Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

About This Notice

This Joint Notice of Privacy Practices (“Notice”) describes the privacy practices of the Cadia Healthcare (“Cadia”) organized health care arrangement (“OHCA”). This Notice applies to the entities, sites, locations, and persons that operate as part of this OHCA and are presenting this document as a joint notice of privacy practices. These include Cadia facilities and other sites of service, employees, contractors, trainees, and volunteers of such entities, members of their medical staffs and their approved personnel when providing services to you at a Cadia location; and any other members of the workforce of a Cadia entity who is authorized to use or access your health information (collectively, “we” or “us”). The Cadia Healthcare entities covered by this Notice include: Cadia Rehabilitation Broadmeadow, Cadia Rehabilitation Capitol, Cadia Rehabilitation Pike Creek, Cadia Rehabilitation Renaissance, and Cadia Rehabilitation Silverside. Any questions about the Cadia entities that follow this Notice, please see our website https://cadiahealthcare.com or call the Cadia Privacy Officer at (484) 731-2488.

We have formed an OHCA to enable us to better address your health care needs by simplifying the ways we protect and use your health information. The OHCA allows us to provide you with this single Notice and to efficiently share your health information among ourselves for purposes of treatment, payment, and health care operations. For example, when physicians, nurses, and other individuals who are not employed by a Cadia entity provide health care to you at a Cadia location, they are part of the Cadia OHCA and abide by this Notice. However, each member of the OHCA retains its own legal identity. By participating in the OHCA, no member is providing health care services for, or on behalf of, another member of the OHCA. For the remainder of this Notice, Cadia shall refer to those entities, sites, locations, and persons that operate as part of the Cadia Healthcare OHCA.

This Notice also describes your rights and our duties with respect to your protected health information. “Protected health information” is information about you that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services.

We must follow the privacy practices that are described in this Notice while it is in effect. If you have any questions about this Notice, please contact the Privacy Officer at (484) 731-2488 or CadiaPrivacyOfficer@cadiahealthcare.com.

How We May Use and Disclose Your Protected Health Information

The following categories describe the different ways that we may use and disclose your protected health information. These examples are not meant to be exhaustive, but to illustrate the types of uses and disclosures that may be made by Cadia. However, Cadia may never have a reason to make some of these disclosures. Furthermore, Cadia is always prohibited from using or disclosing your protected health information to:

• conduct a criminal, civil, or administrative investigation into, or impose criminal, civil, or administrative liability on, any person for the mere act of seeking, obtaining, providing, or facilitating reproductive health care, where such health care is lawful under the circumstances in which it is provided; or
• identify any person for the purpose of conducting such investigation or imposing such liability.

In all cases described in this Notice, if we have your substance use disorder patient records subject to 42 CFR part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your written consent or (2) a court order accompanied by a subpoena or other legal requirement compelling disclosure.

For Treatment

We may use and disclose your protected health information to provide, coordinate, or manage your health care treatment and any related services. We may also disclose your protected health information to other third-party providers involved in your health care. For example, your protected health information may be provided to a physician or other health care provider (e.g. a specialist or laboratory) to whom you have been referred to ensure that the physician or other health care provider has the necessary information to diagnose or treat you. Certain information, including records protected by 42 CFR Part 2, may require your written consent before being disclosed for this purpose.

For Payment

We may use and disclose your protected health information so that the treatment and health care services you receive may be billed to you, your insurance company, a government program, or third-party payors. This may include certain activities that your health insurance plan may undertake before it approves, or pays for, the health care services we recommend for you, such as making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities. For example, we may provide your health plan with medical information about the health care services Cadia rendered to you for reimbursement purposes. Certain information, including records protected by 42 CFR Part 2, may require your written consent before being disclosed for this purpose.

For Health Care Operations

We may use and disclose your protected health information for health care operation purposes. These uses and disclosures are necessary to make sure all of our residents receive quality care and for our operation and management purposes. For example, we may use your protected health information to review the quality of the treatment and services you receive and to evaluate the performance of our team members in caring for you. We also may disclose information to doctors, nurses, technicians, medical students, and other personnel for educational and learning purposes. Certain information, including records protected by 42 CFR Part 2, may require your written consent before being disclosed for this purpose.

Fundraising Activities

We may use or disclose your demographic information and dates of services provided to you, as necessary, in order to contact you for fundraising activities supported by Cadia. You have the right to opt out of receiving fundraising communications. If you do not want to receive these materials, please submit a written request to your Facility Administrator. If we have your substance use disorder patient records subject to 42 CFR part 2, we will give you clear and conspicuous notice in advance and a choice about whether to receive fundraising communications that use your Part 2 information.

