2015-08-12T07:19:39-07:00 2014-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE STE 4000 INDIANAPOLIS IN 46204 990 2013-10-01 060669121 The New Milford Hospital Inc NEWM 2037398110 21 Elm Street New Milford CT 06776 Steven H Rosenberg SVP & CFO 2015-08-12 true Jennifer Lynch P01255855 3176817000 2013 2016-02-25 16:41:14Z X Steven H Rosenberg 24 Hospital Avenue Danbury CT 06810 64297750 false false X NewMilfordHospital.org X 1921 CT New Milford Hospital is an acute care facility dedicated to maintaining and improving the healthcare of members of the New Milford and surrounding communities that it serves. X 9 7 499 90 1033723 -648569 5457495 1807850 69721620 61806759 0 534161 683141 75713276 64297750 0 0 37598629 31395000 0 0 35363670 33430911 72962299 64825911 2750977 -528161 61269930 0 29542298 0 31727632 0 X To provide outstanding healthcare to the New Milford and surrounding communities we serve through an uncompromising focus on clinical quality, compassionate care, and the creation of a medical "safe haven" for our patients and their families. false true 28374174 35302987 OUTPATIENT:NMH provides outpatient services to the community. Major services include radiology diagnostic, mammography, ultrasound, behavioral health services, MRI, CT scans and oncology services. 20371201 17072344 During 2014, New Milford Hospital has experienced meaningful change, delivered life-changing experiences, confronted serious issues and achieved significant progress. We are proud of the remarkable progress we have made during a challenging and ultimately rewarding year.As we continue to chart a new path to the future of healthcare we focus on the real results that people and investments can create. The best healthcare comes from combining top medical care with a personal touch provided by our team of dedicated professionals. Thats how we improve the health of our communities, one person at a time.We view 2014 as a year of progress on many fronts. We are expanding cancer care, women's health and emergency services. We have integrated laboratory and radiology services to offer more access and improve efficiency. Professional cooperation between our physicians, support staff and hospitals has never been stronger. Accountable Care is a delivery concept that ties provider reimbursements to specific quality measures, patient satisfaction, efficiencies and reductions in the total cost of care for a particular population of patients. An Accountable Care Organization (ACO) is designed to reward improvements in healthcare quality by sharing the savings that result from a more comprehensive continuum of care that yields better patient outcomes at every level of intervention. At the same time, a hospital that fails to meet minimum measures is put on notice that they will eventually be penalized with reduced reimbursements if they do not improve in a number of areas.A sampling of our recent awards, accolades and acheivements are as follows: Gold Award Plow to Plate Quality Initiative, 2012--CT Quality Improvement Assoc. Plow to Plate Recognition in Community Connections,2012--American Hospital Assoc. Commission on Cancer 3 Year Accreditation with Commendation,2009-2011--Commission on Cancer Regional Cancer Center Accreditation in Radiation Oncology,2011-2013--American College of Radiology Regional Cancer Center Accreditation as a Breast Center,2012--National Accreditation Program for Breast CentersIn late 2011, the establishment of ACOs became an important feature of the Affordable Care Act when the Centers for Medicare and Medicaid Services (CMS) issued a set of guidelines for healthcare providers like New Milford Hospital. To address the overall goal to improve healthcare quality, CMS specifies five domains by which they and provider participants can monitor performance quality: -Patient/caregiver experience-Care coordination-Patient safety-Preventive health-Care of at-risk populations including the frail elderlyIn 2014, New Milford Hospital acted to meet and, where possible, exceed these goals. New Milford Hospital strives every day to protect and promote the health and wellness of each of our patients and to provide access to the highest quality care, regardless of their ability to pay. Whether it is through creative prevention partnerships, the management of chronic illness, or connecting patients to appropriate community services, we are devoted to serving our neighbors in need. We are especially vigilant now during these difficult economic times, focusing on disparities in care, older adult health needs, substance abuse and mental health and improving awareness of existing health services and supports. Moreover, we must pursue outreach programs that address such major health issues as heart disease and cancer. Some of our most effective health and wellness initiatives are offering a stable safety net of medical care and support services for our most vulnerable and at-risk neighbors living with serious mental health and substance abuse issues. Achievements of 2014 show a new picture emerging: a coordinated and strong health care partner that preserves the caring spirit of a community hospital with a contemporary operation that reflects the best of modern healthcare. As we approach the opportunities of 2015, we will continue to invest in our future to help our communities experience this new picture of health. 