HAROLD LEEVER REGIONAL CANCER CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HAROLD LEEVER REGIONAL CANCER CENTER INC (EIN 06-1548409)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-12
- IRS object ID
- 201312249349302311
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-12T14:41:15-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221478099 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 GLASTONBURY BOULEVARD | AddressLine1 |
| City | GLASTONBURY | City |
| State | CT | State |
| ZIP Code | 06033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061548409 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HAROLD LEEVER REGIONAL CANCER CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HARO | NameControl |
| Phone | 2035755555 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1075 CHASE PARKWAY | AddressLine1 |
| City | WATERBURY | City |
| State | CT | State |
| ZIP Code | 06708 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN KNIERY | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 2035755555 | Phone |
| Date Signed | 2013-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00073660 | PTIN |
| Phone | 8606333000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1075 CHASE PARKWAY | AddressLine1 |
| City | WATERBURY | City |
| State | CT | State |
| ZIP Code | 06708 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8463153 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LEEVERCANCERCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | TO OPERATE & MAINTAIN A COMPREHENSIVE CANCER CENTER (AND PROGRAMS INCIDENTAL THERETO)OFFERING THE MOST ADVANCED RADIATION ONCOLOGY TECHNOLOGY FOR CANCER TREATMENTS. THE CENTER IS ALSO A CENTRAL RESOURCE FOR PROVIDING EDUCATION, INFORMATION AND SUPPORT SERVICES TO THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 27 | TotalNbrEmployees |
| Total Nbr Volunteers | 3 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 279716 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 111075 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8004095 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8099004 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5894 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6457 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 248250 | OtherRevenuePriorYear |
| Other Revenue Current Year | 246617 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8537955 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8463153 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2752477 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2784079 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4353274 | OtherExpensePriorYear |
| Other Expenses Current Year | 4507954 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7105751 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7292033 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1432204 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1171120 | RevenuesLessExpensesCY |
| Total Assets BOY | 20729838 | TotalAssetsBOY |
| Total Assets EOY | 20323118 | TotalAssetsEOY |
| Total Liabilities BOY | 2320597 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 732757 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18409241 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19590361 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF THE HAROLD LEEVER CANCER CENTER IS TO IMPROVE THE HEALTH OF THE COMMUNITY BY CREATING AND FOSTERING A PATIENT AND FAMILY CENTERED APPROACH TO HIGH QUALITY CANCER CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5887670 | Expense |
| Revenue | 8099004 | Revenue |
| Description | PROGRAM SERVICES FOR TREATMENT OF CANCER PATIENTS. THE ORGANIZATION PROVIDES APPROXIMATELY 3744 IMRT VISITS AND 1,138 TREATMENTS DURING THE FISCAL YEAR. | Description |
| Total Program Service Expense | 5887670 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 1 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 27 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS BELZEK FINANCE DIRECTOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2035755563 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1075 CHASE PARKWAY | AddressLine1 |
| City | WATERBURY | City |
| State | CT | State |
| ZIP Code | 06708 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LINDA T WIHBEY | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN MICHAELS | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |
| CHAD WABLE | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CURTIS TITUS | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ELLEN POLOKOFF MD | |||||||
| NON MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH BOWEN MD | |||||||
| PHYSICIAN DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KERT SABBATH MD | |||||||
| PHYSICIAN DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| STEPHEN GRIFFIN | |||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| SCOTT KURTZMAN MD | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| DR JEFFREY BITTERMAN | |||||||
| PHYSICIAN DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DR DAVID HILL | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DARLENE STROMSTAD | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GARRETT CASEY | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BETTY BOZZUTO | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL NOVAK | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| JAY HOFFMAN | |||||||
| MEMBER DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEVIN KNIERY | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 194148 | 0 | 29696 | X | ||
