2021-12-23T11:06:20-06:00 2020-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON ST BOSTON MA 02116 990 2019-10-01 141338467 NORTHERN DUTCHESS HOSPITAL NORT 8454759500 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 STEVEN H ROSENBERG CFO 8454759500 2021-12-22 1 MIKE A CINCOTTA P01595811 6172662000 2021-12-21 2019 2022-09-23 18:48:47Z X STEVEN H ROSENBERG 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 151474741 0 X WWW.NUVANCEHEALTH.ORG X 1924 NY SEE SCHEDULE O 13 11 877 116 47856 -86936 1038126 348128 106691045 146309948 276998 2363120 1360791 2453545 109366960 151474741 0 0 0 0 41624831 58455414 0 0 0 59229314 87272764 100854145 145728178 8512815 5746563 180556561 208988095 67585410 89636914 112971151 119351181 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 60106211 0 74448662 INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 5,606; NUMBER OF PATIENT DAYS 21,686; THE HOSPITAL PROVIDED APPROXIMATELY $581,332 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 58818292 0 72853421 OUTPATIENT SERVICES: EMERGENCY VISITS 18,207; OTHER OUTPATIENT VISITS/PROCEDURES 125,392; THE HOSPITAL PROVIDED APPROXIMATELY $617,535 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 546309 0 676668 AFFILIATE RENTAL INCOME 119470812 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 877 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 NY X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 X STEVEN H ROSENBERG FROM 11 TREASURER 3.00 40.00 X 0 1529199 644898 MICHAEL HOLZHUETER TO 1211 ASSISTANT SECRETARY 3.00 40.00 X 0 1322215 107232 KERRY EATON FROM 1211 CHIEF OPERATING OFFICER 3.00 40.00 X 0 1069411 73766 CAROLYN MCKENNA FROM 0101 ASSISTANT SECRETARY 3.00 40.00 X 0 963570 53648 KATHERINE BACHER TO 1231 ASSISTANT TREASURER 3.00 40.00 X X 0 866306 77904 CATHERINE FRIERSON FROM 0101 CHIEF HUMAN RESOURCE OFFICER 3.00 40.00 X 0 864169 19108 DENISE GEORGE PRESIDENT 3.00 40.00 X X 0 607544 47290 GRACE LINHARD FROM 0101 CHIEF DEVELOPMENT OFFICER 3.00 40.00 X 0 602893 20473 JOHN HORISZNY MD TRUSTEE & PHYSICIAN ADMIN. 2.00 40.00 X 0 498937 55156 WAYNE MCNULTY FROM 0101 CHIEF COMPLIANCE OFFICER 3.00 40.00 X 0 491882 27152 JOHN SABIA MD VP MEDICAL AFFAIRS - NDH 40.00 0.00 X 463042 0 46035 JAMES SCADUTO MD TO 1231 PRES MED STAFF, HQMP PHYS. 2.00 40.00 X 0 435117 53632 PAMELA RHODES CNO/VP PATIENT CARE SVCS. 40.00 0.00 X 263996 0 18054 CONNIE REGAN PHARMACY CLINICAL COORDINATOR 40.00 0.00 X 197838 0 42205 JAMES BURNS PHARMACIST 40.00 0.00 X 182548 0 31762 PAUL KING DIR. OF DIAGNOSTIC SVCS. 40.00 0.00 X 180543 0 7215 CHERYL BOOTH TO 1231 ASSISTANT SECRETARY 3.00 40.00 X 0 122764 35710 FRANCIS FLYNN FROM 0101 CHAIRMAN 3.00 0.00 X X 0 0 0 LEWIS RUGE TRUSTEE 2.00 0.00 X 0 0 0 JAMES WING MD TRUSTEE 2.00 0.00 X 0 0 0 KEVIN M SHEEHAN TO 1231 CHAIRMAN; TRUSTEE 2.00 0.00 X X 0 0 0 EVAN MELTZER TRUSTEE 2.00 0.00 X 0 0 0 WILLIAM CARROLL TRUSTEE 2.00 0.00 X 0 0 0 CHRISTY CARIDI PHD TRUSTEE 2.00 0.00 X 0 0 0 KAREN GIEK TO 1231 SECRETARY/TREASURER; TRUSTEE 2.00 0.00 X X 0 0 0 KELLY MOSHER FROM 0101 VICE CHAIRMAN 3.00 0.00 X X 0 0 0 EDWARD PRUITT TRUSTEE 2.00 0.00 X 0 0 0 DOUGLAS HART DVM TRUSTEE 2.00 0.00 X 0 0 0 1287967 9374007 1361240 134 0 1 0 0 303128 45000 22196 348128 INPATIENT SERVICE REV. 621110 69438116 69438116 OUTPATIENT SRVC. REV. 621110 67950237 67950237 COVID-19 STIMULUS 900099 8244927 8244927 AFF. RENTAL INCOME 532000 676668 676668 146309948 153953 153953 261805 0 261805 261805 261805 2209167 0 2209167 2209167 2209167 QLTY. INCENTIVE PROG. 900099 657031 657031 CAFETERIA REVENUE 722514 475081 475081 REFUNDS AND REBATES 900099 40894 40894 1018734 970878 47856 2191740 151474741 147978751 47856 3100006 45879478 41595140 4284338 1710888 1551121 159767 7400493 6709417 691076 3464555 3141026 323529 1625 1625 139613 139613 205857 116146 89711 3167448 2037231 1130217 180169 162361 17808 1758287 1544594 213693 8946 6459 2487 32500 30805 1695 1336017 1173645 162372 6447408 5663825 783583 1396680 1226935 169745 MEDICAL SUPPLIES 29400884 29400884 PURCHASED SERVICES 27200621 10291026 16909595 PHYSICIAN FEES 12870630 12870630 MAINTENANCE & SERVICE C 1644071 1080939 563132 1482008 868628 613380 145728178 119470812 26257366 0 28391117 38795633 15877837 12758816 2293186 2497485 373020 284252 