BRIDGEPORT HOSPITAL FOUNDATION INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- BRIDGEPORT HOSPITAL FOUNDATION INC (EIN 22-2908698)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-11
- IRS object ID
- 201612249349300211
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-11T07:58:02-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FINANCIAL PLAZA 755 MAIN STREET | AddressLine1Txt |
| City | HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222908698 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGEPORT HOSPITAL FOUNDATIONINC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRID | BusinessNameControlTxt |
| Phone | 2036886088 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 267 GRANT STREET | AddressLine1Txt |
| City | BRIDGEPORT | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06610 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN JAKAB | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2036886088 | PhoneNum |
| Signature | 2016-08-02 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY-EVELYN ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 8602976085 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN JAKAB | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 267 GRANT ST | AddressLine1Txt |
| City | BRIDGEPORT | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $57,858,117 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://FOUNDATION.BRIDGEPORTHOSPITAL.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | FUNDRAISING FOR BRIDGEPORT HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,773,362 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,085,513 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $761,586 | PYInvestmentIncomeAmt |
| CY Investment Income | $146,636 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$50,262 | PYOtherRevenueAmt |
| CY Other Revenue | $225,343 | CYOtherRevenueAmt |
| PY Total Revenue | $8,484,686 | PYTotalRevenueAmt |
| CY Total Revenue | $9,457,492 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $80,518 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $97,143 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $975,480 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,510,384 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,494,126 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $860,622 | PYOtherExpensesAmt |
| CY Other Expenses | $2,047,963 | CYOtherExpensesAmt |
| PY Total Expenses | $1,916,620 | PYTotalExpensesAmt |
| CY Total Expenses | $4,655,490 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,568,066 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,802,002 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $67,842,601 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,975,415 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,030,886 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,708,244 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $65,811,715 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $69,267,171 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SUPPORT BRIDGEPORT HOSPITAL BY, IN LARGE PART, FUNDRAISING, AND, FURTHER, TO FUND AND PROMOTE ACTIVITIES OF THE YALE NEW HAVEN HEALTH SYSTEM, THE INTEGRATED HEALTH CARE DELIVERY SYSTEM OF WHICH IT IS A PART. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $806,203 | ExpenseAmt |
| Grant | $97,143 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | SCHEDULE OTHE BRIDGEPORT HOSPITAL FOUNDATION ACHIEVED $9,492,531 IN TOTAL PHILANTHROPY IN THE FISCAL YEAR ENDING SEPTEMBER 30, 2015, THE MOST EVER GIVEN TO THE FOUNDATION IN A SINGLE FISCAL YEAR IN ITS 27 YEAR HISTORY. THE NORMA PFRIEM BREAST CENTER CONTINUES TO BE THE TOP DESIGNATION FOR DONORS WITH $2,697,560 IN TOTAL CONTRIBUTIONS. THE BREAST CENTER CELEBRATED ITS 15TH ANNIVERSARY WITH ANOTHER RECORD-SETTING ROSE OF HOPE LUNCHEON, ATTRACTING 542 ATTENDEES AND RAISING MORE THAN $391,000 AFTER EXPENSES FOR ITS PROGRAMS FOR UNDERSERVED WOMEN. THE FOUNDATION BECAME ONE OF THE CHARITABLE BENEFICIARIES OF THE FAIRFIELD COUNTY HUNT CLUB'S ANNUAL HORSE SHOW IN JUNE. THE 35TH ANNUAL KAULBACH MEMORIAL GOLF CLASSIC, ALSO TO BENEFIT CANCER SERVICES, NETTED MORE THAN $135,000 AND SIGNIFICANT GIFTS TOTALING OVER $2 MILLION WERE GIVEN BY INDIVIDUAL DONORS TO HELP BUILD A NEW HYBRID OPERATING ROOM. | Desc |