| THOMAS BELZEK | |||||||
| FINANCE DIRECTOR | 40.00 | 137097 | 0 | 20675 | X | ||
| CYNTHIA AUDET | |||||||
| DOSIMETRIST | 40.00 | 112648 | 0 | 12242 | X | ||
| DEBORAH PARKINSON | |||||||
| OPERATIONS MANAGER | 40.00 | 115769 | 0 | 21322 | X | ||
| IAN CROOKS | |||||||
| PHYSICIST | 40.00 | 243692 | 0 | 18941 | X | ||
| PETER SANCHEZ | |||||||
| DOSIMETRIST | 40.00 | 117711 | 0 | 15522 | X | ||
| APRIL NUNN | |||||||
| PHYSICIST | 40.00 | 134776 | 0 | 11782 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1055841 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 130180 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ELEKTA | |||||
| PO BOX 404199 | ATLANTA | GA | 30384 | MAINT CONTRACT FOR 2 LINACS | 330000 |
| MBR MEDICAL BILLING | |||||
| 1020 AE BOAL AVENUE | BOALSBURG | PA | 16827 | BILLING SERVICE | 287549 |
| INSIGHT HEALTH SERVICES CORP | |||||
| PO BOX 847689 | DALLAS | TX | 75284 | STAFFING FOR PET/CT | 199500 |
| GE MEDICAL | |||||
| PO BOX 640944 | PITTSBURGH | PA | 15264 | MAINT CONTRACT FOR PET/CT | 151348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 111075 | AllOtherContributions |
| Total Contributions | 111075 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 8099004 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8099004 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8099004 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6457 | TotalRevenueColumn |
| Exclusion | $6,457 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 246617 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 246617 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 246617 | TotalRevenueColumn |
| Exclusion | $246,617 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8463153 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8099004 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $253,074 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 356310 | Total |
| Program Services | 178155 | ProgramServices |
| Management And General | 178155 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1856366 | Total |
| Program Services | 1807524 | ProgramServices |
| Management And General | 48842 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 571403 | Total |
| Program Services | 512783 | ProgramServices |
| Management And General | 58620 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53478 | Total |
| Program Services | 13700 | ProgramServices |
| Management And General | 39778 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 286494 | Total |
| Program Services | 57299 | ProgramServices |
| Management And General | 229195 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 566636 | Total |
| Program Services | 396644 | ProgramServices |
| Management And General | 169992 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46946 | Total |
| Program Services | 28354 | ProgramServices |
| Management And General | 18592 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71496 | Total |
| Program Services | 62379 | ProgramServices |
| Management And General | 9117 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142477 | Total |
| Management And General | 142477 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1201411 | Total |
| Program Services | 840988 | ProgramServices |
| Management And General | 360423 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACT LABOR | 883435 | 818740 | 64695 |
| SERVICE CONTRACTS AND O | 731724 | 731724 | |
| BAD DEBT EXPENSE | 256755 | 256755 | |
| MEDICAL SUPPLIES | 173381 | 173381 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93721 | Total |
| Program Services | 9244 | ProgramServices |
| Management And General | 84477 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7292033 | Total |
| Program Services | 5887670 | ProgramServices |
| Management And General | 1404363 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4251634 | BOY |
| EOY | 3957920 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 822690 | BOY |
| EOY | 1370058 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 212314 | BOY |
| EOY | 280838 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 23466231 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9142545 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15220997 | BOY |
| EOY | 14323686 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222203 | BOY |
| EOY | 390616 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20729838 | BOY |
| EOY | 20323118 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 656877 | BOY |
| EOY | 716860 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1647823 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15897 | BOY |
| EOY | 15897 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2320597 | BOY |
| EOY | 732757 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17576115 | BOY |
| EOY | 19047966 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 833126 | BOY |
| EOY | 542395 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18409241 | BOY |
| EOY | 19590361 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20729838 | BOY |
| EOY | 20323118 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1171120 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 10000 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Art Public Exhibition Amts ArtPublicExhibitionAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets In Part X | 31216 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Solicited Assets For Sale | 0 | SolicitedAssetsForSale |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2572220 | OtherCostOrOtherBasis |
