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BRIDGEPORT HOSPITAL AUXILIARY INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BRIDGEPORT HOSPITAL AUXILIARY INC (EIN 06-6042500)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-05-14
IRS object ID
201911349349302121
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

FieldValueIRS element (for citing)
Return2019-05-14T09:07:28-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

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 Begin2017-10-01TaxPeriodBeginDt

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)
PersonJOYCE LAPONTEPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2037273412PhoneNum
Signature2019-05-14SignatureDt
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)
IP2019-05-14IPDt
IP Tm09:05:28IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdFA60C453B91CE9B21EC1A1F550E0928D4421809BAtSubmissionCreationDeviceId
At Submission Filing Device IdAB8BD5A88D4BA927D2DA994192B6818756100B67AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$468,139GrossReceiptsAmt
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 Volunteers43TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$91,247PYContributionsGrantsAmt
CY Contributions Grants$88,978CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$206PYInvestmentIncomeAmt
CY Investment Income$228CYInvestmentIncomeAmt
PY Other Revenue$178,006PYOtherRevenueAmt
CY Other Revenue$164,679CYOtherRevenueAmt
PY Total Revenue$269,459PYTotalRevenueAmt
CY Total Revenue$253,885CYTotalRevenueAmt
PY Grants And Similar Paid$103,389PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$163,550CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$106,818PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$102,757CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$42,632PYOtherExpensesAmt
CY Other Expenses$44,071CYOtherExpensesAmt
PY Total Expenses$252,839PYTotalExpensesAmt
CY Total Expenses$310,378CYTotalExpensesAmt
PY Revenues Less Expenses$16,620PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,493CYRevenuesLessExpensesAmt
Total Assets BOY$574,521TotalAssetsBOYAmt
Total Assets EOY$410,541TotalAssetsEOYAmt
Total Liabilities BOY$138,817TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,330TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$435,704NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$379,211NetAssetsOrFundBalancesEOYAmt
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$163,550ExpenseAmt
Grant$163,550GrantAmt
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$163,550TotalProgramServiceExpensesAmt
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
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 Approva0DecisionsSubjectToApprovaInd
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
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
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 (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BONNIE MOLLOY
PRESIDENT/BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
LINDA ANTIGNANI
VICE PRESIDENT/BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
SUSAN CASTAGNA
RECORDING SECRETARY/BOARD MEMBER1.0039.00Yes (X)Yes (X)$0$62,697$21,941
RACHEL PUGH
TREASURER/BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
AMPARO CASTILLO
CORRESPONDING SEC./BOARD MEMBER1.000.00Yes (X)Yes (X)$0$0$0
ULLA ATWEH
ASSISTANT TREASURER/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
RITA CRISPINO
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
PATRICIA HANSEN THRU 63018
BOARD MEMBER1.000.00Yes (X)$0$0$0
VIRGINIA LOCH THRU 82018
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
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
HELEN HAYES EFF 1012017
BOARD MEMBER1.000.00Yes (X)$0$0$0
ARLENE BATTISTELLI
BOARD MEMBER1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$62,697TotReportableCompRltdOrgAmt
Total Other Compensation$21,941TotalOtherCompensationAmt
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$3,085MembershipDuesAmt
Fundraising$84,200FundraisingAmt
All Other Contributions$1,693AllOtherContributionsAmt
Noncash Contributions$655NoncashContributionsAmt
Total Contributions$88,978TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$228TotalRevenueColumnAmt
Exclusion$228ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$17,350FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$84,200ContriRptFundraisingEventAmt
Fundraising Direct Expenses$18,973FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,623TotalRevenueColumnAmt
Exclusion-$1,623ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$361,583GrossSalesOfInventoryAmt
Cost Of Goods Sold$195,281CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,302TotalRevenueColumnAmt
Exclusion$166,302ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$253,885TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$164,907ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$163,550TotalAmt
Program Services$163,550ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$89,297TotalAmt
Management And General$89,297ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,305TotalAmt
Management And General$1,305ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,155TotalAmt
Management And General$12,155ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,816TotalAmt
Management And General$12,816ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$439TotalAmt
Management And General$439ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,104TotalAmt
Management And General$19,104ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
BANK FEE$8,082$8,082
PROMOTION EVENT$3,630$3,630

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$310,378TotalAmt
Program Services$163,550ProgramServicesAmt
Management And General$146,828ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$398,205BOYAmt
EOY$122,245EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Accounts Receivable AccountsReceivableGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$102,584BOYAmt
EOY$86,517EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$146BOYAmt
EOY$138EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$201,314LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$175,100LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,318BOYAmt
EOY$26,214EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$574,521BOYAmt
EOY$410,541EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$138,817BOYAmt
EOY$31,330EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$138,817BOYAmt
EOY$31,330EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$435,704BOYAmt
EOY$379,211EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$435,704BOYAmt
EOY$379,211EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$574,521BOYAmt
EOY$410,541EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$56,493ReconcilationRevenueExpnssAmt
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$163,550SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$163,550SupportSumAmt
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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$201,314OtherCostOrOtherBasisAmt
Depreciation$175,100DepreciationAmt
Book Value$26,214BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,214TotalBookValueLandBuildingsAmt
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 HEATH 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 YEAR ENDED SEPTEMBER 30, 2018 AND 2017.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPRING GALAEvent1Nm
Gross Receipts Event1$94,925GrossReceiptsEvent1Amt
Charitable Contri Event1$82,525CharitableContriEvent1Amt
Gross Revenue Event1$12,400GrossRevenueEvent1Amt
Other Direct Expenses Event1$15,404OtherDirectExpensesEvent1Amt
Event2FALL FASHIONEvent2Nm
Gross Receipts Event2$6,625GrossReceiptsEvent2Amt
Charitable Contri Event2$1,675CharitableContriEvent2Amt
Gross Revenue Event2$4,950GrossRevenueEvent2Amt
Other Direct Expenses Event2$3,569OtherDirectExpensesEvent2Amt
Gross Receipts Total$101,550GrossReceiptsTotalAmt
Charitable Contributions Tot$84,200CharitableContributionsTotAmt
Gross Revenue Total Events$17,350GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$18,973OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,973DirectExpenseSummaryEventsAmt
Net Income Summary-$1,623NetIncomeSummaryAmt