153504180 81535614 75404158 71968566 20222756 21664505 37994487 61018838 180556561 208988095 9686505 9808249 47041990 44949266 10856915 34879399 67585410 89636914 X 107208868 112063855 5762283 7287326 112971151 119351181 180556561 208988095 X 5746563 -860630 1494097 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 813 1 812 0 1625 0 SCHEDULE C, PART II-B, LINE 1J - LOBBYING EXPENDITURES: A PORTION OF THE GNYHA MEMBERSHIP PAID BY NORTHERN DUTCHESS HOSPITAL, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 1495404 1495404 1495404 1495404 1495404 1495404 1495404 1495404 1495404 1495404 1.00000 0 0 405162 405162 92539224 36283426 56255798 3588388 3291816 296572 52439067 40644786 11794281 4532339 1315586 3216753 71968566 DUE FROM RELATED PARTIES 48060149 DEFERRED COMPENSATION 211429 DSRF 2016A BOND INTEREST & PRINCIPAL 151854 DSRF 2014 BOND INTEREST 109163 DCLDC NV 19B BOND 590636 INSURANCE RECEIVABLE 6312330 OTHER RECEIVABLES -55431 INTEREST IN FOUNDATION 5638708 61018838 DUE TO THIRD-PARTY PAYORS 21644897 DUE TO RELATED PARTIES 4904035 INSURANCE LIABILITY 6312330 FIN47 LIABILITY 1792441 OTHER LIABILITIES 225696 34879399 X PART V, LINE 4: THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL. PART X, LINE 2: AS OF SEPTEMBER 30, 2020, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. 1 1 X 1 X 1 X 1 1 1 0 1 1 2795885 801139 1994746 0.01410 18050066 11391966 6658100 0.04700 20845951 12193105 8652846 0.06110 20 6207 37621 37621 0.00020 1 3886270 611453 3274817 0.02310 1 12305138 10257285 2047853 0.01450 22 6207 16229029 10868738 5360291 0.03780 22 6207 37074980 23061843 14013137 0.09890 1 4127022 26631649 39756829 -13125180 X 1 1 1 1 NORTHERN DUTCHESS HOSPITAL 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 WWW.NUVANCEHEALTH.ORG 1327000H X X X X NORTHERN DUTCHESS HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X X 1 19 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 NORTHERN DUTCHESS HOSPITAL PART V, SECTION B, LINE 5: HEALTHECONNECTIONS, THE LHDS AND HOSPITALS PARTNERED IN A COLLABORATIVE TO CREATE A REGIONAL SURVEY TO CONTRIBUTE TO THE COMMUNITY HEALTH ASSESSMENT AND INFORM FUTURE HEALTH IMPROVEMENT EFFORTS IN THE REGION. THE COLLABORATIVE DESIGNED THE SURVEY QUESTIONS TO COLLECT INFORMATION AROUND SEVERAL INITIATIVES AND PRIORITIES PUT FORWARD BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THESE INCLUDED THE PREVENTION AGENDA, THE EIGHT DOMAINS OF LIVABILITY, AND INCORPORATING HEALTHY AGING INTO HEALTH ACROSS ALL POLICIES. TO FURTHER SUPPLEMENT THE DATA COLLECTED FROM THE COMMUNITY, COLLABORATIVE MEMBERS HELD 12 FOCUS GROUPS WITH SERVICE PROVIDERS TO FURTHER UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS, AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. IN NOVEMBER OF 2017, HEALTHECONNECTIONS HOSTED A MEETING WITH THE HOSPITALS, HEALTH SYSTEMS, PERFORMING PROVIDER SYSTEMS, AND LOCAL HEALTH DEPARTMENTS (LHD) TO DISCUSS THE BENEFITS OF COLLABORATING ON A REGIONAL CHA. THE LHDS THEN CONTRACTED WITH SIENA COLLEGE RESEARCH INSTITUTE (SCRI) IN DECEMBER OF 2017 TO CONDUCT A RANDOM SAMPLE COMMUNITY HEALTH SURVEY OF THE MID-HUDSON REGION IN 2018 TO ASSESS THE HEALTH STATUS AND CONCERNS OF ITS RESIDENTS. LHDS AND HOSPITALS CONTINUED TO COLLABORATE AND MEET REGULARLY THROUGHOUT 2018 AND 2019. THEY WORKED COLLABORATIVELY TO COMPLETE THE REGIONAL CHA, WHICH WAS USED IN PREPARATION FOR THEIR COMMUNITY SERVICE PLANS (CSPS). ADDITIONALLY, THESE MEETINGS PROVIDE A FORUM TO DISCUSS REGIONAL INTERVENTIONS TO TARGET PRIORITY AREAS AND IMPROVE POPULATION HEALTH.ALTHOUGH THE MID-HUDSON REGION COMMUNITY HEALTH SURVEY COLLECTED RESPONSES FROM A RANDOMIZED SAMPLE OF OVER 5,000 HUDSON VALLEY RESIDENTS, THERE ARE SOME POPULATIONS THAT MAY NOT BE FULLY ACCOUNTED FOR IN THIS SURVEY. SOME OF THESE UNDERREPRESENTED POPULATIONS INCLUDE THOSE WHO ARE LOW-INCOME, VETERANS, SENIORS, PEOPLE EXPERIENCING HOMELESSNESS, LGBTQ MEMBERS, AND PEOPLE WITH A MENTAL HEALTH DIAGNOSIS. IN ORDER TO ENSURE THAT THE NEEDS OF THESE POPULATIONS WERE MET, FOCUS GROUPS WERE CONDUCTED WITH PROVIDERS THAT SERVE THESE POPULATIONS IN EACH OF THE SEVEN COUNTIES. THE TERM "PROVIDERS" REFERS TO THOSE WHO OFFER SERVICES, SUCH AS MENTAL HEALTH SUPPORT, VOCATIONAL PROGRAMS, AND PROGRAMS FOR UNDERSERVED