The Danbury Hospital

“Lisa esneault and anne roby have a business relationship.”

“Western connecticut health network, inc. Is the sole member of danbury hospital. Nuvance health is the sole member of western connecticut health network, inc.”

“The sole member shall be responsible for electing, at the annual meeting of the membership, the members of the board of directors of the hospital to serve for three year terms and until their successors are elected and have qualified.”

“Decisions of governing body approval by members or shareholders certain fundamental decisions to be undertaken by the hospital require the approval of the member. A) the actions listed below, taken for the hospital or in its capacity voting as a shareholder or member of a subsidiary ("danbury subsidiary") shall not require approval by the board and are reserved solely to the member: *the amendment of the hospital's bylaws; *the election or removal of a director; *approval of investment policies; *approval of the adoption of or amendment to any qualified or any non-qualified benefit plan; *approval of the adoption of or any amendment to the policies and procedures governing a) indemnification of directors and officers of the hospital or any danbury subsidiary; b) conflicts or dualities of interest; c) accounting and investment standards and practices and d) such other policies the member may determine; *approval of system-wide quality, performance and credentialing standards and procedures to which the hospital or any danbury subsidiary is expected to adhere; *and approval of regulatory compliance and methodology for physician compensation arrangements. The actions listed below, taken for the hospital or in its capacity voting as a shareholder or member of a danbury subsidiary, which require approval of the board, must also be approved by the member: *the election of the officers of the hospital; *approval of all operating and capital budgets of the hospital and danbury subsidiary; *approval of any amendment or restatement of the hospital's certificate of incorporation, bylaws, or operating agreement of any danbury subsidiary; *approval of any sale, lease, exchange, or other disposition of all or substantially all the property or assets of the hospital or any danbury subsidiary; *approval of the creation of any corporation of which the hospital or a danbury subsidiary is the sole or controlling member or sole or controlling shareholder; the merger or consolidation of the hospital or any danbury subsidiary with another corporation; and the reorganization, liquidation or dissolution of the hospital or any danbury subsidiary; *approval of any loans by the hospital or any danbury subsidiary, or the incurring of any indebtedness, secured or unsecured, which exceeds two million dollars ($2.0 million) or which has a term longer than one year; *approval of unbudgeted expenditures in excess of two million dollars ($2.0 million) or any increase in any approved annual operating or capital budget. *approval of any agreement or transaction of the hospital or any danbury subsidiary involving an amount greater than two million dollars ($2.0 million) with another individual or entity; *approval of the affiliation of the hospital or any danbury subsidiary with any other entity for the purposes of the joint conduct of business; *creation of any committee which shall have the authority to act on behalf of the board or on behalf of any danbury subsidiary; *approval of any conveyance of, or the granting of mortgages or trusts on any real property assets of the hospital or of any danbury subsidiary; *approval of the strategic plan of the hospital and of any danbury subsidiary; and *approval of any commencement, cessation, location, relocation or consolidation of significant clinical services provided by the hospital or any danbury subsidiary.”

“The form 990 is prepared by an independent accounting firm using information provided by the organization and a draft form 990 is reviewed by internal management. A complete draft is then posted to an intranet site for nuvance board members, the ultimate parent of the organization, to review prior to filing. The form 990 is then signed and filed with the irs.”

“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, section b, lines 13 & 14: the policies exist at the parent level, which are followed by each entity and are approved by the parent board, but not the board of danbury hospital. This excludes the record retention policy, which is approved only by the parent audit committee.”

“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 +30% 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 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 75th 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. Form 990, part vi, section b, line 16b while a written policy has not been adopted regarding the evaluation of participation in joint ventures, management follows a procedure in which all possible joint venture arrangements are evaluated under applicable federal tax laws. Management utilized the services of appropriate consultants and legal counsel to evaluate each joint venture opportunity. This evaluation also includes an analysis of how the joint venture will further the hospital's mission. The hospital has taken all appropriate steps to safeguard its tax exempt status with respects to all joint venture arrangements. Joint venture arrangements are approved by the board of trustees.”

