NORTHERN DUTCHESS HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
NORTHERN DUTCHESS HOSPITAL (EIN 14-1338467)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-23
IRS object ID
202222359349301427
Schema version
2020v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-23T16:01:45-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12005 MARKET ST STE 700AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141338467EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN DUTCHESS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8454759500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16511 SPRINGBROOK AVENUEAddressLine1Txt
CityRHINEBECKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12572ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN H ROSENBERGPersonNm
Person TitleCFO & TREASURERPersonTitleTxt
Phone8454759500PhoneNum
Signature2022-08-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVENPersonFirstNm
Person LastROSENBERGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN E BENNETTPreparerPersonNm
PTINP01787029PTIN
Phone2154485000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN H ROSENBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16511 SPRINGBROOK AVENUEAddressLine1Txt
CityRHINEBECKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12572ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$165,580,265GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NUVANCEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1924FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee862TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$3,680TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$348,128PYContributionsGrantsAmt
CY Contributions Grants$510,966CYContributionsGrantsAmt
PY Program Service Revenue$146,309,948PYProgramServiceRevenueAmt
CY Program Service Revenue$162,619,398CYProgramServiceRevenueAmt
PY Investment Income$2,363,120PYInvestmentIncomeAmt
CY Investment Income$955,913CYInvestmentIncomeAmt
PY Other Revenue$2,453,545PYOtherRevenueAmt
CY Other Revenue$1,358,245CYOtherRevenueAmt
PY Total Revenue$151,474,741PYTotalRevenueAmt
CY Total Revenue$165,444,522CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$58,455,414PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$85,530,580CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$87,272,764PYOtherExpensesAmt
CY Other Expenses$66,003,725CYOtherExpensesAmt
PY Total Expenses$145,728,178PYTotalExpensesAmt
CY Total Expenses$151,534,305CYTotalExpensesAmt
PY Revenues Less Expenses$5,746,563PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,910,217CYRevenuesLessExpensesAmt
Total Assets BOY$208,988,095TotalAssetsBOYAmt
Total Assets EOY$232,366,214TotalAssetsEOYAmt
Total Liabilities BOY$89,636,914TotalLiabilitiesBOYAmt
Total Liabilities EOY$97,015,427TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$119,351,181NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$135,350,787NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBECOME 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$124,475,255ExpenseAmt
Grant$0GrantAmt
Revenue$161,087,564RevenueAmt
DescINPATIENT SERVICES:PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 5,658; NUMBER OF PATIENT DAYS 21,210; THE HOSPITAL PROVIDED APPROXIMATELY $277,114 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.OUTPATIENT SERVICES:EMERGENCY VISITS 19,531; OTHER OUTPATIENT VISITS/PROCEDURES 142,318; THE HOSPITAL PROVIDED APPROXIMATELY $591,176 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,183,676ExpenseAmt
Grant$0GrantAmt
Revenue$1,531,834RevenueAmt
DescRENTAL INCOME FROM RELATED ORGANIZATIONS FOR SPACE OCCUPIED TO PROVIDE MEDICAL SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$325,478ExpenseAmt
Grant$0GrantAmt
Revenue$421,212RevenueAmt
DescQUALITY INCENTIVE PROGRAM: COMPREHENSIVE CARE FOR JOINT REPLACEMENT IS BASED ON MEETING SPECIFIC QUALITATIVE METRICS (READMISSION RATE, HCAHPS SCORE, PERI-OPERATIVE DVT/PE, SSI) ON MEDICARE JOINT PROCEDURES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$267,385ExpenseAmt
Grant$0GrantAmt
Revenue$346,032RevenueAmt
DescREFUNDS AND REBATES:EXPENSES: 85,930REVENUE: 111,206AMERITEAM:EXPENSES: 76,484REVENUE: 98,980MED RECORDS, MISC, PURCHASE DISCOUNT:EXPENSES: 104,971REVENUE: 135,846Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$267,385TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$346,032TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$126,251,794TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee862EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAREN DARCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2037394593PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 RESERVE ROADAddressLine1Txt
CityDANBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DENISE GEORGE
PRESIDENT NDH & SVP CLINICAL SVCS.40.003.00Yes (X)Yes (X)$0$608,072$46,841
JOHN HORISZNY MD
DIRECTOR/PHYSICIAN ADMIN.2.0040.10Yes (X)$0$414,556$52,785
FRANCIS FLYNN
CHAIRMAN3.001.00Yes (X)Yes (X)$0$0$0
LEWIS RUGE
DIRECTOR2.002.00Yes (X)$0$0$0
JAMES WING MD
DIRECTOR2.001.00Yes (X)$0$0$0
KEVIN M SHEEHAN
DIRECTOR2.001.00Yes (X)$0$0$0
EVAN MELTZER
DIRECTOR2.001.00Yes (X)$0$0$0
WILLIAM CARROLL
DIRECTOR2.001.00Yes (X)$0$0$0
CHRISTY CARIDI PHD
DIRECTOR2.001.00Yes (X)$0$0$0
KAREN GIEK
DIRECTOR2.001.00Yes (X)$0$0$0
KELLY MOSHER
VICE CHAIRMAN3.001.00Yes (X)Yes (X)$0$0$0
EDWARD PRUITT TO 1231
DIRECTOR2.001.00Yes (X)$0$0$0
DOUGLAS HART DVM
DIRECTOR2.001.00Yes (X)$0$0$0
ROBERT WILD FROM 0101
DIRECTOR2.001.00Yes (X)$0$0$0
JOHN LEHANE FROM 0430
DIRECTOR2.001.00Yes (X)$0$0$0
STEVEN H ROSENBERG
TREASURER/CFO3.0040.00Yes (X)$0$1,701,396$642,496
CAROLYN MCKENNA
ASST. SEC. (TO 12/31); SEC./CLO3.0040.00Yes (X)$0$646,887$16,365
KERRY EATON
CHIEF OPERATING OFFICER3.0040.00$0$936,200$96,246Yes (X)
CATHERINE FRIERSON
CHIEF HUMAN RESOURCE OFFICER3.0040.00$0$531,701$18,175Yes (X)
GRACE LINHARD
CHIEF DEVELOPMENT OFFICER3.0040.00$0$445,735$19,595Yes (X)
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER3.0040.00$0$380,122$25,736Yes (X)
JEAN AHN FROM 0201
CHIEF STRATEGY OFFICER3.0040.00$0$498,991$17,321Yes (X)
JOHN SABIA MD
VP MEDICAL AFFAIRS40.000.00$355,095$0$29,162Yes (X)
PAMELA RHODES
CNO/VP PATIENT CARE SERVICES40.000.00$309,869$0$19,614Yes (X)
CONNIE REGAN
PHARMACY CLINICAL COORDINATOR40.000.00$227,994$0$37,663Yes (X)
PAUL KING
DIR. OF DIAGNOSTIC SERVICES40.000.00$203,681$0$13,772Yes (X)
WILLIAM A WILSON
VP MEDICAL AFFAIRS40.000.00$196,773$0$15,043Yes (X)
JAMES SCADUTO MD
FORMER PRES. MED STAFF, HQMP PHYS.0.0040.00$0$436,641$53,650Yes (X)
MICHAEL HOLZHUETER
FORMER ASSISTANT SECRETARY0.000.00$0$1,060,019$18,913Yes (X)
KATHERINE BACHER
FORMER ASSISTANT TREASURER0.000.00$0$210,144$12,407Yes (X)
CHERYL BOOTH
FORMER ASSISTANT SECRETARY0.000.00$0$133,541$9,679Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,293,412TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,004,005TotReportableCompRltdOrgAmt
Total Other Compensation$1,145,463TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K178IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$345,200RelatedOrganizationsAmt
Government Grants$136,724GovernmentGrantsAmt
All Other Contributions$29,042AllOtherContributionsAmt
Noncash Contributions$4,037NoncashContributionsAmt
Total Contributions$510,966TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SRVC. REV.621110$94,247,349$94,247,349
INPATIENT SERVICE REV.621110$65,814,498$65,814,498
AFF. RENTAL INCOME532000$1,531,834$1,531,834
COVID-19 STIMULUS900099$1,025,717$1,025,717
FieldValueIRS element (for citing)
Total Program Service Revenue$162,619,398TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$293,024TotalRevenueColumnAmt
Exclusion$293,024ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$218,409RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$218,409RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$218,409TotalRevenueColumnAmt
Exclusion$218,409ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$769,082SecuritiesAmt
Other$29,550OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$135,743OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$769,082SecuritiesAmt
