICARE (18%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (58%). (SOURCE: CLARITAS). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), SEVERAL PARTS OF FAIRFIELD COUNTY 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 NORWALK HOSPITAL IS A REGIONAL 366-BED ACUTE CARE TEACHING HOSPITAL THAT OFFERS AWARD-WINNING PATIENT CARE. FOR MORE THAN 130 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 LEVEL II TRAUMA CENTER, MATERNAL AND INFANT CARE INCLUDING A LEVEL III NEONATAL INTENSIVE CARE UNIT, PSYCHIATRIC CARE UNIT. NORWALK HOSPITAL ALSO OFFERS: * PRIMARY CARE AND PEDIATRICS (IN COMMUNITY) * LABORATORY TESTING, IMAGING AND RADIOLOGY * GENERAL, ORTHOPEDIC, SPINE AND BREAST SURGERY * BARIATRIC AND METABOLIC WEIGHT LOSS SERVICES * WOUND 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. OVER 50% OF THE BOARD MEMBERS ARE INDEPENDENT AND DO NOT GET PAID BY NORWALK HOSPITAL. NORWALK HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINICAL CARE IN ADDITION TO EXPANDING OUR SERVICE AREA. 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. NORWALK HOSPITAL HAS PROVIDED $33,672,810 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 true SCHOLARSHIPS FOR STUDENTS ATTENDING NURSING SCHOOL 15 33887 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. NUVANCE FOUNDATIONS NURSING SCHOLARSHIP GRANTS ARE AVAILABLE TO EMPLOYEES OF NUVANCE HEALTH AND ITS AFFILIATES. THE PURPOSE OF THE GRANT FUNDS IS REVIEWED AND APPROVED BY FOUNDATION OFFICERS TO ASSURE COMPLIANCE WITH DONOR INTENTIONS AND/OR BOARD APPROVALS. AN ANNUAL CYCLE TO DETERMINE AWARDS IS FOLLOWED. ANNUAL CYCLE FOR THE NUVANCE HEALTH AND AFFILIATES NURSING SCHOLARSHIPS. FEBRUARY: * NURSING SCHOLARSHIP COMMITTEE MEMBERSHIP IS CONFIRMED. THE COMMITTEE CONSISTS OF NURSING LEADERSHIP, RNS AND FOUNDATION STAFF MEMBERS. * THE COMMITTEE REVIEWS THE SCHOLARSHIP APPLICATION FORM FROM THE PREVIOUS YEAR AND RECOMMENDS MODIFICATIONS. * CURRENT FUNDS AVAILABLE IN EACH SCHOLARSHIP ARE VERIFIED. * DETERMINATION IS MADE AS TO THE DOLLAR AMOUNT TO BE AWARDED FROM EACH SCHOLARSHIP BASED ON THE CURRENT FUNDS. * APPLICATION DEADLINE SET MARCH: * UPDATED NURSING SCHOLARSHIP APPLICATION FORM IS UPLOADED TO THE NH/DHNMH PORTAL * VSO ANNOUNCEMENT IS WRITTEN AND GLOBAL EMAIL SENT NOTIFYING THAT THE APPLICATION IS NOW AVAILABLE AND THE DEADLINE IS SPECIFIED MARCH/APRIL: * COMPLETED APPLICATIONS ARE RECEIVED * APPLICATION INFORMATION IS RECORDED ON A SPREADSHEET * APPLICATIONS ARE SCANNED AND SAVED APRIL: * SCANNED APPLICATIONS ARE EMAILED TO THE COMMITTEE FOR REVIEW * NURSING SCHOLARSHIP COMMITTEE REVIEW/AWARD MEETING SET * AT DEADLINE, THE APPLICATION IS REMOVED FROM THE PORTAL AND NO FURTHER APPLICATIONS ARE ACCEPTED * NURSING SCHOLARSHIP COMMITTEE MEETS AND ALL COMPLETED APPLICATIONS ARE REVIEWED * AWARD WINNERS ARE AGREED UPON MAY: * AWARD RECIPIENTS ARE ANNOUNCED BY MAIL, EMAIL, VSO * SCHOLARSHIP DONORS RECEIVE THANK YOU LETTERS CONTAINING THE NAMES OF THE AWARDEES OF THEIR SCHOLARSHIPS * REIMBURSEMENTS ARE REQUESTED BY AWARDEES - PAID THROUGH PAYROLL/AP MAY/JUNE: * THANK YOU NOTES FROM AWARD WINNERS ARE RECEIVED * SHARED WITH LIVING SCHOLARSHIP DONORS AT THE NURSING SCHOLARSHIP TEA IN SEPTEMBER X true true false true false false false false false true false PETER CORDEAU PRESIDENT NORWALK HOSPITAL 517434 0 160000 0 97966 0 19800 0 43484 0 838684 0 0 0 AMY AHASIC MD DIRECTOR 0 410616 0 71006 0 6306 0 19800 0 48676 0 556404 0 0 SHARON ADAMS FORMER COO/CNO; PRESIDENT DH 0 697743 0 225000 0 138037 0 19800 0 3010 0 1083590 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 ELIZABETH BRICE RN NURSE 263077 0 23475 0 9706 0 18011 0 