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DANBURY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DANBURY HOSPITAL (EIN 06-0646597)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201702269349301285
Schema version
2015v3.0
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)
Return2017-08-14T11:05:47-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 CLARENDON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021165072ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646597EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Danbury HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARY JO PAWLAKInCareOfNm
Business Name ControlDANBBusinessNameControlTxt
Phone2037397000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP068106099ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN H ROSENBERGPersonNm
Person TitleSVP/CFOPersonTitleTxt
Phone2037397000PhoneNum
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE A CINCOTTAPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN M MURPHY MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP068106099ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$668,573,745GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.danburyhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1885FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTo enhance through medical care,education and research the health and well being of individuals in Danbury and surrounding communities in partnership with those we serve.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee3944TotalEmployeeCnt
Total Volunteers313TotalVolunteersCnt
Total Gross UBI$6,328,247TotalGrossUBIAmt
PY Contributions Grants$14,913,270PYContributionsGrantsAmt
CY Contributions Grants$10,738,946CYContributionsGrantsAmt
PY Program Service Revenue$598,482,181PYProgramServiceRevenueAmt
CY Program Service Revenue$628,296,690CYProgramServiceRevenueAmt
PY Investment Income$4,838,153PYInvestmentIncomeAmt
CY Investment Income$4,050,104CYInvestmentIncomeAmt
PY Other Revenue$1,601,785PYOtherRevenueAmt
CY Other Revenue$2,735,468CYOtherRevenueAmt
PY Total Revenue$619,835,389PYTotalRevenueAmt
CY Total Revenue$645,821,208CYTotalRevenueAmt
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$280,914,729PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$279,223,654CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$343,750,186PYOtherExpensesAmt
CY Other Expenses$365,958,821CYOtherExpensesAmt
PY Total Expenses$624,664,915PYTotalExpensesAmt
CY Total Expenses$645,182,475CYTotalExpensesAmt
PY Revenues Less Expenses-$4,829,526PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$638,733CYRevenuesLessExpensesAmt
Total Assets BOY$836,823,101TotalAssetsBOYAmt
Total Assets EOY$821,780,750TotalAssetsEOYAmt
Total Liabilities BOY$360,086,728TotalLiabilitiesBOYAmt
Total Liabilities EOY$368,426,366TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$476,736,373NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$453,354,384NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH AND WELL BEING OF EVERY PERSON WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$206,997,014ExpenseAmt
Revenue$169,433,718RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$128,758,226ExpenseAmt
Revenue$138,322,982RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$80,019,701ExpenseAmt
Revenue$75,421,576RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$138,280,754TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$245,714,253TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$554,055,695TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
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 SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document677IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3944EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARY JO PAWLAKPersonNm
Phone2037397000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 HOSPITAL AVENUEAddressLine1Txt
CityDanburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP068106099ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John M MurphyMD
PRES. -WCHN/DH40.07.0Yes (X)Yes (X)$1,422,295$0$44,157
Neil Culligan MD
Director1.01.0Yes (X)$0$0$0
D Cyganowski TO 11
Director1.01.0Yes (X)$0$0$0
Richard G Jabara TO 11
Director1.05.0Yes (X)$0$0$0
Anthea Disney FROM 11
Chairman3.01.0Yes (X)Yes (X)$0$0$0
Joseph D Skrzypczak TO 11
Secretary3.03.0Yes (X)Yes (X)$0$0$0
Spencer Houldin FROM 11
SECRETARY3.01.0Yes (X)Yes (X)$0$0$0
Brian C White FROM 11
VICE CHAIRMAN3.03.0Yes (X)Yes (X)$0$0$0
James Kennedy TO 11
Chairman3.00.0Yes (X)Yes (X)$0$0$0
CARRIE L AMOS FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
MARY ALICE DONIUS FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
C FERREIRA MD FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
PHIL FIORE JR FROM 210
DIRECTOR1.01.0Yes (X)$0$0$0
BRUCE D HAIMS FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
DANIEL MCCARTHY FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
GREG ONEGLIA FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
EMMANUEL PALMARES FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
D RALLS-MORRISON FROM 210
DIRECTOR1.00.0Yes (X)$0$0$0
ANTHONY RIZZO JR FROM 210
DIRECTOR1.03.0Yes (X)$0$0$0
ANNE ROBY FROM 210
DIRECTOR1.01.0Yes (X)$0$0$0
Steven H Rosenberg
SVP/CFO, WCHN40.016.0Yes (X)$781,435$0$44,044
Daniel DeBarba Jr TO 61
Exec VP/Pres-DH35.02.0Yes (X)$1,455,998$0$40,495
Donna Kaplanis
Ass't Secretary40.08.0Yes (X)$258,683$0$47,501
Matthew A Miller MD
SVP & Chief Medical Officer40.04.0$683,257$0$46,890Yes (X)
Morris Gross
VP of Facilities/Real Estate40.02.0$359,631$0$47,171Yes (X)
Kathleen A Dematteo
Chief Infor.Officer, WCHN40.00.0$496,115$0$35,372Yes (X)
Patrick C Minicus
VP of Finance20.020.0$505,208$0$35,148Yes (X)
James Varrone to 923
VP Supply Chain36.04.0$0$204,529$32,348Yes (X)
Ruth Gregory FROM 923
VP OF SUPPLY CHAIN40.00.0$161,915$0$26,805Yes (X)
Debra Carragher
VP of Operations40.00.0$337,778$0$15,694Yes (X)
