2022-07-18T15:43:28-05:00 2020-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON ST BOSTON MA 021165072 990 2019-10-01 141678068 HEALTH QUEST SYSTEMS INC HEAL 8454759500 1351 ROUTE 55 LAGRANGEVILLE NY 12540 STEVEN H ROSENBERG CFO & TREASURER 2037397000 2022-07-18 1 MIKE A CINCOTTA P01595811 6172662000 2019 2022-09-23 18:48:47Z STEVEN H ROSENBERG 1351 ROUTE 55 LAGRANGEVILLE NY 12540 220668429 0 X WWW.NUVANCEHEALTH.ORG X 1987 NY PROVIDE SUPPORT TO MEMBER ORGANIZATIONS OF THE HEALTH QUEST SYSTEMS 17 16 1285 17 -34223 33190 248713 206305 154035533 219853516 29820 0 1055053 608608 155369119 220668429 218750 283790 0 0 89961112 128532907 0 0 0 61920735 94374284 152100597 223190981 3268522 -2522552 78345682 182459538 84591644 171056769 -6245962 11402769 BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. 0 0 113527654 283790 185357096 TO PROVIDE EXECUTIVE AND ADMINISTRATIVE OVERSIGHT TO THE MEMBER ORGANIZATIONS OF HEALTH QUEST. HEALTH QUEST PROVIDES CENTRALIZED ADMINISTRATION, FINANCE (INCLUDING PAYROLL, ACCOUNTS PAYABLE, DECISION SUPPORT, MANAGED CARE, BUDGETS AND REIMBURSEMENT), PATIENT FINANCIAL SERVICES, PURCHASING, BUSINESS DEVELOPMENT, HUMAN RESOURCES, COMPLIANCE, INTERNAL AUDIT, LAB MANAGEMENT, BIOMED SERVICES, CONSTRUCTION AND PROPERTY MANAGEMENT, LEGAL COUNSEL, PHYSICIAN RECRUITMENT, MEDICAL AFFAIRS MANAGEMENT AND HOSPITALITY/SECURITY SERVICES MANAGEMENT IN ORDER TO FURTHER THE EXEMPT PURPOSE OF HEALTH QUEST. THIS HAS LED TO NUMEROUS OPERATING EFFICIENCIES AT EACH MEMBER ORGANIZATION. 29535334 0 34631501 HQ LAB PROVIDES CLINICAL DIAGNOSTIC SERVICE TO AFFILIATE HOSPITALS FOR BOTH INPATIENT AND OUTPATIENT SERVICES. 143062988 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 557 0 1 1285 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 17 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 X JOHN M MURPHY MD FROM 1211 TRUSTEE & CEO 3.00 40.00 X X 0 2630052 4397460 ROBERT FRIEDBERG TO 1211 TRUSTEE & PRESIDENT 40.00 3.00 X X 2398033 0 175504 STEVEN H ROSENBERGFROM 0101 CFO/TREASURER 3.00 40.00 X 0 1529199 644898 MICHAEL HOLZHUETER TO 1211 ASSISTANT SECRETARY 40.00 3.00 X 1322215 0 122001 DANIEL J O'DEA MD TO 0630 VP OF CARDIOVASCULAR SERVICES 40.00 0.00 X 1203432 0 47764 KERRY EATON FROM 1211 CHIEF OPERATING OFFICER 40.00 3.00 X 1069411 0 88073 CAROLYN MCKENNA FROM 0101 ASSISTANT SECRETARY 3.00 40.00 X 0 963570 53648 GLENN A LOOMIS MD FORMER CHIEF ACADEMIC OFFICER 0.00 0.00 X 938733 0 90099 KATHERINE BACHER TO 1231 ASSISTANT TREASURER 40.00 3.00 X 866306 0 89904 CATHERINE FRIERSON FROM 0101 CHIEF HUMAN RESOURCE OFFICER 3.00 40.00 X 0 864168 19108 ROBERT DIAMOND TO 1031 SVP AND CIO 40.00 0.00 X 689794 0 89058 PETER CORDEAU PRESIDENT SHARON & NORWALK HOSPITALS 40.00 0.00 X 635196 0 52563 GERDA MAISSEL TO 