4A (Expenses $ 66197946 including grants of $ 0) (Revenue $ 49718490)
SHARON HOSPITAL IS A 78-BED HOSPITAL LOCATED IN NORTHWESTERN CONNECTICUT. THE TEAM IS COMMITTED TO PROVIDING COMPASSIONATE HEALTHCARE THAT MEETS THE NEEDS OF THE COMMUNITY IT SERVES. SHARON HOSPITAL IS PART OF NUVANCE HEALTH, WHICH IS A SIX-HOSPITAL SYSTEM, ON 7 CAMPUSES, WITH NUMEROUS OUTPATIENT FACILITIES THROUGHOUT THE HUDSON VALLEY AND ACROSS WESTERN CONNECTICUT. THE NUVANCE HEALTH SYSTEM GIVES THE COMMUNITY ACCESS TO A VARIETY OF SERVICES INCLUDING, BUT NOT LIMITED TO, BARIATRIC SURGERY AND MEDICAL WEIGHT LOSS, BLOOD DRAW, CRITICAL CARE, DIABETES EDUCATION, EMERGENCY SERVICES, HEART AND VASCULAR, IMAGING AND RADIOLOGY, INFUSION THERAPY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDIC CARE, PHYSICAL REHABILITATION, PRIMARY CARE, RHEUMATOLOGY, SLEEP DISORDERS, URGENT CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH, CANCER CARE, DENTISTRY, DIGESTIVE HEALTH, ENDOCRINOLOGY, GENETIC COUNSELING, HOME HEALTH CARE, INFECTIOUS DISEASE, KIDNEY DISEASE AND NEPHROLOGY, OCCUPATIONAL MEDICINE, PATIENT BLOOD MANAGEMENTS AND BLOODLESS MEDICINE, PEDIATRICS, PODIATRY, PULMONARY CARE, SENIOR CARE AND GERIATRIC MEDICINE, SURGICAL SERVICES, UROLOGY, WOUND CARE AND HYPERBARIC MEDICINE. SHARON HOSPITAL PROVIDES A FULL RANGE OF SERVICES INCLUDING BARIATRIC SURGERY, CARDIOLOGY SERVICES, EMERGENCY CARE, NEUROSCIENCES, ORTHOPEDICS, STROKE CARE, SURGICAL SERVICES, AND WOMEN'S SERVICES. SHARON HOSPITAL IS COMMITTED TO PROVIDING QUALITY SERVICE TO THE COMMUNITY AND HAS BEEN RECOGNIZED BY SEVERAL ORGANIZATIONS FOR THE QUALITY HEALTHCARE THAT IT PROVIDES TO THE REGION. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES HAVE AWARDED SHARON HOSPITAL A FIVE-STAR RATING FOR THE LAST THREE YEARS IN A ROW. THE HOSPITAL HAS RECENTLY RECEIVED A FIVE-STAR PULMONARY RECIPIENT AWARD AND A FIVE-STAR CARDIAC RECIPIENT AWARD FROM HEALTHGRADES. SHARON HOSPITAL HAS ALSO RECEIVED THE GET WITH THE GUIDELINES STROKE GOLD PLUS BY THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. IN FY22, SHARON HOSPITAL HAD 8,304 PATIENT DAYS AND 1,771 DISCHARGES IN ACUTE CARE. THERE WERE 10,080 IN EMERGENCY ROOM VISITS AND 42,892 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $1.1M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. SHARON HOSPITAL HAS A COMMUNITY HEALTH COMMITTEE THAT INCLUDES REPRESENTATIONS OF THE HOSPITAL COMMUNITIES, THE HOSPITAL BOARD LEADERSHIP, ADMINISTRATIVE LEADERSHIP FORM THE NUVANCE HEALTH NETWORK, LOCAL HEALTH DEPARTMENT DIRECTORS, COMMUNITY STAKEHOLDERS, AND OTHER KEY HOSPITAL STAKEHOLDERS. THE SHARON HOSPITAL BOARD OVERSAW THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE IMPLEMENTATION OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING PRIORITY AREAS TO INFORM THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED THROUGHOUT FY2022, THROUGH VARIOUS STEERING COMMITTEES AND WAS APPROVED BY THE SHARON HOSPITAL BOARD OF TRUSTEES ON DECEMBER 5, 2022. THE CHIP WAS SUBSEQUENTLY APPROVED ON FEBRUARY 6, 2023 BY THE NUVANCE HEALTH BOARD. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDED LOCAL LEVEL QUALITATIVE AND QUANTITATIVE HEALTH RELATED DATA FOR BOTH THE CONNECTICUT AND NEW YORK HOSPITAL SERVICE AREAS. IN THE CHNA, THE CONNECTICUT HOSPITAL SERVICE AREA IS PRESENTED BY TOWN, INCLUDING SHARON AND THE SORROUNDING COMMUNITIES OF CANAAN, CORNWALL, GOSHEN, KENT, NORTH CANAAN, SALISBURY, AND WARREN. NEW YORK HOSPITAL SERVICE AREA DATA IS PRESENTED BY ZIP CODE FOR THE COMMUNITIES OF AMENIA, ANCRAM, ANCRAMDALE, COPAKE, DOVER PLAINS, MILLBROOK, MILLERTON, PINE PLAINS, STANFORDVILLE, WASSAIC, AND WINGDALE. ONE SOURCE OF DATA INFORMING THE 2023 - 2025 CHIP WAS THE CHNA COMMUNITY SURVEY, DEPLOYED IN THE GREATER SHARON HOSPITAL SERVICE AREA, UTILIZING THE GNYHA SURVEY TOOL. THIS SURVEY COLLECTED INFORMATION FROM ADULTS AGED 18 AND OVER WHO LIVED IN A ZIP CODE OR COUNTY SERVED BY THE HOSPITAL. THE SURVEY WAS DEPLOYED TO GARNER RESIDENT INPUT REGARDING HEALTH PRIORITIES BASED ON PERCEIVED IMPORTANCE AND SATISFACTION WITH SERVICES PROVIDED. THE WEB AND PAPER - BASED TOOL WAS MADE AVAILABLE IN A VARIETY OF LANGUAGES, SUCH AS ENGLISH, SPANISH, RUSSIAN, CHIENESE, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, POLISH, AND ARABIC. IN ADDITION TO DEPLOYING THE GNYHA'S COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, QUALITATIVE AND QUANTITATIVE DATA WAS ALSO COLLECTED, ANALYZED AND REPORTED BY DATAHAVEN IN THE FAIRFIELD COUNTY COMMUNITY WELLBEING SURVEY (CWS). FOR THIS REPORT, THE QUALITATIVE DATA COLLECTION INCLUDED KEY INFORMANT SURVEYS (KIS) INCLUDING FOCUS GROUPS, INDIVIDUAL INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA SOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, CENTERS FOR DISEASE CONTROL AND PREVENTION, STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), COUNTY HEALTH RANKINGS AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. TYPES OF DATA INCLUDED VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. IN ADDITION TO SHARON HOSPITAL CONDUCTING INTERNAL DATA ANALYSIS ON INPATIENT ADMISSIONS, EMERGENCY DEPARTMENT VISITS AND QUALITY MEASURES, DATA WAS ALSO SUPPLEMENTED BY A SIENA COLLEGE RESEARCH INSTITUTE COMMUNITY HEALTH SURVEY, HIGHLIGHTING OPPORTUNITIES FOR THE COMMUNITY. THE GOAL OF THIS SURVEY WAS TO LEARN MORE ABOUT THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITY SHARON HOSPITAL SERVES. SIENA COLLEGE RESEARCH INSTITUTE CONDUCTED A RANDOM-DIGIT REGIONAL COMMUNITY HEALTH SURVEY, WHICH WAS DESIGNED TO SUPPLEMENT THE REGIONAL CHNA AND GAUGE RESIDENT'S PERCEPTION OF THE HEALTH AND RESOURCES IN THEIR COMMUNITIES. FOUNDED IN 1980 AT SIENA COLLAGE IN NEW YORK'S CAPITAL DISTRICT, THE SIENA COLLEGE RESEARCH INSTITUTE CONDUCTS REGIONAL, STATEWIDE, AND NATIONAL SURVEYS ON BUSINESS, ECONOMIC, POLITICAL, VOTER, SOCIAL, ACADEMIC, AND HISTORICAL ISSUES. THE SURVEY INCLUDED BOTH EXPERT AND PUBLIC OPINION POLLS.