Carolyn McKenna
Sr VP/Gen'l Coun40.00.0$474,287$0$46,230Yes (X)
Ramin Ahmadi MD TO 229
Dir. of Educ./Res.40.00.0$337,136$0$43,710Yes (X)
Dawn Myles
VP OF PERF INNOVA.40.00.0$345,249$0$20,384Yes (X)
ROWENA BERGMANS
VP-POPULATION HLTH40.00.0$344,207$0$32,940Yes (X)
Moreen Donahue
ENDOW. CHAIR OF EDUC./RESEARCH40.00.0$458,070$0$44,857Yes (X)
Michael Daglio
PRESIDENT OF NORWALK HOSP.5.043.0$585,528$0$45,214Yes (X)
L SCHMITTGALL
SRVP Strategy-WCHN (FORMER)0.00.0$738,803$0$13,334Yes (X)
Joseph Campbell
Chief Audit Compl. Officer40.00.0$292,029$0$46,511Yes (X)
P ZAPPALA FORMER
Sr. VP of Human Resource0.00.0$1,026,600$0$25,648Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,064,224TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$204,529TotReportableCompRltdOrgAmt
Total Other Compensation$734,453TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K690IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE CHARTIS GROUP
DEPARTMENT 5925CAROL STREAMIL601225925CONSULTANTS$1,037,808
ROBINSON COLE LLP
280 TRUMBULL STREETHARTFORDCT06103ATTORNEYS$1,592,360
DANBURY RADIOLOGICAL ASSOCIATES
PO BOX 417407BOSTONMA02241RADIOLOGY SERVICES$990,619
E4 SERVICES LLC
60 NORTH CAROLINA AVESINKING SPRINGPA19608ITG CONSULTANTS$1,385,390
NATIONAL LABOR CONSULTANTS
PO BOX 422812KISSIMMEEFL34742CONSULTANTS$1,021,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K71CntrctRcvdGreaterThan100KCnt
Related Organizations$8,066,779RelatedOrganizationsAmt
Government Grants$2,469,504GovernmentGrantsAmt
All Other Contributions$202,663AllOtherContributionsAmt
Total Contributions$10,738,946TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ANCILLARY SERVICE621990$316,851,498$316,851,498
MEDICARE/MEDICAID PAY'TS621990$258,394,543$258,394,543
ROUTINE PATIENT621990$40,900,699$40,900,699
CONTRACT LAB621500$5,067,628$5,067,628
EDUCATION900099$3,383,731$3,383,731

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,698,591TotalRevenueColumnAmt
Related Or Exempt Func Income$3,698,591RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$628,296,690TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,817,612TotalRevenueColumnAmt
Unrelated Business Revenue$174UnrelatedBusinessRevenueAmt
Exclusion$4,817,438ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,451TotalRevenueColumnAmt
Exclusion$72,451ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,123,495RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$178,610RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$944,885RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$944,885TotalRevenueColumnAmt
Related Or Exempt Func Income$202,900RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$741,985UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$21,213,763SecuritiesAmt
Other$54,775OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$22,063,355SecuritiesAmt
Other$45,142OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$849,592SecuritiesAmt
Other$9,633OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$839,959TotalRevenueColumnAmt
Exclusion-$839,959ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$474,632GrossSalesOfInventoryAmt
Cost Of Goods Sold$465,430CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,202TotalRevenueColumnAmt
Exclusion$9,202ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADMINISTRATIVE SERVICES561000$524,153$524,153
INS TO COMMUNITY PHYS524298$518,460$518,460
OTHER PATIENT SERVICES900099$392,939$392,939

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$345,829TotalRevenueColumnAmt
Exclusion$345,829ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,781,381OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$645,821,208TotalRevenueColumnAmt
Related Or Exempt Func Income$623,824,901RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,328,247UnrelatedBusinessRevenueAmt
Exclusion$4,929,114ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,503,187TotalAmt
Program Services$3,066,660ProgramServicesAmt
Management And General$5,436,527ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$212,379,696TotalAmt
Program Services$177,039,715ProgramServicesAmt
Management And General$35,339,981ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,169,303TotalAmt
Program Services$8,477,131ProgramServicesAmt
Management And General$1,692,172ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,427,392TotalAmt
Program Services$25,364,274ProgramServicesAmt
Management And General$5,063,118ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,744,076TotalAmt
Program Services$14,791,462ProgramServicesAmt
Management And General$2,952,614ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,586,086TotalAmt
Management And General$2,586,086ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,104,393TotalAmt
Management And General$1,104,393ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$181,134TotalAmt
Program Services$150,993ProgramServicesAmt
Management And General$30,141ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$109,372,872TotalAmt
Program Services$91,173,226ProgramServicesAmt
Management And General$18,199,646ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,851,807TotalAmt
Program Services$1,543,666ProgramServicesAmt
Management And General$308,141ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,195,451TotalAmt
Program Services$6,831,728ProgramServicesAmt
Management And General$1,363,723ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,171,041TotalAmt
Program Services$20,148,980ProgramServicesAmt
Management And General$4,022,061ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,847,513TotalAmt
Program Services$11,543,287ProgramServicesAmt
Management And General$2,304,226ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$558,764TotalAmt
Program Services$465,786ProgramServicesAmt
Management And General$92,978ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$172,527TotalAmt
Program Services$143,819ProgramServicesAmt