0807 CMO/CHIEF TRANSFORMATION 40.00 0.00 X 619091 0 41734 DENISE GEORGE PRESIDENT NDH/SVP CLINICAL SERVICE 40.00 0.00 X 607544 0 47290 GRACE LINHARD FROM 0101 CHIEF DEVELOPMENT OFFICER 3.00 40.00 X 0 602893 20473 PETER A KELLY PRESIDENT VBMC 40.00 0.00 X 570281 0 18346 MARVIN RUSSELL TO 0213 CHIEF HR OFFICER 40.00 0.00 X 528654 0 47977 TIMMIAN C MASSIE TO 0918 SVP/PUBLIC RELATIONS 40.00 0.00 X 514910 0 47522 LAWRENCE BELL TO 0720 VP OF CONSTRUCTION 40.00 0.00 X 513686 0 32874 ANN MCMACKIN FORMER VBMC PRESIDENT 0.00 0.00 X 528846 0 0 CHRISTOPHER STENBERG VP GRADUATE-MED. EDUCATION 40.00 0.00 X 493568 0 33840 WAYNE MCNULTY FROM 0101 CHIEF COMPLIANCE OFFICER 3.00 40.00 X 0 491881 27152 LUIS A RICHARD CHIEF SUPPLY CHAIN OFFICER 40.00 0.00 X 397994 0 45505 DIANE KANTAROS CHIEF QUALITY OFFICER 40.00 0.00 X 419960 0 17747 CLAUDINE A FASSE VP OPERATIONS/ORG. EXCELLENCE 40.00 0.00 X 373281 0 31248 BOWEI HAO AVP STRATEGIC PROJECT/EXEC. STAFF 40.00 0.00 X 373556 0 28661 CHERYL BOOTH TO 1231 ASSISTANT SECRETARY 40.00 3.00 X 122764 0 35710 GREGORY W RAKOW CHAIRMAN 3.00 0.00 X X 0 0 0 ANDREW WHITTINGHAM VICE CHAIRMAN 3.00 0.00 X X 0 0 0 J LUKE MCGUINNESS TO 0928 TRUSTEE 2.00 0.00 X 0 0 0 ROBERT R DYSON TRUSTEE 2.00 0.00 X 0 0 0 SAL CALTA FROM 0424 TRUSTEE 2.00 0.00 X 0 0 0 DAVID CYGANOWSKI TRUSTEE 2.00 0.00 X 0 0 0 JOSEPH DIVESTEA TRUSTEE 2.00 0.00 X 0 0 0 CARLA GUDE TRUSTEE 2.00 0.00 X 0 0 0 MARK GUDIS TRUSTEE 2.00 0.00 X 0 0 0 RICHARD JABARA TRUSTEE 2.00 0.00 X 0 0 0 STEVEN V LANT TRUSTEE 2.00 0.00 X 0 0 0 MARY MADDEN TRUSTEE 2.00 0.00 X 0 0 0 DANIEL MCCARTHY TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL J NESHEIWAT MD TRUSTEE 2.00 0.00 X 0 0 0 ANNE ROBY TRUSTEE 2.00 0.00 X 0 0 0 S JAVED SHAHID MD TRUSTEE 2.00 0.00 X 0 0 0 ERVIN R SHAMES TRUSTEE 2.00 0.00 X 0 0 0 15187255 7081763 6346159 226 1 1 0 WALSHCONSIGLI JV 929 WEST ADAMS STREET CHICAGO IL 60607 CONSTRUCTION 99970747 CONSIGLI CONSTRUCTION NY LLC 199 WEST ROAD STE 100 PLEASANT VALLEY NY 12569 CONSTRUCTION 14939587 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 30384 STAFFING SERVICES 3837743 BIO-REFERENCE LAB 481 EDWARD H ROSS DRIVE ELMWOOD NJ 07407 LAB TESTING 2202144 THE REMI GROUP 11325 NORTH COMMUNITY HOUSE ROAD CHARLOTTE NC 28277 EQUIPMENT MAINT. MANAGEMENT 2125534 507 206305 206305 MANAGEMENT FEES 900099 185054567 185054567 LAB SERVICES 621500 34631501 34631501 CONTINUING EDUCATION 900099 167448 167448 219853516 -34223 34223 10283 0 10283 10283 10283 REFUNDS & REBATES 900099 463244 463244 GME 900099 128264 128264 6817 6817 598325 220668429 219988597 -34223 507750 283790 283790 524374 343113 181261 102880527 67317652 35562875 3701463 1959083 1742380 15065393 8672399 6392994 6361150 3366783 2994367 526368 2556 523812 843040 843040 100000 100000 6608844 5022558 