Other-$106,193OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$662,889TotalRevenueColumnAmt
Exclusion$662,889ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
QLTY. INCENTIVE PROG.900099$421,212$421,212
CAFETERIA REVENUE722514$368,912$368,912
REFUNDS AND REBATES900099$111,206$111,206

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$238,506TotalRevenueColumnAmt
Related Or Exempt Func Income$234,826RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,680UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,139,836OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$165,444,522TotalRevenueColumnAmt
Related Or Exempt Func Income$163,386,642RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,680UnrelatedBusinessRevenueAmt
Exclusion$1,543,234ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$270,128TotalAmt
Program Services$243,115ProgramServicesAmt
Management And General$27,013ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$72,149,193TotalAmt
Program Services$56,617,473ProgramServicesAmt
Management And General$15,531,720ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,845,776TotalAmt
Program Services$1,448,252ProgramServicesAmt
Management And General$397,524ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,000,164TotalAmt
Program Services$6,285,513ProgramServicesAmt
Management And General$1,714,651ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,265,319TotalAmt
Program Services$2,563,708ProgramServicesAmt
Management And General$701,611ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$182,384TotalAmt
Program Services$143,196ProgramServicesAmt
Management And General$39,188ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$166,490TotalAmt
Program Services$130,717ProgramServicesAmt
Management And General$35,773ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,955TotalAmt
Management And General$4,955ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$134,624TotalAmt
Management And General$134,624ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$270,035TotalAmt
Program Services$212,013ProgramServicesAmt
Management And General$58,022ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$143,403TotalAmt
Program Services$112,590ProgramServicesAmt
Management And General$30,813ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,881,384TotalAmt
Program Services$2,311,466ProgramServicesAmt
Management And General$569,918ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,659,658TotalAmt
Program Services$2,088,184ProgramServicesAmt
Management And General$571,474ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,999,840TotalAmt
Program Services$1,746,899ProgramServicesAmt
Management And General$252,941ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,090TotalAmt
Program Services$14,492ProgramServicesAmt
Management And General$3,598ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,668TotalAmt
Program Services$7,953ProgramServicesAmt
Management And General$2,715ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,305,418TotalAmt
Program Services$1,158,183ProgramServicesAmt
Management And General$147,235ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,883,010TotalAmt
Program Services$5,166,509ProgramServicesAmt
Management And General$716,501ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,501,878TotalAmt
Program Services$1,312,575ProgramServicesAmt
Management And General$189,303ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$37,378,397$37,378,397
PURCHASED SERVICES$5,493,511$2,771,857$2,721,654
MAINT. & SRV. CONTRACTS$1,951,064$1,531,844$419,220
TAXES AND ASSESSMENTS$1,008,435$623,219$385,216

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,010,481TotalAmt
Program Services$2,383,639ProgramServicesAmt
Management And General$626,842ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$151,534,305TotalAmt
Program Services$126,251,794ProgramServicesAmt
Management And General$25,282,511ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$38,795,633BOYAmt
EOY$15,260,631EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,758,816BOYAmt
EOY$16,378,977EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,497,485BOYAmt
EOY$3,040,174EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$284,252BOYAmt
EOY$209,690EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$154,332,639LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$86,446,337LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$71,968,566BOYAmt
EOY$67,886,302EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$21,664,505BOYAmt
EOY$24,096,047EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$61,018,838BOYAmt
EOY$105,494,393EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$208,988,095BOYAmt
EOY$232,366,214EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,808,249BOYAmt
EOY$10,491,351EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,949,266BOYAmt
EOY$42,945,291EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,879,399BOYAmt
EOY$43,578,785EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,636,914BOYAmt
EOY$97,015,427EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$112,063,855BOYAmt
EOY$125,442,751EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,287,326BOYAmt
EOY$9,908,036EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$119,351,181BOYAmt
EOY$135,350,787EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$208,988,095BOYAmt
EOY$232,366,214EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,910,217ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,426,144NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$1,184,403PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$521,158OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$4,955DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$4,955TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1J - LOBBYING EXPENDITURES:FormAndLineReferenceDesc
ExplanationA PORTION OF THE GNYHA MEMBERSHIP PAID BY NORTHERN DUTCHESS HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,495,404BeginningYearBalanceAmt
End Year Balance$1,495,404EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,495,404BeginningYearBalanceAmt
End Year Balance$1,495,404EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,495,404BeginningYearBalanceAmt
End Year Balance$1,495,404EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,495,404BeginningYearBalanceAmt
End Year Balance$1,495,404EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,495,404BeginningYearBalanceAmt
End Year Balance$1,495,404EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,682,718OtherCostOrOtherBasisAmt
Book Value$1,682,718BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,004,681OtherCostOrOtherBasisAmt
Depreciation$38,798,840DepreciationAmt
Book Value$55,205,841BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,222,252OtherCostOrOtherBasisAmt
Depreciation$46,592,535DepreciationAmt
Book Value$7,629,717BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,422,988OtherCostOrOtherBasisAmt
Depreciation$1,054,962DepreciationAmt
Book Value$3,368,026BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$67,886,302TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPOOLED INVESTMENTSDesc
Book Value$24,096,047BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$24,096,047TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$88,756,199
DEFERRED COMPENSATION$847,273
OTHER RECEIVABLES$120,924
INTEREST IN FOUNDATION$8,646,746
ASSETS UNDER BOND INDENTURES$1,196,844
EST. INS. CLAIMS RECOVERY RECEIVABLES, MALPRACTICE$5,926,407
FieldValueIRS element (for citing)
Total Book Value Other Assets$105,494,393TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO THIRD-PARTY PAYORS$19,644,123
DUE TO RELATED PARTIES$15,296,428
OPERARTING LEASE LIABILITIES$1,780
EST. INS. CLAIMS LIAB., MALPRACTICE$5,926,406
457 PLAN LIABILITY$847,273
ASSET RETIREMENT OBLIGATION$1,849,169
SECURITY DEPOSIT$13,606
FieldValueIRS element (for citing)
Total Liability$43,578,785TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL.