Management And General$28,708ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,413,493TotalAmt
Program Services$7,413,493ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$46,692,879TotalAmt
Program Services$38,923,184ProgramServicesAmt
Management And General$7,769,695ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,421,964TotalAmt
Program Services$6,738,181ProgramServicesAmt
Management And General$683,783ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$94,409,960$94,409,960
STATE OF CT HOSPITAL TAX$35,065,556$35,065,556
EQUIPMENT RENT AND MAINT.$9,671,374$8,062,057$1,609,317
PROFESSIONAL MEMBERSHIP$3,242,007$2,702,537$539,470

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$645,182,475TotalAmt
Program Services$554,055,695ProgramServicesAmt
Management And General$91,126,780ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$87,296BOYAmt
EOY$58,831EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,119,887BOYAmt
EOY$24,173,104EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$76,938,200BOYAmt
EOY$67,983,163EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,950,142BOYAmt
EOY$11,965,288EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,185,867BOYAmt
EOY$4,482,889EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$890,362,678LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$491,994,092LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$394,160,849BOYAmt
EOY$398,368,586EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$64,573,120BOYAmt
EOY$15,098,240EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$102,260,022BOYAmt
EOY$121,804,229EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$162,547,718BOYAmt
EOY$177,846,420EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$836,823,101BOYAmt
EOY$821,780,750EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,819,734BOYAmt
EOY$73,901,226EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,565,628BOYAmt
EOY$13,796,105EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$244,850,000BOYAmt
EOY$243,270,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,851,366BOYAmt
EOY$37,459,035EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$360,086,728BOYAmt
EOY$368,426,366EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$406,109,696BOYAmt
EOY$392,151,181EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,051,363BOYAmt
EOY$25,377,524EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,575,314BOYAmt
EOY$35,825,679EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$476,736,373BOYAmt
EOY$453,354,384EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$836,823,101BOYAmt
EOY$821,780,750EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$638,733ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,097,614NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$35,118,336OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$13MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$62,259GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$118,606DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$257OtherActivitiesAmt
Total Lobbying Expenditures$181,135TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B - DESCRIPTION OF LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationDues were paid to CHA in the amount of $773,236, of which 7.50% of this amount or $58,012 were expended on lobbying. AHA dues of $19,198 had 22.12% or $4,247 expended on lobbying activities. Both amounts are reflected on 1f. Federal, state and local officials were lobbied during 2016. As part of this miscellaneous office expense such as phone, computer supplies, freight, refreshment etc. were incurred and were reflected on line #1i accordingly. Direct contact with legislators and state leaders were lobbied in support of maintaining patient access to essential services for both the uninsured and under insured. Mental health support and substance abuse treatment initiatives were of particular importance. The amounts spent on lobbying were not a significant portion of the Hospital's revenues and mostly related to the Hospital's exempt purpose.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,137,258OtherCostOrOtherBasisAmt
Book Value$5,137,258BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$528,288,501OtherCostOrOtherBasisAmt
Depreciation$255,053,714DepreciationAmt
Book Value$273,234,787BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,333,618OtherCostOrOtherBasisAmt
Depreciation$4,305,048DepreciationAmt
Book Value$5,028,570BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$317,502,727OtherCostOrOtherBasisAmt
Depreciation$232,635,330DepreciationAmt
Book Value$84,867,397BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,100,574OtherCostOrOtherBasisAmt
Book Value$30,100,574BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$398,368,586TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescWCHN INVESTMENTS, LLCDesc
Book Value$121,804,229BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$121,804,229TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDescBook ValueBookValueAmt
457B ASSET$1,046,595
BOND ESCROW FUND$1,868,469
BOND ISSUANCE COST$3,024,032
BULK ACCOUNTS NET OF RESERVE$1,090,733
CSV ON OFFICER'S LIFE POLICY$1,938,980
DUE FROM RELATED PARTIES$9,995,195
INTEREST IN DH/NMH FOUNDATION$87,854,370
INVESTMENT IN WCHIC, LTD.$66,751,612
MALPRACTICE RECEIVABLE$1,345,000
MORRISON DEPOSIT$96,418
OTHER RECEIVABLES$2,835,016
FieldValueIRS element (for citing)
Total Book Value Other Assets$177,846,420TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
457B LIABILITY$1,046,595
ASSET RETIREMENT OBLIGATION$306,892
DUE TO 3RD PARTIES$18,200,144
LONG-TERM PAYABLES$140,000
MALPRACTICE TRUST FUND RESERVE$11,405,000
RESERVE FOR WORKERS COMPENSATION$6,360,404
FieldValueIRS element (for citing)
Total Liability$37,459,035TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean11Program ServicesMalpractice Ins.$0
Central America and the Caribbean11InvestmentsMALPRACTICE INS.$66,751,612
Central America and the Caribbean11Program ServicesMALPRACTICE INS.$7,380,728
FieldValueIRS element (for citing)
Subtotal Offices3SubtotalOfficesCnt
Subtotal Employees3SubtotalEmployeesCnt
Total Office3TotalOfficeCnt
Total Employee3TotalEmployeeCnt
Subtotal Spent$74,132,340SubtotalSpentAmt
Total Spent$74,132,340TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3f - Method of AccountingFormAndLineReferenceDesc
ExplanationAll information for Part I, Line 3, column (f) is accounted for on the audited financial statements on the accrual basis.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,660,359TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,573,873DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,086,486NetCommunityBenefitExpnsAmt
Total Expense0.02030TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$112,596,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,103,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,492,618NetCommunityBenefitExpnsAmt
Total Expense0.08910TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$128,256,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$57,677,468DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,579,104NetCommunityBenefitExpnsAmt
Total Expense0.10940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$202,451TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,962DirectOffsettingRevenueAmt
Net Community Benefit Expns$148,489NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,347,271TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,156,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,190,989NetCommunityBenefitExpnsAmt
Total Expense0.02350TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,291,298TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,419,628DirectOffsettingRevenueAmt
Net Community Benefit Expns$871,670NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,208,349TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$610,286DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,598,063NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,898TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$410DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,488NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,062,267TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,240,568DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,821,699NetCommunityBenefitExpnsAmt
Total Expense0.02760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$156,318,839TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,918,036DirectOffsettingRevenueAmt
Net Community Benefit Expns$88,400,803NetCommunityBenefitExpnsAmt
Total Expense0.13700TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$100DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,396NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,252TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,252NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,387TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$84,387NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,135TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$100DirectOffsettingRevenueAmt
Net Community Benefit Expns$88,035NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,524,062BadDebtExpenseAmt
Bad Debt Expense Attributable$1,287,818BadDebtExpenseAttributableAmt
Reimbursed By Medicare$207,769,791ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$265,627,861CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$57,858,070MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsInd
Danbury Hospital
124 Hospital AvenueDanburyCT06810www.danburyhospital.orgLICENSE #0039Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
New Milford Hospital Campus
221 Elm StreetNew MilfordCT06776www.newmilfordhospital.orgLICENSE #0039Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndMedicare RatesMedicareRatesIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Danbury Hospital
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART VI FOR URLYes (X)SEE PART VI FOR URLYes (X)Yes (true)13Yes (true)SEE PART VI FOR URLfalseYes (true)Yes (X)400.500.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART VI FOR URLYes (X)SEE PART VI FOR URLYes (X)SEE PART VI FOR URLYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse
New Milford Hospital Campus
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART VI FOR URLYes (X)SEE PART VI FOR URLYes (X)Yes (true)13Yes (true)SEE PART VI FOR URLfalseYes (true)Yes (X)400.500.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART VI FOR URLYes (X)SEE PART VI FOR URLYes (X)SEE PART VI FOR URLYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account input from persons who represent the communityFacility: Danbury Hospital IN CONDUCTING THE CURRENT CHNA, DANBURY HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THIS INCLUDED THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. LOCAL COLLABORATORS INCLUDED THE VARIOUS HEALTH DEPARTMENTS, THE UNITED WAY OF WESTERN CONNECTICUT, AND THE REGIONAL YMCA. GOVERNMENT OFFICIALS WERE ALSO REPRESENTED AT THE STATE AND LOCAL LEVELS, SUCH AS CONNECTICUT SENATORS AND TOWN MAYORS. The hospital collaborates with community partners for assessment of community health needs and action planning. Danbury Hospital, and its New Milford Hospital Campus, participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. The other eight towns are Bridgewater, Bethel, Brookfield, New Fairfield, Newtown, Redding, Ridgefield and Sherman, CT, all towns within the primary service area of both hospitals. Developing a plan for health improvement in our region involves collective action by and sharing of expertise and resources across agencies and organizations in both the public and private sectors.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conductedneeds assessment Facility: Danbury Hospital Danbury Hospital, and its New Milford Hospital Campus, participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT.