POPULATIONS. THE REASON FOR DOING FOCUS GROUPS WITH PROVIDERS, RATHER THAN DIRECTLY SURVEYING THE TARGET POPULATIONS THROUGH CONVENIENCE SAMPLING, WAS THAT A CONVENIENCE SAMPLE RISKS ONLY ACCOUNTING FOR THOSE WHO ARE ALREADY ACCESSING SERVICES AND CARE. THE HOPE IN SURVEYING PROVIDERS WAS THAT THEY WOULD HAVE AN IDEA OF WHAT OBSTACLES AND BARRIERS THESE POPULATIONS FACE WHEN ACCESSING SERVICES. BEFORE THE FOCUS GROUPS TOOK PLACE, A SURVEY WAS SENT OUT TO PROVIDERS WITHIN EACH COUNTY IN ORDER TO SUPPLY ADDITIONAL INSIGHT AROUND LOCAL FACTORS INFLUENCING COMMUNITY HEALTH. THIS SURVEY COVERED SEVERAL TOPICS, INCLUDING THE POPULATIONS THE PROVIDERS SERVE; THE ISSUES THAT AFFECT HEALTH IN THE COMMUNITIES THEY SERVE; BARRIERS TO PEOPLE ACHIEVING BETTER HEALTH; AND INTERVENTIONS THAT ARE USED TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. IN THE MID-HUDSON REGION, 12 FOCUS GROUPS WERE CONDUCTED WITH VARIOUS SERVICE PROVIDERS. THE PARTICIPATING PROVIDERS SERVE A VARIETY OF CLIENTS, INCLUDING CHILDREN, ADULTS WITH DISABILITIES, LOW-INCOME INDIVIDUALS, AND PEOPLE WITH SUBSTANCE USE DISORDERS. WHEN LOOKING AT DATA FROM THE MID-HUDSON REGION AS A WHOLE, THE TOP THREE ISSUES THAT PROVIDERS FELT AFFECTED HEALTH IN THEIR COMMUNITIES WERE ACCESS TO AFFORDABLE, DECENT, AND SAFE HOUSING; ACCESS TO MENTAL HEALTH PROVIDERS; AND ACCESS TO AFFORDABLE, RELIABLE TRANSPORTATION. THE TOP THREE BARRIERS PROVIDERS FELT PREVENTED PEOPLE FROM ACHIEVING BETTER HEALTH IN THEIR COMMUNITIES WERE KNOWLEDGE OF EXISTING RESOURCES, HEALTH LITERACY, AND DRUG AND/OR ALCOHOL USE. MENTAL HEALTH AND SUBSTANCE USE ISSUES, CHRONIC DISEASES, AND HEALTH DISPARITIES WERE THOUGHT TO HIGHLY IMPACT THESE SPECIFIC POPULATIONS IN THE MID-HUDSON REGION. THESE DATA POINTS REFLECT THE MAJORITY OF RESPONSES FROM EACH INDIVIDUAL FOCUS GROUP CONDUCTED IN EACH COUNTY. IN DUTCHESS COUNTY, 48 RESPONSES WERE COLLECTED FROM PROVIDERS THAT SERVE VARIOUS POPULATIONS [SEE APPENDIX C]. THE DUTCHESS COUNTY DEPARTMENT OF BEHAVIORAL & COMMUNITY HEALTH (DBCH), ALONG WITH HEALTHECONNECTIONS, CONDUCTED TWO FOCUS GROUPS. ONE TOOK PLACE THROUGH THE DUTCHESS B.A.T. (BRINGING AGENCIES TOGETHER) COALITION, AND THE OTHER TOOK PLACE THROUGH THE EASTERN DUTCHESS RURAL HEALTH NETWORK. SEVERAL AGENCIES WERE REPRESENTED IN BOTH MEETINGS, AND THE DISCUSSION WAS CENTERED AROUND THE SURVEY QUESTIONS THAT WERE DISTRIBUTED PRIOR TO THE FOCUS GROUP. IN PUTNAM COUNTY, TWO FOCUS GROUPS WERE HELD WHERE 13 RESPONSES WERE COLLECTED FROM PROVIDERS THAT SERVE VARIOUS POPULATIONS. THE FIRST FOCUS GROUP WAS HELD WITH NINE AGENCIES OF THE COMMUNITY RESOURCE GROUP. THIS GROUP FOCUSES ON IDENTIFYING GAPS IN ACCESS TO CARE AND RESOURCES ISSUES FOR THE BREWSTER COMMUNITY, AS A WHOLE, WITH MORE ATTENTION ON THE IMMIGRANT POPULATION. THE SECOND FOCUS GROUP WAS HELD WITH 15 AGENCIES OF THE MENTAL HEALTH PROVIDER GROUP. THIS GROUP IS A FORUM FOR BEHAVIORAL HEALTH PARTNERS TO IDENTIFY GAPS IN SERVICES, DISCUSS ISSUES, AND IDENTIFY SOLUTIONS. SEVERAL AGENCIES WERE REPRESENTED IN THIS MEETING, AND THE DISCUSSION WAS CENTERED AROUND THE SURVEY QUESTIONS THAT WERE DISTRIBUTED PRIOR TO THE FOCUS GROUP. THE CHNA, INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY SERVICE PLAN, WAS APPROVED BY THE 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 HOSPITAL PART V, SECTION B, LINE 6A: SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON REGION, INCLUDING DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER AND WESTCHESTER COUNTIES, AND HEALTHECONNECTIONS CREATED THE LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE WITH THE GOAL OF CREATING THE FIRST REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. SHORTLY AFTER, THE COLLABORATIVE GAINED THE SUPPORT OF 17 LOCAL HOSPITALS. THE HOSPITAL SYSTEMS OR FACILITIES INCLUDED: BON SECOURS CHARITY HEALTH SYSTEM, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; CATSKILL REGIONAL MEDICAL CENTER, A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM; HEALTHALLIANCE HOSPITAL, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK; MONTEFIORE HUDSON VALLEY COLLABORATIVE; MONTEFIORE NYACK HOSPITAL; MONTEFIORE ST. LUKE'S CORNWALL; ORANGE REGIONAL MEDICAL CENTER, A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM; ST. JOSEPH'S