2026-08-12T10:55:11+00:00 2025-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2024-10-01 141338586 VASSAR BROTHERS HOSPITAL VASS 8454759500 45 READE PLACE POUGHKEEPSIE NY 12601 SUSAN BROWNING PRESIDENT 8454759500 2026-08-12 true GEORGE PAGANO P01978122 6172662000 2026-08-12 2024 2025-03-06 01:10:19Z VASSAR BROTHERS MEDICAL CENTER SUSAN BROWNING 45 READE PLACE POUGHKEEPSIE NY 12601 920342848 false X WWW.NORTHWELL.EDU X 1882 NY IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. 23 18 3213 188 0 0 4659643 3139755 892114527 905046896 3156865 5946438 4338531 6209759 904269566 920342848 196710 0 411943634 436705537 0 0 440215445 478573272 852159079 915475519 52110487 4867329 1229915589 1278998333 655815831 589043954 574099758 689954379 IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. false false 865038403 199210 910340037 VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 349-BED ACUTE CARE HOSPITAL THAT HAS SERVED NEW YORK'S MID-HUDSON VALLEY SINCE 1887. THE HOSPITAL REMAINS COMMITTED TO DELIVERING HIGH-QUALITY, PATIENT-CENTERED, AND MISSION-DRIVEN CARE TO THE COMMUNITIES IT SERVES. VBMC IS PART OF NUVANCE HEALTH, WHICH IN MAY 2025 JOINED NORTHWELL HEALTH, CREATING AN EXPANDED INTEGRATED HEALTH SYSTEM THAT ENHANCES ACCESS TO COORDINATED, HIGH-QUALITY CARE ACROSS NEW YORK'S HUDSON VALLEY AND WESTERN CONNECTICUT. AS PART OF NORTHWELL HEALTH, NEW YORK'S LARGEST HEALTH SYSTEM, VBMC PATIENTS BENEFIT FROM BROADER CLINICAL COORDINATION, EXPANDED SPECIALTY EXPERTISE, AND ACCESS TO SYSTEM-WIDE BEST PRACTICES, WHILE MAINTAINING A STRONG FOCUS ON COMMUNITY-BASED CARE. THROUGH ITS INTEGRATED SYSTEM, VBMC OFFERS A COMPREHENSIVE RANGE OF SERVICES, INCLUDING BARIATRIC SURGERY AND MEDICAL WEIGHT LOSS, CRITICAL CARE, DIABETES EDUCATION, EMERGENCY SERVICES, HEART AND VASCULAR CARE, IMAGING AND RADIOLOGY, INFUSION THERAPY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDIC CARE, PHYSICAL REHABILITATION, PRIMARY CARE, RHEUMATOLOGY, SLEEP MEDICINE, URGENT CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH, CANCER CARE, DENTISTRY, DIGESTIVE HEALTH, ENDOCRINOLOGY, GENETIC COUNSELING, HOME HEALTH SERVICES, INFECTIOUS DISEASE CARE, NEPHROLOGY, OCCUPATIONAL MEDICINE, PATIENT BLOOD MANAGEMENT, PEDIATRICS, PODIATRY, PULMONARY CARE, GERIATRIC CARE, SURGICAL SERVICES, UROLOGY, AND WOUND CARE AND HYPERBARIC MEDICINE. VBMC SERVES AS A REGIONAL MEDICAL CENTER WITH ESTABLISHED PROGRAMS IN CARDIAC SERVICES, CANCER CARE, AND WOMEN'S AND CHILDREN'S HEALTH. THE HOSPITAL IS HOME TO A COMPREHENSIVE CARDIOTHORACIC SURGERY PROGRAM SERVING PATIENTS THROUGHOUT THE HUDSON VALLEY, AS WELL AS THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) FOR PREMATURE, UNDERWEIGHT, AND CRITICALLY ILL INFANTS. VBMC HAS INTRODUCED ADVANCED CLINICAL CAPABILITIES, INCLUDING ROBOTIC ORTHOPEDIC AND SPINE SURGERY, LIVER AND PANCREATIC SURGERY, INTERVENTIONAL NEURORADIOLOGY, SURGICAL ONCOLOGY, AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), REDUCING THE NEED FOR PATIENTS TO TRAVEL OUTSIDE THE REGION FOR SPECIALIZED CARE. VBMC IS DESIGNATED AS A LEVEL II TRAUMA CENTER AND MAINTAINS CERTIFICATION AS A THROMBECTOMY-CAPABLE STROKE CENTER FROM THE JOINT COMMISSION, ENSURING ACCESS TO ADVANCED TRAUMA AND STROKE CARE. VBMC MAINTAINS A PEDIATRIC ALLIANCE WITH NEW YORK CHILDREN'S MEDICAL PROVIDER SERVICES, P.C., AN AFFILIATE OF CONNECTICUT CHILDREN'S, PROVIDING SPECIALIZED INPATIENT PEDIATRIC CARE DELIVERED BY PEDIATRIC HOSPITALISTS, NEONATOLOGISTS, AND MULTIDISCIPLINARY CLINICAL TEAMS. VBMC IS RECOGNIZED FOR ITS COMMITMENT TO CLINICAL EXCELLENCE AND QUALITY CARE THROUGH NUMEROUS NATIONAL AND REGIONAL DISTINCTIONS. THE HOSPITAL HAS BEEN IDENTIFIED BY U.S. NEWS & WORLD REPORT AS A "BEST REGIONAL HOSPITAL RATED "HIGH PERFORMING" ACROSS MULTIPLE PROCEDURES AND CONDITIONS, INCLUDING CANCER SURGERY, CARDIAC CARE, PULMONARY CARE, STROKE, AND CHRONIC DISEASE MANAGEMENT. VBMC HAS ALSO BEEN RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S 50 BEST HOSPITALS AND AMONG THE 100 BEST HOSPITALS FOR CRITICAL CARE, AND HAS EARNED CONSISTENT FIVE-STAR RATINGS FOR TREATMENT OF HEART ATTACK AND HEART FAILURE. IN ADDITION, VBMC MAINTAINS SIGNIFICANT ACCREDITATIONS, INCLUDING DESIGNATION AS AN INTEGRATED NETWORK CANCER PROGRAM AND ACCREDITATION OF ITS RECTAL CANCER PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, AS WELL AS ACCREDITATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE HOSPITAL HAS ALSO RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND HAS BEEN RECOGNIZED AS A ROBOTIC CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION. VBMC IS FURTHER DESIGNATED AS AN AGE-FRIENDLY HEALTH SYSTEM PARTICIPANT BY THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. THESE RECOGNITIONS REFLECT THE HOSPITAL'S COMMITMENT TO QUALITY IMPROVEMENT, CLINICAL EXCELLENCE, AND PATIENT SAFETY. VBMC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS TO IDENTIFY THE HEALTH NEEDS, BARRIERS, AND PRIORITIES OF THE COMMUNITIES IT SERVES. THE FINDINGS INFORM THE DEVELOPMENT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH OUTLINES TARGETED STRATEGIES AND MEASURABLE ACTIONS TO ADDRESS IDENTIFIED NEEDS. BASED ON THE MOST RECENT CHNA, VBMC FOCUSED ITS COMMUNITY BENEFIT ACTIVITIES ON TWO PRIORITY AREAS: PREVENTING CHRONIC DISEASE AND PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE USE DISORDERS. IN SUPPORT OF CHRONIC DISEASE PREVENTION, VBMC IMPLEMENTED INITIATIVES ADDRESSING NUTRITION AND FOOD INSECURITY, INCLUDING THE LAUNCH OF ITS FOOD AS MEDICINE (FAM) PROGRAM IN 2024. THIS PROGRAM CONNECTS FOOD-INSECURE PATIENTS WITH CHRONIC CONDITIONS, SUCH AS UNCONTROLLED HYPERTENSION, TO NUTRITION EDUCATION, HEALTHY FOOD, AND COMMUNITY RESOURCES AT NO COST. VBMC ALSO CONTINUES TO HOST AN ANNUAL COMMUNITY HEALTH DAY, WHICH HAS EXPANDED SINCE ITS INCEPTION IN 2022 AND PROVIDES VACCINATIONS, HEALTH SCREENINGS, REFERRALS, HEALTH EDUCATION, SMOKING CESSATION COUNSELING, FRESH PRODUCE DISTRIBUTION, AND ESSENTIAL ITEMS SUCH AS WINTER CLOTHING. TO ADDRESS BEHAVIORAL HEALTH AND SOCIAL NEEDS, VBMC SUPPORTS A COMMUNITY CARE TEAM (CCT), INCLUDING HIGH-RISK NAVIGATORS WHO ASSIST INDIVIDUALS WITH COMPLEX SOCIAL AND MEDICAL NEEDS BY CONNECTING THEM TO HOUSING RESOURCES, PHYSICAL AND BEHAVIORAL HEALTHCARE PROVIDERS, SUBSTANCE USE SERVICES, AND SOCIAL SUPPORTS. IN FY2025, CCT SUPPORTED A CASELOAD OF 129 CLIENTS AND FACILITATED CONNECTIONS TO HEALTHCARE AND SOCIAL SERVICES, INCLUDING HOUSING PLACEMENT, TRANSPORTATION, INSURANCE ENROLLMENT, AND ESSENTIAL NEEDS SUPPORT. VBMC ALSO SUPPORTS MENTAL HEALTH FIRST AID, AN EVIDENCE-BASED PROGRAM THAT PROVIDES TRAINING TO HELP INDIVIDUALS RECOGNIZE AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE, NOW AVAILABLE ACROSS SYSTEM COMMUNITIES. ADDITIONAL COMMUNITY BENEFIT INITIATIVES INCLUDE TRANSPORTATION ASSISTANCE, FITNESS PROGRAMMING, HEALTH-RELATED SOCIAL NEEDS SCREENINGS, AND DISTRIBUTION OF NALOXONE (NARCAN) AND FENTANYL TEST STRIPS. VBMC ALSO PROVIDES COMMUNITY EDUCATION ON TOPICS SUCH AS CHRONIC DISEASE MANAGEMENT, STROKE PREVENTION, CANCER SCREENING, SMOKING CESSATION, AND STRESS MANAGEMENT, OFTEN IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS, SCHOOLS, AND SENIOR CENTERS. STAFF FURTHER CONTRIBUTE TO COMMUNITY HEALTH THROUGH PARTICIPATION IN LOCAL COALITIONS, TASK FORCES, AND VOLUNTEER ACTIVITIES. THESE INITIATIVES ARE DESIGNED TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS, REDUCE BARRIERS TO CARE, AND IMPROVE HEALTH OUTCOMES, PARTICULARLY AMONG VULNERABLE AND UNDERSERVED POPULATIONS. IN FY25, VBMC HAD 114,181 PATIENT DAYS AND 21,967 DISCHARGES IN ACUTE CARE. THERE WERE 43,105 IN EMERGENCY ROOM VISITS AND 298,193 