PUTNAM HOSPITAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PUTNAM HOSPITAL CENTER (EIN 14-6019179)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2022-08-30
- IRS object ID
- 202212429349301131
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-30T13:48:32-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 CLARENDON STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021165072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 146019179 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUTNAM HOSPITAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PUTN | BusinessNameControlTxt |
| Phone | 8454759500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 STONELEIGH AVENUE | AddressLine1Txt |
| City | CARMEL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10512 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN H ROSENBERG | PersonNm |
| Person Title | CFO AND TREASURER | PersonTitleTxt |
| Phone | 8454759500 | PhoneNum |
| Signature | 2021-12-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MIKE A CINCOTTA | PreparerPersonNm |
| PTIN | P01595811 | PTIN |
| Phone | 6172662000 | PhoneNum |
| Preparation | 2021-12-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUTNAM HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK K HIRKO PRESIDENT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 STONELEIGH AVENUE | AddressLine1Txt |
| City | CARMEL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $147,922,000 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NUVANCEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1962 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 988 | TotalEmployeeCnt |
| Total Volunteers | 137 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $421,566 | PYContributionsGrantsAmt |
| CY Contributions Grants | $554,397 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $110,507,173 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $137,617,505 | CYProgramServiceRevenueAmt |
| PY Investment Income | $850,123 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,597,605 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,332,449 | PYOtherRevenueAmt |
| CY Other Revenue | $4,152,493 | CYOtherRevenueAmt |
| PY Total Revenue | $115,111,311 | PYTotalRevenueAmt |
| CY Total Revenue | $147,922,000 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $55,388,825 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $71,995,729 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,801,174 | PYOtherExpensesAmt |
| CY Other Expenses | $84,312,382 | CYOtherExpensesAmt |
| PY Total Expenses | $122,189,999 | PYTotalExpensesAmt |
| CY Total Expenses | $156,308,111 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,078,688 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,386,111 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $175,851,593 | TotalAssetsBOYAmt |
| Total Assets EOY | $182,378,405 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $70,404,130 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $92,708,973 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $105,447,463 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $89,669,432 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,324,922 | ExpenseAmt |
| Revenue | $57,124,006 | RevenueAmt |
| Desc | INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 4,409; NUMBER OF PATIENT DAYS 16,068; THE HOSPITAL PROVIDED APPROXIMATELY $715,321 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,572,364 | ExpenseAmt |
| Revenue | $15,718,379 | RevenueAmt |
| Desc | INPATIENT PSYCHIATRIC SERVICES: PSYCHIATRIC PATIENTS ADMITTED FOR TREATMENT. NUMBER OF PATIENTS 610; NUMBER OF PATIENT DAYS 4,512 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $57,646,687 | ExpenseAmt |
| Revenue | $66,761,579 | RevenueAmt |
| Desc | OUTPATIENT SERVICES: EMERGENCY VISITS 17,442; OTHER OUTPATIENT VISITS/PROCEDURES 155,733; THE HOSPITAL PROVIDED APPROXIMATELY $1,419,596 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER -INSURED POPULATION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $141,080 | ExpenseAmt |
| Revenue | $163,387 | RevenueAmt |
| Desc | AFFILIATE RENTAL INCOME. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $141,080 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $163,387 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $120,685,053 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 988 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN DARCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2037394593 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 RESERVE ROAD | AddressLine1Txt |
| City | DANBURY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06810 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROBERT FRIEDBERG TO 1211 | |||||||||
| HQ PRESIDENT & CEO | 3.00 | 40.00 | Yes (X) | $0 | $2,398,033 | $150,327 | |||
| STEVEN H ROSENBERG FROM 0101 | |||||||||
| TREASURER | 3.00 | 40.00 | Yes (X) | $0 | $1,529,199 | $644,898 | |||
| MICHAEL HOLZHUETER TO 1211 | |||||||||
| ASSISTANT SECRETARY | 3.00 | 40.00 | Yes (X) | $0 | $1,322,215 | $107,232 | |||
| KERRY EATON FROM 1211 | |||||||||
| CHIEF OPERATING OFFICER | 3.00 | 40.00 | $0 | $1,069,411 | $73,766 | Yes (X) | |||
| CAROLYN MCKENNA FROM 0101 | |||||||||
| ASSISTANT SECRETARY | 3.00 | 40.00 | Yes (X) | $0 | $963,570 | $53,648 | |||
| KATHERINE BACHER TO 1231 | |||||||||
| ASSISTANT TREASURER | 3.00 | 40.00 | Yes (X) | $0 | $866,306 | $77,904 | |||
| CATHERINE FRIERSON FROM 0101 | |||||||||
| CHIEF HUMAN RESOURCE OFFIC | 3.00 | 40.00 | $0 | $864,169 | $19,108 | Yes (X) | |||
| GRACE LINHARD FROM 0101 | |||||||||
| CHIEF DEVELOPMENT OFFICER | 3.00 | 40.00 | $0 | $602,893 | $20,473 | Yes (X) | |||
| MARK K HIRKO | |||||||||
| PRESIDENT (FROM 08/01) | 3.00 | 40.00 | Yes (X) | $0 | $529,997 | $77,677 | Yes (X) | ||
| PETER KELLY TO 0725 | |||||||||
| PRESIDENT | 3.00 | 40.00 | Yes (X) | $0 | $570,281 | $18,346 | Yes (X) | ||
| WAYNE MCNULTY FROM 0101 | |||||||||
| CHIEF COMPLIANCE OFFICER | 3.00 | 40.00 | $0 | $491,882 | $27,152 | Yes (X) | |||
| LAWRENCE S SCHEK | |||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0.00 | $430,012 | $0 | $49,869 | Yes (X) | |||
| ELISH C HOURIHAN | |||||||||
| VP PATIENT CARE SVCS/CNO | 40.00 | 0.00 | $295,897 | $0 | $20,135 | Yes (X) | |||
| KRYSTYNA KUCHTAR | |||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $182,206 | $0 | $37,771 | Yes (X) | |||
| LAURIE MUSCARI | |||||||||
| DIRECTOR MENTAL HEALTH SERVICES | 40.00 | 0.00 | $181,654 | $0 | $32,240 | Yes (X) | |||
| JULIE REGENBAUM | |||||||||
| DIRECTOR PHARMACY | 40.00 | 0.00 | $185,343 | $0 | $20,237 | Yes (X) | |||
| CHERYL BOOTH TO 1231 | |||||||||
| ASSISTANT SECRETARY | 3.00 | 40.00 | Yes (X) | $0 | $122,764 | $35,710 | |||
| KEIREN M FARQUHAR | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| KAREN FLEMING | |||||||||
| TRUSTEE/CHAIRMAN (TO 12/31) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JEFFREY J REDFIELD | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| WAYNE RYDER | |||||||||
| CHAIRMAN (FROM 01/01) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RAYMOND DURKIN TO 1231 | |||||||||
| TRUSTEE/ SECRETARY / TREASURER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LORETTA MOLINARI | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ROBERT WAEGELEIN | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHN PETER COLLINS | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MATTHEW T MARRONE | |||||||||