Resident Directory

Unless you object, we may use and disclose in our resident directory your name, your location in the community, your general condition and your religious affiliation. All of this information, except religious affiliation, may be disclosed to people that ask for you by name. Members of the clergy will be told your religious affiliation. You have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment.

Others Involved in Your Healthcare

Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify a family member, personal representative or any other person that is responsible for your care of your general condition, status, and location. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.

Required by Law

We may use or disclose your protected health information to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures.

Public Health and Safety

We may disclose your protected health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. The disclosure will be made for the purpose of controlling disease, injury, or disability. We may also disclose your protected health information, if directed by the public health authority, to a foreign government agency that is collaborating with the public health authority.

Business Associates

We may disclose your protected health information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. To protect your health information, we require the business associate to appropriately safeguard your information.

Communicable Diseases

We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.

Health Oversight

We may disclose your protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws. We will not disclose your protected health information related to reproductive health care in response to requests made for this purpose unless we receive a signed attestation from the requestor that the use or disclosure is not for a purpose prohibited by law. For example, we can continue to disclose protected health information to an Inspector General where the protected health information is sought to conduct an audit for health oversight purposes.

Abuse or Neglect

We may disclose your protected health information to a public health authority that is authorized by law to receive reports of abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect, or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.

Food and Drug Administration

We may disclose your protected health information to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations, track products to enable product recalls, to make repairs or replacements, or to conduct post marketing surveillance, as required by law.

Legal Proceedings

We may disclose your protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), and in certain conditions in response to a subpoena, discovery request, or other lawful process. We will not disclose your protected health information related to reproductive health care in response to requests made in the course of any judicial or administrative proceeding (for example, if we receive a request from a party to litigation requesting production of records related to your reproductive health care) unless we receive a signed attestation from the requestor that the use or disclosure is not for a purpose prohibited by law. We will not disclose your protected health information containing records subject to 42 CFR Part 2 in connection with any judicial or administrative proceeding, except as outlined in the “Special Protections” section below.

Law Enforcement

We may disclose your protected health information, so long as applicable legal requirements are met, for law enforcement purposes. We will not disclose your protected health information related to reproductive health care in response to requests made for law enforcement purposes unless we (i) receive a signed attestation from the requestor that the use or disclosure is not for a purpose prohibited by law, (ii) the disclosure is required by law, and (iii) the disclosure otherwise meets all applicable conditions under HIPAA related to the use and disclosure of protected health information as required by law.

Coroners, Funeral Directors, and Organ Donation

We may disclose your protected health information to a coroner or medical examiner for identification purposes, determining cause of death, or for the coroner or medical examiner to perform other duties authorized by law. We may also disclose your protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out its duties. We may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaveric organ, eye, or tissue donation purposes. We will not disclose your protected health information related to reproductive health care in response to requests made by coroners or medical examiners for these purposes unless we receive a signed attestation from the requestor that the use or disclosure is not for a purpose prohibited by law.

Research

We may disclose your protected health information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.

Serious Threat to Health or Safety

Consistent with applicable federal and state laws, we may disclose your protected health information to prevent or lessen a serious threat to your health and safety or to the health and safety of another person or the public.

Military Activity and National Security

If you are involved with military, national security, or intelligence activities or if you are in law enforcement custody, we may disclose your protected health information to authorized officials so they may carry out their legal duties under the law.

Workers’ Compensation

We may disclose your protected health information as authorized for workers’ compensation or other similar programs that provide benefits for a work-related illness.

For Data Breach Notification Purposes

We may use or disclose your protected health information to provide legally required notices of unauthorized access to, or disclosure of, your health information.

Required Uses and Disclosures

Under the law, we must make disclosures to you and when required by the Secretary of the U.S. Department of Health and Human Services to investigate or determine our compliance with the requirements of HIPAA.

Special Protections for HIV, Alcohol and Substance Abuse, Mental Health and Genetic Information

Certain federal and state laws may require special privacy protections that restrict the use and disclosure of certain health information, including HIV-related information, alcohol and substance abuse information, mental health information, and genetic information. Some parts of this Notice may not apply to these types of information.

Substance use disorder treatment records received from programs subject to 42 CFR part 2, or testimony relaying the content of such records, shall not be used or disclosed in civil, criminal, administrative, or legislative proceedings against the individual unless based on written consent, or a court order after notice and an opportunity to be heard is provided to the individual or the holder of the record, as provided in 42 CFR part 2. A court order authorizing use or disclosure must be accompanied by a subpoena or other legal requirement compelling disclosure before the requested record is used or disclosed.