7219464 9431428 ER AND OTHER:The Emergency Department had 16,638 visits in 2014. Construction of a new Emergency Department was completed in 2014. 55964839 true true false true false false false false false false false false false false false false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false true true true false false true 45 0 true 499 true true false false false false false false 0 false false false false false false false false false false X 9 7 true false false false true true true true true false false true true true true true true true true true true X X Mary Jo Pawlak 2037398110 21 Elm Street New Milford CT 06776 X John M Murphy MD WCHN Pres & CEO 2.00 48.00 X X 0 1243861 54487 Neil Culligan MD Director 1.00 2.00 X 0 0 0 David Kramer MD Director 1.00 2.00 X 0 0 0 David Cyganowski Director 1.00 2.00 X X 0 0 0 Richard G Jabara Director 1.00 3.00 X 0 0 0 Anthea Disney Director 1.00 2.00 X 0 0 0 Joseph D Skrzypczak Secretary 1.00 2.00 X X 0 0 0 Spencer Houldin Director 1.00 3.00 X 0 0 0 Brian C White Director 1.00 4.00 X 0 0 0 James Kennedy Chairman 3.00 7.00 X X 0 0 0 DDeBarba from 1114 Exec VP & Pres. 1.00 49.00 X 0 1110329 26151 Steven H Rosenberg SVP/CFO & Treas 2.00 49.00 X 0 717641 45409 D Weymouth to 6114 SVP & Exec Dir. 40.00 0.00 X 372111 0 18013 Donna Kaplanis Asst. Secretary 2.00 48.00 X 0 236977 57460 Thomas Koobatian SVP 40.00 10.00 X 0 417446 49827 Damon DeChamplain Director Pt Exper 40.00 0.00 X 150658 0 24947 Lee Zarger Chief Med Physicst 40.00 0.00 X 203036 0 28335 Judith Pilch Nurse Manager 40.00 0.00 X 142522 0 21156 Christian Ward Dir.of Finance 40.00 0.00 X 145831 0 40304 Kevin Meade Controller 40.00 0.00 X 145208 0 18474 1159366 3726254 384563 51 false true false UNIDINE PO BOX 60479 CHARLOTTE NC 28260 NUTRITIONAL 1251824 LAWNS UNLIMITED 186 CORNWALL RD WARREN CT 06776 LANDSCAPING SERVICES 110000 APOLLO INTL 2150 BOSTON PROVIDENCE HIGHWAY WALPOLE MA 02081 SECURITY SERVICES 446402 PERSANTE SLEEP CARE 130 GAITHER DRIVE MOUNT LAUREL NJ 08054 SLEEP CTR MANAGEMENT 146200 RINALDI LINEN SERVICE 47 COMMONS COURT WATERBURY CT 06704 LAUNDRY SERVICES 150572 7 1503047 304803 1807850 Medicare/Medicaid 621990 26001421 26001421 Non-Patient Laboratory 621500 1033723 1033723 Patient Service Revenue 621990 34771615 34771615 61806759 0 0 0 86305 86305 86305 86305 0 0 0 0 Administrative Services 561000 283012 283012 Cafeteria & Vending 561000 250004 250004 Gift Shop 452000 63820 63820 596836 64297750 60773036 1033723 683141 0 0 0 0 294415 294415 0 24523114 20354185 4168929 1221036 1013460 207576 3846425 3192533 653892 1510010 1253308 256702 0 28086 28086 190930 190930 38439 38439 0 0 4950914 4109259 841655 252 252 999408 829509 169899 73475 60984 12491 0 1195822 992532 203290 11997 9958 2039 0 47405 39346 8059 128030 128030 0 5477484 4546312 931172 2035151 1689175 345976 Medical Supplies 9299984 9299984 WCMG system support 5969598 5969598 Dietary Contract 1158115 961235 196880 Maintenance COntracts 935792 776707 159085 890029 738724 151305 64825911 55964839 8861072 0 0 2221385 0 0 7314799 0 0 0 0 1521171 0 371475 0 33868704 0 0 0 0 0 15972396 0 61269930 0 5295097 24247201 29542298 0 X 23332942 4125215 4269475 31727632 0 61269930 0 X -528161 -31199471 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false true 20 false true 25695 true 12708 false true 16 38439 false false Part II-B, Line 1i - Other Activities Description Only state and local officials were lobbied during 2014. 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 in support of maintaining patient access to essential services for both the uninsured and the underinsured.New Milford Hospital CHA dues of $124,673 had 15.79% or $19,686 expended on lobbying activities. New Milford Hospital AHA dues of $24,507 had 23.65% or $6,009 expended on lobbying activities. Both amounts were reflected on 1f. 64297750 64297750 64297750 64825911 64825911 64825911 true true true X 400.000000000 true X 600.000000000 true true false false true true 737981 205443 532538 0.00820 8307 8198705 5779094 2419611 0.03730 8307 8936686 5984537 2952149 0.04550 152 6871 273220 37555 235665 0.00360 1 1 396 396 633 906705 623085 283620 0.00440 153 7505 1180321 660640 519681 0.00800 153 15812 10117007 6645177 3471830 0.05350 1 1 347 347 5 6176 74770 74770 0.00120 2 263 2051 2051 8 6440 77168 77168 0.00120 true 754130 20760082 30624628 -9864546 X true true 1 1 New Milford Hospital Inc 21 Elm Street New Milford CT 06776 www.newmilfordhospital.org 0032 X X X