STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES INC (EIN 22-2594968)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-12-17
IRS object ID
202143519349301314
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-12-17T15:12:53-06:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 CLARENDON STAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222594968EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WESTERN CONNECTICUT HEALTH NETWORKBusinessNameLine1Txt
Business Name Line2AFFILIATES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone2037397000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 LOCUST AVENUEAddressLine1Txt
CityDANBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN H ROSENBERGPersonNm
Person TitleCFO & TREASURERPersonTitleTxt
Phone2037397000PhoneNum
Signature2021-12-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE A CINCOTTAPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN M MURPHY MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 LOCUST AVENUEAddressLine1Txt
CityDANBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,529,671GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WESTERNCONNECTICUTHEALTHNETWORK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO PROVIDE OUTPATIENT HEALTH CARE AND AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee89TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,043PYContributionsGrantsAmt
CY Contributions Grants$1,045CYContributionsGrantsAmt
PY Program Service Revenue$9,401,184PYProgramServiceRevenueAmt
CY Program Service Revenue$12,528,626CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,403,227PYTotalRevenueAmt
CY Total Revenue$12,529,671CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,494,054PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,298,220CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,469,027PYOtherExpensesAmt
CY Other Expenses$5,663,296CYOtherExpensesAmt
PY Total Expenses$10,963,081PYTotalExpensesAmt
CY Total Expenses$13,961,516CYTotalExpensesAmt
PY Revenues Less Expenses-$1,559,854PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,431,845CYRevenuesLessExpensesAmt
Total Assets BOY$3,447,289TotalAssetsBOYAmt
Total Assets EOY$7,022,021TotalAssetsEOYAmt
Total Liabilities BOY$1,179,798TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,186,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,267,491NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$835,646NetAssetsOrFundBalancesEOYAmt
MissionWESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. PROVIDES OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDES AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,948,710ExpenseAmt
Revenue$5,469,921RevenueAmt
DescWESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. PRINCIPAL PURPOSE IS TO PROVIDE 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, WESTERN CONNECTICUT HEALTH NETWORK, INC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,555,803ExpenseAmt
Revenue$6,944,233RevenueAmt
DescEMERGENCY MEDICAL SERVICES PROVIDES AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$12,504,513TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee89EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAREN DARCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2037394593PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 RESERVE ROADAddressLine1Txt
CityDANBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN M MURPHY MD
PRESIDENT (TO 12/31)1.0040.00Yes (X)Yes (X)$0$2,630,052$4,397,460
STEVEN H ROSENBERG
TREASURER1.0040.00Yes (X)Yes (X)$0$1,529,199$644,898
SHARON ADAMS
DIRECTOR (TO 12/31)0.5040.00Yes (X)$0$1,133,062$20,354
KERRY EATON
CHAIRMAN (FROM 01/01)1.0040.00Yes (X)Yes (X)$0$1,069,411$73,766
CAROLYN MCKENNA
SECRETARY (FROM 01/01)1.0040.00Yes (X)Yes (X)$0$963,570$53,648
COLLEEN M SCOTT
SECRETARY (TO 11/01)1.0040.00Yes (X)Yes (X)$0$564,042$41,819
JENNIFER L FILIPPONE
VP NETWORK OPERATIONS3.0040.00$0$441,801$16,458Yes (X)
ROBERT J BEPKO
ADMINISTRATOR DIR-PHARMACY3.0040.00$0$300,198$19,664Yes (X)
MATTHEW G CASSAVECHIA
DIRECTOR OF EMS40.000.00$236,768$0$45,321Yes (X)
JOLEEN DENNISON
OPER. MANAGER-DDI40.000.00$139,024$0$23,164Yes (X)
ANDREW J MATTURRO
EMS SUPERVISOR40.000.00$133,753$0$16,461Yes (X)
WAYNE B WOODTKE
EMS OPERATIONS COORDINATOR40.000.00$108,977$0$25,607Yes (X)
KAREN A DEFRIESSE
MRI TECHNOLOGIST40.000.00$108,154$0$10,961Yes (X)
JAMES E STEAD
EMS OPER. COORDINATOR40.000.00$107,397$0$39,796Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$834,073TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,631,335TotReportableCompRltdOrgAmt