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $23.4M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 865038403 true true false true false false false false false true true true false true true true false true false false false false false false false false true true true true true true true false false false false false false false false false true false false false false true true true false false true 157 0 true 3213 true false false false false false false false false false false false false X 23 18 true false true false true true true true true false false false true true true true true false false true true true NY X KAREN DARCY 2037394593 100 RESERVE ROAD DANBURY CT 06810 JOHN M MURPHY MD NUVANCE PRESIDENT & CEO; DIRECTOR (FROM 05/25) 0.0 50.0 X X 0 5258348 47375 KEVIN CLEARY CHAIR (TO 04/25) 3.0 0 X X 0 0 0 MARK GUDIS VICE CHAIR (FROM 05/25) 0.0 2.0 X X 0 0 0 MICHAEL DOWLING PRESIDENT/CEO OF NORTHWELL; DIRECTOR (FROM 05/25) 0.0 50.0 X X 0 5867706 75656 STEVEN TINKELMAN VICE CHAIR (TO 04/25) 2.0 0 X X 0 0 0 STEVEN V LANT CHAIR (FROM 05/25) 0.0 3.0 X X 0 0 0 SUSAN BROWNING PRESIDENT & WESTERN REGIONAL PRESIDENT; DIRECTOR (TO 04/25) 50.0 0.0 X X 1096617 0 176757 ANNE ROBY DIRECTOR (FROM 05/25) 0.0 3.0 X 0 0 0 DARRELL WHEELER DIRECTOR (TO 04/25) 2.0 0 X 0 0 0 DEBRA DOMBER DIRECTOR (TO 04/25) 2.0 0 X 0 0 0 DONALD JONES DIRECTOR (FROM 05/25) 0.0 2.0 X 0 0 0 ERVIN R SHAMES DIRECTOR (FROM 05/25) 0.0 2.0 X 0 0 0 FRANCOISE DUNEFSKY DIRECTOR (FROM 05/25) 0.0 2.0 X 0 0 0 GREGORY W RAKOW DIRECTOR (FROM 05/25) 0.0 2.0 X 0 0 0 HOWARD GOLD DIRECTOR (FROM 05/25) 0.0 2.0 X 0 0 0 JAMES WALKER DIRECTOR (TO 04/25) 2.0 0 X 0 0 0 JOSEPH DIVESTEA DIRECTOR (FROM 05/25) 0.0 2.0 X 0 0 0 KATHLEEN GALLO FORMER NORTHWELL EVP & CHIEF LEARNING OFFICER (TO 01/24); DIRECTOR (FROM 05/25) 0.0 50.0 X 0 1478664 41369 KIMBERLY HELLER MD DIRECTOR (TO 04/25); MEDICAL DIRECTOR MATERNAL FETAL MEDICINE 0.0 40.0 X 0 529124 49205 MARGARET CROTTY DIRECTOR (FROM 05/25) 0.0 2.0 X 0 0 0 MARK SOLAZZO NORTHWELL PRES. 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SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE AS OF SEPTEMBER 30, 2025, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. true true X true X 400 true X true true false true true 6879884 0 6879884 0.00752 128942927 65850719 63092208 0.06892 0 0 0 0.0 0 0 135822811 65850719 69972092 0.07643 631675 0 631675 0.00069 43468648 24901522 18567126 0.02028 348582169 294983882 53598287 0.05855 180595 0 180595 0.00020 294789 0 294789 0.00032 0 0 393157876 319885404 73272472 0.08004 0 0 528980687 385736123 143244564 0.15647 0 0.0 0 0.0 586 0 586 0.00000 0 0.0 0 0.0 2735 0 2735 0.00000 978 0 978 0.00000 8940 0 8940 0.00001 0 0.0 0 0 13239 0 13239 0.00001 true 4303603 0 232123401 244773550 -12650149 X true true 1 1 VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 WWW.NUVANCEHEALTH.ORG 1302001H X X X X X VASSAR BROTHERS MEDICAL CENTER 1 false false true X X X X X X X X X 25 true true false true X WWW.NORTHWELL.EDU/AREAS-OF-CARE/COMMUNITY-HEALTH-WELLNESS/COMMUNITY-SERVICE-PLANS X true 25 true WWW.NORTHWELL.EDU/AREAS-OF-CARE/COMMUNITY-HEALTH-WELLNESS/COMMUNITY-SERVICE-PLANS false true X 400.0 400.0 X X X X X X X true true X X X X true X WWW.NORTHWELL.EDU/HUDSON-VALLEY-CONNECTICUT-BILLING-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE X WWW.NORTHWELL.EDU/HUDSON-VALLEY-CONNECTICUT-BILLING-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE X WWW.NORTHWELL.EDU/HUDSON-VALLEY-CONNECTICUT-BILLING-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - VASSAR BROTHERS MEDICAL CENTER. VASSAR BROTHERS MEDICAL CENTER CONDUCTED A THOROUGH AND DELIBERATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH THEIR RESPECTIVE COMMUNITY HEALTH COMMITTEES AND RELEVANT REGIONAL STAKEHOLDERS, INCLUDING A REVIEW OF THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)/COMMUNITY SERVICE PLAN (CSP). OUR RESEARCH INCORPORATED A COMBINATION OF SURVEYS TARGETING BOTH COMMUNITY MEMBERS AND LEADERS OF COMMUNITY-BASED ORGANIZATIONS. THE PUBLIC SURVEY, WHICH EVALUATED COMMUNITY NEEDS, IDENTIFIED BARRIERS AND GATHERED INSIGHTS ON KEY ISSUES AFFECTING THE COMMUNITY. DATA WAS COLLECTED BASED ON THE ZIP CODES, TOWN, AND COUNTY WHERE RESPONDENTS RESIDED FROM AUGUST 1 TO OCTOBER 12, 2024. THE SURVEY WAS OFFERED IN ENGLISH, SPANISH, PORTUGUESE, AND HAITIAN CREOLE. ONLINE AND PAPER VERSIONS OF THE SURVEY WERE MADE AVAILABLE TO SURVEY TAKERS. COMMUNITY PARTNER SURVEYS WERE ADMINISTERED TO COMMUNITY-BASED ORGANIZATIONS/PARTNERS TO TAKE THE PULSE ON HOW THEY INTERPRET HEALTH AND COMMUNITY ISSUES PREVALENT IN THE POPULATIONS EACH SERVE. THE SURVEY INCLUDED SEVEN MAIN QUESTIONS, WITH SUB-QUESTIONS, OPEN-ENDED QUESTIONS, AND A DEMOGRAPHICS SECTION. THE SURVEY WAS OFFERED IN ENGLISH AND SPANISH. ONLINE AND PAPER VERSIONS OF THE SURVEY WERE MADE AVAILABLE TO SURVEY TAKERS. DATA WAS COLLECTED BASED ON THE ZIP CODES, TOWN, AND COUNTY WHERE RESPONDENTS WORKED FROM MAY 21 TO SEPTEMBER 16, 2024. ADDITIONALLY, KEY INFORMANT INTERVIEWS WERE HELD WITH SELECTED LEADERS OF COMMUNITY-BASED ORGANIZATIONS, LOCAL REPRESENTATIVES, AND HEALTH PROVIDERS IN THE COUNTIES SERVED. FROM JULY 25 THROUGH SEPTEMBER 16, 2024, 43 INTERVIEWS WITH 50 INDIVIDUAL INFORMANTS WERE CONDUCTED. ALL INTERVIEWS WERE CONDUCTED VIRTUALLY VIA ZOOM, RECORDED, AND TRANSCRIBED. TRANSCRIPTS WERE VALIDATED TO ENSURE COLLOQUIAL ACCURACY TO PREPARE THEM FOR QUALITATIVE ANALYSIS. QUALITATIVE ANALYSIS OF THE INTERVIEW TRANSCRIPTS IS EMPLOYED IN GROUNDED THEORY. GROUNDED THEORY IS A RESEARCH METHOD WHEREIN DATA IS COLLECTED FIRST AND THEN ANALYZED TO DEVELOP THEORIES RATHER THAN BEGINNING WITH A HYPOTHESIS. FOR THIS REASON, IT IS A VERY ORGANIC APPROACH TO RESEARCH, ESPECIALLY WHEN SEEKING TO UNCOVER HEALTH NEEDS, CONCERNS, AND BARRIERS. ALL TRANSCRIPTS WERE ANALYZED USING ATLAS.TI WEB-BASED QUALITATIVE ANALYSIS SOFTWARE. OUR CHNA PROCESS WAS SUPPORTED BY EACH HOSPITAL'S COMMUNITY HEALTH COMMITTEE. THESE COMMITTEES CONSIST OF A DIVERSE GROUP OF BOARD MEMBERS, HEALTH SYSTEM STAFF, LOCAL HEALTH DEPARTMENT REPRESENTATIVES, AND COMMUNITY STAKEHOLDERS WHO ARE DEEPLY COMMITTED TO ADDRESSING THE HEALTH NEEDS AND CONCERNS OF THEIR COMMUNITIES. THEY PLAYED A KEY ROLE IN REVIEWING DATA AND, IN COLLABORATION WITH HOSPITAL LEADERSHIP, IDENTIFYING THE MAIN FOCUS AREAS AND PRIORITIES SPECIFIC TO EACH HOSPITAL. MEETING QUARTERLY, THESE COMMITTEES ARE INTEGRAL TO THE IMPLEMENTATION PROCESS, AS PROGRESS TOWARD GOALS AND MILESTONES ARE REGULARLY REVIEWED BY THEM. ADDITIONALLY, COMMUNITY MEMBERS WERE ENGAGED DURING THE SURVEY PROCESS, AND THEIR ONGOING FEEDBACK REMAINS A CRITICAL COMPONENT TO CHIP EVALUATION. A DETAILED OUTLINE OF COMMUNITY RESPONSES CAN BE FOUND IN THE COMMUNITY SERVICE PLAN LOCATED AT WWW.NORTHWELL.EDU/AREAS-OF-CARE/COMMUNITY-HEALTH-WELLNESS/COMMUNITY-SERVICE-PLANS. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - VASSAR BROTHERS MEDICAL CENTER. THE VASSAR BROTHERS MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENT WAS CREATED THROUGH A COLLABORATIVE EFFORT WITH THE HOSPITALS OF NUVANCE HEALTH - NORTHERN DUTCHESS HOSPITAL AND PUTNAM HOSPITAL IN NEW YORK AND SHARON HOSPITAL, DANBURY HOSPITAL AND NORWALK HOSPITAL IN CONNECTICUT. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - VASSAR BROTHERS MEDICAL CENTER. VASSAR BROTHERS MEDICAL CENTER COMMITS TO ENSURING THAT HOSPITAL RESOURCES AND ACTIONS BUILD UPON EXISTING PRIORITIES AND COLLABORATIVE ACTIVITIES, WHILE REMAINING RESPONSIVE TO EMERGENT NEEDS AND COMMUNITY FEEDBACK. DETERMINATION OF PRIORITIES FOR EACH HOSPITAL INCLUDED A REVIEW OF EXISTING COMMITMENTS, NEW RESEARCH FINDINGS, AND COMMUNITY FEEDBACK. THE NEW RESEARCH REVEALED COMMON THEMES AND FOCUS AREAS ACROSS THE HOSPITAL SYSTEM. THESE ARE THE OVERARCHING AREAS IN WHICH THE SYSTEM WILL FOCUS ITS IMPLEMENTATION STRATEGY. EACH HOSPITAL WILL TAILOR ITS APPROACH TO THESE FOCUS AREAS BASED ON LOCAL DATA, EXISTING INTERVENTIONS, AND AVAILABLE RESOURCES. THE THREE FOCUS AREAS IDENTIFIED ARE: 1. MENTAL HEALTH/SUBSTANCE MISUSE 2. CHRONIC CONDITIONS 3. ACCESS TO CARE MAKING A MEANINGFUL IMPACT ON THESE ISSUES REQUIRES COLLABORATION ACROSS SECTORS. TO ENSURE ONGOING ATTENTION, THE COMMUNITY HEALTH COMMITTEE WILL IMPLEMENT EVIDENCE-BASED STRATEGIES, WITH A FOCUS ON THE SOCIAL AND BEHAVIORAL FACTORS THAT SHAPE HEALTH OUTCOMES. THE IDENTIFIED FOCUS AREAS ALIGN WITH AND ADVANCE THE NEW YORK STATE PREVENTION AGENDA. VASSAR BROTHERS MEDICAL CENTER AND ITS PARTNERS HAVE IDENTIFIED THREE KEY PRIORITIES FOR THE 2025-2030 PREVENTION AGENDA CYCLE FOR THEIR 2025-2027 WORKPLANS BASED ON COMPREHENSIVE DATA ANALYSIS AND COMMUNITY FEEDBACK: 1. SUICIDE PREVENTION 2. DRUG MISUSE AND OVERDOSE REDUCTION, INCLUDING PRIMARY PREVENTION 3. PREVENTIVE SERVICES FOR CHRONIC DISEASE PREVENTION AND CONTROL THESE PRIORITIES AIM TO ADDRESS CRITICAL HEALTH ISSUES AND ENHANCE THE OVERALL WELL-BEING OF THE COMMUNITY. AS NOTED EARLIER, ACCESS TO CARE PRESENTS A SIGNIFICANT CHALLENGE FOR RESIDENTS IN THE VASSAR BROTHERS MEDICAL CENTER SERVICE AREA AND WILL BE ADDRESSED ACROSS EACH PRIORITY AREA CHOSEN. KEY INITIATIVES INCLUDE: * MENTAL HEALTH FIRST AID TRAINING * GUN VIOLENCE AND SUICIDE PREVENTION PROGRAM * IMPLEMENTATION OF ONLINE OPIOID EDUCATION AND COMMUNITY NARCAN DISTRIBUTION * PARTICIPATION IN NATIONAL DRUG TAKE BACK DAYS * ESTABLISH CONNECTION TO SUBSTANCE USE TREATMENT AND SERVICES THROUGH COMMUNITY CARE TEAM (CCT) CLIENT CASE MANAGEMENT * CAR FIT PROGRAM TO SUPPORT HEALTHY AGING AND DRIVER SAFETY * ATTAIN IHI AGE-FRIENDLY HEALTH SYSTEM RECOGNITION * IMPLEMENT A PROGRAM THAT PROVIDES HEALTHCARE-RELATED TRANSPORTATION FOR COMMUNITY MEMBERS * COLLABORATE WITH COMMUNITY ORGANIZATIONS RELATED TO FALL PREVENTION AND INJURY REDUCTION * FOOD AS MEDICINE PROGRAM TO SUPPLY HEALTHY FOOD AND NUTRITIONAL COUNSELING FOR PERSONS WITH NUTRITION-SENSITIVE HEALTH CONDITIONS * PROVIDE COMMUNITY HEALTH DAY - SCREENINGS, PHYSICAL ASSESSMENTS, VACCINATIONS, FREE CLOTHING AND CONNECTION TO MULTIPLE SOCIAL SERVICES * VIRTUAL HEALTH TALKS ADDRESSING HEALTH SCREENINGS, WELLNESS PROMOTION, AND CONDITION MANAGEMENT * PROVIDE WORKFORCE AND CAREER DEVELOPMENT PROGRAMS THAT SUPPORT EMPLOYMENT PATHWAYS AND THE ABILITY TO EARN LIVABLE WAGES AND ATTAIN HEALTHCARE BENEFITS * INCORPORATE ENHANCED NUTRITION AND HEALTHY EATING EDUCATION AND RESOURCES INTO COMMUNITY OUTREACH ACTIVITIES * 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. OTHER CHNA-IDENTIFIED NEEDS-INFECTIOUS DISEASES, TICK-BORNE ILLNESSES, PREVENTABLE INJURIES, AND AFFORDABLE HOUSING-WILL CONTINUE TO BE ADDRESSED THROUGH CLINICAL SERVICES, COMMUNITY ADVOCACY, PREVENTIVE-HEALTH CAMPAIGNS, AND REGIONAL PARTNERSHIPS. VASSAR BROTHERS MEDICAL CENTER'S COMMUNITY HEALTH COMMITTEE MEETS ON A REGULAR BASIS TO REVIEW PROGRESS TOWARD THE GOALS STATED IN THE COMMUNITY SERVICE PLAN AND DETERMINE IF ANY CHANGES TO OBJECTIVES ARE REQUIRED. ADDITIONALLY, THE HOSPITAL COMPILES DATA ON EACH IMPLEMENTATION AREA AND REPORTS IT TO THE NEW YORK STATE DEPARTMENT OF HEALTH ON AN ANNUAL BASIS. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - VASSAR BROTHERS MEDICAL CENTER. NUVANCE'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR A 100% DISCOUNT FOR NEW YORK PATIENTS WITH INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - VASSAR BROTHERS MEDICAL CENTER. A PATIENT MAY QUALIFY FOR "MEDICAL HARDSHIP" EVEN IF THEIR INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES. A PATIENT'S TOTAL UNPAID MEDICAL DEBT IS CONSIDERED WHEN DETERMINING MEDICAL HARDSHIP. MEDICAL HARDSHIP IS DETERMINED BY COMPARING A PATIENT'S AVAILABLE INCOME TO THEIR UNPAID MEDICAL DEBT AND IS GRANTED AT 100% FREE CARE WHEN THEIR UNPAID MEDICAL DEBT EXCEEDS THEIR AVAILABLE INCOME. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 FACILITY , 1 - VASSAR BROTHERS MEDICAL CENTER. VASSAR BROTHER'S MEDICAL CENTER HAS MESSAGES ON ALL BILLING STATEMENTS PROVIDING INFORMATION REGARDING HOW A PATIENT CAN OBTAIN ASSISTANCE WITH THEIR MEDICAL BILLS. FINANCIAL COUNSELORS ARE ALSO AVAILABLE ON-SITE AT VASSAR BROTHER'S MEDICAL CENTER TO PROVIDE FURTHER ASSISTANCE. 7 FISHKILL AMBULATORY SURGERY CENTER 200 WESTAGE BUSINESS CENTER FISHKILL NY 12524 OUTPATIENT SAME DAY SURGICAL AND PAIN MANAGEMENT SERVICES VBMC CARDIAC TESTING CENTER 1 COLUMBIA STREET POUGHKEEPSIE NY 12540 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES VASSAR BROTHERS HOSP WOUND CARE CTR 21 FOX STREET POUGHKEEPSIE NY 12601 OUTPATIENT WOUND CARE AND HYPERBARIC SERVICES CARDIAC TESTING - NEW WINDSOR 939 LITTLE BRITAIN ROAD NEW WINDSOR NY 12553 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES VBMC CARDIAC TESTING & REHAB CENTER 115 DELAFIELD STREET POUGHKEEPSIE NY 12601 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES ULSTER RADIATION ONCOLOGY CENTER 111 MARYS AVENUE KINGSTON NY 12401 OUTPATIENT ONCOLOGY AND INFUSION SERVICES CARDIAC TESTING - FISHKILL 60 MERRITT BOULEVARD FISHKILL NY 12524 OUTPATIENT CARDIAC TESTING AND REHAB SERVICES SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG IN DETERMINING ELIGIBILITY VASSAR BROTHER'S MEDICAL CENTER PROVIDES CHARITY CARE TO PATIENTS BELOW 400% OF THE FEDERAL POVERTY GUIDELINES; THIS IS KNOWN AS "FINANCIAL HARDSHIP". VASSAR BROTHER'S MEDICAL CENTER, HOWEVER, ALSO HELPS PATIENTS' WHOSE INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES WHEN FACED WITH INSURMOUNTABLE MEDICAL DEBT. THIS TYPE OF CHARITY CARE IS KNOWN AS "MEDICAL HARDSHIP". MEDICAL HARDSHIP COMPARES AVAILABLE INCOME TO UNPAID MEDICAL DEBT AND IS APPROVED AT 100% FREE CARE WHEN THE UNPAID MEDICAL BILLS EXCEED AVAILABLE INCOME. ASSETS ARE NOT CONSIDERED. SCHEDULE H, PART I, LINE 7 CHARITY CARE AT COST PERCENTAGE A COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, AND USED TO DETERMINE FINANCIAL ASSISTANCE AT COST. COST ACCOUNTING WAS USED TO DETERMINE MEDICARE COST, MEDICAID COST, AND THE COST FOR SUBSIDIZED HEALTH SERVICES. SCHEDULE H, PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS VASSAR BROTHERS MEDICAL CENTER PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS, GRANTS/SPONSORSHIPS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE AND TARGETED POPULATIONS. BELOW IS A LIST OF SOME OF THE PROGRAMS OFFERED/SUPPORTED. *ADVOCACY FOR LEGISLATION, PROGRAMS, SERVICE AND FUNDING THAT ADDRESS COMMUNITY NEEDS AND HEALTH DISPARITIES *ADRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS *ADDRESSING CANCER THROUGH BREAST CANCER SCREENINGS, ARTICLES ON NUVANCE HEALTHLINE AND SOCIAL MEDIA POSTS. MANY COMMUNITY LECTURES WERE HELD. NUVANCE HEALTH ALSO PROMOTED EDUCATIONAL VIDEOS. *ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS *ADDRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE GET FIT CHALLENGE. *PROVIDING SUPPORT GROUPS *SENIORS HEALTH AND WELLNESS VIA OUTREACH AND EDUCATION GRANTS AND IN-KIND SUPPPORT WERE PROVIDED TO NUMEROUS NON-PROFIT ORGANIZATIONS IN THE VBMC SERVICE AREA. GRANTS AND IN-KIND SUPPORT WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS: * ALZHEIMER'S ASSOCIATION * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * ARTS MID-HUDSON * BENEDICTINE HEALTH FOUNDATION * BIG GAY HUDSON VALLEY * BOY SCOUTS OF AMERICA (GREATER HV COUNCIL) * BREAKTHROUGH T1D * CHILDREN'S HOME OF POUGHKEEPSIE * CITY OF POUGHKEEPSIE * COVECARE CENTER * CUNNEEN-HACKETT ARTS CENTER * CYSTIC FIBROSIS FOUNDATION - NY CHAPTER * DUTCHESS COMMUNITY COLLEGE FOUNDATION * DUTCHESS COUNTY CHAMBER OF COMMERCE * DUTCHESS COUNTY INTERFAITH COUNCIL * DUTCHESS COUNTY PRIDE