1586286 2470215 2470215 2449164 1833007 616157 21239216 16828521 4410695 3177880 811148 2366732 149428 112615 36813 644371 551708 92663 120972 12097 108875 5677502 4271801 1405701 1042691 1042691 PURCHASED SERVICES 22517583 12483001 10034582 MEDICAL SUPPLIES 10027737 10027737 CONSULTING FEES 5347641 5347641 LICENSES/TAXES 662453 37633 624820 10769179 1307930 9461249 223190981 143062988 80127993 0 10385506 2750772 3138749 4941919 6741465 7512530 80309694 44497687 25225308 35812007 32854654 131442310 78345682 182459538 54222522 47066976 30369122 123989793 84591644 171056769 X -6245962 11384988 17781 -6245962 11402769 78345682 182459538 X -2522552 20171283 X 0 1 X 1 1 1 X 5549 617 224302 248713 206305 685486 173781654 181140837 183953548 154035533 219853516 912765088 173787203 181141454 184177850 154284246 220059821 913450574 0 0 0 913450574 34064 10283 44347 34064 10283 44347 483672 1540042 700934 1050809 598325 4373782 174270875 182681496 184878784 155369119 220668429 917868703 0.99520 0.99500 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REFUNDS REBATES - 2015 AMOUNT: $ 144,439. 2017 AMOUNT: $ 389,515. 2018 AMOUNT: $ 382,906. 2019 AMOUNT: $ 463,244. GME - 2018 AMOUNT: $ 130,047. 2019 AMOUNT: $ 128,264. MGMT SERVICES FOR CONTRACT REV - 2015 AMOUNT: $ 202,669. 2016 AMOUNT: $ 531,750. NYS UNCLAIMED FUNDS - 2016 AMOUNT: $ 687,245. CONTINUING EDUCATION - 2017 AMOUNT: $ 160,790. 2018 AMOUNT: $ 132,908. OTHER - 2015 AMOUNT: $ 136,564. 2016 AMOUNT: $ 321,047. 2017 AMOUNT: $ 150,629. 2018 AMOUNT: $ 404,948. 2019 AMOUNT: $ 6,817. SCHEDULE A, PART III: THE ORGANIZATION FILED A SHORT PERIOD RETURN FOR FISCAL YEAR 2019 (1/1/19-9/30/19). AS A RESULT OF THE MERGER WITH WESTERN CONNECTICUT HEALTH NETWORK (WCHN), HEALTH QUEST SYSTEMS, INC. CHANGED ITS TAX YEAR END FROM 12/31 TO 9/30 TO ALIGN WITH WCHN AND AFFILIATES. THE AMOUNTS REPORTED IN COLUMN (D) FOR 2018 REPRESENT THE 9 MONTH PERIOD FOR FISCAL YEAR ENDED 9/30/19 AND THE AMOUNTS REPORTED IN COLUMN (E) FOR 2019 REPRESENT THE 12-MONTH PERIOD ENDED 9/30/20. DUE TO REPORTING THE SHORT PERIOD FISCAL YEAR 2019 IN COLUMN (D), 2019, THE PUBLIC SUPPORT REPORTED IN PART III, SECTIONS A & B IS AS FOLLOWS: (A) 2015 (YEAR ENDING 12/31/2016) (B) 2016 (YEAR ENDING 12/31/2017) (C) 2017 (YEAR ENDING 12/31/2018) (D) 2018 (YEAR ENDING 9/30/2019) (E) 2019 (YEAR ENDING 9/30/2020). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 50000 1 50000 0 100000 0 PART II-B, LINE 1: HEALTH QUEST SYSTEMS' (HEALTH QUEST") LOBBYING EFFORTS ARE FOCUSED ON REPRESENTING THE SYSTEM'S PATIENT-CENTERED INTERESTS AMONG GOVERNMENT OFFICIALS AT THE LOCAL, STATE AND NATIONAL LEVELS. IN NEW YORK'S HUDSON VALLEY AND IN NORTHWEST CONNECTICUT, HEALTH QUEST OFFICIALS MEET WITH MAYORS, TOWN SUPERVISORS, SELECTMEN, STATE