X New Milford Hospital Inc 1 true X X X X X X X X X 12 true true true X http://www.newmilfordhospital.org X http://www.chime.org X X X X true false false true true 400.0000 true 600.0000 true X X X X X X X true true X X X X X X true false true X false false Part V, Line 3 - Account Input from Person Who Represent the Community Provide effective strategies to improve community health involve active collaboration and commitment among health providers, public and community health agencies, educators, worksites, community and faith-based organizations and groups, and the public they serve. The organization collaborates with community partners for assessment of community health needs and action planning. New Milford Hospital, and its affiliate partner, Danbury Hospital, 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, 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 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment New Milford Hospital, and its affilate partner, Danbury Hospital, 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 14g - Other Means Hospital Facility Publicized the Policy New Milford Hospital has messages on all statements providing how the patient can get assistance with their Hospital bill. Counselors are also available to provide further assistance. Part I, Line 6a - Related Organization Community Benefit Report Part I, Line 6a & 6b: The Community Benefit report is reported on a Network basis. It contains the organizations 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/nmilf990_hospital_2012.pdf Part I, Line 7 - Explanation of Costing Methodology Part I, Line 7 - Explanation of Costing MethodologyCharity Care At Cost Percentage:Total Gross Patient charges written off to charity (Income Statement) * Patient Costto Charge % (see below) = Total Community Benefit ExpenseTotal Community Benefit Expenses - Revenue from Uncompensated Care Pools andprograms (DHS * % of cost of uncompensated care shown on the OCHA Schedule 500) = Net community benefits expensesNet community benefits expenses * total expenses = % of total expenses Ratio Cost To Charge CalculationTotal Operating Expenses divided by Adjusted Patient Care Cost (Bad Debt, Other Operating Income and Intercompany Income are removed from the total operating expenses) Adjusted Patient Care Cost divided by Gross Patient ChargesRatio Cost To Charge Calculation:Total Operating Expenses divided by Adjusted Patient Care Cost (Bad Debt, Other Operating Income and Intercompany Income are removed from the total operating expenses)Adjusted Patient Care Cost divided by Gross Patient Charges= Ratio of patient care costs to charges Part I, Line 7g - Costs Associated With Physicans Clinics Part I, Line 7g - Costs Associated With Physicans ClinicsThere are no physician clinics included in this amount. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The ratio of cost to charges is applied to the bad debt expense on the audited financial statements. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit It 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. Because New Milford Hospital is not reimbursed for any bad debt write offs, those amounts are considered to be a 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. Part III, Line 4 - Bad Debt Expense The Hospitals 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 Hospitals collection efforts. The Hospitals 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 bad debt; and Trending of days revenue in accounts receivable 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 amount of the allowance for uncollectible accounts is based upon managment'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 Hospitals 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 41% and 6%, and 37% and 5%, for Medicare and Medicaid, respectively, at September 30, 2014 and 2013, respectively. Part III, Line 8 - Explanation Of Shortfall As Community Benefit New Milford 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. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients It is the policy of the hospital to provide "financial assistance" (either free care of 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) The 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. The 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 process 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 its mission, the 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, the 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. The 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. Part VI - Needs Assessment Part VI, Line 2: Needs Assessment: The Community Forum 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, Doctors Express Urgent Care Center, the Regional Educational Service Center, the Danbury Fire Department, the New Milford Senior Center, and the Peter and Camen Lucia Buck Foundation. Two community health conversations