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$163,550CashGrantAmt
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 (5 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 6BRIDGEPORT HOSPITAL IS THE ORGANIZATION'S SOLE MEMBER.
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 BRIDGEPORT HOSPITAL AUXILIARY INC IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT SHE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF FORM 990 ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS INCLUDING THE CONFLICT OF INTEREST POLICY ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT AND AVAILABLE TO ALL EMPLOYEES. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ASSOCIATED SPECIALISTS OF SOUTHEASTERN CTINC - DISSOLVED 918
365 MONTAUK AVENUENEW LONDONCT06320208006123HEALTHCARE SERVICESCT501C3LINE 12A, ILAWRENCE MEMORIAL HOSPITAL INCYes (1)
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 CORPORATION0
LAWRENCE MEMORIAL CORPORATION
365 MONTAUK AVENUENEW LONDONCT06320222553028PROMOTE HEALTHCARECT501C3LINE 10YALE NEW HAVEN HEALTH SERVICES CORP0
LAWRENCE AND MEMORIAL FOUNDATION INC - DISSOLVED ON 918
365 MONTAUK AVENUENEW LONDONCT06320222553026FUNDRAISING SERVICESCT501C3PFLAWRENCE MEMORIAL CORPORATIONYes (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 CORP0
NORTHEAST MEDICAL GROUP PLLC
99 HAWLEY LANESTRATFORDCT06614352380180HEALTHCARE SERVICESCT501C3LINE 12A, INORTHEAST MEDICAL GROUP INCYes (1)
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROADGREENWICHCT06830061207316SYSTEM SUPPORT SERVICESCT501C3LINE 12B, IIGREENWICH HOSPTIALYes (1)
SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC
267 GRANT STREETBRIDGEPORTCT06610061297708TITLE HOLDINGCT501C2BRIDGEPORT HOSPITALYes (1)
THE GREENWICH HOSPITAL ENDOWMENT FUND INC
5 PERRYRIDGE ROADGREENWICHCT06830061526642SYSTEM SUPPORT SERVICESCT501C3LINE 12B, IIGREENWICH HOSPTIALYes (1)
THE WESTERLY HOSPITAL FOUNDATION INC
25 WELLS STREETWESTERLYRI02891050508064FUNDRAISING SERVICESRI501C3LINE 12A, ILMW HEALTHCARE INCYes (1)
VISITING NURSE ASSOCIATION OF SOUTHEREASTERN CONNECTICUT INC
403 NORTH FRONTAGE ROADWATERFORDCT06385060646616HOME HEALTHCARE SERVICESCT501C3LINE 10LAWRENCE MEMORIAL CORPORATIONYes (1)
WESTERLY HOSPITAL AUXILIARY INC
25 WELLS STREETWESTERLYRI02891222507181FUNDRAISING ACTIVITIESRI501C3LINE 12C, III-FILMW 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 CORP0
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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
SHORELINE ENDOSCOPY CENTER LLC
800 BOSTON POST ROADGUILFORDCT06437900110459HEALTHCARE SERVICESCTN/A
SSC II LLC - TECHNICAL TERMINATED ON 1217
111 GOOSE LANEGUILFORDCT06437261709382HEALTHCARE SERVICESCTN/A
ORTHOPAEDIC & NEUROSURGERY CENTER - DISSOLVED ON 518
55 HOLLY HILL LANEGREENWICHCT06830273477197HEALTHCARE SERVICESCTN/A
TOTAL HEALTH CONNECTICUT LLC
789 HOWARD AVENUENEW HAVENCT06519474070024HEALTHCARE SERVICESCTN/A
YALE NEW HAVEN HEALTH SYSTEM INVESTMENT
20 YORK STREETNEW HAVENCT06510271374301INVESTMENTDEN/A
YNHHSCUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001384021595HEALTHCARE SERVICESTXN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CORPORATE PROFESSIONAL BUSINESS SERVICESINC
789 HOWARD AVENEW HAVENCT06519061467717MANAGEMENT SERVICESCTN/AC0
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)
LAWRENCE & MEMORIAL INDEMNITY COMPANY LTD- DISSOLVED ON 1117
981021436INSURANCEN/ACYes (1)PO BOX 1159 KY1-1102GRAND CAYMANCJCJ
SOUND MEDICAL ASSOCIATES - DISSOLVED ON 0918
365 MONTAUK AVENUENEW LONDONCT06320061383924MEDICAL SERVICESCTN/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$163,550InvolvedAmt
Method Of Amount DeterminationTRANSACTION REVIEWMethodOfAmountDeterminationTxt