Total Other Compensation$5,429,377TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANBURY RADIOLOGY ASSOC PCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 NEWTOWN ROAD 45AddressLine1Txt
CityDANBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd
FieldValueIRS element (for citing)
ServicesRADIOLOGISTSServicesDesc
Compensation$1,277,010CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$1,045RelatedOrganizationsAmt
Total Contributions$1,045TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMS SERVICES621910$6,944,233$6,944,233
MEDICAL SERVICES621400$5,469,921$5,469,921
STIMULUS REVENUE900099$114,472$114,472
FieldValueIRS element (for citing)
Total Program Service Revenue$12,528,626TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,529,671TotalRevenueColumnAmt
Related Or Exempt Func Income$12,528,626RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$296,943TotalAmt
Program Services$267,189ProgramServicesAmt
Management And General$29,754ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,840,942TotalAmt
Program Services$6,155,492ProgramServicesAmt
Management And General$685,450ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$136,639TotalAmt
Program Services$122,935ProgramServicesAmt
Management And General$13,704ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$495,239TotalAmt
Program Services$445,616ProgramServicesAmt
Management And General$49,623ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$528,457TotalAmt
Program Services$475,506ProgramServicesAmt
Management And General$52,951ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,129TotalAmt
Management And General$13,129ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,111TotalAmt
Management And General$9,111ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,840,328TotalAmt
Program Services$1,655,927ProgramServicesAmt
Management And General$184,401ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,972TotalAmt
Program Services$13,472ProgramServicesAmt
Management And General$1,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$116,840TotalAmt
Program Services$105,133ProgramServicesAmt
Management And General$11,707ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$115,207TotalAmt
Program Services$103,663ProgramServicesAmt
Management And General$11,544ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,182,393TotalAmt
Program Services$1,063,917ProgramServicesAmt
Management And General$118,476ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$89,252TotalAmt
Program Services$80,309ProgramServicesAmt
Management And General$8,943ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$30TotalAmt
Program Services$27ProgramServicesAmt
Management And General$3ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$939,195TotalAmt
Program Services$845,088ProgramServicesAmt
Management And General$94,107ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$168,141TotalAmt
Program Services$67,865ProgramServicesAmt
Management And General$100,276ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENT AND MAIN$719,219$647,153$72,066
MEDICAL SUPPLIES$452,905$452,905
PROFESSIONAL MEMBERSHIP$2,574$2,316$258

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,961,516TotalAmt
Program Services$12,504,513ProgramServicesAmt
Management And General$1,457,003ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$438,477BOYAmt
EOY$45,302EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,049,030BOYAmt
EOY$1,913,285EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$830,622BOYAmt
EOY$932,669EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,872,914LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,129,959LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,041,811BOYAmt
EOY$1,742,955EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$2,060,252EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$87,349BOYAmt
EOY$327,558EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,447,289BOYAmt
EOY$7,022,021EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$761,092BOYAmt
EOY$1,193,569EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$418,706BOYAmt
EOY$4,992,806EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,179,798BOYAmt
EOY$6,186,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,267,491BOYAmt
EOY$835,646EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,267,491BOYAmt
EOY$835,646EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,447,289BOYAmt
EOY$7,022,021EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,431,845ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,043CurrentTaxYearMinus1YearAmt
Current Tax Year$1,045CurrentTaxYearAmt
