4A (Expenses $ 415364462 including grants of $ 27908) (Revenue $ 375210592)
NORWALK HOSPITAL IS A 366-BED HOSPITAL THAT CARES FOR PATIENTS, THEIR LOVED ONES AND RESIDENTS IN FAIRFIELD COUNTY, CONNECTICUT, AND THE SURROUNDING NEW YORK METROPOLITAN AREA. NORWALK 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. NORWALK HOSPITAL IS AN ACUTE CARE, ACADEMIC HOSPITAL THAT PROVIDES PATIENTS WITH THE LATEST IN MEDICAL, SURGICAL AND WELLNESS SERVICES. NORWALK HOSPITAL PROVIDES SERVICES TO THE COMMUNITY THROUGH OUR LEVEL II TRAUMA CENTER, PRIMARY STROKE CENTER AND JOINT REPLACEMENT CENTER OF EXCELLENCE TO ADVANCED CANCER, HEART, AND NEUROSCIENCES CARE. OUR TEAMS INCLUDE TOP MEDICAL AND SURGICAL TALENT, AND WE INVEST IN TECHNOLOGY AND COLLABORATE WITH LEADING DOCTORS AND SCIENTISTS TO BRING TOP-NOTCH SERVICES TO FAIRFIELD COUNTY. NORWALK HOSPITAL PARTICIPATES IN VARIOUS CLINICAL TRIALS AND RESEARCH, WHICH BRINGS NEW TREATMENT OPTIONS TO OUR PATIENTS. NORWALK 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. NORWALK HOSPITAL IS JOINT COMMISSION ACCREDITED WITH A GOLD SEAL OF DISTINCTION FOR EXCELLENCE IN TOTAL JOINT REPLACEMENT. NORWALK HOSPITAL HAS BEEN RECOGNIZED AS BEST REGIONAL HOSPITAL FOR EXCELLENCE BY U.S. NEWS & WORLD REPORT FOR OUR HIGH PERFORMANCE IN HEART FAILURE TREATMENT, COPD TREATMENT, AND HIGH PERFORMANCE IN STROKE TREATMENT. FOR THE LAST SEVERAL YEARS, HEALTHGRADES HAS LISTED NORWALK HOSPITAL AS AMERICA'S 250 BEST HOSPITALS. HEALTHGRADES HAS ALSO ACKNOWLEDGED NORWALK HOSPITAL AS AMERICA'S 100 BEST HOSPITALS FOR STROKE CARE AND HAS AWARDED THE HOSPITAL WITH THE CRITICAL CARE EXCELLENCE AWARD, NEUROSCIENCES EXCELLENCE AWARD, AND THE PULMONARY CARE EXCELLENCE AWARD. THE HOSPITAL HAS RECEIVED THE LIFELINE GOLD STEMI RECEIVING CENTER ACHIEVEMENT AWARD AND WAS LISTED ON THE GET WITH THE GUIDELINES STROKE GOLD PLUS WITH TARGET TYPE 2 DIABETES HONOR ROLL FROM THE AMERICAN HEART ASSOCIATION. ADDITIONAL ACCREDITATIONS RECEIVED WERE THE MBSAQIP BARIATRIC CENTER ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS AND AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY, THE RECTAL CANCER PROGRAM ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER, AND THE ACCREDITATION FOR RADIATION ONCOLOGY FROM THE AMERICAN COLLEGE OF RADIOLOGY. IN FY22, NORWALK HOSPITAL HAD 44,330 PATIENT DAYS AND 9,473 DISCHARGES IN ACUTE CARE. THERE WERE 35,904 IN EMERGENCY ROOM VISITS AND 130,960 IN OTHER OUTPATIENT VISITS/PROCEDURES. THE HOSPITAL PROVIDED APPROXIMATELY $28.8M IN CHARITY CARE TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION.