with key community stakeholders in October 2012 - held in two locations (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 legislators office. Geographically, all 10 HVR municipalities were represented either directly or through regional agencies and organizations.The Western CT Health Network (of which New Milford Hospital is a part) conducted a Physician Resource Assessment to evaluate the supply of healthcare providers within its combined service area towns. This is done to document community need for healthcare providers, and to develop a plan to the healthcare needs of the community served. Part VI - Patient Education of Eligibility for Assistance PART VI,LINE 3: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 online. Part VI - Community Information Part VI, Line 4: Community Information: New Milford Hospital serves an area with a population of about 48,000 people. The Primary Service Area includes New Milford, Washington, Kent and Bridgewater (in CT), and the Secondary Service Area includes Sherman, Roxbury and Cornwall (in CT) and Wingdale (in NY). This service area is comprised of the suburban Town of New Milford surrounded by moderately affluent residential and rural towns. No other general medical/surgical hospitals are located in this service area. New Milford has a median household income of $84,110, and a poverty rate of 4.6%. The uninsured population rate is estimated to be 9.3%. Although the population of the primary and secondary service areas is expected to remain virtually level from 2010 to 2015, the cohort aged 65 and over is expected to increase by 4.64%, while the age 20-44 age cohort is forecast to decline 1.57% over the same time period. Part VI - Community Building Activities Relates to Line #6, Coalition Building totalling $74,770:Part II: Community Building Activities: 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 met quarterly to oversee a community health improvement plan (CHIP) that was developed utilizing data from a report card and previous community conversations that focused on four priority health indicators (PHI). Each indicator has objectives, strategies and work groups that carry out these objectives: The four PHI workgroups have designated a leader and met at least quarterly to further develop and refine their action plans. During April 2014 the Center for Health Schools & Communities @ Education Connection facilitated a Community Forum to provide a feedback loop to community stakeholders. 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 team also participated in National Walk Day, which garnered over 150 people from the Housatonic Valley Region and formation of 3 community walking groups. A wellness campaign building on the 5, 2, 1, 0 Lets Go messaging and collaboration with health providers, schools and businesses is being developed.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.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.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.Relates to line #2, Economic Development and line #7, Community Health Improvement Advocacy totalling $2,398: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 underinsured. As part of this effort, miscellaneous expenses are noted in Part II-B 1i. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Part VI, Line 5: Promotion of community health. New Milford Hospital served 994,504 persons through over 253 health events. One of the highest impact outreach activities includes 11,650 individuals served through several health fairs. Attendees were offered cancer and blood pressure screenings, and received information on topics ranging from integrative medicine, nutrition, orthopedic advancements and Lyme Disease.Over 50% of the Board Members are independent and do not get paid by New Milford Hospital. New Milford 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 - Affilated Health Care System Roles and Promotion Part VI, Line 6: Western Connecticut Health Network (WCHN) is an integrated health care delivery system comprised of three community hospitals and their affiliated entities. In addition to New Milford, Danbury and Norwalk Hospitals, 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. WCHNs mission is to improvethe health of every person we serve through the efficient delivery of excellent, innovative and compassionate care. For 2014, WCHN provided $10,362,060 in total charity care.New Milford, Danbury and Norwalk Hospitals 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 hospital's mission statement, to improve the health and well-being of those we serve. For 2014, WCHN provided charity care in the following amounts: Norwalk Hospital $4,331,000, Danbury Hospital $4,731,000, and New Milford Hospital $346,000.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 patientsneeds. 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 2014, WCMG/NHP&S provided $880,627 in charity care.Western Connecticut Health Network Foundation Inc.'s missionis to raise funds, reinvest and administer these funds and make distributions to New Milford Hospital and other not-for-profit health care 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. For 2014, WCHN Affiliates provided $1,454 in charity 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 2014, WCHC provided $70,695 in charity care.Eastern New York Medical Services (ENYMS) was formed in April, 2013. The mission at ENYMS is to provide safe, innovative, convenient and coordinated primary and gastro health care in the communities we serve and strive to be aware of and respond to our patients needs. For 2014, ENYMS provided $1,284 Part VI - States Where Community Benefit Report Filed CT false true false false false true true false false false Christian Ward Dir.of Finance 145711 120 9178 31126 186135 D Weymouth to 6114 SVP & Exec Dir. 312077 60034 12750 5263 390124 DDeBarba from 1114 Exec VP & Pres. 632299 445600 32430 11475 14676 1136480 Damon DeChamplain Director Pt Exper 149863 795 7493 17454 175605 Donna Kaplanis Asst. Secretary 177102 40034 19841 24188 33272 294437 John M Murphy MD WCHN Pres & CEO 821391 412534 9936 12750 41737 1298348 Judith Pilch Nurse Manager 142115 407 12043 9113 163678 Kevin Meade Controller 144419 789 7554 10920 163682 Lee Zarger Chief Med Physicst 200863 1021 1152 8264 20071 231371 Steven H Rosenberg SVP/CFO & Treas 505212 185034 27395 12750 32659 763050 Thomas Koobatian SVP 344670 70921 1855 15300 34527 467273 Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or Part I, Line 6 - Compensation Contingent On Net Earnings Or Related OrganizationSummary of Executive Incentive Plan The Plan is administered by the Executive Compensation Committee of Western Connecticut Health Network, Inc. Eligibility to participate in the Plan is limited to those who are in positions in which their decisions, actions and counsel significantly affect the operations of Western Connecticut Health Network, Inc. and its subsidiaries.The Committee will establish the target award opportunity (expressed as a percentage of base salary) for each participant in the Plan.Prior to the beginning of each Plan year, or as soon thereafter as practicable, performance measures are established for each participant in the Plan.Incentive awards are modified or eliminated if the level of performance specified is not achieved. Notwithstanding any other provision of the Plan, incentive awards can be affected based on individual executive performance. Single License With Danbury Hospital 2014-10-01 34128301 Cost 060646597 24 Hospital Avenue Danbury CT 068106099 501 (C) (3) false false false false true true true true false false Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services The New Milford Hospital, Inc. is operating under a single license with Danbury Hospital as of October 1, 2014. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Richard Jabara and James Kennedy, both directors of New Milford Hospital have a business relationship. Form 990, Part VI, Line 11b: Form 990 Review Process Steven Rosenberg, CFO, 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. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Organization's Process for Monitoring and Enforcing Conflicts of InterestThe 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 PolicyThe 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 Committe review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential tranaction 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 ConflictAfter 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 PersonNo 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. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Compensation of CEO: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 healthcare 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 Committee on Governance and Key Executives in the Executive Compensation Process- The Committee on Governance in consultation with the CEO and the SVP HR selects the outside compensation consultants. The current consultant is the Hay Group, whose purpose is to provide a valid independent assessment of the relevent market rates and pay practices for healthcare 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 Committee on Governance for their consideration and acceptance.-The Committee on Governance determines the CEO's salary based on overall performance and market data supplied by the outside market consultant.The last executive compensation evaluation by an outside consultant was done in September, 2014. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation for Other Officers and Key Employees:Compensation review and approval process is identical to the process for the CEO and executives noted in 15A above. Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection Tax return information is available on Danbury Hospital's(a related organization) website: www.danburyhospital.org. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The information that has been posted on the Danbury Hospital website for 2014includes:The most current audited financial statements.Also included is 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 are made available upon request.The conflict of interest policy is made available upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Change in equity interest of WCHNF = -$478506 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in pension funding = -$7005610 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Assets Transferred to Danbury Hosp. = -$34128301 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Danbury Hospital = $10412946 FORM 990, PART IX, COLUMN D ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990,ALL FUNDRAISING EXPENSES WERE INCURRED BY THE Western Connecticut Health Network Foundation. FORM 990, PART VI, LINE #6 Western Connecticut Health Network, Inc. is the sole member of New Milford Hospital. FORM 990, PART VI, LINE 7A The sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified. FORM 990, PART VI, LINE 7B The duties and responsibilities of the sole member shall include, among others, the following: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:Filling vacancies on the Board of Directors, which occur between elections; reviewing, making, and approving changes in the bylaws; insuring that the objective, purposes and goals of New Milford Hospital as stated in the charter of the New Milford Hospital, Inc. are properly and effectively carried out by the Board of Directors; delegating as appropriate, to the Board of Directors, policy-making functions, the supervision of the Hospital's operations and the control over the Hospital's assets. 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 VI, SECTION A ,LINE 1b Neil Culligan,MD is not considered to be independent, since he received stipends during the year exceeding $10,000. Western CT Health Network Inc 24 Hospital Avenue Danbury CT 06810 222594977 Program Devlp CT 501(c)(3) 11, TYPE 2 N/A true Western CT Medical Group Inc 14 Research Drive Suite 201A Bethel CT 06801 061137531 Physician Svc CT 501(c)(3) 9 WCHN true West CT Health Network Foundation 24 Hospital Avenue Danbury CT 06810 237425557 Admin Contrib CT 501(c)(3) 7 WCHN true Danbury Hospital Inc 24 Hospital Avenue Danbury CT 06810 060646597 Acute Care CT 501(c)(3) 3 WCHN true Western CT Health Network Affiliates 95 Locust Avenue Danbury CT 06810 222594968 OP Hlthcr Svc CT 501(c)(3) 9 WCHN true Western CT Home Care Inc 4 Liberty Street Danbury CT 06810 060655138 Home Hlthcare CT 501(c)(3) 9 WCHN true Eastern NY Medical Services PC 14 Research Drive Suite 201A Bethel CT 06810 485431389 PHYSICIAN SVC. NY 501(C) (3) 9 WCHN true The Norwalk Hospital Association 24 Stevens Street Norwalk CT 06850 066068853 Health Services CT 501 (C) (3) 3 NHSC true Norwalk Hospital Phys and Surgeons 24 Stevens Street Norwalk CT 06850 061522078 Physician Services CT 501 (C) (3) 11, TYPE 2 NHSC true Norwalk Health Care Inc 24 Stevens Street Norwalk CT 06850 222577722 INACTIVE CT 501 (C) (3) 9 NHSC true Norwalk Health Services Corporation 24 Stevens Street Norwalk CT 06850 222577711 Support Services CT 501 (C) (3) 11, TYPE 2 WCHN true Norwalk Hospital Foundation 34 Maple Street Norwalk CT 06850 222577708 Admin. Contrib. CT 501 (C) (3) 7 NHSC true Advanced Center for Rehab Medicine 24 Stevens Street Norwalk CT 06850 061304799 Inactive CT 501 (C) (3) 11,Type 2 NHSC true New Milford MRI JV LLC 21 Elm Street New Milford CT 06776 271877801 INACTIVE CT New Milford Hospital false false Ridgefield Surgical Center LLC 901 Ethan Allen Hwy Suite 105 Ridgefield CT 06877 222594977 INACTIVE CT WCHN false false Norwalk Surgery 40 Cross Street Norwalk CT 06851 272394942 Surgery Center CT NH Related false false Business Systems Inc 24 Hospital Avenue Danbury CT 06810 061119262 Inactive CT WCHN C Corp. true Medical Services of Danbury 24 Hospital Avenue Danbury CT 06811 061635945 Healthcare CT WCMG C Corp. true SWC Corporation 24 Stevens Street Norwalk CT 06850 222577718 Pharmacy CT NHSC C Corp true West CT Health Network Insur Co LTD 23 Lime Tree Bay PO Box 1051 Grand Cayman CJ 980438151 Malpractce DH C.Corp. true Maple Street Indemnity Company 40 Church Street PO Box 2062 Hamilton BD HM HX BD 980549862 Malpractce BD NHSC C Corp true false true true false false false false false false false true false true false true true false true false Western CT Medical Group Inc k 60352 Cost Western CT Medical Group Inc m 5795662 Cost Western CT Medical Group Inc p 5602297 Cost West CT Health Network Foundation c 1503047 Cost Danbury Hospital Inc b 34128301 Cost Danbury Hospital Inc c 10412946 Cost Danbury Hospital Inc m 484884 Cost Danbury Hospital Inc o 5073718 Cost Danbury Hospital Inc p 13054268 Cost Danbury Hospital Inc r 11982842 Cost