NUVANCE HEALTH MEDICAL PRACTICE CT INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- NUVANCE HEALTH MEDICAL PRACTICE CT INC (EIN 06-1137531)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201902279349300920
- Schema version
- 2017v2.3
- 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 | 2019-08-15T07:54:32-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061137531 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Western Connecticut Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % KAREN DARCY | InCareOfNm |
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 2037397000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 Research Drive 201A | AddressLine1Txt |
| City | Bethel | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN ROSENBERG | PersonNm |
| Person Title | SVP & CFO WCHN | PersonTitleTxt |
| Phone | 2037397742 | PhoneNum |
| Signature | 2019-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MIKE A CINCOTTA | PreparerPersonNm |
| PTIN | P01595811 | PTIN |
| Phone | 6172662000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.22.221.70 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 02007720192275000001 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-08-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 83FD52A0E4C3D4A6B6829DC2CA728D5E30EB1E19 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3FF1AC1480234E0C474791DF6EEB8C285F624DEC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD GEMMING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 Research Drive 201A | AddressLine1Txt |
| City | Bethel | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $247,696,872 | 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 | The mission at WCMG is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities we serve... See Schedule O for more detail. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 1486 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $470,633 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $27,273 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $503,888 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $241,035,189 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $246,390,331 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,113 | PYInvestmentIncomeAmt |
| CY Investment Income | -$668 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,236,261 | PYOtherRevenueAmt |
| CY Other Revenue | $670,965 | CYOtherRevenueAmt |
| PY Total Revenue | $242,284,563 | PYTotalRevenueAmt |
| CY Total Revenue | $247,564,516 | 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 | $206,057,134 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $217,610,499 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,033,044 | PYOtherExpensesAmt |
| CY Other Expenses | $44,840,651 | CYOtherExpensesAmt |
| PY Total Expenses | $251,090,178 | PYTotalExpensesAmt |
| CY Total Expenses | $262,451,150 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,805,615 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,886,634 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,374,173 | TotalAssetsBOYAmt |
| Total Assets EOY | $55,642,980 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,241,954 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,929,676 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $36,132,219 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,713,304 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION AT WCMG IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE COMMUNITIES WE SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS NEEDS. SEE SCHEDULE O FOR MORE DETAIL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $59,192,053 | ExpenseAmt |
| Revenue | $60,049,827 | RevenueAmt |
| Desc | WCMG Hospital Based Services provide various services in Danbury and Norwalk, CT and surrounding towns. Major services include Anesthesiology, Hospital Medicine and Emergency Medicine. 9 locations serving areas in Western Connecticut 97,416 Patients during fiscal year 2018 222,801 Visits during fiscal year 2018 $1,833,382 - Adjusted for financial assistance during FY 2018 See Schedule O for more detail. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $57,123,748 | ExpenseAmt |
| Revenue | $47,938,666 | RevenueAmt |
| Desc | WCMG Medicine SubSpecialty provides various services in Danbury and Norwalk, CT and the surrounding towns. Major services include Cardiology, Pulmonology, Gastroenterology, Rheumatology, Physical Medicine, Endocrinology, Infectious Diseases and Nephrology. 21 locations serving areas in Western Connecticut 76,849 Patients during fiscal year 2018 206,154 Visits during fiscal year 2018 $1,598,437 - Adjusted for financial assistance during FY 2018 See Schedule O for more detail. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $39,867,746 | ExpenseAmt |
| Revenue | $30,920,647 | RevenueAmt |
