Sharon Hospital, currently part of a seven-hospital system operated by Nuvance Health, may become part of a 28-hospital system under Northwell Health if an agreement between Northwell and Nuvance is approved by regulators.
NEW HYDE PARK — Nuvance Health will combine with Northwell Health, the largest health provider in New York state, to form a 28-hospital system that spans the New York-Connecticut border, the two organizations announced Wednesday, Feb. 28.
Before the agreement is finalized, it must be approved by New York, Connecticut and the Federal Trade Commission.
Nuvance Health, based in Danbury, Connecticut, operates seven hospitals in western Connecticut and Dutchess County, including Sharon Hospital and Northern Dutchess Hospital in Rhinebeck, while Northwell, based in New Hyde Park, operates 21 hospitals and nearly 900 outpatient facilities. According to Northwell, its 85,000 employees also make the system the largest private employer in New York state.
“This partnership opens a new and exciting chapter for Northwell and Nuvance and provides an incredible opportunity to enhance both health systems and take patient care and services to an even higher level,” said Michael Dowling, president and CEO of Northwell Health, in a statement.
Nuvance Health, has been struggling financially. At Sharon Hospital, which loses some $20 million annually, Nuvance hoped to cut losses by closing the maternity ward, which it said loses $3 million a year. Its application to close the unit was denied by Connecticut in February.
Sharon Hospital’s losses are not unique in the Nuvance network. Nuvance as a whole, apart from a $6 million net gain in 2021, has been operating at annual net losses of eight and nine figures since its formation in 2019.
Last summer, its outstanding debt was downgraded again by S&P and by Moody’s; Moody’s noted that Nuvance’s “next several quarters” would be “pivotal.” For its fiscal year ending Sept. 30, 2023, Nuvance posted a net loss of $121.5 million.
In a statement, Dr. John M. Murphy, president and CEO of Nuvance Health, said that “By joining forces with Northwell Health, we are taking a giant leap forward in our shared mission to enhance the quality, accessibility and equity of the health care we provide to our communities.”
In their joint announcement, the two companies stated that “Northwell will make significant investments in Nuvance Health,” and that the “integration” would create more, and better, health care jobs.
Asked what this means in Sharon, Sharon Hospital CEO Christina McCulloch noted that “the details of what will happen, if all gets approved” and the Nuvance system becomes part of Northwell Health, “are yet to be determined.” But, she said, “Northwell has agreed to invest in all of the [Nuvance] hospitals if this does come to be” and if the deal gets approved, the agreement will strengthen SH’s ability to provide care.”
“The news of Nuvance’s merger into Northwell Health comes at a time of general consolidation of healthcare systems across our state,” observed state Rep. Maria Horn (D-64).
“I understand the financial challenges Nuvance has been facing,” said Senate Republican Leader Stephen Harding, whose district includes New Milford and Sharon. He continued: “I am encouraged to hear that ‘patient-facing’ jobs are not in jeopardy. I am also encouraged to hear that key investments will be made and that health care access will be increase.”
Harding added: “however, like many, I have significant concerns for myself and my fellow neighbors in the 30th Senate District. Ensuring that existing medical services in our local hospitals remain fully open and operational, particularly Sharon Hospital’s Labor and Delivery Unit, is of the utmost importance to me, and I hope it remains of utmost importance to Connecticut’s Office of Health Strategy as they review this merger.”
McCulloch noted that the arrangement between Nuvance and Northwell is not legally considered a merger or an acquisition but an “agreement.”
Also noting Nuvance’s financial difficulties, District 19 Dutchess County Legislator Chris Drago said he hoped that this deal would end Nuvance’s attempts to cut services at Sharon Hospital. He also said that he hopes that it will improve the hospital’s ability to attract and retain staff and medical talent to better serve the community.
“I do worry that typically consolidation drives cost up and quality down,” he said. “I’m cautiously optimistic.”
Horn shared: “In my conversations with Sharon Hospital leadership, it has been suggested that the significant resources of the new system will lead to increased support for Sharon Hospital and the community it serves. I look forward to learning about the system’s strategic commitment to Sharon Hospital specifically, and look forward to a public process at which these questions can be addressed.”
Nuvance and Northwell describe an “integrated healthcare system.” The organizations say that the deal will grant “local communities” access to “coordinated care across western Connecticut, the Hudson Valley, New York City and Long Island.” They also promise that both Northwell and Nuvance will “continue to provide care to anyone, regardless of their ability to pay.”
The terms of the deal, which is still subject to state and federal approval, are not clear for Sharon Hospital, said McCulloch.
Amy Forni, a spokeperson for Nuvance Health, said that Nuvance expects to be filing for approval for the agreement in the coming months.
McCulloch noted that the regulatory and approval process could, Nuvance estimates, take a year or more.
1909 — Sharon Hospital is founded in a rented house by Dr. Jerome Chaffee.
