DANBURY HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
DANBURY HOSPITAL (EIN 06-0646597)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201612289349303186
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-15T11:07:10-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 CLARENDON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021165072ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646597EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Danbury HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARY JO PAWLAKInCareOfNm
Business Name ControlDANBBusinessNameControlTxt
Phone2037397000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP068106099ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN H ROSENBERGPersonNm
Person TitleSVP/CFOPersonTitleTxt
Phone2037397000PhoneNum
Signature2016-08-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMike A CincottaPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDaniel DeBarba JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$695,533,868GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.danburyhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1885FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTo enhance through medical care,education and research the health and well being of individuals in Danbury, CT and surrounding communities in partnership with those we serve.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee3666TotalEmployeeCnt
Total Volunteers378TotalVolunteersCnt
Total Gross UBI$5,663,696TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$371,649NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,605,157PYContributionsGrantsAmt
CY Contributions Grants$14,913,270CYContributionsGrantsAmt
PY Program Service Revenue$507,620,940PYProgramServiceRevenueAmt
CY Program Service Revenue$598,482,181CYProgramServiceRevenueAmt
PY Investment Income$4,087,630PYInvestmentIncomeAmt
CY Investment Income$4,838,153CYInvestmentIncomeAmt
PY Other Revenue$3,515,639PYOtherRevenueAmt
CY Other Revenue$1,601,785CYOtherRevenueAmt
PY Total Revenue$538,829,366PYTotalRevenueAmt
CY Total Revenue$619,835,389CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$239,374,097PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$280,914,729CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$261,253,127PYOtherExpensesAmt
CY Other Expenses$343,750,186CYOtherExpensesAmt
PY Total Expenses$500,627,224PYTotalExpensesAmt
CY Total Expenses$624,664,915CYTotalExpensesAmt
PY Revenues Less Expenses$38,202,142PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,829,526CYRevenuesLessExpensesAmt
Total Assets BOY$838,062,311TotalAssetsBOYAmt
Total Assets EOY$836,823,101TotalAssetsEOYAmt
Total Liabilities BOY$348,768,773TotalLiabilitiesBOYAmt
Total Liabilities EOY$360,086,728TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$489,293,538NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$476,736,373NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo improve the health of every person we serve through the efficient delivery of excellent, innovative and compassionate care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$196,329,911ExpenseAmt
Revenue$158,301,807RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$154,180,970ExpenseAmt
Revenue$171,576,114RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$82,328,536ExpenseAmt
Revenue$77,426,210RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$98,288,751TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$191,491,715TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$531,128,168TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document639IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3666EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARY JO PAWLAKPersonNm
Phone2037397000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 HOSPITAL AVENUEAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP068106099ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John M MurphyMD
Pres/CEO, WCHN40.09.0Yes (X)Yes (X)$1,402,828$0$51,844
Neil Culligan MD
Director1.01.0Yes (X)$0$0$0
David Kramer MD
Director (To 1/1)1.01.0Yes (X)$0$0$0
D Cyganowski
Director1.01.0Yes (X)$0$0$0
Richard G Jabara
Director1.04.0Yes (X)$0$0$0
Anthea Disney
Director1.01.0Yes (X)$0$0$0
Joseph D Skrzypczak
Secretary1.03.0Yes (X)Yes (X)$0$0$0
Spencer Houldin
Director1.03.0Yes (X)$0$0$0
Brian C White
Director1.03.0Yes (X)$0$0$0
James Kennedy
Chairman3.05.0Yes (X)Yes (X)$0$0$0
Steven H Rosenberg
SVP/CFO, WCHN40.017.0Yes (X)$779,114$0$42,729
Daniel DeBarba Jr
Exec VP/Pres-DH35.012.0Yes (X)$966,102$93,142$57,347
Donna Kaplanis
Ass't Secretary40.08.0Yes (X)$252,835$0$51,331
Matthew A Miller MD
SVP & Chief Medical Officer40.04.0$308,356$361,965$45,992Yes (X)
Moreen O Donahue
Sr VP/Chief Nurse Officer,WCHN40.01.0$446,933$0$50,720Yes (X)
Michael Daglio
Chief Oper Officer (To 11/2)5.043.0$550,572$0$44,866Yes (X)
Morris Gross
VP of Facilities/Real Estate40.02.0$360,940$6,180$51,603Yes (X)
Kathleen A Dematteo
Chief Infor.Officer, WCHN40.00.0$475,193$0$32,274Yes (X)
Patrick C Minicus
VP of Finance20.022.0$476,177$73,323$50,314Yes (X)
James Varrone
VP Supply Chain36.04.0$0$185,641$30,014Yes (X)
Lisa Schmittgall
SRVP Strategy-WCHN (To 12/31)40.01.0$724,800$38,261$31,469Yes (X)
Debra Carragher
VP of Operations40.00.0$325,179$0$16,137Yes (X)
Carolyn McKenna
Sr VP/Gen'l Coun40.00.0$471,111$0$37,202Yes (X)
Ramin Ahmadi MD
Dir. of Educ./Res.40.00.0$330,757$0$42,127Yes (X)
Dawn Myles
SRV,Qual/Pat. Sfty40.00.0$334,356$0$22,081Yes (X)
Ruth Gregory
Director of Materials Dist40.00.0$162,028$0$26,328Yes (X)
Joseph Campbell
Chief Audit Compl. Officer40.00.0$291,737$0$50,466Yes (X)
Phyllis F Zappala
Sr. VP of Human Resource40.00.0$269,485$0$35,718Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,928,503TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$758,512TotReportableCompRltdOrgAmt
Total Other Compensation$770,562TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K594IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TOWERS WATSON PENNSYLVANIA
PO BOX 8500PHILADELPHIAPA191787482CONSULTANTS$1,359,311
ROBINSON COLE LLP
280 TRUMBULL STREETHARTFORDCT06103ATTORNEYS$1,548,372
DANBURY RADIOLOGICAL ASSOCIATES
PO BOX 417407BOSTONMA02241RADIOLOGY SERVICES$927,782
E4 SERVICES LLC
60 NORTH CAROLINA AVESINKING SPRINGPA19608ITG CONSULTANTS$1,029,292
PRICE WATERHOUSE COOPERS LLC
PO BOX 7247PHILADELPHIAPA19170CONSULTANTS$1,899,925
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Related Organizations$11,877,473RelatedOrganizationsAmt
Government Grants$2,730,032GovernmentGrantsAmt
All Other Contributions$305,765AllOtherContributionsAmt
Total Contributions$14,913,270TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ANCILLARY SERVICE621400$297,090,886$297,090,886
MEDICARE/MEDICAID PAY'TS621990$253,818,157$253,818,157
ROUTINE PATIENT621990$37,037,912$37,037,912
CONTRACT LAB621500$4,928,198$4,928,198
RENTAL INC.-AFFL. EXEMPT532000$2,512,565$2,512,565

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,094,463TotalRevenueColumnAmt
Related Or Exempt Func Income$3,094,463RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$598,482,181TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,637,036TotalRevenueColumnAmt
Exclusion$3,637,036ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,109TotalRevenueColumnAmt
Exclusion$73,109ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$910,968RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$178,610RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$732,358RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$732,358TotalRevenueColumnAmt
Related Or Exempt Func Income$11,229RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$721,129UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$76,030,605SecuritiesAmt
Other$150,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$74,992,138SecuritiesAmt
Other$60,959OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,038,467SecuritiesAmt
Other$89,541OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,128,008TotalRevenueColumnAmt
Exclusion$1,128,008ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$465,750GrossSalesOfInventoryAmt
Cost Of Goods Sold$466,772CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,022TotalRevenueColumnAmt
Exclusion-$1,022ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NUTRITION AND DIETARY561000$372,148$372,148
OTHER PATIENT SERVICES900099$302,436$302,436
ADMINISTRATIVE SERVICES561000$181,496$181,496

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,369TotalRevenueColumnAmt
Unrelated Business Revenue$14,369UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$870,449OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$619,835,389TotalRevenueColumnAmt
Related Or Exempt Func Income$593,867,648RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,663,696UnrelatedBusinessRevenueAmt
Exclusion$5,390,775ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,573,840TotalAmt
Program Services$1,740,254ProgramServicesAmt
Management And General$4,833,586ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$218,210,682TotalAmt
Program Services$179,674,676ProgramServicesAmt
Management And General$38,536,006ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,306,626TotalAmt
Program Services$7,663,076ProgramServicesAmt
Management And General$1,643,550ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,978,262TotalAmt
Program Services$24,684,101ProgramServicesAmt
Management And General$5,294,161ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,845,319TotalAmt
Program Services$13,870,436ProgramServicesAmt
Management And General$2,974,883ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$195,167TotalAmt
Management And General$195,167ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,643,881TotalAmt
Management And General$2,643,881ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$501,452TotalAmt
Management And General$501,452ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$172,312TotalAmt
Program Services$141,882ProgramServicesAmt
Management And General$30,430ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$269,287TotalAmt
Management And General$269,287ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$104,940,344TotalAmt
Program Services$86,407,879ProgramServicesAmt
Management And General$18,532,465ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,262,780TotalAmt
Program Services$1,039,773ProgramServicesAmt
Management And General$223,007ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,793,028TotalAmt
Program Services$6,416,779ProgramServicesAmt
Management And General$1,376,249ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,279,133TotalAmt
Program Services$14,227,638ProgramServicesAmt
Management And General$3,051,495ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,072,076TotalAmt
Program Services$11,586,947ProgramServicesAmt
Management And General$2,485,129ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$637,526TotalAmt
Program Services$524,939ProgramServicesAmt
Management And General$112,587ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$291,082TotalAmt
Program Services$239,677ProgramServicesAmt
Management And General$51,405ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,515,245TotalAmt
Program Services$7,515,245ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,346,522TotalAmt
Program Services$37,338,326ProgramServicesAmt
Management And General$8,008,196ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,671,352TotalAmt
Program Services$10,110,640ProgramServicesAmt
Management And General$560,712ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$91,868,331$91,868,331
STATE OF CT HOSPITAL TAX$24,402,044$24,402,044
EQUIPMENT RENT AND MAINT.$9,683,926$7,973,745$1,710,181
PROFESSIONAL MEMBERSHIP$2,847,778$2,344,860$502,918

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,356,920TotalAmt
Program Services$1,356,920ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$624,664,915TotalAmt
Program Services$531,128,168ProgramServicesAmt
Management And General$93,536,747ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$39,492BOYAmt
EOY$87,296EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$46,694,493BOYAmt
EOY$21,119,887EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$63,595,267BOYAmt
EOY$76,938,200EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,476,284BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,027,585BOYAmt
EOY$10,950,142EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,728,278BOYAmt
EOY$4,185,867EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$846,418,674LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$452,257,825LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$351,669,715BOYAmt
EOY$394,160,849EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$204,327,199BOYAmt
EOY$64,573,120EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$102,260,022EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$155,503,998BOYAmt
EOY$162,547,718EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$838,062,311BOYAmt
EOY$836,823,101EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,327,475BOYAmt
EOY$75,819,734EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,183,583BOYAmt
EOY$2,565,628EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$246,700,000BOYAmt
EOY$244,850,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,557,715BOYAmt
EOY$36,851,366EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$348,768,773BOYAmt
EOY$360,086,728EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$412,096,873BOYAmt
EOY$406,109,696EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,726,160BOYAmt
EOY$36,051,363EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,470,505BOYAmt
EOY$34,575,314EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$489,293,538BOYAmt
EOY$476,736,373EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$838,062,311BOYAmt
EOY$836,823,101EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,829,526ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,685,508NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,042,131OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$42MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$76,895GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$94,902DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$473OtherActivitiesAmt
Total Lobbying Expenditures$172,312TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B - Description of Lobbying ActivityFormAndLineReferenceDesc
ExplanationDues were paid to CHA in the amount of $390,877, of which 15.43% of this amount or $60,312 were expended on lobbying. AHA dues of $72,733 had 22.80% or $16,583 expended on lobbying activities. Both amounts are reflected on 1f. Only state and local officials were lobbied during 2015. As part of this miscellaneous office expense such as phone, computer supplies, refreshment etc. were incurred and were reflected on line #1i accordingly. Direct contact with legislators and state leaders were lobbied in support of maintaining patient access to essential services for both the uninsured and under insured.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,992,068OtherCostOrOtherBasisAmt
Book Value$4,992,068BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$508,885,933OtherCostOrOtherBasisAmt
Depreciation$234,589,427DepreciationAmt
Book Value$274,296,506BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,549,698OtherCostOrOtherBasisAmt
Depreciation$3,938,712DepreciationAmt
Book Value$5,610,986BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,225,446OtherCostOrOtherBasisAmt
Depreciation$213,729,686DepreciationAmt
Book Value$92,495,760BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,765,529OtherCostOrOtherBasisAmt
Book Value$16,765,529BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$394,160,849TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMON COLLECTIVE FUNDS$77,271,753F
HARD TO VALUE FUNDS$24,988,269F
FieldValueIRS element (for citing)
Total Book Value Securities$102,260,022TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
457B ASSET$898,100
BOND ESCROW FUND$1,868,178
BOND ISSUANCE COST$3,192,086
BULK ACCOUNTS NET OF RESERVE$684,627
CSV ON OFFICER'S LIFE POLICY$1,806,700
DUE FROM RELATED PARTIES$6,402,385
INTEREST IN WCHN FOUNDATION$92,379,063
INVESTMENT IN WCHIC, LTD.$53,694,168
MORRISON DEPOSIT$96,418
OTHER RECEIVABLES$1,525,993
FieldValueIRS element (for citing)
Total Book Value Other Assets$162,547,718TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
457B LIABILITY$898,100
ASSET RETIREMENT OBLIGATION$411,783
DUE TO 3RD PARTIES$18,231,699
MALPRACTICE TRUST FUND RESERVE$10,246,000
RESERVE FOR WORKERS COMPENSATION$7,063,784
FieldValueIRS element (for citing)
Total Liability$36,851,366TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean11Program ServicesMalpractice Ins.
Central America and the Caribbean11InvestmentsMalpractice Ins.$53,694,168
Central America and the Caribbean11Program ServicesMalpractice Ins.$10,080,158
FieldValueIRS element (for citing)
Subtotal Offices3SubtotalOfficesCnt
Subtotal Employees3SubtotalEmployeesCnt
Total Office3TotalOfficeCnt
Total Employee3TotalEmployeeCnt
Subtotal Spent$63,774,326SubtotalSpentAmt
Total Spent$63,774,326TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3f - Method of AccountingFormAndLineReferenceDesc
ExplanationAll information for Part I, Line 3, column (f) is accounted for on the audited financial statements on the accrual basis.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,551,226TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,547,976DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,003,250NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served82775PersonsServedCnt
Total Community Benefit Expns$98,753,200TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,712,575DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,040,625NetCommunityBenefitExpnsAmt
Total Expense0.08330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served82775PersonsServedCnt
Total Community Benefit Expns$111,304,426TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,260,551DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,043,875NetCommunityBenefitExpnsAmt
Total Expense0.10090TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs310ActivitiesOrProgramsCnt
Persons Served239099PersonsServedCnt
Total Community Benefit Expns$297,710TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,578DirectOffsettingRevenueAmt
Net Community Benefit Expns$217,132NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs40ActivitiesOrProgramsCnt
Persons Served239PersonsServedCnt
Total Community Benefit Expns$21,006,755TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,249,420DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,757,335NetCommunityBenefitExpnsAmt
Total Expense0.02200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served9645PersonsServedCnt
Total Community Benefit Expns$2,854,080TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,813,934DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,040,146NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served126PersonsServedCnt
Total Community Benefit Expns$2,329,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$583,095DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,746,746NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs372ActivitiesOrProgramsCnt
Persons Served249109PersonsServedCnt
Total Community Benefit Expns$26,488,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,727,027DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,761,359NetCommunityBenefitExpnsAmt
Total Expense0.02680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs372ActivitiesOrProgramsCnt
Persons Served331884PersonsServedCnt
Total Community Benefit Expns$137,792,812TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$57,987,578DirectOffsettingRevenueAmt
Net Community Benefit Expns$79,805,234NetCommunityBenefitExpnsAmt
Total Expense0.12770TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$355TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$355NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$152TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$152NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Total Community Benefit Expns$9,169TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,169NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$4,697TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,697NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs53ActivitiesOrProgramsCnt
Total Community Benefit Expns$14,373TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,373NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$7,709,381BadDebtExpenseAmt
Bad Debt Expense Attributable$1,431,402BadDebtExpenseAttributableAmt
Reimbursed By Medicare$209,181,129ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$264,752,197CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$55,571,068MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsInd
Danbury Hospital
124 Hospital AvenueDanburyCT06810www.danburyhospital.org0039Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
New Milford Hospital Campus
221 Elm StreetNew MilfordCT06776www.newmilfordhospital.org0039Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndMedicare RatesMedicareRatesIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Danbury Hospital
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)13Yes (true)SEE PART V, SECTION CfalsefalseYes (true)Yes (X)400.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse
New Milford Hospital Campus
2falseYes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)13Yes (true)SEE PART V, SECTION CfalsefalseYes (true)Yes (X)400.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account input from persons who represent the communityFacility: Danbury Hospital Danbury Hospital in conducting its most recent CHNA in 2012 (completed and approved in 2013), developed effective strategies to improve community health involve active collaboration and commitment among health providers, public and community health agencies, educators, work sites, community and faith-based organizations and groups, and the public they serve. The hospital collaborates with community partners for assessment of community health needs and action planning. Danbury Hospital, and its New Milford Hospital Campus, participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. The other eight towns are Bridgewater, Bethel, Brookfield, New Fairfield, Newtown, Redding, Ridgefield and Sherman, CT, all towns within the primary service area of both hospitals. Developing a plan for health improvement in our region involves collective action by and sharing of expertise and resources across agencies and organizations in both the public and private sectors.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conductedneeds Assessment Facility: Danbury Hospital Danbury Hospital, and its New Milford Hospital Campus, participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT.
Part V, Line 6b - CHNA Conducted by Orgnizations Other Than HospitalFacility: Danbury Hospital As noted in Part VI, Line #2, Needs Assessment narrative, the CHNA was conducted with various community organizations participating in the Community Forum at Danbury Hospital and its New Milford Hospital Campus.