| Desc | WCMG Primary Care and Pediatrics has Primary Care and Pediatric specialists in family medicine, internal medicine and pediatrics. The Primary Care and Pediatric offices are located in Danbury and Norwalk, CT and the surrounding towns. 15 locations serving areas in Western Connecticut 85,860 Patients during fiscal year 2018 187,701 Visits during fiscal year 2018 $191,999 - Adjusted for financial assistance during FY 2018 See Schedule O for more detail. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $96,672,846 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $107,681,523 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $252,856,393 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 106 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1486 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | 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 |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN DARCY | PersonNm |
| Phone | 2037394593 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 RESEARCH DRIVE SUITE 201A | AddressLine1Txt |
| City | Bethel | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Patrick Broderick MD | ||||||||||
| Director | 50.0 | 3.0 | Yes (X) | $561,083 | $0 | $64,136 | ||||
| Patricia Tietjen MD | ||||||||||
| Director | 50.0 | 3.0 | Yes (X) | $643,289 | $0 | $41,036 | ||||
| Charles Herrick | ||||||||||
| Vice Chairman | 50.0 | 0.0 | Yes (X) | $485,362 | $0 | $48,094 | ||||
| Paul Fiedler MD | ||||||||||
| Director | 50.0 | 0.0 | Yes (X) | $673,186 | $0 | $50,002 | ||||
| James McClane MD | ||||||||||
| Director | 50.0 | 0.0 | Yes (X) | $360,878 | $0 | $44,202 | ||||
| Dennis Meighan DO | ||||||||||
| Director | 50.0 | 0.0 | Yes (X) | $531,939 | $0 | $43,641 | ||||
| Martin Serrins MD | ||||||||||
| Chairman | 50.0 | 0.0 | Yes (X) | $743,794 | $0 | $51,007 | Yes (X) | |||
| Keith Zuccala MD | ||||||||||
| Director | 50.0 | 0.0 | Yes (X) | $633,265 | $0 | $49,796 | ||||
| Athena Disney | ||||||||||
| Director | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| Lewis Berman MD | ||||||||||
| Director | 50.0 | 0.0 | Yes (X) | $416,892 | $0 | $55,942 | ||||
| Karen Tarbell MD From 0101 | ||||||||||
| Director | 50.0 | 0.0 | Yes (X) | $267,661 | $0 | $46,659 | ||||
| Thomas Koobatian MD | ||||||||||
| Director | 50.0 | 3.0 | Yes (X) | $463,730 | $0 | $49,406 | ||||
| John M Murphy MD | ||||||||||
| Director | 1.0 | 50.0 | Yes (X) | $0 | $1,996,390 | $50,341 | ||||
| Brian White CPA To 1231 | ||||||||||
| Director | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| Spencer Houldin From 0101 | ||||||||||
| Director | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| Craig Serin MD | ||||||||||
| Director | 50.0 | 0.0 | Yes (X) | $381,969 | $0 | $15,989 | ||||
| Steven H Rosenberg | ||||||||||
| Treasurer | 3.0 | 56.0 | $0 | $800,722 | $48,529 | Yes (X) | ||||
| Andrew Keller MD | ||||||||||
| Chief Med. Off. | 50.0 | 0.0 | $543,129 | $0 | $58,708 | Yes (X) | ||||
| Richard Gemming | ||||||||||
| Executive Dir. | 40.0 | 0.0 | $542,275 | $0 | $51,625 | Yes (X) | ||||
| Colleen M Scott | ||||||||||
| VP Finance WCHN | 3.0 | 43.0 | $0 | $391,444 | $44,227 | Yes (X) | ||||
| John Mack To 824 | ||||||||||
| Dir. Of Operations WCMG | 40.0 | 0.0 | $245,208 | $0 | $47,698 | Yes (X) | ||||
| Robert C Gallager MD | ||||||||||
| Chief Cardio. Surg | 50.0 | 0.0 | $1,213,681 | $0 | $44,207 | Yes (X) | ||||
| Alan Dietzek | ||||||||||
| med. dept. chief | 50.0 | 0.0 | $910,287 | $0 | $45,439 | Yes (X) | ||||
| Carol Y Gemayel-Barra | ||||||||||
| Physician | 50.0 | 0.0 | $706,460 | $0 | $48,412 | Yes (X) | ||||
| Mark Warshofsky | ||||||||||
| Cardiologist | 50.0 | 0.0 | $772,979 | $0 | $50,801 | Yes (X) | ||||
| Ira Galin MD | ||||||||||
| Cardiologist | 50.0 | 0.0 | $737,859 | $0 | $49,043 | Yes (X) | ||||
| Donna Kaplanis | ||||||||||
| Assistant Secretary | 1.0 | 50.0 | $0 | $265,063 | $38,496 | Yes (X) | ||||
| Shawyn Olson-Corbett | ||||||||||
| COO | 40.0 | 0.0 | $328,382 | $0 | $15,158 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,163,308 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,453,619 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,152,594 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 456 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSCRIPT | |||||
| 8529 SIX FORKS ROAD | RALEIGH | NC | 27615 | ELECTRONIC HLTH REC | $1,893,101 |
| GERMANTOWN LLC | |||||
| 30 GERMANTOWN RD C/O HAWLEY REALTY | DANBURY | CT | 06810 | PROPERTY LEASE | $869,650 |
| SOUTH MEDICAL LLC | |||||
| 94 DANBURY RD | RIDGEFIELD | CT | 06877 | PROPERTY LEASE | $774,008 |
| DURACELL US OPERATIONS | |||||
| 28358 NETWORK PLACE | CHICAGO | IL | 606731283 | PROPERTY LEASE | $739,041 |
| SRG FAMILY LLC | |||||
| 100 MAIN ST SUITE 203 | SOUTHBURY | CT | 06488 | PROPERTY LEASE | $651,624 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $503,888 | RelatedOrganizationsAmt |
| Total Contributions | $503,888 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL REVENUE | 621110 | $245,487,747 | $245,487,747 |
| PAYER INCENTIVE DOLLARS | 621110 | $753,084 | $753,084 |
| GRANTS | 621110 | $149,500 | $149,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $246,390,331 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$668 | TotalRevenueColumnAmt |
| Exclusion | -$668 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,356 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,356 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| DAVITA OVERSIGHT DIALYSIS | 621400 | $250,000 | $250,000 | |
| OFFICE PHYSICIAN SERVICES | 621110 | $158,263 | $158,263 | |
| LUTHERAN HOME OVERSIGHT | 900099 | $52,000 | $52,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210,702 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,069 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $168,633 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $670,965 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $247,564,516 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $246,590,663 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $470,633 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$668 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,843,646 | TotalAmt |
| Program Services | $7,555,000 | ProgramServicesAmt |
| Management And General | $288,646 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,109,943 | TotalAmt |
| Program Services | $175,408,297 | ProgramServicesAmt |
| Management And General | $6,701,646 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,263,850 | TotalAmt |
| Program Services | $5,070,140 | ProgramServicesAmt |
| Management And General | $193,710 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,755,995 | TotalAmt |
| Program Services | $13,249,774 | ProgramServicesAmt |
| Management And General | $506,221 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,637,065 | TotalAmt |
| Program Services | $8,319,221 | ProgramServicesAmt |
| Management And General | $317,844 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,615 | TotalAmt |
| Management And General | $16,615 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,087 | TotalAmt |
| Management And General | $11,087 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,664 | TotalAmt |
| Management And General | $58,664 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,654 | TotalAmt |
| Program Services | $13,152 | ProgramServicesAmt |
| Management And General | $502 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,585,739 | TotalAmt |
| Program Services | $15,012,184 | ProgramServicesAmt |
| Management And General | $573,555 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,258 | TotalAmt |
| Program Services | $365,301 | ProgramServicesAmt |
| Management And General | $13,957 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,750,781 | TotalAmt |
| Program Services | $1,686,352 | ProgramServicesAmt |
| Management And General | $64,429 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,684,219 | TotalAmt |
| Program Services | $3,548,640 | ProgramServicesAmt |
| Management And General | $135,579 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,005,429 | TotalAmt |
| Program Services | $12,526,829 | ProgramServicesAmt |
| Management And General | $478,600 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,882 | TotalAmt |
| Program Services | $428,510 | ProgramServicesAmt |
| Management And General | $16,372 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,119 | TotalAmt |
| Program Services | $199,497 | ProgramServicesAmt |
| Management And General | $7,622 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,404,573 | TotalAmt |
| Program Services | $2,316,085 | ProgramServicesAmt |
| Management And General | $88,488 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,007 | TotalAmt |
| Program Services | $93,163 | ProgramServicesAmt |
| Management And General | $73,844 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $5,824,225 | $5,824,225 | |
| PROFESSIONAL MEMBERSHIP | $951,306 | $916,298 | $35,008 |
| EQUIPMENT RENT AND MAINT. | $336,093 | $323,725 | $12,368 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,451,150 | TotalAmt |
| Program Services | $252,856,393 | ProgramServicesAmt |
| Management And General | $9,594,757 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,824 | BOYAmt |
| EOY | $1,188,754 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,245,442 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,846,127 | BOYAmt |
| EOY | $20,300,781 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,568,690 | BOYAmt |
| EOY | $1,070,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,309,571 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,249,247 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,139,223 | BOYAmt |
| EOY | $11,060,324 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,479 | BOYAmt |
| EOY | $486,773 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,065,388 | BOYAmt |
| EOY | $21,536,343 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,374,173 | BOYAmt |
| EOY | $55,642,980 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,049,270 | BOYAmt |
| EOY | $16,832,957 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $130,150 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $952,610 | BOYAmt |
| EOY | $668,631 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,240,074 | BOYAmt |
| EOY | $11,297,938 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,241,954 | BOYAmt |
| EOY | $28,929,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,132,219 | BOYAmt |
| EOY | $26,713,304 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,132,219 | BOYAmt |
| EOY | $26,713,304 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,374,173 | BOYAmt |
| EOY | $55,642,980 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,886,634 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $5,467,719 | 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 | false | FederalGrantAuditRequiredInd |
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 | $116,269 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $124,878 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $503,888 | CurrentTaxYearAmt |
| Total | $745,035 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $166,651,343 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $210,333,153 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $243,036,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $241,816,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $246,590,663 | CurrentTaxYearAmt |
| Total | $1,108,427,618 | 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 | $166,767,612 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $210,458,031 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $243,036,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $241,816,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $247,094,551 | CurrentTaxYearAmt |
| Total | $1,109,172,653 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,109,172,653 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $378,269 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $447,711 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $457,341 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $203,411 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $131,688 | CurrentTaxYearAmt |
| Total | $1,618,420 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,467 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $216,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $311,763 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $455,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $470,633 | CurrentTaxYearAmt |
| Total | $1,636,013 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $559,736 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $664,661 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $769,104 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $658,611 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $602,321 | CurrentTaxYearAmt |
| Total | $3,254,433 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $167,327,348 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $211,122,692 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $243,805,313 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $242,474,861 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $247,696,872 | CurrentTaxYearAmt |
| Total | $1,112,427,086 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99707 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99693 | PublicSupportPY509Pct |
| Investment Income CY | 0.00293 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00307 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $13,654 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,654 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B - Description of Lobbying Activity | FormAndLineReferenceDesc |
| Explanation | The lobbying is for various Federal and State Healthcare matters that includes mailings to members, legislators, or the public. The dollars related to lobbying activities represents approximately 1.4% of the total membership dues expenditures of $951,306. All lobbying dollars are a portion of membership dues paid. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $8,023,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,192,523 | DepreciationAmt |
| Book Value | $6,831,286 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $19,145,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,056,724 | DepreciationAmt |
| Book Value | $4,088,664 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $140,374 | OtherCostOrOtherBasisAmt |
| Book Value | $140,374 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,060,324 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (10 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| 170290-9200 | $7,741,726 |
| 170291-9200 | $2,314,541 |
| 170293-9200 | $27,059 |
| 457B ASSET | $10,537,352 |
| CASH VALUE LIFE INSURANCE | $747,725 |
| DUE FROM RELATED PARTIES-FDN | $9,918 |
| ENY-125310 | $35,673 |
| ROUNDING | $1 |
| SECURITY DEPOSITS | $71,616 |
| WCMG SHAREPOINT 170300 | $50,732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $21,536,343 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| 457B LIABILITY | $10,537,352 |
| DUE TO WCHN 225100 | $981,336 |
| VCA SHARED SAVINGS 244040 | -$220,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,297,938 | TotalLiabilityAmt |
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 |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | 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 | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patrick Broderick MD | ||||||||||||||
| Director | $386,832 | $0 | $150,000 | $0 | $24,251 | $0 | $26,500 | $0 | $37,636 | $0 | $625,219 | $0 | $0 | $0 |
| Patricia Tietjen MD | ||||||||||||||
| Director | $475,713 | $0 | $160,000 | $0 | $7,576 | $0 | $13,250 | $0 | $27,786 | $0 | $684,325 | $0 | $0 | $0 |
| Charles Herrick | ||||||||||||||
| Vice Chairman | $332,963 | $0 | $130,000 | $0 | $22,399 | $0 | $15,900 | $0 | $32,194 | $0 | $533,456 | $0 | $0 | $0 |
| Paul Fiedler MD | ||||||||||||||
| Director | $475,453 | $0 | $175,000 | $0 | $22,733 | $0 | $13,250 | $0 | $36,752 | $0 | $723,188 | $0 | $0 | $0 |
| James McClane MD | ||||||||||||||
| Director | $360,039 | $0 | $0 | $0 | $839 | $0 | $13,250 | $0 | $30,952 | $0 | $405,080 | $0 | $0 | $0 |
| Dennis Meighan DO | ||||||||||||||
| Director | $515,567 | $0 | $12,016 | $0 | $4,356 | $0 | $13,250 | $0 | $30,391 | $0 | $575,580 | $0 | $0 | $0 |
| Martin Serrins MD | ||||||||||||||
| Chairman | $542,412 | $0 | $175,000 | $0 | $26,382 | $0 | $26,500 | $0 | $24,507 | $0 | $794,801 | $0 | $0 | $0 |
| Keith Zuccala MD | ||||||||||||||
| Director | $481,747 | $0 | $150,000 | $0 | $1,518 | $0 | $15,900 | $0 | $33,896 | $0 | $683,061 | $0 | $0 | $0 |
| Lewis Berman MD | ||||||||||||||
| Director | $382,713 | $0 | $28,255 | $0 | $5,924 | $0 | $18,550 | $0 | $37,392 | $0 | $472,834 | $0 | $0 | $0 |
| Karen Tarbell MD From 0101 | ||||||||||||||
| Director | $243,235 | $0 | $23,894 | $0 | $532 | $0 | $15,739 | $0 | $30,920 | $0 | $314,320 | $0 | $0 | $0 |
| Thomas Koobatian MD | ||||||||||||||
| Director | $382,449 | $0 | $77,912 | $0 | $3,369 | $0 | $15,900 | $0 | $33,506 | $0 | $513,136 | $0 | $0 | $0 |
| John M Murphy MD | ||||||||||||||
| Director | $0 | $1,175,052 | $0 | $818,500 | $0 | $2,838 | $0 | $13,250 | $0 | $37,091 | $0 | $2,046,731 | $0 | $0 |
| Craig Serin MD | ||||||||||||||
| Director | $335,870 | $0 | $45,365 | $0 | $734 | $0 | $13,250 | $0 | $2,739 | $0 | $397,958 | $0 | $0 | $0 |
| Steven H Rosenberg | ||||||||||||||
| Treasurer | $0 | $571,541 | $0 | $205,000 | $0 | $24,181 | $0 | $13,250 | $0 | $35,279 | $0 | $849,251 | $0 | $0 |
| Andrew Keller MD | ||||||||||||||
| Chief Med. Off. | $449,041 | $0 | $71,732 | $0 | $22,356 | $0 | $26,500 | $0 | $32,208 | $0 | $601,837 | $0 | $0 | $0 |
| Richard Gemming | ||||||||||||||
| Executive Dir. | $377,337 | $0 | $135,000 | $0 | $29,938 | $0 | $12,723 | $0 | $38,902 | $0 | $593,900 | $0 | $0 | $0 |
| Colleen M Scott | ||||||||||||||
| VP Finance WCHN | $0 | $283,388 | $0 | $85,000 | $0 | $23,056 | $0 | $13,250 | $0 | $30,977 | $0 | $435,671 | $0 | $0 |
| John Mack To 824 | ||||||||||||||
| Dir. Of Operations WCMG | $203,221 | $0 | $41,500 | $0 | $487 | $0 | $11,573 | $0 | $36,125 | $0 | $292,906 | $0 | $0 | |
| Robert C Gallager MD | ||||||||||||||
| Chief Cardio. Surg | $1,145,436 | $0 | $63,889 | $0 | $4,356 | $0 | $13,250 | $0 | $30,957 | $0 | $1,257,888 | $0 | $0 | $0 |
| Alan Dietzek | ||||||||||||||
| med. dept. chief | $786,298 | $0 | $101,633 | $0 | $22,356 | $0 | $23,850 | $0 | $21,589 | $0 | $955,726 | $0 | $0 | $0 |
| Carol Y Gemayel-Barra | ||||||||||||||
| Physician | $526,195 | $0 | $161,777 | $0 | $18,488 | $0 | $13,250 | $0 | $35,162 | $0 | $754,872 | $0 | $0 | $0 |
| Mark Warshofsky | ||||||||||||||
| Cardiologist | $620,141 | $0 | $150,000 | $0 | $2,838 | $0 | $15,900 | $0 | $34,901 | $0 | $823,780 | $0 | $0 | $0 |
| Ira Galin MD | ||||||||||||||
| Cardiologist | $622,392 | $0 | $114,807 | $0 | $660 | $0 | $13,250 | $0 | $35,793 | $0 | $786,902 | $0 | $0 | $0 |
| Donna Kaplanis | ||||||||||||||
| Assistant Secretary | $0 | $209,736 | $0 | $35,000 | $0 | $20,327 | $0 | $26,260 | $0 | $12,236 | $0 | $303,559 | $0 | $0 |
| Shawyn Olson-Corbett | ||||||||||||||
| COO | $31,608 | $0 | $26,975 | $0 | $269,799 | $0 | $13,250 | $0 | $1,908 | $0 | $343,540 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a - Relevant Information Regarding Compensation Benefits | For the following individuals, benefits reported in Part VII include gross-up payments for a taxable travel stipend: Lewis Berman, MD Patrick Broderick, MD Paul Fiedler, MD Richard Gemming Charles Herrick, MD Thomas Koobatian, MD Steven H. Rosenberg Colleen M. Scott Patricia Tietjen, MD |
| Part I, Line 4 - Received Severance, Supplemental NQ Retirement, | EQUITY-BASED COMPENSATION PART 1, LINE 4A-RECEIVED SEVERENCE DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2018, DONNA KAPLANIS RECEIVED $232,000 IN A LUMP SUM SEVERANCE PAYMENT WITHIN 60 DAYS OF THE TERMINATION DATE OF MARCH 30, 2018. Part VII reflects severance for Shawyn Olson-Corbett, which was disclosed on the prior year Form 990. PART 1, LINE 4B-PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WESTERN CONNECTICUT HEALTH NETWORK (WCHN) ESTABLISHED THREE SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS (SERP). THESE PLANS PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR SERP PLANS #1 AND #2, 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 HAS ON ITS BOOKS AN ACCRUAL FOR THE PARTICIPANTS OF THE SERP, WHICH IS MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND IS UNFUNDED. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2018, A PAYMENT OF $2,619,020 WAS MADE TO STEVEN H. ROSENBERG, TREASURER, PARTICIPANT OF SERP PLAN #2. |