Schedule H, Part V, Section B, Line 3E

Schedule H, Part V, Section B, Line 3 Facility , 1
Facility , 1 - NORWALK HOSPITAL. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES LOCAL LEVEL HEALTH RELATED DATA ABOUT NORWALK AND THE SURROUNDING TOWNS OF NEW CANAAN, WESTON, WESTPORT AND WILTON AND COMPLEMENTS THE 2023 FAIRFIELD COUNTY COMMUNITY WELLBEING INDEX, A COMPREHENSIVE REPORT ABOUT FAIRFIELD COUNTY AND THE TOWNS WITHIN IT. THE COMMUNITY WELLBEING INDEX WAS PRODUCED BY DATAHAVEN IN PARTNERSHIP WITH FAIRFIELD COUNTY'S COMMUNITY FOUNDATION AND MANY OTHER REGIONAL PARTNERS, INCLUDING NORWALK HOSPITAL, NOW PART OF NUVANCE HEALTH, AND LOCAL PARTNERS SERVING THE GREATER NORWALK REGION. TOPICS COVERED IN THE INDEX INCLUDE: OVERALL COMMUNITY WELL-BEING, DEMOGRAPHIC CHANGES, HOUSING, TRANSPORTATION, EARLY CHILDHOOD EDUCATION, K-12 EDUCATION, ECONOMIC OPPORTUNITY, LEADING PUBLIC HEALTH INDICATORS (SUCH AS PREMATURE MORTALITY, CHRONIC DISEASE PREVALENCE, HEALTH BEHAVIORS, HEALTH CARE ACCESS, AND THE SOCIAL DETERMINANTS OF HEALTH) AND CIVIC LIFE.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - . THE 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 NORWALK HOSPITAL BOARD OF TRUSTEES ON SEPTEMBER 30, 2022, AND THE CHIP WAS APPROVED BY THE NUVANCE HEALTH BOARD ON FEBRUARY 7, 2023. NORWALK HOSPITAL, AND ITS COMMUNITY HEALTH COMMITTEE (CHC), NORWALK HEALTH DEPARTMENT AND GREATER NORWALK COMMUNITY PARTNERS, PARTICIPATED IN THIS EFFORT TO ASSESS THE HEALTH AND SOCIAL NEEDS OF THE GREATER NORWALK COMMUNITY. COMMUNITY PARTNERS INCLUDE: -AMERICARES FREE CLINICS -COMMUNITY HEALTH CENTERS, INC. -DARIEN HEALTH DEPARTMENT -NEW CANAAN HEALTH DEPARTMENT -NAACP -NORWALK ACTS -NORWALK COMMUNITY HEALTH CENTER -NORWALK HEALTH DEPARTMENT -POSITIVE DIRECTIONS -REGIONAL BEHAVIORAL HEALTH ACTION ORGANIZATION -RIVERBROOK REGIONAL YMCA -TOWN OF RIDGEFIELD -WESTPORT/WESTON HEALTH DISTRICT THE CHNA REPORT PROVIDES ADDITIONAL LOCAL DETAIL OF RELEVANCE TO THE REGION, INCLUDING QUANTITATIVE AND QUALITATIVE DATA SPECIFIC TO THE INDIVIDUAL TOWNS WITHIN THE GREATER NORWALK REGION. IT ALSO DOCUMENTS THE PROCESS THAT NORWALK HOSPITAL AND PARTNERS USED TO CONDUCT THE REGIONAL HEALTH ASSESSMENT AND HEALTH IMPROVEMENT ACTIVITIES. THE COMMUNITY HEALTH ASSESSMENT WAS CONDUCTED UNDER THE GUIDANCE OF THE NORWALK HOSPITAL CHC. THE CHC PROVIDED OVERSIGHT OF THE 2022 CHNA IN ALIGNMENT WITH THE GOALS OF COMMUNITY PARTNERSHIP AND ADVANCEMENT OF POPULATION HEALTH. THE REPORT CONTAINS BOTH QUANTITATIVE AND QUALITATIVE DATA. QUANTITATIVE DATA WAS COLLECTED, ANALYZED AND REPORTED BY DATAHAVEN IN THE FAIRFIELD COUNTY WELLBEING SURVEY (CWS). THE QUALITATIVE DATA COLLECTION WAS CONDUCTED BY THE STRATEGY GROUP LLC AND CONSISTED OF 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. ANOTHER SOURCE OF DATA INFORMING THE 2023 - 2025 CHIP WAS THE CHNA COMMUNITY SURVEY, DEPLOYED IN THE GREATER NORWALK 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 NORWALK 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, CHINESE, YIDDISH, BENGALI, KOREAN, HAITIAN CREOLE, ITALIAN, POLISH, AND ARABIC. IN ORDER TO COMPILE A COMPREHENSIVE CHNA REPORT AND TO GUIDE THE DEVELOPMENT OF THE CHIP, NUVANCE HEALTH CONTRACTED WITH COMMUNITY RESEARCH CONSULTING, A WOMEN-OWNED BUSINESS THAT SPECIALIZES IN CONDUCTING STAKEHOLDER RESEARCH TO ILLUMINATE DISPARITIES AND UNDERLYING INEQUITIES AND TRANSFORM DATA INTO PRACTICAL AND IMPACTFUL STRATEGIES TO ADVANCE HEALTH AND SOCIAL EQUITY. CRC CLOSELY PARTNERED WITH THE DANBURY HOSPITAL COMMUNITY HEALTH COMMITTEE (CHC), WHICH OVERSAW AND GUIDED THE CHNA PROCESS, IN ALIGNMENT WITH THE GOALS OF COMMUNITY PARTNERS, CLOSELY PARTNERING TO ADVANCE POPULATION HEALTH. AS CRC COMPILED THE 2022 CHNA REPORT BASED ON THE 2022 KEY CHNA FINDINGS, THE HEALTH PRIORITIES THAT WERE IDENTIFIED FOR THE GREATER NORWALK AREA CHIP WERE ADDRESSING CHRONIC DISEASES, PROMOTING WELLNESS, AND ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDERS.