Part V, Line 2 - Acquistion Of Facility Placed In ServiceFacility: New Milford Hospital Campus On October 1, 2014 (the merger date), Danbury Hospital (the Hospital) received a single provider license to include The New Milford Hospital Incorporated (New Milford Hospital). As a result, New Milford Hospital merged with the Hospital and the operations of New Milford Hospital became a campus of Danbury Hospital effective October 1, 2014. The Hospital will operate as one licensed facility with two campuses.
Part V, Line 5 - Account Input from Person Who Represent the CommunityFacility: New Milford Hospital Campus New Milford Hospital Campus in conducting its most recent CHNA in 2012 (completed and approved in 2013), developed effective strategies to improve community health involve active collaboration and commitment among health providers, public and community health agencies, educators, work sites, community and faith-based organizations and groups, and the public they serve. The hospital collaborates with community partners for assessment of community health needs and action planning. New Milford Hospital and Danbury Hospital Campuses participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. The other eight towns are Bridgewater, Bethel, Brookfield, New Fairfield, Newtown, Redding, Ridgefield and Sherman, CT, all towns within the primary service area of both hospitals. Developing a plan for health improvement in our region involves collective action by and sharing of expertise and resources across agencies and organizations in both the public and private sectors.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conductedneeds assessment Facility: New Milford Hospital Campus New Milford Hospital and Danbury Hospital Campuses participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. that includes Danbury and New Milford, CT.
Part V, Line 6b - CHNA Conducted by Orgnizations Other Than HospitalFacility: New Milford Hospital Campus As noted in Part VI, Line #2, Needs Assessment narrative, the CHNA was conducted with various community organizations participating in the Community Forum at Danbury Hospital and its New Milford Hospital Campus. Hospital and its New Milford Hospital Campus. Part V, Line 7A - URL Facility: DANBURY HOSPITAL http://www.danburyhospital.org/about-us/about-danbury-hospital/community-b enefit Part V, Line 7A - URL Facility: NEW MILFORD HOSPITAL http://www.newmilfordhospital.org/about-us/about-us/community-benefit Part V, Line 7B - URL Facility: DANBURY HOSPITAL http://www.chime.org/advocacy/community-health/ Part V, Line 7B - URL Facility: NEW MILFORD HOSPITAL http://www.chime.org/advocacy/community-health/ Part V, Line 10A - URL Facility: DANBURY HOSPITAL http://www.danburyhospital.org/about-us/about-danbury-hospital/community-b enefit Part V, Line 10A - URL Facility: NEW MILFORD HOSPITAL http://www.newmilfordhospital.org/about-us/about-us/community-benefit Part V, Line 16A - URL Facility: DANBURY HOSPITAL http://www.danburyhospital.org/patient-and-visitors-info/billing Part V, Line 16A - URL Facility: NEW MILFORD HOSPITAL http://www.newmilfordhospital.org/patient-and-visitors-info/billing Part V, Line 16B - URL Facility: DANBURY HOSPITAL http://www.danburyhospital.org/patient-and-visitors-info/billing Part V, Line 16B - URL Facility: NEW MILFORD HOSPITAL http://www.newmilfordhospital.org/patient-and-visitors-info/billing Part V, Line 16C - URL Facility: DANBURY HOSPITAL http://www.danburyhospital.org/patient-and-visitors-info/billing Part V, Line 16C - URL Facility: NEW MILFORD HOSPITAL http://www.newmilfordhospital.org/patient-and-visitors-info/billing
Part V, Line 16i - Other Means Hospital Facility Publicized the PolicyFacility: Danbury Hospital Danbury Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Counselors are also available to provide further assistance. available to provide further assistance.
Part V, Line 16i - Other Means Hospital Facility Publicized the PolicyFacility: New Milford Hospital Campus New Milford Hospital Campus has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Counselors are also available to provide further assistance.
Part V, Line 22d - Other Billing Determination of Individuals WithoutInsurance Facility: Danbury Hospital Danbury Hospital intends to be in compliance with the regulations regarding the maximum amounts that can be charged to FAP-eligible individuals for emergency and other medical necessary care by the effective date (10/1/2016). Part V, Line 22d - Other Billing Determination of Individuals Without Insurance Facility: New Milford Hospital Campus New Milford Hospital intends to be in compliance with the regulations regarding the maximum amounts that can be charged to FAP-eligible individuals for emergency and other medical necessary care by the effective date (10/1/2016).
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Danbury Hospital Ridgefield Surg Ctr
901 Ethan Allen HighwayRidgefieldCT06877Outpatient Surgical Center
Breast Imaging Center
20 Germantown RoadDanburyCT06810Diagnostic
Main Street Rehabilitation Center
235 Main StreetDanburyCT06810Rehabilitation
Siefert & Ford Community Health Ctr
70 Main StreetDanburyCT06810Outpatient-Physician Clinic
Danbury Hospital Sleep Lab II
25 Lake Avenue-ExtensionDanburyCT06810Diagnostic
Comm Ctr for Behaviorial Health
152 West StreetDanburyCT06810Outpatient-Physician Clinic
Southbury Cardiovascular Diagnostics
22 Old Waterbury RoadSouthburyCT06488Diagnostic
Pulmonary Services
33 Germantown RoadDanburyCT06810Diagnostic
The Anticoagulation Center
41 Germantown RoadDanburyCT06810Diagnostic
Physical Medicine Center of Southbury
22 Old Waterbury Road Suite 101SouthburyCT06488Outpatient-Physician Clinic
New Milford Hospital Behavorial Healt
23 Poplar StreetNew MilfordCT06776Outpatient-Physician Clinic
Danbury Hospital Laboratory
79 Sandpit RoadDanburyCT06810Diagnostic
Center for Child & Adol Treat
152 West StreetDanburyCT06810Outpatient-Physician Clinic
Danbury Hospital Laboratory Center NM
120 Park Lane Suite A201New MilfordCT06776Diagnostic
Danbury Hospital Southbury Laboratory
22 Old Waterbury Road Suite 101SouthburyCT06488Diagnostic
Danbury Hospital Lab Ctr in Brookfield
60 Old New Milford Road Unit 1CBrookfieldCT06804Diagnostic
Danbury Hospital Diabetes Education Ct
41 Germantown RoadDanburyCT06810Education Center
Ridgefield Specimen Collection Facili
10 South StreetRidgefieldCT06877Diagnostic
Bethel Laboratory
68 Stony Hill RoadBethelCT06801Diagnostic
Newtown Laboratory
14-18 Church Hill RoadNewtownCT06470Diagnostic
Kenosia Lab
51-53 Kenosia AvenueDanburyCT06810Diagnostic
Danbury Hospital Research Institute
131 West StreetDanburyCT06813Diagnostic
New Milford Integrated Medicine Prgm
30 Elm StreetNew MilfordCT06776Outpatient-Physician Clinic

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CAnnual income and liquid assets are combined to determine eligibility. If family income limit for eligibility is between 400% and 500% then 50% will be taken off based on a sliding scale. If the income limit for eligibility is between 500% and 600% then 100% will be taken off based on a sliding scale.
SCHEDULE H, PART I, LINE 6APart I, Line 6a & 6b: The Community Benefit report is reported on a Network basis. It contains the organization's community benefit programs and services' descriptions and financial data. The form is made available to the public on the Office of Health Care Access' website: http://www.ct.gov/dph/lib/dph/ohca/hospitalfillings/2012/irs990/danby990_h ospital_2012.pdf
SCHEDULE H, PART 1, LINE #7Charity Care At Cost Percentage: Total Gross Patient charges written off to charity (Income Statement) * Patient Cost to Charge % (see below) = Total Community Benefit Expense Total Community Benefit Expenses - Revenue from Uncompensated Care Pools and programs (DHS * % of cost of uncompensated care shown on the OCHA Schedule 500) = Net community benefits expenses Net community benefits expenses / total expenses = % of total expenses Ratio Cost To Charge Calculation Total Operating Expenses - non-patient care activities, medicaid provider tax, total community benefit expense and total community building expense = Adjusted Patient Care Cost. Adjusted Patient Care Cost divided by Gross Patient Charges= Ratio of patient care costs to charges.
SCHEDULE H, PART I, LINE 7GPart I, Line 7g - Costs Associated With Physicans Clinics There are no physician clinics included in this amount.
SCHEDULE H, PART III, LINE #2The ratio of cost to charges is applied to the bad debt expense on the audited financial statements.
SCHEDULE H, PART III, LINE #3It is the policy of the Hospital to provide necessary care to all persons seeking treatment without discrimination on the grounds of age, race, creed, national origin or any other grounds unrelated to an individual's need for the service or the availability of the needed service at the Hospital. A patient is classified as a charity care patient by reference to established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized federal poverty income guidelines, but also includes certain cases where incurred charges are significant when compared to a responsible party's income and their countable assets. Those charges are not included in net patient service revenue for financial reporting purposes. Because the hospital is not paid for these services, they are considered to be community benefit. When private pay patients are sent to the collection agency their account is considered to be a bad debt. Subsequently, Medicaid may be granted for some of those patients. At that time those accounts would become charity care or a community benefit.