| Total Program Service Expenses | $806,203 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITH TANDLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2036889642 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 789 HOWARD AVENUE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06519 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| RONALD DEFEO | ||||||||
| CHAIR/TRUSTEE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MITCHELL DRIESMAN | ||||||||
| VICE CHAIR/TRUSTEE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM JENNINGS | ||||||||
| TRUSTEE | 1.00 | 39.00 | Yes (X) | $0 | $1,228,835 | $320,176 | ||
| ROBERT STANTON | ||||||||
| TREASURER/TRUSTEE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CARLA KLEIN | ||||||||
| SECRETARY/TRUSTEE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RAYMOND CONDON | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN JAKAB | ||||||||
| PRESIDENT/TRUSTEE | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $323,764 | $40,547 | |
| NEWMAN MARSILIUS III | ||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| EMIL MESHBERG | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLEY O'CONNELL | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK SHAW | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MEREDITH REUBEN THRU 1014 | ||||||||
| CHAIR/TRUSTEE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT TREFRY RET 910 | ||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $216,182 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,768,781 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $360,723 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $762,473 | FundraisingAmt |
| Related Organizations | $441,265 | RelatedOrganizationsAmt |
| Government Grants | $1,758,996 | GovernmentGrantsAmt |
| All Other Contributions | $6,122,779 | AllOtherContributionsAmt |
| Noncash Contributions | $106,342 | NoncashContributionsAmt |
| Total Contributions | $9,085,513 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $313,240 | TotalRevenueColumnAmt |
| Exclusion | $313,240 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $47,927,601 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $48,094,205 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$166,604 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$166,604 | TotalRevenueColumnAmt |
| Exclusion | -$166,604 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $242,240 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $762,473 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $306,420 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$64,180 | TotalRevenueColumnAmt |
| Exclusion | -$64,180 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $289,523 | TotalRevenueColumnAmt |
| Exclusion | $289,523 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $289,523 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,457,492 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $371,979 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,143 | TotalAmt |
| Program Services | $97,143 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,072,238 | TotalAmt |
| Program Services | $322,341 | ProgramServicesAmt |
| Management And General | $1,070,663 | ManagementAndGeneralAmt |
| Fundraising | $679,234 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,146 | TotalAmt |
| Program Services | $68,154 | ProgramServicesAmt |
| Management And General | $226,377 | ManagementAndGeneralAmt |
| Fundraising | $143,615 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,952 | TotalAmt |
| Program Services | $45,880 | ProgramServicesAmt |
| Management And General | $152,393 | ManagementAndGeneralAmt |
| Fundraising | $96,679 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,834 | TotalAmt |
| Program Services | $908 | ProgramServicesAmt |
| Management And General | $3,014 | ManagementAndGeneralAmt |
| Fundraising | $1,912 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,618 | TotalAmt |
| Program Services | $3,363 | ProgramServicesAmt |
| Management And General | $11,169 | ManagementAndGeneralAmt |
| Fundraising | $7,086 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $923,573 | TotalAmt |
| Program Services | $143,663 | ProgramServicesAmt |
| Management And General | $477,184 | ManagementAndGeneralAmt |
| Fundraising | $302,726 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,958 | TotalAmt |
| Program Services | $18,193 | ProgramServicesAmt |
| Management And General | $60,429 | ManagementAndGeneralAmt |
| Fundraising | $38,336 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,286 | TotalAmt |
| Program Services | $40,799 | ProgramServicesAmt |
| Management And General | $135,515 | ManagementAndGeneralAmt |
| Fundraising | $85,972 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,687 | TotalAmt |
| Program Services | $1,507 | ProgramServicesAmt |
| Management And General | $5,005 | ManagementAndGeneralAmt |
| Fundraising | $3,175 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,879 | TotalAmt |
| Program Services | $40,114 | ProgramServicesAmt |
| Management And General | $133,238 | ManagementAndGeneralAmt |
| Fundraising | $84,527 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,239 | TotalAmt |
| Program Services | $2,526 | ProgramServicesAmt |
| Management And General | $8,390 | ManagementAndGeneralAmt |
| Fundraising | $5,323 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DUES,FEES AND MEMBERSHI | $61,368 | $9,546 | $31,707 | $20,115 |
| ENTERTAINMENT | $60,217 | $9,367 | $31,112 | $19,738 |
| MISCELLANEOUS EXPENSES | $17,352 | $2,699 | $8,965 | $5,688 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,655,490 | TotalAmt |
| Program Services | $806,203 | ProgramServicesAmt |
| Management And General | $2,355,161 | ManagementAndGeneralAmt |
| Fundraising | $1,494,126 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $913,458 | BOYAmt |
| EOY | $865,775 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,739,217 | BOYAmt |
| EOY | $838,612 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,158,491 | BOYAmt |
| EOY | $865,382 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,472 | BOYAmt |
| EOY | $127,990 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,690,610 | BOYAmt |
| EOY | $19,310,843 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,039,353 | BOYAmt |
| EOY | $49,836,813 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,000 | BOYAmt |
| EOY | $130,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,842,601 | BOYAmt |
| EOY | $71,975,415 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,211 | BOYAmt |
| EOY | $95,722 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,960,675 | BOYAmt |
| EOY | $2,612,522 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,030,886 | BOYAmt |
| EOY | $2,708,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,453,979 | BOYAmt |
| EOY | $34,763,984 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,023,082 | BOYAmt |
| EOY | $17,035,486 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,334,654 | BOYAmt |
| EOY | $17,467,701 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,811,715 | BOYAmt |
| EOY | $69,267,171 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,842,601 | BOYAmt |
| EOY | $71,975,415 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,802,002 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,077,534 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,424,081 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,886,587 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,399,311 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,421,332 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,773,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,085,513 | CurrentTaxYearAmt |
