STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WESTERN CONNECTICUT HOME CARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WESTERN CONNECTICUT HOME CARE INC (EIN 06-0655138)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-10
IRS object ID
201842229349301554
Schema version
2016v3.0
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)
Return2018-08-10T15:00:17-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

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 Begin2016-10-01TaxPeriodBeginDt

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 TitleCOO & CNOPersonTitleTxt
Signature2018-08-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTIN ANDERSONPreparerPersonNm
PTINP01231300PTIN
Phone8606789200PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$13,911,497GrossReceiptsAmt
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 Employee132TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$188,139PYContributionsGrantsAmt
CY Contributions Grants$166,923CYContributionsGrantsAmt
PY Program Service Revenue$11,305,486PYProgramServiceRevenueAmt
CY Program Service Revenue$13,642,761CYProgramServiceRevenueAmt
PY Investment Income$31,699PYInvestmentIncomeAmt
CY Investment Income$42,848CYInvestmentIncomeAmt
PY Other Revenue$2,515PYOtherRevenueAmt
CY Other Revenue$7,361CYOtherRevenueAmt
PY Total Revenue$11,527,839PYTotalRevenueAmt
CY Total Revenue$13,859,893CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,743,131PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,679,971CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,334,718PYOtherExpensesAmt
CY Other Expenses$3,893,597CYOtherExpensesAmt
PY Total Expenses$11,077,849PYTotalExpensesAmt
CY Total Expenses$13,573,568CYTotalExpensesAmt
PY Revenues Less Expenses$449,990PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$286,325CYRevenuesLessExpensesAmt
Total Assets BOY$4,521,576TotalAssetsBOYAmt
Total Assets EOY$4,905,240TotalAssetsEOYAmt
Total Liabilities BOY$1,933,274TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,955,364TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,588,302NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,949,876NetAssetsOrFundBalancesEOYAmt
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$9,632,306ExpenseAmt
Revenue$13,243,964RevenueAmt
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$576,775ExpenseAmt
Revenue$406,158RevenueAmt
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$10,209,081TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee132EmployeeCnt
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 OffalseForm8282PropertyDisposedOfInd
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
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 (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SEBASTIAN C LISI
TREASURER2.0Yes (X)Yes (X)$0$0$0
VINCENT MCRUIZ
PRESIDENT2.0Yes (X)Yes (X)$0$0$0
JAMES M POST
SECRETARY2.0Yes (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
ALEXANDER DELUCIA
DIRECTOR1.0Yes (X)$0$0$0
WILLIAM CRAWFORD
DIRECTOR1.0Yes (X)$0$0$0
LAURA GARZA
DIRECTOR1.0Yes (X)$0$0$0
ROBY ANNE
DIRECTOR1.0Yes (X)$0$0$0
SHARON ADAMS
COO & CNO1.0Yes (X)$0$566,505$17,01840.0
DR JOHN MURPHY
CEO OF WCHN1.0Yes (X)$0$1,592,916$47,02249.0
ALYSON BLANCK
EXECUTIVE DIRECTOR40.0$284,297$0$41,312Yes (X)
SANDRA KALRIESS
CLINICAL NURSING MANAGER40.0$101,906$0$27,628Yes (X)
BRIAN O'LOUGHLIN
CLINICAL NURSING SUPERVISOR40.0$152,192$0$36,535Yes (X)
BRIAN A CARNEY
DIRECTOR FINANCE40.0$142,898$0$33,720Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$681,293TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,159,421TotReportableCompRltdOrgAmt
Total Other Compensation$203,235TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDPRO STAFFING
1580 SAWGRASS CORPORATE PARKWAYSUITE 200SUNRISEFL33323THERAPY TRAVELERS$564,060
MCBEE ASSOCIATES INC
997 OLD EAGLE SCHOOL ROADWAYNEPA19087CODING SERVICES$209,259
COMPHEALTH MEDICAL STAFFING
1445 10 NORDEN PL 200NORWALKCT06855THERAPY TRAVELERS$168,152
JOSEPH DASILVA
288 MAIN ST 1DANBURYCT06810RENT AND RELATED$146,429
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$135FederatedCampaignsAmt
Government Grants$82,398GovernmentGrantsAmt
All Other Contributions$84,390AllOtherContributionsAmt
Total Contributions$166,923TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621610$13,536,219$13,536,219
MEDICAL ALERT SERVICE SALES621610$106,542$106,542

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$13,642,761TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,090TotalRevenueColumnAmt
Exclusion$25,090ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$69,362SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$51,604SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$17,758SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,758TotalRevenueColumnAmt
Exclusion$17,758ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business621610BusinessCd
Total Revenue Column$7,361TotalRevenueColumnAmt
Related Or Exempt Func Income$7,361RelatedOrExemptFuncIncomeAmt