SCHEDULE H, PART III, LINE #4The Hospital's estimation of the allowance for uncollectible accounts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the Hospital's collection efforts. The Hospital's policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are recorded. On a monthly basis, the Hospital reviews its accounts receivable balances and various analytics to support the basis for its estimates. These efforts primarily consist of reviewing the following: Historical write-off and collection experience using a hindsight or look-back approach; Revenue and volume trends by payor, particularly the self-pay components; Changes in the aging and payor mix of accounts receivable, including increased focus on accounts due from the uninsured and accounts that represent co-payments and deductibles due from patients; Cash collections as a percentage of net patient revenue less the provision for uncollectible accounts; and Trending of days revenue in accounts receivable The amount of the allowance for uncollectible accounts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage, and other collection indicators. The Hospital regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for uncollectible accounts. The Hospital's primary concentration of credit risk is patient accounts receivable, which consists of amounts owed by various governmental agencies, insurance companies and private patients. The Hospital manages the receivables by regularly reviewing its patient accounts and contracts, and by providing appropriate allowances for uncollectible amounts. Significant concentrations of gross patient accounts receivable include 30%, 13% and 57% and 37%, 13% and 50% for Medicare, Medicaid and non-government payors, respectively, at September 30, 2015 and 2014, respectively.
SCHEDULE H, PART III, LINE #8Danbury Hospital's Medicare shortfall should be treated as a community benefit as the organization strives to provide 24/7 coverage, improved patient access, highest clinical quality as well as addressing the needs of the community by offering critical services to our geographic area. As a result, the organization must balance the cost of these programs against the continued decreasing government reimbursement levels, uninsured population and community needs. A cost accounting system is used to calculate the shortfall, which is Medicare Net Patient Revenue less applicable costs.
SCHEDULE H, PART III, LINE 9BIt is the policy of Danbury Hospital to provide "Financial Assistance" (either free care or reduced patient obligations) to persons or families where: (i) there is limited or no health insurance available; (ii) the patient fails to qualify for governmental assistance (for example Medicare or Medicaid); (iii) the patient cooperates with the Hospital in providing the requested information; (iv) the patient demonstrates financial need; and (v) Danbury Hospital makes an administrative determination that Financial Assistance is appropriate. After the Hospital determines that a patient is eligible for Financial Assistance, the Hospital will determine the amount of Financial Assistance available to the patient by utilizing the Charitable Assistance Guidelines, which are based upon the most recent federal poverty guidelines. Danbury Hospital shall regularly review this Financial Assistance Policy to ensure that at all times it: (i) reflects the philosophy and mission of the Hospital; (ii) explains the decision processes of who may be eligible for Financial Assistance and in what amounts; and (iii) complies with all applicable state and federal laws, rules, and regulations concerning the provision of financial assistance to indigent patients. Consistent with this mission, Danbury Hospital recognizes its obligation to the community it serves to provide financial assistance to indigent persons within the community. In furtherance of its charitable mission, Danbury Hospital will provide both (i) emergency treatment to any person requiring such care; and (ii) essential, non-emergent care to patients who are permanent residents of its primary service area who meet the conditions and criteria set forth in this Policy, without regard to the patients' ability to pay for such care. Elective procedures generally will not be considered essential, non-emergent care and usually will not be eligible for Financial Assistance. Danbury Hospital will collect from individuals on financial assistance if they received a partial charitable discount. All patients can apply for charitable care on balances they feel that they cannot afford.
SCHEDULE H, PART V14 Diagnostic Centers 6 Outpatient Physician Clinics 1 Outpatient Surgical Center 1 Rehabilitation Center 1 Education Center
SCHEDULE H, PART VI, LINE 2Needs Assessment: The Community Forum held in 2014 was attended by 37 community stakeholders from the Housatonic Valley Region (HVR). This included representatives from 5 Health Departments/Districts (Danbury, New Milford, Bethel, Newtown, and Pomperaug), Western CT Health Network, Danbury EMS, the Bethel Visiting Nurse Association, the United Way of Western CT, the Regional YMCA, the Housatonic Valley Coalition Against Substance Abuse, the Mid-Western CT Council on Alcoholism, the AmerCares Free Clinic, the CIFC Community Health Center, Doctor's Express Urgent Care Center, the Regional Educational Service Center, the Danbury Fire Department, the New Milford Senior Center, and the Peter and Carmen Lucia Buck Foundation. Two community health conversations were held with key community stakeholders in October 2012 - (Danbury and New Milford, CT) to ensure accessibility by key stakeholders throughout the region. Attendees included a total of 52 representatives from hospitals; community health centers; school-based health centers; Visiting Nurse Associations/Services; municipal health, education, social service, senior centers and fire departments; non-profit organizations; and a legislator's office. Geographically, all 10 HVR municipalities were represented either directly or through regional agencies and organizations. The participation and insights of community leaders and agencies/organizations who provide direct programs and services for the low income/minority members of the community was important to the data collection and assessment process. The Western CT Health Network (of which Danbury Hospital is a part) conducted a Physician Resource Assessment to evaluate the supply of health care providers within its combined service area towns. This is done to document community need for health care providers, and to develop a plan to meet the health care needs of the community served. Through Western CT Health Network's annual Planning Process, an environmental assessment is conducted to identify health care gaps and needs of the service area community brought about by local and national trends in economic, legislative, demographic, health care industry and other environmental factors. These forces are considered and incorporated in meeting the health care needs of the community by helping to frame the priorities, goals and initiatives of Western CT Health Network's long range and annual strategic plans.
SCHEDULE H, PART VI, LINE 3part vi- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE The Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Also signs are posted throughout the hospital and counselors are available to provide further assistance. All uninsured inpatients are interviewed by financial counselors and assessed for eligibility for assistance programs. The hospital provides informational handouts to all uninsured patients at the time of registration which refers them to financial counseling if they would like assistance with their bills. Further, the hospital mails notices to all self-pay accounts referring them to financial counseling if they need assistance. The collection department will also refer patients to financial counseling when a patient indicates that they cannot afford their balances; and finally, schedulers refer uninsured patients to financial counseling prior to their test or procedure. The policy and applications for assistance are also available on line.
SCHEDULE H, PART VI, LINE 4PART VI - COMMUNITY INFORMATION Community Information: Danbury Hospital and the New Milford Hospital Campus serves an area with a population of about 280,000 people. The Primary Service Area includes Bethel, Bridgewater, Brookfield, Danbury, New Fairfield, New Milford, Newtown, Ridgefield, and Southbury (in CT), and the Secondary Service Area includes Kent, Redding, Roxbury, Sherman, Washington, Wingdale, and Woodbury (in CT) and Brewster, North Salem, Patterson, and Pawling (in NY). This service area is comprised of a densely populated core of the urban/suburban City of Danbury surrounded by moderately affluent residential and rural towns. Danbury is also listed as a Medically Underserved Area, or MUA. Danbury has a median household income of $65,981 and a poverty rate of 11.1%,while New Milford has a household income of $49,575 and a poverty rate of 15.6%. The overall uninsured population rate for the state is estimated to be 3.8%. Although the population of the primary and secondary service areas is expected to remain virtually level from 2010 to 2020, the cohort aged 65 and over is expected to increase by 2.78% in Danbury and 4.05% in New Milford, while the age 20-44 age cohort is forecast to slightly increase at 0.68% in Danbury and decrease by 1.13% in New Milford over the same time period.