| Total | $40,566,105 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,886,587 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,399,311 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,421,332 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,773,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,085,513 | CurrentTaxYearAmt |
| Total | $40,566,105 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $11,354,467 | SubstantialContributorsTotAmt |
| Public Support Total170 | $29,211,638 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,441,126 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $563,964 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $507,534 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $494,078 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $313,240 | CurrentTaxYearAmt |
| Total | $3,319,942 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $289,523 | CurrentTaxYearAmt |
| Total | $289,523 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $44,175,570 | TotalSupportAmt |
| Public Support CY170 | 0.66130 | PublicSupportCY170Pct |
| Public Support PY170 | 0.64890 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,237,000 | BeginningYearBalanceAmt |
| Contributions | $2,287,000 | ContributionsAmt |
| Investment Earnings Or Losses | $609,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,129,000 | OtherExpendituresAmt |
| End Year Balance | $21,004,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,733,000 | BeginningYearBalanceAmt |
| Contributions | $2,178,000 | ContributionsAmt |
| Investment Earnings Or Losses | $473,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,147,000 | OtherExpendituresAmt |
| End Year Balance | $19,237,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,098,000 | BeginningYearBalanceAmt |
| Contributions | $3,319,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$35,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$649,000 | OtherExpendituresAmt |
| End Year Balance | $17,733,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,858,000 | BeginningYearBalanceAmt |
| Contributions | $874,000 | ContributionsAmt |
| Investment Earnings Or Losses | $418,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$52,000 | OtherExpendituresAmt |
| End Year Balance | $15,098,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,034,000 | BeginningYearBalanceAmt |
| Contributions | $1,805,000 | ContributionsAmt |
| Investment Earnings Or Losses | $59,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$40,000 | OtherExpendituresAmt |
| End Year Balance | $13,858,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.83000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.17000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ENDOWMENT POOL | $49,384,833 | F |
| PERPETUAL TRUST | $451,980 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $49,836,813 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO BRIDGEPORT HOSPITAL | $2,293,230 |
| P.V. OF FUTURE ANNUITY-IRELAND | $12,836 |
| P.V. OF FUTURE ANNUITY-YURKSAITIS | $133,026 |
| P.V. OF FUTURE ANNUITY-MACDONALD | $156,295 |
| P.V. OF FUTURE ANNUITY-BODINE | $10,306 |
| P.V. OF MINORITY INT- SPINELLI | $6,829 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,612,522 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT BRIDGEPORT HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE BRIDGEPORT HOSPITAL POOLED INVESTMENT POLICY. |
| PART X, LINE 2: | THE CONSOLIDATED FINANCIAL STATEMENTS OF BRIDGEPORT HOSPITAL AND SUBSIDIARIES INCLUDE THE FOOTNOTE AS FOLLOWS: THE HOSPITAL AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. PROPERTIES IS A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(2) OF THE CODE AND ALSO IS NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ROH LUNCH | Event1Nm |