PART X, LINE 2:AS OF SEPTEMBER 30, 2021, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,072,011TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,328DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,033,683NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,122,723TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,931,457DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,191,266NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,194,734TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,969,785DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,224,949NetCommunityBenefitExpnsAmt
Total Expense0.04760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served8224PersonsServedCnt
Total Community Benefit Expns$17,496TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,496NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$3,265,901TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,147,299DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,118,602NetCommunityBenefitExpnsAmt
Total Expense0.01400TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$6,841,613TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,306,159DirectOffsettingRevenueAmt
Net Community Benefit Expns$535,454NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served8224PersonsServedCnt
Total Community Benefit Expns$10,125,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,453,458DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,671,552NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served8224PersonsServedCnt
Total Community Benefit Expns$30,319,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,423,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,896,501NetCommunityBenefitExpnsAmt
Total Expense0.06510TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Reimbursed By Medicare$63,374,958ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$72,702,305CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,327,347MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN DUTCHESS HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16511 SPRINGBROOK AVENUEAddressLine1Txt
CityRHINEBECKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12572ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NUVANCEHEALTH.ORGWebsiteAddressTxt
State License1327000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN DUTCHESS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTHERN DUTCHESS HOSPITALPART 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 [THIS INFORMATION CAN BE VIEWED ONLINE IN OUR 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT, 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 NORTHERN DUTCHESS HOSPITAL BOARD OF TRUSTEES ON DECEMBER 3, 2019. THE COMMUNITY SERVICE PLAN WAS ALSO APPROVED ON DECEMBER 3, 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
NORTHERN DUTCHESS HOSPITALPART 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.
NORTHERN DUTCHESS HOSPITALPART 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.PART V, LINE 7A, HOSPITAL FACILITY WEBSITE:HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT
NORTHERN DUTCHESS HOSPITALPART 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.PART V, LINE 10A, HOSPITAL IMPLEMENTATION STRATEGY:HTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT
NORTHERN DUTCHESS HOSPITALPART V, SECTION B, LINE 11: NUVANCE HEALTH USED THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT AS A REFERENCE FOR KEY HEALTH INFORMATION TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF ITS NEW YORK COMMUNITIES AND DEVELOP ITS 2019-2021 COMMUNITY SERVICE PLAN. VASSAR BROTHERS MEDICAL CENTER (VBMC), NORTHERN DUTCHESS HOSPITAL (NDH), AND PUTNAM HOSPITAL (PH) IDENTIFIED PREVENTION OF CHRONIC DISEASES AND PROMOTION OF WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS AS THEIR PRIORITIES FOR 2019-2021.NORTHERN DUTCHESS HOSPITAL HAS CONTINUED ITS CDC-AWARDED NATIONAL DIABETES PREVENTION PROGRAM. THE LIFESTYLE CHANGES IMPLEMENTED THROUGH THIS NATIONAL PROGRAM HAVE PROVED TO HELP PARTICIPANTS LOSE FIVE TO SEVEN PERCENT OF THEIR BODY WEIGHT, THUS CUTTING THEIR RISK OF TYPE 2 DIABETES BY 50 PERCENT, ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION. HOSPITAL LIFESTYLE COACHES TEACH PEOPLE WHO ARE OVERWEIGHT WITH HIGH BLOOD SUGAR LEVELS HOW TO MAKE SMALL CHANGES THAT LEAD TO BETTER HEALTH WITHOUT DIETING OR GYM MEMBERSHIPS. NORTHERN DUTCHESS HOSPITAL WAS DUE TO LAUNCH A SILVER PLATES PROGRAM IN 2020 THAT WOULD HAVE PROVIDED SENIORS WITH $5 HEART-HEALTHY MEALS. THIS PROGRAM WAS PUT ON HOLD DUE TO SAFETY CONCERNS AND THE CLOSURE OF THE CAFETERIA TO THE PUBLIC IN 2021.ALTHOUGH NOT PART OF THE 2019 IMPLEMENTATION PLAN, ALL THE HOSPITALS CONTINUED TO GROW THE GET FIT FITNESS CHALLENGE, WHICH HAS BEEN A SUCCESSFUL COMMUNITY FITNESS AND EXERCISE PROGRAM. THERE IS EVIDENCE THAT SUPPORTS THE NOTION THAT COMMUNITY-BASED INTERVENTIONS FOR PHYSICAL ACTIVITY INCREASE PHYSICAL ACTIVITY AND PHYSICAL FITNESS AMONG BOTH ADULTS AND CHILDREN. NORTHERN DUTCHESS HOSPITAL WAS ABLE TO CONTINUE THE GET FIT PROGRAM THROUGHOUT COVID-19 BY ENCOURAGING OUTSIDE FITNESS. 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.DUTCHESS COUNTY FOCUS AREAS - NEEDS NOT BEING ADDRESSED:PHYSICAL ACTIVITY: AS NOTED ABOVE THE HOSPITAL SYSTEM CONTINUES ITS SUCCESSFUL FITNESS PROGRAM. TOBACCO PREVENTION: PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS (ELECTRONIC CIGARETTES AND SIMILAR DEVICES) BY YOUTH AND YOUNG ADULTS. VASSAR BROTHERS MEDICAL CENTER AND NORTHERN DUTCHESS HOSPITAL CURRENTLY ADDRESSES THIS WITH SMOKING CESSATION CLASSES, SCREENING QUESTIONS IN THE PATIENT ELECTRONIC MEDICAL RECORD, REFERRALS TO THE NYS QUIT-LINE, A LOW-COST LUNG SCREENING PROGRAM AND EDUCATIONAL PROGRAMS.THE HOSPITAL ALSO PROVIDES A NUMBER OF ADDITIONAL COMMUNITY PROGRAMS THROUGHOUT THE YEAR IN OTHER AREAS THEY IDENTIFIED SUCH AS CHILDBIRTH AND SIBLING EDUCATION FOR EXPECTANT FAMILIES, NO COST CAR SEAT SAFETY CHECKS AND FREE REPLACEMENTS, COMPLIMENTARY CPR CLASSES, SUPPORT GROUPS AND EDUCATIONAL LECTURES, MANY OF WHICH WENT VIRTUAL IN 2020 DUE TO COVID-19. ADDITIONALLY, NORTHERN DUTCHESS HOSPITAL STAFF, PHYSICIANS AND LEADERSHIP BECAME A LOCAL RESOURCE FOR THE COMMUNITY FIGHT AGAINST COVID-19, PROVIDING HOURS OF EXPERT COMMENTARY ON THE VIRUS, VACCINATIONS AND COMMUNITY SAFETY. THE HOSPITAL COMMUNITY HEALTH NEEDS COMMITTEES MEET ON A REGULAR BASIS TO VIEW PROGRESS TOWARD THE GOALS STATED THE COMMUNITY SERVICE PLAN AND DETERMINE IF ANY CHANGES TO OBJECTIVES ARE REQUIRED. ADDITIONALLY, NUVANCE HEALTH COMPILES DATA ON EACH IMPLEMENTATION AREA AND REPORTS IT TO THE NEW YORK STATE DEPARTMENT OF HEALTH ON AN ANNUAL BASIS.
