STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BRIDGEPORT HOSPITAL AUXILIARY INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BRIDGEPORT HOSPITAL AUXILIARY INC (EIN 06-6042500)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-05-14
IRS object ID
202041359349302799
Schema version
2018v3.1
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)
Return2020-05-14T14:17:55-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11601 MARKET STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN066042500EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIDGEPORT HOSPITAL AUXILIARY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBRIDBusinessNameControlTxt
Phone2037273412PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRACHEL PUGHPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2037273412PhoneNum
Signature2020-05-14SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPHILLIP E GROFFPreparerPersonNm
PTINP01247783PTIN
Phone2672561756PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.60.184.1IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-14IPDt
IP Tm14:10:47IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id92B1AF50188E2513D8B6235CB7079BCA53FBBF5DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRACHEL PUGHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$441,743GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNONEWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO PROVIDE SUPPORT SERVICES TO BRIDGEPORT HOSPITAL AND ITS PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers49TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$88,978PYContributionsGrantsAmt
CY Contributions Grants$56,770CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$228PYInvestmentIncomeAmt
CY Investment Income$252CYInvestmentIncomeAmt
PY Other Revenue$164,679PYOtherRevenueAmt
CY Other Revenue$175,066CYOtherRevenueAmt
PY Total Revenue$253,885PYTotalRevenueAmt
CY Total Revenue$232,088CYTotalRevenueAmt
PY Grants And Similar Paid$163,550PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$101,454CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$102,757PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$107,658CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,071PYOtherExpensesAmt
CY Other Expenses$40,009CYOtherExpensesAmt
PY Total Expenses$310,378PYTotalExpensesAmt
CY Total Expenses$249,121CYTotalExpensesAmt
PY Revenues Less Expenses-$56,493PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$17,033CYRevenuesLessExpensesAmt
Total Assets BOY$410,541TotalAssetsBOYAmt
Total Assets EOY$391,735TotalAssetsEOYAmt
Total Liabilities BOY$31,330TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,557TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$379,211NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$362,178NetAssetsOrFundBalancesEOYAmt
MissionTO PLAN, SUPPORT, AND IMPLEMENT FUNDRAISING PROJECTS THAT ASSIST BRIDGEPORT HOSPITAL IN ITS HEALTH AND WELFARE MISSION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$101,454ExpenseAmt
Grant$101,454GrantAmt
Revenue$0RevenueAmt
DescTHE BRIDGEPORT HOSPITAL AUXILIARY, INC. IS INCORPORATED AS A NOT-FOR-PROFIT NON-STOCK CORPORATION UNDER THE NON-STOCK CORPORATION ACT OF THE STATE OF CONNECTICUT. THE AUXILIARY'S PURPOSE IS TO SUPPLEMENT BRIDGEPORT HOSPITAL'S INTERNAL SERVICES AND ACTIVITIES TO PATIENTS AND PERSONNEL UNDER THE SUPERVISION OF THE HOSPITAL ADMINISTRATION, PROMOTE GOOD PUBLIC RELATIONS BETWEEN THE HOSPITAL AND THE COMMUNITY, AND INITIATE FUND-RAISING PROJECTS FOR THE BENEFIT OF THE HOSPITAL, SUBJECT TO APPROVAL OF THE BOARD OF DIRECTORS OF THE HOSPITAL. THE AUXILIARY'S PRIMARY SOURCES OF SUPPORT ARE A GIFT SHOP OPERATED IN THE BRIDGEPORT HOSPITAL AND TWO FUND-RAISING EVENTS. OTHER SOURCES OF SUPPORT INCLUDE MEMBERSHIP FEES AND DONATIONS.Desc
Total Program Service Expenses$101,454TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROL ROBISONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2033843331PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LINDA ANTIGNANI
PRESIDENT/BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
SUSAN CASTAGNA
VICE PRES./BOARD MEMBER1.0039.00Yes (X)Yes (X)$0$62,811$22,625
RACHEL PUGH
TREASURER/BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
RITA CRISPINO
ASST. TREASURER/BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
HELEN HAYES