SCHEDULE H, PART II: Community Building ActivitiesRelates to Line #6, Coalition Building, totaling $9,169: Western Connecticut Health Network (WCHN) participates as a member of a regional collaborative representing the Housatonic Valley Region and ten municipalities. A Steering Committee comprised of health care providers, community-based providers, and local government agencies meets no less than twice a year to oversee a community health improvement plan (CHIP) that was developed utilizing data from a report card and previous community conversations. Four priority health indicators (PHI) are being addressed through a work group structure that includes a designated leader who convenes the group to further develop and refine their action plans. Community stakeholders participated in an April 2014 community forum facilitated by the Center for Health Schools & Communities @ Education Connection. Overall, data obtained from the conversations provided high quality information to frame the beginning of a community health improvement change process in the region. 1. Prevention and Education of Most Prevalent Chronic Diseases/Health Conditions: Obesity, Type 2 diabetes, and hypertension were identified as the most prevalent health conditions in the community. The PHI team goals are to increase healthy eating options, enhance access to physical activities, and promote a universal healthy lifestyle. In July 2014, the PHI team received the YMCA Diabetes Prevention Program Grant which was used to fund their diabetes prevention program. The program began in October 2014, and through December 2015 10 classes had been conducted (average class size of 5.4 participants, average age of 59 years, and 75% of the referrals were from physician offices). Participants exceeded the targeted weight loss goal of 7% (achieved 10.4%) which was supported by consistent program participation, physical activity and food tracker completion. The team also participated in National Walk Day, which garnered over 150 people from the Housatonic Valley Region and formation of 3 community walking groups. The Coalition for Healthy Kids is piloting a "Walking School Bus" program with a local school to encourage physical activity. A wellness campaign building on the "5, 2, 1, 0 Let's Go" messaging was implemented and the "Know Your Numbers" campaign tracked 338 individuals with blood pressure monitoring. 2. Improving Access/Utilization to Substance Abuse and Mental Health Services: Mental health issues and substance abuse continue to be prevalent issues in the community. This PHI team is collaborating with 12 Local Prevention Councils, the CT Prevention Framework, and other entities to increase outreach efforts. Their goals are to identify gaps in services and access, provide education, and increase awareness regarding services and programs. There is awareness to vulnerable target groups in need of enhanced services and supports, such as the homeless population and youth. The team worked to improve education and information dissemination, and supported integration of a "question-persuade-refer" model for suicide prevention. Areas of focus targeted prescription drug use, support for community "drop boxes" , opiate use, underage drinking, and behavioral health initiates in primary care practices. 3. Improve Assessment and Service Planning to Senior Health: Senior citizens, particularly homebound elderly and immigrants, are in need of assessment and service planning to address their health, housing, and social support needs. The main goal is to increase awareness, services, and education for senior health. This team is supporting and collaborating with the Aging in Place initiatives funded by the Peter and Carmen Lucia Buck Foundation, which includes the "Safe at Home" program that delivers home safety items to seniors. Efforts continue to move the Danbury community as a "livable" community and to share learnings with adjacent communities. 4. Improve Awareness and Utilization of Existing Health and Social Programs/Services: This team focused on enhancing awareness and utilization of existing programs and services in the community, including support of Infoline 2-1-1 and 5 Health Access CT Assistor sites by target populations. It also established a partnership with FamilyWize to provide promotional materials for distribution to health providers and key community sites. The individual CHIP Steering Committee members, including WCHN, support the importance of shared commitment and responsibility in development and execution of its recommended action plans for health improvement. To the best of the organization's knowledge, all prevalent issues in the community are being addressed. Relates to Line #2, Economic Development, Line #3, Community Support and Line #7, Community Health Improvement Advocacy totaling $5,204: Part II: Community Health Improvement Advocacy: Largely state and local elected officials and agency heads were lobbied in support of maintaining patient access to essential services for the uninsured and under insured. As part of this effort, miscellaneous expenses are noted in Schedule C, Part II-B 1i.
SCHEDULE H, PART VI, LINE 5Promotion of community health. Danbury Hospital served approximately 239,099 persons through over 310 health events. One of the highest impact outreach activities includes approximately 187,000 individuals served through Health Talk. Health Talk which airs twice a week focuses on disease prevention, new treatments in pulmonary, embolism atrial fibrillation, pediatric asthma, heart health, colon cancer, exercise and wellness talks, to name a few examples. Over 50% of the Board Members are independent and do not get paid by Danbury Hospital. Danbury Hospital also has an open medical staff. Surplus funds are used to provide innovative technology to clinical care in addition to expanding our service area. PART VI-AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION Western Connecticut Health Network (WCHN) is an integrated health care delivery system comprised of three community hospitals and their affiliated entities. In addition to Norwalk Hospital, Danbury Hospital and its New Milford Hospital Campus, the continuum of care includes a large medical group, home health care services, a nationally renowned biomedical research institute, the WCHN and Norwalk Hospital Foundations, and other related affiliates (the Network). WCHN's mission is to improve the health of every person we serve through the efficient delivery of excellent, innovative and compassionate care. For 2015, WCHN provided approximately $19,826,631 in total charity care. Danbury Hospital, its New Milford Hospital Campus and Norwalk Hospital provide medical services to the community regardless of the individual's ability to pay. Services include routine inpatient ancillary and outpatient care in support of the Network's mission statement, as noted above, For 2015, charity care was provided in the following amounts: Norwalk Hospital, $7,649,926, Danbury Hospital and its New Milford Hospital Campus, approximately $11,003,250. Western Connecticut Medical Group/Norwalk Hospital Physicians & Surgeons: The mission of Western Connecticut Medical Group is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities they serve and strive to be aware of and respond to their patients'needs. They support a commitment to advance the health and well-being of individuals in their community by delivering quality care, participating in medical research and medical residency programs and the provision of medical services to patients. For 2015, WCMG/NHP&S provided approximately $1,023,000 in charity care. Western Connecticut Health Network Foundation Inc.'s mission is to raise funds, reinvest and administer these funds and make distributions to Danbury Hospital and its New Milford Hospital Campus and other Danbury not-for-profit health care affiliates. Norwalk Hospital Foundation's mission is to raise funds, reinvest and administer these funds and make distributions to Norwalk Hospital and other not-for-profit Norwalk Hospital affiliates. Western Connecticut Health Network Affiliates principal purpose is to provide outpatient health care services in various locations and also provide ambulance services to Danbury and surrounding towns, while serving those that cannot afford the care. Western Connecticut Home Care, Inc. (WCHC) provides state of the art clinical services ranging from pediatric patients to the elderly utilizing best practice in home care to meet the needs of their patients. For 2015, WCHC provided approximately $91,000 in charity care. Eastern New York Medical Services (ENYMS): The mission at ENYMS is to provide safe, innovative, convenient and coordinated primary and gastroenterology health care in the communities we serve and strive to be aware of and respond to our patients' needs.
SCHEDULE H, PART VI, Line 7CT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John M MurphyMD
Pres/CEO, WCHN$949,990$0$450,000$0$2,838$0$12,750$0$39,094$0$1,454,672$0$0$0
Steven H Rosenberg
SVP/CFO, WCHN$557,258$0$200,000$0$21,856$0$12,750$0$29,979$0$821,843$0$0$0
Daniel DeBarba Jr
Exec VP/Pres-DH$637,084$19,466$310,000$0$19,018$73,676$12,750$4,197$40,400$0$1,019,252$97,339$0$0
Donna Kaplanis
Ass't Secretary$193,923$0$40,000$0$18,912$0$24,188$0$27,143$0$304,166$0$0$0
Matthew A Miller MD
SVP & Chief Medical Officer$126,404$168,034$175,000$175,000$6,952$18,931$12,750$12,750$9,343$11,149$330,449$385,864$0$0
Moreen O Donahue
Sr VP/Chief Nurse Officer,WCHN$339,737$0$100,000$0$7,196$0$20,400$0$30,320$0$497,653$0$0$0
Michael Daglio
Chief Oper Officer (To 11/2)$404,582$0$145,000$0$990$0$15,300$0$29,566$0$595,438$0$0$0
Morris Gross
VP of Facilities/Real Estate$255,758$0$100,000$0$5,182$6,180$25,500$0$26,103$0$412,543$6,180$0$0
Kathleen A Dematteo
Chief Infor.Officer, WCHN$343,359$0$110,461$0$21,373$0$22,950$0$9,324$0$507,467$0$0$0
Patrick C Minicus
VP of Finance$375,651$45,622$100,000$0$526$27,701$0$2,376$45,461$2,477$521,638$78,176$0$0
James Varrone
VP Supply Chain$0$159,641$0$26,000$0$0$0$9,019$0$20,995$0$215,655$0$0
Lisa Schmittgall
SRVP Strategy-WCHN (To 12/31)$384,629$38,097$339,262$0$909$164$0$1,722$27,824$1,923$752,624$41,906$0$0
Debra Carragher
VP of Operations$249,594$0$75,000$0$585$0$12,750$0$3,387$0$341,316$0$0$0
Carolyn McKenna
Sr VP/Gen'l Coun$344,800$0$125,000$0$1,311$0$12,750$0$24,452$0$508,313$0$0$0
Ramin Ahmadi MD
Dir. of Educ./Res.$259,797$0$70,000$0$960$0$12,750$0$29,377$0$372,884$0$0$0
Dawn Myles
SRV,Qual/Pat. Sfty$253,756$0$80,000$0$600$0$17,850$0$4,231$0$356,437$0$0$0
Ruth Gregory
Director of Materials Dist$143,679$0$17,050$0$1,299$0$15,978$0$10,350$0$188,356$0$0$0
Joseph Campbell
Chief Audit Compl. Officer$229,337$0$60,000$0$2,400$0$22,950$0$27,516$0$342,203$0$0$0
Phyllis F Zappala
Sr. VP of Human Resource$264,230$0$0$0$5,255$0$22,950$0$12,768$0$305,203$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE #4Severance: During the fiscal year ending September 30, 2015, Lisa Schmittgall received $597,184 in severance payments. A severance benefit of one and a half (1 ) years of compensation was paid in a lump sum within 60 days of the termination date of December 31, 2014. Supplemental Executive Retirement Plans: Western Connecticut Health Network (WCHN) established three separate Supplemental Executive Retirement Plans (SERP). These plans provide supplemental retirement benefits to key members of the executive group. Under the agreements for SERP Plans #1 and #2, amounts promised to eligible executives are based on targeted retirement benefits and the payment of benefits is subject to vesting. The benefits at the vested age are provided in the form of an actuarial equivalent lump sum plus a tax gross-up amount to the participants. WCHN has on its books an accrual for the participants of the SERP, which is maintained solely for accounting purposes and is unfunded. SERP Plan #1 - During the fiscal year ending September 30, 2015, Dr. Matthew Miller, Chief Medical Officer and Phyllis Zappala, former Senior VP of Human Resources were the only participants. Under the terms of SERP Plan #1, a payment of $350,006 was made to Phyllis Zappala during the year. SERP Plan #2 - During the fiscal year ending September 30, 2015, no payments were made to either, Dr. John Murphy, President/CEO of WCHN and Steven H. Rosenberg, CFO of WCHN, participants of SERP Plan #2. SERP Plan #3 - Earnings and losses on the investments selected by participants of SERP Plan #3 are added to the balance of the account. During the fiscal year ending September 30, 2015, no payments were made to either Daniel DeBarba, Jr., Executive VP/President of Danbury Hospital and Michael Daglio, Chief Operating Officer, participants of SERP #3.