15807 0 330076 0 0 0 SANGEETHA CHACKO NURSE 221684 0 18825 0 2670 0 12360 0 20552 0 276091 0 0 0 NINA KALACH PHYSICIST 247995 0 0 0 3919 0 5194 0 38120 0 295228 0 0 0 LESLIE LINCOLN RN CHIEF NURSING OFFICER 234984 0 64500 0 26150 0 19800 0 28064 0 373498 0 0 0 STEPHEN M PAPP VP OPERATIONS 264586 20216 72000 0 2702 179 18677 1123 12021 605 369986 22123 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 EMPLOYEE RECOGNITION PROGRAM AWARD: 5 HIGHEST COMPENSATED EMPLOYEES Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE NORWALK HOSPITAL ASSOCIATION 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 NHA MAINTAINS TWO SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS (SERP) TO PROVIDE BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR THE SERPS, AMOUNTS PROMISED TO ELIGIBLE EXECUTIVES ARE BASED ON TARGETED RETIREMENT BENEFITS AND THE PAYMENT OF BENEFITS IS SUBJECT TO VESTING. THE BENEFITS AT THE VESTED AGE ARE PROVIDED IN THE FORM OF AN ACTUARIAL EQUIVALENT LUMP SUM PLUS A TAX GROSS-UP AMOUNT TO THE PARTICIPANTS. THE BENEFITS PROVIDED FOR THESE PLANS WERE FROZEN AS OF DECEMBER 31, 2010. NHA MAINTAINS THIS ACCRUAL ON ITS BOOKS FOR THE PARTICIPANTS OF EACH SERP. THE ACCRUAL IS MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND IS UNFUNDED. AS OF SEPTEMBER 30, 2024, THE PLANS PROVIDED BENEFITS TO 50 PARTICIPANTS AND HAD AN ACCRUED VALUE OF $8,080,454. NONE OF THE INDIVIDUALS REPORTED IN SCHEDULE J, PART VII RECEIVED A PAYMENT FROM EITHER PLAN DURING CALENDAR YEAR 2023. 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 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: SHARON ADAMS $95,160 WAYNE MCNULTY $72,355 PETER CORDEAU $65,880 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. Form 990, Part VI, Line 16b Written Policy for Joint Venture Participation WHILE A WRITTEN POLICY HAS NOT BEEN ADOPTED REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURES, MANAGEMENT FOLLOWS A PROCEDURE IN WHICH ALL POSSIBLE JOINT VENTURE ARRANGEMENTS ARE EVALUATED UNDER APPLICABLE FEDERAL TAX LAWS. MANAGEMENT UTILIZED THE SERVICES OF APPROPRIATE CONSULTANTS AND LEGAL COUNSEL TO EVALUATE EACH JOINT VENTURE OPPORTUNITY. THIS EVALUATION ALSO INCLUDES AN ANALYSIS OF HOW THE JOINT VENTURE WILL FURTHER THE HOSPITAL'S MISSION. THE HOSPITAL HAS TAKEN ALL APPROPRIATE STEPS TO SAFEGUARD ITS TAX EXEMPT STATUS WITH RESPECT TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES. Form 990, Part VI, Line 14 written document retention and destruction policy 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 THE NORWALK HOSPITAL ASSOCIATION. THIS EXCLUDES THE RECORD RETENTON POLICY, WHICH IS APPROVED ONLY BY THE PARENT AUDIT COMMITTEE. Form 990, Part VI, Line 6 Classes of members or stockholders WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF NHA. NUVANCE HEALTH IS THE SOLE MEMBER OF WESTERN CONNECTICUT HEALTH NETWORK, 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 SHALL BE RESPONSIBLE FOR ELECTING, AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER. ANY ACTIONS REQUIRING MEMBER APPROVALS ARE NOT DEEMED APPROVED UNTIL THE CORPORATION RECEIVES APPROVAL FROM THE MEMBER AND OF THE PARENT (IF REQUIRED). A) THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A SUBSIDIARY ("NORWALK SUBSIDIARY") SHALL NOT REQUIRE APPROVAL BY THE BOARD AND ARE RESERVED SOLELY TO THE MEMBER: -ELECTION OR REMOVAL OF A DIRECTOR OF THE CORPORATION AND THE DIRECTORS OR MANAGERS OF EACH SUBSIDIARY. -ELECTION OR REMOVAL OF AN OFFICER OF THE CORPORATION OR OF A SUBSIDIARY WHO IS NOT AN EMPLOYEE OR CONTRACTOR OF THE CORPORATION OR SUCH SUBSIDIARY. -EXCEPT AS SET FORTH IN 2.2(B), AMENDMENT