LEGISLATORS, COUNTY EXECUTIVES AND COUNTY LEGISLATORS TO DISCUSS HEALTHCARE NEEDS IN THEIR MUNICIPALITIES AND HOW OUR SYSTEM CAN BEST HELP MEET THOSE NEEDS. WE ALSO KEEP OUR LOCAL ELECTED AND PLANNING OFFICIALS INFORMED OF PROGRESS ON NEW FACILITIES. ON THE STATE LEVEL, HEALTH QUEST REPRESENTATIVES MEET ON A REGULAR BASIS WITH STATE LEGISLATORS AND OFFICIALS IN THE NEW YORK STATE DEPARTMENT OF HEALTH TO KEEP THEM INFORMED OF PROJECTS, AS WELL AS NEW PROGRAMS AND SERVICES TO PROVIDE GREATER ACCESS TO QUALITY HEALTHCARE. MEETINGS HAVE BEEN HELD WITH THE CONNECTICUT DEPARTMENT OF HEALTH TO DISCUSS OPERATIONS AT SHARON HOSPITAL. IN ALBANY, HEALTH QUEST IS REPRESENTED BY THE FIRMS OF PATRICIA LYNCH ASSOCIATES, AND DELBELLO DONNELLAN WEINGARTEN WISE AND WIEDERKEHR. ON THE FEDERAL LEVEL, HEALTH QUEST MEETS WITH MEMBERS OF CONGRESS AND UNITED STATES SENATORS FROM NEW YORK AND CONNECTICUT AND THEIR STAFFS TO DISCUSS ISSUES INCLUDING HEALTHCARE REFORM, WAGE INDICES, HIRING EFFORTS IN AN ERA OF PHYSICIAN AND NURSING SHORTAGES, HQ'S MEDICAL SCHOOL, AND COMMUNITY EDUCATION AND OUTREACH EFFORTS. HEALTH QUEST IS REPRESENTED IN WASHINGTON BY DEBRUNNER & ASSOCIATES. HEALTH QUEST ALSO PARTICIPATES WITH HANYS (THE HEALTHCARE ASSOCIATION OF NEW YORK STATE) DURING ADVOCACY DAYS IN ALBANY AND WASHINGTON, DC. 7284426 2529541 4754885 57784617 41968146 15816471 15240651 15240651 35812007 DUE FROM AFFILIATES - S/T 105295262 DUE FROM AFFILIATES - L/T 18715594 DUE FROM NUVANCE INSURANCE COMPANY 4670711 SECURITY DEPOSITS 37166 DEFERRED COMPENSATION 2480088 OTHER RECEIVABLES 243489 131442310 DUE TO AFFILIATES 100812837 CAPITAL LEASE LIABILITY 1254393 WORKERS COMPENSATION RESERVE 14149286 SECURITY DEPOSIT LIABILITY 7189 DEFERRED COMPENSATION 2480088 HQ PARTNERS IBNR RESERVE 5134000 HQ PARTNERS DENTAL RESERVE 152000 123989793 X PART X, LINE 2: AS OF SEPTEMBER 30, 2020, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. 1 DUTCHESS COUNTY REGIONAL CHAMBER OF COMMERCE 1 CIVIC CENTER PLAZA STE 400 POUGHKEEPSIE NY 12601 140978000 501(C)(6) 35000 IN SUPPORT OF LOCAL ECONOMY AND BUSINESSES SPARROW'S NEST CHARITY 946 ROUTE 376 STE 7 WAPPINGERS FALLS NY 12590 462573747 501(C)(3) 25000 IN SUPPORT OF SERV. FOR FAMILIES WITH A CANCER DIAG. THROUGH DELIVERY OF MEALS AND SUPPLIES FAMILY SERVICES INC 29 NORTH HAMILTON STREET POUGHKEEPSIE NY 12601 141338399 501(C)(3) 25000 IN SUPPORT OF SERVICES FOR BATTERED WOMEN, CHILDREN & SERVICES FOR LOCAL AT-RISK YOUTH ULSTER COUNTY REGIONAL CHAMBER OF COMMERCE 214 FAIR STREET KINGSTON NY 12401 141260937 501(C)(6) 23500 IN SUPPORT OF LOCAL ECONOMY AND BUSINESSES AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501(C)(3) 20000 IN SUPPORT OF CANCER RESEARCH, HEALTH & WELLNESS AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 