NORTHERN DUTCHESS HOSPITALPART V, SECTION B, LINE 13H: FACILITY: NORTHERN DUTCHESS HOSPITALTHE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 54.69% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG.
PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.NUVANCEHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCEPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.NUVANCEHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCEPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.NUVANCEHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - NDH CARDIAC TESTING - KINGSTON
33 GRAND STREETKINGSTONNY12401PROVIDES OUTPATIENT CARDIAC TESTING AND REHAB SERVICES
2 - HYDE PARK SATELLITE HEALTH CENTER
11 CRUM ELBOW ROADHYDE PARKNY12538PROVIDES OUTPATIENT OT/PT/ST SERVICES

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 I, LINE 7G:THE AMOUNTS REPORTED AS SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE PHYSICIAN CLINIC COSTS.PART III, SECTION A, LINE 2:NDH 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. BASED ON THE ABOVE POLICY, NO BAD DEBT EXPENSE WAS RECORDED FOR FYE21.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 21-26 OF 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:IT IS THE POLICY OF NORTHERN DUTCHESS HOSPITAL TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) NORTHERN DUTCHESS HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. NORTHERN DUTCHESS HOSPITAL SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS.CONSISTENT WITH THIS MISSION, NORTHERN DUTCHESS HOSPITAL RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY.IN FURTHERANCE OF ITS CHARITABLE MISSION, NORTHERN DUTCHESS HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE.NORTHERN DUTCHESS HOSPITAL WILL COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CAN NOT AFFORD.
PART VI, LINE 2:NEEDS ASSESSMENT:IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE THAT MEETS REGULARLY TO ASSESS ANY ADDITIONAL HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMITTEE PROVIDES OVERSIGHT TO THE HOSPITAL'S COMMUNITY HEALTH PRIORITIES, INCLUDING NEEDS ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS AND OTHER POPULATION HEALTH INITIATIVES. THEY HELP GUIDE PRIORITY ISSUES FOR ACTION TO IMPROVE COMMUNITY HEALTH AND HELP INFORM, GUIDE AND SHARE SUCCESSFUL PROGRAMS AND STRATEGIES THAT ADDRESS HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. ALSO, SIGNS ARE POSTED THROUGHOUT THE HOSPITAL AND COUNSELORS ARE AVAILABLE TO PROVIDE FURTHER ASSISTANCE. ALL UNINSURED INPATIENTS ARE INTERVIEWED BY FINANCIAL COUNSELORS AND ASSESSED FOR ELIGIBILITY FOR ASSISTANCE PROGRAMS. THE HOSPITAL PROVIDES INFORMATIONAL HANDOUTS TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION WHICH REFERS THEM TO FINANCIAL COUNSELING IF THEY WOULD LIKE ASSISTANCE WITH THEIR BILLS. FURTHER, THE HOSPITAL MAILS NOTICES TO ALL SELF-PAY ACCOUNTS REFERRING THEM TO FINANCIAL COUNSELING IF THEY NEED ASSISTANCE. THE COLLECTION DEPARTMENT WILL ALSO REFER PATIENTS TO FINANCIAL COUNSELING WHEN A PATIENT INDICATES THAT THEY CANNOT AFFORD THEIR BALANCES; AND FINALLY, SCHEDULERS REFER UNINSURED PATIENTS TO FINANCIAL COUNSELING PRIOR TO THEIR TEST OR PROCEDURE. THE POLICY AND APPLICATIONS FOR ASSISTANCE ARE ALSO AVAILABLE ONLINE, AS WELL AS UPON REQUEST AT THE HOSPITAL.
PART VI, LINE 4:COMMUNITY INFORMATION:NORTHERN DUTCHESS HOSPITAL (NDH) IS A 84-BED ACUTE CARE, COMMUNITY HOSPITAL LOCATED IN RHINEBECK, NY. IT IS ONE OF THREE HOSPITALS LOCATED IN DUTCHESS COUNTY, NY. AS ITS NAME SUGGESTS, NDH'S SERVICE AREA INCLUDES DUTCHESS COUNTY FROM HYDE PARK NORTH. IT ALSO INCLUDES SEVERAL ADJACENT ZIP CODES IN ULSTER COUNTY AND SOME OF THE SOUTHERNMOST TOWNS IN COLUMBIA COUNTY. NDH'S TOTAL POPULATION OF 147,954 IS EXPECTED TO DECLINE THROUGH 2026. POPULATION GROWTH IS PROJECTED TO BE LIMITED TO PEOPLE AGED 65 AND OLDER, WITH A 8.8% CHANGE THROUGH 2026. ALL OTHER AGE GROUPS ARE EXPECTED TO DECLINE THROUGH 2025. THE AVERAGE HOUSEHOLD INCOME IN THE NDH SERVICE AREA IS $96,760. A HIGH SCHOOL DIPLOMA OR GED IS THE HIGHEST LEVEL OF EDUCATION COMPLETED BY 30% OF THE SERVICE AREA AGE 25 AND OLDER. (SOURCE: THE CLARITAS COMPANY, 2021). ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, THE DUTCHESS COUNTY/PUTNAM COUNTY REGION HAD AN UNEMPLOYMENT RATE OF 6.1% IN JANUARY 2021. APPROXIMATELY 8.3% OF THE POPULATION IN DUCHESS COUNTY IS LIVING IN POVERTY (CENSUS.GOV 2020). APPROXIMATELY 6% OF NDH'S MARKET ARE UNINSURED, WHILE MEDICAID (29%), MEDICARE (23%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (42%). (SOURCE: THE CLARITAS COMPANY, 2022). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), BOTH THE EASTERN PART OF DUTCHESS COUNTY AND POUGHKEEPSIE HAVE BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW-INCOME POPULATIONS.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH:NDH IS A 84-BED COMMUNITY HOSPITAL. 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. NDH CURRENTLY RENTS SPACE IN ITS HOSPITAL TO PHYSICIANS. NDH OPENED A MEDICAL OFFICE BUILDING WITH ADDITIONAL SPACE FOR DOCTORS IN EARLY 2016. 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. NDH 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. THE NORTHERN DUTCHESS HOSPITAL MARTIN AND TONI SOSNOFF PATIENT PAVILION, WHICH OPENED IN FEBRUARY 2016, HAS TURNED A 111-YEAR-OLD HOSPITAL INTO A MODERN MEDICAL FACILITY. THE 87,000-SQUARE-FOOT PAVILION ADVANCES THE CLINICAL CARE AVAILABLE TO LOCAL RESIDENTS. FROM THE SPACIOUS, PRIVATE ROOMS TO THE STATE-OF-THE-ART SURGICAL SUITES EQUIPPED WITH MINIMALLY INVASIVE TECHNOLOGY, PATIENTS AND THEIR FAMILIES NO LONGER NEED TO TRAVEL OUTSIDE OF THE AREA FOR ADVANCED MEDICAL CARE. WITH THE PATIENT PAVILION, NORTHERN DUTCHESS HOSPITAL HAS CREATED A HEALING ENVIRONMENT WHERE MODERN MEDICINE MEETS COMPASSIONATE CARE.