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - NORWALK HOSPITAL. THE CHNA IS AVAILABLE UPON REQUEST IN THE HOSPITAL AND 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 - NORWALK HOSPITAL. TO THE BEST OF THE ORGANIZATION'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2023-2025 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT NORWALK HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A COMMUNITY HEALTH COMMITTEE WAS CREATED OF OVER 100 COMMUNITY RESIDENTS AND PROFESSIONALS REPRESENTING VARIOUS ORGANIZATIONS. THEY IDENTIFIED CHRONIC DISEASE, OBESITY, MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND ACCESS AS THE MAIN PRIORITIES TO ADDRESS WHICH INFORMED THE DEVELOPMENT OF THE 2023-2025 CHIP WHICH DETAILS SPECIFIC GOALS AND METRICS FOR EACH IDENTIFIED NEED AND COMMUNITY BENEFIT PROGRAMS THAT WOULD HELP ACHIEVE THESE GOALS. KEY INITIATIVES, ADDRESSING BOTH FOCUS AREAS, CHRONIC DISEASE PREVENTION AND WELLNESS, MENTAL HEALTH FOR THIS REGION WILL INCLUDE: *LEVERAGE THE PRESPERI-KEY PROGRAM TO ASSIST THE ALICE POPULATION WITH FOOD SERVICES, EDCUATION, CONNECTING FARMERS' MARKET INITIATIVES TO PATIENTS DISCHARGED FROM THE HOSPITAL *IN PARTNERSHIP WITH THE CT DENTAL HEALTH PARTNERSHIP PROGRAM, INCREASE ACCESS TO AFFORDABLE DENTAL PREVENTION AND TREATMENT, AIDING CHRONIC DISEASE PREVENTION AND WELLNESS *IN PARTNERSHIP WITH THE AHA, DEVELOP AND IMPLEMENT THE PUBLIC LIBRARY HYPERTENSION PREVENTION PROGRAM, CONDUCTING EVIDENCE BASED EDCUATION ON HYPERTENSION PREVENTION AND GUIDELINES FOR HOME MANAGEMENT *OFFER WEEKLY SMOKING CESSATION PROGRAM TO COMMUNITY MEMBERS *LEVERAGE THE NORWALK HOSPITAL DIABETES CENTER ON THE DIABETES PREVENTION PROGRAM TO REDUCE THE PREVALENCE OF DIABETES IN THE COMMUNITY *IN PARTNERSHIP WITH THE AHA, DEVELOP AND IMPLEMENT THE INTERFAITH AND CULTURAL HEALTH EQUITY COALITION, ADDRESSING HYPERTENSION PREVENTION AND HOME MANAGEMENT, ALSO FOCUSING ON ADDITIONAL CHRONIC CONDITIONS AND DISPARITIES, SUCH AS COPD, ASTHMA, PREVENTATIVE CARE SUCH AS BREAST AND COLON CANCER *PARTNER AND PARTICIPATE WITH THE NORWALK HEALTH DEPARTMENT ON HEALTHY FOR LIFE PROJECT COMMUNITY-BASED INTITIATIVES SUCH AS KNOW YOUR NUMBERS, NORWALKER, GROWING GARDENS PROGRAM AND FOOD ACCESS INITIATIVE. *PROVIDE SUPPORT GROUPS, EDUCATION ON ANXIETY, COPING SKILLS, FALLS PREVENTION, CAREGIVING, EMOTIONAL AND BERAVEMENT SUPPORT, AND SHARE INFORMATION ON COMMUNITY BASED RESOURCES *PARTNER AND PARTICIPATE WITH THE NORWALK HEALTH DEPARTMENT ON STATEWIDE SUICIDE PREVENTION PROGRAMS *LEVERAGE EXPERTISE AND RESOURCES OF NORWALK HOSPITAL BEHAVIORAL HEALTH DEPARTMENT *PARTNER WITH MID FAIRFIELD AIDS PROJECT (MFAP) TO PROVIDE HARM REDUCTION NEEDLE EXCHANGE AND FENTANYL TEST STRIPS *PARTNER WITH THE HUB FOR REFERRAL AND EDUCATION FOR BEHAVIORAL HEALTH CARE *WORK TO IMPLEMENT AN ADOLESCENT INTENSIVE OUTPATIENT PROGRAM AT NORWALK HOSPITAL *NORWALK HOSPITAL WILL WORK TO RECRUIT QUALIFIED BEHAVIORAL HEALTH PROVIDERS, INCLUDING PSYCHIATRISTS AND LICENSED CLINICAL SOCIAL WORKERS TO INCREASE CAPACITY OF THE SERVICES PROVIDED