20000 IN SUPPORT OF CARDIOVASCULAR RESEARCH, HEALTH & WELLNESS MILES OF HOPE BREAST CANCER FOUNDATION PO BOX 405 LAGRANGEVILLE NY 12540 134281796 501(C)(3) 20000 IN SUPPORT OF LOCAL FAMILIES AFFECTED BY BREAST CANCER DIAGNOSES DUTCHESS OUTREACH 29 NORTH HAMILTON STREET STE 220 POUGHKEEPSIE NY 12601 222339537 501(C)(3) 20000 IN SUPPORT OF ADDRESSING & ERADICATING MALNOURISHMENT IN THE GREATER POUGHKEEPSIE AREA WALKWAY OVER THE HUDSON PO BOX 889 POUGHKEEPSIE NY 12602 141753502 501(C)(3) 15000 IN SUPPORT OF HEALTH & WELLNESS IN THE LOCAL COMMUNITY REGIONAL FOOD BANK OF NORTHEASTERN NEW YORK 195 HUDSON STREET CORNWALLONHUDSON NY 12520 222470885 501(C)(3) 15000 IN SUPPORT OF ADDRESSING & ENDING MALNOURISHMENT IN THE GREATER HUDSON VALLEY AREA NORTHWEST CONNECTICUT CHAMBER OF COMMERCE 333 KENNEDY DRIVE STE R101 TORRINGTON CT 06790 060564714 501(C)(6) 10290 IN SUPPORT OF COMMUNITY PROGRAMMING IN THE NORTHWEST CONNECTICUT CORNER PLAY FOR PINK INC 28 WEST 44TH STREET STE 609 NEW YORK NY 10036 223503952 501(C)(3) 10000 IN SUPPORT OF RESEARCH RELATED TO THE CAUSES, CURES & PREVENTION OF BREAST CANCER PREMIER CARES FOUNDATION 1 COLUMBIA STREET STE 390 POUGHKEEPSIE NY 12601 450990732 501(C)(3) 10000 IN SUPPORT OF UNDERSERVED & UNDERINSURED UROLOGICAL & GASTROINTESTINAL PATIENTS IN THE COMMUNITY POUGHKEEPSIE FARM PROJECT 51 VASSAR FARM LANE POUGHKEEPSIE NY 12603 141813679 501(C)(3) 10000 IN SUPPORT OF ADDRESSING & ERADICATING MALNOURISHMENT IN THE GREATER POUGHKEEPSIE AREA 11 3 SCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANT FUNDS IN U.S. THE MAJORITY OF GRANTS WERE MADE IRC SECTIONS 501(C)(3) AND 501(C)(6) ORGANIZATIONS, THEREFORE IT WAS NOT NECESSARY TO REVIEW THE PUBLIC CHARITY STATUS OF THE DONEE. THE PURPOSE OF THE GRANT FUNDS ARE REVIEWED AND APPROVED BY HEALTH QUEST SYSTEMS, INC. OFFICERS TO ASSURE COMPLIANCE WITH DONOR INTENTIONS AND/OR BOARD APPROVALS. 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN M MURPHY MD FROM 1211 TRUSTEE & CEO 0 1492100 0 1133596 0 4356 0 4366519 0 30941 0 7027512 0 0 ROBERT FRIEDBERG TO 1211 TRUSTEE & PRESIDENT 1191104 0 1185317 0 21612 0 133824 0 41680 0 2573537 0 0 0 STEVEN H ROSENBERGFROM 0101 CFO/TREASURER 0 653858 0 532200 0 343141 0 605000 0 39898 0 2174097 0 311957 MICHAEL HOLZHUETER TO 1211 ASSISTANT SECRETARY 644775 0 650552 0 26888 0 82662 0 39339 0 1444216 0 0 0 DANIEL J O'DEA MD TO 0630 VP OF CARDIOVASCULAR SERVICES 1176988 0 0 0 26444 0 16800 0 30964 0 1251196 0 0 0 KERRY EATON FROM 1211 CHIEF OPERATING OFFICER 651644 0 291322 0 126445 0 86734 0 1339 0 1157484 0 0 0 CAROLYN MCKENNA FROM 0101 ASSISTANT SECRETARY 0 467018 0 489986 0 6566 0 13750 0 39898 0 1017218 0 0 GLENN A LOOMIS MD FORMER CHIEF ACADEMIC OFFICER 462173 0 147367 0 329193 0 68823 0 21276 0 1028832 0 137878 