| Gross Receipts Event1 | $531,586 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $455,096 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $76,490 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $155,794 | OtherDirectExpensesEvent1Amt |
| Event2 | KAULBACH | Event2Nm |
| Gross Receipts Event2 | $199,117 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $122,090 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $77,027 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $56,246 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 6 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $274,010 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $185,287 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $88,723 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $94,380 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $1,004,713 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $762,473 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $242,240 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $306,420 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $306,420 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$64,180 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | NURSING SCHOLARSHIP | GrantTypeTxt |
| Recipient | 106 | RecipientCnt |
| Cash Grant | $97,143 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE GRANT WRITER IN THE BRIDGEPORT HOSPITAL FOUNDATION SUPPORTS CLINICAL AND PROGRAM STAFF GRANTEES IN COMPLYING WITH THE VARIOUS REQUIREMENTS ASSOCIATED WITH STATE, FEDERAL, AND PRIVATE GRANTS, INCLUDING THE FOLLOWING: -MAINTAINING FILES FOR EACH GRANT THAT CONTAIN THE GRANT APPLICATION AND PROGRAM GUIDANCE, THE NOTICE OF GRANT AWARD, ANY ASSOCIATED CONTRACTS OR MEMORANDA OF AGREEMENT/UNDERSTANDING, COPIES OF CHECKS, AND CORRESPONDENCE RELATED TO THE GRANT; -PREPARING PROGRAM AND FINANCIAL REPORTS IN COMPLIANCE WITH THE DEADLINES SPECIFIED; -MAINTAINING VARIOUS REGISTRATIONS REQUIRE BY STATE AND FEDERAL FUNDING SOURCES; -ASSISTING IN DRAWING DOWN FUNDS ACCESSED THROUGH ACH DEPOSITS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM JENNINGS | ||||||||||||||
| TRUSTEE | $0 | $851,671 | $0 | $249,084 | $0 | $128,080 | $0 | $300,736 | $0 | $19,440 | $0 | $1,549,011 | $0 | $89,545 |
| STEPHEN JAKAB | ||||||||||||||
| PRESIDENT/TRUSTEE | $0 | $235,608 | $0 | $69,769 | $0 | $18,387 | $0 | $23,257 | $0 | $17,290 | $0 | $364,311 | $0 | $1,892 |
| ROBERT TREFRY RET 910 | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $0 | $216,182 | $0 | $0 | $0 | $0 | $0 | $216,182 | $0 | $216,182 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | INDIVIDUALS LISTED ON PART VII AS OFFICERS OF THE CORPORATION ARE EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUAL ARE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | THE INDIVIDUAL LISTED BELOW IS A PARTICIPANT IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE ACCRUAL IS INCLUDED IN THE AMOUNT REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS THE RELATED ENTITY'S AMOUNT CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. SEVERANCE NONQUALIFIED EQUITY-BASED WILLIAM M. JENNINGS $0 $182,736 $0 ONE FORMER OFFICER, ROBERT TREFRY RECEIVED PAYMENT FROM THE NONQUALIFIED PLAN. THE AMOUNT IS INCLUDED IN SECTION II, COLUMN B (III). THE FOLLOWING PAYMENT WAS MADE DIRECTLY TO HIM FROM THE RABBI TRUST: ROBERT TREFRY $216,182 THE SUPPLEMENTAL RETIREMENT PLAN IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $62,204 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | STOCK EXCHANGE QUOTES | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | GIFTS/BAGS/FOOD | Desc |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $44,138 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE MARKET PR | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI | PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT NINE (9) VOTING MEMBERS ARE INDEPENDENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF BRIDGEPORT HOSPITAL FOUNDATION, INC. IS BRIDGEPORT HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | BRIDGEPORT HOSPITAL HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF THE FOUNDATION IN CONSULTATION WITH AND WITH THE CONSENT OF YALE-NEW HAVEN HEALTH SERVICES CORPORATION AND OFFICERS OF THE FOUNDATION ARE ELECTED BY THE FOUNDATION BOARD OR AS OTHERWISE SET FORTH IN ACCORDANCE WITH THE BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 7B | SUBJECT TO THE APPROVAL OF YALE-NEW HAVEN HEALTH SERVICES CORPORATION (HSC), BRIDGEPORT HOSPITAL, AS THE SOLE MEMBER OF THE FOUNDATION, HAS THE AUTHORITY TO A. MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF THIS CORPORATION OR ANY AFFILIATE AND THE CREATION OR ACQUISITION OF AN INTEREST IN ANY CORPORATE ENTITY, INCLUDING JOINT VENTURES; B. AMENDMENT OR RESTATEMENT OF THE MISSION, CERTIFICATE OF INCORPORATION OR THE BYLAWS OF THIS CORPORATION OR ANY AFFILIATE, OR ANY NEW OR REVISED "DOING BUSINESS AS" NAME; C. ADOPTION OF OPERATING AND CASH FLOW BUDGETS OF THE CORPORATION OR ANY AFFILIATE, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION (PURSUANT TO THE AUTHORITY DELEGATED TO THIS CORPORATION BY THE MEMBER AND HSC TO ADOPT SUCH BUDGETS WITHIN PARAMETERS ESTABLISHED BY THE MEMBER AND HSC); D. ADOPTION OF CAPITAL BUDGETS AND CAPITAL ALLOCATIONS OF THIS CORPORATION OR ANY AFFILIATE (PURSUANT TO THE AUTHORITY DELEGATED TO THIS CORPORATION BY THE MEMBER AND HSC TO ADOPT SUCH BUDGETS WITHIN PARAMETERS ESTABLISHED BY THE MEMBER AND HSC); E. INCURRING AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED OPERATING OR CAPITAL BUDGETS OF THE CORPORATION ADOPTED BY THE MEMBER AND HSC BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE MEMBER AND HSC; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, EQUITY FINANCINGS, CAPITALIZED LEASES, OPERATING LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE MEMBER AND HSC, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THIS CORPORATION; G. APPROVAL OF ANY NEW RELATIONSHIPS OR AGREEMENTS FOR UNDERGRADUATE OR GRADUATE MEDICAL EDUCATION PROGRAMS OR ANY MATERIAL AMENDMENTS TO OR TERMINATIONS OF EXISTING AGREEMENTS FOR UNDERGRADUATE OR GRADUATE MEDICAL EDUCATION PROGRAMS; H. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THIS CORPORATION OR ANY AFFILIATE; I. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THIS CORPORATION OR ANY AFFILIATE OR DISCONTINUATION OR CONSOLIDATION OF ANY SUCH PROGRAM. THE MEMBER AND HSC SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; J. APPROVAL OF STRATEGIC PLANS OF THIS CORPORATION OR ANY AFFILIATE; AND K. ADOPTION OF SAFETY AND QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE MEMBER AND HSC. OTHER MAJOR ACTIVITIES: A. IN ADDITION, THE MEMBER AND HSC SHALL HAVE THE AUTHORITY, EXCEPT AS OTHERWISE PROVIDED BY THE MEMBER AND HSC AND AFTER CONSULTATION WITH THIS CORPORATION, TO REQUIRE THE PRIOR REVIEW AND APPROVAL OF THOSE ACTIVITIES OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY THAT THE MEMBER AND HSC DETERMINE TO BE "MAJOR ACTIVITIES." B. "MAJOR ACTIVITIES" SHALL BE THOSE WHICH THE MEMBER AND HSC BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF HSC'S BOARD OF TRUSTEES HAS DECLARED MAJOR, BY WRITTEN NOTICE TO THIS CORPORATION, DELIVERED PERSONALLY OR TRANSMITTED BY REGISTERED OR CERTIFIED MAIL RETURN RECEIPT REQUESTED. SUCH NOTICE SHALL SPECIFICALLY IDENTIFY THE MATTER OR MATTERS REQUIRING APPROVAL OF THE MEMBER AND HSC, AND SHALL REFER TO THIS BYLAW PROVISION GRANTING SUCH APPROVAL RIGHTS TO THE MEMBER AND HSC. NOTICES RECEIVED PURSUANT TO THIS SECTION SHALL BE RECORDED IN THE MINUTES OF THIS CORPORATION AND SHALL BE FILED WITH THE MINUTES OF THIS CORPORATION. NOTHING IN THESE BYLAWS SHALL BE CONSTRUED IN A MANNER THAT IS INCONSISTENT WITH THE AUTHORITIES WITH RESPECT TO THE CORPORATION THAT ARE RESERVED OR RETAINED BY THE MEMBER AND HSC PURSUANT TO THESE BYLAWS AND THE BYLAWS OF THE MEMBER AND/OR HSC, AS APPLICABLE. FURTHER, YALE-NEW HAVEN HEALTH SERVICES CORPORATION HAS THE SOLE AUTHORITY WITH RESPECT TO CERTAIN