OF THE CORPORATION'S OR ANY SUBSIDIARY'S ORGANIZATION DOCUMENTS INCLUDING, WITHOUT LIMITATION, ARTICLES OF INCORPORATION, ARTICLES OF ORGANIZATION, BYLAWS, OPERATING AGREEMENTS AND CERTIFICATES OF INCORPORATION/ORGANIZATION. -ADOPTION OF OR REVISIONS TO POLICY RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF THE CORPORATION'S FUNDS. -ADOPTION OF OR AMENDMENT TO ANY OF THE CORPORATION'S OR A SUBSIDIARY'S QUALIFIED OR NON-QUALIFIED BENEFIT PLAN. -APPROVAL OF THE ADOPTION OF OR ANY AMENDMENT TO THE POLICIES AND PROCEDURES GOVERNING A) INDEMNIFICATION OF DIRECTORS AND OFFICERS OF THE HOSPITAL OR ANY SUBSIDIARY; B) CONFLICTS OR DUALITIES OF INTEREST; AND C) SUCH OTHER POLICIES THE MEMBER OR THE PARENT MAY DETERMINE; -ADOPTION OF OR REVISIONS OF SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES. -APPROVAL OF THE CORPORATION OR SUBSIDIARY, WHICH INCLUDES REVIEW OF THE SYSTEM-WIDE ACCOUNTING POLICIES AND CONTROLS. -THE SELECTION OF THE CORPORATION'S AND SUBSIDIARY'S INDEPENDENT AUDITORS. -ADOPTION OF OR ANY MATERIAL REVISIONS TO THE CAPITAL BUDGET AND OPERATING BUDGET. -CREATION OF ANY CORPORATION WHICH THE CORPORATION OR SUBSIDIARY IS THE SOLE OR CONTROLLING MEMBER OR SOLE OR CONTROLLING SHAREHOLDER. -ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEM-WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE. -MODIFICATION OF THE LOGO, NAME OR BRANDING OF THE CORPORATION OR ANY SUBSIDIARY. -CREATION OF A COMMITTEE WHICH HAS THE AUTHORITY TO BIND THE CORPORATION OR ANY SUBSIDIARY. -ANY CESSATION OF ANY SERVICE LINE OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY. -ANY MATERIAL REVISIONS TO THE STRATEGIC PLAN OF THE CORPORATION AND OF ANY SUBSIDIARY. ANY CLOSURE, SALE OR TRANSFER OF A HOSPITAL OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY. -ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, FILING OF ANY PETITION IN VOLUNTARY BANKRUPTCY, FILING OF ANY PETITION ANSWER SEEKING REORGANIZATION, OR AN ARRANGEMENT WITH CREDITORS UNDER FEDERAL BANKRUPTCY LAW. -ANY CHANGE IN THE TAX STATUS OF OR REVISION OF THE CHARITY CARE POLICIES. -ANY MATERIAL CHANGE IN THE MISSION OF THE CORPORATION OR ANY SUBSIDIARY. -EXCEPT AS SET FORTH IN SECTION 2.2(B) BELOW, ANY SALE, TRANSFER, LEASE, EXCHANGE, MORTGAGE, ENCUMBRANCE, PLEDGE OR OTHER DISPOSITION OF ASSETS. -ANY MERGER, CONSOLIDATION OR SIMILAR TRANSACTION INVOLVING (A) SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY, INTERESTS OR SHARES (B) ACQUISITION OF ANOTHER ORGANIZATION THROUGH MERGER, CONSOLIDATION OR ASSET PURCHASE OR (C) AFFILIATION OF ANY SUBSIDIARY WITH ANY OTHER ENTITY FOR THE PURPOSES OF THE JOINT CONDUCT OF BUSINESS OR OTHER PURPOSES. -ANY DISSOLUTION OF ANY SUBSIDIARY OR ANY NON-CONTROLLED ENTITY. -ANY INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY DEBT, INCLUDING WITHOUT LIMITATION ANY LOANS, MORTGAGES, LEASES, NOTES OR OTHER FORMS OF DEBT. -APPROVAL AND MATERIAL REVISION OF THE SYSTEM-WIDE FINANCIAL AUTHORITY POLICY. -APPROVAL OF CERTIFICATE OF NEED APPLICATIONS TO BE FILED (B) THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A NORWALK SUBSIDIARY, WHICH REQUIRE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: -AMENDMENT OF CERTIFICATE OF INCORPORATION OF THE CORPORATION. -ANY SALE, LEASE, EXCHANGE OR OTHER DISPOSITION ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION OR THE PURCHASE, SALE, MORTGAGE, LEASE, EXCHANGE OR OTHER DISPOSITION OF REAL PROPERTY OF OR FOR THE CORPORATION. -A MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION. -ANY DISSOLUTION OF THE CORPORATION. -ADOPTION AND OVERSIGHT OF THE IMPLEMENTATION OF, AND COMPLIANCE WITH THE SYSTEM CONFLICT OF INTEREST POLICY AND SYSTEM WHISTLEBLOWER POLICY. 