0 KATHERINE BACHER TO 1231 ASSISTANT TREASURER 559300 0 206882 0 100124 0 85780 0 4124 0 956210 0 0 0 CATHERINE FRIERSON FROM 0101 CHIEF HUMAN RESOURCE OFFICER 0 433583 0 427792 0 2793 0 13750 0 5358 0 883276 0 0 ROBERT DIAMOND TO 1031 SVP AND CIO 440984 0 181908 0 66902 0 69813 0 19245 0 778852 0 0 0 PETER CORDEAU PRESIDENT SHARON & NORWALK HOSPITALS 436946 0 149362 0 48888 0 17214 0 35349 0 687759 0 0 0 GERDA MAISSEL TO 0807 CMO/CHIEF TRANSFORMATION 332673 0 73729 0 212689 0 16374 0 25360 0 660825 0 0 0 DENISE GEORGE PRESIDENT NDH/SVP CLINICAL SERVICE 443423 0 70529 0 93592 0 16800 0 30490 0 654834 0 0 0 GRACE LINHARD FROM 0101 CHIEF DEVELOPMENT OFFICER 0 348637 0 226500 0 27756 0 16500 0 3973 0 623366 0 0 PETER A KELLY PRESIDENT VBMC 431282 0 70742 0 68257 0 16800 0 1546 0 588627 0 0 0 MARVIN RUSSELL TO 0213 CHIEF HR OFFICER 386770 0 79394 0 62490 0 16923 0 31054 0 576631 0 0 0 TIMMIAN C MASSIE TO 0918 SVP/PUBLIC RELATIONS 384634 0 61923 0 68353 0 17063 0 30459 0 562432 0 0 0 LAWRENCE BELL TO 0720 VP OF CONSTRUCTION 360833 0 80962 0 71891 0 16940 0 15934 0 546560 0 0 0 ANN MCMACKIN FORMER VBMC PRESIDENT 0 0 0 0 528846 0 0 0 0 0 528846 0 0 0 CHRISTOPHER STENBERG VP GRADUATE-MED. EDUCATION 414726 0 75455 0 3387 0 2942 0 30898 0 527408 0 0 0 WAYNE MCNULTY FROM 0101 CHIEF COMPLIANCE OFFICER 0 301969 0 185000 0 4912 0 13226 0 13926 0 519033 0 0 LUIS A RICHARD CHIEF SUPPLY CHAIN OFFICER 325614 0 71454 0 926 0 13498 0 32007 0 443499 0 0 0 DIANE KANTAROS CHIEF QUALITY OFFICER 385068 0 14525 0 20367 0 16800 0 947 0 437707 0 0 0 CLAUDINE A FASSE VP OPERATIONS/ORG. EXCELLENCE 299701 0 72651 0 929 0 16800 0 14448 0 404529 0 0 0 BOWEI HAO AVP STRATEGIC PROJECT/EXEC. STAFF 333536 0 39564 0 456 0 0 0 28661 0 402217 0 0 0 CHERYL BOOTH TO 1231 ASSISTANT SECRETARY 122764 0 0 0 0 0 7375 0 28335 0 158474 0 0 0 SCHEDULE J, PART I, LINE 3: HEALTH QUEST SYSTEM, INC. (HEALTH QUEST) RELIED ON WESTERN CONNECTICUT HEALTH NETWORK (WCHN), A RELATED ORGANIZATION, WHICH USED AN EXECUTIVE COMPENSATION COMMITTEE, AN INDEPENDENT THIRD PARTY, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES AND, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES. SCHEDULE J, PART I, LINE 4A: DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2019, GLENN A. LOOMIS, MD RECEIVED $279,167 IN SEVERANCE PAYMENTS, MONTHLY, STARTING AUGUST, 2019 AND ENDING IN JULY, 2020. THE PAYMENTS STARTED APPROXIMATELY 60 DAYS AFTER HIS TERMINATION DATE OF JUNE, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2019, ANN MCMACKIN RECEIVED $528,846 IN SEVERANCE PAYMENTS STARTING JANUARY, 2019 AND ENDING IN DECEMBER, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2019, GERDA MAISSEL RECEIVED $160,294 IN SEVERANCE PAYMENTS STARTING OCTOBER, 2019 AND ENDING IN