RECORDING SECRETARY/BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
AMPARO CASTILLO
CORR. SEC./BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
SHIRLEY ALEXAY
BOARD MEMBER1.000.00Yes (X)$0$0$0
SHAUN AMBERG
BOARD MEMBER1.000.00Yes (X)$0$0$0
ULLA ATWEH
BOARD MEMBER1.000.00Yes (X)$0$0$0
ARLENE BATTISTELLI
BOARD MEMBER1.000.00Yes (X)$0$0$0
JOAN CROSSMAN
BOARD MEMBER1.000.00Yes (X)$0$0$0
THERESA DONNELLY
BOARD MEMBER1.000.00Yes (X)$0$0$0
NANCY LYONS
BOARD MEMBER1.000.00Yes (X)$0$0$0
KIM MIRANTI
BOARD MEMBER1.000.00Yes (X)$0$0$0
BONNIE MOLLOY
PAST PRES. /BOARD MEMBER1.000.00Yes (X)$0$0$0
PEG PERILLIE
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARY ANN PETERSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
MORAG VANCE
BOARD MEMBER1.000.00Yes (X)$0$0$0
SUSAN ZAVERUHA
BOARD MEMBER1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$62,811TotReportableCompRltdOrgAmt
Total Other Compensation$22,625TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$2,331MembershipDuesAmt
Fundraising$50,583FundraisingAmt
All Other Contributions$3,856AllOtherContributionsAmt
Noncash Contributions$772NoncashContributionsAmt
Total Contributions$56,770TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$252TotalRevenueColumnAmt
Exclusion$252ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$25,500FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$50,583ContriRptFundraisingEventAmt
Fundraising Direct Expenses$25,214FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$286TotalRevenueColumnAmt
Exclusion$286ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$359,221GrossSalesOfInventoryAmt
Cost Of Goods Sold$184,441CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$174,780TotalRevenueColumnAmt
Exclusion$174,780ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,088TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$175,318ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$101,454TotalAmt
Program Services$101,454ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$94,105TotalAmt
Management And General$94,105ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,109TotalAmt
Management And General$1,109ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,444TotalAmt
Management And General$12,444ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,321TotalAmt
Management And General$12,321ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$592TotalAmt
Management And General$592ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,270TotalAmt
Management And General$15,270ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
BANK FEE$8,163$8,163
PROMOTION EVENT$3,663$3,663

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$249,121TotalAmt
Program Services$101,454ProgramServicesAmt
Management And General$147,667ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$122,245BOYAmt
EOY$92,881EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$147,159BOYAmt
EOY$147,404EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,268BOYAmt
EOY$28,268EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$86,517BOYAmt
EOY$112,237EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$138BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$201,314LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$190,369LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,214BOYAmt
EOY$10,945EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$410,541BOYAmt
EOY$391,735EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,330BOYAmt
EOY$29,557EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,330BOYAmt
EOY$29,557EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$379,211BOYAmt
EOY$362,178EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$379,211BOYAmt
EOY$362,178EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$410,541BOYAmt
EOY$391,735EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$17,033ReconcilationRevenueExpnssAmt
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)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BRIDGEPORT HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN060646554EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$101,454SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$101,454SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$201,314OtherCostOrOtherBasisAmt
Depreciation$190,369DepreciationAmt