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - NORWALK HOSPITAL. THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 61.7% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG.

Schedule H, Part V, Section B, Line 13 Facility , 1
"Facility , 1 - NORWALK HOSPITAL. 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 - NORWALK HOSPITAL. NORWALK 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 eligibility for free or discounted care
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
NORWALK 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. *ADDRESSING 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 *ADDRESSING OBESITY AND HEALTHY WEIGHT THROUGH THE GET FIT CHALLENGE. *ADDRESSING BEHAVIORAL HEALTH NEEDS ADVOCACY 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 BELOW IS A LIST OF SOME OF THE GRANTS AND IN-KIND SUPPORT PROVIDED TO THE FOLLOWING ORGANIZATIONS: * ALZHEIMER'S ASSOCIATION * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * AMERICAN LUNG ASSOCIATION * ARTHRITIS FOUNDATION * THE BREASE CARE ALLIANCE * THE RON FOLEY FOUNDATION * NORWALK CHAMBER OF COMMERCE * WESTON/WESTPORTCHAMBER OF COMMERCE * NICE CULTURAL EXCHANGE * PINK AID * INFINITE STRENGTH * FIRST DISTRICT WATER * NORWALK SYMPHONY * RIDGEFIELD LIBRARY * SANDY HOOK PROMISE * ROWAN CENTER * UNITED WAY OF W. CT * REGIONAL HOSPICE * RIVERSIDE YMCA * CATHOLIC CHARITIES * STEPPING STONES MUSEUM * CARVER FOUNDATION * TINY MIRACLES * TRIANGLE COMMUNITY CENTER/CT PRIDE * WESTPORT ROTARY

Schedule H, Part I, Line 7f Health professions education
NORWALK HOSPITAL HAS AN ACGME ACCREDITED MEDICAL RESIDENCY PROGRAM PARTNERED WITH YALE UNIVERSITY SCHOOL OF MEDICINE. RESIDENTS AND FELLOWS ROTATE IN THE MEDICINE, RADIOLOGY, GASTROENTEROLOGY, PULMONARY OR SLEEP PROGRAMS. THE ASSOCIATED COSTS AND REVENUES ARE DERIVED FROM THE MEDICARE COST REPORT.

Schedule H, Part I, Line 7g Subsidized health services
NORWALK HOSPITAL SUBSIDIZED HEALTH SERVICES INCLUDE OP DENTAL CLINIC COSTS. NO OTHER PHYSICIAN CLINIC COSTS ARE INCLUDED HERE.