DECEMBER, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. SCHEDULE J, PART I, LINE 4B: WESTERN CONNECTICUT HEALTH NETWORK INC. (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. JOHN M. MURPHY, MD AND STEVEN H. ROSENBERG PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF SEPTEMBER 30, 2020. STEVEN H. ROSENBERG PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF FOR CALENDAR YEAR 2019, STEVEN H. ROSENBERG RECEIVED A PAYOUT OF $311,957, WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. GLENN A. LOOMIS, MD PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF FOR CALENDAR YEAR 2019, GLENN A. LOOMIS, MD RECEIVED A PAYOUT OF $137,878, WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. ROBERT FRIEDBERG, KERRY EATON, MICHAEL HOLZEUTER, KATHERINE BACHER, AND GLENN A. LOOMIS, MD PARTICIPATE IN A SERP PLAN WITH HEALTH QUEST SYSTEMS, INC. (HEALTH QUEST), A RELATED ORGANIZATION. HEALTH QUEST MADE THE FOLLOWING CONTRIBUTIONS TO THE PARTICIPANTS, WHICH ARE REPORTED ON SCHEDULE J, PART II: ROBERT FRIEDBERG - $117,024 MICHAEL HOLZHEUTER - $65,862 KERRY EATON - $64,590 KATHERINE BACHER - $55,780 GLENN A. LOOMIS, MD - $52,023 ROBERT DIAMOND - $42,651 SCHEDULE J, 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 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. FORM 990, PART VI, SECTION A, LINE 2 RICHARD G. JABARA AND ERVIN R. SHAMES HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC. FORM 990, PART VI, SECTION A, LINE 7A THE CHAIR, VICE CHAIR, SECRETARY, AND TREASURER OF THE BOARD OF DIRECTORS OF THE MEMBER (NUVANCE HEALTH) AND THE CHIEF EXECUTIVE OFFICER AND PRESIDENT OF THE MEMBER SHALL SERVE IN THE SAME ROLES AT HEALTH QUEST SYSTEMS. ANY OFFICER OF THE CORPORATION MAY BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER IN ACCORDANCE WITH THE BYLAWS OF THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY HEALTH QUEST SYSTEMS REQUIRE THE APPROVAL OF THE MEMBER, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (I) ELECTION AND REMOVAL OF THE DIRECTORS OF THE BOARD AND THE DIRECTORS OR MANAGERS OF EACH CORPORATE AFFILIATE AND THE OFFICERS; (II) ADOPTION OR ANY MATERIAL REVISIONS OF CAPITAL AND OPERATING BUDGETS; (III) APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS WHICH INCLUDES REVIEW OF THE SYSTEM-WIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF INDEPENDENT AUDITORS; (IV) ADOPTION OF OR REVISIONS TO POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF HEALTH QUEST'S FUNDS; (V) ADOPTION OF OR AMENDMENT TO ANY QUALIFIED OR NON-QUALIFIED BENEFIT PLAN; (VI) ADOPTION OF OR REVISIONS TO ANY SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES; (VII) ADOPTION OF, REVISIONS TO AND OVERSIGHT OF ANY SYSTEM-WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE; (VIII) ANY