WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES INC (EIN 22-2594968)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-13
- IRS object ID
- 202402269349302405
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-13T15:58:11+00:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 CLARENDON STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021165072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222594968 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Western Connecticut Health Network Affilliates Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 2037397000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 RESERVE ROAD | AddressLine1Txt |
| City | DANBURY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06810 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL DEBARBA | PersonNm |
| Person Title | CFO & TREASURER | PersonTitleTxt |
| Signature | 2024-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | George Pagano | PreparerPersonNm |
| PTIN | P01978122 | PTIN |
| Phone | 6172662000 | PhoneNum |
| Preparation | 2024-08-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Daniel Debarba | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 RESERVE ROAD | AddressLine1Txt |
| City | DANBURY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06810 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,803,613 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WESTERNCONNECTICUTHEALTHNETWORK.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 225 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | -$298,303 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,136 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,785 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,597,164 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,753,633 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,481 | CYInvestmentIncomeAmt |
| PY Other Revenue | $169,872 | PYOtherRevenueAmt |
| CY Other Revenue | $2,271 | CYOtherRevenueAmt |
| PY Total Revenue | $16,768,172 | PYTotalRevenueAmt |
| CY Total Revenue | $17,789,170 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,424,766 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,412,340 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,806,639 | PYOtherExpensesAmt |
| CY Other Expenses | $5,756,787 | CYOtherExpensesAmt |
| PY Total Expenses | $20,231,405 | PYTotalExpensesAmt |
| CY Total Expenses | $20,169,127 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,463,233 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,379,957 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,332,210 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,877,168 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,750,487 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,693,232 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,418,277 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,816,064 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,839,074 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $10,638,783 | RevenueAmt |
| Desc | EMERGENCY MEDICAL SERVICES PROVIDES AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,663,998 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,415,424 | RevenueAmt |
| Desc | WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. (WCHNA) PROVIDES MEDICAL CARE ON AN OUTPATIENT BASIS. THE ORGANIZATION INITIATES, DEVELOPS, OPERATES AND MAINTAINS PROGRAMS DIRECTED TOWARD IMPROVING THE EFFICIENCY OF HEALTH CARE FACILITIES AND REDUCING THE HIGH COST OF HEALTH CARE TO THE PUBLIC WHILE MAINTAINING HIGH QUALITY. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. SERVES INDIVIDUALS OF ALL INCOME LEVELS AND FOLLOWS THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY ITS PARENT ORGANIZATION, NUVANCE HEALTH. $136,568 - CHARITY CARE IN FISCAL YEAR 2023 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $16,503,072 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 225 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN DARCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2037394593 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 RESERVE ROAD | AddressLine1Txt |