MEDICAL CENTER; AND THE HOSPITALS OF NUVANCE HEALTH. NORTHERN DUTCHESS HOSPITAL PART V, SECTION B, LINE 6B: SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON REGION AND HEALTHECONNECTIONS CREATED THE LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE WITH THE GOAL OF CREATING THE FIRST REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE HEALTH DEPARTMENTS INCLUDED: DUTCHESS COUNTY DEPARTMENT OF BEHAVIORAL & COMMUNITY HEALTH; ORANGE COUNTY DEPARTMENT OF HEALTH; PUTNAM COUNTY DEPARTMENT OF HEALTH; ROCKLAND COUNTY DEPARTMENT OF HEALTH; SULLIVAN COUNTY PUBLIC HEALTH SERVICES; ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH; AND WESTCHESTER COUNTY DEPARTMENT OF HEALTH.PART V, LINE 7A, HOSPITAL FACILITY WEBSITEHTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT NORTHERN DUTCHESS HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA WAS ALSO PRINTED AND DISTRIBUTED THROUGHOUT THE HOSPITAL, INCLUDING THE MAIN LOBBY, PATIENT WAITING AREAS AND HOSPITAL ADMINISTRATION OFFICES. IT IS ALSO AVAILABLE BY REQUEST IN THE HEALTH QUEST ADMINISTRATIVE OFFICES.PART V, LINE 10A, HOSPITAL IMPLEMENTATION STRATEGYHTTPS://WWW.NUVANCEHEALTH.ORG/ABOUT-US/COMMUNITY-AND-WELLNESS/COMMUNITY-BENEFIT NORTHERN DUTCHESS HOSPITAL PART 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 ABLE TO MAINTAIN THIS PROGRAM VIRTUALLY DURING COVID-19 IN 2020.NORTHERN DUCTHESS 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. ALTHOUGH NOT PART OF THE 2020 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 NOT SELECTED: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. PART V, LINE 16A, FAP WEBSITE HTTPS://WWW.NUVANCEHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCEPART V, LINE 16B, FAP APPLICATION WEBSITEHTTPS://WWW.NUVANCEHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCEPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITEHTTPS://WWW.NUVANCEHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE 2 1 - NDH CARDIAC TESTING - KINGSTON 33 GRAND STREET KINGSTON NY 12401 PROVIDES OUTPATIENT CARDIAC TESTING AND REHAB SERVICES 2 - HYDE PARK SATELLITE HEALTH CENTER 11 CRUM ELBOW ROAD HYDE PARK NY 12538 PROVIDES OUTPATIENT OT/PT/ST SERVICES PART I, LINE 6A THE COMMUNITY BENEFIT REPORT IS REPORTED ON A NETWORK BASIS AND WAS PREPARED BY A RELATED ORGANIZATION, HEALTH QUEST SYSTEMS, INC. (EIN: 14-1678068).PART I, LINE 7THE 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 7GTHE AMOUNTS REPORTED AS SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE PHYSICIAN CLINIC COSTS.PART III, SECTION A, LINE 2NDH FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY. PART III, SECTION A, LINE 3NDH DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIALASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT.PART III, SECTION A, LINE 4FOOTNOTE ON AUDITED FINANCIALS - THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 22-26 OF THE NUVANCE HELTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE COMPANY'S COSTS FOR THE PATIENTS IN THE COMMUNITY. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL WAS THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT. PART III, SECTION C, LINE 9B BEFORE A DELINQUENT ACCOUNT WAS REFERRED TO A COLLECTION AGENCY, THE ACCOUNT WAS REVIEWED TO DETERMINE WHETHER THE PATIENT QUALIFIED FOR CHARITY CARE, OR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY. IF IT WAS DETERMINED THAT THE PATIENT WAS ELIGIBLE FOR CHARITY CARE, ORFINANCIAL ASSISTANCE, THE ACCOUNT WAS ADJUSTED TO CHARITY, AND WAS NOT PURSUED WITH A COLLECTION AGENCY. IF A PATIENT APPEALLED THE DETERMINATION, THE ACCOUNT WAS NOT REFERRED TO A COLLECTION AGENCY UNTIL A FINAL DETERMINATION HAD BEEN MADE WITH RESPECT TO THE APPEAL. PATIENTS STILL HAD THE OPPORTUNITY TO APPLY FOR A DISCOUNT UNDER THE CHARITY CARE POLICY EVEN AFTER THE ACCOUNT HAD BEEN SENT TO A COLLECTION AGENCY. PART VI, LINE 2: NEEDS ASSESSMENTIN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE THAT MEETS REGULARLY TO ACCESS ANY ADDITIONAL HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMITTEE PROVIDES OVERSIGHT TO THE HOSPITAL'S COMMUNITY HEALTH PRIORITIES, INCLUDING NEEDS ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS AND OTHER POPULATIONAL'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 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 133,535 IS EXPECTED TO DECLINE THROUGH 2025. POPULATION GROWTH IS PROJECTED TO BE LIMITED TO PEOPLE AGED 65 AND OLDER, WITH A 9.9% CHANGE THROUGH 2025. ALL OTHER AGE GROUPS ARE EXPECTED TO DECLINE THROUGH 2025. THE AVERAGE HOUSEHOLD INCOME IN THE NDH SERVICE AREA IS $103,276. A HIGH SCHOOL DIPLOMA OR GED IS THE HIGHEST LEVEL OF EDUCATION COMPLETED BY 28% OF THE SERVICE AREA AGE 25 AND OLDER. (SOURCE: THE CLARITAS COMPANY). ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, THE DUTCHESS COUNTY/PUTNAM COUNTY REGION HAD AN UNEMPLOYMENT RATE OF 5.5% IN DECEMBER OF 2020, AFTER A HIGH OF 15.4% DURING THE COVID-19 PANDEMIC. APPROXIMATELY 9% OF THE POPULATION IN DUCHESS COUNTY ARE LIVING IN POVERTY (CENSUS.GOV 2015-2019). APPROXIMATELY 6% OF NDH'S MARKET ARE UNINSURED, WHILE MEDICAID (26%), MEDICARE (24%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (44%). (SOURCE: THE CLARITAS COMPANY, 2021). 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 NEW 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 NEW PATIENT PAVILION, NORTHERN DUTCHESS HOSPITAL HAS CREATED A HEALING ENVIRONMENT WHERE MODERN MEDICINE MEETS COMPASSIONATE CARE. PART VI, LINE 6: NUVANCE HEALTH IS AN INTEGRATED HEALTH SYSTEM OFERING CONVENIENT, ACCESSIBLE AND AFFORDABLE CARE TO OUR COMMUNITY MEMBERS. OUR TALENTED TEAM OF MORE THAN 15,000 COMPASSIONATE CAREGIVERS PROVIDE HIGH-QUALITY CARE THROUGH:COMMUNITY HOSPITALS, PRIMARY CARE AND SPECIALTY PRACTICE LOCATIONS, OUTPATIENT SETTINGS, HOME CARE SERVICES, A SKILLED NURSING HOME AND REHABILITATION FACILITY AND TELEHEALTH VISITS. FOR FY2020, THE NETWORK PROVIDED APPROXIMATELY $42,588,000 IN TOTAL CHARITY CARE.DANBURY HOSPITAL, ITS NEW MILFORD HOSPITAL CAMPUS AND NORWALK HOSPITAL PROVIDE MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE NETWORK'S MISSION STATEMENT, AS NOTED ABOVE, FOR 2020, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, $9,613,000, DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, $15,928,000.ALL HOSPITALS NOTED ABOVE HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS THEY CAN JOIN THE MEDICAL STAFF.NUVANCE HEALTH MEDICAL PRACTICE CT, INC. (NHMPCT): THE MISSION OF NHMPCT IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE COMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO THEIR PATIENTS' NEEDS. THEY SUPPORT A COMMITMENT TO ADVANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS IN THEIR COMMUNITY BY DELIVERING QUALITY CARE, PARTICIPATING IN MEDICAL RESEARCH AND MEDICAL RESIDENCY PROGRAMS AND THE PROVISION OF MEDICAL SERVICES TO PATIENTS. FOR 2020 THEY PROVIDED APPROXIMATELY $2,051,000 IN CHARITY CARE.DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION INC. (DH/NMHF):DH/NMHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS AND OTHER DANBURY NOT-FOR-PROFIT HEALTH CARE AFFILIATES.NORWALK HOSPITAL FOUNDATION (NHF): NHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO NORWALK HOSPITAL AND OTHER NOT-FOR-PROFIT NORWALK HOSPITAL AFFILIATES.WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. (WCHNA): WCHNA'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. FOR 2020, WCHNA PROVIDED APPROXIMATELY $57,000 IN CHARITY CARE.WESTERN CONNECTICUT HOME CARE, INC. (WCHC): WCHC PROVIDES STATE OF THE ART CLINICAL SERVICES RANGING FROM PEDIATRIC PATIENTS TO THE ELDERLY UTILIZING BEST PRACTICE IN HOME CARE TO MEET THE NEEDS OF THEIR PATIENTS. FOR 2020, WCHC PROVIDED APPROXIMATELY $48,000 IN CHARITY CARE. EASTERN NEW YORK MEDICAL SERVICES, P.C. (ENYMS): THE MISSION AT ENYMS IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND GASTROENTEROLOGY HEALTH CARE IN THE COMMUNITIES WE SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS' NEEDS. EASTERN NEW YORK MEDICAL SERVICES, PC. PROVIDED APPROXIMATELY $2,000 IN CHARITY CARE.VASSAR BROTHERS MEDICAL CENTER (VBMC) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF MID-HUDSON VALLEY. VBMC PROVIDED APPROXIMATELY $9,577,000 IN CHARITY CARE.THE FOUNDATION OF VBMC'S PRINCIPAL ACTIVITY IS THE SOLICITATION, RECEIPT, HOLDING, INVESTMENT AND ADMINISTRATION OF CONTRIBUTION ON BEHALF OF VBMC.PUTNAM HOSPITAL (PH) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY. PH PROVIDED APPROXIMATELY $1,793,000 IN CHARITY CARE.PUTNAM