CLOSURE, SALE OR TRANSFER OF A HOSPITAL OWNED OR CONTROLLED; (IX) ANY CESSATION OF ANY SERVICE LINE; (X) ANY CHANGE IN THE TAX STATUS OF, OR REVISION OF, THE CHARITY CARE POLICIES; (XI) TERMINATION, APPOINTMENT OR RESCISSION OF AN APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OR THE PRESIDENT; (XII) 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; (XIII) ANY AMENDMENTS TO THE CORPORATION'S OR TO ANY CORPORATE AFFILIATE'S ORGANIZATIONAL DOCUMENTS; (XIV) ANY MERGER, CONSOLIDATION, OR SIMILAR TRANSACTION; (XV) ANY INCURRENCE, ASSUMPTION, OR GUARANTEE OF DEBT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT & PRIVACY OFFICER. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 14: THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HEALTH QUEST EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND SUPPORT OF AN INDEPENDENT THIRD PARTY. FORM 990, PART VI, SECTION C, LINE 19 POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR AS PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. FORM 990, PART VII (ADDITIONAL INFORMATION) JOHN M. MURPHY, MD BECAME THE TRUSTEE FROM DECEMBER 11, 2019. ROBERT FRIEDBERG WAS THE TRUSTEE AND PRESIDENT UNTIL DECEMBER 11, 2019. STEVEN H. ROSENBERG BECAME THE CHIEF FINANCIAL OFFICER AND TREASURER ON JANUARY 1, 2020. MICHAEL HOLZHUETER WAS THE ASSISTANT SECRETARY UNTIL DECEMBER 11, 2019. DANIEL J. O'DEA, MD WAS THE VICE PRESIDENT OF CARDIOVASCULAR SERVICES UNTIL JUNE 30, 2020. KERRY EATON BECAME THE CHIEF OPERATING OFFICER FROM DECEMBER 11, 2019. CAROLYN MCKENNA BECAME THE ASSISTANT SECRETARY ON JANUARY 1, 2020. KATHERINE BACHER WAS THE ASSISTANT TREASURER UNTIL DECEMBER 31, 2019. ROBERT DIAMOND WAS THE SENIOR VICE PRESIDENT AND CHIEF INFORMATION OFFICER UNTIL OCTOBER 31, 2019. GERDA MAISSEL WAS THE CHIEF MARKETING OFFICER AND CHIEF TRANSFORMATION UNTIL AUGUST 7, 2019. MARVIN RUSSELL WAS THE CHIEF HUMAN RESOURCE OFFICER UNTIL FEBRUARY 13, 2020. TIMMIAN C. MASSIE WAS THE SENIOR VICE PRESIDENT OF PUBLIC RELATIONS UNTIL SEPTEMBER 18, 2019. LAWRENCE BELL WAS THE VICE PRESIDENT OF CONSTRUCTION UNTIL JULY 20, 2019. CHERYL BOOTH WAS THE ASSISTANT SECRETARY UNTIL DECEMBER 31, 2019. J. LUKE MCGUINNESS WAS THE TRUSTEE UNTIL SEPTEMBER 28, 2019. SAL CALTA BECAME THE TRUSTEE FROM APRIL 24, 2020. CATHERINE FRIERSON BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. GRACE LINHARD BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. WAYNE MCNULTY BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENTS BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. FORM 990, PART XI, LINE 9: TRANSFER TO NUVANCE HEALTH INSURANCE COMPANY 20,156,535. CONTRIBUTIONS 14,261. NON OPERATING ACTIVITIES -2,000. OTHER CHANGES IN NET ASSETS 2,487. 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