| City | DANBURY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06810 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN WYATT | ||||||||||
| SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $350,253 | $60,626 | |||
| CAROLYN MCKENNA | ||||||||||
| SECRETARY & CHIEF LEGAL OFFICER (TO 12/31) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $811,715 | $90,668 | |||
| DANIEL DEBARBA | ||||||||||
| CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $275,184 | $43,123 | |||
| MICHELLE ROBERTSON | ||||||||||
| CHIEF OPERATING OFFICER; CHAIRMAN (FROM 01/01) | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $534,257 | $65,670 | |||
| STEVEN H ROSENBERG | ||||||||||
| FORMER CFO/TREASURER (TO 12/31) | 0.5 | 39.5 | Yes (X) | Yes (X) | $0 | $1,257,989 | $149,120 | |||
| JENNIFER L FILIPPONE | ||||||||||
| VP NETWORK OPERATIONS | 20.0 | 20.0 | $0 | $387,908 | $18,986 | Yes (X) | ||||
| MATTHEW G CASSAVECHIA | ||||||||||
| DIRECTOR OF EMS | 40.0 | 0 | $300,019 | $0 | $46,594 | Yes (X) | ||||
| ANDREW J MATTURRO | ||||||||||
| OPERATIONS MANAGER- AMBULANCE | 40.0 | 0 | $206,592 | $0 | $24,204 | Yes (X) | ||||
| DAVID J REHDER | ||||||||||
| PARAMEDIC | 40.0 | 0 | $207,289 | $0 | $50,437 | Yes (X) | ||||
| JAMES E STEAD | ||||||||||
| EMS SUPERVISOR | 40.0 | 0 | $322,493 | $0 | $60,961 | Yes (X) | ||||
| MICHAEL T BURGESS | ||||||||||
| EMERGENCY MEDICAL TECHNICIAN | 40.0 | 0 | $188,964 | $0 | $21,215 | Yes (X) | ||||
| THOMAS HORKAN | ||||||||||
| EMS SUPERVISOR | 40.0 | 0 | $198,184 | $0 | $24,306 | Yes (X) | ||||
| JOHN M MURPHY MD | ||||||||||
| FORMER PRESIDENT/NUVANCE CEO | 0.0 | 50.0 | $0 | $2,740,600 | $297,106 | Yes (X) | ||||
| KERRY EATON | ||||||||||
| FORMER CHAIR/CHIEF OPERATING OFFICER | 0.0 | 40.0 | $0 | $1,390,099 | $142,026 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,423,541 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,748,005 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,095,042 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANBURY RADIOLOGICAL ASSOCIATES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 Newtown Rd 45 | AddressLine1Txt |
| City | Danbury | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06810 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Reading images | ServicesDesc |
| Compensation | $1,161,072 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $23,785 | RelatedOrganizationsAmt |
| Total Contributions | $23,785 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| EMS SERVICES | 621910 | $10,638,783 | $10,638,783 | |
| MEDICAL SERVICES | 621400 | $5,832,966 | $6,131,269 | -$298,303 |
| CAREGIVERS AT HOME SERVICES | 621610 | $1,265,019 | $1,265,019 | |
| COVID STIMULUS | 900099 | $16,865 | $16,865 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,753,633 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,924 | TotalRevenueColumnAmt |
| Exclusion | $23,924 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,443 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$14,443 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,443 | TotalRevenueColumnAmt |
| Exclusion | -$14,443 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $2,053 | $2,053 |
| PURCHASE DISCOUNT | 900099 | $218 | $218 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,271 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,789,170 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,054,207 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$298,303 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,481 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,890 | TotalAmt |
| Program Services | $290,200 | ProgramServicesAmt |
| Management And General | $58,690 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,514,720 | TotalAmt |
| Program Services | $9,577,716 | ProgramServicesAmt |
| Management And General | $1,937,004 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,094 | TotalAmt |
| Program Services | $430,109 | ProgramServicesAmt |
| Management And General | $86,985 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,191,844 | TotalAmt |
| Program Services | $991,352 | ProgramServicesAmt |
| Management And General | $200,492 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839,792 | TotalAmt |
| Program Services | $698,522 | ProgramServicesAmt |