PART VI, LINE 6:AFFILIATED HEALTH CARE: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 FYE2021, THE NETWORK PROVIDED APPROXIMATELY $29,353,000 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 FYE2021, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, $9,323,000, DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, $7,099,000.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 FYE2021 THEY PROVIDED APPROXIMATELY $2,290,000 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 FYE2021, WCHNA PROVIDED APPROXIMATELY $40,000 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. 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. VASSAR BROTHERS MEDICAL CENTER (VBMC) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF MID-HUDSON VALLEY. FOR FYE2021 VBMC PROVIDED APPROXIMATELY $6,820,000 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. FOR FYE2021 PH PROVIDED APPROXIMATELY $1,475,000 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. FOR FYE2021 NDH PROVIDED APPROXIMATELY $946,000 IN CHARITY CARE.NORTHERN DUTCHESS HOSPITAL FOUNDATION (NDH) FOUNDATION ACTIVELY SOLICITS 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. FOR FYE2021 SH PROVIDED APPROXIMATELY $905,000 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. FOR FYE2021 NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY PROVIDED APPROXIMATELY $133,000 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. FOR FYE2021 NUVANCE HEALTH MEDICAL PRACTICE, PC PROVIDED APPROXIMATELY $155,000 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. FOR FYE2021 HUDSON VALLEY CARDIOVASCULAR PRACTICE PROVIDED APPROXIMATELY $72,000 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. FOR FYE2021 HEALTH QUEST HOME CARE PROVIDED APPROXIMATELY $97,000 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 TO SICK, DISABLED, OR INJURED PERSONS, GENERALLY WITHIN DUTCHESS, ORANGE, ULSTER, AND PUTNAM COUNTIES, NEW YORK.PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT:NEW YORK AND CONNECTICUT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN H ROSENBERG
TREASURER/CFO$0$725,983$0$0$0$975,413$0$601,834$0$40,662$0$2,343,892$0$866,877
MICHAEL HOLZHUETER
FORMER ASSISTANT SECRETARY$0$92,086$0$131,172$0$836,761$0$7,023$0$11,890$0$1,078,932$0$0
KERRY EATON
CHIEF OPERATING OFFICER$0$756,173$0$60,000$0$120,027$0$94,667$0$1,579$0$1,032,446$0$0
CAROLYN MCKENNA
ASST. SEC. (TO 12/31); SEC./CLO$0$584,841$0$0$0$62,046$0$14,250$0$2,115$0$663,252$0$0
DENISE GEORGE
PRESIDENT NDH & SVP CLINICAL SVCS.$0$476,825$0$35,000$0$96,247$0$17,100$0$29,741$0$654,913$0$0
CATHERINE FRIERSON
CHIEF HUMAN RESOURCE OFFICER$0$481,256$0$0$0$50,445$0$14,250$0$3,925$0$549,876$0$0
JEAN AHN FROM 0201
CHIEF STRATEGY OFFICER$0$417,628$0$0$0$81,363$0$14,250$0$3,071$0$516,312$0$0
JAMES SCADUTO MD
FORMER PRES. MED STAFF, HQMP PHYS.$0$377,239$0$58,206$0$1,196$0$17,100$0$36,550$0$490,291$0$0
JOHN HORISZNY MD
DIRECTOR/PHYSICIAN ADMIN.$0$375,560$0$36,958$0$2,038$0$17,100$0$35,685$0$467,341$0$0
GRACE LINHARD
CHIEF DEVELOPMENT OFFICER$0$384,162$0$0$0$61,573$0$17,100$0$2,495$0$465,330$0$0
WAYNE MCNULTY
CHIEF COMPLIANCE OFFICER$0$346,401$0$0$0$33,721$0$14,250$0$11,486$0$405,858$0$0
JOHN SABIA MD
VP MEDICAL AFFAIRS$315,470$0$14,325$0$25,300$0$15,147$0$14,015$0$384,257$0$0$0
PAMELA RHODES
CNO/VP PATIENT CARE SERVICES$270,807$0$32,719$0$6,343$0$17,100$0$2,514$0$329,483$0$0$0
CONNIE REGAN
PHARMACY CLINICAL COORDINATOR$206,276$0$16,302$0$5,416$0$13,641$0$24,022$0$265,657$0$0$0
KATHERINE BACHER
FORMER ASSISTANT TREASURER$0$191,893$0$0$0$18,251$0$12,144$0$263$0$222,551$0$0
PAUL KING
DIR. OF DIAGNOSTIC SERVICES$187,290$0$14,870$0$1,521$0$11,948$0$1,824$0$217,453$0$0$0
WILLIAM A WILSON
VP MEDICAL AFFAIRS$176,333$0$20,000$0$440$0$0$0$15,043$0$211,816$0$0$0
CHERYL BOOTH
FORMER ASSISTANT SECRETARY$0$126,698$0$1,500$0$5,343$0$7,876$0$1,803$0$143,220$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1A:FormAndLineReferenceDesc
ExplanationFOR THE FOLLOWING, TAXABLE COMPENSATION REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR A TAXABLE TRAVEL STIPEND: TWO HIGHEST-COMPENSATED EMPLOYEES. PART I, LINE 3: NORTHERN DUTCHESS HOSPITAL RELIED ON NUVANCE HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA ON OTHER KEY EMPLOYEES. PART I, LINE 4A: DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2020, MICHAEL HOLZHUETER RECEIVED $694,731 IN SEVERANCE PAYMENTS, SUBSEQUENT TO HIS TERMINATION DATE OF DECEMBER 11, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. 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, 2021. FOR CALENDAR YEAR 2020, STEVEN H. ROSENBERG RECEIVED A PAYOUT OF $866,877, WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. KERRY EATON, MICHAEL HOLZHEUTER AND KATHERINE BACHER PARTICIPATED 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. AS OF JANUARY 15, 2021, THE HEALTH QUEST SERP PLAN WAS TERMINATED. KERRY EATON - $77,567 EFFECTIVE OCTOBER 1, 2020, NUVANCE HEALTH ESTABLISHED AN EXECUTIVE RETIREMENT PLAN IN ORDER TO PROVIDE NONQUALIFIED DEFINED CONTRIBUTION RETIREMENT BENEFITS TO DESIGNATED KEY MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM, SELECTED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 OR TIER 2 EXECUTIVE POSITIONS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN CALENDAR YEAR 2020, CONTRIBUTIONS RELATED TO THIS PLAN ARE INCLUDED IN EACH PARTICIPANT'S WAGES AND ARE REFLECTED IN THE AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) - OTHER REPORTABLE INCOME. 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. NUVANCE HEALTH EXECUTIVE LONG TERM INCENTIVE PLAN (EXCERPTS FROM) ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 EXECUTIVE POSITIONS SHALL BE ELIGIBLE EMPLOYEES TO PARTICIPATE IN THE PLAN. UNDER THE PLAN, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE INCENTIVE AWARD PAYMENTS BASED UPON THE ACHIEVEMENT OF SELECTED AND STRATEGICALLY IMPORTANT PERFORMANCE GOALS IDENTIFIED FOR EACH PERFORMANCE PERIOD. THE AWARD OPPORTUNITIES FOR AN ELIGIBLE EMPLOYEE WITH RESPECT TO A PERFORMANCE PERIOD SHALL BE EXPRESSED AS A PERCENTAGE OF HIS OR HER AVERAGE BASE SALARY IN EFFECT DURING THE APPLICABLE PERFORMANCE PERIOD. PRIOR TO THE BEGINNING OF EACH PERFORMANCE PERIOD, THE COMMITTEE MAY ESTABLISH A MINIMUM PERFORMANCE REQUIREMENT FOR NUVANCE HEALTH. NO FINAL AWARDS MAY BE GRANTED TO ANY PARTICIPANT FOR A PERFORMANCE PERIOD IN WHICH MINIMUM PERFORMANCE REQUIREMENTS, IN ANY, WERE NOT MET. THE FINAL AWARD PAYABLE TO EACH PARTICIPANT WILL BE DETERMINED WITHIN 60 DAYS FOLLOWING THE END OF THE PERFORMANCE PERIOD. AWARDS FOR A GIVEN PERFORMANCE PERIOD WILL BE PAID IN A SINGLE LUMP-SUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DUTCHESS COUNTY LOCAL DEVELOPMENT CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN273106797BondIssuerEIN
CUSIP267045GD8CUSIPNum
Bond Issued2016-07-07BondIssuedDt
Issue Price$7,613,993IssuePriceAmt
PurposeREFUND PRIOR ISSUE (9/6/2007)PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,061,480RetiredAmt
Total Proceeds$7,658,350TotalProceedsAmt
Issuance Costs From Proceeds$104,507IssuanceCostsFromProceedsAmt
Credit Enhancement$2,424CreditEnhancementAmt
Working Capital Expenditures$17,039WorkingCapitalExpendituresAmt
Capital Expenditures$7,534,380CapitalExpendituresAmt
Substantial Completion2008SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00030PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00030TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:(A) ISSUER NAME: DUTCHESS COUNTY LOCAL DEVELOPMENT CORPORATION DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2021 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PART I, LINE B, COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038 - $438,672,525.55, ALLOCATED BETWEEN 3 ORGANIZATIONS: VASSAR BROTHERS MEDICAL CENTER (FEIN: 14-1338586) PUTNAM HOSPITAL (FEIN: 14-6019179) NORTHERN DUTCHESS HOSPITAL (FEIN: 14-1338467)
SCHEDULE K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1:DESCRIPTION OF ORGANIZATION 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.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF NORTHERN DUTCHESS HOSPITAL ("NDH") IS HEALTH QUEST SYSTEMS, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER (HEALTH QUEST SYSTEMS INC.) SHALL ELECT NORTHERN DUTCHESS HOSPITAL'S (NDH'S) OFFICERS. SUBJECT TO THE APPROVAL OF THE MEMBER, ANY VACANCY OR VACANCIES OCCURRING IN ANY OFFICE MAY BE FILLED UNTIL THE NEXT MEETING AT WHICH OFFICERS ARE ELECTED BY THE AFFIRMATIVE VOTE OF THE REMAINING DIRECTORS IN OFFICE AT ANY MEETING OF THE BOARD, THOUGH SUCH REMAINING DIRECTORS MAY CONSTITUTE LESS THAN A QUORUM. ANY OFFICER MAY BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY NORTHERN DUTCHESS HOSPITAL 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 NORTHERN DUTCHESS HOSPITAL'S ORGANIZATIONAL DOCUMENTS; (III) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF NORTHERN DUTCHESS HOSPITAL'S FUNDS; (IV) ADOPTION OF OR AMENDMENT TO ANY OF NORTHERN DUTCHESS HOSPITAL'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 11BTHE 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 12COFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT & PRIVACY OFFICER. ALSO, THEY ARE REQUIRED TO DISCLOSE ANY CONFLICT TO THE BOARD OR DIRECTLY TO THE CHAIRMAN PRIOR TO ANY MEETING. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. FORM 990, PART VI, 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 15BNUVANCE HEALTH'S EXECUTIVE TOTAL REWARDS PHILOSOPHY IS DESIGNED TO ALIGN WITH THE COMPANY'S STRATEGIC DIRECTION, AND TO REINFORCE ITS CORE MISSION, VISION AND VALUES. IN ORDER TO ACHIEVE ITS OVERALL PERFORMANCE OBJECTIVES, NUVANCE HEALTH PROVIDES TOTAL REWARDS PROGRAMS THAT RECOGNIZE EXECUTIVES FOR PERFORMING WORK WELL TO ENSURE THE ACHIEVEMENT OF COMPANY GOALS. THESE PROGRAMS SERVE TO PROMOTE THE ATTRACTION, ENGAGEMENT, AND RETENTION OF TALENTED EXECUTIVES THROUGHOUT THEIR CAREERS WITH NUVANCE HEALTH. THE TOTAL REWARDS PROGRAMS ARE DESIGNED TO BE MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES REFLECTIVE OF BEST PRACTICES, AND DIFFERENTIATED TO CREATE STRONG COMPETITIVE ADVANTAGE. TOTAL REWARDS PROGRAMS ARE REVIEWED ON AN ONGOING BASIS TO ENSURE CONTINUED MARKET COMPETITIVENESS, RELEVANT VALUE TO EXECUTIVES, AND FISCAL RESPONSIBILITY. TOTAL REWARDS FOR NUVANCE HEALTH EXECUTIVES CONSISTS OF KEY COMPONENTS OF COMPENSATION AND BENEFITS. OVERALL EXECUTIVE REWARDS PROGRAM WILL EMPHASIZE PERFORMANCE-BASED ELEMENTS, WHEREBY TARGETED LEVELS OF COMPENSATION WILL ONLY BE ACHIEVED IF THE ORGANIZATION AND INDIVIDUAL ACHIEVE STRETCH GOALS AND OBJECTIVES. BASED ON THE LABOR MARKETS FOR TALENT FOR EXECUTIVE ROLES, NUVANCE HEALTH WILL UTILIZE A WEIGHTED BLEND OF BOTH NATIONAL COMPARABLY SIZED HEALTH CARE PROVIDER MARKET DATA WITH A +30% GEOGRAPHIC DIFFERENTIAL APPLIED (DIFFERENTIAL TO BE VALIDATED ON A PERIODIC BASIS) AT TWO-THIRDS WEIGHT AND NATIONAL COMPARABLY SIZED GENERAL INDUSTRY DATA, FOR IDENTIFIED ROLES WHERE SKILL SETS OVERLAP AT ONE-THIRD WEIGHT. GEOGRAPHIC DIFFERENTIAL REFLECTS THE OBSERVED AND REPORTED COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTH'S OPERATING REGION AND THE BROADER NATIONAL HEALTH CARE PROVIDER MARKET. NUVANCE HEALTH'S TOTAL REWARDS PHILOSOPHY AND PRACTICES ARE TARGETED AT THE 50TH PERCENTILE OF THE RELEVANT MARKET FOR BASE SALARY, AND 75TH PERCENTILE FOR TOTAL CASH AND TOTAL DIRECT (WHERE AVAILABLE) COMPENSATION ELEMENTS IF TARGET PERFORMANCE IS ACHIEVED UNDER VARIABLE COMPENSATION PROGRAMS. NUVANCE HEALTH'S COMMITTEE HAS DISCRETION TO POSITION INDIVIDUAL LEVELS ABOVE OR BELOW THIS TARGETED COMPETITIVE POSITIONING, BASED ON SUCH FACTORS AS POSITIONING TO MARKET, HIGH DEMAND SKILLSETS AND DIFFICULT TO FILL OR CRITICAL TO THE ORGANIZATION'S STRATEGY AND SUCCESS. OUR GOVERNANCE PROMOTES CONSISTENCY AND EQUITY; PROVIDES CLARITY AND GUIDANCE TO DECISION-MAKERS; ENSURES STANDARD PROCESSES AND PROCEDURES FOR ASSESSING, CALIBRATING, ADMINISTERING, AND DELIVERING EFFECTIVE TOTAL REWARDS THROUGHOUT THE NUVANCE HEALTH SYSTEM. OVERSIGHT AND GOVERNANCE OF THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS FOR ELIGIBLE EXECUTIVES/DISQUALIFIED INDIVIDUALS (CURRENTLY CEO, PRESIDENT AND TIERS 1 AND 2) WILL BE AT THE COMPENSATION COMMITTEE OF THE BOARD LEVEL AND WILL FOLLOW A STRUCTURED AND RIGOROUS PROCESS TO ENSURE COMPLIANCE WITH INTERMEDIATE SANCTIONS UNDER IRS GUIDELINES.
FORM 990, PART VI, SECTION C, LINE 19POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR AS PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILIGNS SUCH AS THE FORM 990 AND BOND HOLDER AGREEMENTS.
FORM 990, PART VII (ADDITIONAL INFORMATION)FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII,"ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED.
FORM 990, PART XI, LINE 9:CHANGE IN EQUITY INTEREST IN THE FOUNDATION 2,848,591. RECLASSIFICATION OF NET ASSET GL ACCTS UPON GL SYSTEM CONVERSION -1,032,020. REALLOCATION OF COVID STIMULUS FUNDS TO OTHER NUVANCE ENTITIES -2,337,729.
FORM 990, PART XI, LINE 8:$1,184,403 IS REPORTED ON FORM 990, PART XI, LINE 8 AS A PRIOR PERIOD ADJUSTMENT. DURING THE TAX YEAR, NUVANCE HEALTH (THE ULTIMATE PARENT COMPANY, RECENTLY FORMED BY THE MERGER OF TWO HEALTH SYSTEMS) WAS FINALIZING THE ALIGNMENT OF ACCOUNTING POLICIES AND PROCEDURES ACROSS THE ENTITIES WITHIN THE HEALTH SYSTEM. AS A RESULT, IT WAS DETERMINED THE HISTORICAL ACCOUNTING USED TO REPRESENT THE INTEREST NDH HELD IN THE SUPPORTING FOUNDATION (NORTHERN DUTCHESS HOSPITAL FOUNDATION) NEEDED TO BE ADJUSTED. THIS HAD NO EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF NUVANCE HEALTH AS A WHOLE, AS NORTHERN DUTCHESS HOSPITAL'S INTEREST IN THE FOUNDATION IS ELIMINATED IN CONSOLIDATION. AS A RESULT, A ONE-TIME CORRECTING ENTRY WAS RECORDED TO TRUE UP THE INTEREST IN THE FOUNDATION RECORDED ON NORTHERN DUTCHESS HOSPITAL'S BALANCE SHEET.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ALAMO AMBULANCE SERVICES INC
45 READE PLACEPOUGHKEEPSIENY12601141745417TRANSPORTATIONNY501(C)(3)12, TYPE III-FIHQYes (1)
DANBURY HOSP & NEW MILFORD HOSP FDN INC
24 HOSPITAL AVENUEDANBURYCT06810237425557FUNDRAISINGCT501(C)(3)7WCHNYes (1)
DANBURY HOSPITAL
24 HOSPITAL AVENUEDANBURYCT06810060646597ACUTE CARECT501(C)(3)3WCHNYes (1)
EASTERN NEW YORK MEDICAL SERVICES PC
100 RESERVE ROADDANBURYCT06810455431389PHYSICIAN SERVICESNY501(C)(3)10WCHNYes (1)
HEALTH QUEST HOME CARE (CERTIFIED)