Part V, Line 6b - CHNA Conducted by Organizations Other Than HospitalFacility: Danbury Hospital As noted in Part VI, Line #2, Needs Assessment narrative, the CHNA was conducted with various community organizations participating in the Community Forum at Danbury Hospital and its New Milford Hospital Campus.
Part V, Line 5 - Account Input from Person Who Represent the CommunityFacility: New Milford Hospital Campus New Milford Hospital Campus in conducting its most recent CHNA in 2012 (completed and approved in 2013), developed effective strategies to improve community health involve active collaboration and commitment among health providers, public and community health agencies, educators, work sites, community and faith-based organizations and groups, and the public they serve. The hospital collaborates with community partners for assessment of community health needs and action planning. New Milford Hospital and Danbury Hospital Campuses participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. The other eight towns are Bridgewater, Bethel, Brookfield, New Fairfield, Newtown, Redding, Ridgefield and Sherman, CT, all towns within the primary service area of both hospitals. Developing a plan for health improvement in our region involves collective action by and sharing of expertise and resources across agencies and organizations in both the public and private sectors.
Part V, Line 6a - List Other Hospital Facilities that Jointly ConductedNeeds Assessment Facility: New Milford Hospital Campus New Milford Hospital and Danbury Hospital Campuses participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. that includes Danbury and New Milford, CT.
Part V, Line 6b - CHNA Conducted by Organizations Other Than HospitalFacility: New Milford Hospital Campus As noted in Part VI, Line #2, Needs Assessment narrative, the CHNA was conducted with various community organizations participating in the Community Forum at Danbury Hospital and its New Milford Hospital Campus.
Part V, Line 16i - Other Means Hospital Facility Publicized the PolicyFacility: Danbury Hospital Danbury Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Counselors are also available to provide further assistance.
Part V, Line 16i - Other Means Hospital Facility Publicized the PolicyFacility: New Milford Hospital Campus New Milford Hospital Campus has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Counselors are also available to provide further assistance.
Part V, Line 22d - Other Billing Determination of Individuals WithoutInsurance Facility: Danbury Hospital Danbury Hospital intends to be in compliance with the regulations regarding the maximum amounts that can be charged to FAP-eligible individuals for emergency and other medical necessary care by the effective date (10/1/2016).
Part V, Line 22d - Other Billing Determination of Individuals WithoutInsurance Facility: New Milford Hopsital Campus New Milford Hopsital Campus intends to be in compliance with the regulations regarding the maximum amounts that can be charged to FAP-eligible individuals for emergency and other medical necessary care by the effective date (10/1/2016).