Book Value$10,945BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,945TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION OF YALE NEW HAVEN HEALTH SYSTEM INCLUDES THE FOOTNOTE AS FOLLOWS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event160TH DIAMOND JUBILEE PARTYEvent1Nm
Gross Receipts Event1$69,315GrossReceiptsEvent1Amt
Charitable Contri Event1$48,315CharitableContriEvent1Amt
Gross Revenue Event1$21,000GrossRevenueEvent1Amt
Rent Facility Costs Event1$16,145RentFacilityCostsEvent1Amt
Entertainment Event1$625EntertainmentEvent1Amt
Other Direct Expenses Event1$5,140OtherDirectExpensesEvent1Amt
Event2GIRLS NIGHT FASHION SHOWEvent2Nm
Gross Receipts Event2$6,768GrossReceiptsEvent2Amt
Charitable Contri Event2$2,268CharitableContriEvent2Amt
Gross Revenue Event2$4,500GrossRevenueEvent2Amt
Other Direct Expenses Event2$3,304OtherDirectExpensesEvent2Amt
Gross Receipts Total$76,083GrossReceiptsTotalAmt
Charitable Contributions Tot$50,583CharitableContributionsTotAmt
Gross Revenue Total Events$25,500GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$16,145RentFcltyCostsTotalEventsAmt
Entertainment Total Events$625EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$8,444OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$25,214DirectExpenseSummaryEventsAmt
Net Income Summary$286NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIDGEPORT HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd
FieldValueIRS element (for citing)
Recipient EIN060646554RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$100,000CashGrantAmt
Non Cash Assistance$1,454NonCashAssistanceAmt
Purpose Of GrantTO SUPPORT THE HOSPITAL IN ACCORDANCE WITH THE ORGANIZATION MISSION.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FINANCIAL COORDINATOR FOR THE BRIDGEPORT HOSPITAL AUXILIARY MAINTAINS RECORDS FOR ALL AUXILIARY GRANT EXPENDITURES, AND IS ASSISTED IN MONITORING THE USE OF GRANT FUNDS BY THE BRIDGEPORT HOSPITAL FOUNDATION. THE FOUNDATION ACTS AS AN INTERMEDIARY IN DISTRIBUTING AUXILIARY GRANT FUNDS TO NURSING SCHOLARSHIP RECIPIENTS AND PROGRAMS TO SERVE BRIDGEPORT HOSPITAL PATIENTS, SUCH AS THE BREAST FEEDING CLASSES FOR SPANISH SPEAKING PATIENTS. THE FOUNDATION MANAGES GRANT FUNDS THROUGH A RESTRICTED PROCESS ENSURING ALL PAYMENTS ARE MADE IN ACCORDANCE WITH AUXILIARY GRANT AWARDS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VIPART I, LINE 4 & PART VI, LINE 1B THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION SHALL HAVE THE FOLLOWING CLASSES AND DESIGNATIONS OF MEMBERS: LIFE; SPONSORING; SUPPORTING; CONTRIBUTING AND INDIVIDUAL. MEMBERSHIP IN THE ORGANIZATION SHALL BE OPEN TO MEN AND WOMEN INTERESTED IN THE PURPOSES AND ACTIVITIES OF THE ORGANIZATION AND WHO HAVE PAID THE DUES ASSOCIATED WITH A MEMBERSHIP CLASS AS SUCH DUES ARE DETERMINED FROM TIME TO TIME BY THE BOARD OF DIRECTORS. PAYMENT OF THE DUES DESIGNATED BY THE BOARD OF DIRECTORS FOR MEMBERSHIP IN A PARTICULAR MEMBERSHIP CLASS SHALL QUALIFY AN INDIVIDUAL FOR MEMBERSHIP IN SUCH CLASS.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBERS OF THE ORGANIZATION HAVE THE AUTHORITY TO: (A) ELECT THE OFFICERS OF THE ORGANIZATION AND THE MEMBERS OF THE NOMINATING COMMITTEE IN ACCORDANCE WITH THE BYLAWS OF THE ORGANIZATION; (B) AMEND THE ORGANIZATION'S CERTIFICATE OF INCORPORATION; AND (C) AMEND THE BYLAWS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BA COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD FOR REVIEW PRIOR TO FILING. ANY QUESTIONS OR COMMENTS FROM THE BOARD ARE ADDRESSED BEFORE FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION FOLLOWS THE YALE NEW HAVEN HEALTH SYSTEM (THE "SYSTEM") CONFLICTS OF INTEREST POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY WHICH, WHILE NOT APPROVED BY THE ORGANIZATION'S GOVERNING BODY, WERE APPROVED BY THE SYSTEM COMPLIANCE COMMITTEE, A CORPORATE COMMITTEE OVERSEEN BY THE SYSTEM AUDIT COMMITTEE, A STANDING COMMITTEE OF THE SYSTEM BOARD. AS SUCH, ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, IF ANY, ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF FORM 990 ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE ORGANIZATION'S SECRETARY AND THE SYSTEM LEGAL AND RISK SERVICES DEPARTMENT. FORM 990, GOVERNING DOCUMENTS, AND THE SYSTEM CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BRIDGEPORT HOSPITAL
267 GRANT STREETBRIDGEPORTCT06610060646554HEALTHCARE SERVICESCT501C3LINE 3YALE NEW HAVEN HEALTH SERVICES CORP0