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$7,361OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,859,893TotalRevenueColumnAmt
Related Or Exempt Func Income$13,650,122RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$42,848ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$255,231TotalAmt
Program Services$101,151ProgramServicesAmt
Management And General$154,080ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$7,708,479TotalAmt
Program Services$6,135,672ProgramServicesAmt
Management And General$1,572,807ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$205,151TotalAmt
Program Services$160,660ProgramServicesAmt
Management And General$44,491ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$938,282TotalAmt
Program Services$731,750ProgramServicesAmt
Management And General$206,532ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$572,828TotalAmt
Program Services$448,599ProgramServicesAmt
Management And General$124,229ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,173TotalAmt
Program Services$0ProgramServicesAmt
Management And General$34,173ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,803TotalAmt
Program Services$0ProgramServicesAmt
Management And General$11,803ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,283,645TotalAmt
Program Services$1,273,796ProgramServicesAmt
Management And General$9,849ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,088TotalAmt
Program Services$627ProgramServicesAmt
Management And General$30,461ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$899,729TotalAmt
Program Services$162,747ProgramServicesAmt
Management And General$736,982ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$43,179TotalAmt
Program Services$16,192ProgramServicesAmt
Management And General$26,987ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$268,580TotalAmt
Program Services$104,218ProgramServicesAmt
Management And General$164,362ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$329,191TotalAmt
Program Services$326,357ProgramServicesAmt
Management And General$2,834ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,747TotalAmt
Management And General$7,747ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$116,775TotalAmt
Management And General$116,775ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$120,375TotalAmt
Management And General$120,375ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
NURSING/FLU CLINIC SUPPLIES$382,235$382,235
BAD DEBT EXPENSE$353,579$353,579

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,498TotalAmt
Program Services$11,498ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,573,568TotalAmt
Program Services$10,209,081ProgramServicesAmt
Management And General$3,364,487ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,205,818BOYAmt
EOY$1,024,080EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,122BOYAmt
EOY$42,759EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,449,683BOYAmt
EOY$1,800,833EOYAmt

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$188,876BOYAmt
EOY$122,722EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$195,647BOYAmt
EOY$365,778EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,154,333LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$850,634LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$313,035BOYAmt
EOY$303,699EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,088,412BOYAmt
EOY$1,187,202EOYAmt

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$57,733BOYAmt
EOY$57,917EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,521,576BOYAmt
EOY$4,905,240EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$645,946BOYAmt
EOY$701,131EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$540,315BOYAmt
EOY$586,148EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$747,013BOYAmt
EOY$668,085EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,933,274BOYAmt
EOY$1,955,364EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,521,623BOYAmt
EOY$2,906,586EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$66,679BOYAmt
EOY$43,290EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,588,302BOYAmt
EOY$2,949,876EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,521,576BOYAmt
EOY$4,905,240EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$286,325ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$75,249NetUnrlzdGainsLossesInvstAmt
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$298,357CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$448,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$193,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$188,139CurrentTaxYearMinus1YearAmt
Current Tax Year$166,923CurrentTaxYearAmt
Total$1,295,274TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,279,360CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,974,045CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,245,919CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,308,001CurrentTaxYearMinus1YearAmt
Current Tax Year$13,650,122CurrentTaxYearAmt
Total$45,457,447TotalAmt

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$5,577,717CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,422,138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,439,681CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,496,140CurrentTaxYearMinus1YearAmt
Current Tax Year$13,817,045CurrentTaxYearAmt
Total$46,752,721TotalAmt

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$46,752,721PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,314CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,066CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,294CurrentTaxYearMinus1YearAmt
Current Tax Year$25,090CurrentTaxYearAmt
Total$119,162TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,314CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,066CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,294CurrentTaxYearMinus1YearAmt
Current Tax Year$25,090CurrentTaxYearAmt
Total$119,162TotalAmt

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$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,239CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,515CurrentTaxYearMinus1YearAmt
Current Tax Year$7,361CurrentTaxYearAmt
Total$27,115TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,599,031CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,446,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,481,318CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,522,949CurrentTaxYearMinus1YearAmt
Current Tax Year$13,849,496CurrentTaxYearAmt
Total$46,898,998TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9969PublicSupportCY509Pct
Public Support PY5090.9970PublicSupportPY509Pct
Investment Income CY0.0025InvestmentIncomeCYPct
Investment Income PY0.0030InvestmentIncomePYPct
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 - , COLUMN C - 17239.0, COLUMN D - 2515.0, COLUMN E - 7361.0, COLUMN F - 27115.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,414OtherCostOrOtherBasisAmt
Depreciation$9,198DepreciationAmt
Book Value$10,216BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,134,919OtherCostOrOtherBasisAmt
Depreciation$841,436DepreciationAmt
Book Value$293,483BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$303,699TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$613,439
DEFERRED RENT$54,646
FieldValueIRS element (for citing)
Total Liability$668,085TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,935,142TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$75,249NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$75,249RevenueNotReportedAmt
Revenue Subtotal$13,859,893RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,859,893TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,573,568TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,573,568ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,573,568TotalExpensesPerForm990Amt

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, 2017 or 2016. As of September 30, 2017 or 2016, 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
COO & CNO$0$395,507$0$165,000$0$5,998$0$1,349$0$15,669$0$583,523$0$0
DR JOHN MURPHY
CEO OF WCHN$0$962,457$0$627,621$0$2,838$0$13,250$0$33,772$0$1,639,938$0$0
ALYSON BLANCK
EXECUTIVE DIRECTOR$191,768$0$90,037$0$2,492$0$9,567$0$31,745$0$325,609$0$0$0
BRIAN O'LOUGHLIN
CLINICAL NURSING SUPERVISOR$151,548$0$0$0$644$0$8,459$0$28,076$0$188,727$0$0$0
BRIAN A CARNEY
DIRECTOR FINANCE$141,017$0$552$0$1,329$0$12,173$0$21,547$0$176,618$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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 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