CENTER * DUTCHESS OUTREACH * DUTCHESS TOURISM * EASTERN DUTCHESS ROAD RUNNERS CLUB * ELLENVILLE REGIONAL HOSPITAL * FAMILY SERVICES * GRACE SMITH HOUSE * GREYSTONE PROGRAMS * HABITAT FOR HUMANITY OF DUTCHESS COUNTY * HUDSON RIVER HOUSING * HUDSON VALLEY AUTO ENTHUSIASTS * HUDSON VALLEY HOSPICE FOUNDATION * JDRF (JUVENILE DIABETES RESEARCH FOUNDATION) * MENDED HEARTS OF THE HUDSON VALLEY, CHAPTER 5 * MENTAL HEALTH AMERICA OF DUTCHESS COUNTY * MID-HUDSON DISCOVERY MUSEUM * MILES OF HOPE BREAST CANCER FOUNDATION * PARKINSON'S DISEASE SUPPORT GROUP MID-HUDSON VALLEY * PATTERN FOR PROGRESS * PEGASUS THERAPEUTIC RIDING * PEOPLE USA * PREMIER CARES FOUNDATION * PUTNAM PRIDE * REBUILDING TOGETHER DUTCHESS COUNTY * REGIONAL FOOD BANK OF THE HUDSON VALLEY * SCENIC HUDSON * SECOND CHANCE FOODS * SPARROW'S NEST * SUPPORT CONNECTION * THE BARDAVON * THE CENTER FOR THE PREVENTION OF CHILD ABUSE * THE CHAMBER FOUNDATION * THE HAITI PROJECT * THINK DUTCHESS * TMI PROJECT * UNITED WAY OF THE DUTCHESS-ORANGE REGION * VASSAR TEMPLE * WALKWAY OVER THE HUDSON SCHEDULE H, PART I, LINE 6A CURRENT YEAR COMMUNITY BENEFIT REPORT VASSAR BROTHERS MEDICAL CENTER FILED ITS COMMUNITY BENEFIT REPORT WITH THE NEW YORK DEPARTMENT OF HEALTH IN DECEMBER 2025. SCHEDULE H, PART V, SECTION B, LINE 16A FAP AVAILABLE WEBSITE THE FINANCIAL ASSISTANCE POLICY ("FAP"), FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS MADE AVAILABLE ON THE FOLLOWING LINK: WWW.NORTHWELL.EDU/HUDSON-VALLEY-CONNECTICUT-BILLING-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE PLEASE NOTE THAT NUVANCE'S FINANCIAL ASSISTANCE POLICY WAS UPDATED OCTOBER 28, 2025. THE LINK ABOVE WILL PROVIDE INFORMATION ON THE CURRENT POLICY. A COPY OF THE PREVIOUS FINANCIAL ASSISTANCE POLICY CAN BE PROVIDED UPON REQUEST. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THE AMOUNTS REPORTED AS SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE PHYSICIAN CLINIC COSTS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT $586 MEMBERS OF THE SECURITY TEAM AND COMMUNITY EDUCATION TEAM AT VASSAR BROTHERS HOSPITAL PARTICIPATED IN TRAINING PROGRAMS THAT TEACH THE COMMUNITY ABOUT ACTIVE SHOOTER SITUATIONS. COALITION BUILDING $2,735 VASSAR BROTHERS HOSPITAL MEDICAL CENTER (VBMC) IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY THROUGH THE VBMC COMMUNITY CARE TEAM (CCT). THE CCT MEETS REGULARLY WITH COMMUNITY PARTNERS TO COORDINATE CARE FOR AT-RISK INDIVIDUALS IN THE COMMUNITY. VBMC ALSO PARTICIPATES IN COLLABORATIVE EFFORTS WITH THE ALZHEIMER'S ASSOCIATION. MENTAL HEALTH ASSOCIATION, RHINEBECK PREPAREDNESS HEALTHCARE COALITION, AND MORE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $978 VASSAR BROTHERS MEDICAL CENTER IS COMMITTED TO SUPPORTING PROGRAMS TO SAFEGUARD AND IMPROVE PUBLIC HEALTH, SUCH AS HAVING INVOLVEMENT IN THE DUTCHESS COUNTY COALITION MEETINGS TO SCHEDULE CAR SEAT SAFETY EVENTS. WORKFORCE DEVELOPMENT $8,940 THROUGH VARIOUS APPROACHES SUCH AS CAREER FAIRS, HIGH SCHOOL IMMERSION PROGRAMS, LECTURES, AND INFORMATIONAL SESSIONS, VASSAR BROTHERS MEDICAL CENTER CONSISTENTLY PROVIDES OPPORTUNITY TO INTEREST THE COMMUNITY IN THE HEALTHCARE FIELD, EDUCATE ON DIFFERENT ROLES WITHIN HEALTHCARE, AND PROVIDE POSSIBLE EMPLOYMENT OPPORTUNITIES. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT VBMC 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. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY VBMC DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE FOOTNOTE ON AUDITED FINANCIALS THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 18-23 OF NUVANCE HEALTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS VASSAR BROTHERS HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION STRIVES TO PROVIDE 24/7 COVERAGE, IMPROVED PATIENT ACCESS, HIGHEST CLINICAL QUALITY AS WELL AS ADDRESSING THE NEEDS OF THE COMMUNITY BY OFFERING CRITICAL SERVICES TO OUR GEOGRAPHIC AREA. AS A RESULT, THE ORGANIZATIN MUST BALANCE THE COST OF THESE PROGRAMS AGAINST THE CONTINUED DECREASING GOVERNMENT REIMBURSEMENT LEVELS, UNINSURED POPULATION AND COMMUNITY NEEDS. A PORTION OF MEDICARE IS BEING REPORTED AS A COMMUNITY BENEFIT IN SCHEDULE H, PART I, LINE 7. IN THE AGGREGATE, THE ORGANIZATION HAS A MEDICARE SHORTFALL IN THE AMOUNT OF $94,238,672. A COST ACCOUNTING SYSTEM IS USED TO CALCULATE THE SHORTFALL, WHICH IS MEDICARE NET PATIENT REVENUE LESS APPLICABLE COSTS. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IT IS THE POLICY OF VASSAR BROTHERS MEDICAL CENTER 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) VASSAR BROTHERS MEDICAL CENTER 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. VASSAR BROTHERS MEDICAL CENTER 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, VASSAR BROTHERS MEDICAL CENTER RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, VASSAR BROTHERS MEDICAL CENTER 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 PATIENTS' 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. VASSAR BROTHERS MEDICAL CENTER WOULD 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 CANNOT AFFORD. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - VASSAR BROTHERS MEDICAL CENTER: LINE 16A URL: WWW.NORTHWELL.EDU/HUDSON-VALLEY-CONNECTICUT-BILLING-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - VASSAR BROTHERS MEDICAL CENTER: LINE 16B URL: WWW.NORTHWELL.EDU/HUDSON-VALLEY-CONNECTICUT-BILLING-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - VASSAR BROTHERS MEDICAL CENTER: LINE 16C URL: WWW.NORTHWELL.EDU/HUDSON-VALLEY-CONNECTICUT-BILLING-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH 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. SCHEDULE H, 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. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION VASSAR BROTHERS MEDICAL CENTER (VBMC) IS LOCATED IN POUGHKEEPSIE, NEW YORK, WITHIN DUTCHESS COUNTY, AND SERVES AS A MAJOR HEALTHCARE PROVIDER FOR RESIDENTS ACROSS DUTCHESS, PUTNAM, AND ULSTER COUNTIES. THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES ZIP CODES ON BOTH SIDES OF THE HUDSON RIVER, REFLECTING A GEOGRAPHICALLY DIVERSE CATCHMENT AREA THAT SPANS URBAN, SUBURBAN, AND SEMI RURAL COMMUNITIES THROUGHOUT THE MID HUDSON VALLEY. THIS SERVICE AREA EXTENDS FROM HYDE PARK TO THE NORTH, THROUGH THE CITY OF POUGHKEEPSIE, AND SOUTHWARD TO NEWBURGH, REACHING COMMUNITIES ALONG THE NEW YORK AND CONNECTICUT STATE BORDERS. THE POPULATION SERVED BY VASSAR BROTHERS MEDICAL CENTER REFLECTS BROADER DEMOGRAPHIC TRENDS OBSERVED ACROSS THE REGION, MOST NOTABLY A STEADILY AGING POPULATION. BETWEEN 2025 AND 2030, THE POPULATION WITHIN THE VBMC SERVICE AREA IS PROJECTED TO INCREASE BY 6,637 RESIDENTS, REPRESENTING A 1.6% OVERALL GROWTH RATE. CONSISTENT WITH TRENDS ACROSS NEW YORK STATE, THIS GROWTH IS EXPECTED TO BE DRIVEN ALMOST ENTIRELY BY OLDER ADULT POPULATIONS. DURING THIS PERIOD, THE NUMBER OF RESIDENTS AGED 65 AND OLDER IS PROJECTED TO INCREASE BY 12,871 INDIVIDUALS, A 16.7% RISE, WHILE YOUNGER AGE COHORTS ARE EXPECTED TO DECLINE. THE POPULATION UNDER AGE 18 IS PROJECTED TO DECREASE BY 1,839 INDIVIDUALS (-2.4%), AND THE POPULATION AGED 45 TO 64 IS PROJECTED TO DECLINE BY 4,377 INDIVIDUALS ( 4.1%). (SOURCE: SG2 MARKET ADVANTAGE) IN ADDITION TO AGE SHIFTS, THE VBMC SERVICE AREA IS BECOMING INCREASINGLY DIVERSE. CONSISTENT WITH STATEWIDE DEMOGRAPHIC PATTERNS, PEOPLE OF COLOR REPRESENT THE FASTEST GROWING POPULATIONS WITHIN THE SERVICE AREA. FROM 2025 TO 2030, THE WHITE POPULATION IS PROJECTED TO DECREASE BY 6.2%, WHILE THE HISPANIC POPULATION IS EXPECTED TO GROW BY 17.4%. OVER THE SAME PERIOD, BOTH THE ASIAN AND BLACK POPULATIONS ARE PROJECTED TO INCREASE BY APPROXIMATELY 7%. (SOURCE: SG2 MARKET ADVANTAGE) ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, DUTCHESS