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. A PRINTED COPY OF THE CHNA IS AVAILABLE IN THE HOSPITAL ADMINISTRATION OFFICES. IT IS ALSO AVAILABLE BY REQUEST IN THE NUVANCE HEALTH ADMINISTRATIVE OFFICES. THE CHNA WAS SHARED WITH THE HOSPITAL BOARD AND THE COMMUNITY HEALTH COMMITTEE FOR ADDITIONAL DISTRIBUTION THROUGHOUT THEIR NETWORKS.

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. TO WORK TOWARD HEALTH EQUITY, NUVANCE HEALTH COMMITS TO ENSURING HOSPITAL RESOURCES AND ACTIVITIES BUILD UPON EXISTING PRIORITIES AND COLLABORATIVE ACTIVITIES, WHILE ENSURING RESPONSIVENESS TO EMERGENT NEEDS. DETERMINATION OF PRIORITIES MADE BY LEADERSHIP OF NUVANCE HEALTH INCLUDED REVIEW OF EXISTING COMMITMENTS, NEW RESEARCH FINDINGS, AND COMMUNITY FEEDBACK. NUVANCE HEALTH WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES AS PART OF ITS 2023- 2025 COMMUNITY SERVICE PLAN (CSP): PREVENT CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. NUVANCE HEALTH IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. TOGETHER WITH THESE PARTNERS AND STAKEHOLDERS, NUVANCE HEALTH CREATED A CSP THAT REFLECTS COLLECTIVE HEALTH IMPACT STRATEGY AND THE MANY STRENGTHS AND ASSETS OF OUR COMMUNITY PARTNERS TO ADDRESS THESE NEEDS. THE IDENTIFIED PRIORITIES ALIGN WITH AND ADVANCE THE NEW YORK STATE PREVENTION AGENDA. IN ACCORDANCE WITH THE PREVENTION AGENDA, THE NUVANCE HEALTH 2023 - 2025 CSP WILL PRIORITIZE EVIDENCE-BASED STRATEGIES TO ADDRESS DISPARITIES AND PROMOTE OPTIMAL HEALTH IMPROVEMENT OUTCOMES. KEY INITIATIVES FOR SHARON HOSPITAL INCLUDE: PROMOTING CULTURAL AWARENESS TO MEET THE NEEDS OF DIVERSE POPULATIONS: PROMOTING CULTURALLY SENSITIVE SERVICES TO BE PROVIDED TO THE SHARON HOSPITAL SERVICE AREA COMMUNITY, NUVANCE HEALTH EMBARKED ON A COMPREHENSIVE EDUCATION STRATEGY TO ENSURE THAT THE WORK FORCE IS WELL EQUIPPED TO ANTICIPATE THE CULTURAL NUANCES THAT NEED TO BE CONSIDERED TO SERVE ALL POPULATIONS THE BEST. THROUGHOUT THE ORGANIZATION, CULTURAL HUMILITY TRAINING WILL BE ROLLED OUT BETWEEN 2022 AND 2025. IN ADDITION TO EDUCATION, INCREASING THE DIVERSITY OF THE COMMUNITY HEALTH COMMITTEE WILL ALSO BE EXPLORED, TO ENSURE THAT THE VOICES OF ALL POPULATIONS ARE CONSIDERED WHILE WORKING TOWARDS MEETING THE NEEDS OF ALL COMMUNITIES. INCREASING ACCESS TO LINGUISTICALLY APPROPRIATE COMMUNITY BASED RESOURCE LIST: THE NUVANCE HEALTH COMMUNITY RESOURCES PAMPHLET WILL BE TRANSLATED INTO SPANISH AND THIS PAMPHLET WILL BE DISTRIBUTED AT THE EMERGENCY ROOMS, ON DEPARTMENTS PRIOR TO DISCHARGE, AND AT COMMUNITY-BASED EVENTS TO PROMOTE HEALTHY EATING AND TO PREVENT CHRONIC DISEASES