Schedule H, Part II Community Building Activities
ECONOMIC DEVELOPMENT $320 REPRESENTATIVES FROM NORWALK HOPSITAL MEET WITH VARIOUS COMMUNITY ORGANIZATIONS TO DISCUSS GROWTH AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITY. COALITION BUILDING $817,925 THE COMMUNITY CARE TEAM MEETS WITH COMMUNITY PROVIDERS TO DEVELOP CARE PLANS FOR AT RISK PATIENTS. PRIORITY HEALTH ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2023-2025 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT NORWALK HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A COMMUNITY HEALTH COMMITTEE WAS CREATED OF OVER 100 COMMUNITY RESIDENTS AND PROFESSIONALS REPRESENTING VARIOUS ORGANIZATIONS. THEY IDENTIFIED CHRONIC DISEASE, OBESITY, MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND ACCESS AS THE MAIN PRIORITIES TO ADDRESS WHICH INFORMED THE DEVELOPMENT OF THE 2023-2025 CHIP WHICH DETAILS SPECIFIC GOALS AND METRICS FOR EACH IDENTIFIED NEED AND COMMUNITY BENEFIT PROGRAMS THAT WOULD HELP ACHIEVE THESE GOALS. REPRESENTATIVES FROM NORWALK HOSPITAL ALSO MEETING WITH ELDERHOUSE BOARD OF DIRECTORS. THEIR FOCUS IS TO ENHANCE THE QUALITY OF LIFE FOR THE AGING SENIOR POPULATION. NORWALK HOSPITAL ALSO PARTICIPATED IN AED MAINTENANCE AND CHECKS WITHIN THE COMMUNITY AND COMMUNITY BUILDINGS. IN ADDITION, A NORWALK HOSPITAL REPRESENTATIVE ATTENDED MEETINGS WITH THE CT HUB, WHICH IS A GROUP OF PROVIDERS, MEDICAL PROFESSIONALS, AS WELL AS COMMUNITY MEMBERS TO DISCUSS RAISING AWARENESS, PREVENTION, RECOVERY AND ADVOCACY FOR THE COMMUNITY.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
NHA 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 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
NORWALK 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 ORGANIZATION MUST BALANCE THE COST OF THESE PROGRAMS AGAINST THE CONTINUED DECREASING GOVERNMENT REIMBURSEMENT LEVELS, UNINSURED POPULATION AND COMMUNITY NEEDS. A COST ACCOUNTING SYSTEM IS USED TO CALCULATE THE SHORTFALL, WHICH IS MEDICARE NET PATIENT REVENUE LESS APPLICABLE COSTS.

Schedule H, Part V, Section B, Line 16a FAP website
- NORWALK HOSPITAL: Line 16a URL: HTTPS://WWW.NUVANCEHEALTH.ORG/FINANCIALASSISTANCE;

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

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- NORWALK HOSPITAL: 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