| Management And General | $141,270 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,542 | TotalAmt |
| Management And General | $185,542 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,263 | TotalAmt |
| Management And General | $9,263 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,659 | TotalAmt |
| Management And General | $22,659 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434 | TotalAmt |
| Management And General | $434 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,903,310 | TotalAmt |
| Program Services | $1,583,136 | ProgramServicesAmt |
| Management And General | $320,174 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,978 | TotalAmt |
| Program Services | $13,290 | ProgramServicesAmt |
| Management And General | $2,688 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,668 | TotalAmt |
| Program Services | $97,042 | ProgramServicesAmt |
| Management And General | $19,626 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,345 | TotalAmt |
| Program Services | $113,409 | ProgramServicesAmt |
| Management And General | $22,936 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,823 | TotalAmt |
| Program Services | $208,630 | ProgramServicesAmt |
| Management And General | $42,193 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,298 | TotalAmt |
| Program Services | $181,576 | ProgramServicesAmt |
| Management And General | $36,722 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,365 | TotalAmt |
| Program Services | $11,365 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,118,637 | TotalAmt |
| Program Services | $930,460 | ProgramServicesAmt |
| Management And General | $188,177 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,217 | TotalAmt |
| Program Services | $103,504 | ProgramServicesAmt |
| Management And General | $246,713 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EQUIPTMENT RENTAL | $857,588 | $713,325 | $144,263 |
| MEDICAL SUPPLIES | $558,344 | $558,344 | |
| LICENSES & DUES | $1,316 | $1,092 | $224 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,169,127 | TotalAmt |
| Program Services | $16,503,072 | ProgramServicesAmt |
| Management And General | $3,666,055 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $743,147 | BOYAmt |
| EOY | $1,190,384 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,362,939 | BOYAmt |
| EOY | $2,327,567 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $615,602 | BOYAmt |
| EOY | $596,711 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,642,961 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,438,291 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,575,707 | BOYAmt |
| EOY | $1,204,670 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,482,283 | BOYAmt |
| EOY | $1,220,842 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,552,532 | BOYAmt |
| EOY | $6,336,994 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,332,210 | BOYAmt |
| EOY | $12,877,168 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,607,507 | BOYAmt |
| EOY | $1,314,890 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $477,000 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,142,980 | BOYAmt |
| EOY | $16,901,342 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,750,487 | BOYAmt |
| EOY | $18,693,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,418,277 | BOYAmt |
| EOY | -$5,816,064 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,418,277 | BOYAmt |
| EOY | -$5,816,064 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,332,210 | BOYAmt |
| EOY | $12,877,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,379,957 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$17,830 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,043 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,045 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $376,001 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,136 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,785 | CurrentTaxYearAmt |
| Total | $404,010 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,401,184 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,528,626 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,963,156 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,767,036 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,051,936 | CurrentTaxYearAmt |