| VICE CHAIRMAN (FROM 01/01) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JERRY J KLEIN | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MARJORIE L KEITH | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| KENNETH KEARNEY | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ARUN AGARWAL MD TO 1231 | |||||||||
| TRUSTEE | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,275,112 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,330,720 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,466,493 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 184 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $269,728 | RelatedOrganizationsAmt |
| Government Grants | $226,900 | GovernmentGrantsAmt |
| All Other Contributions | $57,769 | AllOtherContributionsAmt |
| Noncash Contributions | $56,277 | NoncashContributionsAmt |
| Total Contributions | $554,397 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT SERVICE REV | 621400 | $58,982,619 | $58,982,619 |
| INPATIENT SERVICE REVE | 622110 | $50,468,002 | $50,468,002 |
| IP PSYCHIATRIC SERVICE | 622210 | $15,718,379 | $15,718,379 |
| COVID STIMULUS | 900099 | $12,285,119 | $12,285,119 |
| AFFILIATE RENTAL INCOM | 532000 | $163,386 | $163,386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $137,617,505 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $268,814 | TotalRevenueColumnAmt |
| Exclusion | $268,814 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,570,475 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,570,475 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,570,475 | TotalRevenueColumnAmt |
| Exclusion | $1,570,475 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,328,791 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,328,791 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,328,791 | TotalRevenueColumnAmt |
| Exclusion | $5,328,791 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $432,172 | $432,172 | |
| QUALITY INCENTIVE PROG | 900099 | $382,519 | $382,519 | |
| REFUNDS & REBATES | 900099 | $168,223 | $168,223 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,599,104 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,599,104 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,582,018 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $147,922,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $139,767,351 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,600,252 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,379,942 | TotalAmt |
| Program Services | $46,844,026 | ProgramServicesAmt |
| Management And General | $4,535,916 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,593,277 | TotalAmt |
| Program Services | $5,108,088 | ProgramServicesAmt |
| Management And General | $485,189 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,948,268 | TotalAmt |
| Program Services | $9,981,735 | ProgramServicesAmt |
| Management And General | $966,533 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,074,242 | TotalAmt |
| Program Services | $3,714,560 | ProgramServicesAmt |
| Management And General | $359,682 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,608 | TotalAmt |
| Management And General | $21,608 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,133 | TotalAmt |
| Management And General | $84,133 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,085 | TotalAmt |
| Program Services | $524,101 | ProgramServicesAmt |
| Management And General | $130,984 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,241,890 | TotalAmt |
| Program Services | $1,938,919 | ProgramServicesAmt |
| Management And General | $1,302,971 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,141 | TotalAmt |
| Program Services | $222,881 | ProgramServicesAmt |
| Management And General | $15,260 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,529,302 | TotalAmt |
| Program Services | $2,976,470 | ProgramServicesAmt |
| Management And General | $552,832 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,001 | TotalAmt |
| Program Services | $11,390 | ProgramServicesAmt |
| Management And General | $611 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,478 | TotalAmt |
| Program Services | $27,278 | ProgramServicesAmt |
| Management And General | $200 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $707,366 | TotalAmt |
| Program Services | $596,564 | ProgramServicesAmt |
| Management And General | $110,802 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,368,977 | TotalAmt |
| Program Services | $6,214,696 | ProgramServicesAmt |
| Management And General | $1,154,281 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,588,868 | TotalAmt |
| Program Services | $1,339,987 | ProgramServicesAmt |
| Management And General | $248,881 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $36,134,850 | $12,699,243 | $23,435,607 |
| MEDICAL SUPPLIES | $16,032,438 | $16,032,438 | |
| PHYSICIAN FEES | $10,050,079 | $10,050,079 | |
| MAINT & SRVC CONTRACTS | $2,265,797 | $1,674,740 | $591,057 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,354,369 | TotalAmt |
| Program Services | $727,858 | ProgramServicesAmt |
| Management And General | $1,626,511 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,308,111 | TotalAmt |
| Program Services | $120,685,053 | ProgramServicesAmt |
| Management And General | $35,623,058 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $983,678 | BOYAmt |
| EOY | $966,606 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,949,591 | BOYAmt |
| EOY | $20,968,769 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,006,827 | BOYAmt |
| EOY | $9,490,368 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,057,146 | BOYAmt |
| EOY | $5,581,904 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,899,688 | BOYAmt |
| EOY | $2,654,406 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $788,084 | BOYAmt |
| EOY | $823,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $201,525,764 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $139,737,405 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,786,777 | BOYAmt |
| EOY | $61,788,359 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,779,844 | BOYAmt |
| EOY | $52,257,527 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,599,958 | BOYAmt |
| EOY | $27,847,389 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,851,593 | BOYAmt |
| EOY | $182,378,405 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,429,335 | BOYAmt |
| EOY | $11,147,653 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,782,287 | BOYAmt |
| EOY | $20,734,621 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,533 | BOYAmt |
| EOY | $17,355 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,141,975 | BOYAmt |
| EOY | $60,809,344 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,404,130 | BOYAmt |
| EOY | $92,708,973 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,337,641 | BOYAmt |
| EOY | $81,696,485 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,109,822 | BOYAmt |
| EOY | $7,972,947 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,447,463 | BOYAmt |
| EOY | $89,669,432 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,851,593 | BOYAmt |