1916 — A new building opens with 16 beds and three nurses.
1947 — Dr. Chaffee dies.
2002 — The nonprofit hospital is purchased by Essent Healthcare of Tennessee, becoming the first for-profit hospital in the state. A group called Save the Hospital was formed to protest the sale.
2011 — Essent Healthcare merges with RegionalCare Hospital Partners, also based in Tennessee.
2016 — Health Quest takes over Sharon Hospital from Essent and it becomes a nonprofit again.Health Quest was formed from the merger of three hospitals: Vassar Brothers in Poughkeepsie; Northern Dutchess Hospital in Rhinebeck; and Putnam Hospital Center in Carmel.
2019 — Health Quest merges with Western CT Health Network, with hospitals in Danbury, Norwalk and New Milford, to become Nuvance Health.
2024 — Nuvance Health announced plan to join nonprofit hospital system Northwell Health.
Residents of Silo Ridge and Amenia Fire and Ambulance volunteers posed with a big check in front of the volunteer ambulance Sunday morning, Nov. 17.
AMENIA — Jamie Vitiello presented a check for $50,000 to the Amenia Volunteer Ambulance Corps Sunday morning, Nov. 17, during the Amenia Fire Company’s pancake breakfast at the fire house.
Vitiello said he heard about the ambulance corps’ need for a life-saving device called the Lund University Cardiopulmonary Assist System device, or LUCAS device for short. The LUCAS device assists emergency responders in applying chest compressions. The mechanical device can be situated around a person’s chest in the case of cardiac arrest and used to provide compressions that are more consistent and generally safer than a human providing CPR.
“I sent out a text in the morning and then went to Town Hall,” Vitiello said. “By the time I had gotten to Town Hall we had raised $25,000. By the end of the day we had raised the whole $50,000.”
The LUCAS device cost just over $20,000 to purchase. Vitiello said the remainder of the $50,000 donation will go to the Ambulance Corps fund to support regular costs like ambulance maintenance.
The donation was made in the name of Silo Ridge residents in association with the Amenia-Wassaic Community Organization.
MILLERTON — In what Mayor Jennifer Najdek has described as “a huge bump for us,” New York State has awarded Millerton an Intermunicipal Water Infrastructure Grant (IMG) to fund various projects which continuously monitor and improve local water quality. The size of the grant is a generous $5,082,099, an amount which cannot be exceeded.
The official acceptance of the grant, which is application-based, came together fairly quickly as officials had only one week to decide. With the knowledge looming that grant requests may be bypassed or allocated to other communities without a decision being reached, Millerton leadership aligned after careful consideration at a special meeting held last week, signing off on Nov. 8. With the grant now secured, Najdek is optimistic Millerton can now move forward on pending wastewater concerns like water treatment and stormwater projects, saying “This project has great potential to happen now.”
One downside regarding the grant, however, is the impact the award will have on additional grants. As the mayor explains it, this grant differs from others in that it must be combined with other grants and the amount may eventually be reduced, contingent on the awarding of additional grants or projects running under budget.
Najdek also pointed out the downsides of future wastewater projects, citing potential impacts on the implementation of new businesses on Main Street, but it’s a hurdle to leap when — and if — the time comes. Her focus is firm on the benefits of the grant and the projects which may result from the award. She was quick to quell concerns of residents outside the district who have voiced taxation concerns connected to wastewater projects, pointing out they will not be impacted. “This is important,” said Najdek. “It’s about slow, sustainable growth … and it’ll maintain the character of the village.”
Dan Aymar-Blair
MILLERTON — Democrat Dan Aymar-Blair defeated Republican A. Gregg Pulver in the race for County Comptroller, according to unofficial results of the Dutchess County Board of Elections after a count of affidavit and absentee ballots.
As of Friday, Nov. 15, Aymar-Blair was ahead of Gregg Pulver by 850 votes. Aymar-Blair declared victory on Friday.
“I am humbled and honored by the trust Dutchess County residents have placed in me. This victory affirms that taxpayers want a watchdog who will make sure the county’s budget is working for them,” he said in a statement published on the Dutchess County Democratic Committee’s website.
Aymar-Blair, who has experience in municipal finance, currently oversees business operations at New York City’s public school’s special education program, and is serving a third term on the Beacon City Council. He is expected to assume his new post in January, completing the term of former Comptroller Robin Lois. Aymar-Blair would run for reelection in 2025.
Pulver was appointed Comptroller in November 2023 by then County Executive William F.X. O’Neill following the resignation of Lois. Prior to his appointment by O’Neill, Pulver was Chairman of the Dutchess County Legislature. Pulver, a third-generation farmer from Pine Plains, had served several two-year terms as a County legislator and also had served as a local school board member and town supervisor.
“I want to thank all those who supported our campaign over the last 10 months,” Pulver said in a statement on Monday, Nov. 18. “This was an absurdly close race and it’s clear that the work our office has done bringing true fiscal stewardship to the County was a strong message.”