HOSPITAL CENTER FOUNDATION ACTIVELY SOLICITS CONTRIBUTIONS FROM THE PUBLIC THROUGH DIRECT MAILINGS, FUND-RAISING PROGRAMS AND OTHER ACTIVITIES.NORTHERN DUTCHESS HOSPITAL (NDH) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY. NDH PROVIDED APPROXIMATELY $1,829,000 IN CHARITY CARE.NORTHERN DUTCHESS HOSPITAL FOUNDATION (NDH) FOUNDATION ACTIVELY SOLIICITS CONTRIBUTIONS FROM THE PUBLIC THROUGH DIRECT MAILINGS, FUND-RAISING PROGRAMS AND OTHER ACTIVITIES.VASSAR HEALTH CT, INC. DBA SHARON HOSPITAL (SH) PROVIDES GENERAL ACUTE CARE WITH A RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS IN THE NORTHWEST CONNECTICUT COMMUNITY. SH PROVIDED APPROXIMATELY $996,000 IN CHARITY CARE.NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY OPERATES AND MAINTAINS A RESIDENTIAL HEALTHCARE FACILITY FOR THE CARE AND TREATMENT OF PERSONS WHO REQUIRE MEDICAL CARE AND RELATED SERVICES. NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY PROVIDED APPROXIMATELY 125,000 IN CHARITY CARE.NUVANCE HEALTH MEDICAL PRACTICE, PC IS THE BENEFICIAL OWNER OF VARIOUS PHYSICIAN PRACTICES THAT PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY AND IN THE NORTHWEST CONNECTICUT COMMUNITY. NUVANCE HEALTH MEDICAL PRACTICE, PC PROVIDED APPROXIMATELY $157,000 IN CHARITY CARE.HUDSON VALLEY CARDIOVASCULAR PRACTICE (HVCP) PROVIDES INVASIVE AND NONINVASIVE CARDIOVASCULAR, DIAGNOSTIC AND THERAPEUTIC SERVICES AND IS LOCATED THROUGHOUT THE MID-HUDSON VALLEY AND NORTHWEST CONNECTICUT COMMUNITY. HUDSON VALLEY CARDIOVASCULAR PRACTICE PROVIDED APPROXIMATELY $301,000 IN CHARITY CARE.HEALTH QUEST HOME CARE, INC. WAS FORMED TO OPERATE A HOME HEALTH CARE SERVICE BUSINESS SERVING RESIDENTS OF THE MID-HUDSON VALLEY. HEALTH QUEST HOME CARE PROVIDED APPROXIMATELY $111,000 IN CHARITY CARE.WELLS MANOR HOUSING DEVELOP. FUND CORP. IS A PRIVATE FOUNDATION. WELLS MANOR OPERATES AN APARTMENT COMPLEX OF 75 UNITS UNDER SECTION 202 OF THE NATIONAL HOUSING ACT OF 1959 AND SECTION 8 OF THE NATIONAL HOUSING ACT OF 1937, REGULATED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT.ALAMO AMBULANCE SERVICES, INC.'S ASSETS WERE SOLD IN SEPTEMBER, 2009; HOWEVER, IT HAS MAINTAINED ITS LICENSE TO PROVIDE TRANSPORT AND EMERGENCY MEDICAL SERVICES TO SICK, DISABLED, OR INJURED PERSONS, GENERALLY WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES, NEW YORK.PART VI, LINE 7NEW YORK AND CONNECTICUT 0 1 0 0 0 0 0 1 0 STEVEN H ROSENBERG FROM 11 TREASURER 0 653858 0 532200 0 343141 0 605000 0 39898 0 2174097 0 311957 MICHAEL HOLZHUETER TO 1211 ASSISTANT SECRETARY 0 644775 0 650552 0 26888 0 67893 0 39339 0 1429447 0 0 KERRY EATON FROM 1211 CHIEF OPERATING OFFICER 0 651644 0 291322 0 126445 0 72427 0 1339 0 1143177 0 0 CAROLYN MCKENNA FROM 0101 ASSISTANT SECRETARY 0 467018 0 489986 0 6566 0 13750 0 39898 0 1017218 0 0 KATHERINE BACHER TO 1231 ASSISTANT TREASURER 0 559300 0 206882 0 100124 0 73780 0 4124 0 944210 0 0 CATHERINE FRIERSON FROM 0101 CHIEF HUMAN RESOURCE OFFICER 0 433583 0 427792 0 2794 0 13750 0 5358 0 883277 0 0 DENISE GEORGE PRESIDENT 0 443423 0 70529 0 93592 0 16800 0 30490 0 654834 0 0 GRACE LINHARD FROM 0101 CHIEF DEVELOPMENT OFFICER 0 348637 0 226500 0 27756 0 16500 0 3973 0 623366 0 0 JOHN HORISZNY MD TRUSTEE & PHYSICIAN ADMIN. 0 430619 0 66257 0 2061 0 16800 0 38356 0 554093 0 0 WAYNE MCNULTY FROM 0101 CHIEF COMPLIANCE OFFICER 0 301969 0 185000 0 4913 0 13226 0 13926 0 519034 0 0 JOHN SABIA MD VP MEDICAL AFFAIRS - NDH 419989 0 17285 0 25768 0 16800 0 29235 0 509077 0 0 0 JAMES SCADUTO MD TO 1231 PRES MED STAFF, HQMP PHYS. 0 374904 0 58988 0 1225 0 17072 0 36560 0 488749 0 0 PAMELA RHODES CNO/VP PATIENT CARE SVCS. 251673 0 8472 0 3851 0 15621 0 2433 0 282050 0 0 0 CONNIE REGAN PHARMACY CLINICAL COORDINATOR 188718 0 4240 0 4880 0 13387 0 28818 0 240043 0 0 0 JAMES BURNS PHARMACIST 179250 0 2000 0 1298 0 5560 0 26202 0 214310 0 0 0 PAUL KING DIR. OF DIAGNOSTIC SVCS. 172188 0 7545 0 810 0 5396 0 1819 0 187758 0 0 0 CHERYL BOOTH TO 1231 ASSISTANT SECRETARY 0 122764 0 0 0 0 0 7375 0 28335 0 158474 0 0 PART I, LINE 3 NDH RELIED ON HEALTH QUEST SYSTEMS, A RELATED TAX EXEMPT ORGANIZATION, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES AND TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANAGEMENT AND WHICH USED AN EXECUTIVE COMPENSATION COMMITTEE, AN INDEPENDENT THIRD PARTY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA OTHER KEY EMPLOYEES. 