“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.”

“For those officers and top 5 employees, for which only 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount. Note: all amounts in column f, of part vii, "estimated amount of other compensation", represent benefits, and do not reflect any compensation for which the average amount of time worked can be reflected.”

“Danbury hospital ("dh") is reporting income from the investment of tax-exempt bond proceeds on form 990, part viii, line 4. This income is allocated to dh from its parent, nuvance health. Pursuant to the form 990 instructions, nuvance health reports all required information on form 990, schedule k for the tax-exempt bond issuances of the nuvance obligated group, of which dh is included.”

“Medical service line danbury hospital's medical service line consists of the following services: gastrointestinal - 1,692 infectious disease - 1,666 internal medicine - 656 neurology medicine - 477 renal/urology medicine - 756 pulmonary medicine - 1,791 all other inpatient - 2,672 outpatient service line cases: o/p medicine - 10,880 o/p medicine comm. Clinic - 4,338 o/p medical oncology - 15,527 o/p pulmonary medicine - 3,744 digestive diseases: our services include: ablation therapy for barrett's esophagus, colon cancer screening, colonoscopy, cryotherapy, endoscopy, endoscopic ultrasound and fine-needle aspiration, lactose tolerance testing, and wireless capsule endoscopy endoscopic treatment of pancreatic disease. Infectious disease: we treat infectious diseases from conditions caused by living organisms (bacteria, viruses, fungi and parasites) to covid-19, hiv and related conditions. You receive advanced care for lyme disease as well as wound-related and travel-related infections. Awards & accreditations accreditated hyperbaric unit for wound care undersea & medical society 2021 internal medicine: services include preventive medicine (including vaccines and immunizations), diagnosis and treatment of chronic and acute illnesses and injuries, and coordination of specialty care. Our family physicians are trained to provide medical care for patients ranging in age from pediatrics through adult and geriatrics. Neurology and stroke: we offer expertise in treatment of neurological disorders, including stroke, epilepsy, parkinson's disease, alzheimer's disease and vertigo. One of the nation's first hospitals to earn primary stroke center accreditation from the joint commission and receive the silver performance award from the aha's stroke association for the quality of care we provide. We have been regularly recognized by the connecticut department of public health for consistently demonstrating the ability to rapidly diagnose and treat stroke. Committed to remaining on the forefront of rapid and effective stroke care, we continue to incorporate the latest effective treatments. Urology: our expert urologists treat conditions such as: female urologic disorders, including urinary incontinence and voiding dysfunction; infertility; kidney, bladder, prostate and testicular cancer; kidney stones; male sexual difficulties; prostate cancer; urinary tract infections; and vasectomy and vasectomy reversal. Pulmonology: we perform specialized services, such as cardiopulmonary exercise testing to measure degree of fitness and aid in the assessment of shortness of breath; specific diagnostic asthma testing; and testing to determine the need for supplemental oxygen for everyday living and air travel. All programs are administered consistent with danbury hospital's financial assistance policy.”