IN CHILDREN: THE LION (LET'S IMPROVE OUR NUTRITION) SCHOOL PROGRAM PILOT WAS IMPLEMENTED DURING THE 2018/2019 SCHOOL YEAR. SHARON AND THE TOWN OF DOVER LIONS CLUB CO-SPONSORED THE LION PROGRAM AT WINGDALE ELEMENTARY SCHOOL IN SHARON'S PRIMARY SERVICE AREA. EACH MONTH, 250 K-2 STUDENTS WERE INTRODUCED TO HEALTHY EATING AND OFFERED HEALTHY FOOD TASTINGS AT LUNCH. FOODS SERVED INCLUDED FRUITS AND VEGETABLES. STUDENTS RECEIVED A TAKE-HOME FOOD TASTING NUTRITION WORKSHEET AND ADA-PREPARED INFORMATION ON PREDIABETES FOR THEIR PARENTS. SHARON AND THE LION'S CLUB PLANNED TO EXPAND THE PROGRAM FOR THE 2019/2020 AND 2020/2021 SCHOOL YEAR, BUT PLANS WERE PUT ON-HOLD DUE TO COVID-19. AS PART OF THE 2023- 2025 COMMUNITY HEALTH IMPROVEMENT PLAN, THIS PROGRAM WILL CONTINUE AND WILL PROMOTE HEALTHY EATING AND CHRONIC DISEASE PREVENTION IN THE SCHOOL AGED POPULATION. ADDRESSING CHRONIC DISEASE PREVENTION, NUVANCE HEALTH WILL IMPLEMENT TWO COMMUNITY BASED PROGRAMS AT INTERFAITH/CULTURAL CENTERS AND IN PUBLIC LIBRARIES IN THE SHARON HOSPITAL SERVICE AREA. PARTNERING WITH THE AMERICAN HEART ASSOCIATION, NUVANCE HEALTH WILL PROVIDE CHRONIC DISEASE PREVENTION EDUCATION TO COMMUNITY MEMBERS FOCUSING ON BLOOD PRESSURE CONTROL FIRST AND WILL DISCUSS ADDITIONAL CHRONIC CONDITIONS, SUCH AS COPD, ASTHMA, IMPORTANCE OF PREVENTATIVE CARE, SUCH AS BREAST AND COLON CANCER SCREENING. THIS PROGRAM, FIRST FOCUSING ON HYPERTENSION, WILL INCLUDE PROVIDING BLOOD PRESSURE CUFFS TO THOSE AT HIGH RISK FOR HYPERTENSION, ALSO PROVIDING EVIDENCE-BASED GUIDELINES FOR HOME MANAGEMENT OF HIGH BLOOD PRESSURE. WITH THESE PROGRAMS COMMUNITY MEMBERS WILL LEARN ABOUT COMMUNITY BASED RESOURCES SUCH AS ACCESS TO AFFORDABLE MEDICATIONS AND LOCAL CARE PROVIDERS AS WELL. PROMOTING FOOD SECURITY IN THE COMMUNITY - NUVANCE HEALTH WILL ESTABLISH A PARTNERSHIP WITH THE NORTHEAST COMMUNITY CENTER, CONNECTING FOOD SECURITY PROGRAMS TO NUVANCE HEALTH BY PROMOTING NETWORKING WITH LOCAL FOOD PANTRIES. A LIST OF LOCAL FOOD PANTRIES AND ADDITIONAL SOURCES OF HEALTHY FOOD WILL BE SHARED WITH THE COMMUNITY MEMBERS RECEIVING CARE AT SHARON HOSPITAL. PROMOTING SAFE DISPOSAL OF PRESCRIPTION MEDICATIONS: ON NATIONAL PRESCRIPTION DRUG TAKE-BACK DAY, SHARON AND LOCAL LAW ENFORCEMENT HAVE TEAMED UP TO HELP COMMUNITY MEMBERS SAFELY DISPOSE OF UNWANTED PRESCRIPTION, OVER THE COUNTER AND PET MEDICATIONS EACH YEAR DURING THE FALL. TO ADDRESS MENTAL HEALTH AND WELLNESS, AND TO ACTIVELY PARTICIPATE IN THE PREVENTION OF ACCIDENTAL OVERDOSE ON OPIOIDS, NUVANCE HEALTH WILL PARTICIPATE IN THE LITCHFIELD COUNTY OPIOID TASK FORCE EFFORTS, WILL