| EOY | $182,378,405 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$8,386,111 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,075,949 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,315,971 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $10,804 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $10,804 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $21,608 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B LINE 1I - LOBBYING ACTIVITIES | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE HEALTHCARE EDUCATION PROJECT DUES AND GREATER NY HOSPITAL ASSOCIATION DUES, PAID BY PUTNAM HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,975,272 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,033 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,983,305 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $817,473 | BeginningYearBalanceAmt |
| Contributions | $3,154,180 | ContributionsAmt |
| Investment Earnings Or Losses | $3,619 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,975,272 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $819,254 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,781 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $817,473 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $816,299 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,955 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $819,254 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $814,267 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,032 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $816,299 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,193,282 | OtherCostOrOtherBasisAmt |
| Book Value | $1,193,282 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $82,786,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,724,000 | DepreciationAmt |
| Book Value | $38,062,337 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,754,235 | OtherCostOrOtherBasisAmt |
| Depreciation | $92,917,881 | DepreciationAmt |
| Book Value | $13,836,354 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,791,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,095,524 | DepreciationAmt |
| Book Value | $8,696,386 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,788,359 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN FOUNDATION | $15,871,129 |
| DUE FROM RELATED PARTIES | $9,843,537 |
| INSURANCE RECEIVABLES | $1,149,268 |
| DSRF 2016A BONDS | $496,224 |
| MISCELLANEOUS RECEIVABLES | $487,231 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $27,847,389 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $26,965,594 |
| THIRD PARTY LIABILITIES | $19,891,706 |
| MED MALL INSURANCE | $6,157,685 |
| DUE TO RELATED PARTIES | $4,512,619 |
| FIN 47 LIABILITY | $3,228,561 |
| SECURITY DEPOSIT LIABILITY | $50,551 |
| CAPITAL LEASE LIABILITY | $2,628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $60,809,344 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL. |
| PART X, LINE 2: | AS OF SEPTEMBER 30, 2020, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,786,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,269,525 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,517,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,646,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,122,523 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,523,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,433,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,392,048 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,041,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07710 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 2910 | PersonsServedCnt |
| Total Community Benefit Expns | $24,952 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $461,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $206,553 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $254,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,676,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,998,973 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,677,624 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 2910 | PersonsServedCnt |
| Total Community Benefit Expns | $5,162,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,205,526 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,957,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 2910 | PersonsServedCnt |
| Total Community Benefit Expns | $27,596,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,597,574 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,998,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08970 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,687 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,687 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $251,178 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $48,435,616 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $75,285,051 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$26,849,435 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUTNAM HOSPITAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 STONELEIGH AVENUE | AddressLine1Txt |
| City | CARMEL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NUVANCEHEALTH.ORG | WebsiteAddressTxt |
| State License | 3950000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUTNAM HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V FOR URL | OwnWebsiteURLTxt |
| Other Website URL | SEE PART V FOR URL | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V FOR URL | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V FOR URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V FOR URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V FOR URL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PUTNAM HOSPITAL | PART V, SECTION B, LINE 5: HEALTHECONNECTIONS, THE LHDS AND HOSPITALS PARTNERED IN A COLLABORATIVE TO CREATE A REGIONAL SURVEY TO CONTRIBUTE TO THE COMMUNITY HEALTH ASSESSMENT AND INFORM FUTURE HEALTH IMPROVEMENT EFFORTS IN THE REGION. THE COLLABORATIVE DESIGNED THE SURVEY QUESTIONS TO COLLECT INFORMATION AROUND SEVERAL INITIATIVES AND PRIORITIES PUT FORWARD BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THESE INCLUDED THE PREVENTION AGENDA, THE EIGHT DOMAINS OF LIVABILITY, AND INCORPORATING HEALTHY AGING INTO HEALTH ACROSS ALL POLICIES. TO FURTHER SUPPLEMENT THE DATA COLLECTED FROM THE COMMUNITY, COLLABORATIVE MEMBERS HELD 12 FOCUS GROUPS WITH SERVICE PROVIDERS TO FURTHER UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS, AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH.IN NOVEMBER OF 2017, HEALTHECONNECTIONS HOSTED A MEETING WITH THE HOSPITALS, HEALTH SYSTEMS, PERFORMING PROVIDER SYSTEMS, AND LOCAL HEALTH DEPARTMENTS (LHD) TO DISCUSS THE BENEFITS OF COLLABORATING ON A REGIONAL CHA. THE LHDS THEN CONTRACTED WITH SIENA COLLEGE RESEARCH INSTITUTE (SCRI) IN DECEMBER OF 2017 TO CONDUCT A RANDOM SAMPLE COMMUNITY HEALTH SURVEY OF THE MID-HUDSON REGION IN 2018 TO ASSESS THE HEALTH STATUS AND CONCERNS OF ITS RESIDENTS. LHDS AND HOSPITALS CONTINUED TO COLLABORATE AND MEET REGULARLY THROUGHOUT 2018 AND 2019. THEY WORKED COLLABORATIVELY TO COMPLETE THE REGIONAL CHA, WHICH WAS USED IN PREPARATION FOR THEIR COMMUNITY SERVICE PLANS (CSPS). ADDITIONALLY, THESE MEETINGS PROVIDE A FORUM TO DISCUSS REGIONAL INTERVENTIONS TO TARGET PRIORITY AREAS AND IMPROVE POPULATION HEALTH.ALTHOUGH THE MID-HUDSON REGION COMMUNITY HEALTH SURVEY COLLECTED RESPONSES FROM A RANDOMIZED SAMPLE OF OVER 5,000 HUDSON VALLEY RESIDENTS, THERE ARE SOME POPULATIONS THAT MAY NOT BE FULLY ACCOUNTED FOR IN THIS SURVEY. SOME OF THESE UNDERREPRESENTED POPULATIONS INCLUDE THOSE WHO ARE LOW-INCOME, VETERANS, SENIORS, PEOPLE EXPERIENCING HOMELESSNESS, LGBTQ MEMBERS, AND PEOPLE WITH A MENTAL