Total$3,088TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,763,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,363,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,742,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,401,184CurrentTaxYearMinus1YearAmt
Current Tax Year$12,528,626CurrentTaxYearAmt
Total$58,799,181TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,763,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,363,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,742,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,403,227CurrentTaxYearMinus1YearAmt
Current Tax Year$12,529,671CurrentTaxYearAmt
Total$58,802,269TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$58,802,269PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,763,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,363,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,742,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,403,227CurrentTaxYearMinus1YearAmt
Current Tax Year$12,529,671CurrentTaxYearAmt
Total$58,802,269TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,349,345OtherCostOrOtherBasisAmt
Depreciation$3,296,914DepreciationAmt
Book Value$52,431BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,705,923OtherCostOrOtherBasisAmt
Depreciation$8,833,045DepreciationAmt
Book Value$872,878BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$817,646OtherCostOrOtherBasisAmt
Book Value$817,646BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,742,955TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO WCHN$4,992,774
DUE TO DANBURY FOUNDATION$32
FieldValueIRS element (for citing)
Total Liability$4,992,806TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationAS OF SEPTEMBER 30, 2020, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN M MURPHY MD
PRESIDENT (TO 12/31)$0$1,492,100$0$1,133,596$0$4,356$0$4,366,519$0$30,941$0$7,027,512$0$0
STEVEN H ROSENBERG
TREASURER$0$653,858$0$532,200$0$343,141$0$605,000$0$39,898$0$2,174,097$0$311,957
SHARON ADAMS
DIRECTOR (TO 12/31)$0$588,109$0$538,683$0$6,270$0$13,750$0$6,604$0$1,153,416$0$0
KERRY EATON
CHAIRMAN (FROM 01/01)$0$651,644$0$291,322$0$126,445$0$72,427$0$1,339$0$1,143,177$0$0
CAROLYN MCKENNA
SECRETARY (FROM 01/01)$0$467,018$0$489,986$0$6,566$0$13,750$0$39,898$0$1,017,218$0$0
COLLEEN M SCOTT
SECRETARY (TO 11/01)$0$301,317$0$212,000$0$50,725$0$13,750$0$28,069$0$605,861$0$0
JENNIFER L FILIPPONE
VP NETWORK OPERATIONS$0$256,863$0$165,000$0$19,938$0$13,750$0$2,708$0$458,259$0$0
ROBERT J BEPKO
ADMINISTRATOR DIR-PHARMACY$0$208,151$0$87,000$0$5,047$0$16,226$0$3,438$0$319,862$0$0
MATTHEW G CASSAVECHIA
DIRECTOR OF EMS$236,768$0$0$0$0$0$15,500$0$29,821$0$282,089$0$0$0
JOLEEN DENNISON
OPER. MANAGER-DDI$138,580$0$0$0$444$0$6,831$0$16,333$0$162,188$0$0$0
ANDREW J MATTURRO
EMS SUPERVISOR$133,705$0$0$0$48$0$6,735$0$9,726$0$150,214$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4ADURING THE CALENDAR YEAR ENDING DECEMBER 31, 2019, COLLEEN SCOTT RECEIVED $26,808 IN SEVERANCE PAYMENTS, BIWEEKLY, STARTING DECEMBER 6, 2019 AND ENDING SEPTEMBER 25, 2020. THE PAYMENTS STARTED APPROXIMATELY 30 DAYS AFTER HER TERMINATION DATE OF NOVEMBER 1, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT.
PART I, LINE 4BWESTERN CONNECTICUT HEALTH NETWORK (WCHN), A RELATED ORGANIZATION, PREVIOUSLY ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR THE SERP, AMOUNTS PROMISED TO ELIGIBLE EXECUTIVES ARE BASED ON TARGETED RETIREMENT BENEFITS AND THE PAYMENT OF BENEFITS IS SUBJECT TO VESTING. THE BENEFITS AT THE VESTED AGE ARE PROVIDED IN THE FORM OF AN ACTUARIAL EQUIVALENT LUMP SUM PLUS A TAX GROSS-UP AMOUNT TO THE PARTICIPANTS. WCHN MAINTAINS AN ACCRUAL ON ITS BOOKS FOR THE PARTICIPANTS OF THE SERP. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. JOHN M. MURPHY, MD, AND STEVEN H. ROSENBERG PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF SEPTEMBER 30, 2020. FOR CALENDAR YEAR 2019, STEVEN H. ROSENBERG RECEIVED A PAYOUT OF $311,957 WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. KERRY EATON PARTICIPATES IN A SERP PLAN WITH HEALTH QUEST SYSTEMS, INC. (HEALTH QUEST), A RELATED ORGANIZATION. HEALTH QUEST MADE THE FOLLOWING CONTRIBUTIONS TO THE PARTICIPANTS, WHICH ARE REPORTED ON SCHEDULE J, PART II: KERRY EATON - $65,467
PART I, LINE 7NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIIVE 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. THIS 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 ASSIGED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR: -TIER I, CEO, SENIOR EXECUTIVE -TIER II, EXECUTIVE -TIER III, SENIOR LEADER (A) -TIER III, SENIOR LEADER (B) -TIER IV, LEADER -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 ESTABLISED 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 EVELUATE 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.