| Book Value | 2572220 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11586007 | OtherCostOrOtherBasis |
| Depreciation | 2776004 | Depreciation |
| Book Value | 8810003 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9022469 | OtherCostOrOtherBasis |
| Depreciation | 6102352 | Depreciation |
| Book Value | 2920117 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 285535 | OtherCostOrOtherBasis |
| Depreciation | 264189 | Depreciation |
| Book Value | 21346 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14323686 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEPOSITS | Description |
| Amount | $15,897 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15897 | TotalOfAmounts |
| Total Revenue | 8463153 | TotalRevenue |
| Total Expenses | 7292033 | TotalExpenses |
| Excess Or Deficit For Year | 1171120 | ExcessOrDeficitForYear |
| Other | $10,000 | OtherAmount |
| Total Adjustments | 10000 | TotalAdjustments |
| Excess Or Deficit Per FS | 1181120 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 8463153 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 8463153 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8463153 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7292033 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7292033 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7292033 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART III, LINE 4: | THE CENTER HAS A COLLECTION OF ARTWORK, APPRAISED AT $31,216, THAT IS ON PUBLIC DISPLAY. ARTWORK IS RECORDED AT COST IF PURCHASED AND AT APPRAISED OR FAIR VALUE AT DATE OF ACCESSION IF DONATED. GAINS AND LOSSES FROM DEACCESSIONS ARE REPORTED AS CHANGES IN NET ASSETS BASED ON THE ABSENCE OR EXISTENCE AND NATURE OF DONOR-IMPOSED RESTRICTIONS. | |
| PART X: | THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2012. THE CENTERS FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE CENTER HAD UNRELATED BUSINESS INCOME, IT WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH ANY TAX MATTERS AS PART OF THE INCOME TAX PROVISION AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENTS OF FINANCIAL POSITION. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| BAD DEBT RECOVEREY - PLEDGES 10,000. | PART XI, LINE 8 - OTHER ADJUSTMENTS: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN KNIERY | |||||||||||||
| 169998 | 0 | 24150 | 0 | 0 | 0 | 11648 | 0 | 18048 | 0 | 223844 | 0 | 0 | 0 |
| THOMAS BELZEK | |||||||||||||
| 137097 | 0 | 0 | 0 | 0 | 0 | 8225 | 0 | 12450 | 0 | 157772 | 0 | 0 | 0 |
| IAN CROOKS | |||||||||||||
| 243692 | 0 | 0 | 0 | 0 | 0 | 14621 | 0 | 4320 | 0 | 262633 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KAREN SABBATH | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SPOUSE OF BOARD MEMBER DR. KERT SABBATH | Relationship |
| Amount Of Transaction | 47727 | AmountOfTransaction |
| Description Of Transaction | NUTRITION SERVICES FOR PATIENTS. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THERE ARE TWO CLASSES OF MEMBERS CONSISTING OF THE WATERBURY HOSPITAL AND ST. MARY'S HOSPITAL OR A TRANSFEREE OF EITHER THAT IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE CODE AND PERMITTED IN THE BY-LAWS OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH MEMBER, ACTING AS A CLASS, SHALL HAVE THE RIGHT TO ELECT ONE CLASS OF DIRECTORS ANNUALLY TO THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | EACH MEMBER, ACTING AS A CLASS, SHALL HAVE THE RIGHT TO VOTE ON MATTERS PRESENTED TO THE MEMBERS FOR ACTION BY THE BOARD OF DIRECTORS AND THE FOLLOWING MATTERS: (1)SALE, PLEDGE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION AS PART OF A SINGLE TRANSACTION OR PLAN; (2)MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ENTITY OR ENTITIES OR ANY OTHER CHANGE OF CONTROL TRANSACTION; (3)AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF THESE BYLAWS; OR (4)DISSOLUTION OR TERMINATION OF THE ORGANIZATION OR ITS BUSINESS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS REVIEWED WITH THE FINANCE COMMITTEE AND THEN FORWARDED TO THE BOARD OF DIRECTORS FOR APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A RELATIVELY SMALL NUMBER OF CONTRACTS. THE EXECUTIVE DIRECTOR REVIEWS ALL CONTRACTS FOR CONFLICTS. BEFORE A FORMAL VOTE, DIRECTORS WITH A CONFLICT RECUES THEMSELVES. THE ORGANIZATION REQUIRES REGULAR WRITTEN STATEMENTS FROM OFFICERS, DIRECTORS AND KEY EMPLOYEES AS A CONDITION OF FURTHER PARTICIPATION OR EMPLOYMENT, AS THE CASE MAY BE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S FROM WATERBURY AND ST. MARY'S HOSPITALS WITH THE BOARD CHAIRMAN REVIEW INDEPENDENT DATA AND ARRIVE AT THE APPROPRIATE SALARY. MARKET DATA IS GATHERED AND A COMPARISON IS MADE. THE BOARD'S DECISION IS INDEPENDENT OF THE EXECUTIVE DIRECTOR AND OTHER EMPLOYEES. THIS IS PRESENTED TO THE INDIVIDUALS WITH THEIR ANNUAL EVALUATIONS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | INFORMATION IS AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | BAD DEBT RECOVEREY - PLEDGES 10,000. TOTAL TO FORM 990, PART XI, LINE 5: 10,000. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| THE WATERBURY HOSPITAL | ||||||||||
| 64 ROBBINS STREET | WATERBURY | CT | 06708 | 060665979 | SUPPORTING MEMBER | CT | 501(C)(3) | 170(B)(1)(A)(III) | N/A | 0 |
| ST MARY'S HOSPITAL | ||||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06708 | 060646844 | SUPPORTING MEMBER | CT | 501(C)(3) | 170(B)(1)(A)(III) | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |