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WESTERN CONNECTICUT HOME CARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WESTERN CONNECTICUT HOME CARE INC (EIN 06-0655138)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-12
IRS object ID
201932249349300418
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-12T14:30:07-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1175 POWDER FOREST DRIVEAddressLine1Txt
CitySIMSBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06089ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060655138EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Western Connecticut Home Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone2037924120PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Saw Mill RoadAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSharon AdamsPersonNm
Person TitlePres. Danbury/New Milford HospitalsPersonTitleTxt
Signature2019-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTIN ANDERSONPreparerPersonNm
PTINP01231300PTIN
Phone8606789200PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Sharon AdamsBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Saw Mill RoadAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,224,776GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.danburyhospital.org/departments/western-connecticut-home-care/western-connecticut-home-careWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1940FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION EXISTS TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES BY EMPLOYING THE MOST ADVANCED KNOWLEDGE ABOUT CAUSES AND PREVENTION OF DISEASE, ILLNESS MANAGEMENT AND HEALTH MAXIMIZATION. THE ORGANIZATION'S MISSION IS ACHIEVED THROUGH THE PROVISION OF HOME, COMMUNITY AND PUBLIC HEALTH BASED CARE, EDUCATION AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee160TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$166,923PYContributionsGrantsAmt
CY Contributions Grants$169,139CYContributionsGrantsAmt
PY Program Service Revenue$13,642,761PYProgramServiceRevenueAmt
CY Program Service Revenue$15,588,449CYProgramServiceRevenueAmt
PY Investment Income$42,848PYInvestmentIncomeAmt
CY Investment Income$59,345CYInvestmentIncomeAmt
PY Other Revenue$7,361PYOtherRevenueAmt
CY Other Revenue$14,663CYOtherRevenueAmt
PY Total Revenue$13,859,893PYTotalRevenueAmt
CY Total Revenue$15,831,596CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,679,971PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,553,998CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,893,597PYOtherExpensesAmt
CY Other Expenses$4,052,295CYOtherExpensesAmt
PY Total Expenses$13,573,568PYTotalExpensesAmt
CY Total Expenses$15,606,293CYTotalExpensesAmt
PY Revenues Less Expenses$286,325PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$225,303CYRevenuesLessExpensesAmt
Total Assets BOY$4,905,240TotalAssetsBOYAmt
Total Assets EOY$5,748,414TotalAssetsEOYAmt
Total Liabilities BOY$1,955,364TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,568,374TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,949,876NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,180,040NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION EXISTS TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES BY EMPLOYING THE MOST ADVANCED KNOWLEDGE ABOUT CAUSES AND PREVENTION OF DISEASE, ILLNESS MANAGEMENT AND HEALTH MAXIMIZATION. THE ORGANIZATION'S MISSION IS ACHIEVED THROUGH THE PROVISION OF HOME, COMMUNITY AND PUBLIC HEALTH BASED CARE, EDUCATION AND RESEARCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,166,380ExpenseAmt
Grant$0GrantAmt
Revenue$15,156,501RevenueAmt
DescHOME HEALTH CARE IS A PROGRAM DESIGNED TO PROVIDE BASIC HEALTH SERVICE TO SELECTED PATIENTS WHO CAN BE CARED FOR AT HOME, THUS REDUCING THE EXPENSE ASSOCIATED WITH HOSPITALIZATION, AND ALLOWING PATIENTS TO BE TREATED IN THE COMFORT AND FAMILIARITY OF THEIR OWN HOMES. SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$445,865ExpenseAmt
Grant$0GrantAmt
Revenue$446,611RevenueAmt
DescPUBLIC HEALTH NURSING IS A PROGRAM DESIGNED TO PROMOTE AND MAINTAIN COMMUNITY HEALTH THROUGH THE USE OF PUBLIC HEALTH NURSES. IMMUNIZATIONS, CLINICS AND OUTREACH PROGRAMS ARE PROVIDED TO THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$11,612,245TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee160EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
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 Line1BRIAN CARNEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2037924120PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 SAW MILL ROADAddressLine1Txt
CityDANBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
VINCENT MCRUIZ
PRESIDENT2.0Yes (X)Yes (X)$0$0$0
ALEXANDER DELUCIA
VICE PRESIDENT1.0Yes (X)Yes (X)$0$0$0
JAMES M POST
SECRETARY2.0Yes (X)Yes (X)$0$0$0
SEBASTIAN C LISI
TREASURER2.0Yes (X)Yes (X)$0$0$0
MARY R GRIFFIN
DIRECTOR1.0Yes (X)$0$0$0
MICHAEL MALONE
DIRECTOR1.0Yes (X)$0$0$0
ERIC BERGSTRAESSER
DIRECTOR1.0Yes (X)$0$0$0
WILLIAM CRAWFORD
DIRECTOR1.0Yes (X)$0$0$0
LAURA GARZA
DIRECTOR1.0Yes (X)$0$0$0
ANNE ROBY
DIRECTOR (UNTIL 4/20/18)1.0Yes (X)$0$0$0
Anne McDermott
DIRECTOR1.0Yes (X)$0$0$0
SHARON ADAMS
PRESIDENT DANBURY HOSPITAL AND NEW MILFORD HOSPITAL1.0Yes (X)$0$592,002$19,70440.0
DR JOHN MURPHY
PRESIDENT AND CEO OF WCHN1.0Yes (X)$0$1,996,390$50,34149.0
ALYSON BLANCK
EXECUTIVE DIRECTOR40.0$252,155$0$31,965Yes (X)
SHERRY LANGROCK
OCCUPATIONAL THERAPIST40.0$103,516$0$10,399Yes (X)