SCHEDULE J, PART I, LINE #6Summary of Executive Incentive Plan The Plan is administered by the Executive Compensation Committee (the Committee) of Western Connecticut Health Network,Inc.(WCHN). Eligibility to participate in the Plan is limited to those exempt executives employed by WCHN and its subsidiaries (the Network) during the Plan year who are in positions in which their decisions, actions and counsel significantly affect the operations of the Network. The Committee, with input provided by senior management of the Network will determine which eligible executive employees of the Network will participate in the Plan. Prior to the beginning of each Plan year, or as soon thereafter as practicable, the Committee will establish target and maximum award opportunity for the participant, in the appropriate tier in the Plan, along with a team scorecard of Plan measures. Soon after the close of the Plan Year, actual organization and individual performance and results will be measured and assessed in comparison to published goals and expectations established for such Plan Year. Recommendations for individual incentive awards will be prepared and submitted to the Committee for evaluation and approval. Notwithstanding any other provision of the Plan, at the discretion of the Committee, awards may not be paid under the Plan for any Plan Year if the level of performance specified in one or more Network level "Circuit Breaker Goals" is not achieved during the Plan Year.
SCHEDULE J, PART III, ADDITIONAL INFORMATIONThe organization relied on a related organization, Western Connecticut Health Network, Inc. which used the following methods described below to establish top management's compensation: -Compensation committee. -Independent compensation. -Written employment contract. -Compensation survey or study. -Approval by board or compensation committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CHEFA RevBondsSeries H
A06080618620774UCL72006-03-16$40,924,665See Part VI for purposefalsefalsefalse
CHEFA (WCHN) Series M
B06080618620774U8A62011-07-13$45,523,137See Part VI for purposefalsefalsefalse
CHEFA (WCHN) Series N
C06080618620774YEJ22011-11-22$40,735,995See Part VI for purposefalsefalsefalse
CHEFA (WCHN) Series O
D0608061862015-05-08$122,120,000See Part VI for purposefalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,945,000$0$42,742,900$0$2,237,472$0$606,787$828,469$0$39,070,172$0$02007falsefalseYes (true)Yes (true)
B$0$0$45,576,281$0$7,328,241$0$908,228$0$0$37,339,812$0$02014falsefalseYes (true)Yes (true)
C$2,795,000$0$40,735,995$0$0$0$749,768$0$0$0$39,986,227$02011Yes (true)falseYes (true)Yes (true)
D$0$0$122,120,000$0$0$0$797,294$0$0$0$121,322,706$02015Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.000100.00010falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
C0
Dfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationSeries H Bonds ($41,560,000): Proceeds from the sales of Series H Bonds were used, together with other monies available to 1) finance a portion of the costs of the Series H project, 2) to fund capitalized interest, if any on the Series H Bonds, and 3) to pay certain costs of issuance and bond insurance premiums incurred in connection with the issuance of Series H Bonds. Series M Bonds ($46,030,000): Series M Bonds were issued concurrently in 2011 with Series L bonds and were used to fund the planning, design, acquisition, construction, equipping and furnishing of Danbury Hospital's new patient tower, expansion of a parking garage, capital improvements and to fund capitalized interest. Series N Bonds ($39,880,000): Series N Bonds mature serially from July 1, 2014 to July 1, 2029. The proceeds were used to refund Danbury Hospital's Series G Bonds which were issued on September 29, 1999. Series O Bonds ($122,120,000): Series O Bonds mature serially from July 1, 2022 to July 1, 2041. The proceeds were used to refund Danbury Hospital's Series K and Series L Bonds which were fully redeemed as of September 30, 2015. Part II, Line #3 includes investment earnings of $1,818,235 for Series H Bonds. Part II, Line #3 includes investment earnings of $53,144 for Series M Bonds. Part IV, Line #2c The date that the rebate computation was performed was March, 2014 for Series H Bonds.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonKaufman Hall AssociatesPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSee Part VRelationshipDescriptionTxt
Transaction$397,546TransactionAmt
TransactionConsulting FirmTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, Col (c)FormAndLineReferenceDesc
ExplanationDuring the year the following transactions are at arm's length, entered into the ordinary course of business and in compliance with the Organization's Conflict of Interest Policy: David M. Cyganowski, a director at Danbury Hospital is a shareholder of Kaufman Hall & Associates, Inc., which provides financial and forecasting services.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VII (ADDT'L INFORMATION)For those officers and top 5 employees, for which only 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount. Note: All amounts in column F, of Part VII,"Estimated Amount of Other Compensation", represent benefits, and do not reflect any compensation for which the average amount of time worked can be reflected.
FORM 990, PART IX, COLUMN DALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990, ALL FUNDRAISING EXPENSES WERE INCURRED BY THE WESTERN CONNECTICUT HEALTH NETWORK FOUNDATION, INC.
Form 990, Part VI, Line 7AThe sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified.
Form 990, Part IIIOn October 1, 2014 (the merger date), Danbury Hospital (the Hospital) received a single provider license to include The New Milford Hospital Incorporated (New Milford Hospital). As a result, New Milford Hospital merged with the Hospital and the operations of New Milford Hospital became a campus of Danbury Hospital effective October 1, 2014. The Hospital will operate as one licensed facility with two campuses.
Form 990, Part VI, Section B, 12A, 13 and 14The policies exist at the parent level, which are followed by each entity and are approved by the parent board, but not each individual board. This excludes the record retention policy, which is approved only by the parent audit committee. Form 990, Part III - PROGRAM SERVICE, Line 4A MEDICAL SERVICE LINE Danbury Hospital's Medical Service Line consists of the following services: Inpatient Cases: Gastrointestinal 1,925 Infectious Disease 1,199 Internal Medicine 651 Neurology Medicine 509 Renal/Urology Medicine 802 Pulmonary Medicine 1,435 All Other Inpatient 1,917 Outpatient Service Line Cases: O/P Medicine 9,685 O/P Medicine Comm. Clinic 31,667 O/P Medical Oncology 10,448 O/P Pulmonary Medicine 5,125 DIGESTIVE DISEASES: Our Digestive Disease Center is staffed by renowned fellowship-trained gastroenterologists. We use advanced diagnostic and treatment technology in a compassionate and supportive manner. The following services are provided: Ablation therapy for Barrett's esophagus, Colon cancer screening, Colonoscopy, Cryotherapy, Endoscopy, Endoscopic ultrasound and fine-needle aspiration,, Lactose tolerance testing, LINX Reflux Management System for treatment of GERD, Wireless capsule endoscopy and Laparoscopic fundoplication for GERD. INFECTIOUS DISEASE: Danbury Hospital's infectious disease specialists treat the full range of infectious diseases, including conditions caused by living organisms (bacteria, viruses, fungi and parasites), HIV, and related conditions, Lyme disease, chronic and wound-related infection, and travel-related infection. Our doctors have expertise in the proper use of antibiotics and other anti-infective medicines to treat disease and also collaborate with primary care doctors, specialists and surgeons to provide individualized treatment for each patient. INTERNAL MEDICINE: Whatever your medical needs, Danbury Hospital provides expert care in the warm, focused and personal manner you deserve. Specialists in primary care, our family medicine physicians treat infants, children and adults of all ages. Services include preventive medicine (including vaccines and immunizations), diagnosis and treatment of chronic and acute illnesses and injuries, and coordination of specialty care. Our family physicians are trained to provide medical care for patients ranging in age from pediatrics through adult and geriatrics. NEUROLOGY AND STROKE: We offer expertise in treatment of neurological disorders, including stroke, epilepsy, headache, Parkinson's disease, Alzheimer's disease and Vertigo. One of the nation's first hospitals to earn primary stroke center accreditation from the Joint Commission, we have been regularly recognized by the Connecticut Department of Public Health for consistently demonstrating the ability to rapidly diagnose and treat stroke. Committed to remaining on the forefront of rapid and effective stroke care, we continue to incorporate the latest effective treatments. UROLOGY: Our expert urologists treat conditions such as: -Female urologic disorders, including urinary incontinence and voiding dysfunction -Infertility -Kidney, bladder, prostate and testicular cancer -Kidney stones -Male sexual difficulties -Prostate cancer -Urinary tract infections -Vasectomy and vasectomy reversal Procedures we perform include: -Extracorporeal shock wave lithotripsy for kidney stones -Laparoscopic nephrectomy -Minimally invasive photo-vaporization of the prostate -Minimally invasive surgical treatment for female incontinence -Pyeloplasty PULMONOLOGY: We offer outstanding diagnosis, treatment and care for patients with all types of pulmonary conditions. We perform specialized services, such as cardiopulmonary exercise testing to measure degree of fitness and aid in the assessment of shortness of breath; specific diagnostic asthma testing; and testing to determine the need for supplemental oxygen for everyday living and air travel. All programs are administered consistent with Danbury Hospital's financial assistance policy. Form 990, Part III - PROGRAM SERVICE, Line 4B SURGERY SERVICE LINE Inpatient Cases: Major Joint Replacement 1,078 Trauma Surgery 568 Minor GI Surgery 267 General Surgery 325 Urology Surgery 158 Colon/Bowel Surgery 236 Obesity Surgery 164 Spinal Surgery 398 All Other Inpatient Surgery 571 Outpatient Service Line