Uses and Disclosures of Protected Health Information Based Upon Your Written Authorization

The following uses and disclosures will be made only with your written authorization:

• Most uses and disclosures of psychotherapy notes;
• Uses and disclosures of protected health information for marketing purposes; and
• Disclosures that constitute a sale of protected health information.

Other uses and disclosures of your protected health information not described in this Notice will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke this authorization, at any time, in writing, except to the extent that Cadia has taken an action in reliance on the use or disclosure indicated in the authorization. Additionally, if a use or disclosure of protected health information described above in this Notice is prohibited or materially limited by other laws that apply to use, it is our intent to meet the requirements of the more stringent law.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this Notice and give you a copy of it upon request. We will not use or share your information other than as described in this Notice unless you tell us we can in writing. If you tell us we can, you may change your mind at any time by notifying the Privacy Officer in writing. If we have your substance use disorder patient records subject to 42 CFR part 2, we will not use or share those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your written consent or (2) a court order accompanied by a subpoena or other legal requirement compelling disclosure.

Your Rights Regarding Your Protected Health Information

The following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.

Right to be Notified if there is a Breach of Your Protected Health Information

You have the right to be notified upon a breach of any of your unsecured protected health information.

Right to Inspect and Copy

You may inspect and obtain a copy of your protected health information that is contained in your medical and billing records and any other records that Cadia uses for making decisions about you. To inspect and copy your medical information, you must submit a written request to your Facility Administrator. If the information requested is maintained in electronic form and you request a copy in electronic form, we will provide the information to you (if it is readily producible) in the requested electronic format. If you request a copy of your information, whether in electronic or paper form, we may charge you a reasonable fee for the costs of copying, mailing, or other costs incurred by us in complying with your request. Under federal law, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and protected health information that is subject to law that prohibits access to protected health information. Depending on the circumstances, we may deny your request to inspect and/or copy your protected health information. A decision to deny access may be reviewable. Please contact your Facility Administrator or the Cadia Privacy Officer if you have questions about access to your medical record.

Right to Request Restrictions

You may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment, or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice. To request a restriction on who may have access to your protected health information, you must submit a written request to your Facility Administrator. Your request must state the specific restriction requested and to whom you want the restriction to apply.

Cadia is not required to agree to a restriction that you may request, unless you are asking us to restrict the use and disclosure of your protected health information to a health plan for payment or health care operation purposes and such information you wish to restrict pertains solely to a health care item or service for which you have paid us “out-of-pocket” in full. If we believe it is in your best interest to permit the use and disclosure of your protected health information, your protected health information will not be restricted. If we do agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment.

Right to Request Confidential Communication

You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. You must request this by submitting a written request to your Facility Administrator.

Right to Request Amendment

You may request an amendment of your protected health information contained in your medical and billing records and any other records that Cadia uses for making decisions about you, for as long as we maintain the protected health information. You may request an amendment by submitting to the Facility Administrator a written request which includes the reason(s) that support your request. In certain cases, we may deny your request for an amendment. If we deny your request for an amendment, you will receive the reason in writing for denial within 60 days. You have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.

Right to an Accounting of Disclosures

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. This right applies to disclosures for purposes other than treatment, payment, or healthcare operations as described in this Notice. It excludes disclosures we may have made to you, for a resident directory, to family members or friends involved in your care, or for notification purposes. The right to receive this information is subject to certain exceptions, restrictions, and limitations. You may request an accounting of disclosures by submitting to the Facility Administrator a written request which includes the reason(s) that support your request.

Right to Obtain a Paper Copy of this Notice

You have the right to receive a paper copy of this Notice even if you have agreed to receive this notice electronically. You may ask us to give you a copy of this notice at any time. To obtain a paper copy of this Notice, you can contact your Facility Administrator.

Designate Someone to Act for You

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure that this person has the authority and can act for you before we take any action. If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

Complaints or Questions

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information found at the bottom of this notice. You can file a complaint with the Secretary of the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling (877) 696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html. All complaints must be submitted in writing. Cadia will not retaliate against you for filing a complaint.

If you have a question about this Notice, please contact your Facility Administrator or Cadia’s Privacy Officer at the address listed below.

Changes to This Notice

We reserve the right to change this Notice at any time. The new Notice will be effective for all health information we already have about you as well as any information we receive in the future. You can also obtain a revised Notice by contacting your Facility Administrator or Cadia’s Privacy Officer at the address listed below.

This Notice is effective as of June 22, 2026.