COUNTY EXPERIENCED AN ANNUAL AVERAGE UNEMPLOYMENT RATE OF APPROXIMATELY 3.2 PERCENT IN 2025, INDICATING OVERALL LABOR MARKET STABILITY. DESPITE RELATIVELY FAVORABLE EMPLOYMENT CONDITIONS, A PORTION OF THE COUNTY'S POPULATION CONTINUES TO EXPERIENCE ECONOMIC HARDSHIP. DATA FROM THE U.S. CENSUS BUREAU INDICATE THAT APPROXIMATELY 8 TO 9 PERCENT OF DUTCHESS COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. HEALTH INSURANCE COVERAGE WITHIN VBMC'S SERVICE AREA REFLECTS THIS SOCIOECONOMIC DIVERSITY. MARKET DATA INDICATE THAT APPROXIMATELY 4.6 PERCENT OF RESIDENTS ARE UNINSURED. PUBLIC INSURANCE PROGRAMS REPRESENT A SUBSTANTIAL SHARE OF COVERAGE, WITH MEDICAID ACCOUNTING FOR APPROXIMATELY 27 PERCENT OF INSURED INDIVIDUALS AND MEDICARE ACCOUNTING FOR APPROXIMATELY 20.6 PERCENT. THE REMAINING APPROXIMATELY 48 PERCENT OF THE POPULATION IS COVERED THROUGH PRIVATE COMMERCIAL INSURANCE, INCLUDING EMPLOYER SPONSORED PLANS, DIRECT PURCHASE PLANS, AND INSURANCE OBTAINED THROUGH HEALTH INSURANCE EXCHANGES. (SOURCE: SG2 MARKET ADVANTAGE) ACCESS TO PRIMARY CARE SERVICES REMAINS A CHALLENGE IN CERTAIN PORTIONS OF THE HOSPITAL'S SERVICE AREA. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED POUGHKEEPSIE AND PORTIONS OF EASTERN DUTCHESS COUNTY AS MEDICALLY UNDERSERVED POPULATIONS (MUPS) FOR PRIMARY CARE, PARTICULARLY FOR LOW INCOME POPULATIONS. THESE DESIGNATIONS ARE BASED ON FACTORS INCLUDING PROVIDER AVAILABILITY, POVERTY LEVELS, AND HEALTH STATUS INDICATORS, AND THEY UNDERSCORE EXISTING DISPARITIES IN ACCESS TO ESSENTIAL HEALTHCARE SERVICES. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH VASSAR BROTHERS MEDICAL CENTER (VBMC) IS A 349-BED FACILITY THAT HAS SERVED NEW YORK'S MID-HUDSON VALLEY SINCE 1887. OUR MOST RECENT ADDITION, THE PATIENT PAVILION, INCLUDES 293 PRIVATE PATIENT ROOMS, 13 SURGICAL SUITES AND A 66-ROOM EMERGENCY AND TRAUMA CENTER. OUR PHYSICIANS, SURGEONS, AND SPECIALISTS BRING INNOVATIVE PROCEDURES AND ADVANCED SERVICES TO THE COMMUNITY, INCLUDING ROBOTIC SURGERY, LIVER AND PANCREATIC SURGERY, INTERVENTIONAL NEURORADIOLOGY, SURGICAL ONCOLOGY AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). VBMC IS PART OF NUVANCE HEALTH, WHICH JOINED NORTHWELL HEALTH IN MAY 2025, CREATING AN EXPANDED, INTEGRATED HEALTH SYSTEM THAT STRENGTHENS ACCESS TO HIGH-QUALITY, COORDINATED CARE ACROSS NEW YORK'S HUDSON VALLEY AND WESTERN CONNECTICUT. AS PART OF NORTHWELL HEALTH, NEW YORK STATE'S LARGEST HEALTH CARE PROVIDER, VBMC PATIENTS BENEFIT FROM BROADER CLINICAL COORDINATION, ENHANCED SPECIALTY EXPERTISE AND ACCESS TO SYSTEM-WIDE BEST PRACTICES, WHILE MAINTAINING THE LOCAL, COMMUNITY-BASED CARE THAT HAS LONG DEFINED THE ORGANIZATION. OVERLOOKING THE BEAUTIFUL HUDSON RIVER IN THE CITY OF POUGHKEEPSIE, NY, VBMC'S MEDICAL STAFF HAS DEEP EXPERTISE IN CARDIAC SERVICES, CANCER CARE, AND WOMEN AND CHILDREN'S HEALTH. FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND DIGESTIVE HEALTH INSTITUTE. VBMC IS A RENOWNED REGIONAL MEDICAL CENTER, HOUSING THE AREA'S FIRST CARDIOTHORACIC SURGERY PROGRAM BETWEEN WESTCHESTER AND ALBANY, A LEVEL II TRAUMA CENTER, AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION FOR PREMATURE AND CRITICALLY ILL INFANTS. ADDITIONAL FEATURED SERVICE LINES INCLUDE: * PRIMARY CARE * INPATIENT PEDIATRICS * BEHAVIORAL AND MENTAL HEALTH * WEIGHT LOSS SURGERY (BARIATRICS) * HERNIA CARE VBMC'S EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE ARE LONG-TERM AND HIGHLY COLLABORATIVE, ADDRESSING PUBLIC HEALTH ISSUES AND OPPORTUNITIES THROUGHOUT THE REGION. OUR ROLE IN IMPROVING COMMUNITY HEALTH MAY BE AS A LEADER, PARTNER, FACILITATOR, FUNDER, ADVOCATE, CHAMPION, OR OBSERVER. IN THESE ROLES, VBMC EMBRACES THE SOCIAL DETERMINANTS OF HEALTH, APPLYING STRATEGIES THAT INCLUDE HEALTH EDUCATION, OUTREACH AND SCREENINGS THROUGH COMMUNITY PARTNERSHIPS, DATA COLLECTION AND RESEARCH, HEALTH CLINICS AND FAIRS, SPONSORSHIPS, AND SUBJECT MATTER EXPERT PRESENTATIONS. FOR MORE DETAILED INFORMATION AND EXAMPLES, SEE SCHEDULE H, PART I, LINE 7E. VASSAR'S ADVISORY BOARD OF TRUSTEES IS COMPOSED OF PROMINENT COMMUNITY LEADERS WHO LIVE AND WORK IN THE REGION. VASSAR BROTHERS MEDICAL CENTER ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE REINVESTED INTO CLINICAL CARE SUPPORTING ADVANCED TECHNOLOGY, PROGRAM DEVELOPMENT AND EXPANSION OF SERVICES TO MEET THE EVOLVING NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM NUVANCE HEALTH IS AN INTEGRATED HEALTH SYSTEM OFFERING CONVENIENT, ACCESSIBLE AND AFFORDABLE CARE TO OUR COMMUNITY MEMBERS. IN MAY 2025, NUVANCE HEALTH JOINED NORTHWELL HEALTH, NEW YORK STATE'S LARGEST HEALTH CARE PROVIDER, CREATING AN EXPANDED NOT-FOR-PROFIT HEALTH SYSTEM THAT STRENGTHENS CLINICAL COLLABORATION, ACCESS TO SPECIALTY CARE AND OPERATIONAL SUSTAINABILITY. COLLECTIVLEY, NUVANCE HEALTH'S MORE THAN 15,000 COMPASSIONATE CAREGIVERS DELIVER HIGH-QUALITY CARE THROUGH COMMUNITY HOSPITALS, PRIMARY CARE AND SPECIALTY PRACTICE LOCATIONS, OUTPATIENT SETTINGS, HOME CARE SERVICES, AND TELEHEALTH VISITS. AS PART OF THE BROADER NORTHWELL HEALTH SYSTEM, PATIENTS AND COMMUNITIES BENEFIT FROM ENHANCED COORDINATION, SHARED BEST PRACTICES AND EXPANDED CLINICAL EXPERTISE, WHILE CARE CONTINUES TO BE DELIVERED LOCALLY. VASSAR BROTHERS MEDICAL CENTER HAS PROVIDED $70,119,820 WORTH OF CARE THROUGH FINANCIAL ASSISTANCE AT COST AND ITS MEDICAID SHORTFALL. NUVANCE HEALTH OPERATES SEVEN COMMUNITY HOSPITALS (DANBURY HOSPITAL, NEW MILFORD HOSPITAL, NORWALK HOSPITAL, SHARON HOSPITAL, VASSAR BROTHERS MEDICAL CENTER, NORTHERN DUTCHESS HOSPITAL AND PUTNAM HOSPITAL) THAT PROVIDE A FULL RANGE OF 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 SYSTEM'S MISSION STATEMENT. ALL OF OUR HOSPITALS HAVE OPEN MEDICAL STAFFS. IF AN INDIVIDUAL MEETS THE EDUCATIONAL, EXPERIENTIAL AND LICENSOR REQUIREMENTS, THEY CAN JOIN THE MEDICAL STAFF. THERE ARE FIVE FOUNDATIONS THAT HELP SUPPORT OUR HOSPITALS AND AFFILIATES (DANBURY HOSPITAL AND NEW MILFORD HOSPITAL FOUNDATION, INC., NORWALK HOSPITAL FOUNDATION, VASSAR BROTHERS HOSPITAL FOUNDATION, NDH FOUNDATION AND PUTNAM HOSPITAL CENTER FOUNDATION). EACH FOUNDATION'S MISSION IS TO RAISE FUNDS, REINVEST, ADMINISTER FUNDS AND MAKE DISTRIBUTIONS TO THE HOSPITALS AND THEIR NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NUVANCE HEALTH HAS FOUR MEDICAL GROUPS (NUVANCE HEALTH MEDICAL PRACTICE CT, INC., NUVANCE HEALTH MEDICAL PRACTICE, P.C., EASTERN NEW YORK MEDICAL SERVICES, P.C. AND HUDSON VALLEY CARDIOVASCULAR PRACTICE, P.C.). THE MEDICAL PRACTICES PROVIDE A FULL RANGE OF HOSPITAL-BASED AND OUTPATIENT SERVICES TO RESIDENTS IN THEIR COMMUNITIES AND SURROUNDING AREAS. THEY 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. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.'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. NUVANCE HEALTH HAS THREE HOME CARE ENTITIES (WESTERN CONNECTICUT HOME CARE, INC., HEALTH QUEST HOME CARE, INC. (CERTIFIED) AND HEALTH QUEST HOME CARE, INC. (LICENSED). OUR HOME CARE PROGRAMS PROVIDE COMPREHENSIVE HEALTH SERVICES TO SELECTED PATIENTS WHO CAN BE CARED FOR AT HOME, THUS REDUCING THE EXPENSE ASSOCIATED WITH HOSPITALIZATION AND ALLOWING PATIENTS TO BE TREATED IN THE COMFORT AND FAMILIARITY OF THEIR HOMES. THESE SERVICES INCLUDE SKILLED NURSING, THERAPIES (PHYSICAL, OPERATIONAL AND SPEECH), MEDICAL SOCIAL SERVICES, AND HOME HEALTH AIDS. ALAMO AMBULANCE SERVICES, INC. IS A LICENSED AMBULANCE TRANSPORT SERVICE WITHIN DUTCHESS, ORANGE, ULSTER AND PUTNAM COUNTIES IN NEW YORK. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CT, NY true AMERICAN CANCER SOCIETY PO BOX 1357 NEW YORK NY 10018 131788491 501(C)3 20000 IN SUPPORT OF CANCER RESEARCH, HEALTH, AND WELLNESS AMERICAN HEART ASSOCIATION PO BOX 841390 DALLAS TX 75231 135613797 501(C)3 20000 IN SUPPORT OF CARDIOVASCULAR RESEARCH, HEALTH, AND WELLNESS DUTCHESS COMMUNITY COLLEGE FOUNDATION 53 PENDELL ROAD POUGHKEEPSIE NY 12601 222484101 501(C)3 7500 IN SUPPORT OF HELPING STUDENTS IN OUR COMMUNITIES HAVE ACCESS TO COMMUNITY COLLEGE AND A BROAD RANGE OF LEARNING OPPORTUNITIES, HEALTH AND WELLNESS DUTCHESS OUTREACH 29 N HAMILTON ST POUGHKEEPSIE NY 12601 222339537 501(C)3 10000 IN SUPPORT OF ADDRESSING AND ERADICATING MALNOURISHMENT IN THE GREATER POUGHKEEPSIE AREA. FAMILY SERVICES 29 NORTH HAMILTON STREET POUGHKEEPSIE NY 12601 141338399 501(C)3 15000 IN SUPPORT OF SERVICES FOR BATTERED WOMEN, CHILDREN, AND SERVICES FOR LOCAL AT-RISK YOUTH 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 DIAGNOSIS PREMIER CARES FOUNDATION PO BOX 93 PLEASANT VALLEY NY 12569 450990732 501(C)3 10000 IN SUPPORT OF UNDERSERVED AND UNDERINSURED UROLOGICAL AND GASTROINTESTINAL PATIENTS IN THE COMMUNITY. SPARROW'S NEST 10 TOWN CENTER BLVD HOPEWELL JUNCTION NY 12533 462573747 501(C)3 20000 IN SUPPORT OF SERVICES FOR FAMILIES WHO ARE EXPERIENCING THE HARDSHIPS OF A CANCER DIAGNOSIS THROUGH DELIVERY OF MEALS AND SUPPLIES WALKWAY OVER THE HUDSON 80 WASHINGTON ST POUGHKEEPSIE NY 12601 141753502 501(C)3 15000 IN SUPPORT OF HEALTH AND WELLNESS IN THE COMMUNITY 9 0 SCHOLARSHIPS FOR STUDENTS ATTENDING NURSING SCHOOL 3 7500 N/A N/A SCHEDULE I, PART III PROCEDURES FOR MONITORING GRANTS AND OTHER ASSISTANCE TO DOMESTIC INDIVIDUALS NUVANCE FOUNDATIONS NURSING SCHOLARSHIP GRANTS ARE AVAILABLE TO EMPLOYEES OF NUVANCE HEALTH AND ITS AFFILIATES. THE PURPOSE OF THE GRANT FUNDS IS REVIEWED AND APPROVED BY FOUNDATION OFFICERS TO ASSURE COMPLIANCE WITH DONOR INTENTIONS AND/OR BOARD APPROVALS. AN ANNUAL CYCLE TO DETERMINE AWARDS IS FOLLOWED. ANNUAL CYCLE FOR THE NUVANCE HEALTH AND AFFILIATES NURSING SCHOLARSHIPS: FEBRUARY: *NURSING SCHOLARSHIP COMMITTEE MEMBERSHIP IS CONFIRMED. THE COMMITTEE CONSISTS OF NURSING LEADERSHIP, RNS AND FOUNDATION STAFF MEMBERS. *THE COMMITTEE REVIEWS THE SCHOLARSHIP APPLICATION FORM FROM THE PREVIOUS YEAR AND RECOMMENDS MODIFICATIONS. *CURRENT FUNDS AVAILABLE IN EACH SCHOLARSHIP ARE VERIFIED. *DETERMINATION IS MADE AS TO THE DOLLAR AMOUNT TO BE AWARDED FROM EACH SCHOLARSHIP BASED ON THE CURRENT FUNDS. *APPLICATION DEADLINE SET MARCH: *UPDATED NURSING SCHOLARSHIP APPLICATION FORM IS UPLOADED TO THE NH/DHNMH PORTAL *VSO ANNOUNCEMENT IS WRITTEN AND GLOBAL EMAIL SENT NOTIFYING THAT THE APPLICATION IS NOW AVAILABLE AND THE DEADLINE IS SPECIFIED MARCH/APRIL: *COMPLETED APPLICATIONS ARE RECEIVED *APPLICATION INFORMATION IS RECORDED ON A SPREADSHEET *APPLICATIONS ARE SCANNED AND SAVED APRIL: *SCANNED APPLICATIONS ARE EMAILED TO THE COMMITTEE FOR REVIEW *NURSING SCHOLARSHIP COMMITTEE REVIEW/AWARD MEETING SET *AT DEADLINE, THE APPLICATION IS REMOVED FROM THE PORTAL AND NO FURTHER APPLICATIONS ARE ACCEPTED *NURSING SCHOLARSHIP COMMITTEE MEETS AND ALL COMPLETED APPLICATIONS ARE REVIEWED *AWARD WINNERS ARE AGREED UPON MAY: *AWARD RECIPIENTS ARE ANNOUNCED BY MAIL, EMAIL, VSO *SCHOLARSHIP DONORS RECEIVE THANK YOU LETTERS CONTAINING THE NAMES OF THE AWARDEES OF THEIR SCHOLARSHIPS *REIMBURSEMENTS ARE REQUESTED BY AWARDEES - PAID THROUGH PAYROLL/AP MAY/JUNE: *THANK YOU NOTES FROM AWARD WINNERS ARE RECEIVED *SHARED WITH LIVING SCHOLARSHIP DONORS AT THE NURSING SCHOLARSHIP TEA IN SEPTEMBER SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS THE MAJORITY OF GRANTS WERE MADE TO 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 NUVANCE HEALTH OFFICERS TO ASSURE COMPLIANCE WITH DONOR INTENTIONS AND/OR BOARD APPROVALS. true true false false false false false true false SUSAN BROWNING PRESIDENT & WESTERN REGIONAL PRESIDENT; DIRECTOR (TO 04/25) 739746 0 325000 0 31871 0 129360 0 47397 0 1273374 0 0 0 MICHAEL DOWLING PRESIDENT/CEO OF NORTHWELL; DIRECTOR (FROM 05/25) 0 4647647 0 1158500 0 61559 0 37950 0 37706 0 5943362 0 0 JOHN M MURPHY MD NUVANCE PRESIDENT & CEO; DIRECTOR (FROM 05/25) 0 1667301 0 3140334 0 450713 0 20700 0 26675 0 5305723 0 0 KATHLEEN GALLO FORMER NORTHWELL EVP & CHIEF LEARNING OFFICER (TO 01/24); DIRECTOR (FROM 05/25) 0 34721 0 50000 0 1393943 0 37950 0 3419 0 1520033 0 0 KIMBERLY HELLER MD DIRECTOR (TO 04/25); MEDICAL DIRECTOR MATERNAL FETAL MEDICINE 0 501558 0 0 0 27566 0 20700 0 28505 0 578329 0 0 MARK SOLAZZO NORTHWELL PRES. STRATEGIC INITIATIVES & COO; DIRECTOR (FROM 05/25) 0 2951467 0 744750 0 51659 0 37950 0 30485 0 3816311 0 0 RAMON SOTO NORTHWELL SVP & CHIEF MARKETING & COMM OFFICER; DIRECTOR (FROM 05/25) 0 971654 0 317782 0 23237 0 37950 0 15614 0 1366237 0 0 MICHELE CUSACK NORTHWELL EVP & CFO & ASSISTANT TREASURER (FROM 05/25) 0 1422922 0 397550 0 84399 0 37950 0 47372 0 1990193 0 0 DANIEL DEBARBA CHIEF FINANCIAL OFFICER; TREASURER 0 840166 0 1231547 0 75889 0 159180 0 29748 0 2336530 0 26320 LAURENCE KRAEMER NORTHWELL EVP, GENERAL COUNSEL & CLO & ASSISTANT SECRETARY (FROM 05/25) 0 1188209 0 372900 0 46575 0 37950 0 31827 0 1677461 0 0 BRIAN WYATT CHIEF LEGAL OFFICER; SECRETARY 0 533522 0 603332 0 3602 0 91200 0 48121 0 1279777 0 0 JEAN AHN CHIEF STRATEGY OFFICER 0 512927 0 871449 0 292222 0 20700 0 1883 0 1699181 0 150600 KATHRYN D CULLINAN CHIEF HUMAN RESOURCES OFFICER 0 472913 0 651192 0 98335 0 91080 0 25658 0 1339178 0 50700 JARED B GAYNOR CHIEF COMPLIANCE OFFICER (FROM 7/25) 0 233791 0 50000 0 1243 0 17553 0 39860 0 342447 0 0 WAYNE MCNULTY CHIEF COMPLIANCE OFFICER (TO 10/24) 0 299681 0 0 0 6228 0 18318 0 10687 0 334914 0 0 MICHELLE ROBERTSON CHIEF OPERATING OFFICER 0 847230 0 1242403 0 81238 0 156840 0 43511 0 2371222 0 37203 EILISH C HOURIHAN RN CHIEF NURSING OFFICER (TO 12/23) 32914 0 0 0 351960 0 0 0 0 0 384874 0 0 0 KEVIN B BOLAND DIRECTOR CARDIO PERFUSION 421915 0 0 0 8757 0 20700 0 29065 0 480437 0 0 0 CORINA MARCU VP MEDICAL AFFAIRS 46671 560048 0 180000 152 1823 1229 19471 282 3543 48334 764885 0 0 EVA H SKELLY RN REGISTERED NURSE 274393 91697 24660 0 1891 555 0 0 22652 6910 323596 99162 0 0 CHRISTOPHER L WILLEY VP OPERATIONS 331490 0 115000 0 1352 0 20700 0 2680 0 471222 0 0 0 SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION VASSAR BROTHERS MEDICAL CENTER 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. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT DURING THE YEAR ENDING DECEMBER 31, 2024, KATHLEEN GALLO RECEIVED $1,200,000 IN SEVERANCE PAYMENTS SUBSEQUENT TO HER TERMINATION DATE OF 1/1/2024. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. DURING THE YEAR ENDING DECEMBER 31, 2024, EILISH HOURIHAN RECEIVED $351,960 IN SEVERANCE PAYMENTS SUBSEQUENT TO HER TERMINATION DATE OF 12/22/2023. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 2024, THE FOLLOWING AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION: DANIEL DEBARBA - $138,480 MICHELLE ROBERTSON - $136,140 SUSAN BROWNING - $108,660 BRIAN WYATT - $70,500 KATHRYN CULLINAN - $70,380 FOR CALENDAR YEAR 2024, THE FOLLOWING AMOUNTS EARNED AND PAID TO THE PARTICIPANTS WERE REPORTED ON SCHEDULE J, PART II, COLUMN B(III) OTHER REPORTABLE COMPENSATION: JOHN M. MURPHY, MD - $319,876 JEAN AHN - $262,514 KATHRYN CULLINAN - $67,886 MICHELLE ROBERTSON - $46,290 DANIEL DEBARBA - $32,749 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (ALIP)(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. THE 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 II, PHYSICIAN EXECUTIVES (B) - 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 AND SELECT TIER II 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 REQUIRMENTS, IF 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. A DUTCHESS COUNTY LOCAL DEV CORP 273106797 267045GX4 2016-07-07 406680960 CONSTRUCT, RENOVATE, EQUIP FACILITY false false false A 8685000 416791845 48004473 3361803 365425569 2021 false false true true A false true true true false false 0.0032 0.0 0.0032 false false 0 false true A false false false true false false 0 false false false 0 false true true A false SCHEDULE K, PART IV, LINE 2C ISSUER NAME: DUTCHESS COUNTY LOCAL DEV CORP DATE THE REBATE CALCULATION 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. SCHEDULE K, PART I LINE A, COLUMN E TOTAL ISSUE PRICE PER IRS FORM 8038 $438,672,526, 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 K, PART IV, LINE 2C COLUMN A ISSUER NAME: DUTCHESS COUNTY LOCAL DEV CORP THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/30/2021 X CROCHET QUILTS 122 4880 MARKET VALUE X CROCHET HATS 22 176 MARKET VALUE X CAR SEATS 50 5000 MARKET VALUE X COSMETIC PRODUCTS 1 74800 MARKET VALUE 0 false true false FORM 990, PART VI, LINE 14 DOCUMENT RETENTION AND DESTRUCTION POLICY THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD. FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS SALVATORE CALTA AND STEVEN LANT - BUSINESS RELATIONSHIP, STEVEN TINKELMAN AND SARAH LEVINE - BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS ON MAY 1, 2025, NORTHWELL HEALTH SYSTEM, INC. BECAME THE SOLE MEMBER OF NUVANCE HEALTH. THE BYLAWS OF VASSAR BROTHERS HOSPITAL WERE REVISED TO REFLECT THE POWERS OF THE NEW PARENT. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF VASSAR BROTHERS MEDICAL CENTER ("VBMC") IS HEALTH QUEST SYSTEMS, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC. EFFECTIVE MAY 1, 2025, NORTHWELL HEALTH SYSTEM, INC. BECAME THE SOLE MEMBER OF NUVANCE HEALTH. NORTHWELL HEALTH SYSTEM, INC. MANAGES THE ACTIVITIES, BUSINESS, PROPERTY AND AFFAIRS OF NUVANCE HEALTH, INCLUDING BUT NOT LIMITED TO, THE ACTIVITIES, BUSINESS, PROPERTY, AND AFFAIRS OF SYSTEM AFFILIATES. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY NORTHWELL HEALTH SYSTEM, INC. RETAINS THE RIGHT TO TAKE ALL ACTIONS ON BEHALF OF NUVANCE HEALTH AND SYSTEM AFFILIATES RELATING TO THE APPOINTMENT OF OFFICERS AND DIRECTORS. THE DIRECTORS ARE APPOINTED BY NORTHWELL HEALTH SYSTEM, INC. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS NORTHWELL HEALTH SYSTEM, INC. RETAINS VARIOUS POWERS, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: AMENDMENTS TO ORGANIZATIONAL DOCUMENTS; ADOPTION OR REVISION TO POLICIES RELATING TO THE CONTROL OF INVESTMENTS; ADOPTION OF SYSTEM-WIDE QUALITY, PERFORMANCE, AND CREDENTIALING STANDARDS AND POLICIES; APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS; ADOPTION OF A CAPITAL BUDGET; CREATION OF NEW ENTITIES; ADOPTION OF AND REVISIONS TO SYSTEM-WIDE COMPLIANCE POLICIES; ANY CLOSURE, SALE, OR TRANSFER OF A HOSPITAL; ANY CHANGE IN TAX STATUS OR REVISION TO THE CHARITY CARE POLICIES; ANY MERGER, CONSOLIDATION, OR SIMILAR TRANSACTION; DISSOLUTION OF ANY AFFILIATE; APPROVAL OF INDEBTEDNESS; AND APPROVAL OF CERTIFICATE OF NEED APPLICATIONS. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FORMS 990 FOR NUVANCE HEALTH AND AFFILIATED ENTITIES ARE PREPARED BY THE NUVANCE HEALTH TAX DEPARTMENT WITH ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE RETURNS ARE REVIEWED BY MANAGEMENT AND AN INDEPENDENT ACCOUNTING FIRM. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE HEALTH BOARD MEMBERS TO REVIEW THE RETURNS PRIOR TO FILING. THE FORMS 990 ARE THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY 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. 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, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES NUVANCE 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 +25% 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 EXECUTIVE 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 62.5TH 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. COMPENSATION REVIEW AND APPROVAL PROCESS IS IDENTICAL TO THE PROCESS FOR THE CEO. AN ANNUAL LETTER OF REASONABLENESS IS PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY WILLIS TOWERS WATSON AS CONSULTANT TO THE BOARD. IN THIS ANNUAL ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO SELECT EXECUTIVES, AN OPINION IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO THE INCLUDED EXECUTIVES FOR EACH FISCAL YEAR. A BI-ANNUAL LETTER OF REASONABLENESS FOR PHYSICIAN COMPENSATION IS ALSO PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE BY KORN FERRY HAY AS A CONSULTANT TO THE BOARD. THIS ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO PHYSICIANS IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO EACH PHYSICIAN. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. FORM 990, PART VII, SECTION A ADDITIONAL INFORMATION THIS ORGANIZATION IS AFFILIATED WITH NORTHWELL HEALTH, INC. ("NORTHWELL"). THE OFFICERS, DIRECTORS AND TRUSTEES LISTED ON SCHEDULE J HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES OF NORTHWELL, AND THEY DO NOT SEPARATELY ALLOCATE THEIR TIME TO THIS ORGANIZATION AND SUCH OTHER AFFILIATES. THE HOURS SHOWN FOR ALL SUCH PERSONS REFLECT TIME DEVOTED TO NORTHWELL AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. FOR DIRECTORS AND TRUSTEES, THE HOURS SHOWN REFLECT THE WEEKLY HOURS USED WHEN DETERMINING COMPENSATION PAYMENTS FOR SERVICES RENDERED AND ARE, GENERALLY, LESS THAN THE ACTUAL WEEKLY HOURS DEVOTED TO NORTHWELL AND ITS AFFILIATES. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE ALL OTHER PROGRAM SERVICE REVENUE - TOTAL REVENUE: 20780, RELATED OR EXEMPT FUNCTION REVENUE: 20780, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE ALL OTHER REVENUE - TOTAL REVENUE: 770242, RELATED OR EXEMPT FUNCTION REVENUE: 770242, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN EQUITY INTEREST IN THE FOUNDATION - 925939; CHANGE IN PENSION OBLIGATION - 13196605; FAIR VALUE ADJUSTMENT UPON ACQUISITION - 86930970; TOTAL - XXX-XX-XXXX; ALAMO AMBULANCE SERVICE INC 45 READE PLACE POUGHKEEPSIE NY 12601 141745417 TRANSPORTATION NY 501(C)(3) 10 HQ true DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION INC 24 HOSPITAL AVENUE DANBURY CT 06810 237425557 FUNDRAISING CT 501(C)(3) 7 WCHN true THE DANBURY HOSPITAL 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 HOSPITAL CT 501(C)(3) 3 WCHN true EASTERN NEW YORK MEDICAL SERVICES PC 3423 DANBURY ROAD BREWSTER NY 10509 455431389 PHYSICIAN SERVICES NY 501(C)(3) 10 WCHN true HEALTH QUEST HOME CARE INC (CERTIFIED) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788412 HOME HEALTH NY 501(C)(3) 10 HQ true HEALTH QUEST HOME CARE INC (LICENSED) 2649 SOUTH ROAD SUITE 220 POUGHKEEPSIE NY 12601 141788410 HOME HEALTH NY 501(C)(3) 10 HQ true NUVANCE HEALTH MEDICAL PRACTICE PC 45 READE PLACE POUGHKEEPSIE NY 12601 562669185 PHYSICIAN SERVICES NY 501(C)(3) 10 HQ true HEALTH QUEST SYSTEMS INC 45 READE PLACE POUGHKEEPSIE NY 12601 141678068 SUPPORT/MANAGEMENT NY 501(C)(3) 10 NUVANCE true HEALTH QUEST URGENT MEDICAL CARE PRACTICE PC 45 READE PLACE ATTN LEGAL DEPT POUGHKEEPSIE NY 12601 800152047 PHYSICIAN SERVICES NY 501(C)(3) 10 HQ true HUDSON VALLEY CARDIOVASCULAR PRACTICE PC 1 COLUMBIA POUGHKEEPSIE NY 12601 463756713 PHYSICIAN SERVICES NY 501(C)(3) 10 HQ true NDH FOUNDATION 6531 SPRINGBROOK AVENUE RHINEBECK NY 12572 141776208 FUNDRAISING NY 501(C)(3) 7 HQ true NORTHERN DUTCHESS HOSPITAL 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 141338467 HOSPITAL NY 501(C)(3) 3 HQ true NORTHERN DUTCHESS RESIDENTIAL HEALTHCARE FACILITY INC 6525 SPRINGBROOK AVENUE RHINEBECK NY 12572 223129608 NURSING HOME NY 501(C)(3) 10 HQ true NORWALK HOSPITAL FOUNDATION INC 34 MAPLE STREET NORWALK CT 06850 222577707 FUNDRAISING CT 501(C)(3) 7 WCHN true NUVANCE HEALTH 45 READE PLACE POUGHKEEPSIE NY 12601 834214573 SUPPORT/MANAGEMENT NY 501(C)(3) TYPE III-FI NORTHWELL HEALTH SYSTEM INC false NUVANCE HEALTH MEDICAL PRACTICE CT INC 100 RESERVE ROAD DANBURY CT 06810 061137531 PHYSICIAN SERVICES CT 501(C)(3) 10 WCHN true PUTNAM HOSPITAL 670 STONELEIGH AVENUE CARMEL NY 10512 146019179 HOSPITAL NY 501(C)(3) 3 HQ true PUTNAM HOSPITAL CENTER FOUNDATION INC 670 STONELEIGH AVENUE CARMEL NY 10512 061399319 FUNDRAISING NY 501(C)(3) TYPE I HQ true THE NORWALK HOSPITAL ASSOCIATION 34 MAPLE STREET NORWALK CT 06850 066068853 HOSPITAL CT 501(C)(3) 3 WCHN true VASSAR BROTHERS HOSPITAL FOUNDATION 45 READE PLACE POUGHKEEPSIE NY 12601 141736429 FUNDRAISING NY 501(C)(3) 7 HQ true VASSAR HEALTH CONNECTICUT INC 50 HOSPITAL HILL ROAD SHARON CT 06069 815056290 HOSPITAL CT 501(C)(3) 3 HQ true WESTERN CONNECTICUT HOME CARE INC 100 SAW MILL ROAD DANBURY CT 06810 060655138 HOME HEALTHCARE CT 501(C)(3) 10 WCHN true WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES INC 100 RESERVE ROAD DANBURY CT 06810 222594968 OUTPATIENT HEALTH CARE SERVICES CT 501(C)(3) 10 WCHN true WESTERN CONNECTICUT HEALTH NETWORK INC 100 RESERVE ROAD DANBURY CT 06810 222594977 SUPPORT/MANAGEMENT CT 501(C)(3) TYPE II NUVANCE true WESTERN CONNECTICUT HEALTH NETWORK INVESTMENTS LLC 100 RESERVE ROAD DANBURY CT 06810 475523212 INVESTMENTS CT 501(C)(3) TYPE I NA false BLACK HALL DENTAL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 873777395 INACTIVE NY 501(C)(3) TYPE I NSUH false BRIGHTWATERS GYNECOLOGY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 821883445 MEDICAL SERVICES NY 501(C)(3) 10 NSUH false BROOKLYN AMBULATORY CARE PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 474447289 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false CARNEGIE CARDIOVASCULAR PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 474377825 MEDICAL SERVICES NY 501(C)(3) TYPE I LENOX HILL false CENTRAL SUFFOLK HOSPITAL 1 HEROES WAY RIVERHEAD NY 11901 111661359 HEALTH CARE NY 501(C)(3) 3 HEALTHCARE true CLNY ALLIANCE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 463146870 LABORATORY NY 501(C)(3) 3 NA false COMMUNITY DRIVE SURGERY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 821672429 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false GLEN COVE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPORATIO N 972 BRUSH HOLLOW RD WESTBURY NY 11590 872454513 MEDICAL SERVICES NY 501(C)(3) TYPE I GLEN COVE false GLEN COVE FACULTY PHYSICIANS UNIVERSITY FACULTY PRACTICE CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 331314630 MEDICAL SERVICES NY 501(C)(3) TYPE I GLEN COVE false GLEN COVE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111633487 HEALTH CARE NY 501(C)(3) 3 HEALTHCARE true HARBOR VIEW MEDICAL SERVICES PC 75 NORTH COUNTRY RD PORT JEFFERSON NY 11777 264517010 SUPPORTING ORG NY 501(C)(3) TYPE I MATHER false HILLSIDE HOSPITAL HOUSES INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112113949 HOUSING COMP NY 501(C)(2) NORTHWELL HEALTH false HOSPICE CARE IN WESTCHESTER AND PUTNAM INC 540 WHITE PLAINS RD TARRYTOWN NY 10591 133882602 HOSPICE CARE NY 501(C)(3) 10 VNA HUDSON false HOSPICE CARE NETWORK 99 SUNNYSIDE BLVD WOODBURY NY 11797 112925757 HOSPICE NY 501(C)(3) 9 HEALTHCARE true HUNTINGTON FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPORATI ON 972 BRUSH HOLLOW RD WESTBURY NY 11590 850642554 BILLING NY 501(C)(3) TYPE I HUNTINGTON false HUNTINGTON FACULTY PHYSICIANS UNIVERSITY FACULTY PRACTICE CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 331890533 MEDICAL SERVICES NY 501(C)(3) TYPE I HUNTINGTON false HUNTINGTON HOSPITAL ASSOCIATION 270 PARK AVENUE HUNTINGTON NY 11743 111630914 HEALTH CARE NY 501(C)(3) 3 HEALTHCARE true HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER INC 284 PULASKI RD GREENLAWN NY 11740 113368503 HEALTH CARE NY 501(C)(3) 3 HEALTHCARE false JOHN T MATHER MEMORIAL HOSPITAL 75 NORTH COUNTRY RD PORT JEFFERSON NY 11777 111639818 HEALTH CARE NY 501(C)(3) 3 HEALTHCARE true KATZ INSTITUTE FOR WOMEN'S HEALTH 972 BRUSH HOLLOW RD WESTBURY NY 11590 992766593 MEDICAL SERVICES NY 501(C)(3) TYPE I HEALTHCARE true LAKEVILLE SURGERY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 474377760 MEDICAL SERVICES NY 501(C)(3) 10 LENOX HILL false LENOX HILL FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPORATI ON 972 BRUSH HOLLOW RD WESTBURY NY 11590 850656357 BILLING NY 501(C)(3) TYPE I LENOX HILL false LENOX HILL FACULTY PHYSICIANS UNIVERSITY FACULTY PRACTICE CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 992449865 MEDICAL SERVICES NY 501(C)(3) TYPE I LENOX HILL false LENOX HILL HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 131624070 HEALTH CARE NY 501(C)(3) 3 HEALTHCARE true LENOX HILL HOSPITAL MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 452661543 MEDICAL SERVICES NY 501(C)(3) 10 NSUH false LENOX HILL PATHOLOGY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 133644370 MEDICAL SERVICES NY 501(C)(3) TYPE I LENOX HILL false LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 208784395 MEDICAL SERVICES NY 501(C)(3) TYPE I LENOX HILL false LHH CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 133272016 SUPPORTING ORG NY 501(C)(3) TYPE I NORTHWELL HEALTH false LIJ FOUNDATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 112661239 SUPPORTING ORG NY 501(C)(3) TYPE I NORTHWELL HEALTH false LONG ISLAND JEWISH FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE C ORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 850667316 BILLING NY 501(C)(3) TYPE I LIJMC false LONG ISLAND JEWISH FACULTY PHYSICIANS UNIVERSITY FACULTY PRACTICE CORPORATI ON 972 BRUSH HOLLOW RD WESTBURY NY 11590 992362647 MEDICAL SERVICES NY 501(C)(3) TYPE I LIJMC false LONG ISLAND JEWISH MEDICAL CENTER 972 BRUSH HOLLOW RD WESTBURY NY 11590 112241326 HEALTH CARE NY 501(C)(3) 3 HEALTHCARE true LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY 972 BRUSH HOLLOW RD WESTBURY NY 11590 113251128 SUPPORTING ORG NY 501(C)(3) TYPE I NORTHWELL HEALTH false MARCUS AVE OB-GYN PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 880775003 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MARCUS AVENUE MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 810861452 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MATHER FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 872064922 MEDICAL SERVICES NY 501(C)(3) TYPE I MATHER false MATHER FACULTY PHYSICIANS UNIVERSITY FACULTY PRACTICE CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 331468309 MEDICAL SERVICES NY 501(C)(3) TYPE I MATHER false MEDICAL CARE OF QUEENS PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 474377679 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MEDICAL SERVICES OF BELLMORE PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 874277673 INACTIVE NY 501(C)(3) TYPE I NSUH false MEDICAL SERVICES OF KIPS BAY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 853052457 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MEDICAL SERVICES OF LENOX HILL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 923311309 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MEDICAL SERVICES OF LYNBROOK PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 844268663 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MEDICAL SERVICES OF MANHASSET PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 923278147 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MEDICAL SERVICES OF NASSAU PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 923137107 MEDICAL SERVICES NY 501(C)(3) TYPE I NSUH false MEDICAL SERVICES OF RIVERHEAD PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 300920275 MEDICAL SERVICES NY 501(C)(3) TYPE I PBMC false MEDICAL SERVICES OF SETAUKET PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 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