ASSIST IN DISTRIBUTING NARCAN KITS AND FENTANYL TEST STRIPS. MENTAL HEALTH AID TRAINING - THE MENTAL HEALTH FIRST AID TRAINING PROGRAM PROVIDES COMMUNITIES WITH THE KNOWLEDGE AND SKILLS TO HELP INDIVIDUALS EXPERIENCING A MENTAL HEALTH PROBLEM OR CRISIS. PARTICIPANTS LEARN ABOUT COMMON RISK FACTORS, WARNING SIGNS OF MENTAL HEALTH ISSUES, HOW TO BETTER ASSIST SOMEONE EXPERIENCING A CRISIS AND OFFER ANSWERS TO KEY QUESTIONS SUCH AS ""WHAT DO I DO? AND ""WHERE CAN I FIND HELP?"" THE PROGRAM IS OFFERED EVERY OTHER MONTH AT THE HOSPITAL. SHARON HELD CLASSES PRIOR TO COVID-19 IN 2020 AND HAS AN INSTRUCTOR BEING TRAINED TO OFFER THESE VIRTUALLY IN 2021 AND WILL CONTINUE PROVIDING AND EXPANDING THIS PROGRAM TO LOCAL LIBRARIES, TOWN HALLS AND FAITH BASED ORGANIZATIONS WITH THE ASSISTANCE OF THE GRADUATE MEDICAL EDUCATION DEPARTMENTS. TO PROMOTE INCLUSION OF THE DIVERSE POPULATIONS NUVANCE HEALTH SERVES, NUVANCE HEALTH WILL EXPLORE PROVIDING THIS PROGRAM TO COMMUNITY MEMBERS IN SPANISH, IN ADDITION TO ENGLISH. THE HOSPITAL ALSO PROVIDES A NUMBER OF ADDITIONAL COMMUNITY PROGRAMS THROUGHOUT THE YEAR IN OTHER AREAS THEY IDENTIFIED SUCH AS A COMMUNITY EXERCISE PROGRAM, CHILDBIRTH EDUCATION FOR EXPECTANT FAMILIES, NO- COST CAR SEAT SAFETY CHECKS AND FREE REPLACEMENTS, COMPLIMENTARY CPR CLASSES, NO COST SHARPS RETURN, SUPPORT GROUPS AND EDUCATIONAL LECTURES. TO IMPROVE HEALTH DISPARITIES, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES FOR MEANINGFUL COMMUNITY IMPACT. THROUGH THE CHNA RESEARCH AND ONGOING ENGAGEMENT OF COMMUNITY REPRESENTATIVES, NUVANCE HEALTH COLLECTED INPUT TO DETERMINE THE MOST PRESSING HEALTH NEEDS AFFECTING RESIDENTS IN THE NEW YORK SERVICE AREA. PRIORITY HEALTH NEEDS WERE DETERMINED THROUGH DISCUSSIONS WITH EACH HOSPITAL'S COMMUNITY HEALTH COMMITTEE AND INPUT FROM COMMUNITY STAKEHOLDERS INCLUDING PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE PROVIDERS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, AND COMMUNITY MEMBERS. NUVANCE HEALTH REVIEWED RECOMMENDATIONS FOR PRIORITY AREAS IN CONSIDERATION WITH EXISTING RESOURCES AND GAPS IN SERVICES TO DETERMINE WHICH COMMUNITY HEALTH PRIORITIES THE HOSPITALS COULD BEST IMPACT. IN DETERMINING PRIORITY AREAS, SOME HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA WILL NOT BE DIRECTLY ADDRESSED IN NUVANCE HEALTH'S CHIP, HOWEVER THESE NEEDS WILL CONTINUE TO BE MET THROUGH CLINICAL CARE SERVICES. EXAMPLES OF OTHER COMMUNITY HEATH NEEDS THAT WERE IDENTIFIED IN THE 2022 CHNA THAT ARE NOT DIRECTLY REFLECTED IN THE SHARON HOSPITAL'S CHIP INCLUDE HOUSING AND ACCESS TO ORAL HEALTH CARE."