ACTION, INCLUDING, BUT NOT LIMITED TO THE ISSUANCE AND INCURRENCE OF INDEBTEDNESS: A. ADOPTION OF TARGETS FOR THE ANNUAL OPERATING AND CASH FLOW BUDGETS OF THIS CORPORATION AND ITS AFFILIATES, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; B. ADOPTION OF TARGETS FOR THE ANNUAL CAPITAL BUDGETS AND CAPITAL ALLOCATIONS OF THIS CORPORATION AND ANY AFFILIATE; C. ADOPTION OF ANNUAL OPERATING, CASH FLOW AND ANNUAL CAPITAL BUDGETS FOR THE CORPORATION AND ANY AFFILIATE WITHIN THE TARGETS ESTABLISHED BY HSC IN THE EVENT OF ANY FAILURE OF THE CORPORATION TO DO SO; D. ISSUANCE AND INCURRENCE OF INDEBTEDNESS ON BEHALF OF THIS CORPORATION; E. MANAGEMENT AND CONTROL OF THE LIQUID ASSETS OF THIS CORPORATION, INCLUDING THE AUTHORITY TO CAUSE SUCH ASSETS TO BE FUNDED TO HSC OR AS OTHERWISE DIRECTED BY HSC; AND F. APPOINTMENT OF THE INDEPENDENT AUDITOR FOR THIS CORPORATION AND EACH AFFILIATE AND THE MANAGEMENT OF THE AUDIT PROCESS AND COMPLIANCE PROCESS AND PROCEDURES FOR THIS CORPORATION AND EACH AFFILIATE; AND G. APPOINTMENT OF THE PRESIDENT CONSISTENT WITH SECTIONS 4.3(A). |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR/DIRECTOR OF FINANCE. SUBSEQUENTLY IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUP ARE CLEARED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ENTITY AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF TRUSTEES VIA A WEB PORTAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BRIDGEPORT HOSPITAL FOUNDATION, INC IS COVERED UNDER THE YALE-NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT SHE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF FORM 990, FORM 1023 (IF AVAILABLE) AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OUTSIDE CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 6,995. MANAGEMENT AND GENERAL EXPENSES 23,235. FUNDRAISING EXPENSES 14,740. TOTAL EXPENSES 44,970. CONSULTING FEES: PROGRAM SERVICE EXPENSES 136,668. MANAGEMENT AND GENERAL EXPENSES 453,949. FUNDRAISING EXPENSES 287,986. TOTAL EXPENSES 878,603. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO BRIDGEPORT HOSPITAL -3,336,624. WRITE OFF UNCOLLECTIBLE PLEDGES -87,457. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GREENWICH HOSPITAL | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 060646659 | HEALTHCARE SERVICES | CT | 501C3 | LINE 3 | GREENWICH HEALTH CARE SERVICES INC | Yes (1) | |
| GREENWICH HEALTH CARE SERVICES INC | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 222593399 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 11B, II | YALE NEW HAVEN HEALTH SERVICES CORP | 0 | |
| THE GREENWICH HOSPITAL ENDOWMENT FUND INC | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061526642 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 11B, II | GREENWICH HEALTH CARE SERVICES INC | Yes (1) | |
| SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 061297708 | TITLE HOLDING | CT | 501C2 | BRIDGEPORT HOSPITAL | Yes (1) | ||
| BRIDGEPORT HOSPITAL AUXILIARY INC | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 066042500 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 11A, I | BRIDGEPORT HOSPITAL | Yes (1) | |
| NORTHEAST MEDICAL GROUP INC | |||||||||||
| 99 HAWLEY LANE | STRATFORD | CT | 06614 | 061330992 | HEALTHCARE SERVICES | CT | 501C3 | LINE 9 | YALE NEW HAVEN HEALTH SERVICES CORP | Yes (1) | |
| NORTHEAST MEDICAL GROUP PLLC | |||||||||||
| 99 HAWLEY LANE | STRATFORD | CT | 06614 | 352380180 | HEALTHCARE SERVICES | CT | 501C3 | LINE 11A, I | NORTHEAST MEDICAL GROUP INC | Yes (1) | |
| YALE-NEW HAVEN HOSPITAL | |||||||||||
| 20 YORK STREET | NEW HAVEN | CT | 06504 | 060646652 | HEALTHCARE SERVICES | CT | 501C3 | LINE 3 | YALE NEW HAVEN HEALTH SERVICES CORP | Yes (1) | |
| YALE-NEW HAVEN CARE CONTINUUM CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 455235566 | NURSING HOME | CT | 501C3 | LINE 3 | YALE-NEW HAVEN HOSPITAL | Yes (1) | |
| CARITAS INSURANCE - TERMINATED 121514 | |||||||||||
| 40 MAIN STREET | BURLINGTON | VT | 05401 | 030322238 | INSURANCE | VT | 501C3 | LINE 11A, I | YALE NEW HAVEN HOSPITAL | Yes (1) | |