45 READE PLACEPOUGHKEEPSIENY12601141788412HOME HEALTHNY501(C)(3)10HQYes (1)
HEALTH QUEST HOME CARE (LICENSED)
45 READE PLACEPOUGHKEEPSIENY12601141788410HOME HEALTHNY501(C)(3)10HQYes (1)
NUVANCE HEALTH MEDICAL PRACTICE PC
45 READE PLACEPOUGHKEEPSIENY12601562669185MEDICAL CARENY501(C)(3)10HQYes (1)
HEALTH QUEST SYSTEMS INC
45 READE PLACEPOUGHKEEPSIENY12601141678068MANAGEMENTNY501(C)(3)10NUVANCEYes (1)
HEALTH QUEST URGENT MEDICAL PRACTICE PC
45 READE PLACEPOUGHKEEPSIENY12601800152047MEDICAL CARENY501(C)(3)10HQYes (1)
HUDSON VALLEY CARDIOVASCULAR PRACTICE PC
45 READE PLACEPOUGHKEEPSIENY12601463756713MEDICAL CARENY501(C)(3)10HQYes (1)
NDH FOUNDATION
6531 SPRINGBROOK AVENUERHINEBECKNY12572141776208FUNDRAISINGNY501(C)(3)7HQYes (1)
NORTHERN DUTCHESS RES HEALTHCARE FACILITY
6526 SPRINGBROOK AVENUERHINEBECKNY12572223129608NURSING HOMENY501(C)(3)10HQYes (1)
NORWALK HOSPITAL FOUNDATION
34 MAPLE STREETNORWALKCT06856222577707FUNDRAISINGCT501(C)(3)7WCHNYes (1)
NUVANCE HEALTH
45 READE PLACEPOUGHKEEPSIENY12601834214573SUPPORTNY501(C)(3)12, TYPE III-FI0N/A
NUVANCE HEALTH MEDICAL PRACTICE CT INC
100 RESERVE ROADDANBURYCT06810061137531PHYSICIAN SERVICESCT501(C)(3)10WCHNYes (1)
PUTNAM HOSPITAL CENTER
670 STONELEIGH AVENUECARMELNY10512146019179HOSPITALNY501(C)(3)3HQYes (1)
PUTNAM HOSPITAL CENTER FOUNDATION
670 STONELEIGH AVENUECARMELNY10512061399319FUNDRAISINGNY501(C)(3)12, TYPE IHQYes (1)
THE NORWALK HOSPITAL ASSOCIATION
24 STEVENS STREETNORWALKCT06850066068853HEALTH SERVICESCT501(C)(3)3WCHNYes (1)
VASSAR BROTHERS HOSPITAL FOUNDATION
45 READE PLACEPOUGHKEEPSIENY12601141736429FUNDRAISINGNY501(C)(3)7HQYes (1)
VASSAR BROTHERS MEDICAL CENTER
45 READE PLACEPOUGHKEEPSIENY12601141338586HOSPITALNY501(C)(3)3HQYes (1)
VASSAR HEALTH CONNECTICUT INC
50 HOSPITAL HILL ROADSHARONCT06069815056290HOSPITALCT501(C)(3)3HQYes (1)
WELLS MANOR HOUSING DEVELOPMENT FUND CORP
56 ASTOR DRIVERHINEBECKNY12572112611902LOW INCOMENY501(C)(3)PRIVATE FOUNDATIONHQYes (1)
WESTERN CONNECTICUT HOME CARE INC
100 SAW MILL ROADDANBURYCT06810060655138HOME HEALTHCARECT501(C)(3)10WCHNYes (1)
WESTERN CT HEALTH NETWORK AFFILIATES INC
95 LOCUST AVENUEDANBURYCT06810222594968OUTPATIENT HEALTHCARE SERVICESCT501(C)(3)10WCHNYes (1)
WESTERN CT HEALTH NETWORK INC
24 HOSPITAL AVENUEDANBURYCT06810222594977PROGRAM DEVELOPMENTCT501(C)(3)12 TYPE IINUVANCEYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
NEW MILFORD MRI LLC
21 ELM STREETNEW MILFORDCT06776271877801INACTIVECTN/AN/A00
NORWALK SURGERY CENTER LLC
40 CROSS STREET STE 120NORWALKCT06851272394942SURGERY CENTERCTN/AN/A00
WCHN INVESTMENTS LLC
24 HOSPITAL AVEDANBURYCT06810475523212INVESTMENTSCTN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
NUVANCE HEALTH INSURANCE COMPANY LTD
23 LIME TREE BAY PO BOX 105GRAND CAYMANCJ980438151MALPRACTICECJN/AC0
SWC CORPORATION
222577718PHARMACYN/AC024 STEVENS STREETNORWALKCT06850CT
TACONIC IPA INC
223007320MEDICAL CAREN/AC01351 ROUTE 55LAGRANGEVILLENY12540NY
VASSAR HQ MED PRACTICE OF CT INC
821466583MEDICAL CAREN/AC0100 RESERVE ROADDANBURYCT06810CT
ADVANCED CTR FOR REHAB MED
061304799INACTIVEN/AC024 STEVENS STREETNORWALKCT06850CT
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (33 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHERN DUTCHESS HOSPITAL FOUNDATION
L$63,004COST
NORTHERN DUTCHESS HOSPITAL FOUNDATION
C$341,994COST
NORTHERN DUTCHESS HOSPITAL FOUNDATION
O$239,478COST
VASSAR HEALTH CONNECTICUT INC
L$130,291COST
VASSAR HEALTH CONNECTICUT INC
M$383,792COST
VASSAR HEALTH CONNECTICUT INC
O$65,287COST
NUVANCE HEALTH
P$18,073,257COST
NUVANCE HEALTH
L$10,369,127COST
NUVANCE HEALTH
Q$156,123COST
NUVANCE HEALTH
M$18,106,067COST
HEALTH QUEST HOME CARE (CERTIFIED)
M$99,000COST
WESTERN CONNECTICUT HEALTH NETWORK INC
P$43,084,603COST
WESTERN CONNECTICUT HEALTH NETWORK INC
M$52,305,027COST
VASSAR BROTHERS MEDICAL CENTER
P$849,241COST
VASSAR BROTHERS MEDICAL CENTER
M$25,311,881COST
VASSAR BROTHERS MEDICAL CENTER
L$185,742COST
HEALTH QUEST MEDICAL PRACTICE PC
P$110,505COST
HEALTH QUEST MEDICAL PRACTICE PC
Q$231,158COST
HEALTH QUEST MEDICAL PRACTICE PC
L$12,103,449COST
HEALTH QUEST MEDICAL PRACTICE PC
M$9,377,104COST
HEALTH QUEST MEDICAL PRACTICE PC
J$466,906COST
PUTNAM HOSPITAL CENTER
Q$465,370COST
PUTNAM HOSPITAL CENTER
L$303,642COST
HUDSON VALLEY CARDIOVASCULAR PRACTICE PC
Q$102,216COST
HUDSON VALLEY CARDIOVASCULAR PRACTICE PC
L$2,181,854COST
NORTHERN DUTCHESS RESIDENTIAL HEALTH FACILITY INC
Q$54,223COST
NORTHERN DUTCHESS RESIDENTIAL HEALTH FACILITY INC
M$70,913COST
NORTHERN DUTCHESS RESIDENTIAL HEALTH FACILITY INC
O$68,754COST
DANBURY HOSPITAL
P$4,438,588COST
DANBURY HOSPITAL
M$1,922,046COST
DANBURY HOSPITAL
Q$177,387COST
HUDSON VALLEY CARDIOVASCULAR PRACTICE PC
P$293,218COST
HEALTH QUEST HOME CARE (LICENSED)
M$11,000COST

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