| Part I, Line 6 - Compensation Contingent on Net Earnings oF | Related OrgANIZATION SUMMARY OF EXECUTIVE INCENTIVE PLAN (EXCERPTS FROM) THE PLAN IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE (THE COMMITTEE) OF WESTERN CONNECTICUT HEALTH NETWORK,INC.(WCHN). ELIGIBILITY TO PARTICIPATE IN THE PLAN IS LIMITED TO THOSE EXEMPT EXECUTIVES EMPLOYED BY WCHN AND ITS SUBSIDIARIES (THE NETWORK) DURING THE PLAN YEAR WHO ARE IN POSITIONS IN WHICH THEIR DECISIONS, ACTIONS AND COUNSEL SIGNIFICANTLY AFFECT THE OPERATIONS OF THE NETWORK. THE COMMITTEE, WITH INPUT PROVIDED BY SENIOR MANAGEMENT OF THE NETWORK WILL DETERMINE WHICH ELIGIBLE EXECUTIVE EMPLOYEES OF THE NETWORK WILL PARTICIPATE IN THE PLAN. PRIOR TO THE BEGINNING OF EACH PLAN YEAR, OR AS SOON THEREAFTER AS PRACTICABLE, THE COMMITTEE WILL ESTABLISH TARGET AND MAXIMUM AWARD OPPORTUNITY FOR THE PARTICIPANT, IN THE APPROPRIATE TIER IN THE PLAN, ALONG WITH A TEAM SCORECARD OF PLAN MEASURES. SOON AFTER THE CLOSE OF THE PLAN YEAR, ACTUAL ORGANIZATION AND INDIVIDUAL PERFORMANCE AND RESULTS WILL BE MEASURED AND ASSESSED IN COMPARISON TO PUBLISHED GOALS AND EXPECTATIONS ESTABLISHED FOR SUCH PLAN YEAR. RECOMMENDATIONS FOR INDIVIDUAL INCENTIVE AWARDS WILL BE PREPARED AND SUBMITTED TO THE COMMITTEE FOR EVALUATION AND APPROVAL. NOTWITHSTANDING ANY OTHER PROVISION OF THE PLAN, AT THE DISCRETION OF THE COMMITTEE, AWARDS MAY NOT BE PAID UNDER THE PLAN FOR ANY PLAN YEAR IF THE LEVEL OF PERFORMANCE SPECIFIED IN ONE OR MORE NETWORK LEVEL "CIRCUIT BREAKER GOALS" IS NOT ACHIEVED DURING THE PLAN YEAR. WCMG EXECUTIVES IN THE EIP PLAN HAVE WCHN FINANCIAL PERFORMANCE AS ONE OF THE METRICS. WCMG PHYSICIANS (EXCLUDING THOSE IN EIP) HAVE 2.5% OF THEIR COMPENSATION TIED TO WCMG FINANCIAL PERFORMANCE, AS WELL AS THEIR PERSONAL PRODUCTIVITY. WESTERN CT MEDICAL GROUP PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN A PRODUCTION AND VALUE BASED INCENTIVE PLAN. PHYSICIANS WHOSE ANNUAL PRODUCTION EXCEEDS WRVU TARGETS ESTABLISHED ARE ELIGIBLE TO ACCRUE INCENTIVE COMPENSATION AT A FIXED RATE PER WRVU FOR EACH WRVU IN EXCESS OF THEIR TARGET. INCENTIVE COMPENSATION IS PAID SEMI-ANNUALLY ONCE APPROVALS ARE OBTAINED FROM THE PHYSICIANS MEDICAL DIRECTOR AND CHAIRMAN. |
| Part III - Additional Information | THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, WESTERN CONNECTICUT HEALTH NETWORK, INC. WHICH USED THE FOLLOWING METHODS DESCRIBED BELOW TO ESTABLISH TOP MANAGEMENT'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT FOR PHYSICIAN EXECUTIVES -COMPENSATION SURVEY OR STUDY -APPROVAL BY BOARD COMPENSATION COMMITTEE |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 1 | ... AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS NEEDS. We support a commitment to advance the health and well-being of people in our community by delivering quality care, participating in medical research, and medical residency programs and the provision of medical services to patients. Form 990, Part III, Line 1 We support a commitment to advance the health and well-being of people in our community by delivering quality care, participating in medical research, and medical residency programs and the provision of medical services to patients. Form 990, Part III, Line 4a WCMG SERVES INDIVIDUALS OF ALL INCOME LEVELS AND FOLLOWS THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY ITS PARENT ORGANIZATIONS, WESTERN CONNECTICUT HEALTH NETWORK, INC., AND FOLLOWED BY DANBURY AND NORWALK HOSPITALS. Form 990, Part III, Line 4b WCMG SERVES INDIVIDUALS OF ALL INCOME LEVELS AND FOLLOWS THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY ITS PARENT ORGANIZATIONS, WESTERN CONNECTICUT HEALTH NETWORK, INC., AND FOLLOWED BY DANBURY AND NORWALK HOSPITALS. Form 990, Part III, Line 4c WCMG SERVES INDIVIDUALS OF ALL INCOME LEVELS AND FOLLOWS THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY ITS PARENT ORGANIZATIONS, WESTERN CONNECTICUT HEALTH NETWORK, INC., AND FOLLOWED BY DANBURY AND NORWALK HOSPITALS. |
| Form 990, Part VI Lines 12A, 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 VII (Addt'l Information) | For those officers and top 5 employees, for which only 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount. Note: All amounts in column F, of Part VII, "Estimated Amount of Other Compensation", represents benefits, and do not reflect any compensation for which the average amount of time worked can be reflected. |
| Form 990, Part VI, Line 4d - Other Program Services Description | All other program services include surgery, oncology, psychology, obstrectics and gynecology, pain management and administration. |
| Form 990, Part VI, Line 6 - Explanation of Classes of Members or | Shareholder Western Connecticut Health Network, Inc. is the sole member of Western Connecticut Medical Group. |
| Form 990, Part VI,Line 7a - How Members or shareholders elect | governing body Western Connecticut Health Network, Inc (the "Member") shall have the exclusive right (i) to elect the Corporation's board of directors and to appoint individuals to fill vacancies on the board of directors; (ii) to amend the bylaws of the Corporation; and (iii) to remove any director with or without cause. |
| Form 990,Part VI,Line 7b - Decisions of Governing body approval | by members or shareholders Fundamental changes are subject to the approval of the Member (Western Connecticut Health Network, Inc.), and the board of directors, by the affirmative vote of no less than two-thirds of all directors present required to: (a) amend certificate of incorporation, (b) transfer substantially all the Corporations assets to, or merge the Corporation, (c) sell or mortgage substantially all the Corporations assets, or (d) dissolve the Corporation. |