The Board of Elections is scheduled to certify the 2024 elections on Nov. 30.
MILLERTON — The Town of North East discussed the next steps for the Zoning Review Committee during its board meeting on Thursday, Nov. 14.
Edith Greenwood, committee chair and vice chair of the North East Zoning Board of Appeals, joined the Town Board meeting to share what the committee has completed in the last four years.
“The review is a result of the Comprehensive Plan … which was adopted in 2019, and the logical planning progression is a visioning document of where you want your town to go,” Greenwood said. “And the next step is to incorporate those concepts, those goals in your code.”
The Zoning Review committee has spent a large portion of its time redoing the zoning for the Town of North East’s commercial district. This part of the town stretches from Route 44 to the Connecticut border and mostly consists of commercial buildings.
“We retained a consultant who has been the town planner for probably ten years and is very knowledgeable about our situation,” Greenwood said. “We grappled with where to start, and we decided that it made sense to start with commercial.”
According to Greenwood, the most significant change to the code is moving the special permitting process from the Zoning Board of Appeals to the Planning Board. This will prevent applicants from having to go back and forth between different boards.
“There are two other sections which we have had to address because of the complexity of codes and the way it overlaps,” said Greenwood, “but we have not taken a substantive view of the residential, or what we call Land Conservancy, our wetlands issue … We have not made any changes to the outer boundaries of any of the three sections we looked at. We’ve reconfigured the Boulevard District. It currently has six sections. It’s gone down to three sections.”
The committee’s plans show that an applicant requires a special permit and site plan approval, which will allow a municipality an extra level of protection.
“What we are handing over to you today does include some aspects of the residential and the land conservation, but they’re far from flush and where we needed to just pull this together and make sense of the zoning document,” Greenwood said, “There should be a part B to this process, we’re definitely more than halfway through, maybe we are even 60%, but there is more work to be done to complete this code, especially on the housing.”
“What I would really like to point out to people is that this is a committee of volunteers who have met on 90 occasions to go through the zoning of the Boulevard District,” Town Supervisor Chris Kennan said. “That’s a lot of hours of people’s personal time spent trying to make this town better.”
The board reviewed the Town of North East’s budget and announced a new negotiation with Northern Dutchess Paramedics.
Previously, the town had a five-year contract with NDP for Emergency Medical Services (EMS) alongside the towns of Dover and Amenia. The Town of North East paid NDP 2% more each year during the contract.
NDP has recently pitched a new contract with North East that would cost $646,300, increasing its budget by 71%. According to Kennan, with that budget, town residents outside of the Village of Millerton would see an increase in their tax rate by 1.16%.
“That contract ends at the end of December, so we have been negotiating with Northern Dutchess Paramedics over their proposed increase,” said Kennan, “The increase that they had proposed, we’ve written about, we’ve talked about at previous meetings, was really overwhelmingly intolerable for the town. It was a huge, huge increase.”
North East also looked into a different contractor, Empress, who services the western and southwestern parts of the county. However, their proposal was “wildly” more expensive than NDP’s first offer. Now, the town has met with NDP and reached a new contract price of $511,558, a reduction of $134,742.
“The reasons for their increase are that they were locked into a contract for five years, which each year had a 2% increase and going through the period of COVID,” Kennan said. “Everyone knows we have seen inflation in all kinds of different items, in labor costs, particularly in materials, especially medical costs, the cost of an ambulance itself has gone up dramatically, so they were basically struggling to deliver the service to the town for these past few years.”
The town board will hold a special meeting on Tuesday, Nov. 19, at 5:30 p.m. to finalize and adopt the revised budget.
Pro-housing pledge
The Town Board members signed a pro-housing pledge, stating that they were aware of the lack of housing for New York state residents and that income levels negatively affected future economic viability.
“The housing crisis has negative effects at regional and local levels, and whereas we believe that every community must do their parts to contribute to housing growth and benefit from positive impacts a healthy housing market brings to the community,” Town Clerk Tilly Strauss said, reading from the pledge.
Supervisor Kennan said he has met with the management of the Millerton Gun Club to discuss the town’s concerns and to limit the club’s shooting hours.
“I have met with the management of the gun club on multiple occasions and expressed our desire to have them think about not having shooting on Sunday and not having shooting permitted after five o’clock or sundown during the day to give people the opportunity to enjoy their evenings without gunfire,” Kennan said.
The town has received a speed reduction request on Route 22 from Chuck Road to the Village of Millerton line. The request asks the town to reduce the speed limit from 55 to 45 miles per hour.
“Chuck Road to the Village of Millerton has seen increased traffic and dangerous intersections,” Strauss said. “The highway superintendent and the town board have determined that the current speed limit of 55 miles per hour on this portion of Route 22 is too high, resulting in hazardous and dangerous conditions.”