HEALTH DIAGNOSIS. IN ORDER TO ENSURE THAT THE NEEDS OF THESE POPULATIONS WERE MET, FOCUS GROUPS WERE CONDUCTED WITH PROVIDERS THAT SERVE THESE POPULATIONS IN EACH OF THE SEVEN COUNTIES. THE TERM "PROVIDERS" REFERS TO THOSE WHO OFFER SERVICES, SUCH AS MENTAL HEALTH SUPPORT, VOCATIONAL PROGRAMS, AND PROGRAMS FOR UNDERSERVED POPULATIONS. THE REASON FOR DOING FOCUS GROUPS WITH PROVIDERS, RATHER THAN DIRECTLY SURVEYING THE TARGET POPULATIONS THROUGH CONVENIENCE SAMPLING, WAS THAT A CONVENIENCE SAMPLE RISKS ONLY ACCOUNTING FOR THOSE WHO ARE ALREADY ACCESSING SERVICES AND CARE. THE HOPE IN SURVEYING PROVIDERS WAS THAT THEY WOULD HAVE AN IDEA OF WHAT OBSTACLES AND BARRIERS THESE POPULATIONS FACE WHEN ACCESSING SERVICES. BEFORE THE FOCUS GROUPS TOOK PLACE, A SURVEY WAS SENT OUT TO PROVIDERS WITHIN EACH COUNTY IN ORDER TO SUPPLY ADDITIONAL INSIGHT AROUND LOCAL FACTORS INFLUENCING COMMUNITY HEALTH. THIS SURVEY COVERED SEVERAL TOPICS, INCLUDING THE POPULATIONS THE PROVIDERS SERVE; THE ISSUES THAT AFFECT HEALTH IN THE COMMUNITIES THEY SERVE; BARRIERS TO PEOPLE ACHIEVING BETTER HEALTH; AND INTERVENTIONS THAT ARE USED TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. IN THE MID-HUDSON REGION, 12 FOCUS GROUPS WERE CONDUCTED WITH VARIOUS SERVICE PROVIDERS. THE PARTICIPATING PROVIDERS SERVE A VARIETY OF CLIENTS, INCLUDING CHILDREN, ADULTS WITH DISABILITIES, LOW-INCOME INDIVIDUALS, AND PEOPLE WITH SUBSTANCE USE DISORDERS. WHEN LOOKING AT DATA FROM THE MID-HUDSON REGION AS A WHOLE, THE TOP THREE ISSUES THAT PROVIDERS FELT AFFECTED HEALTH IN THEIR COMMUNITIES WERE ACCESS TO AFFORDABLE, DECENT, AND SAFE HOUSING; ACCESS TO MENTAL HEALTH PROVIDERS; AND ACCESS TO AFFORDABLE, RELIABLE TRANSPORTATION. THE TOP THREE BARRIERS PROVIDERS FELT PREVENTED PEOPLE FROM ACHIEVING BETTER HEALTH IN THEIR COMMUNITIES WERE KNOWLEDGE OF EXISTING RESOURCES, HEALTH LITERACY, AND DRUG AND/OR ALCOHOL USE. MENTAL HEALTH AND SUBSTANCE USE ISSUES, CHRONIC DISEASES, AND HEALTH DISPARITIES WERE THOUGHT TO HIGHLY IMPACT THESE SPECIFIC POPULATIONS IN THE MID-HUDSON REGION. THESE DATA POINTS REFLECT THE MAJORITY OF RESPONSES FROM EACH INDIVIDUAL FOCUS GROUP CONDUCTED IN EACH COUNTY. IN DUTCHESS COUNTY, 48 RESPONSES WERE COLLECTED FROM PROVIDERS THAT SERVE VARIOUS POPULATIONS [SEE APPENDIX C]. THE DUTCHESS COUNTY DEPARTMENT OF BEHAVIORAL & COMMUNITY HEALTH (DBCH), ALONG WITH HEALTHECONNECTIONS, CONDUCTED TWO FOCUS GROUPS. ONE TOOK PLACE THROUGH THE DUTCHESS B.A.T. (BRINGING AGENCIES TOGETHER) COALITION, AND THE OTHER TOOK PLACE THROUGH THE EASTERN DUTCHESS RURAL HEALTH NETWORK. SEVERAL AGENCIES WERE REPRESENTED IN BOTH MEETINGS, AND THE DISCUSSION WAS CENTERED AROUND THE SURVEY QUESTIONS THAT WERE DISTRIBUTED PRIOR TO THE FOCUS GROUP.IN PUTNAM COUNTY, TWO FOCUS GROUPS WERE HELD WHERE 13 RESPONSES WERE COLLECTED FROM PROVIDERS THAT SERVE VARIOUS POPULATIONS. THE FIRST FOCUS GROUP WAS HELD WITH NINE AGENCIES OF THE COMMUNITY RESOURCE GROUP. THIS GROUP FOCUSES ON IDENTIFYING GAPS IN ACCESS TO CARE AND RESOURCES ISSUES FOR THE BREWSTER COMMUNITY, AS A WHOLE, WITH MORE ATTENTION ON THE IMMIGRANT POPULATION. THE SECOND FOCUS GROUP WAS HELD WITH 15 AGENCIES OF THE MENTAL HEALTH PROVIDER GROUP. THIS GROUP IS A FORUM FOR BEHAVIORAL HEALTH PARTNERS TO IDENTIFY GAPS IN SERVICES, DISCUSS ISSUES, AND IDENTIFY SOLUTIONS. SEVERAL AGENCIES WERE REPRESENTED IN THIS MEETING, AND THE DISCUSSION WAS CENTERED AROUND THE SURVEY QUESTIONS THAT WERE DISTRIBUTED PRIOR TO THE FOCUS GROUP.THE CHNA, INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY SERVICE PLAN, WAS APPROVED BY THE PUTNAM HOSPITAL BOARD OF TRUSTEES ON DECEMBER 4, 2019. THE COMMUNITY SERVICE PLAN WAS ALSO APPROVED ON DECEMBER 4, 2019.A COPY OF THE SURVEY ADMINISTERED AND DETAILED FOCUS GROUP RESPONSES CAN BE FOUND IN THE 2019 CHNA FOUND HERE: HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT. |
| PUTNAM HOSPITAL | PART V, SECTION B, LINE 6A: SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON REGION, INCLUDING DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER AND WESTCHESTER COUNTIES, AND HEALTHECONNECTIONS CREATED THE LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE WITH THE GOAL OF CREATING THE FIRST REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. SHORTLY AFTER, THE COLLABORATIVE GAINED THE SUPPORT OF 17 LOCAL HOSPITALS. THE HOSPITAL SYSTEMS OR FACILITIES INCLUDED: BON SECOURS CHARITY HEALTH SYSTEM, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; CATSKILL REGIONAL MEDICAL CENTER, A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM; HEALTHALLIANCE HOSPITAL, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; MONTEFIORE HUDSON VALLEY COLLABORATIVE; MONTEFIORE NYACK HOSPITAL; MONTEFIORE ST. LUKE'S CORNWALL; ORANGE REGIONAL MEDICAL CENTER, A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM; ST. JOSEPH'S MEDICAL CENTER; AND THE HOSPITALS OF NUVANCE HEALTH. |
| PUTNAM HOSPITAL | PART V, SECTION B, LINE 6B: SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON REGION AND HEALTHECONNECTIONS CREATED THE LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE WITH THE GOAL OF CREATING THE FIRST REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. 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.PUTNAM HOSPITAL:PART V, SECTION B, LINE 7A & 7C: THE MOST RECENTLY COMPLETED CHNA WAS MADE AVAILABLE ON THE FOLLOWING:NUVANCE HEALTH WEBSITE:WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFITTHE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY. |
| PUTNAM HOSPITAL | PART V, SECTION B, LINE 7D: THE CHNA WAS ALSO PRINTED AND DISTRIBUTED THROUGHOUT THE HOSPITAL, INCLUDING THE MAIN LOBBY, PATIENT WAITING AREAS AND HOSPITAL ADMINISTRATION OFFICES. IT IS ALSO AVAILABLE BY REQUEST IN THE HEALTH QUEST ADMINISTRATIVE OFFICES.PUTNAM HOSPITAL:PART V, SECTION B, LINE 10A: MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY TO MEET THE SIGNIFICANT COMMUNITY HEALTH NEEDS CAN BE FOUND AT:HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT |
| PUTNAM HOSPITAL | PART V, SECTION B, LINE 11: EACH NUVANCE HEALTH HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE (CHNC) WITH REPRESENTATION FROM BOARD MEMBERS, THE EXECUTIVE TEAM, HOSPITAL STAFF, COMMUNITY MEMBERS AND REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENTS AND COMMUNITY AGENCIES. THE CHNC'S AT PUTNAM HOSPITAL CONVENED WORKGROUPS TO REVIEW THE FINDINGS OF THE REGIONAL COMMUNITY HEALTH ASSESSMENT AND REVIEW THE LOCAL HEALTH DEPARTMENT PRIORITY AREAS IN ORDER TO DETERMINE THEIR PREVENTION AGENDA PRIORITIES FOR THE 2019-2021 PERIOD. PUTNAM HOSPITAL CONFIRMED THE FOLLOWING TWO PRIORITIES TO ALIGN WITH THE LOCAL HEALTH DEPARTMENT PRIORITIES:1. PREVENT CHRONIC DISEASES2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSTHE WORKGROUPS DEVELOPED GOALS, OBJECTIVES, STRATEGIES ACTION STEPS AND METRICS TO MEASURE SUCCESS FOR THESE PRIORITY AREAS. PUTNAM HOSPITAL'S IMPLEMENTATION PLAN INCLUDED: PUTNAM HOSPITAL FARMER'S MARKET TO PROVIDE ACCESS TO FRESH FRUITS, VEGETABLES AND LOCAL FOODS TO EMPLOYEES AND COMMUNITY MEMBERS. THE MARKET WAS HALTED DURING 2020 DUE TO COVID.TAI CHI FOR ARTHRITIS TEACHES FLEXIBILITY EXERCISES TO HELP REDUCE PAIN AND STIFFNESS AND IMPROVE MOBILITY. IN-PERSON CLASSES WERE HALTED DURING COVID. OFFERING MEDICATION ASSISTED TREATMENT (MAT) TRAINING TO PHYSICIANS. THIS TRAINING ALLOWS PROVIDERS TO APPLY TO THE DEA FOR WAIVERS TO PRESCRIBE BUPRENORPHINE, A MEDICATION APPROVED BY THE FDA FOR TREATMENT OF OPIOID DISORDER. ONLY ONE VIRTUAL SESSION WAS OFFERED IN 2020, WITH LOW ATTENDANCE DUE TO PHYSICIANS HAVING COMPETING PANDEMIC PRIORITIES. DEVELOPMENT OF AN OPIOD STEWARDSHIP PROGRAM TO ENCOURAGE REDUCTION IN OPIOID USE AS THE FIRST-LINE OF TREATMENT, TRAINING OF PROVIDERS AND ESTABLISHMENT OF A REFERRAL BASE. PARTICIPATE IN THE NATIONAL DRUG TAKE-BAKE DAYS TO REDUCE THE QUANTITY OF OPIOIDS AVAILABLE ON THE STREETS AND PROVIDE SAFE DISPOSAL OPTIONS FOR COMMUNITY MEMBERS. NARCAN TRAINING FOR THE COMMUNITY. THIS TRAINING EXPLAINS HOW NALOXONE WORKS TO REVERSE AN OVERDOSE, WHAT TO DO WHEN AN OVERDOSE IS SUSPECTED AND HOW AND WHEN TO ADMINISTER THE MEDICATION. THIS TRAINING WAS PUT ON HOLD AT THE HOSPITALS IN 2020 DUE TO COVID.THROUGH DISCUSSIONS WITH COMMUNITY PARTNERS, ADDITIONAL PREVENTION AGENDA PRIORITIES WERE IDENTIFIED AS PRIORITIES FOR EACH COUNTY. WHILE SOME OF THESE NEEDS ARE BEING MET BY OTHER NUVANCE HEALTH PROGRAMS, OTHERS ARE BEING ADDRESSED BY THE MANY VALUABLE COMMUNITY ORGANIZATIONS AND HEALTH CARE PARTNERS IN THE COMMUNITY. PUTNAM COUNTY FOCUS AREA NOT SELECTED:TOBACCO PREVENTION. PUTNAM HOSPITAL CURRENTLY ADDRESSES THIS WITH SMOKING CESSATION CLASSES, SCREENING QUESTIONS IN THE PATIENT ELECTRONIC MEDICAL RECORD, REFERRALS TO THE NYS QUITLINE, A LOW-COST LUNG SCREENING PROGRAM AND EDUCATIONAL PROGRAMS. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - INCREASE ACCESS TO PEER AND PROFESSIONAL BREASTFEEDING SUPPORT BY CREATING DROP-IN CENTERS IN FAITH-BASED, COMMUNITY-BASED OR HEALTH CARE ORGANIZATIONS IN COMMUNITIES. PUTNAM HOSPITAL WILL CONTINUE TO OFFER BREASTFEEDING SUPPORT AND SUPPORT GROUPS TO THE COMMUNITYPROMOTE A HEALTHY AND SAFE ENVIRONMENT PROTECT VULNERABLE WATERBODIES TO REDUCE POTENTIAL PUBLIC HEALTH RISKS ASSOCIATED WITH EXPOSURE TO RECREATIONAL WATER. PUTNAM HOSPITAL CANNOT DIRECTLY IMPACT THIS PRIORITY.PUTNAM HOSPITAL:PART V, LINES 16A, B & C: FINANCIAL ASSISTANCE POLICY ("FAP"), FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS MADE AVAILABLE ON THE FOLLOWING LINKS:HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PHC OUTPATIENT REHABILITATION SERVICES | ||||
| 2985 NAVAJO ROAD | YORKTOWN | NY | 10598 | OUTPATIENT REHABILITATION SERVICES |
| 2 - PHC OP REHAB CENTER - PAWLING | ||||
| 551 ROUTE 22 | PAWLING | NY | 12564 | OUTPATIENT REHABILITATION SERVICES |
| 3 - PHC OP REHAB SVCS - KATONAH SATELLITE | ||||
| 160 HARRIS ROAD | BEDFORD HILLS | NY | 10507 | OUTPATIENT REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS REPORTED ON A NETWORK BASIS AND WAS PREPARED BY A RELATED ORGANIZATION, HEALTH QUEST SYSTEMS, INC (EIN: 14-1678068). |
| PART I, LINE 7: | THE COST TO CHARGE RATIO PERCENTAGE, BASED ON THE MEDICARE COST REPORT, WAS USED AS THE COSTING METHODOLOGY IN DETERMINING THE AMOUNTS REPORTED. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | PH OFFERS THE EXPERTISE OF OUR STAFF AND RESOURCES OF THE HOSPITAL IN A NUMBER OF COMMUNITY-BUILDING ACTIVITIES THAT IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITY. PUTNAM HOSPITAL PARTICIPATES IN THE COMMUNITIES THAT CARE COALITION (CTC). CTC INCLUDES ALL SECTORS OF THE COMMUNITY (HEALTH CARE, FAMILIES, SCHOOLS, LAW ENFORCEMENT, BUSINESSES, ETC.) AND TAKES A PROACTIVE, DATA-DRIVEN APPROACH TO IDENTIFY AND PRIORITIZE AREAS NEEDING INTERVENTIONS. STAFF ALSO SIT ON THE BOARD OF THE PREVENTION COUNCIL OF PUTNAM COUNTY WHICH IS DEDICATED TO PROMOTING EDUCATION AND AWARENESS RELATED TO SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TO THE RESIDENTS OF PUTNAM COUNTY, BY PROVIDING THE COMMUNITY WITH UP TO DATE INFORMATION AND SERVICES RELATED TO PREVENTION, TREATMENT AND RECOVERY. PH WAS ALSO A FOUNDING MEMBER OF A COUNTY-WIDE FALLS PREVENTION TASK FORCE THAT BROUGHT TOGETHER MANY COUNTY RESOURCES TO ADDRESS ISSUES IN THE AGING POPULATION. |
| PART III, SECTION A, LINE 2 | PH 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. |
| PART III, SECTION A, LINE 3 | PH 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. |
| PART III, SECTION A, LINE 4 | FOOTNOTE ON AUDITED FINANCIALS. THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 22-26 OF THE NUVANCE HEALTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. |
| PART III, SECTION B, 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 THE MEDICARE COST REPORT. |
| PART III, SECTION C, LINE 9B | BEFORE A DELINQUENT ACCOUNT WAS REFERRED TO A COLLECTION AGENCY, THE ACCOUNT WAS REVIEWED TO DETERMINE WHETHER THE PATIENT QUALIFIED FOR CHARITY CARE, OR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY. IF IT WAS DETERMINED THAT THE PATIENT WAS ELIGIBLE FOR CHARITY CARE, OR FINANCIAL ASSISTANCE, THE ACCOUNT WAS ADJUSTED TO CHARITY, AND WAS NOT PURSUED WITH A COLLECTION AGENCY. IF A PATIENT APPEALLED THE DETERMINATION, THE ACCOUNT WAS NOT REFERRED TO A COLLECTION AGENCY UNTIL A FINAL DETERMINATION HAD BEEN MADE WITH RESPECT TO THE APPEAL. PATIENTS STILL HAD THE OPPORTUNITY TO APPLY FOR A DISCOUNT UNDER THE CHARITY CARE POLICY EVEN AFTER THE ACCOUNT HAD BEEN SENT TO A COLLECTION AGENCY. |
| PART VI, LINE 2: | IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE THAT MEETS REGULARLY TO ACCESS 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. |
| PART VI, LINE 3: | THE HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. ALSO, SIGNS ARE POSTED THROUGHOUT THE HOSPITAL AND COUNSELORS ARE AVAILABLE TO PROVIDE FURTHER ASSISTANCE. ALL UNINSURED INPATIENTS ARE INTERVIEWED BY FINANCIAL COUNSELORS AND ASSESSED FOR ELIGIBILITY FOR ASSISTANCE PROGRAMS. THE HOSPITAL PROVIDES INFORMATIONAL HANDOUTS TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION WHICH REFERS THEM TO FINANCIAL COUNSELING IF THEY WOULD LIKE ASSISTANCE WITH THEIR BILLS. FURTHER, THE HOSPITAL MAILS NOTICES TO ALL SELF-PAY ACCOUNTS REFERRING THEM TO FINANCIAL COUNSELING IF THEY NEED ASSISTANCE. THE COLLECTION DEPARTMENT WILL ALSO REFER PATIENTS TO FINANCIAL COUNSELING WHEN A PATIENT INDICATES THAT THEY CANNOT AFFORD THEIR BALANCES; AND FINALLY, SCHEDULERS REFER UNINSURED PATIENTS TO FINANCIAL COUNSELING PRIOR TO THEIR TEST OR PROCEDURE. THE POLICY AND APPLICATIONS FOR ASSISTANCE ARE ALSO AVAILABLE ONLINE, AS WELL AS UPON REQUEST AT THE HOSPITAL. |
| PART VI, LINE 4: | PUTNAM HOSPITAL (PH) IS A 164-BED, ACUTE CARE HOSPITAL OFFERING MEDICAL, SURGICAL, PSYCHIATRIC AND 24-HOUR EMERGENCY SERVICES. AS THE ONLY HOSPITAL IN PUTNAM COUNTY, PUTNAM HOSPITAL HAS BEEN SERVING THE NEEDS OF PUTNAM, NORTHERN WESTCHESTER AND SOUTHERN DUTCHESS COUNTIES SINCE 1964. EIGHTY PERCENT OF PH'S PATIENT POPULATION COMES FROM THE EASTERN HALF OF PUTNAM, WITH THE SERVICE AREA EXTENDING NORTH TO THE SOUTHEAST CORNER OF DUTCHESS COUNTY AND SOUTH TO SELECT BORDERING ZIP CODES IN NORTHERN WESTCHESTER COUNTY. THE OVERALL POPULATION IN THE PH SERVICE AREA IS 164,304 AND PROJECTED TO STAY STEADY THROUGH 2025. FOR THE FIRST TIME IN MANY YEARS, FEMALES OF CHILD-BEARING YEARS (15-44) IS EXPECTED TO GROW THROUGH 2025 (2.3%) THE AVERAGE HOUSEHOLD INCOME IN THE PUTNAM HOSPITAL SERVICE AREA IS $151,609. A HIGH SCHOOL DIPLOMA OR GED IS THE HIGHEST LEVEL OF EDUCATION COMPLETED BY 25.7% OF THE SERVICE AREA AGE 25 AND OLDER. (SOURCE: THE CLARITAS COMPANY). ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, THE DUTCHESS COUNTY/PUTNAM COUNTY REGION HAD AN UNEMPLOYMENT RATE OF 5.5% IN DECEMBER OF 2020, AFTER A HIGH OF 15.4% DURING THE COVID-19 PANDEMIC. APPROXIMATELY 5% OF THE POPULATION IN PUTNAM COUNTY ARE LIVING IN POVERTY (CENSUS.GOV 2015-2019). APPROXIMATELY 3% OF PH'S MARKET ARE UNINSURED, WHILE MEDICAID (15%), MEDICARE (19%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (63%). (SOURCE: THE CLARITAS COMPANY, 2021). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), THERE ARE NO MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN PUTNAM COUNTY. |
| PART VI, LINE 5: | PH IS A 164-BED, ACUTE CARE COMMUNITY HOSPITAL OFFERING MEDICAL, SURGICAL, PSYCHIATRIC AND 24-HOUR EMERGENCY SERVICES. PH PROVIDES A COMPREHENSIVE RANGE OF INPATIENT AND OUTPATIENT SERVICES OFFERED THROUGH VARIOUS SPECIALTY DEPARTMENTS THAT INCLUDE ADVANCED ORTHOPEDIC, ROBOTIC AND BARIATRIC SURGERIES; NEUROSCIENCES INCLUDING MINIMALLY-INVASIVE SPINAL SURGERIES, STROKE CARE AND A SLEEP DISORDERS LAB; A BLOOD MANAGEMENT PROGRAM; PSYCHIATRIC CARE INCLUDING A PARTIAL-HOSPITALIZATION PROGRAM; A COMPREHENSIVE CANCER PROGRAM; MATERNITY; 24/7 EMERGENCY CARE; THE CENTER FOR WOUND HEALING, PH SLEEP DISORDERS CENTER AND FOUR OUTPATIENT PHYSICAL REHABILITATION SATELLITE FACILITIES. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS WHO LIVE AND WORK IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE FACILITY. IT ALSO OWNS MEDICAL OFFICE SPACE ON ITS PREMISES WITH SPACE FOR DOCTORS. ANY MEMBER OF ITS ACTIVE MEDICAL STAFF HAS THE PRIVILEGE OF LEASING AVAILABLE OFFICE SPACE. RENT IS DERIVED FROM A FAIR MARKET VALUE ANALYSIS PROVIDED BY AN INDEPENDENT PARTY. THE HOSPITAL OPERATES A 24 HOUR EMERGENCY ROOM WHERE NO ONE REQUIRING MEDICAL ATTENTION IS DENIED CARE. ANY INCOME OVER EXPENSES IS REINVESTED INTO THE HOSPITAL, ITS STAFF AND THE COMMUNITY. PH REALIZES THIS IS NECESSARY TO ACHIEVE AND MAINTAIN HIGH QUALITY STANDARDS, KEEP UP WITH THE RAPID ADVANCEMENT IN TECHNOLOGY, PROVIDE START-UP CAPITAL FOR NEW PROGRAMS, AND EXPAND EXISTING FACILITIES AND PROGRAMS IN ORDER TO PROVIDE QUALITY CARE TO THE COMMUNITY. |
| PART VI, LINE 6: | 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, A SKILLED NURSING HOME AND REHABILITATION FACILITY AND TELEHEALTH VISITS. FOR FY2020, THE NETWORK PROVIDED APPROXIMATELY $42,588,000 IN TOTAL CHARITY CARE.DANBURY HOSPITAL, ITS NEW MILFORD HOSPITAL CAMPUS AND NORWALK HOSPITAL PROVIDE MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE NETWORK'S MISSION STATEMENT, AS NOTED ABOVE, FOR 2020, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, $9,613,000, DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, $15,928,000.ALL HOSPITALS NOTED ABOVE HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS THEY CAN JOIN THE MEDICAL STAFF. NUVANCE HEALTH MEDICAL PRACTICE CT, INC. (NHMPCT): THE MISSION OF NHMPCT IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE COMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO THEIR PATIENTS' NEEDS. THEY SUPPORT A COMMITMENT TO ADVANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS IN THEIR COMMUNITY BY DELIVERING QUALITY CARE, PARTICIPATING IN MEDICAL RESEARCH AND MEDICAL RESIDENCY PROGRAMS AND THE PROVISION OF MEDICAL SERVICES TO PATIENTS. FOR 20120 THEY PROVIDED APPROXIMATELY $2,051,000 IN CHARITY CARE.DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION INC. (DH/NMHF): DH/NMHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS AND OTHER DANBURY NOT-FOR-PROFIT HEALTH CARE AFFILIATES.NORWALK HOSPITAL FOUNDATION (NHF): NHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO NORWALK HOSPITAL AND OTHER NOT-FOR-PROFIT NORWALK HOSPITAL AFFILIATES.WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. (WCHNA): WCHNA'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. FOR 2020, WCHNA PROVIDED APPROXIMATELY $57,000 IN CHARITY CARE.WESTERN CONNECTICUT HOME CARE, INC. (WCHC): WCHC PROVIDES STATE OF THE ART CLINICAL SERVICES RANGING FROM PEDIATRIC PATIENTS TO THE ELDERLY UTILIZING BEST PRACTICE IN HOME CARE TO MEET THE NEEDS OF THEIR PATIENTS. FOR 2020, WCHC PROVIDED APPROXIMATELY $48,000 IN CHARITY CARE.EASTERN NEW YORK MEDICAL SERVICES, P.C. (ENYMS): THE MISSION AT ENYMS IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND GASTROENTEROLOGY HEALTH CARE IN THE COMMUNITIES WE SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS' NEEDS. EASTERN NEW YORK MEDICAL SERVICES, PC. PROVIDED APPROXIMATELY $2,000 IN CHARITY CARE.VASSAR BROTHERS MEDICAL CENTER (VBMC) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIEND SERVICES FOR RESIDENTS OF MID-HUDSON VALLEY. VBMC PROVIDED APPROXIMATELY $9,577,000 IN CHARITY CARE.THE FOUNDATION OF VBMC'S PRINCIPAL ACTIVITY IS THE SOLICITATION, RECEIPT, HOLDING, INVESTMENT AND ADMINISTRATION OF CONTRIBUTION ON BEHALF OF VBMC.PUTNAM HOSPITAL (PH) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY. PHC PROVIDED APPROXIMATELY $1,793,000 IN CHARITY CARE.PUTNAM HOSPITAL CENTER FOUNDATION ACTIVELY SOLICITS CONTRIBUTIONS FROM THE PUBLIC THROUGH DIRECT MAILINGS, FUND-RAISING PROGRAMS AND OTHER ACTIVITIES.NORTHERN DUTCHESS HOSPITAL (NDH) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY. NDH PROVIDED APPROXIMATELY $1,829,000 IN CHARITY CARE.NORTHERN DUTCHESS HOSPITAL FOUNDATION (NDH) FOUNDATION ACTIVELY SOLIICITS CONTRIBUTIONS FROM THE PUBLIC THROUGH DIRECT MAILINGS, FUND-RAISING PROGRAMS AND OTHER ACTIVITIES.VASSAR HEALTH CT, INC DBA SHARON HOSPITAL (SH) PROVIDES GENERAL ACUTE CARE WITH A RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS IN THE NORTHWEST CONNECTICUT COMMUNITY. SH PROVIDED APPROXIMATELY $996,000 IN CHARITY CARE.NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY OPERATES AND MAINTAINS A RESIDENTIAL HEALTHCARE FACILITY FOR THE CARE AND TREATMENT OF PERSONS WHO REQUIRE MEDICAL CARE AND RELATED SERVICES. NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY PROVIDED APPROXIMATELY $125,000 IN CHARITY CARE.NUVANCE HEALTH MEDICAL PRACTICE, PC IS THE BENEFICIAL OWNER OF VARIOUS PHYSICIAN PRACTICES THAT PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY AND IN THE NORTHWEST CONNECTICUT COMMUNITY. NUVANCE HEALTH MEDICAL PRACTICE, PC PROVIDED APPROXIMATELY $157,000 IN CHARITY CARE.HUDSON VALLEY CARDIOVASCULAR PRACTICE (HVCP) PROVIDES INVASIVE AND NONINVASIVE CARDIOVASCULAR, DIAGOSTIC AND THERAPEUTIC SERVICES AND IS LOCATED THROUGHOUT THE MID-HUDSON VALLEY AND NORTHWEST CONNECTICUT COMMUNITY. HUDSON VALLEY CARDIOVASCULAR PRACTICE PROVIDED APPROXIMATELY $301,000 IN CHARITY CARE.HEALTH QUEST HOME CARE, INC WAS FORMED TO OPERATE A HOME HEALTH CARE SERVICE BUSINESS SERVING RESIDENTS OF THE MID-HUDSON VALLEY. HEALTH QUEST HOME CARE PROVIDED APPROXIMATELY $111,000 IN CHARITY CARE.WELLS MANOR HOUSING DEVELOP. FUND CORP. IS A PRIVATE FOUNDATION. WELLS MANOR OPERATES AN APARTMENT COMPLEX OF 75 UNITS UNDER SECTION 202 OF THE NATIONAL HOUSING ACT OF 1959 AND SECTION 8 OF THE NATIONAL HOUSING ACT OF 1937, REGULATED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT.ALAMO AMBULANCE SERVICES, INC'S ASSETS WERE SOLD IN SEPTEMBER, 2009; HOWEVER, IT HAS MAINTAINED ITS LICENSE TO PROVIDE TRANSPORT AND EMERGENCY MEDICAL SERVICES TO SICK, DISABLED, OR INJURED PERSONS, GENERALLY WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES, NEW YORK. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY,CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT FRIEDBERG TO 1211 | ||||||||||||||
| HQ PRESIDENT & CEO | $0 | $1,191,104 | $0 | $1,185,317 | $0 | $21,612 | $0 | $108,647 | $0 | $41,680 | $0 | $2,548,360 | $0 | $0 |
| STEVEN H ROSENBERG FROM 0101 | ||||||||||||||
| TREASURER | $0 | $653,858 | $0 | $532,200 | $0 | $343,141 | $0 | $605,000 | $0 | $39,898 | $0 | $2,174,097 | $0 | $311,957 |
| MICHAEL HOLZHUETER TO 1211 | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $644,775 | $0 | $650,552 | $0 | $26,888 | $0 | $67,893 | $0 | $39,339 | $0 | $1,429,447 | $0 | $0 |
| KERRY EATON FROM 1211 | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $651,644 | $0 | $291,322 | $0 | $126,445 | $0 | $72,427 | $0 | $1,339 | $0 | $1,143,177 | $0 | $0 |
| CAROLYN MCKENNA FROM 0101 | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $467,018 | $0 | $489,986 | $0 | $6,566 | $0 | $13,750 | $0 | $39,898 | $0 | $1,017,218 | $0 | $0 |
| KATHERINE BACHER TO 1231 | ||||||||||||||
| ASSISTANT TREASURER | $0 | $559,300 | $0 | $206,882 | $0 | $100,124 | $0 | $73,780 | $0 | $4,124 | $0 | $944,210 | $0 | $0 |
| CATHERINE FRIERSON FROM 0101 | ||||||||||||||
| CHIEF HUMAN RESOURCE OFFIC | $0 | $433,583 | $0 | $427,792 | $0 | $2,794 | $0 | $13,750 | $0 | $5,358 | $0 | $883,277 | $0 | $0 |
| GRACE LINHARD FROM 0101 | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $0 | $348,637 | $0 | $226,500 | $0 | $27,756 | $0 | $16,500 | $0 | $3,973 | $0 | $623,366 | $0 | $0 |
| MARK K HIRKO | ||||||||||||||
| PRESIDENT (FROM 08/01) | $0 | $479,629 | $0 | $38,875 | $0 | $11,493 | $0 | $33,600 | $0 | $44,077 | $0 | $607,674 | $0 | $0 |
| PETER KELLY TO 0725 | ||||||||||||||
| PRESIDENT | $0 | $431,282 | $0 | $70,742 | $0 | $68,257 | $0 | $16,800 | $0 | $1,546 | $0 | $588,627 | $0 | $0 |
| WAYNE MCNULTY FROM 0101 | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $0 | $301,969 | $0 | $185,000 | $0 | $4,913 | $0 | $13,226 | $0 | $13,926 | $0 | $519,034 | $0 | $0 |
| LAWRENCE S SCHEK | ||||||||||||||
| VP MEDICAL AFFAIRS | $399,047 | $0 | $20,005 | $0 | $10,960 | $0 | $16,800 | $0 | $33,069 | $0 | $479,881 | $0 | $0 | $0 |
| ELISH C HOURIHAN | ||||||||||||||
| VP PATIENT CARE SVCS/CNO | $281,271 | $0 | $12,337 | $0 | $2,289 | $0 | $18,676 | $0 | $1,459 | $0 | $316,032 | $0 | $0 | $0 |
| KRYSTYNA KUCHTAR | ||||||||||||||
| REGISTERED NURSE | $181,753 | $0 | $0 | $0 | $453 | $0 | $14,324 | $0 | $23,447 | $0 | $219,977 | $0 | $0 | $0 |
| LAURIE MUSCARI | ||||||||||||||
| DIRECTOR MENTAL HEALTH SERVICES | $174,303 | $0 | $4,488 | $0 | $2,863 | $0 | $0 | $0 | $32,240 | $0 | $213,894 | $0 | $0 | $0 |
| JULIE REGENBAUM | ||||||||||||||
| DIRECTOR PHARMACY | $181,624 | $0 | $3,143 | $0 | $576 | $0 | $5,619 | $0 | $14,618 | $0 | $205,580 | $0 | $0 | $0 |
| CHERYL BOOTH TO 1231 | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $122,764 | $0 | $0 | $0 | $0 | $0 | $7,375 | $0 | $28,335 | $0 | $158,474 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | PHC RELIED ON HEALTH QUEST SYSTEMS, A RELATED TAX EXEMPT ORGANIZATION, WHICH USED AN EXECUTIVE COMPENSATION COMMITTEE, AN INDEPENDENT THIRD PARTY, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES AND, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANANGEMENT AND OTHER KEY EMPLOYEES. |
| PART I, LINE 4B | WESTERN CONNECTICUT HEALTH NETWORK (WCHN), A RELATED ORGANIZATION, PREVIOUSLY ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR THE SERP, AMOUNTS PROMISED TO ELIGIBLE EXECUTIVES ARE BASED ON TARGETED RETIREMENT BENEFITS AND THE PAYMENT OF BENEFITS IS SUBJECT TO VESTING. THE BENEFITS AT THE VESTED AGE ARE PROVIDED IN THE FORM OF AN ACTUARIAL EQUIVALENT LUMP SUM PLUS A TAX GROSS-UP AMOUNT TO THE PARTICIPANTS. WCHN MAINTAINS AN ACCRUAL ON ITS BOOKS FOR THE PARTICIPANTS OF THE SERP. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. STEVEN H. ROSENBERG PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF SEPTEMBER 30, 2020. FOR CALENDAR YEAR 2019, STEVEN H. ROSENBERG RECEIVED A PAYOUT OF $311,957, WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. ROBERT FRIEDBERG, KERRY EATON, MICHAEL HOLZHEUTER AND KATHERINE BACHER PARTICIPATE IN A SERP PLAN WITH HEALTH QUEST SYSTEMS, INC. (HEALTH QUEST), A RELATED ORGANIZATION. HEALTH QUEST MADE THE FOLLOWING CONTRIBUTIONS TO THE PARTICIPANTS, WHICH ARE REPORTED ON SCHEDULE J, PART II: ROBERT FRIEDBERG $91,847 KERRY EATON - $65,467 MICHAEL HOLZHUETER - $51,093 KATHERINE BACHER - $56,980 |
| PART I, LINE 7 | NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THIS PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR: *TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE *TIER II, EXECUTIVE *TIER III, SENIOR LEADER (A) *TIER III, SENIOR LEADER (B) *TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: *QUALITY AND SERVICE *PEOPLE AND CULTURE *PATIENT EXPERIENCE *FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DUTCHESS COUNTY LOCAL DEV CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 273106797 | BondIssuerEIN |
| CUSIP | 267045GD8 | CUSIPNum |
| Bond Issued | 2016-07-07 | BondIssuedDt |
| Issue Price | $24,377,573 | IssuePriceAmt |
| Purpose | CONSTRUCT & EQUIP FACILITY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,419,350 | RetiredAmt |
| Total Proceeds | $24,519,590 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $334,598 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $7,760 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $54,554 | CapitalExpendituresAmt |
| Other Spent Proceeds | $24,122,678 | OtherSpentProceedsAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00090 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00090 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I, LINE A | THE DUTCHESS COUNTY LOCAL DEVELOPMENT CORPORATION BOND ISSUED 7/7/2016 IS ALLOCATED AMONGST THREE RELATED IRC SEC. 501(C)(3) HOSPITAL FACILITIES: PUTNAM HOSPITAL (FEIN: 14-6019179); VASSAR BROTHERS MEDICAL CENTER (FEIN: 14-1338586); AND, NORTHERN DUTCHESS HOSPITAL (FEIN: 14-1338467). THE THREE HOSPITAL FACILITIES SHARE THE ISSUED BOND PROCEEDS. |
| PART II, LINE 3 | PROCEEDS THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. |
Schedule M IRS990ScheduleM
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2194 | ContributionCnt |
| Noncash Contributions Rpt F990 | $54,152 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 8325 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,125 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF PH IS HEALTH QUEST SYSTEMS, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER (HEALTH QUEST SYSTEM INC.) SHALL ELECT THE CORPORATION'S OFFICERS. SUBJECT TO THE APPROVAL OF THE MEMBER, ANY VACANCY OR VACANCIES OCCURRING IN ANY OFFICE OF THE CORPORATION MAY BE FILLED UNTIL THE NEXT MEETING AT WHICH OFFICERS ARE ELECTED BY THE AFFIRMATIVE VOTE OF THE REMAINING DIRECTORS IN OFFICE AT ANY MEETING OF THE BOARD, THOUGH SUCH REMAINING DIRECTORS MAY CONSTITUTE LESS THAN A QUORUM. ANY OFFICER OF THE CORPORATION MAY BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE CORPORATION 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 THE CORPORATION'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF THE CORPORATION'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF THE CORPORATION'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 SYSTEMWIDE 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, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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. 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, SECTION B, LINE 14: THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HQ EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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 FILING SUCH AS THE 990 AND BOND HOLDER REQUIREMENTS. |
| FORM 990, PART VII (ADDT'L INFORMATION) | KAREN FLEMING, PREVIOUSLY CHAIRMAN, BECAME A TRUSTEE ON JANUARY 1, 2020. WAYNE RYDER PREVIOUSLY THE SECOND VICE CHAIRMAN BECAME CHAIRMAN ON JANUARY 1, 2020. RAYMOND DURKIN, PREVIOUSLY THE SECRETARY/TREASURER BECAME A TRUSTEE ON JANUARY 1, 2020. MATTHEW T. MARRONE PREVIOUSLY THE FIRST VICE CHAIRMAN BECAME THE VICE CHAIRMAN ON JANUARY 1, 2020. ARUN AGARWAL, MD WAS A TRUSTEE UNTIL DECEMBER 31, 2019. KATHERINE BACHER WAS THE ASSISTANT TREASURER UNTIL DECEMBER 31, 2019. MICHAEL HOLZHUETER WAS THE ASSISTANT SECRETARY UNTIL DECEMBER 11, 2019. CHERYL BOOTH WAS THE ASSISTANT SECRETARY UNTIL DECEMBER 31, 2019. PETER KELLY WAS PRESIDENT UNTIL JULY 25, 2020. STEVEN H. ROSENBERG BECAME TREASURER ON JANUARY 1, 2020. CAROLYN MCKENNA BECAME THE ASSISTANT SECRETARY ON JANUARY 1, 2020. ROBERT FRIEDBERG WAS THE PRESIDENT UNTIL DECEMBER 11, 2019. CATHERINE FRIERSON BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. GRACE LINHARD BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. WAYNE MCNULTY BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. KERRY EATON BECAME A KEY EMPLOYEE ON DECEMBER 11, 2019. MARK K. HIRKO BECAME PRESIDENT ON AUGUST 1, 2020. 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", REPRESENTS BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. |
| FORM 990, PART XI, LINE 9: | ADDITIONAL PENSION LIABILITY -5,785,500. NET ASSETS WITH DONOR RESTRICTIONS - CONTRIBUTIONS 277,658. NET ASSETS WITH DONOR RESTRICTIONS - PP&E -82,865. NET ASSETS WITH DONOR RESTRICTIONS - OPERATIONS -114,161. NET ASSETS WITH DONOR RESTRICTIONS - OTHER -123,749. INTEREST IN FOUNDATION 485,753. NET ASSETS - PERPETUAL TRUST 26,033. MISCELLANEOUS 860. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAMO AMBULANCE SERVICES INC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 141745417 | TRANSPORT | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| DANBURY & NEW MILFORD HOSP FOUND | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 237425557 | ADMIN CONTRIB | CT | 501(C)(3) | 7 | WCHN | Yes (1) | |
| DANBURY HOSPITAL | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 060646597 | ACUTE CARE | CT | 501(C)(3) | 3 | WCHN | Yes (1) | |
| EASTERN NEW YORK MEDICAL SERVICES PC | |||||||||||
| 14 RESEARCH DRIVE SUITE 201A | BETHEL | CT | 06801 | 455431389 | PHYSICIAN SERVICES | NY | 501(C)(3) | 10 | WCHN | Yes (1) | |
| HEALTH QUEST HOME CARE INC (CERT) | |||||||||||
| 2649 SOUTH ROAD SUITE 220 | POUGHKEEPSIE | NY | 12601 | 141788412 | HOME HEALTH | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| HEALTH QUEST HOME CARE INC (LIC) | |||||||||||
| 2649 SOUTH ROAD SUITE 220 | POUGHKEEPSIE | NY | 12601 | 141788410 | HOME HEALTH | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| HEALTH QUEST MEDICAL PRACTICE PC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 562669185 | MEDICAL CARE | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| HEALTH QUEST SYSTEMS INC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 141678068 | MANAGEMENT | NY | 501(C)(3) | 10 | NUVANCE | Yes (1) | |
| HEALTH QUEST URGENT MED PRAC PC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 800152047 | MEDICAL CARE | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| HUDSON VALLEY CARDIOVASCULAR PRAC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 463756713 | MEDICAL CARE | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| NDH FOUNDATION | |||||||||||
| PO BOX 5002 | RHINEBECK | NY | 12572 | 141776208 | FUNDRAISING | NY | 501(C)(3) | 7 | HQ | Yes (1) | |
| NORTHERN DUTCHESS HOSPITAL | |||||||||||
| PO BOX 5112 | RHINEBECK | NY | 12572 | 141338467 | HOSPITAL | NY | 501(C)(3) | 3 | HQ | Yes (1) | |
| NORTHERN DUTCHESS RES HLTH FACILITY INC | |||||||||||
| 6526 SPRINGBROOK AVENUE | RHINEBECK | NY | 12572 | 223129608 | NURSING HOME | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| NORWALK HOSPITAL FOUNDATION | |||||||||||
| 34 MAPLE STREET | NORWALK | CT | 06850 | 222577707 | FUNDRAISING | CT | 501(C)(3) | 7 | WCHN | Yes (1) | |
| NUVANCE HEALTH | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 834214573 | SUPPORT | NY | 501(C)(3) | 12 TYPE III-FI | 0 | N/A | |
| PUTNAM HOSPITAL CENTER FOUNDATION | |||||||||||
| 670 STONELEIGH AVENUE | CARMEL | NY | 10512 | 061399319 | FUNDRAISING | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| THE NORWALK HOSPITAL ASSOCIATION | |||||||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 066068853 | HEALTH SERVICES | CT | 501(C)(3) | 3 | WCHN | Yes (1) | |
| VASSAR BROTHERS HOSPITAL FOUNDATION | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141736429 | FUNDRAISING | NY | 501(C)(3) | 7 | HQ | Yes (1) | |
| VASSAR BROTHERS MEDICAL CENTER | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141338586 | HOSPITAL | NY | 501(C)(3) | 3 | HQ | Yes (1) | |
| VASSAR HEALTH CONNECTICUT INC | |||||||||||
| 50 HOSPITAL HILL ROAD | SHARON | CT | 06069 | 815056290 | HOSPITAL | CT | 501(C)(3) | 3 | HQ | Yes (1) | |
| WELLS MANOR HOUSING DEVELOP FUND CORP | |||||||||||
| 56 ASTOR DRIVE | RHINEBECK | NY | 12572 | 112611902 | LOW INCOME | NY | 501(C)(3) | PF - PRIVATE FOUNDAT | HQ | Yes (1) | |
| WESTERN CONNECTICUT HOME CARE INC | |||||||||||
| 100 SAW MILL ROAD | DANBURY | CT | 06810 | 060655138 | HOME HEALTHCARE | CT | 501(C)(3) | 10 | WCHN | Yes (1) | |
| WESTERN CT HEALTH NETWORK AFFILIATES INC | |||||||||||
| 95 LOCUST AVENUE | DANBURY | CT | 06801 | 222594968 | OUTPATIENT HEALTHCARE SERVICES | CT | 501(C)(3) | 10 | WCHN | Yes (1) | |
| WESTERN CT HEALTH NETWORK INC | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06801 | 222594977 | PROGRAM DEVELOPMENT | CT | 501(C)(3) | 12 TYPE II | NUVANCE | Yes (1) | |
| WESTERN CT MEDICAL GROUP INC | |||||||||||
| 14 RESEARCH DRIVE SUITE 201A | BETHEL | CT | 06801 | 061137531 | PHYSICIAN SERVICES | CT | 501(C)(3) | 10 | WCHN | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NEW MILFORD MRI LLC | ||||||||||
| 21 ELM STREET | NEW MILFORD | CT | 06776 | 271877801 | INACTIVE | CT | N/A | N/A | 0 | 0 |
| NORWALK SURGERY CENTER LLC | ||||||||||
| 40 CROSS STREET SUITE 120 | NORWALK | CT | 06851 | 272394942 | SURGERY CENTER | CT | N/A | N/A | 0 | 0 |
| WCHN INVESTMENTS LLC | ||||||||||
| 24 HOSPITAL AVE | DANBURY | CT | 06810 | 475523212 | INVESTMENTS | CT | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NUVANCE HEALTH INSURANCE COMPANY LTD | |||||||||||||
| 23 LIME TREE BAY PO BOX 105 | GRAND CAYMAN | CJ | 980438151 | MALPRCTICE | CJ | N/A | C | 0 | |||||
| SWC CORPORATION | |||||||||||||
| 222577718 | PHARMACY | N/A | C | 0 | 24 STEVENS STREET | NORWALK | CT | 06850 | CT | ||||
| ADVANCED CTR FOR REHAB MED | |||||||||||||
| 061304799 | INACTIVE | N/A | C | 0 | 24 STEVENS STREET | NORWALK | CT | 06850 | CT | ||||
| VBH INSURANCE CO LTD | |||||||||||||
| 62 FORUM LANE 3RD FLOOR | GRAND CAYMAN | CJ | 981083868 | MALPRCTICE | CJ | N/A | C | 0 | |||||
| TACONIC IPA INC | |||||||||||||
| 223007320 | MEDICAL CARE | N/A | C | 0 | 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | NY | ||||
| VASSAR HQ MED PRACTICE OF CT INC | |||||||||||||
| 821466583 | MEDICAL CARE | N/A | C | 0 | 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | CT | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH QUEST MEDICAL PRACTICE PC | ||
| P | $7,555,167 | SERVICES - AT COST |
| HEALTH QUEST MEDICAL PRACTICE PC | ||
| J | $68,878 | RENT - FMV |
| HEALTH QUEST SYSTEMS INC | ||
| P | $32,675,334 | SERVICES - AT COST |
| HUDSON VALLEY CARDIOVASCULAR PRACTICE PC | ||
| Q | $80,522 | SERVICES - AT COST |
| HUDSON VALLEY CARDIOVASCULAR PRACTICE PC | ||
| J | $65,371 | RENT - FMV |
| PUTNAM HOSPITAL CENTER FOUNDATION | ||
| C | $269,728 | CONTRIBUTION - AT COST |
| VASSAR HQ MED PRACTICE OF CT INC | ||
| P | $151,087 | SERVICES - AT COST |
Comments