SANDRA KALRIESS
CLINICAL NURSING MANAGER40.0$107,087$0$23,152Yes (X)
BRIAN O'LOUGHLIN
CLINICAL NURSING SUPERVISOR40.0$171,467$0$31,020Yes (X)
BRIAN A CARNEY
DIRECTOR FINANCE40.0$143,067$0$26,696Yes (X)
SHARON FARRELL
THERAPY SUPERVISOR40.0$102,230$0$1,658Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$879,522TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,588,392TotReportableCompRltdOrgAmt
Total Other Compensation$194,935TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDPRO STAFFING
1580 SAWGRASS CORPORATE PARKWAYSUITE 200SUNRISEFL33323THERAPY TRAVELERS$557,986
MCBEE ASSOCIATES INC
997 OLD EAGLE SCHOOL ROADWAYNEPA19087CODING SERVICES$247,702
JOSEPH DASILVA
288 MAIN ST 1DANBURYCT06810RENT AND RELATED$160,317
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$73,062GovernmentGrantsAmt
All Other Contributions$96,077AllOtherContributionsAmt
Total Contributions$169,139TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621610$15,493,048$15,493,048
MEDICAL ALERT SERVICE SALES621610$95,401$95,401

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,588,449TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,826TotalRevenueColumnAmt
Exclusion$30,826ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$421,699SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$388,876SecuritiesAmt
Other$4,304OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$32,823SecuritiesAmt
Other-$4,304OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,519TotalRevenueColumnAmt
Exclusion$28,519ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business621610BusinessCd
Total Revenue Column$14,663TotalRevenueColumnAmt
Related Or Exempt Func Income$14,663RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,663OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,831,596TotalRevenueColumnAmt
Related Or Exempt Func Income$15,603,112RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$59,345ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$263,007TotalAmt
Program Services$104,233ProgramServicesAmt
Management And General$158,774ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$9,061,340TotalAmt
Program Services$7,245,304ProgramServicesAmt
Management And General$1,816,036ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$241,267TotalAmt
Program Services$191,962ProgramServicesAmt
Management And General$49,305ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,318,210TotalAmt
Program Services$1,041,286ProgramServicesAmt
Management And General$276,924ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$670,174TotalAmt
Program Services$533,216ProgramServicesAmt
Management And General$136,958ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,092TotalAmt
Management And General$31,092ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,539TotalAmt
Management And General$12,539ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,117,023TotalAmt
Program Services$1,117,023ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,843TotalAmt
Program Services$1,225ProgramServicesAmt
Management And General$11,618ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,034,246TotalAmt
Program Services$239,304ProgramServicesAmt
Management And General$794,942ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$77,048TotalAmt
Program Services$15,702ProgramServicesAmt
Management And General$61,346ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$485,326TotalAmt
Program Services$90,605ProgramServicesAmt
Management And General$394,721ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$364,778TotalAmt
Program Services$355,678ProgramServicesAmt
Management And General$9,100ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,888TotalAmt
Management And General$3,888ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$97,466TotalAmt
Management And General$97,466ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$122,947TotalAmt
Management And General$122,947ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,392TotalAmt
Management And General$16,392ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
NURSING/FLU CLINIC SUPPLIES$427,798$427,798
BAD DEBT EXPENSE$248,909$248,909

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,606,293TotalAmt
Program Services$11,612,245ProgramServicesAmt
Management And General$3,994,048ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$250BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,024,080BOYAmt
EOY$1,601,225EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,759BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,800,833BOYAmt
EOY$2,124,246EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$122,722BOYAmt
EOY$152,742EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$365,778BOYAmt
EOY$451,641EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,141,146LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$962,306LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$303,699BOYAmt
EOY$178,840EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,187,202BOYAmt
EOY$1,239,720EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$57,917BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,905,240BOYAmt
EOY$5,748,414EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$701,131BOYAmt
EOY$1,034,511EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$586,148BOYAmt
EOY$553,118EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$668,085BOYAmt