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. STEVEN H. ROSENBERG PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF SEPTEMBER 30, 2020. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. 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. KERRY EATON, MICHAEL HOLZHEUTER AND KATHERINE BACHER PARTICIPATE IN A SERP PLAN WITH HEALTH QUEST SYSTEMS, INC. (HEALTH QUEST), A RELATED ORGANIZATION. HEALTH QUEST MADE THE FOLLOWING CONTRIBUTIONS TO THE PARTICIPANTS, WHICH ARE REPORTED ON SCHEDULE J, PART II: KERRY EATON - $65,467 MICHAEL HOLZHUETER - $51,093 KATHERINE BACHER - $56,980 PART I, LINE 7 NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THIS PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR: *TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE *TIER II, EXECUTIVE *TIER III, SENIOR LEADER (A) *TIER III, SENIOR LEADER (B) *TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: *QUALITY AND SERVICE *PEOPLE AND CULTURE *PATIENT EXPERIENCE *FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. A DUTCHESS COUNTY LOCAL DEVELOPMENT CORPORATION 273106797 267045GD8 2016-07-07 7613993 CONSTRUCT. & EQUIP. FACILITY 0 0 0 A 755650 7658350 104507 2424 17039 7534380 2016 0 1 1 1 A 0 1 1 1 0 0.00030 0.00000 0.00030 0 0 1 A 0 1 0 0 0 0 0 0 1 A 0 SCHEDULE K, PART I, LINE A: THE DUTCHESS COUNTY LOCAL DEVELOPMENT CORPORATION BOND, ISSUED 7/7/2016, IS ALLOCATED AMONGST THREE RELATED IRC SEC. 501(C)(3) HOSPITAL FACILITIES: VASSAR BROTHERS MEDICAL CENTER (FEIN: 14-1338586); PUTNAM HOSPITAL (FEIN: 14-6019179); AND, NORTHERN DUTCHESS HOSPITAL (FEIN: 14-1338467). THE THREE HOSPITAL FACILITIES SHARE THE ISSUED BOND PROCEEDS. 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. FORM 990, PART I, LINE 1 BECOME THE PARTNER-IN-HEALTH FOR THE PEOPLE THROUGHOUT THE CORE REGIONS OF WESTERN CONNECTICUT AND THE HUDSON VALLEY OF NEW YORK THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF 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 7A THE MEMBER (HEALTH QUEST SYSTEM'S INC.) SHALL ELECT NORTHERN DUTCHESS HOSPITAL'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 7B CERTAIN 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 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT & PRIVACY OFFICER. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 14: THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HQ EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY. FORM 990, PART VI, SECTION C, LINE 19 POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR 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) KEVIN M. SHEEHAN, PREVIOUSLY THE CHAIRMAN BECAME A TRUSTEE ON JANUARY 1, 2020. FRANCIS FLYNN, PREVIOUSLY THE FIRST VICE CHAIRMAN BECAME THE CHAIRMAN ON JANUARY 1, 2020. KAREN GIEK, PREVIOUSLY THE SECRETARY/TREASURER BECAME A TRUSTEE ON JANUARY 1, 2020. KELLY MOSHER, PREVIOUSLY THE SECOND VICE CHAIRMAN BECAME THE VICE CHAIRMAN ON JANUARY 1, 2020. JAMES SCADUTO, MD WAS A TRUSTEE UNTIL DECEMBER 31, 2019. STEVEN H. ROSENBERG BECAME THE TREASURER ON JANUARY 1, 2020. CAROLYN MCKENNA BECAME THE ASSISTANT SECRETARY ON JANUARY 1, 2020. MICHAEL HOLZHUETER WAS THE ASSISTANT SECRETARY UNTIL DECEMBER 11, 2019. CHERYL BOOTH WAS ASSISTANT SECRETARY UNTIL DECEMBER 31, 2019. CATHERINE FRIERSON BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. GRACE LINHARD BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. WAYNE MCNULTY BECAME A KEY EMPLOYEE ON JANUARY 1, 2020. KERRY EATON BECAME A KEY EMPLOYEE ON DECEMBER 11, 2019. 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: NET ASSETS WITH DONOR RESTRICTIONS - PP&E -165,762. NET ASSETS WITH DONOR RESTRICTIONS - OPERATIONS -109,726. NET ASSETS WITH DONOR RESTRICTIONS - CONTRIBUTIONS 1,772,891. OTHER/ROUNDING -3,306. 