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
IT IS THE POLICY OF THE HOSPITAL TO PROVIDE NECESSARY CARE TO ALL PERSONS SEEKING TREATMENT WITHOUT DISCRIMINATION ON THE GROUNDS OF AGE, RACE, CREED, NATIONAL ORIGIN OR ANY OTHER GROUNDS UNRELATED TO AN INDIVIDUAL'S NEED FOR THE SERVICE OR THE AVAILABILITY OF THE NEEDED SERVICE AT THE HOSPITAL. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT BY REFERENCE TO ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO A RESPONSIBLE PARTY'S INCOME AND THEIR COUNTABLE ASSETS. THOSE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. BECAUSE THE HOSPITAL IS NOT PAID FOR THESE SERVICES, THEY ARE CONSIDERED TO BE COMMUNITY BENEFIT. WHEN PRIVATE PAY PATIENTS ARE SENT TO THE COLLECTION AGENCY THEIR ACCOUNT IS CONSIDERED TO BE A BAD DEBT. SUBSEQUENTLY, MEDICAID MAY BE GRANTED FOR SOME OF THOSE PATIENTS. AT THAT TIME THOSE ACCOUNTS NOT GRANTED MEDICAID WOULD BECOME CHARITY CARE OR A COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"IT IS THE POLICY OF NHA 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 NHA IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED; AND (V) HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE. AFTER NHA DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, NHA 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. NHA SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF NHA; (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, NHA RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, NHA 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. NHA 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
NORWALK HOSPITAL SERVES AN AREA POPULATION OF ABOUT 168,000 PEOPLE. UNDERSTANDING CHANGES IN POPULATION DEMOGRAPHICS IS CRITICAL TO PLAN FOR CHANGES IN HEALTHCARE, HOUSING, ECONOMIC OPPORTUNITY, EDUCATION, SOCIAL SERVICES, TRANSPORTATION, AND OTHER ESSENTIAL INFRASTRUCTURE ELEMENTS. CONNECTICUT OVERALL IS AN AGING STATE. BETWEEN 2010 AND 2020, THE STATE'S POPULATION REMAINED SIMILAR IN TOTAL NUMBER, BUT INCREASED IN THE PROPORTION OF ADULTS AND DECREASED IN THE PROPORTION OF CHILDREN. DURING THE SAME PERIOD, GREATER NORWALK EXPERIENCED A 5% INCREASE IN OVERALL POPULATION, ALTHOUGH THIS GROWTH OCCURRED LARGELY WITHIN NORWALK, AND THE REGION OVERALL IS ALSO AGING. BETWEEN 2010 AND 2020, GREATER NORWALK SAW ADULT POPULATION GROWTH OF +10,198 INDIVIDUALS AND CHILD POPULATION LOSS OF -2,367 INDIVIDUALS. THE CITY OF NORWALK IS A MAJORITY-MINORITY CITY, WITH A RACIAL AND ETHNIC DIVERSITY OF RESIDENTS UNMATCHED IN THE SURROUNDING AREAS. REGIONALLY, GREATER NORWALK HAS A SIMILAR RACIAL AND ETHNIC MAKEUP AS CONNECTICUT OVERALL, AND CONSISTENT WITH STATEWIDE TRENDS, THE REGION IS BECOMING MORE DIVERSE. THE MEDIAN HOUSEHOLD INCOME IN GREATER NORWALK IS $131,111, COMPARED TO $77,696 STATEWIDE, AND FEWER RESIDENTS OR CHILDREN IN GREATER NORWALK LIVE IN POVERTY COMPARED TO THE STATE OVERALL. HOWEVER, THIS POSITIVE EXPERIENCE IS NOT SHARED BY ALL RESIDENTS. WITHIN THE REGION, MEDIAN HOUSEHOLD INCOMES BY TOWN RANGE FROM $85,769 IN NORWALK TO $222,535 IN WESTON. NORWALK ALSO HAS HIGHER POVERTY LEVELS, AFFECTING 10% OF ALL RESIDENTS AND 14% OF CHILDREN. THE CT DEPARTMENT OF LABOR INDICATES THERE WAS A 4.2% ANNUAL UNEMPLOYMENT RATE IN THE BRIDGEPORT-STAMFORD-NORWALK, CT LABOR MARKET AREA FOR 2022, WHICH IS THE SAME AS THE CT STATE AVERAGE OF 4.2. APPROXIMATELY 9.1% OF THE POPULATION IN FAIRFIELD COUNTY ARE LIVING IN POVERTY (CENSUS.GOV). APPROXIMATELY 6.1% OF THE NORWALK MARKET ARE UNINSURED, WHILE MEDICAID (18%), MEDICARE (18%) AND PRIVATE DIRECT OR EXCHANGE MAKE UP THE REST OF THE MARKET (58%). (SOURCE: THE CLARITAS COMPANY). ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA.GOV), SEVERAL PARTS OF FAIRFIELD COUNTY HAVE BEEN IDENTIFIED AS MEDICALLY UNDERSERVED POPULATIONS (MUP) FOR PRIMARY CARE FOR LOW INCOME POPULATIONS.

Schedule H, Part VI, Line 5 Promotion of community health
NORWALK HOSPITAL IS A REGIONAL 366-BED ACUTE CARE TEACHING HOSPITAL THAT OFFERS AWARD-WINNING PATIENT CARE. FOR MORE THAN 130 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 LEVEL II TRAUMA CENTER, MATERNAL AND INFANT CARE INCLUDING A LEVEL III NEONATAL INTENSIVE CARE UNIT, PSYCHIATRIC CARE UNIT. NORWALK HOSPITAL ALSO OFFERS: * PRIMARY CARE AND PEDIATRICS (IN COMMUNITY) * LABORATORY TESTING, IMAGING AND RADIOLOGY * GENERAL, ORTHOPEDIC, SPINE AND BREAST SURGERY * BARIATRIC AND METABOLIC WEIGHT LOSS SERVICES * 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. OVER 50% OF THE BOARD MEMBERS ARE INDEPENDENT AND DO NOT GET PAID BY NORWALK HOSPITAL. NORWALK HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF. SURPLUS FUNDS ARE USED TO PROVIDE INNOVATIVE TECHNOLOGY TO CLINICAL CARE IN ADDITION TO EXPANDING OUR SERVICE AREA.

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 2022 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.