“Surgery service line inpatient cases: major joint replacement - 602 trauma surgery - 596 minor gi surgery - 285 general surgery - 397 urology surgery - 214 colon/bowel surgery - 272 obesity surgery - 82 spinal surgery - 394 all other inpatient surgery - 645 outpatient service line cases: abdomen gi surgery - 1,285 breast surgery-non plastic - 338 endoscopy - 13,555 misc. General surgery - 379 oral surgery - 103 opthalmology - 566 urology - 729 head/neck surgery - 210 plastic surgery - 350 all other outpatient surgery - 1,988 general surgery: danbury hospital's surgeons are continually recognized for their experience, excellent outcomes, and expertise in minimally invasive surgical techniques. Danbury hospital is joint commission accredited with gold seal of distinction we also have the following specialty designations: certification and gold seal of distinction for excellence in palliative care certification and gold seal of distinction for excellence in spine certification and gold seal of distinction for excellence in stroke certification and gold seal of distinction for excellence in total hip replacement certification and gold seal of distinction for excellence in total knee replacement circle of life award: celebrating innovation of palliative and end-of-life care american hospital association certification at danbury hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence in laparoscopic techniques performed in many surgical specialties including weight loss, colorectal, and general surgical procedures. For robotic surgery, we use the latest, most advanced robotic technology available, the da vinci surgical system. We are committed to staying at the forefront of innovation, equipping our surgeons with sophisticated technology so they can offer innovative surgical procedures here in our community. Our da vinci surgical system gives surgeons better visualization and tools that improve dexterity. With more control they can operate with greater precision. Our doctors use this advanced technology to perform a wide range of procedures, including single-incision robotic surgery. As a level ii trauma center, danbury hospital's team of board certified surgeons provide immediate, 24/7 care for acute and life-threatening injuries to children and adults. Orthopedic surgery: our center for advanced orthopedic and spine care has earned the "center of excellence" designation from the joint commission for providing comprehensive, multidisciplinary care, including hip, knee, shoulder, and ankle replacement. Our danbury hospital orthopedic surgeons offer a wide array of joint replacement procedures. Digestive disease: our expert general and digestive disease surgeons specialize in major and minor surgical procedures of the abdomen, digestive tract, endocrine system, breasts, skin and blood vessels. Urologic surgery: procedures performed include: extracorporeal shock wave lithotripsy for kidney stones; laparoscopic nephrectomy, minimally invasive photo-vaporization of the prostate; minimally invasive surgical treatment for female incontinence and pyeloplasty. Danbury hospital's colon and rectal surgeons treat a variety of anorectal conditions using surgical intervention. Bariatric/weight loss surgery: at danbury hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence”

“Cardiovascular services danbury hospital's cardiovascular service line consists of the following services: inpatient cases: cardiac medicine - 1,347 cardiac surgery - 136 cardiac pci medicine - 327 cardiac vascular surgery - 222 all other inpatient cardiovascular services - 477 outpatient service line cases: anticoagulation clinic - 5,145 cardiac diagnostic clinic - 10,154 non invasive vascular lab - 5,804 cardiac rehabilitation - 1,408 all other outpatient cardiovascular services - 10,642 danbury hospital offers a premier cardiovascular program to meet the needs of patients with cardiac and vascular problems. Led by a specialist team of cardiologists, interventional cardiologists and vascular surgeons, this program has achieved wide acclaim for providing leading-edge prevention, diagnosis, treatment and rehabilitation of cardiovascular disease. We offer the full spectrum of advanced treatments and procedures for cardiovascular disease. Among the advanced treatments and procedures we provide are: abdominal aortic aneurysm (aaa) surgery; angioplasty; aortic valve replacement; cardioversion; catheter ablation; deep vein thrombosis (dvt) therapy; heart bypass surgery; hybrid convergent procedure for atrial fibrillation (afib); mitral valve repair/replacement; open heart surgery; pacemaker and icd placement; stent placement; tavr; and thoracic aortic aneurysm surgery. Awards & accreditations *get with the guidelines heart failure gold plus with type 2 diabetes honor roll 2021, american heart association *get with the guidelines mission lifeline stemi receiving center gold plus 2021, american heart association *high performing in heart failure treatment & high performing in copd treatment *u.s. News & world report high performance ranking *chest pain center with primary pci accreditation *society of cardiovasculas patient care (scpc) prior to 2018 and the american college of cardiology 2018-2021 all programs are administered consistent with danbury hospital's financial assistance policy.”

“Healthcare professionals: program service expenses 93,499,560. Management and general expenses 12,329,031. Fundraising expenses 0. Total expenses 105,828,591. Purchase services: program service expenses 36,926,913. Management and general expenses 4,871,548. Fundraising expenses 0. Total expenses 41,798,461.”

“Although contributions are reflected on form 990, part i, line 8, all fundraising expenses were incurred by the danbury hospital & new milford hospital foundation, inc.”

“Change in equity interest in the foundations 22,324,084. Cumulative effect adjustment upon adoption of asc842 leases -1,042,620. Wchni, llc partnership k-1 12,483.”