| YALE NEW HAVEN HEALTH SERVICES CORP | |||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 222529464 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 11A, I | 0 | N/A | |
| PERRYRIDGE CORPORATION | |||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061207316 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 11B, II | GREENWICH HEALTH CARE SERVICES INC | Yes (1) | |
| BRIDGEPORT HOSPITAL | |||||||||||
| 267 GRANT STREET | BRIDGEPORT | CT | 06610 | 060646554 | HEALTHCARE SERVICES | CT | 501C3 | LINE 3 | YALE NEW HAVEN HEALTH SERVICES CORP | 0 | |
| BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC | |||||||||||
| 120 COLUMBINE DRIVE | TRUMBULL | CT | 06611 | 066048427 | SYSTEM SUPPORT SERVICES | CT | 501C3 | LINE 11A, I | YALE-NEW HAVEN HOSPITAL | Yes (1) | |
| SARAH BEARDSLEY FBO BRIDGEPORT HOSPITAL | |||||||||||
| 10 S DEARBORN IL1-0117 | CHICAGO | IL | 60603 | 066021966 | SYSTEM SUPPORT SERVICES | IL | 4947(A)(1) | PF | Yes (1) | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| SHORELINE SURGERY CENTER LLC | |||||||
| 60 TEMPLE STREET | NEW HAVEN | CT | 06510 | 900110459 | HEALTHCARE | CT | N/A |
| SSC II LLC | |||||||
| 111 GOOSE LANE | GUILFORD | CT | 06437 | 261709382 | HEALTHCARE | CT | N/A |
| ORTHOPAEDIC & NEUROSURGERY CENTER | |||||||
| 55 HOLLY HILL LANE | GREENWICH | CT | 06830 | 273477197 | HEALTHCARE | CT | N/A |
| TOTAL HEALTH CONNECTICUT LLC | |||||||
| 789 HOWARD AVENUE | NEW HAVEN | CT | 06519 | 474070024 | HEALTHCARE | CT | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| YNHHS-MSO INC | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061467717 | MANAGEMENT SERVICES | CT | N/A | C | Yes (1) | ||||
| YALE NEW HAVEN AMBULATORY SERVICES | |||||||||||||
| 40 TEMPLE STREET | NEW HAVEN | CT | 06510 | 061398526 | HEALTHCARE SERVICES | CT | N/A | C | Yes (1) | ||||
| MEDICAL CENTER REALTY INC | |||||||||||||
| 50 YORK STREET | NEW HAVEN | CT | 06511 | 061110858 | RENTAL SERVICES | CT | N/A | C | Yes (1) | ||||
| GREENWICH HEALTH SERVICES INC - TERMINATED 6302015 | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061233643 | HEALTHCARE SERVICES | CT | N/A | C | Yes (1) | ||||
| GREENWICH FERTILITY & IVF PC | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 300145464 | HEALTHCARE SERVICES | CT | N/A | C | Yes (1) | ||||
| YORK ENTERPRISES INC | |||||||||||||
| 50 YORK STREET | NEW HAVEN | CT | 06511 | 061110937 | TITLE HOLDING | CT | N/A | C | Yes (1) | ||||
| YNHH-PHYSICIANS CORP | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061202305 | ADMINISTRATIVE SERVICES | CT | N/A | C | Yes (1) | ||||
| MEDICAL CENTER PHARMACY INC | |||||||||||||
| 50 YORK STREET | NEW HAVEN | CT | 06511 | 061087673 | PHARMACY | CT | N/A | C | Yes (1) | ||||
| GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW YORK PC | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 061540101 | HEALTHCARE SERVICES | NY | N/A | C | Yes (1) | ||||
| LUKAN INDEMNITY COMPANY - TERMINATED 3312015 | |||||||||||||
| 981072793 | INSURANCE | N/A | C | Yes (1) | 58 PAR-LA-VALLIS RD | HAMILTON | BD | BD | |||||
| GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY | |||||||||||||
| 5 PERRYRIDGE ROAD | GREENWICH | CT | 06830 | 453833883 | HEALTHCARE SERVICES | NJ | N/A | C | Yes (1) | ||||
| PRIMARYNET OF CONNECTICUT INC | |||||||||||||
| 789 HOWARD AVE | NEW HAVEN | CT | 06519 | 061463534 | MANAGEMENT SERVICES | CT | N/A | C | Yes (1) | ||||
| CENTURY FINANCIAL SERVICES INC | |||||||||||||
| 23 MAIDEN LANE | NORTH HAVEN | CT | 06473 | 061110797 | DEBT COLLECTION SERVICES | CT | N/A | C | Yes (1) | ||||
| CENTURY MANAGEMENT SERVICES INC | |||||||||||||
| 23 MAIDEN LANE | NORTH HAVEN | CT | 06473 | 061303173 | RECEIVABLE MANAGEMENT SERVICES | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BRIDGEPORT HOSPITAL | ||
| P | $3,128,621 | TRANSACTION REVIEW |
| BRIDGEPORT HOSPITAL | ||
| M | $3,941,042 | TRANSACTION REVIEW |
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