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 56.33% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG.

Schedule H, Part V, Section B, Line 13 Facility , 1
"Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. A PATIENT MAY QUALIFY FOR ""MEDICAL HARDSHIP"" EVEN IF THEIR INCOME EXCEEDS 400% OF THE FPG. A PATIENT'S UNPAID MEDICAL DEBT IS FACTORED IN WHEN DETERMINING MEDICAL HARDSHIP."

Schedule H, Part V, Section B, Line 16 Facility , 1
Facility , 1 - VASSAR HEALTH CONNECTICUT, INC.. SHARON HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. COUNSELORS ARE ALSO AVAILABLE TO PROVIDE FURTHER ASSISTANCE.

Schedule H, Part I, Line 3c
ASSETS ARE FACTORED IN FOR PATIENTS WHOSE INCOME IS ABOVE 400% OF THE FEDERAL POVERTY GUIDELINES WHEN FACED WITH MEDICAL HARDSHIPS. MEDICAL HARDSHIP COMBINES AVAILABLE INCOME WITH COUNTABLE ASSETS AND IS GRANTED WHEN THE UNPAID MEDICAL BILLS EXCEED THIS FIGURE.

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
SHARON HOSPITAL PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS, GRANTS/SPONSORSHIPS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE. BELOW IS A LIST OF SOME OF THE PROGRAMS OFFERED/SUPPORTED. *ADRESSING GENERAL HEALTH AND WELLNESS THROUGH HEALTH FAIRS *ADDRESSING CANCER THROUGH BREAST CANCER SCREENING LECTURES, THE NURSE NAVIGATOR SPEAKER SERIES, AND LUNG CANCER PREVENTION Q A. MANY LECTURES WERE HELD VIA OUR HOSPITALS' SOCIAL MEDIA CHANNELS. *ADDRESSING HEART DISEASE THROUGH EDUCATION AND LECTURE CHANNELS *ADDRESSING INFECTIOUS DISEASE THROUGH COVID-19 AND FLU VACCINATION CLINICS *ADRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE NEW MILFORD WALKING PROJECT AND THE GET FIT CHALLENGE. *ADDRESSING BEHAVIORAL HEALTH NEEDSADVOCACY THROUGH VIRTUAL MEETINGS INCLUDING CHA MENTAL HEALTH WORK GROUP and the COMMUNITY CARE TEAM *PROVIDING SUPPORT GROUPS *SENIORS HEALTH AND WELLNESS VIA OUTREACH AND EDUCATION GRANTS AND IN-KIND SUPPORT WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS: * ALZHEIMER'S ASSOCIATION * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * AMERICAN LUNG ASSOCIATION * ARTHRITIS FOUNDATION * BOY SCOUTS OF AMERICA * SANDY HOOK PROMISE * NW CT CHAMBER OF COMMERCE * TRI STATE CHAMBER OF COMMERCE * VNA HOSPICE * UNITED WAY OF W. CT * CATHOLIC CHARITIES * JANE LLOYD FOUNDATION * COMMUNITY HEALTH AND WELLNESS CENTER * EASTERN DUTCHESS ROAD RACE * HOTCHKISS LIBRARY * KENT CHAMBER OF COMMERCE * SALISBURY FORUM * SHARON DAY CARE * SHARON FIRE DEPARTMENT * STISSING CENTER * WARNER THEATRE * CT HOUSING COALITION

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
ECONOMIC DEVELOPMENT $566 REPRESENTATIVES FROM SHARON HOSPITAL MEET WITH VARIOUS COMMUNITY ORGANIZATIONS TO DISCUSS GROWTH AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITY. COALITION BUILDING $2,170 SHARON HOSPITAL IS COMMITTED TO CONTINUING ITS COLLABORATION WITH THE COMMUNITY HEALTH COMMITTEES AND OTHER STAKEHOLDERS TO FURTHER REFINE FOCUS AREAS WITHIN THE IDENTIFIED HEALTH PRIORITIES. AS PART OF ITS 2022-2024 COMMUNITY SERVICE PLAN, WE WILL FOCUS EFFORTS ON PREVENTING CHRONIC DISEASES AND PROMOTING WELL-BEING AND PREVENTING MENTAL AND SUBSTANCE USE DISORDERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY $2,733 SHARON HOSPITAL OFFERS THE EXPERTISE OF OUR STAFF AND RESOURCES OF THE HOSPITAL IN A NUMBER OF COMMUNITY-BUILDING ACTIVITIES THAT IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITY. SHARON HOSPITAL, WHICH IS PART OF THE NUVANCE HEALTH SYSTEM, PARTICIPATES IN THE CT HEALTH CARE COALITION (CT HCC). THIS IS A DIVERSE GROUP OF HOSPITALS, HEALTHCARE NETWORKS, HEALTHCARE PROVIDERS, STATE HEALTH AGENCIES, AND EMERGENCY MANAGEMENT AGENCIES. THEIR PURPOSE IS TO DEVELOP AND EDUCATE HEALTHCARE PREPAREDNESS AND RESPONSE CAPABILITIES THROUGHOUT THE STATE OF CONNECTICUT.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
SHARON HOSPITAL 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
SHARON HOSPITAL 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
THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 21-26 OF NUVANCE HEALTH AND SUBSIDIARIES CONSOLIDATED AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
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.