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Danbury Hospital Ridgefield Surg Ctr
901 Ethan Allen HighwayRidgefieldCT06877Outpatient Surgical Center
Breast Imaging Center
20 Germantown RoadDanburyCT06810Diagnostic
Main Street Rehabilitation Center
235 Main StreetDanburyCT06810Rehabilitation
Siefert & Ford Community Health Ctr
70 Main StreetDanburyCT06810Outpatient-Physician Clinic
Danbury Hospital Sleep Lab II
25 Lake Avenue-ExtensionDanburyCT06810Diagnostic
Comm Ctr for Behaviorial Health
152 West StreetDanburyCT06810Outpatient-Physician Clinic
Southbury Cardiovascular Diagnostics
22 Old Waterbury RoadSouthburyCT06488Diagnostic
Pulmonary Services
33 Germantown RoadDanburyCT06810Diagnostic
The Anticoagulation Center
41 Germantown RoadDanburyCT06810Diagnostic
Physical Medicine Center of Southbury
22 Old Waterbury Road Suite 101SouthburyCT06488Outpatient-Physician Clinic
New Milford Hospital Behavorial Healt
23 Poplar StreetNew MilfordCT06776Outpatient-Physician Clinic
Danbury Hospital Laboratory
79 Sandpit RoadDanburyCT06810Diagnostic
Center for Child & Adol Treat
152 West StreetDanburyCT06810Outpatient-Physician Clinic
Danbury Hospital Laboratory Center NM
120 Park Lane Suite A201New MilfordCT06776Diagnostic
Danbury Hospital Southbury Laboratory
22 Old Waterbury Road Suite 101SouthburyCT06488Diagnostic
Danbury Hospital Lab Ctr in Brookfield
60 Old New Milford Road Unit 1CBrookfieldCT06804Diagnostic
Danbury Hospital Diabetes Education Ct
41 Germantown RoadDanburyCT06810Education Center
Ridgefield Specimen Collection Facili
10 South StreetRidgefieldCT06877Diagnostic
Bethel Laboratory
68 Stony Hill RoadBethelCT06801Diagnostic
Newtown Laboratory
14-18 Church Hill RoadNewtownCT06470Diagnostic
Kenosia Lab
51-53 Kenosia AvenueDanburyCT06810Diagnostic
Danbury Hospital Research Institute
131 West StreetDanburyCT06813Diagnostic
New Milford Integrated Medicine Prgm
30 Elm StreetNew MilfordCT06776Outpatient-Physician Clinic

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA (FPG IS NOT USED)Annual income IS USED to determine eligibility. If family income limit for eligibility is between 400% and 500% then 50% will be taken off based on a sliding scale.
PART I, LINE 6A - RELATED ORGANIZATION COMMUNITY BENEFIT REPORTPart I, Line 6a & 6b: The Community Benefit report is reported on a Network basis. It contains the organization's community benefit programs and services' descriptions and financial data. The form is made available to the public on the Office of Health Care Access' website: http://www.ct.gov/dph/CWP/VIEW.ASP?A=3902&Q=585448
PART 1, LINE 7 - EXPLANATION OF COSTING METHODCharity Care At Cost Percentage: Total Gross Patient charges written off to charity (Income Statement) * Patient Cost to Charge % (see below) = Total Community Benefit Expense Total Community Benefit Expenses - Revenue from Uncompensated Care Pools and programs (DHS * % of cost of uncompensated care shown on the OCHA Schedule 500) = Net community benefits expenses Net community benefits expenses / total expenses = % of total expenses Ratio Cost To Charge Calculation Total Operating Expenses - non-patient care activities, medicaid provider tax, total community benefit expense and total community building expense = Adjusted Patient Care Cost. Adjusted Patient Care Cost divided by Gross Patient Charges = Ratio of patient care costs to charges.
PART I, LINE 7G - COSTS ASSOCIATED WITH PHYSICIANS CLINICSThere are no physician clinics included in this amount.
PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSEThe ratio of cost to charges is applied to the bad debt expense on the audited financial statements.
PART III, LINE 3 - METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FORINCLUDING IN COMMUNITY BENEFIT It is the policy of the Hospital to provide necessary care to all persons seeking treatment without discrimination on the grounds of age, race, creed, national origin or any other grounds unrelated to an individual's need for the service or the availability of the needed service at the Hospital. A patient is classified as a charity care patient by reference to established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized federal poverty income guidelines, but also includes certain cases where incurred charges are significant when compared to a responsible party's income and their countable assets. Those charges are not included in net patient service revenue for financial reporting purposes. Because the hospital is not paid for these services, they are considered to be community benefit. When private pay patients are sent to the collection agency their account is considered to be a bad debt. Subsequently, Medicaid may be granted for some of those patients. At that time those accounts would become charity care or a community benefit.
PART III, LINE 4 - BAD DEBT EXPENSEPATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. The Hospital's estimation of the allowance for uncollectible accounts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the Hospital's collection efforts. The Hospital's policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are recorded. On a monthly basis, the Hospital reviews its accounts receivable balances and various analytics to support the basis for its estimates. These efforts primarily consist of reviewing the following: Historical write-off and collection experience using a hindsight or look-back approach; Revenue and volume trends by payor, particularly the self-pay components; Changes in the aging and payor mix of accounts receivable, including increased focus on accounts due from the uninsured and accounts that represent co-payments and deductibles due from patients; Cash collections as a percentage of net patient revenue less the provision for uncollectible accounts; and Trending of days revenue in accounts receivable The Hospital regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for uncollectible accounts. The Hospital's primary concentration of credit risk is patient accounts receivable, which consists of amounts owed by various governmental agencies, insurance companies and private patients. The Hospital manages the receivables by regularly reviewing its patient accounts and contracts, and by providing appropriate allowances for uncollectible amounts. Significant concentrations of gross patient accounts receivable include 31%, 14% and 55% and 30%, 11% and 59% for Medicare, Medicaid and non-government payors, respectively, at September 30, 2016 and 2015, respectively.
PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITDanbury Hospital's Medicare shortfall should be treated as a community benefit as the organization strives to provide 24/7 coverage, improved patient access, highest clinical quality as well as addressing the needs of the community by offering critical services to our geographic area. As a result, the organization must balance the cost of these programs against the continued decreasing government reimbursement levels, uninsured population and community needs. A cost accounting system is used to calculate the shortfall, which is Medicare Net Patient Revenue less applicable costs.
PART III, LINE 9B - PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIEDPERSONS It is the policy of Danbury Hospital to provide "Financial Assistance" (either free care or reduced patient obligations) to persons or families where: (i) there is limited or no health insurance available; (ii) the patient fails to qualify for governmental assistance (for example Medicare or Medicaid); (iii) the patient cooperates with the Hospital in providing the requested information; (iv) the patient demonstrates financial need; and (v) Danbury Hospital makes an administrative determination that Financial Assistance is appropriate. After the Hospital determines that a patient is eligible for Financial Assistance, the Hospital will determine the amount of Financial Assistance available to the patient by utilizing the Charitable Assistance Guidelines, which are based upon the most recent federal poverty guidelines. Danbury Hospital shall regularly review this Financial Assistance Policy to ensure that at all times it: (i) reflects the philosophy and mission of the Hospital; (ii) explains the decision processes of who may be eligible for Financial Assistance and in what amounts; and (iii) complies with all applicable state and federal laws, rules, and regulations concerning the provision of financial assistance to indigent patients. Consistent with this mission, Danbury Hospital recognizes its obligation to the community it serves to provide financial assistance to indigent persons within the community. In furtherance of its charitable mission, Danbury Hospital will provide both (i) emergency treatment to any person requiring such care; and (ii) essential, non-emergent care to patients who are permanent residents of its primary service area who meet the conditions and criteria set forth in this Policy, without regard to the patients' ability to pay for such care. Elective procedures generally will not be considered essential, non-emergent care and usually will not be eligible for Financial Assistance. Danbury Hospital will collect from individuals on financial assistance if they received a partial charitable discount. All patients can apply for charitable care on balances they feel that they cannot afford.
PART VI - NEEDS ASSESSMENTPART VI, LINE 2: The Community Forum held in 2014 was attended by 37 community stakeholders from the Housatonic Valley Region (HVR). This included representatives from 5 Health Departments/Districts (Danbury, New Milford, Bethel, Newtown, and Pomperaug), Western CT Health Network, Danbury EMS, the Bethel Visiting Nurse Association, the United Way of Western CT, the Regional YMCA, the Housatonic Valley Coalition Against Substance Abuse, the Mid-Western CT Council on Alcoholism, the AmerCares Free Clinic, the CIFC Community Health Center, Doctor's Express Urgent Care Center, the Regional Educational Service Center, the Danbury Fire Department, the New Milford Senior Center, and the Peter and Carmen Lucia Buck Foundation. Two community health conversations were held with key community stakeholders in October 2012 - (Danbury and New Milford, CT) to ensure accessibility by key stakeholders throughout the region. Attendees included a total of 52 representatives from hospitals; community health centers; school-based health centers; Visiting Nurse Associations/Services; municipal health, education, social service, senior centers and fire departments; non-profit organizations; and a legislator's office. Geographically, all 10 HVR municipalities were represented either directly or through regional agencies and organizations. The participation and insights of community leaders and agencies/organizations who provide direct programs and services for the low income/minority members of the community was important to the data collection and assessment process. The Western CT Health Network (of which Danbury Hospital is a part) conducted a Physician Resource Assessment to evaluate the supply of health care providers within its combined service area towns. This is done to document community need for health care providers, and to develop a plan to meet the health care needs of the community served. Through Western CT Health Network's annual Planning Process, an environmental assessment is conducted to identify health care gaps and needs of the service area community brought about by local and national trends in economic, legislative, demographic, health care industry and other environmental factors. These forces are considered and incorporated in meeting the health care needs of the community by helping to frame the priorities, goals and initiatives of Western CT Health Network's long range and annual strategic plans. IN 2015, DANBURY HOSPITAL, ALONG WITH THE COMMUNITY ACTION PLANNING STEERING COMMITTeE CONSISTING OF VARIOUS COMMUNITY MEMBERS, BEGAN THE PROCESS TO DEVELOP THE 2016 CHNA. COMMUNITY FORUMS WERE HELD TO DISCUSS RESULTS AND IDENTIFY PRIORITY ISSUES FROM THE COMMUNITY WELLBEING SURVEY CONDUCTED BY DATAHAVEN, A NON-PROFIT ORGANIZATION THAT WORKS TO IMPROVE QUALITY OF LIFE BY COLLECTING, INTERPRETING, AND SHARING PUBLIC DATA FOR EFFECTIVE DECISION MAKING. A KEY INFORMANT SURVEY WAS ALSO DEVELOPED AND DISTRIBUTED TO 200 COMMUNITY LEADERS IN THE DANBURY HOSPITAL AREA. FURTHER DETAILS ON THE 2016 CHNA AND CHIP WILL BE PROVIDED IN NEXT YEAR'S SCHEDULE H, 990 REPORT.