BRIDGEPORT HOSPITAL FOUNDATION INC
267 GRANT STREETBRIDGEPORTCT06610222908698SYSTEM SUPPORT SERVICESCT501C3LINE 7BRIDGEPORT HOSPITALYes (1)
BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC
120 COLUMBINE DRIVETRUMBULLCT06611066048427SYSTEM SUPPORT SERVICESCT501C3LINE 12A, IYALE NEW HAVEN HOSPITALYes (1)
GREENWICH HOSPITAL
5 PERRYRIDGE ROADGREENWICHCT06830060646659HEALTHCARE SERVICESCT501C3LINE 3YALE NEW HAVEN HEALTH SERVICES CORPYes (1)
LAWRENCE MEMORIAL CORPORATION
365 MONTAUK AVENUENEW LONDONCT06320222553028PROMOTE HEALTHCARECT501C3LINE 12A, IYALE NEW HAVEN HEALTH SERVICES CORPYes (1)
LAWRENCE MEMORIAL HOSPITAL INC
365 MONTAUK AVENUENEW LONDONCT06320060646704HEALTHCARE SERVICESCT501C3LINE 3LAWRENCE MEMORIAL CORPORATIONYes (1)
LMW HEALTHCARE INC
365 MONTAUK AVENUENEW HAVENCT06320460543230HEALTHCARE SERVICESRI501C3LINE 3LAWRENCE MEMORIAL CORPORATIONYes (1)
NORTHEAST MEDICAL GROUP INC
99 HAWLEY LANESTRATFORDCT06614061330992HEALTHCARE SERVICESCT501C3LINE 10YALE NEW HAVEN HEALTH SERVICES CORPYes (1)
NORTHEAST MEDICAL GROUP PLLC
99 HAWLEY LANESTRATFORDCT06614352380180HEALTHCARE SERVICESCT501C3LINE 12A, INORTHEAST MEDICAL GROUP INCYes (1)
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROADGREENWICHCT06830061207316SYSTEM SUPPORT SERVICESCT501C3LINE 10GREENWICH HOSPTIALYes (1)
SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC
267 GRANT STREETBRIDGEPORTCT06610061297708TITLE HOLDINGCT501C2BRIDGEPORT HOSPITALYes (1)
THE WESTERLY HOSPITAL FOUNDATION INC
25 WELLS STREETWESTERLYRI02891050508064FUNDRAISING SERVICESRI501C3LINE 12A, ILMW HEALTHCARE INCYes (1)
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT INC
403 NORTH FRONTAGE ROADWATERFORDCT06385060646616HOME HEALTHCARE SERVICESCT501C3LINE 10LAWRENCE MEMORIAL CORPORATIONYes (1)
WESTERLY HOSPITAL AUXILIARY INC
25 WELLS STREETWESTERLYRI02891222507181FUNDRAISING ACTIVITIESRI501C3LINE 12A, ILMW HEALTHCARE INCYes (1)
YALE NEW HAVEN HEALTH SERVICES CORP
789 HOWARD AVENEW HAVENCT06519222529464SYSTEM SUPPORT SERVICESCT501C3LINE 12A, I0N/A
YALE NEW HAVEN HOSPITAL
20 YORK STREETNEW HAVENCT06504060646652HEALTHCARE SERVICESCT501C3LINE 3YALE NEW HAVEN HEALTH SERVICES CORPYes (1)
YALE NEW HAVEN CARE CONTINUUM CORP
789 HOWARD AVENEW HAVENCT06519455235566NURSING HOMECT501C3LINE 3YALE NEW HAVEN HOSPITALYes (1)
L&M HEALTHCARE INC
365 MONTAUK AVENUENEW LONDONCT06320222553031SYSTEM SUPPORT SERVICESCT501C3LINE 12A, ILAWRENCE MEMORIAL CORPORATIONYes (1)
HOME CARE PLUS INC
789 HOWARD AVENEW HAVENCT06519061044331HOME HEALTHCARE SERVICESCT501C3LINE 10YALE NEW HAVEN CARE CONTINUUM CORPYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
SHORELINE ENDOSCOPY CENTER LLC
800 BOSTON POST ROADGUILFORDCT06437900110459HEALTHCARE SERVICESCTN/A
TOTAL HEALTH CONNECTICUT LLC
789 HOWARD AVENUENEW HAVENCT06519474070024HEALTHCARE SERVICESCTN/A
YALE NEW HAVEN HEALTH SYSTEM INVESTMENT TRUST
20 YORK STREETNEW HAVENCT06510271374301INVESTMENTDEN/A
YNHHSCUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001384021595HEALTHCARE SERVICESCTN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CORPORATE PROFESSIONAL BUSINESS SERVICESINC
789 HOWARD AVENEW HAVENCT06519061467717MANAGEMENT SERVICESCTN/ACYes (1)
YALE NEW HAVEN AMBULATORY SERVICES
40 TEMPLE STREETNEW HAVENCT06510061398526HEALTHCARE SERVICESCTN/ACYes (1)
GREENWICH FERTILITY & IVF PC
5 PERRYRIDGE ROADGREENWICHCT06830300145464HEALTHCARE SERVICESCTN/ACYes (1)
YNHH-PHYSICIANS CORP
789 HOWARD AVENEW HAVENCT06519061202305ADMINISTRATIVE SERVICESCTN/ACYes (1)
MEDICAL CENTER PHARMACY AND HOME CARE CENTER INC
50 YORK STREETNEW HAVENCT06511061087673PHARMACYCTN/ACYes (1)
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NY PC
5 PERRYRIDGE ROADGREENWICHCT06830061540101HEALTHCARE SERVICESNYN/ACYes (1)
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY
5 PERRYRIDGE ROADGREENWICHCT06830453833883HEALTHCARE SERVICESNJN/ACYes (1)
CENTURY FINANCIAL SERVICES INC
23 MAIDEN LANENORTH HAVENCT06473061110797DEBT COLLECTION SERVICESCTN/ACYes (1)
L & M SYSTEMS INC
365 MONTAUK AVENUENEW LONDONCT06320222553037HEALTHCARE RELATED SERVICESCTN/ACYes (1)
L&M HOME CARE SERVICES INC
365 MONTAUK AVENUENEW LONDONCT06320061389272HOME THERAPYCTN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BRIDGEPORT HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$101,454InvolvedAmt
Method Of Amount DeterminationTRANSACTION REVIEWMethodOfAmountDeterminationTxt