EOY$980,745EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,955,364BOYAmt
EOY$2,568,374EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,906,586BOYAmt
EOY$3,103,240EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,290BOYAmt
EOY$76,800EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,949,876BOYAmt
EOY$3,180,040EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,905,240BOYAmt
EOY$5,748,414EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$225,303ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,861NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$448,093CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$193,762CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$188,139CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$166,923CurrentTaxYearMinus1YearAmt
Current Tax Year$169,139CurrentTaxYearAmt
Total$1,166,056TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,974,045CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,245,919CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,308,001CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,650,122CurrentTaxYearMinus1YearAmt
Current Tax Year$15,588,449CurrentTaxYearAmt
Total$55,766,536TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,422,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,439,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,496,140CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,817,045CurrentTaxYearMinus1YearAmt
Current Tax Year$15,757,588CurrentTaxYearAmt
Total$56,932,592TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$56,932,592PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,066CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,398CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,090CurrentTaxYearMinus1YearAmt
Current Tax Year$30,826CurrentTaxYearAmt
Total$128,674TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,066CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,398CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,090CurrentTaxYearMinus1YearAmt
Current Tax Year$30,826CurrentTaxYearAmt
Total$128,674TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,515CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,361CurrentTaxYearMinus1YearAmt
Current Tax Year$14,663CurrentTaxYearAmt
Total$41,778TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,446,204CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,481,318CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,522,949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,849,496CurrentTaxYearMinus1YearAmt
Current Tax Year$15,803,077CurrentTaxYearAmt
Total$57,103,044TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9970PublicSupportCY509Pct
Public Support PY5090.9969PublicSupportPY509Pct
Investment Income CY0.0023InvestmentIncomeCYPct
Investment Income PY0.0025InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - , COLUMN B - 17239.0, COLUMN C - 2515.0, COLUMN D - 7361.0, COLUMN E - 14663.0, COLUMN F - 41778.0;ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,835OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$3,835BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,137,311OtherCostOrOtherBasisAmt
Depreciation$962,306DepreciationAmt
Book Value$175,005BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$178,840TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$647,077
DEFERRED RENT$333,668
FieldValueIRS element (for citing)
Total Liability$980,745TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,836,457TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,861NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$4,861RevenueNotReportedAmt
Revenue Subtotal$15,831,596RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,831,596TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,606,293TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$15,606,293ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,606,293TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationThe Company accounts for uncertain tax positions in accordance with provisions of FASB ASC 740, "Income Taxes" which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their financial statements. The Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The Company does not have any uncertain tax positions as of September 30, 2018 and 2017. As of September 30, 2018 and 2017, the Company did not record any penalties or interest associated with uncertain tax positions. The Company would recognize interest and/or penalties related to income tax matters in income tax expense. The Company's prior three tax years are open and subject to examination.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHARON ADAMS
PRESIDENT DANBURY HOSPITAL AND NEW MILFORD HOSPITAL$0$417,041$0$150,000$0$24,961$0$13,250$0$6,454$0$611,706$0$0
DR JOHN MURPHY
PRESIDENT AND CEO OF WCHN$0$1,175,052$0$818,500$0$2,838$0$13,250$0$37,091$0$2,046,731$0$0
ALYSON BLANCK
EXECUTIVE DIRECTOR$201,447$0$50,000$0$708$0$0$0$31,965$0$284,120$0$0$0
BRIAN O'LOUGHLIN
CLINICAL NURSING SUPERVISOR$171,467$0$0$0$0$0$0$0$31,020$0$202,487$0$0$0
BRIAN A CARNEY
DIRECTOR FINANCE$143,067$0$0$0$0$0$0$0$26,696$0$169,763$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 14 DOCUMENT RETENTIONThe organization's parent, Western Connecticut Health Network (WCHN) has a written document retention and destruction policy, which is followed by the organization. The policy was approved by the audit committee of the parent organization.
Form 990, Part VI, Line 12a Conflict of Interest PolicyThe organization's parent, Western Connecticut Health Network (WCHN) has a written conflict of interest policy, which is followed by the organization. The policy was approved by the board of the parent organization.
Form 990, Part VI, Line 13 Whistleblower PolicyThe organization's parent, Western Connecticut Health Network (WCHN) has a written whistleblower policy, which is followed by the organization. The policy was approved by the board of the parent organization.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE ORGANIZATION IS A MEMBERSHIP ORGANIZATION, WITH ITS SOLE MEMBER BEING WESTERN CONNECTICUT HEALTH NETWORK.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyWESTERN CONNECTICUT HEALTH NETWORK MUST APPROVE THE ORGANIZATION'S BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersCERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY WESTERN CONNECTICUT HEALTH NETWORK, THE SOLE MEMBER OF WESTERN CONNECTICUT HOME CARE, INC. THESE DECISIONS INCLUDE: (1) WESTERN CONNECTICUT HOME CARE'S ANNUAL OPERATING AND CAPITAL BUDGET, (2) PROPOSED ANNUAL FUNDRAISING PROGRAMS, (3) PROPOSED SIGNIFICANT PROGRAMS AND EXPENDITURES, (4) PURCHASE OR SALE OF SIGNIFICANT CAPITAL OR OPERATING ASSETS, (5) ACQUISITION OF INDEBTEDNESS FOR BORROWED MONEY, (6) ELECTION OR REMOVAL OF A MEMBER OF THE BOARD OF DIRECTORS, (7) DEVELOPMENT, IMPLEMENTATION, REVIEW, AND MONITORING OF INVESTMENT POLICY, (8) SETTING THE MAXIMUM AND MINIMUM NUMBER OF THE BOARD OF DIRECTORS, (9) REPLACEMENT OF A DIRECTOR DUE TO DEATH, RESIGNATION, OR OTHERWISE, AND (10) ANY OTHER MATTERS ON WHICH MEMBERS ARE ENTITLED TO VOTE UNDER THE NONSTOCK CORPORATION ACT OF THE STATE OF CONNECTICUT.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FINAL COPY IS FILED WITH THE INTERNAL REVENUE SERVICE AFTER REVIEW BY STEVEN ROSENBERG, WCHN CFO, OR DESIGNEE, AND AFTER BEING SENT TO THE AUDIT COMMITTEE IN JUNE, WHO REVIEWS IT ON BEHALF OF BOTH THE WCHN AND WCHC BOARDS. PRIOR TO THE 990 BEING FILED WITH THE IRS, THE WCHC BOARD AND AUDIT COMMITTEE WILL RECEIVE A FULL AND ACCURATE COPY ON A SECURED WEBSITE FOR THEIR REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policyThe 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 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 exist. 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 19 Required documents available to the publicTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. INFORMATION IS MAINTAINED BY THE MANAGEMENT OF THE ORGANIZATION.
FORM 990, PART VI, LINE 15a COMPENSATION REVIEW AND APPROVAL PROCESSIN ORDER TO ACHIEVE ITS MISSION AND ITS OVERALL PERFORMANCE OBJECTIVES, WESTERN CONNECTICUT HEALTH NETWORK, INC. EMPLOYS A PERFORMANCE-BASED TOTAL COMPENSATION PROGRAM THAT IS MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES, AND REPRESENTATIVE OF BEST PRACTICES. TO MEET WESTERN CONNECTICUT HEALTH NETWORK INC.'S TOTAL COMPENSATION OBJECTIVES, THE FOLLOWING SURVEY SOURCES ARE USED FOR COMPARISON PURPOSES: - BLEND OF NATIONAL CONFIDENTIAL SOURCE, IHS, AND HAY GROUP POINTS HEALTHCARE DATA (WHERE DATA AVAILABLE), PLUS 15% GEOGRAPHICAL DIFFERENTIAL. TITLE MATCH DATA CUTS SELECTED BASED ON REVENUE SIZE. WESTERN CONNECTICUT HEALTH NETWORK, INC. TARGETS CASH COMPENSATION AT MARKET COMPETITIVE LEVELS. BASE SALARY PLUS SHORT-TERM (ANNUAL) INCENTIVE AWARDS (TOTAL CASH) APPROXIMATE MARKET COMPETITIVE LEVELS FOR TOTAL CASH COMPENSATION. 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 COMPENSATION DECISIONS. ROLES OF THE COMMITTEE ON GOVERNANCE AND KEY EXECUTIVES IN THE COMPENSATION PROCESS: - THE COMMITTEE ON GOVERNANCE IN CONSULTATION WITH THE WHCN CEO AND THE SVP HR SELECTS THE OUTSIDE COMPENSATION CONSULTANTS. THE CURRENT CONSULTANT IS THE HAY GROUP, WHOSE PURPOSE IS TO PROVIDE A VALID INDEPENDENT ASSESSMENT OF THE RELEVANT MARKET RATES AND PAY PRACTICES. - THE COMMITTEE ON GOVERNANCE DETERMINES THE EXECUTIVE DIRECTOR'S SALARY BASED ON OVERALL PERFORMANCE AND MARKET DATA SUPPLIED BY THE OUTSIDE MARKET CONSULTANT. THE LAST EXECUTIVE COMPENSATION EVALUATION BY AN OUTSIDE CONSULTANT WAS DONE IN THE FALL OF 2017.
FORM 990, PART VI, LINE 15b COMPENSATION REVIEW AND APPROVAL PROCESSCOMPENSATION REVIEW AND APPROVAL PROCESS IS IDENTICAL TO THE PROCESS FOR THE EXECUTIVE DIRECTOR NOTED IN 15A ABOVE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
WESTERN CONN HEALTH NETWORK INC
95 LOCUST AVENUEDANBURYCT06810222594977PROMOTE AND FURTHER THE PROGRAMS OF DANBURY HOSPITALCT501(c)(3)NAfalse
WESTERN CONN HEALTH NETWORK FOUND
24 HOSPITAL AVENUEDANBURYCT06810237425557SOLICITING, HOLDING AND ADMINISTRATIONCT501(c)(3)WCHNfalse7
DANBURY HOSPITAL INC
24 HOSPITAL AVENUEDANBURYCT06810060646597PROVIDE MEDICAL CARE AND DIAGNOSISCT501(c)(3)WCHNfalse3
WESTERN CONN MEDICAL GROUP PC
95 LOCUST AVENUEDANBURYCT06810061137531PROVIDE PHYSICIAN SERVICESCT501(c)(3)WCHNfalse10
NEW MILFORD HOSPITAL
21 ELM STREETNEW MILFORDCT06776060669121ACUTE CARE MEDICAL FACILITYCT501(c)(3)WCHNfalse3
EASTERN NY MEDICAL SERVICES PC
14 RESEARCH DRIVE SUITE 201ABETHELCT06810455431389PHYSICIANS SERVICESCT501(c)(3)WCHNfalse10
NORWALK HEALTH SERVICES CORPORATION
24 STEVENS STREETNORWALKCT06850222577711SUPPORT SERVICESCT501(c)(3)WCHNfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RIDGEFIELD SURGICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 ETHAN ALLEN HIGHWAYAddressLine1Txt
CityNEW MILFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06776ZIPCd
FieldValueIRS element (for citing)
EIN222594977EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WCHNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BUSINESS SYSTEMS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 LOCUST AVENUEAddressLine1Txt
CityDANBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06810ZIPCd
FieldValueIRS element (for citing)
EIN061119262EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WCHNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd