2022-08-30T13:48:32-05:00 2020-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2019-10-01 146019179 PUTNAM HOSPITAL CENTER PUTN 8454759500 670 STONELEIGH AVENUE CARMEL NY 10512 STEVEN H ROSENBERG CFO AND TREASURER 8454759500 2021-12-22 1 MIKE A CINCOTTA P01595811 6172662000 2021-12-21 2019 2022-09-23 18:48:47Z PUTNAM HOSPITAL MARK K HIRKO PRESIDENT 670 STONELEIGH AVENUE CARMEL NY 10512 147922000 0 X WWW.NUVANCEHEALTH.ORG X 1962 NY SEE SCHEDULE O 13 12 988 137 0 0 421566 554397 110507173 137617505 850123 5597605 3332449 4152493 115111311 147922000 0 0 0 0 55388825 71995729 0 0 0 66801174 84312382 122189999 156308111 -7078688 -8386111 175851593 182378405 70404130 92708973 105447463 89669432 X 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. 0 0 49324922 57124006 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. 13572364 15718379 INPATIENT PSYCHIATRIC SERVICES: PSYCHIATRIC PATIENTS ADMITTED FOR TREATMENT. NUMBER OF PATIENTS 610; NUMBER OF PATIENT DAYS 4,512 57646687 66761579 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. 141080 163387 AFFILIATE RENTAL INCOME. 141080 163387 120685053 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 988 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 1 1 NY X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 X ROBERT FRIEDBERG TO 1211 HQ PRESIDENT & CEO 3.00 40.00 X 0 2398033 150327 STEVEN H ROSENBERG FROM 0101 TREASURER 3.00 40.00 X 0 1529199 644898 MICHAEL HOLZHUETER TO 1211 ASSISTANT SECRETARY 3.00 40.00 X 0 1322215 107232 KERRY EATON FROM 1211 CHIEF OPERATING OFFICER 3.00 40.00 X 0 1069411 73766 CAROLYN MCKENNA FROM 0101 ASSISTANT SECRETARY 3.00 40.00 X 0 963570 53648 KATHERINE BACHER TO 1231 ASSISTANT TREASURER 3.00 40.00 X 0 866306 77904 CATHERINE FRIERSON FROM 0101 CHIEF HUMAN RESOURCE OFFIC 3.00 40.00 X 0 864169 19108 GRACE LINHARD FROM 0101 CHIEF DEVELOPMENT OFFICER 3.00 40.00 X 0 602893 20473 MARK K HIRKO PRESIDENT (FROM 08/01) 3.00 40.00 X X 0 529997 77677 PETER KELLY TO 0725 PRESIDENT 3.00 40.00 X X 0 570281 18346 WAYNE MCNULTY FROM 0101 CHIEF COMPLIANCE OFFICER 3.00 40.00 X 0 491882 27152 LAWRENCE S SCHEK VP MEDICAL AFFAIRS 40.00 0.00 X 430012 0 49869 ELISH C HOURIHAN VP PATIENT CARE SVCS/CNO 40.00 0.00 X 295897 0 20135 KRYSTYNA KUCHTAR REGISTERED NURSE 40.00 0.00 X 182206 0 37771 LAURIE MUSCARI DIRECTOR MENTAL HEALTH SERVICES 40.00 0.00 X 181654 0 32240 JULIE REGENBAUM DIRECTOR PHARMACY 40.00 0.00 X 185343 0 20237 CHERYL BOOTH TO 1231 ASSISTANT SECRETARY 3.00 40.00 X 0 122764 35710 KEIREN M FARQUHAR TRUSTEE 2.00 0.00 X 0 0 0 KAREN FLEMING TRUSTEE/CHAIRMAN (TO 12/31) 2.00 0.00 X X 0 0 0 JEFFREY J REDFIELD TRUSTEE 2.00 0.00 X 0 0 0 WAYNE RYDER CHAIRMAN (FROM 01/01) 3.00 0.00 X X 0 0 0 RAYMOND DURKIN TO 1231 TRUSTEE/ SECRETARY / TREASURER 2.00 0.00 X X 0 0 0 LORETTA MOLINARI TRUSTEE 2.00 0.00 X 0 0 0 ROBERT WAEGELEIN TRUSTEE 2.00 0.00 X 0 0 0 JOHN PETER COLLINS TRUSTEE 2.00 0.00 X 0 0 0 MATTHEW T MARRONE VICE CHAIRMAN (FROM 01/01) 3.00 0.00 X X 0 0 0 JERRY J KLEIN TRUSTEE 2.00 0.00 X 0 0 0 MARJORIE L KEITH TRUSTEE 2.00 0.00 X 0 0 0 KENNETH KEARNEY TRUSTEE 2.00 0.00 X 0 0 0 ARUN AGARWAL MD TO 1231 TRUSTEE 2.00 0.00 X 0 0 0 1275112 11330720 1466493 184 0 1 0 0 269728 226900 57769 56277 554397 OUTPATIENT SERVICE REV 621400 58982619 58982619 INPATIENT SERVICE REVE 622110 50468002 50468002 IP PSYCHIATRIC SERVICE 622210 15718379 15718379 COVID STIMULUS 900099 12285119 12285119 AFFILIATE RENTAL INCOM 532000 163386 163386 137617505 268814 268814 1570475 0 1570475 1570475 1570475 5328791 0 5328791 5328791 5328791 CAFETERIA REVENUE 722514 432172 432172 QUALITY INCENTIVE PROG 900099 382519 382519 REFUNDS & REBATES 900099 168223 168223 1599104 1599104 2582018 147922000 139767351 0 7600252 51379942 46844026 4535916 5593277 5108088 485189 10948268 9981735 966533 4074242 3714560 359682 21608 21608 84133 84133 655085 524101 130984 3241890 1938919 1302971 238141 222881 15260 3529302 2976470 552832 12001 11390 611 27478 27278 200 707366 596564 110802 7368977 6214696 1154281 1588868 1339987 248881 PURCHASED SERVICES 36134850 12699243 23435607 MEDICAL SUPPLIES 16032438 16032438 PHYSICIAN FEES 10050079 10050079 MAINT & SRVC CONTRACTS 2265797 1674740 591057 2354369 727858 1626511 156308111 120685053 35623058 0 983678 966606 15949591 20968769 14006827 9490368 8057146 5581904 2899688 2654406 788084 823077 201525764 139737405 61786777 61788359 48779844 52257527 22599958 27847389 175851593 182378405 12429335 11147653 21782287 20734621 50533 17355 36141975 60809344 70404130 92708973 X 93337641 81696485 12109822 7972947 105447463 89669432 175851593 182378405 X -8386111 -2075949 -5315971 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 10804 1 10804 0 21608 0 SCHEDULE C, PART II-B LINE 1I - LOBBYING ACTIVITIES 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. 3975272 8033 3983305 817473 3154180 3619 3975272 819254 -1781 817473 816299 2955 819254 814267 2032 816299 1.00000 0 0 1193282 1193282 82786337 44724000 38062337 106754235 92917881 13836354 10791910 2095524 8696386 61788359 INTEREST IN FOUNDATION 15871129 DUE FROM RELATED PARTIES 9843537 INSURANCE RECEIVABLES 1149268 DSRF 2016A BONDS 496224 MISCELLANEOUS RECEIVABLES 487231 27847389 PENSION LIABILITY 26965594 THIRD PARTY LIABILITIES 19891706 MED MALL INSURANCE 6157685 DUE TO RELATED PARTIES 4512619 FIN 47 LIABILITY 3228561 SECURITY DEPOSIT LIABILITY 50551 CAPITAL LEASE LIABILITY 2628 60809344 X 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 2786891 1269525 1517366 0.00970 19646310 9122523 10523787 0.06740 22433201 10392048 12041153 0.07710 20 2910 24952 24952 0.00020 1 461323 206553 254770 0.00160 1 4676597 2998973 1677624 0.01080 22 2910 5162872 3205526 1957346 0.01260 22 2910 27596073 13597574 13998499 0.08970 1 1687 1687 0.00000 1 1687 1687 0.00000 1 251178 48435616 75285051 -26849435 X 1 1 1 1 PUTNAM HOSPITAL CENTER 670 STONELEIGH AVENUE CARMEL NY 10512 WWW.NUVANCEHEALTH.ORG 3950000H X X X X PUTNAM HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V FOR URL SEE PART V FOR URL X 1 19 1 SEE PART V FOR URL 0 1 X 200.000000000000 300.000000000000 1 1 X X X 1 X SEE PART V FOR URL X SEE PART V FOR URL X SEE PART V FOR URL X X X X X X 1 X 0 X X X X 1 X 0 0 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 3 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 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 0 1 0 0 0 0 0 1 0 ROBERT FRIEDBERG TO 1211 HQ PRESIDENT & CEO 0 1191104 0 1185317 0 21612 0 108647 0 41680 0 2548360 0 0 STEVEN H ROSENBERG FROM 0101 TREASURER 0 653858 0 532200 0 343141 0 605000 0 39898 0 2174097 0 311957 MICHAEL HOLZHUETER TO 1211 ASSISTANT SECRETARY 0 644775 0 650552 0 26888 0 67893 0 39339 0 1429447 0 0 KERRY EATON FROM 1211 CHIEF OPERATING OFFICER 0 651644 0 291322 0 126445 0 72427 0 1339 0 1143177 0 0 CAROLYN MCKENNA FROM 0101 ASSISTANT SECRETARY 0 467018 0 489986 0 6566 0 13750 0 39898 0 1017218 0 0 KATHERINE BACHER TO 1231 ASSISTANT TREASURER 0 559300 0 206882 0 100124 0 73780 0 4124 0 944210 0 0 CATHERINE FRIERSON FROM 0101 CHIEF HUMAN RESOURCE OFFIC 0 433583 0 427792 0 2794 0 13750 0 5358 0 883277 0 0 GRACE LINHARD FROM 0101 CHIEF DEVELOPMENT OFFICER 0 348637 0 226500 0 27756 0 16500 0 3973 0 623366 0 0 MARK K HIRKO PRESIDENT (FROM 08/01) 0 479629 0 38875 0 11493 0 33600 0 44077 0 607674 0 0 PETER KELLY TO 0725 PRESIDENT 0 431282 0 70742 0 68257 0 16800 0 1546 0 588627 0 0 WAYNE MCNULTY FROM 0101 CHIEF COMPLIANCE OFFICER 0 301969 0 185000 0 4913 0 13226 0 13926 0 519034 0 0 LAWRENCE S SCHEK VP MEDICAL AFFAIRS 399047 0 20005 0 10960 0 16800 0 33069 0 479881 0 0 0 ELISH C HOURIHAN VP PATIENT CARE SVCS/CNO 281271 0 12337 0 2289 0 18676 0 1459 0 316032 0 0 0 KRYSTYNA KUCHTAR REGISTERED NURSE 181753 0 0 0 453 0 14324 0 23447 0 219977 0 0 0 LAURIE MUSCARI DIRECTOR MENTAL HEALTH SERVICES 174303 0 4488 0 2863 0 0 0 32240 0 213894 0 0 0 JULIE REGENBAUM DIRECTOR PHARMACY 181624 0 3143 0 576 0 5619 0 14618 0 205580 0 0 0 CHERYL BOOTH TO 1231 ASSISTANT SECRETARY 0 122764 0 0 0 0 0 7375 0 28335 0 158474 0 0 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. A DUTCHESS COUNTY LOCAL DEV CORP 273106797 267045GD8 2016-07-07 24377573 CONSTRUCT & EQUIP FACILITY 0 0 0 A 2419350 24519590 334598 7760 54554 24122678 2016 0 1 1 1 A 0 1 1 1 0 0.00090 0.00090 0 0 1 A 0 1 0 0 0 0 0 0 1 A 0 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. X 2194 54152 FMV X 8325 2125 FMV 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. 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. ALAMO AMBULANCE SERVICES INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141745417 TRANSPORT NY 501(C)(3) 10 HQ 1 DANBURY & NEW MILFORD HOSP FOUND 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 ADMIN CONTRIB CT 501(C)(3) 7 WCHN 1 DANBURY HOSPITAL 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 ACUTE CARE CT 501(C)(3) 3 WCHN 1 EASTERN NEW YORK MEDICAL SERVICES PC 14 RESEARCH DRIVE SUITE 201A BETHEL CT 06801 455431389 PHYSICIAN SERVICES NY 501(C)(3) 10 WCHN 1 HEALTH QUEST HOME CARE INC (CERT) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788412 HOME HEALTH NY 501(C)(3) 10 HQ 1 HEALTH QUEST HOME CARE INC (LIC) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788410 HOME HEALTH NY 501(C)(3) 10 HQ 1 HEALTH QUEST MEDICAL PRACTICE PC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 562669185 MEDICAL CARE NY 501(C)(3) 12 TYPE I HQ 1 HEALTH QUEST SYSTEMS INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141678068 MANAGEMENT NY 501(C)(3) 10 NUVANCE 1 HEALTH QUEST URGENT MED PRAC PC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 800152047 MEDICAL CARE NY 501(C)(3) 12 TYPE I HQ 1 HUDSON VALLEY CARDIOVASCULAR PRAC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 463756713 MEDICAL CARE NY 501(C)(3) 12 TYPE I HQ 1 NDH FOUNDATION PO BOX 5002 RHINEBECK NY 12572 141776208 FUNDRAISING NY 501(C)(3) 7 HQ 1 NORTHERN DUTCHESS HOSPITAL PO BOX 5112 RHINEBECK NY 12572 141338467 HOSPITAL NY 501(C)(3) 3 HQ 1 NORTHERN DUTCHESS RES HLTH FACILITY INC 6526 SPRINGBROOK AVENUE RHINEBECK NY 12572 223129608 NURSING HOME NY 501(C)(3) 10 HQ 1 NORWALK HOSPITAL FOUNDATION 34 MAPLE STREET NORWALK CT 06850 222577707 FUNDRAISING CT 501(C)(3) 7 WCHN 1 NUVANCE HEALTH 1351 ROUTE 55 LAGRANGEVILLE NY 12540 834214573 SUPPORT NY 501(C)(3) 12 TYPE III-FI N/A 0 PUTNAM HOSPITAL CENTER FOUNDATION 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 FUNDRAISING NY 501(C)(3) 12 TYPE I HQ 1 THE NORWALK HOSPITAL ASSOCIATION 24 STEVENS STREET NORWALK CT 06850 066068853 HEALTH SERVICES CT 501(C)(3) 3 WCHN 1 VASSAR BROTHERS HOSPITAL FOUNDATION 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 FUNDRAISING NY 501(C)(3) 7 HQ 1 VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 HOSPITAL NY 501(C)(3) 3 HQ 1 VASSAR HEALTH CONNECTICUT INC 50 HOSPITAL HILL ROAD SHARON CT 06069 815056290 HOSPITAL CT 501(C)(3) 3 HQ 1 WELLS MANOR HOUSING DEVELOP FUND CORP 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 LOW INCOME NY 501(C)(3) PF - PRIVATE FOUNDAT HQ 1 WESTERN CONNECTICUT HOME CARE INC 100 SAW MILL ROAD DANBURY CT 06810 060655138 HOME HEALTHCARE CT 501(C)(3) 10 WCHN 1 WESTERN CT HEALTH NETWORK AFFILIATES INC 95 LOCUST AVENUE DANBURY CT 06801 222594968 OUTPATIENT HEALTHCARE SERVICES CT 501(C)(3) 10 WCHN 1 WESTERN CT HEALTH NETWORK INC 24 HOSPITAL AVENUE DANBURY CT 06801 222594977 PROGRAM DEVELOPMENT CT 501(C)(3) 12 TYPE II NUVANCE 1 WESTERN CT MEDICAL GROUP INC 14 RESEARCH DRIVE SUITE 201A BETHEL CT 06801 061137531 PHYSICIAN SERVICES CT 501(C)(3) 10 WCHN 1 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 NUVANCE HEALTH INSURANCE COMPANY LTD 23 LIME TREE BAY PO BOX 105 GRAND CAYMAN CJ 980438151 MALPRCTICE CJ N/A C 0 SWC CORPORATION 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT N/A C 0 ADVANCED CTR FOR REHAB MED 24 STEVENS STREET NORWALK CT 06850 061304799 INACTIVE CT N/A C 0 VBH INSURANCE CO LTD 62 FORUM LANE 3RD FLOOR GRAND CAYMAN CJ 981083868 MALPRCTICE CJ N/A C 0 TACONIC IPA INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 223007320 MEDICAL CARE NY N/A C 0 VASSAR HQ MED PRACTICE OF CT INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 821466583 MEDICAL CARE CT N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 HEALTH QUEST MEDICAL PRACTICE PC P 7555167 SERVICES - AT COST HEALTH QUEST MEDICAL PRACTICE PC J 68878 RENT - FMV HEALTH QUEST SYSTEMS INC P 32675334 SERVICES - AT COST HUDSON VALLEY CARDIOVASCULAR PRACTICE PC Q 80522 SERVICES - AT COST HUDSON VALLEY CARDIOVASCULAR PRACTICE PC J 65371 RENT - FMV PUTNAM HOSPITAL CENTER FOUNDATION C 269728 CONTRIBUTION - AT COST VASSAR HQ MED PRACTICE OF CT INC P 151087 SERVICES - AT COST