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 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 2f Other Program Service Revenue Other - Total Revenue: 513463, Related or Exempt Function Revenue: 513463, 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: 561731, Related or Exempt Function Revenue: 561731, 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 FOUNDATION - 13230629; Board Designated Net Asset Transfer - 43407; Value Care Alliance K-1 Income - -105109; Change in Pension Obligation - -554714; Form 990, Part VIII, Line 3 Investment Income NORWALK HOSPITAL ASSOCIATION ("NHA") IS REPORTING INCOME FROM THE INVESTMENT OF TAX-EXEMPT BOND PROCEEDS ON FORM 990, PART VIII, LINE 4. THIS INCOME IS ALLOCATED TO NHA FROM ITS PARENT, NUVANCE HEALTH. PURSUANT TO THE FORM 990 INSTRUCTIONS, NUVANCE HEALTH REPORTS ALL REQUIRED INFORMATION ON FORM 990, SCHEDULE K FOR THE TAX-EXEMPT BOND ISSUANCES OF THE NUVANCE OBLIGATED GROUP, OF WHICH NHA IS INCLUDED. 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 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 VASSAR BROTHERS HOSPITAL FOUNDATION 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 FUNDRAISING NY 501(c)(3) 7 HQ true VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 HOSPITAL NY 501(c)(3) 3 HQ true VASSAR HEALTH CONNECTICUT INC 50 HOSPITAL HILL ROAD SHARON CT 06069 815056290 HOSPITAL CT 501(c)(3) 3 HQ true WELLS MANOR HOUSING DEVELOPMENT FUND CORP 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 LOW INCOME NY 501(c)(3) PF HQ true WESTERN CONNECTICUT HOME CARE INC 100 Saw Mill Road Danbury CT 06810 060655138 HOME HEALTHCARE CT 501(c)(3) 10 WCHN true WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES INC 100 Reserve Road Danbury CT 06810 222594968 OUTPATIENT HEALTHCARE SERVICES CT 501(c)(3) 10 WCHN true WESTERN CT 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 SUITE 120 NORWALK CT 06851 272394942 SURGERY CENTER CT NA N/A 524536 5929541 false false 0.8318 NUVANCE HEALTH INSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY11102 980438151 MALPRACTICE CJ NUVANCE HEALTH C Corporation false SWC CORPORATION 100 Reserve Road danbury CT 06810 222577718 PHARMACY CT NA C Corporation false TACONIC IPA INC 45 READE PLACE POUGHKEEPSIE NY 12601 223007320 MEDICAL CARE CT 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 false true false false true true true true Nuvance Health Medical Practice CT Inc J 1378956 Cost Method SWC Corporation J 55680 Cost Method Nuvance Health M 45369267 Cost Method Nuvance Health Medical Practice CT Inc M 80919363 Cost Method SWC Corporation Q 67857 Cost Method Alamo Ambulance Services Inc Q 110000 Cost Method Northern Dutchess Residential Health Facility Inc Q 82925 Cost Method Nuvance Health Q 52216910 Cost Method Nuvance Health Medical Practice CT Inc Q 79600522 Cost Method Nuvance Health S 1001170 Cost Method Danbury and New Milford Hospital Foundation C 62295 Cost Method Danbury and New Milford Hospital Foundation P 136177 Cost Method Danbury Hospital M 677891 Cost Method Danbury Hospital P 965127 Cost Method Danbury Hospital S 1643018 Cost Method Health Quest Systems Inc Q 98050 Cost Method Norwalk Hospital Foundation C 9658096 Cost Method Norwalk Hospital Foundation P 14454388 Cost Method Norwalk Hospital Foundation R 81970 Cost Method WCHN PHO ACO P 700000 Cost Method Western Connecticut Health Network Inc M 3058743 Cost Method Western Connecticut Health Network Inc Q 7373336 Cost Method Western Connecticut Health Network Inc S 351789 Cost Method Western CT Health Network PHO P 233759 Cost Method