Cases: Abdomen GI Surgery 1,426 Breast Surgery-Non Plastic 260 Endoscopy 12,933 Misc. General Surgery 3,765 Oral Surgery 111 Opthamology 766 Urology 988 Pain Injection Procedures 701 Head/Neck Surgery 1,139 Plastic Surgery 1,071 All Other Outpatient Surgery 1,342 GENERAL SURGERY: Danbury Hospital's surgeons are continually recognized for their experience, excellent outcomes, and expertise in minimally invasive surgical techniques. Here are just some of the awards we've been privileged to receive: -Intersocietal Accreditation Commission's Vein Center Accreditation for the Vascular Surgical Service (2015) -Participant, Institute for Healthcare Improvements International Joint Replacement Learning Community (2014) -Member, Institute for Healthcare Improvement's International Joint Replacement Learning Community (2015) -Joint Commission Top Performer, America's Improving Quality and Safety (2014/13) -Top 100 Community Value Leadership Award for providing high-quality, high-value service at an appropriate cost, from Cleverly and Associates (2014) -Top 100 Great Community Hospitals from Becker's Hospital Review (2012) -Recertification, Joint Commission Disease Specific Certification in Hip Arthroplasty, Knee Arthroplasty and Spine Surgery (2015) -The Center for Weight Loss Surgery has been named the Comprehensive Center with the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) (2015 - 2018) -A Bariatric Center for Excellence under The Clinical Science Institute (CSI) of Optum (2015) -Recipient of The Aetna Institute of Quality Bariatric Designation (2015) At Danbury Hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence in laparoscopic techniques performed in many surgical specialties including weight loss, colorectal, and general surgical procedures. For robotic surgery, we use the latest, most advanced robotic technology available, the da Vinci surgical system. We are committed to staying at the forefront of innovation, equipping our surgeons with sophisticated technology so they can offer innovative surgical procedures here in our community. Our da Vinci surgical system gives surgeons better visualization and tools that improve dexterity. With more control they can operate with greater precision. Our doctors use this advanced technology to perform a wide range of procedures, including single-incision robotic surgery. As a Level II Trauma Center, Danbury Hospital's team of board certified surgeons provide immediate, 24/7 care for acute and life-threatening injuries to children and adults. ORTHOPEDIC SURGERY: Our Center for Advanced Orthopedic and Spine Care has earned the "Center of Excellence" designation from the Joint Commission for providing comprehensive, multidisciplinary care, including hip, knee, shoulder, and ankle replacement. Our Danbury Hospital orthopedic surgeons offer a wide array of joint replacement procedures. Our continuum of care includes: -A care coordinator who provides education and guidance every step of the way, pre-op through your rehabilitation. -Pre-admission testing in our dedicated unit, designed to meet the unique needs of joint replacement patients and families. Services include individualized patient education, nursing and anesthesia assessments, and collaboration with you on planning a pain management program for your surgical recovery. -Dedicated orthopedic operating rooms and clinical support staff. -A comfortable orthopedic recovery unit with physician assistants, nursing and rehabilitation staff specially trained to care for total joint replacement patients. -Advanced, digital diagnostic imaging technology. -Acute in-hospital therapy -Outpatient physical and occupational -Access to home care services with Western Connecticut Home Care (formerly DVNA). DIGESTIVE DISEASE: Our expert general and digestive disease surgeons specialize in major and minor surgical procedures of the abdomen, digestive tract, endocrine system, breasts, skin and blood vessels. UROLOGIC SURGERY: Danbury Hospital urologists are known nationally for innovation. Procedures performed include: Extracorporeal shock wave lithotripsy for kidney stones; Laparoscopic nephrectomy, Minimally invasive photo-vaporization of the prostate; Minimally invasive surgical treatment for female incontinence and Pyeloplasty. Danbury
990, Part VI, Line #2Richard Jabara and James Kennedy, both directors of Danbury Hospital have a business relationship.
990, Part VI, Line #6Western Connecticut Health Network, Inc. is the sole member of Danbury Hospital.
990, Part VI, Line #7BCertain fundamental decisions to be undertaken by the Hospital require the approval of the Member. a) The actions listed below, taken for the Hospital or in its capacity voting as a shareholder or member of a subsidiary ("Danbury Subsidiary") shall not require approval by the Board and are reserved solely to the Member: -The amendment of the Hospital's bylaws; -The election or removal of a director; -Approval of investment policies; -Approval of the adoption of or amendment to any qualified or any non-qualified benefit plan; -Approval of the adoption of or any amendment to the policies and procedures governing a) indemnification of directors and officers of the Hospital or any Danbury Subsidiary; b) conflicts or dualities of interest; c) accounting and investment standards and practices and d) such other policies the Member may determine; -Approval of system-wide quality, performance and credentialing standards and procedures to which the Hospital or any Danbury Subsidiary is expected to adhere; and -Approval of regulatory compliance and methodology for physician compensation arrangements. The actions listed below, taken for the Hospital or in its capacity voting as a shareholder or member of a Danbury Subsidiary, which require approval of the Board, must also be approved by the Member: -The election and removal of a director of a Danbury Subsidiary; -The election of the officers of the Hospital; -Approval of all operating and capital budgets of the Hospital and Danbury Subsidiary; -Approval of any amendment or restatement of the Hospital's certificate of incorporation, bylaws, or operating agreement of any Danbury Subsidiary; -Approval of any sale, lease, exchange, or other disposition of all or substantially all the property or assets of the Hospital or any Danbury Subsidiary; -Approval of the creation of any corporation of which the Hospital or a Danbury Subsidiary is the sole or controlling member or sole or controlling shareholder; the merger or consolidation of the Hospital or any Danbury Subsidiary with another corporation;and the reorganization, liquidation or dissolution of the Hospital or any Danbury Subsidiary; -Approval of any loans by the Hospital or any Danbury Subsidiary,or the incurring of any indebtedness, secured or unsecured, which exceeds two million dollars ($2.0 million) or which has a term longer than one year; -Approval of unbudgeted expenditures in excess of two million dollars ($2.0 million) or any increase in any approved annual operating or capital budget. -Approval of any agreement or transaction of the Hospital or any Danbury Subsidary involving an amount greater than two million dollars ($2.0 million)with another individual or entity; -Approval of the affiliation of the Hospital or any Danbury Subsidiary with any other entity for the purposes of the joint conduct of business; -Creation of any committee which shall have the authority to act on behalf of the Board or on behalf of any Danbury Subsidiary; -Approval of any conveyance of, or the granting of mortgages or trusts on any real property assets of the Hospital or of any Danbury Subsidiary; -Approval of the strategic plan of the Hospital and of any Danbury Subsidiary; and -Approval of any commencement, cessation, location, relocation or consolidation of significant clinical services provided by the Hospital or any Danbury Subsidiary.
990, Part VI, Line 11BSteven Rosenberg, SVP/CFO of Western Connecticut Health Network, Inc., will review the 990 prior to it being sent to the IRS. A preliminary 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the 990 with the Audit Committee and answer any questions. Prior to the 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review.
990, Part VI, Line 12CThe Organization's Process for Monitoring and Enforcing Conflicts of Interest The Western Connecticut Health Network and its affiliates' (The Network) Conflict of Interest Policy provides that annually, its Representatives shall sign a statement affirming that they disclosed all potential conflicts, as documented in the Conflict of Interest Policy. In addition, General Counsel is part of the routine contracts review process and watches for potential conflicts with any of The Network's Representatives. Who Is Covered By the Policy The Network's Conflict of Interest Policy covers each director, officer and manager of The Network, also referred to as "Representatives". Level At Which Determinations of Whether There Is a Conflict In connection with any actual or possible conflict of interest, an interested person must disclose the facts of the conflict. The Compliance Officer and the Audit Committee review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential transaction or arrangement is made by an interested person, the remaining disinterested Board or Committee members shall decide if a conflict of interest exist. Level That Reviews and Determines What To Do If There Is a Conflict After exercising due diligence the full Board would determine what actions should be taken for all conflicts by Officers and Directors. Any conflicts occurring by a manager are reviewed by the Compliance Committee to determine what further action should be taken. Restrictions on The Conflicted Person No director having a conflict of interest on any matter shall vote on that matter or be counted in determining the quorum for the meeting at which the vote is taken, even when permitted by law. No Representative having a conflict of interest on any matter shall use his or her personal influence on the matter. If the Board of Directors, in its sole discretion, determines that any Representative has conflicts of interest sufficient in number and/or importance that the effectiveness of such individual on behalf of The Network may be significantly impaired, the Board may ask the individual to resign.