Schedule H, Part V, Section B, Line 16a FAP website
- VASSAR HEALTH CONNECTICUT, INC.: Line 16a URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;

Schedule H, Part V, Section B, Line 16b FAP Application website
- VASSAR HEALTH CONNECTICUT, INC.: Line 16b URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- VASSAR HEALTH CONNECTICUT, INC.: Line 16c URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;

Schedule H, Part VI, Line 2 Needs assessment
IN ADDITION TO THE CHNAS CONDUCTED EVERY THREE YEARS, THE HOSPITAL HAS A COMMUNITY HEALTH NEEDS COMMITTEE THAT MEETS REGULARLY TO ASSESS ANY ADDITIONAL HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMITTEE PROVIDES OVERSIGHT TO THE HOSPITAL'S COMMUNITY HEALTH PRIORITIES, INCLUDING NEEDS ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS AND OTHER POPULATION HEALTH INITIATIVES. THEY HELP GUIDE PRIORITY ISSUES FOR ACTION TO IMPROVE COMMUNITY HEALTH AND HELP INFORM, GUIDE AND SHARE SUCCESSFUL PROGRAMS AND STRATEGIES THAT ADDRESS HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY.

Schedule H, Part VI, Line 7 State filing of community benefit report
CT, NY

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"IT IS THE POLICY OF SHARON HOSPITAL TO PROVIDE ""FINANCIAL ASSISTANCE"" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) SHARON HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES, WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES. SHARON HOSPITAL SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS; AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES, AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS. CONSISTENT WITH THIS MISSION, SHARON HOSPITAL RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, SHARON HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE 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. SHARON HOSPITAL WILL COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD."

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
SHARON HOSPITAL IS A 78-BED FACILITY THAT HAS SERVED NORTHWESTERN CONNECTICUT SINCE 1909. SHARON IS LOCATED IN THE NORTHWEST CORNER OF THE STATE AND HAS A PRIMARY SERVICE AREA (PSA) THAT INCLUDES THE NORTHEASTERN AREA OF DUTCHESS COUNTY IN NEW YORK, AS WELL AS THE WESTERN PARTS OF LITCHFIELD COUNTY IN CONNECTICUT. IT IS ONE OF THREE HOSPITALS IN LITCHFIELD COUNTY, CT. CONNECTICUT AND NEW YORK OVERALL ARE AGING STATES. BETWEEN 2022 AND 2027, THE POPULATION AGED 65 OR OLDER IS PROJECTED TO INCREASE 14.2% AND 16.9%, RESPECTIVELY, THE LARGEST INCREASE OF ANY REPORTED AGE GROUP. THE TOTAL POPULATION FOR CONNECTICUT AND NEW YORK IS PROJECTED TO INCREASE 1.2% AND 4.9%, RESPECTIVELY. THE SHARON HOSPITAL SERVICE AREA POPULATION IS PROJECTED TO INCREASE +1,549 PEOPLE OR 2.7% FROM 2022 TO 2027, ALTHOUGH CONSISTENT WITH AN AGING DEMOGRAPHIC, THIS GROWTH WILL OCCUR EXCLUSIVELY AMONG ADULT POPULATIONS. THE POPULATION AGED 65 OR OLDER WILL INCREASE BY +1,904 PEOPLE OR 12.8% FROM 2022 TO 2027, WHILE THE CHILD POPULATION UNDER AGE 18 WILL DECLINE BY -297 PEOPLE OR -3.1%. THE CT DEPARTMENT OF LABOR INDICATES THERE WAS A 3.3% ANNUAL UNEMPLOYMENT RATE IN LITCHFIELD COUNTY FOR 2022. APPROXIMATELY 9.3% OF THE POPULATION IN LITCHFIELD COUNTY ARE LIVING IN POVERTY (CENSUS.GOV). APPROXIMATELY 4% OF SHARON'S MARKET ARE UNINSURED, WHILE MEDICAID (21%), MEDICARE (27%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (48%). (SOURCE: THE CLARITAS COMPANY). ACCORDING TO THE HEALTH RESOURCES SERVICES ADMINISTRATION (HRSA.GOV), THE EASTERN PART OF DUTCHESS COUNTY THAT FALLS WITHIN SHARON'S SERVICE AREA HAS BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW INCOME POPULATIONS. THERE ARE NO MEDICALLY UNDERSERVED POPULATIONS IDENTIFIED ON THE CT SIDE OF SHARON'S SERVICE AREA.