| Form 990, Part VI, Line 11b - Form 990 Review Process | Steven Rosenberg, SVP/CFO of Western Connecticut Health Network,Inc., along with Finance and Accounting Management, will review Form 990 prior to it being sent to the IRS. A preliminary Form 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the Form 990 with the Audit Committee and answer any questions. Prior to the Form 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review. |
| Form 990, Part VI, Line 12c - Explanation of Monitoring and | Enforcing conflicts of interest The Organization's Process for Monitoring and Enforcing Conflicts of Interest The Western Connecticut Health Network and its affiliates' (The Network) Conflict of Interest Policy provides that annually, its Representatives shall sign a statement affirming that they disclosed all potential conflicts, as documented in the Conflict of Interest Policy. In addition, General Counsel is part of the routine contracts review process and watches for potential conflicts with any of The Network's Representatives. Who Is Covered By the Policy The Network's Conflict of Interest Policy covers each director, officer, physician and manager of The Network, also referred to as "Representatives". Level At Which Determinations of Whether There Is a Conflict In connection with any actual or possible conflict of interest, an interested person must disclose the facts of the conflict. The Compliance Officer and the Audit Committee review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential transaction or arrangement is made by an interested person, the remaining disinterested Board or Committee members shall decide if a conflict of interest exists. Level That Reviews and Determines What To Do If There Is a Conflict After exercising due diligence the full Board would determine what actions should be taken for all conflicts by Officers and Directors. Any conflicts occurring by a manager are reviewed by the Compliance Committee to determine what further action should be taken. Restrictions on The Conflicted Person No director having a conflict of interest on any matter shall vote on that matter or be counted in determining the quorum for the meeting at which the vote is taken, even when permitted by law. No Representative having a conflict of interest on any matter shall use his or her personal influence on the matter. If the Board of Directors, in its sole discretion, determines that any Representative has conflicts of interest sufficient in number and/or importance that the effectiveness of such individual on behalf of The Network may be significantly impaired, the Board may ask the individual to resign. |
| Form 990, Part VI, Line 15b - compensation review & approval | process - officers & key employees COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES: IN ORDER TO ACHIEVE ITS MISSION AND ITS OVERALL PERFORMANCE OBJECTIVES, WESTERN CONNECTICUT HEALTH NETWORK, INC. EMPLOYS A PERFORMANCE-BASED TOTAL COMPENSATION PROGRAM FOR ITS SENIOR EXECUTIVES THAT IS MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES, AND REPRESENTATIVE OF BEST PRACTICES. ELIGIBLE EXECUTIVES ARE GENERALLY DIRECT REPORTS OF THE CEO ALONG WITH OTHER EXECUTIVES DESIGNATED BY THE CEO. TO MEET WESTERN CONNECTICUT HEALTH NETWORK INC.'S TOTAL COMPENSATION OBJECTIVES FOR EXECUTIVES, THE FOLLOWING SURVEY SOURCES ARE USED FOR COMPARISON PURPOSES: -BLEND OF NATIONAL CONFIDENTIAL SOURCE, IHS, AND HAY GROUP POINTS, HEALTH CARE DATA (WHERE DATA AVAILABLE), PLUS 15% GEOGRAPHIC DIFFERENTIAL. TITLE MATCH DATA CUTS SELECTED BASED ON REVENUE SIZE. -FOR PHYSICIAN EXECUTIVES, SURVEYS COVERING PHYSICIAN COMPENSATION IN ACCREDITED MEDICAL SCHOOLS (AAMC) ARE USED IN COMBINATION WITH PROPRIETARY SURVEYS COMPILED BY NATIONALLY KNOWN CONSULTING FIRM, SULLIVAN COTTER AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). WESTERN CONNECTICUT HEALTH NETWORK, INC. TARGETS CASH COMPENSATION AT MARKET COMPETITIVE LEVELS. BASE SALARY PLUS SHORT-TERM (ANNUAL) INCENTIVE AWARDS (TOTAL CASH) APPROXIMATES A RANGE BETWEEN THE 50TH AND 75TH PERCENTILES FOR TOTAL CASH COMPENSATION. EXECUTIVE PERFORMANCE IS EXPECTED TO MEET OR EXCEED PREDETERMINED OPERATIONAL AND FINANCIAL METRICS. OTHER FACTORS, SUCH AS COMPETITIVE MARKET FORCES, JOB PERFORMANCE, UNIQUE QUALIFICATIONS, AND/OR INDIVIDUAL JOB RESPONSIBILITIES ARE ALSO CONSIDERED IN WESTERN CONNECTICUT HEALTH NETWORK, INC'S EXECUTIVE COMPENSATION DECISIONS. ROLES OF THE COMPENSATION COMMITTEE AND KEY EXECUTIVES IN THE EXECUTIVE COMPENSATION PROCESS - THE COMPENSATION COMMITTEE IN CONSULTATION WITH THE CEO AND THE SVP HUMAN RESOURCES (HR) SELECTS THE OUTSIDE COMPENSATION CONSULTANTS. THE CURRENT CONSULTANT IS THE KORN FERRY HAY GROUP, WHOSE PURPOSE IS TO PROVIDE A VALID INDEPENDENT ASSESSMENT OF THE RELEVANT MARKET RATES AND PAY PRACTICES FOR HEALTH CARE EXECUTIVES, PHYSICIAN EXECUTIVES AND FOR PHYSICIANS IN GENERAL. - THE COMPENSATION CONSULTING FIRM COMPILES APPROPRIATE MARKET DATA, JOB EVALUATION AND RANKING INFORMATION FOR ALL EXECUTIVES AND PHYSICIANS OF THE ORGANIZATION, EXCLUDING THE CEO, AND WILL SUPPLY THIS MATERIAL TO THE CEO AND SVP HR FOR REVIEW AND AGREEMENT. ONCE THE REPORT IS FINAL, IT WILL BE SUPPLIED TO THE COMPENSATION COMMITTEE FOR THEIR CONSIDERATION AND ACCEPTANCE. -THE COMPENSATION COMMITTEE DETERMINES THE CEO'S SALARY BASED ON OVERALL PERFORMANCE AND MARKET DATA SUPPLIED BY THE OUTSIDE COMPENSATION CONSULTANT. THE LAST EXECUTIVE COMPENSATION EVALUATION BY AN OUTSIDE CONSULTANT WAS DONE IN NOVEMBER, 2018. |