| Total | $72,711,938 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,403,227 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,529,671 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,339,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,768,172 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,075,721 | CurrentTaxYearAmt |
| Total | $73,115,948 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $73,115,948 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $23,924 | CurrentTaxYearAmt |
| Total | $23,924 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,924 | CurrentTaxYearAmt |
| Total | $23,924 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $169,872 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,271 | CurrentTaxYearAmt |
| Total | $172,143 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,403,227 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,529,671 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,339,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,938,044 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,101,916 | CurrentTaxYearAmt |
| Total | $73,312,015 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9973 | PublicSupportCY509Pct |
| Public Support PY509 | 1.0 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 1.0, COLUMN E - 2053.0, COLUMN F - 2054.0; DESCRIPTION - PURCHASE DISCOUNT, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 134.0, COLUMN E - 218.0, COLUMN F - 352.0; DESCRIPTION - DEFINED BENEFIT PENSION, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 169737.0, COLUMN E - , COLUMN F - 169737.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $372 | DepreciationAmt |
| Book Value | $13,002 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,349,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,348,734 | DepreciationAmt |
| Book Value | $611 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,903,841 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,089,185 | DepreciationAmt |
| Book Value | $814,656 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $376,401 | OtherCostOrOtherBasisAmt |
| Book Value | $376,401 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,204,670 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSET | $2,634,179 |
| NOTES RECEIVABLE | $2,201,697 |
| DUE FROM RELATED PARTIES | $1,212,424 |
| OTHER RECEIVABLES | $288,694 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,336,994 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $14,160,430 |
| OPERATING LEASE LIABILITY, LESS CURRENT PORTION | |
| OPERATING LEASE LIABILITY, CURRENT PORTION | |
| LEASE LIABILITY | $2,740,912 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,901,342 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | AS OF SEPTEMBER 30, 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KERRY EATON | ||||||||||||||
| FORMER CHAIR/CHIEF OPERATING OFFICER | $0 | $754,999 | $0 | $468,632 | $0 | $166,468 | $0 | $140,365 | $0 | $1,661 | $0 | $1,532,125 | $0 | $117,960 |
| DANIEL DEBARBA | ||||||||||||||
| CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01) | $0 | $267,926 | $0 | $0 | $0 | $7,258 | $0 | $33,150 | $0 | $9,973 | $0 | $318,307 | $0 | $0 |
| CAROLYN MCKENNA | ||||||||||||||
| SECRETARY & CHIEF LEGAL OFFICER (TO 12/31) | $0 | $575,435 | $0 | $155,000 | $0 | $81,280 | $0 | $88,260 | $0 | $2,408 | $0 | $902,383 | $0 | $68,250 |
| MICHELLE ROBERTSON | ||||||||||||||
| CHIEF OPERATING OFFICER; CHAIRMAN (FROM 01/01) | $0 | $400,296 | $0 | $0 | $0 | $133,961 | $0 | $49,038 | $0 | $16,632 | $0 | $599,927 | $0 | $0 |
| STEVEN H ROSENBERG | ||||||||||||||
| FORMER CFO/TREASURER (TO 12/31) | $0 | $725,696 | $0 | $366,729 | $0 | $165,564 | $0 | $135,180 | $0 | $13,940 | $0 | $1,407,109 | $0 | $106,440 |
| BRIAN WYATT | ||||||||||||||
| SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01) | $0 | $297,136 | $0 | $51,000 | $0 | $2,117 | $0 | $18,300 | $0 | $42,326 | $0 | $410,879 | $0 | $0 |
| JOHN M MURPHY MD | ||||||||||||||
| FORMER PRESIDENT/NUVANCE CEO | $0 | $1,541,381 | $0 | $922,788 | $0 | $276,431 | $0 | $264,336 | $0 | $32,770 | $0 | $3,037,706 | $0 | $255,000 |
| MATTHEW G CASSAVECHIA | ||||||||||||||
| DIRECTOR OF EMS | $291,858 | $0 | $0 | $0 | $8,161 | $0 | $18,211 | $0 | $28,383 | $0 | $346,613 | $0 | $0 | $0 |
| JENNIFER L FILIPPONE | ||||||||||||||
| VP NETWORK OPERATIONS | $0 | $288,618 | $0 | $70,500 | $0 | $28,790 | $0 | $18,300 | $0 | $686 | $0 | $406,894 | $0 | $0 |
| MICHAEL T BURGESS | ||||||||||||||
| EMERGENCY MEDICAL TECHNICIAN | $148,945 | $0 | $35,548 | $0 | $4,471 | $0 | $8,987 | $0 | $12,228 | $0 | $210,179 | $0 | $0 | $0 |
| THOMAS HORKAN | ||||||||||||||
| EMS SUPERVISOR | $174,143 | $0 | $22,654 | $0 | $1,387 | $0 | $11,991 | $0 | $12,315 | $0 | $222,490 | $0 | $0 | $0 |
| ANDREW J MATTURRO | ||||||||||||||
| OPERATIONS MANAGER- AMBULANCE | $204,673 | $0 | $900 | $0 | $1,019 | $0 | $12,370 | $0 | $11,834 | $0 | $230,796 | $0 | $0 | $0 |
| DAVID J REHDER | ||||||||||||||
| PARAMEDIC | $173,859 | $0 | $31,126 | $0 | $2,304 | $0 | $12,817 | $0 | $37,620 | $0 | $257,726 | $0 | $0 | $0 |
| JAMES E STEAD | ||||||||||||||
| EMS SUPERVISOR | $286,230 | $0 | $29,760 | $0 | $6,503 | $0 | $18,300 | $0 | $42,661 | $0 | $383,454 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR EMPLOYEE RECOGNITION PROGRAM AWARDS: 5 HIGHEST-COMPENSATED EMPLOYEES 1 KEY EMPLOYEE |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. RELIED ON NUVANCE HEALTH, A RELATED TAX EXEMPT ORGANIZATION, TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA ON OTHER KEY EMPLOYEES. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | EFFECTIVE OCTOBER 1, 2020, NUVANCE HEALTH ESTABLISHED AN EXECUTIVE RETIREMENT PLAN IN ORDER TO PROVIDE NONQUALIFIED DEFINED CONTRIBUTION RETIREMENT BENEFITS TO DESIGNATED KEY MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM, SELECTED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 OR TIER 2 EXECUTIVE POSITIONS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN CALENDAR YEAR 2022, THE AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. FOR CALENDAR YEAR 2022, AMOUNTS EARNED BY KEY MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM WERE AS FOLLOWS: JOHN M. MURPHY, MD $246,036 STEVEN H. ROSENBERG $108,180 KERRY EATON $110,402 CAROLYN MCKENNA $69,960 MICHELLE ROBERTSON $37,203 DANIEL DEBARBA $26,320 |
| Schedule J, Part I, Line 7 Non-fixed payments | NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH-QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THE PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR; - TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE - TIER II, EXECUTIVE - TIER II(b), PHYSICIAN EXECUTIVE - TIER III, SENIOR LEADER (A) - TIER III, SENIOR LEADER (B) - TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: - QUALITY AND SERVICE - PEOPLE AND CULTURE - PATIENT EXPERIENCE - FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. NUVANCE HEALTH EXECUTIVE LONG TERM INCENTIVE PLAN (EXCERPTS FROM) ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 EXECUTIVE POSITIONS SHALL BE ELIGIBLE EMPLOYEES TO PARTICIPATE IN THE PLAN. UNDER THE PLAN, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE INCENTIVE AWARD PAYMENTS BASED UPON THE ACHIEVEMENT OF SELECTED AND STRATEGICALLY IMPORTANT PERFORMANCE GOALS IDENTIFIED FOR EACH PERFORMANCE PERIOD. THE AWARD OPPORTUNITIES FOR AN ELIGIBLE EMPLOYEE WITH RESPECT TO A PERFORMANCE PERIOD SHALL BE EXPRESSED AS A PERCENTAGE OF HIS OR HER AVERAGE BASE SALARY IN EFFECT DURING THE APPLICABLE PERFORMANCE PERIOD. PRIOR TO THE BEGINNING OF EACH PERFORMANCE PERIOD, THE COMMITTEE MAY ESTABLISH A MINIMUM PERFORMANCE REQUIREMENT FOR NUVANCE HEALTH. NO FINAL AWARDS MAY BE GRANTED TO ANY PARTICIPANT FOR A PERFORMANCE PERIOD IN WHICH MINIMUM PERFORMANCE REQUIRMENTS, IN ANY, WERE NOT MET. THE FINAL AWARD PAYABLE TO EACH PARTICIPANT WILL BE DETERMINED WITHIN 60 DAYS FOLLOWING THE END OF THE PERFORMANCE PERIOD. AWARDS FOR A GIVEN PERFORMANCE PERIOD WILL BE PAID IN A SINGLE LUMP-SUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 14 Document Retention and Destruction Policy | THE 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 VI, Line 1a FORM 990, PART VI, SECTION A, LINE 1 | THERE ARE NO INDEPENDENT GOVERNING BOARD MEMBERS BECAUSE ALL MEMBERS OF THE GOVERNING BOARD ARE COMPENSATED BY A RELATED ORGANIZATION. HOWEVER, WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. (WCHNA) IS PART OF AN INTEGRATED DELIVERY SYSTEM THAT DOES HAVE A MORE THAN MAJORITY INDEPENDENT BOARD. FURTHER THIS GOVERNANCE STRUCTURE HAS NOT CHANGED RELATIVE TO INDEPENDENCE SINCE IT WAS RECOGNIZED AS EXEMPT BY THE IRS AFTER IT WAS ORGANIZED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES. NUVANCE HEALTH IS THE SOLE MEMBER OF WESTERN CONNECTICUT HEALTH NETWORK, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE MEMBER SHALL BE RESPONSIBLE FOR ELECTING, AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (1) ELECTION OR REMOVAL OF A DIRECTOR OR AN OFFICER WHO IS NOT AN EMPLOYEE OR CONTRACTOR; (2) AMENDMENT OF CORPORATION'S ORGANIZATIONAL DOCUMENTS; (3) ADOPTION OF OR REVISIONS TO POLICY RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF THE CORPORATION'S FUNDS. (4) ADOPTION OF OR AMENDMENT TO ANY OF THE CORPORATION'S QUALIFIED OR NON-QULAIFIED BENEFIT PLAN (5) ADOPTION OF OR REVISIONS OF SYSTEM-WIDE QUALITY, PERFORMANCE, AND CREDENTIALING STANDARDS AND PROCEDURES (6) APPROVAL OF ALL AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES REVIEW OF THE SYSTEM-WIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF INDEPENDENT AUDITORS. (7) ADOPTION OF OR ANY MATERIAL REVISIONS TO THE CAPITAL BUDGET AND OPERATING BUDGET (8) ADOPTION OF, REVISIONS TO, AND OVERSIGHT OF ANY SYSTEM-WIDE POLICIES AND PRACTICES RELATING TO REGULATORY COMPLIANCE (9) ANY ASSIGNMENT FOR THE BENEFIT OF CREDITORS, FILING OF ANY PETITION IN VOLUNTARY BANKRUPTCY, FILING OF ANY PETITION ANSER SEEKING REORGANIZATION, OR AN ARRANGEMENT WITH CREDITORS UNDER FEDERAL BANKRUPTCY LAW (10) ANY CHANGE IN THE TAX STATUS OF OR REVISION OF THE CHARITY CARE POLICIES (11) ANY MERGER, CONSOLIDATION OR SIMILAR TRANSACTION (12) ANY INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY DEBT THE ACTIONS LISTED BELOW WHICH REQUIRE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: (1) AMENDMENT OF CERTIFICATE OF INCORPORATION OF THE CORPORATION (2) ANY SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION, OR THE PURCHASE, SALE, MORTGAGE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF REAL PROPERTY OF OR FOR THE CORPORATION (3) A MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION (4) ANY DISSOLUTION OF THE CORPORATION |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | OFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT & PRIVACY OFFICER. ALSO, THEY ARE REQUIRED TO DISCOSE ANY CONFLICT TO THE BOARD OR DIRECTLY TO THE CHAIRMAN PRIOR TO ANY MEETING. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | NUVANCE HEALTH'S EXECUTIVE TOTAL REWARDS PHILOSOPHY IS DESIGNED TO ALIGN WITH THE COMPANY'S STRATEGIC DIRECTION, AND TO REINFORCE ITS CORE MISSION, VISION AND VALUES. IN ORDER TO ACHIEVE ITS OVERALL PERFORMANCE OBJECTIVES, NUVANCE HEALTH PROVIDES TOTAL REWARDS PROGRAMS THAT RECOGNIZE EXECUTIVES FOR PERFORMING WORK WELL TO ENSURE THE ACHIEVEMENT OF COMPANY GOALS. THESE PROGRAMS SERVE TO PROMOTE THE ATTRACTION, ENGAGEMENT, AND RETENTION OF TALENTED EXECUTIVES THROUGHOUT THEIR CAREERS WITH NUVANCE HEALTH. THE TOTAL REWARDS PROGRAMS ARE DESIGNED TO BE MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES REFLECTIVE OF BEST PRACTICES, AND DIFFERENTIATED TO CREATE STRONG COMPETITIVE ADVANTAGE. TOTAL REWARDS PROGRAMS ARE REVIEWED ON AN ONGOING BASIS TO ENSURE CONTINUED MARKET COMPETITIVENESS, RELEVANT VALUE TO EXECUTIVES, AND FISCAL RESPONSIBILITY. TOTAL REWARDS FOR NUVANCE HEALTH EXECUTIVES CONSISTS OF KEY COMPONENTS OF COMPENSATION AND BENEFITS. OVERALL EXECUTIVE REWARDS PROGRAM WILL EMPHASIZE PERFORMANCE-BASED ELEMENTS, WHEREBY TARGETED LEVELS OF COMPENSATION WILL ONLY BE ACHIEVED IF THE ORGANIZATION AND INDIVIDUAL ACHIEVE "STRETCH" GOALS AND OBJECTIVES. BASED ON THE LABOR MARKETS FOR TALENT FOR EXECUTIVE ROLES, NUVANCE HEALTH WILL UTILIZE A WEIGHTED BLEND OF BOTH NATIONAL COMPARABLY-SIZED HEALTH CARE PROVIDER MARKET DATA WITH A +25% GEOGRAPHIC DIFFERENTIAL APPLIED (DIFFERENTIAL TO BE VALIDATED ON A PERIODIC BASIS) AT TWO-THIRDS WEIGHT AND NATIONAL COMPARABLY-SIZED GENERAL INDUSTRY DATA, FOR IDENTIFIED ROLES WHERE SKILL SETS OVERLAP AT ONE-THIRD WEIGHT. GEOGRAPHIC DIFFERENTIAL REFLECTS THE OBSERVED AND REPORTED COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTH'S OPERATING REGION AND THE BROADER NATIONAL HEALTH CARE PROVIDER MARKET. NUVANCE HEALTH'S TOTAL REWARDS PHILOSOPHY AND PRACTICES ARE TARGETED AT THE 50TH PERCENTILE OF THE RELEVANT MARKET FOR BASE SALARY, AND 62.5TH PERCENTILE FOR TOTAL CASH AND TOTAL DIRECT (WHERE AVAILABLE) COMPENSATION ELEMENTS IF TARGET PERFORMANCE IS ACHIEVED UNDER VARIABLE COMPENSATION PROGRAMS. NUVANCE HEALTH'S COMMITTEE HAS DISCRETION TO POSITION INDIVIDUAL LEVELS ABOVE OR BELOW THIS TARGETED COMPETITIVE POSITIONING, BASED ON SUCH FACTORS AS POSITIONING TO MARKET, HIGH DEMAND SKILLSETS AND DIFFICULT TO FILL OR CRITICAL TO THE ORGANIZATION'S STRATEGY AND SUCCESS. OUR GOVERNANCE PROMOTES CONSISTENCY AND EQUITY; PROVIDES CLARITY AND GUIDANCE TO DECISION-MAKERS; ENSURES STANDARD PROCESSES AND PROCEDURES FOR ASSESSING, CALIBRATING, ADMINISTERING, AND DELIVERING EFFECTIVE TOTAL REWARDS THROUGHOUT THE NUVANCE HEALTH SYSTEM. OVERSIGHT AND GOVERNANCE OF THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS FOR ELIGIBLE EXECUTIVES/DISQUALIFIED INDIVIDUALS (CURRENTLY CEO, PRESIDENT AND TIERS 1 AND 2) WILL BE AT THE COMPENSATION COMMITTEE OF THE BOARD LEVEL, AND WILL FOLLOW A STRUCTURED AND RIGOROUS PROCESS TO ENSURE COMPLIANCE WITH INTERMEDIATE SANCTIONS UNDER IRS GUIDELINES. AN ANNUAL LETTER OF REASONABLENESS IS PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY WILLIS TOWERS WATSON AS CONSULTANT TO THE BOARD. IN THIS ANNUAL ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO SELECT EXECUTIVES, AN OPINION IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO THE INCLUDED EXECUTIVES FOR EACH FISCAL YEAR. A BI-ANNUAL LETTER OF REASONABLENESS FOR PHYSICIAN COMPENSATION IS ALSO PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE BY KORN FERRY HAY AS A CONSULTANT TO THE BOARD. THIS ASSESSMENT OF THE REASONABLENESS OF THE TOTAL REMUNERATION PACKAGES PROVIDED TO PHYSICIANS IS RENDERED WITH RESPECT TO THE REASONABLENESS OF POTENTIAL TARGET AND MAXIMUM TOTAL REMUNERATION PROVIDED TO EACH PHYSICIAN. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR AS PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILING SUCH AS THE 990. |
| Form 990, Part VII, Section A ADDITIONAL INFORMATION | FOR THOSE KEY EMPLOYEES 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 XI, Line 9 Other changes in net assets or fund balances | REALLOCATION OF COVID STIMULUS FUNDS TO OTHER NUVANCE ENTITIES - -17830; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alamo Ambulance Service INC | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141745417 | Transportation | NY | 501(c)(3) | Type III-FI | HQ | Yes (true) | |
| Danbury Hospital & New Milford Hospital Foundation Inc | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 237425557 | Fundraising | CT | 501(c)(3) | 7 | WCHN | Yes (true) | |
| The Danbury Hospital | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 060646597 | Hospital | CT | 501(c)(3) | 3 | WCHN | Yes (true) | |
| Eastern New York Medical Services PC | |||||||||||
| 3423 DANBURY ROAD | BREWSTER | NY | 10509 | 455431389 | Physician Services | NY | 501(c)(3) | 10 | WCHN | Yes (true) | |
| Health Quest Home Care Inc (Certified) | |||||||||||
| 2649 SOUTH ROAD | POUGHKEEPSIE | NY | 12601 | 141788412 | Home Health | NY | 501(c)(3) | 10 | HQ | Yes (true) | SUITE 220 |
| Health Quest Home Care Inc (Licensed) | |||||||||||
| 2649 SOUTH ROAD | POUGHKEEPSIE | NY | 12601 | 141788410 | Home Health | NY | 501(c)(3) | 10 | HQ | Yes (true) | SUITE 220 |
| Nuvance Health Medical Practice PC | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 562669185 | Physician Services | NY | 501(c)(3) | 10 | HQ | Yes (true) | |
| Health Quest Systems Inc | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141678068 | Support/Management | NY | 501(c)(3) | 10 | NUVANCE | Yes (true) | |
| Health Quest Urgent Medical Care Practice PC | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 800152047 | Physician Services | NY | 501(c)(3) | 10 | HQ | Yes (true) | |
| Hudson Valley Cardiovascular Practice PC | |||||||||||
| 1 COLUMBIA | POUGHKEEPSIE | NY | 12601 | 463756713 | Physician Services | NY | 501(c)(3) | 10 | HQ | Yes (true) | |
| NDH Foundation | |||||||||||
| 6531 SPRINGBROOK AVENUE | RHINEBECK | NY | 12572 | 141776208 | Fundraising | NY | 501(c)(3) | 7 | HQ | Yes (true) | |
| Northern Dutchess Hospital | |||||||||||
| 6511 SPRINGBROOK AVENUE | RHINEBECK | NY | 12572 | 141338467 | Hospital | NY | 501(c)(3) | 3 | HQ | Yes (true) | |
| Northern Dutchess Residential Healthcare Facility Inc | |||||||||||
| 6525 SPRINGBROOK AVENUE | RHINEBECK | NY | 12572 | 223129608 | Nursing Home | NY | 501(c)(3) | 10 | HQ | Yes (true) | |
| Norwalk Hospital Foundation Inc | |||||||||||
| 34 MAPLE STREET | NORWALK | CT | 06850 | 222577707 | Fundraising | CT | 501(c)(3) | 7 | WCHN | Yes (true) | |
| Nuvance Health | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 834214573 | Support/Management | NY | 501(c)(3) | Type III-FI | NA | false | |
| Nuvance Health Medical Practice CT Inc | |||||||||||
| 100 RESERVE ROAD | DANBURY | CT | 06810 | 061137531 | Physician Services | CT | 501(c)(3) | 10 | WCHN | Yes (true) | |
| Putnam Hospital | |||||||||||
| 670 STONELEIGH AVENUE | CARMEL | NY | 10512 | 146019179 | Hospital | NY | 501(c)(3) | 3 | HQ | Yes (true) | |
| Putnam Hospital Center Foundation Inc | |||||||||||
| 670 STONELEIGH AVENUE | CARMEL | NY | 10512 | 061399319 | Fundraising | NY | 501(c)(3) | Type I | HQ | Yes (true) | |
| The Norwalk Hospital Association | |||||||||||
| 34 MAPLE STREET | NORWALK | CT | 06850 | 066068853 | Hospital | CT | 501(c)(3) | 3 | WCHN | Yes (true) | |
| Vassar Brothers Hospital Foundation | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141736429 | Fundraising | NY | 501(c)(3) | 7 | HQ | Yes (true) | |
| Vassar Brothers Medical Center | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141338586 | Hospital | NY | 501(c)(3) | 3 | HQ | Yes (true) | |
| Vassar Health Connecticut Inc | |||||||||||
| 50 HOSPITAL HILL ROAD | SHARON | CT | 06069 | 815056290 | Hospital | CT | 501(c)(3) | 3 | HQ | Yes (true) | |
| Wells Manor Housing Development Fund Corp | |||||||||||
| 56 ASTOR DRIVE | RHINEBECK | NY | 12572 | 112611902 | Low Income | NY | 501(c)(3) | PF | HQ | Yes (true) | |
| Western Connecticut Home Care Inc | |||||||||||
| 100 SAW MILL ROAD | DANBURY | CT | 06810 | 060655138 | Home Healthcare | CT | 501(c)(3) | 10 | WCHN | Yes (true) | |
| Western Connecticut Health Network Inc | |||||||||||
| 100 RESERVE ROAD | DANBURY | CT | 06810 | 222594977 | SUPPORT/MANA GEMENT | CT | 501(c)(3) | Type II | NUVANCE | Yes (true) | |
| Western Connecticut Health Network Investments LLC | |||||||||||
| 100 Reserve Road | Danbury | CT | 06810 | 475523212 | Investments | CT | 501(c)(3) | Type I | NA | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NEW MILFORD MRI LLC | |||||||||||
| 100 RESERVE ROAD | DANBURY | CT | 06810 | 271877801 | INACTIVE | CT | NA | N/A | false | false | |
| NORWALK SURGERY CENTER LLC | |||||||||||
| 40 CROSS STREET | NORWALK | CT | 06851 | 272394942 | SURGERY CENTER | CT | NA | N/A | false | false | STE 120 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NUVANCE HEALTH INSURANCE COMPANY LTD | ||||||||||||||
| PO BOX 1159 | GRAND CAYMAN | CJ | KY11102 | 980438151 | MALPRACTICE | CJ | NUVANCE HEALTH | C Corporation | Yes (true) | |||||
| SWC CORPORATION | ||||||||||||||
| 222577718 | PHARMACY | NA | C Corporation | Yes (true) | 24 STEVENS STREET | NORWALK | CT | 06850 | CT | |||||
| TACONIC IPA INC | ||||||||||||||
| 223007320 | MEDICAL CARE | NA | C Corporation | Yes (true) | 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | NY | |||||
| Vassar Health Quest Medical Practice of Connecticut Inc | ||||||||||||||
| 821466583 | MEDICAL CARE | NA | C Corporation | Yes (true) | 100 RESERVE ROAD | DANBURY | CT | 06810 | CT | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Alamo Ambulance Services Inc | ||
| Q | $550,000 | Cost Method |
| Danbury Hospital | ||
| K | $255,996 | Cost Method |
| Danbury Hospital | ||
| L | $472,162 | Cost Method |
| Danbury Hospital | ||
| P | $213,767 | Cost Method |
| Nuvance Health | ||
| M | $1,017,587 | Cost Method |
| Nuvance Health | ||
| P | $349,983 | Cost Method |
| Western Connecticut Health Network Inc | ||
| M | $98,529 | Cost Method |
| Western Connecticut Health Network Inc | ||
| P | $3,290,519 | Cost Method |