Schedule H, Part VI, Line 5 Promotion of community health
SHARON HOSPITAL IS A RURAL COMMUNITY 78-BED ACUTE CARE HOSPITAL THAT OFFERS AWARD-WINNING PATIENT CARE. FOR MORE THAN 125 YEARS, THE HOSPITAL HAS DELIVERED MISSION-DRIVEN SERVICES TO THE COMMUNITY. WE ARE COMMITTED TO PROVIDING SAFE, CONVENIENT CARE TO MEET YOUR PERSONAL HEALTHCARE NEEDS. WE ARE PART OF NUVANCE HEALTH, A NETWORK OF SEVEN COMMUNITY HOSPITAL LOCATIONS AND NUMEROUS OUTPATIENT FACILITIES IN THE HUDSON VALLEY AND WESTERN CONNECTICUT. OUR PATIENTS BENEFIT FROM THE VARIOUS MULTISPECIALTY GROUPS AND SERVICES ACROSS THE SYSTEM. OUR FEATURED SERVICES INCLUDE A CANCER INSTITUTE, HEART AND VASCULAR INSTITUTE, NEUROSCIENCES INSTITUTE, AND OUR DIGESTIVE HEALTH INSTITUTE. OUR FEATURED SERVICE LINES INCLUDE: * PRIMARY CARE AND PEDIATRICS * LABORATORY TESTING, IMAGING AND RADIOLOGY * GENERAL AND ORTHOPEDIC SURGERY * WOUND CARE OUR EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES IS A LONG-TERM AND VERY COLLABORATIVE ONE TO ADDRESS PUBLIC HEALTH ISSUES AND OPPORTUNITIES IN OUR REGION. OUR ROLE IN IMPROVING HEALTH MAY BE AS A LEADER, PARTNER, FACILITATOR, FUNDER, ADVOCATE, CHAMPION, OR OBSERVER. IN THESE ROLES, WE EMBRACE THE SOCIAL DETERMINANTS OF HEALTH AND APPLY STRATEGIES AND TACTICS INCLUDING HEALTH EDUCATION, OUTREACH AND SCREENINGS VIA COLLABORATIONS, DATA COLLECTION AND RESEARCH, HEALTH CLINICS AND FAIRS, SPONSORSHIPS, AND SUBJECT MATTER EXPERT SPEAKER PRESENTATIONS. FOR MORE DETAILED INFORMATION AND EXAMPLES, SEE SCHEDULE H, PART I, LINE 7E. 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. IN ADDITION, ANY SURPLUS REVENUE IS REINVESTED INTO THE HOSPITAL, ITS STAFF AND THE COMMUNITY. SHARON 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.

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. 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 FY2022, THE NETWORK PROVIDED APPROXIMATELY $87,245,319 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 FY2022, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, $28,765,372, DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, $27,799,213. 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 FY2022 THEY PROVIDED APPROXIMATELY $6,300,375 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 FY2022, WCHNA PROVIDED APPROXIMATELY $91,583 IN CHARITY CARE. WESTERN CONNECTICUT HOME CARE, INC. (WCHC): WCHC PROVIDES STATE OF THE ART CLINICAL SERVICES RANGING FROM PEDIATRIC PATIENTS TO THE ELDERLY UTILIZING BEST PRACTICE IN HOME CARE TO MEET THE NEEDS OF THEIR PATIENTS. EASTERN NEW YORK MEDICAL SERVICES, P.C. (ENYMS): THE MISSION AT ENYMS IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND GASTROENTEROLOGY HEALTH CARE IN THE COMMUNITIES WE SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS' NEEDS. EASTERN NEW YORK MEDICAL SERVICES, PC. PROVIDED APPROXIMATELY $8,931 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 $17,205,786 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 CENTER (PHC) PROVIDES GENERAL ACUTE CARE WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS OF THE MID-HUDSON VALLEY. PHC PROVIDED APPROXIMATELY $2,195,382 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 $2,898,598 IN CHARITY CARE. NORTHERN DUTCHESS HOSPITAL FOUNDATION (NDH) FOUNDATION ACTIVELY SOLICITS CONTRIBUTIONS FROM THE PUBLIC THROUGH DIRECT MAILINGS, FUND-RAISING PROGRAMS AND OTHER ACTIVITIES. VASSAR HEALTH CT, INC DBA SHARON HOSPITAL (SH) PROVIDES GENERAL ACUTE CARE WITH A RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR RESIDENTS IN THE NORTHWEST CONNECTICUT COMMUNITY. SH PROVIDED APPROXIMATELY $1,069,468 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 $164,980 IN CHARITY CARE. NUVANCE HEALTH MEDICAL PRACTICE, PC (HQMP) 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 $924,614 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 $1,017 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. 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.