Part V, Line 15BCompensation for Other Officers and Key Employees: In order to achieve its mission and its overall performance objectives, Western Connecticut Health Network, Inc. employs a performance-based total compensation program for its senior executives that is market competitive, compliant with regulatory guidelines, and representative of best practices. Eligible executives are generally direct reports of the CEO along with other executives designated by the CEO. To meet Western Connecticut Health Network Inc.'s total compensation objectives for executives, the following survey sources are used for comparison purposes: -Blend of national Confidential Source, IHS, and Hay Group points, health care data (where data available), plus 15% geographic differential. Title match data cuts selected based on revenue size. -For Physician executives, surveys covering physician compensation in accredited medical schools (AAMC) are used in combination with proprietary surveys compiled by nationally known consulting firm, Sullivan Cotter and the Medical Group Management Association (MGMA). Western Connecticut Health Network, Inc. targets cash compensation at market competitive levels. Base salary plus short-term (annual) incentive awards (total cash) approximate market competitive levels for total cash compensation. Executive performance is expected to meet or exceed predetermined operational and financial metrics. Other factors, such as competitive market forces, job performance, unique qualifications, and/or individual job responsibilities are also considered in Western Connecticut Health Network, Inc's executive compensation decisions. Roles of the Compensation Committee and Key Executives in the Executive Compensation Process - The Compensation Committee in consultation with the CEO and the SVP Human Resources (HR) selects the outside compensation consultants. The current consultant is the Hay Group, whose purpose is to provide a valid independent assessment of the relevant market rates and pay practices for health care executives, physician executives and for physicians in general. - The compensation consulting firm compiles appropriate market data, job evaluation and ranking information for all executives and physicians of the organization, excluding the CEO, and will supply this material to the CEO and SVP HR for review and agreement. Once the report is final, it will be supplied to the Compensation Committee for their consideration and acceptance. -The Compensation Committee determines the CEO's salary based on overall performance and market data supplied by the outside compensation consultant. The last executive compensation evaluation by an outside consultant was done in December, 2015.
990, Part VI, Line #19The information that has been posted on Danbury Hospital's website for 2014 includes: The Code of Business Ethics, information about our Compliance Program, and a copy of our policy regarding Preventing of Fraud, Waste and Abuse. All governing documents required by law and the financial statements are made available upon request. The conflict of interest policy is available upon request.
Form 990, Part VII (Comments Attached)NEIL CULLIGAN, MD A stipend was paid to Neil Culligan, MD, a director, during the year for stroke program directorship and Chief of Neurology. It was not reflected in Part VII as compensation, since it was in box #6 rather than box #7 of the 1099. DAVID KRAMER, MD (TO 1/1) David Kramer was a director to January 1, 2015. MIKE DAGLIO (TO 11/2) Mike Daglio was Chief Operating Officer of Danbury Hospital until November 2, 2014, when he became the President of Norwalk Hospital. LISA SCHMITTGALL (TO 12/31) Lisa Schmittgall's employment was terminated on December 31, 2014.
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances CAPTIVE UBI . . . . . . . . . . . . . . . . . . . . . . . $ -14,369. CHANGE IN EQUITY INTEREST OF WCHNIC. . . . . . . . . . . . 13,329,262. CHANGE IN INVESTMENT OF WHNF. . . . . . . . . . . . . . . .-16,094,946. EQUITY TRANSFER TO WCHN-W/O OF INTERCOMPANY. . . . . . . . -19,356,313. EQUITY TRANSFER TO WCMG-W/O OF INTERCOMPANY. . . . . . . . -13,034,066. NMH NET ASSETS TRFD TO DH. . . . . . . . . . . . . . . . . .34,128,301. ______________________ Total $ -1,042,131.
FORM 990 PART IX LINE 11GDESCRIPTION:HEALTHCARE PROFESSIONALS TOTAL FEES:74824188
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:30116156

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
West CT Health Network Affiliates
95 Locust AvenueDanburyCT06810222594968OP HLTHCR SVCCT501(C)(3)9WCHNYes (true)
Western CT Health Network Inc
24 Hospital AvenuedanburyCT06810222594977PROGRAM DEVLPCT501(C)(3)11, TYPE 2NAfalse
West CT Health Network Foundation
24 Hospital AvenueDanburyCT06810237425557ADMIN CONTRIBCT501(C)(3)7WCHNYes (true)
Western CT Home Care Inc
4 Liberty StreetDanburyCT06810060655138HOME HLTHCARECT501(C)(3)9WCHNYes (true)
Western CT Medical Group Inc
14 Research Drive Suite 201ABethelCT06801061137531PHYSICIAN SVCCT501(C)(3)9WCHNYes (true)
Eastern NY Medical Services PC
14 Research Drive Suite 201ABethelCT06810455431389PHYSICIAN SVCNY501(C)(3)9WCHNYes (true)
The Norwalk Hospital Association
24 Stevens StreetNorwalkCT06850066068853HEALTH SVCSCT501 (C) (3)3NHSCYes (true)
Norwalk Hospital Phys and Surgeons
24 Stevens StreetNorwalkCT06850061522078PHYSICIAN SVCCT501 (C) (3)11, TYPE 2NHSCYes (true)
Norwalk Health Care Inc
24 Stevens StreetNorwalkCT06850222577722INACTIVECT501 (C) (3)9NHSCYes (true)
Norwalk Hospital Foundation
34 Maple StreetNorwalkCT06850222577708ADMIN CONTRIBCT501 (C) (3)7NHSCYes (true)
Advanced Ctr for Rehab Medicine
24 Stevens StreetNorwalkCT06850061304799INACTIVECT501 (C) (3)11, TYPE 2NHSCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerInd
New Milford MRI
21 Elm StreetNew MilfordCT06776271877801INACTIVECTNMHN/A$0$0false$0false
Norwalk Surgery
40 Cross StreetNorwalkCT06851272394942SURGERY CENTERCTNHRELATED$0$0false$0false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
West CT Health Network Insur
23 Lime Tree Bay PO Box 105Grand CaymanCJ980438151MALPRCTICECJDHC CORP$23,409,419$132,830,9681.00000Yes (true)
Medical Services of Danbury
061635945INACTIVEWCMGC CORP$0$0Yes (true)24 Hospital AvenueDanburyCT06811CT
SWC Corporation
222577718PHARMACYNHSCC CORP$0$0Yes (true)24 Stevens StreetNorwalkCT06850CT
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (41 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
West CT Health Network Affiliates
j$104,356COST
West CT Health Network Affiliates
l$357,015COST
West CT Health Network Affiliates
m$477,289COST
West CT Health Network Affiliates
o$154,934COST
West CT Health Network Affiliates
q$5,906,776COST
West CT Health Network Affiliates
s$6,324,920COST
West CT Health Network Foundation
c$11,877,473cost
West CT Health Network Foundation
j$81,493cost
West CT Health Network Foundation
k$56,258cost
West CT Health Network Foundation
o$1,966,467cost
West CT Health Network Foundation
q$1,848,190cost
West CT Health Network Foundation
s$8,701,234cost
Western CT Home Care Inc
l$154,967cost
Western CT Home Care Inc
o$147,394cost
Western CT Home Care Inc
q$859,175cost
Western CT Home Care Inc
r$250,000cost
Western CT Home Care Inc
s$1,194,306cost
Western CT Medical Group Inc
b$13,034,066cost
Western CT Medical Group Inc
i$97,726cost
Western CT Medical Group Inc
j$2,319,887cost
Western CT Medical Group Inc
l$4,028,047cost
Western CT Medical Group Inc
m$67,706,087cost
Western CT Medical Group Inc
o$962,897cost
Western CT Medical Group Inc
q$75,038,541cost
Western CT Medical Group Inc
s$1,622,201cost
Eastern NY Medical Services PC
q$169,718cost
The Norwalk Hospital Association
i$1,012,175cost
The Norwalk Hospital Association
j$416,543cost
The Norwalk Hospital Association
l$5,792,729cost
The Norwalk Hospital Association
o$9,606,088cost
The Norwalk Hospital Association
q$11,936,824cost
The Norwalk Hospital Association
s$24,191,633cost
Norwalk Hospital Phys and Surgeons
o$127,264cost
Norwalk Hospital Phys and Surgeons
q$670,239cost
Norwalk Hospital Phys and Surgeons
s$783,006cost
West CT Health Network Insur Co LTD
q$10,981,551cost
West CT Health Network Insur Co LTD
r$13,106,977cost
West CT Health Network Insur Co LTD
s$10,910,500cost
SWC Corporation
o$128,029Cost
SWC Corporation
q$105,949cost
SWC Corporation
r$214,835cost

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part III - Partnership Full Name, Address, FEINFormAndLineReferenceDesc
ExplanationNew Milford MRI JV, LLC 27-1877801 21 Elm Street New Milford, CT 06776 Norwalk Surgery Center, LLC 27-2394942 40 Cross Street, #120 Norwalk, CT 06851ExplanationTxt

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