PART III - ADDITIONAL INFORMATIONTHE ORGANIZATION RELIED ON A RELATED ORGANIZATION, WESTERN CONNECTICUT HEALTH NETWORK, INC. WHICH USED THE FOLLOWING METHODS DESCRIBED BELOW TO ESTABLISH TOP MANAGEMENT'S AND PHYSICIAN'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY BOARD OR COMPENSATION COMMITTEE

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THERE 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, SECTION A, LINE 6WESTERN 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, SECTION A, LINE 7ATHE 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, SECTION A, LINE 7BCERTAIN 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 THE 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-QUALIFIED BENEFIT PLAN. 5) ADOPTION OF OR REVISIONS OF SYSTEM-WIDE QUALITY, PERFORMANCE, AND CREDENTIALING STANDARDS AND PROCEDURES. 6) APPROVAL OF ALL AUDIATED FINANCIAL STATEMENTS, WHICH INCLUDES REVIEW OF THE SYSTEM-WIDE ACCOUNTING POLICIES AND CONTROLS AND THE SELECTION OF INFEPENDENT 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 ANSWER SEEKING REORGANIZATION, OR AN ARRANGMENT 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 REQUIE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: 1) AMENDMENT OF CERTIFICATE OF INCORPORATION OF THE CORPORATION. 2) ANY SALE, LEASE, EXHANGE OR OTHER DISPOSITON 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, SECTION B, LINE 11BTHE 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, SECTION B, LINE 12COFFICERS, 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. 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, LINES 13 & 14 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, SECTION B, LINE 15BCOMPENSATION FOR OTHER OFFICERS AND KEY 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. ED 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 +30% 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 75TH 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.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII (ADDT'L INFORMATION)CAROLYN MCKENNA, BECAME THE SECRETARY ON JANUARY 1, 2020. KERRY EATON, BECAME THE CHAIRMAN ON JANUARY 1, 2020. JOHN M. MURPHY, MD, WAS THE PRESIDENT UNTIL DECEMBER 31, 2019. SHARON ADAMS WAS A DIRECTOR UNTIL DECEMBER 31, 2019. COLLEEN M. SCOTT, WAS THE SECRETARY UNTIL NOVEMBER 1, 2019. FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII, "ESTIMATED AMOUNT OF OTHER COMPENSATION," REPRESENTS BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED.
FORM 990, PART IX, LINE 11GHEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 1,124,595. MANAGEMENT AND GENERAL EXPENSES 125,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,249,828. PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 531,332. MANAGEMENT AND GENERAL EXPENSES 59,168. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 590,500.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ALAMO AMBULANCE SERVICES INC
1351 ROUTE 55LAGRANGEVILLENY12540141745417TRANSPORTNY501(C)(3)10HQYes (1)
DANBURY & NEW MILFORD HOSP FOUND
24 HOSPITAL AVENUEDANBURYCT06810237425557ADMIN CONTRIBCT501(C)(3)7WCHNYes (1)
DANBURY HOSPITAL
24 HOSPITAL AVENUEDANBURYCT06810060646597ACUTE CARECT501(C)(3)3WCHNYes (1)
EASTERN NEW YORK MEDICAL SERVICES PC
14 RESEARCH DRIVE SUITE 201ABETHELCT06801455431389PHYSICIAN SERVICESNY501(C)(3)10WCHNYes (1)
HEALTH QUEST HOME CARE INC (CERT)
2649 SOUTH ROAD SUITE 220POUGHKEEPSIENY12601141788412HOME HEALTHNY501(C)(3)10HQYes (1)
HEALTH QUEST HOME CARE INC (LIC)
2649 SOUTH ROAD SUITE 220POUGHKEEPSIENY12601141788410HOME HEALTHNY501(C)(3)10HQYes (1)
HEALTH QUEST MEDICAL PRACTICE PC
1351 ROUTE 55LAGRANGEVILLENY12540562669185MEDICAL CARENY501(C)(3)12 TYPE IHQYes (1)
HEALTH QUEST SYSTEMS INC
1351 ROUTE 55LAGRANGEVILLENY12540141678068MANAGEMENTNY501(C)(3)10NUVANCEYes (1)
HEALTH QUEST URGENT MED PRAC PC
1351 ROUTE 55LAGRANGEVILLENY12540800152047MEDICAL CARENY501(C)(3)12 TYPE IHQYes (1)
HUDSON VALLEY CARDIOVASCULAR PRAC
1351 ROUTE 55LAGRANGEVILLENY12540463756713MEDICAL CARENY501(C)(3)12 TYPE IHQYes (1)
NDH FOUNDATION
PO BOX 5002RHINEBECKNY12572141776208FUNDRAISINGNY501(C)(3)7HQYes (1)
NORTHERN DUTCHESS HOSPITAL
PO BOX 5112RHINEBECKNY12572141338467HOSPITALNY501(C)(3)3HQYes (1)
NORTHERN DUTCHESS RES HLTH FACILITY INC
6526 SPRINGBROOK AVENUERHINEBECKNY12572223129608NURSING HOMENY501(C)(3)10HQYes (1)
NORWALK HOSPITAL FOUNDATION
34 MAPLE STREETNORWALKCT06850222577707FUNDRAISINGCT501(C)(3)7WCHNYes (1)
NUVANCE HEALTH
1351 ROUTE 55LAGRANGEVILLENY12540834214573SUPPORTNY501(C)(3)12 TYPE III FI0N/A
PUTNAM HOSPITAL CENTER
670 STONELEIGH AVENUECARMELNY10512146019179HOSPITALNY501(C)(3)3HQYes (1)
PUTNAM HOSPITAL CENTER FOUNDATION
670 STONELEIGH AVENUECARMELNY10512061399319FUNDRAISINGNY501(C)(3)12 TYPE IHQYes (1)
THE NORWALK HOSPITAL ASSOCIATION
24 STEVENS STREETNORWALKCT06850066068853HEALTH SERVICESCT501(C)(3)3WCHNYes (1)
VASSAR BROTHERS HOSPITAL FOUNDATION
45 READE PLACEPOUGHKEEPSIENY12601141736429FUNDRAISINGNY501(C)(3)7HQYes (1)
VASSAR BROTHERS MEDICAL CENTER
45 READE PLACEPOUGHKEEPSIENY12601141338586HOSPITALNY501(C)(3)3HQYes (1)
VASSAR HEALTH CONNECTICUT INC
50 HOSPITAL HILL ROADSHARONCT06069815056290HOSPITALCT501(C)(3)3HQYes (1)
WELLS MANOR HOUSING DEVELOP FUND CORP
56 ASTOR DRIVERHINEBECKNY12572112611902LOW INCOMENY501(C)(3)PFHQYes (1)
WESTERN CONNECTICUT HOME CARE INC
100 SAW MILL ROADDANBURYCT06810060655138HOME HEALTHCARECT501(C)(3)10WCHNYes (1)
WESTERN CT HEALTH NETWORK INC
24 HOSPITAL AVENUEDANBURYCT06801222594977PROGRAM DEVELOPMENTCT501(C)(3)12 TYPE IINUVANCEYes (1)
NUVANCE HEALTH MEDICAL PRACTICE CT INC
14 RESEARCH DRIVE SUITE 201ABETHELCT06801061137531PHYSICIAN SERVICESCT501(C)(3)10WCHNYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
NEW MILFORD MRI LLC
21 ELM STREETNEW MILFORDCT06776271877801INACTIVECTN/AN/A00
NORWALK SURGERY CENTER LLC
40 CROSS STREET SUITE 120NORWALKCT06851272394942SURGERY CENTERCTN/AN/A00
WCHN INVESTMENTS LLC
24 HOSPITAL AVEDANBURYCT06810475523212INVESTMENTSCTN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
NUVANCE HEALTH INSURANCE COMPANY LTD
23 LIME TREE BAY PO BOX 105GRAND CAYMANCJ980438151MALPRCTICECJN/AC0
SWC CORPORATION
222577718PHARMACYN/AC024 STEVENS STREETNORWALKCT06850CT
VBH INSURANCE CO LTD
62 FORUM LANE 3RD FLOORGRAND CAYMANCJ981083868MALPRCTICECJN/AC0
TACONIC IPA INC
223007320MEDICAL CAREN/AC01351 ROUTE 55LAGRANGEVILLENY12540NY
VASSAR HQ MED PRACTICE OF CT INC
821466583MEDICAL CAREN/AC01351 ROUTE 55LAGRANGEVILLENY12540CT
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DANBURY HOSPITAL
P$1,735,498COST
DANBURY HOSPITAL
M$1,733,651COST
DANBURY HOSPITAL
C$442,158COST
DANBURY HOSPITAL
K$376,627COST
WESTERN CONNECTICUT HEALTH NETWORKINC
P$12,794,688COST
WESTERN CONNECTICUT HEALTH NETWORKINC
M$9,072,067COST
WESTERN CONNECTICUT HEALTH NETWORKINC
L$652,267COST
WESTERN CONNECTICUT HEALTH NETWORKINC
K$185,482COST
NORWALK HOSPITAL ASSOCIATION
P$50,934COST
NORWALK HOSPITAL ASSOCIATION
M$50,858COST
WESTERN CONNECTICUT MEDICAL GROUP INC
K$552,372COST
WESTERN CONNECTICUT MEDICAL GROUP INC
M$594,671COST