| Form 990, Part VI, Line 19 - other organization documents | publicly available The governing documents, conflict of interest policy and financial statements are available to the public upon request. |
| Form 990, Part VII - Compensation Explanation | Karen Tarbell, MD (From 01/01) Karen Tarbell, MD became a Director on January 1, 2018. Brian White, CPA (To 12/31) Brian White, CPA was a Director to December 31, 2017. Spencer Houldin (From 01/01) Spencer Houldin became a Director on January 1, 2018. John Mack (To 08/24) John Mack's employment was terminated on August 24, 2018. |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets or Fund Balances Transfer From Danbury Hospital............................ $3,767,719. Transfer From Western Connecticut Health Network, Inc. ....$1,700,000. Total $5,467,719. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Danbury Hospital | ||||||||||
| 24 Hospital Ave | Danbury | CT | 06801 | 060646597 | ACUTE CARE | CT | 501 (c) 3 | 3 | WCHN | Yes (true) |
| Western CT Health Network Inc | ||||||||||
| 24 Hospital Ave | Danbury | CT | 06801 | 222594977 | PROGRAM DEVLP | CT | 501 (c) 3 | 12 type 2 | NA | false |
| West CT Health Network Affiliates | ||||||||||
| 95 Locust Ave | Danbury | CT | 06801 | 222594968 | OP HLTHCR SVC | CT | 501 (c) 3 | 10 | WCHN | Yes (true) |
| Danbury & New Milford Hosp Found | ||||||||||
| 24 Hospital Ave | Danbury | CT | 06801 | 237425557 | ADMIN CONTRIB | CT | 501 (c) 3 | 7 | WCHN | Yes (true) |
| Western Connecticut Homecare Inc | ||||||||||
| 4 Liberty Street | Danbury | CT | 06801 | 060655138 | HOME HLTHCRE | CT | 501 (c) 3 | 10 | WCHN | Yes (true) |
| Eastern NY Medical Services PC | ||||||||||
| 14 Research Drive Suite 201A | Bethel | CT | 06810 | 455431389 | PHYSICIAN SVC | CT | 501 (c) 3 | 10 | WCHN | Yes (true) |
| The Norwalk Hospital Association | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 066068853 | HEALTH SVCS | CT | 501 (c) 3 | 3 | WCHN | Yes (true) |
| Norwalk Hospital Foundation | ||||||||||
| 34 Maple Street | Norwalk | CT | 06850 | 222577707 | FUNDRAISING | CT | 501 (c) 3 | 7 | NHA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| New Milford MRI | |||||||||||||
| 21 Elm Street | New Milford | CT | 06776 | 271877801 | INACTIVE | CT | NA | N/A | $0 | $0 | false | $0 | false |
| Norwalk Surgery | |||||||||||||
| 490 Cross Street | Norwalk | CT | 06850 | 272394942 | SURGERY CENTE | CT | NA | N/A | $0 | $0 | false | $0 | false |
| WCHN Investments | |||||||||||||
| 24 Hospital Ave | Danbury | CT | 06811 | 475523212 | INVESTMNTS | CT | NA | N/A | $0 | $0 | false | $0 | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Western CT Health Network Ins | |||||||||||||||
| 23 Lime Tree Bay PO Box 1051 | Grand Cayman | CJ | 980438151 | MALPRACTICE | CJ | NA | C Corp | $0 | $0 | Yes (true) | |||||
| SWC Corporation | |||||||||||||||
| 222577718 | Pharmacy | NA | C Corp | $0 | $0 | Yes (true) | 24 Stevens Street | Norwalk | CT | 06850 | CT | ||||
| ADVANCED CTR FOR REHAB MEDIC | |||||||||||||||
| 061304799 | INACTIVE | NA | C CORP | $0 | $0 | Yes (true) | 24 STEVENS STREET | NORWALK | CT | 06850 | 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 | Yes (true) | 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 | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Danbury Hospital | ||
| k | $3,139,733 | Cost |
| Danbury Hospital | ||
| l | $71,390,293 | Cost |
| Danbury Hospital | ||
| o | $103,550 | Cost |
| Danbury Hospital | ||
| p | $43,041,093 | Cost |
| Danbury Hospital | ||
| q | $9,112,042 | Cost |
| Danbury Hospital | ||
| s | $34,216,177 | Cost |
| Danbury & New Milford Hosp Found | ||
| c | $112,125 | COST |
| EASTERN NY MEDICAL SERVICES PC | ||
| s | $278,813 | COST |
| Eastern NY Medical Services PC | ||
| p | $87,626 | COST |
| Eastern NY Medical Services PC | ||
| r | $874,549 | COST |
| THE NORWALK HOSPITAL ASSOCIATION | ||
| k | $971,969 | COST |
| DANBURY & NEW MILFORD HOSPITAL FOUNDATION | ||
| m | $25,773,682 | COST |
| THE NORWALK HOSPITAL ASSOCIATION | ||
| o | $171,225 | COST |
| THE NORWALK HOSPITAL ASSOCIATION | ||
| p | $78,158 | COST |
| THE NORWALK HOSPITAL ASSOCIATION | ||
| q | $488,530 | COST |
| THE NORWALK HOSPITAL ASSOCIATION | ||
| s | $27,816,103 | COST |
| Norwalk Hospital Foundation | ||
| c | $326,022 | COST |
| Norwalk Hospital Foundation | ||
| s | $326,022 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III Partnership Full Name, Address, FEIN | FormAndLineReferenceDesc |
| Explanation | New Milford MRI JV, LLC 27-1877801 21 Elm Street New Milford, CT 06776 Norwalk Surgery Center,LLC 27-2394942 490 Cross St.,#120 Norwalk, CT 06851 WCHN Investments 47-5523212 24 Hospital Ave. Danbury, CT 06810 | ExplanationTxt |