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. ALAMO AMBULANCE SERVICES INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141745417 TRANSPORT NY 501(C)(3) 10 HQ 1 DANBURY & NEW MILFORD HOSP FOUND 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 ADMIN CONTRIB CT 501(C)(3) 7 WCHN 1 DANBURY HOSPITAL 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 ACUTE CARE CT 501(C)(3) 3 WCHN 1 EASTERN NEW YORK MEDICAL SERVICES PC 14 RESEARCH DRIVE SUITE 201A BETHEL CT 06801 455431389 PHYSICIAN SERVICES NY 501(C)(3) 10 WCHN 1 HEALTH QUEST HOME CARE INC (CERT) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788412 HOME HEALTH NY 501(C)(3) 10 HQ 1 HEALTH QUEST HOME CARE INC (LIC) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788410 HOME HEALTH NY 501(C)(3) 10 HQ 1 NUVANCE HEALTH MEDICAL PRACTICE PC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 562669185 MEDICAL CARE NY 501(C)(3) 12, TYPE I HQ 1 HEALTH QUEST SYSTEMS INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 141678068 MANAGEMENT NY 501(C)(3) 10 NUVANCE 1 HEALTH QUEST URGENT MED PRAC PC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 800152047 MEDICAL CARE NY 501(C)(3) 12, TYPE I HQ 1 HUDSON VALLEY CARDIOVASCULAR PRAC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 463756713 MEDICAL CARE NY 501(C)(3) 12, TYPE I HQ 1 NDH FOUNDATION PO BOX 5002 RHINEBECK NY 12572 141776208 FUNDRAISING NY 501(C)(3) 7 HQ 1 NORTHERN DUTCHESS RES HLTH FACILITY INC 6526 SPRINGBROOK AVENUE RHINEBECK NY 12572 223129608 NURSING HOME NY 501(C)(3) 7 HQ 1 NORWALK HOSPITAL FOUNDATION 34 MAPLE STREET NORWALK CT 06850 222577707 FUNDRAISING CT 501(C)(3) 7 WCHN 0 NUVANCE HEALTH 1351 ROUTE 55 LAGRANGEVILLE NY 12540 834214573 SUPPORT NY 501(C)(3) 12, TYPE III-FI N/A 1 PUTNAM HOSPITAL CENTER 670 STONELEIGH AVENUE CARMEL NY 10512 146019179 HOSPITAL NY 501(C)(3) 10 HQ 1 PUTNAM HOSPITAL CENTER FOUNDATION 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 FUNDRAISING NY 501(C)(3) 12, TYPE I HQ 1 THE NORWALK HOSPITAL ASSOCIATION 24 STEVENS STREET NORWALK CT 06850 066068853 HEALTH SERVICES CT 501(C)(3) 3 WCHN 1 VASSAR BROTHERS HOSPITAL FOUNDATION 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 FUNDRAISING NY 501(C)(3) 7 HQ 1 VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 141338586 HOSPITAL NY 501(C)(3) 3 HQ 1 VASSAR HEALTH CONNECTICUT INC 50 HOSPITAL HILL ROAD SHARON CT 06069 815056290 HOSPITAL CT 501(C)(3) 3 HQ 1 WELLS MANOR HOUSING DEVELOP FUND CORP 56 ASTOR DRIVE RHINEBECK NY 12572 112611902 LOW INCOME NY 501(C)(3) PF HQ 1 WESTERN CONNECTICUT HOME CARE INC 100 SAW MILL ROAD DANBURY CT 06810 060655138 HOME HEALTHCARE CT 501(C)(3) 10 WCHN 1 WESTERN CT HEALTH NETWORK AFFILIATES INC 95 LOCUST AVENUE DANBURY CT 06801 222594968 OUTPATIENT HEALTHCARE SERVICES CT 501(C)(3) 10 WCHN 1 WESTERN CT HEALTH NETWORK INC 24 HOSPITAL AVENUE DANBURY CT 06801 222594977 PROGRAM DEVELOPMENT CT 501(C)(3) 12, TYPE II NUVANCE 1 NUVANCE HEALTH MEDICAL PRACTICE CT INC 14 RESEARCH DRIVE SUITE 201A BETHEL CT 06801 061137531 PHYSICIAN SERVICES CT 501(C)(3) 10 WCHN 1 NEW MILFORD MRI LLC 21 ELM STREET NEW MILFORD CT 06776 271877801 INACTIVE CT N/A N/A 0 0 NORWALK SURGERY CENTER LLC 40 CROSS STREET SUITE 120 NORWALK CT 06851 272394942 SURGERY CENTER CT N/A N/A 0 0 WCHN INVESTMENTS LLC 24 HOSPITAL AVE DANBURY CT 06810 475523212 INVESTMENTS CT N/A N/A 0 0 NUVANCE HEALTH INSURANCE COMPANY LTD 23 LIME TREE BAY PO BOX 105 GRAND CAYMAN CJ 980438151 MALPRACTICE CJ N/A C 0 VBH INSURANCE CO LTD 62 FORUM LANE 3RD FLOOR GRAND CAYMAN CJ 981083868 MALPRACTICE CJ N/A C 0 TACONIC IPA INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 223007320 MEDICAL CARE NY N/A C 0 VASSAR HQ MED PRACTICE OF CT INC 1351 ROUTE 55 LAGRANGEVILLE NY 12540 821466583 MEDICAL CARE CT N/A C 0 SWC CORPORATION 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT N/A C 0 ADVANCED CTR FOR REHAB MED 24 STEVENS STREET NORWALK CT 06850 061304799 INACTIVE CT N/A C 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 HEALTH QUEST SYSTEMS INC P 24591204 SERVICES - AT COST HEALTH QUEST MEDICAL PRACTICE PC P 9939653 SERVICES - AT COST VASSAR BROTHERS MEDICAL CENTER P 206053 SERVICES - AT COST SHARON HOSPITAL P 157248 SERVICES - AT COST HEALTH QUEST SYSTEMS INC J 97727 FMV - AT COST HEALTH QUEST MEDICAL PRACTICE PC J 453310 FMV - AT COST HUDSON VALLEY CARDIOVASCULARE PRACTICE PC J 125631 FMV - AT COST HUDSON VALLEY CARDIOVASCULARE PRACTICE PC P 2144288 SERVICES - AT COST NORTHERN DUTCHESS RESIDENTIAL HEALTHCARE FACILITY Q 59576 SERVICES - AT COST HEALTH QUEST MEDICAL PRACTICE PC Q 529881 SERVICES - AT COST NDH FOUNDATION C 303128 FMV - AT COST NDH FOUNDATION A 3996 FMV - AT COST