PART VI - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEpart vi, LINE 3: The Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Also signs are posted throughout the hospital and counselors are available to provide further assistance. All uninsured inpatients are interviewed by financial counselors and assessed for eligibility for assistance programs. The hospital provides informational handouts to all uninsured patients at the time of registration which refers them to financial counseling if they would like assistance with their bills. Further, the hospital mails notices to all self-pay accounts referring them to financial counseling if they need assistance. The collection department will also refer patients to financial counseling when a patient indicates that they cannot afford their balances; and finally, schedulers refer uninsured patients to financial counseling prior to their test or procedure. The policy and applications for assistance are also available on line, AS WELL AS UPON REQUEST AT THE HOSPITAL.
PART VI - COMMUNITY INFORMATIONPART VI, LINE 4: Community Information: Danbury Hospital and the New Milford Hospital Campus serves an area with a population of about 265,000 people. The Primary Service Area includes Bethel, Bridgewater, Brookfield, Danbury, New Fairfield, New Milford, Newtown, Ridgefield, and Southbury (in CT), and the Secondary Service Area includes Kent, Redding, Roxbury, Sherman, Washington, Wingdale, and Woodbury (in CT) and Brewster, North Salem, Patterson, and Pawling (in NY). This service area is comprised of a densely populated core of the urban/suburban City of Danbury surrounded by moderately affluent residential and rural towns. Danbury is also listed as a Medically Underserved Area, or MUA. Danbury has a median household income of $65,981 and a poverty rate of 7.9%, while New Milford has a household income of $80,260 and a poverty rate of 7.3%. The overall uninsured population rate for the state is estimated to be 3.8%. Although the population of the primary and secondary service areas is expected to remain virtually level from 2010 to 2020, the cohort aged 65 and over is expected to increase by 2.78% in Danbury and 4.05% in New Milford, while the age 20-44 age cohort is forecast to slightly increase at 0.68% in Danbury and decrease by 1.13% in New Milford over the same time period.
PART VI - Community Building ActivitiesPART II: COMMUNITY BUILDING ACTIVITIES Relates to Line #6, Coalition Building, totaling $2,252: Western Connecticut Health Network (WCHN) participates as a member of a regional collaborative representing the Housatonic Valley Region and ten municipalities. A Steering Committee comprised of health care providers, community-based providers, and local government agencies meets no less than twice a year to oversee a community health improvement plan (CHIP) that was developed utilizing data from a report card and previous community conversations. Four priority health indicators (PHI) are being addressed through a work group structure that includes a designated leader who convenes the group to further develop and refine their action plans. Community stakeholders participated in an April 2014 community forum facilitated by the Center for Health Schools & Communities @ Education Connection. Overall, data obtained from the conversations provided high quality information to frame the beginning of a community health improvement change process in the region. 1. Prevention and Education of Most Prevalent Chronic Diseases/Health Conditions: Obesity, Type 2 diabetes, and hypertension were identified as the most prevalent health conditions in the community. The PHI team goals are to increase healthy eating options, enhance access to physical activities, and promote a universal healthy lifestyle. In July 2014, the PHI team received the YMCA Diabetes Prevention Program Grant which was used to fund their diabetes prevention program. The program began in October 2014, and through December 2015 10 classes had been conducted (average class size of 5.4 participants, average age of 59 years, and 75% of the referrals were from physician offices). Participants exceeded the targeted weight loss goal of 7% (achieved 10.4%) which was supported by consistent program participation, physical activity and food tracker completion. The team also participated in National Walk Day, which garnered over 150 people from the Housatonic Valley Region and formation of 3 community walking groups. The Coalition for Healthy Kids is piloting a "Walking School Bus" program with a local school to encourage physical activity. A wellness campaign building on the "5, 2, 1, 0 Let's Go" messaging was implemented and the "Know Your Numbers" campaign tracked 338 individuals with blood pressure monitoring. 2. Improving Access/Utilization to Substance Abuse and Mental Health Services: Mental health issues and substance abuse continue to be prevalent issues in the community. This PHI team is collaborating with 12 Local Prevention Councils, the CT Prevention Framework, and other entities to increase outreach efforts. Their goals are to identify gaps in services and access, provide education, and increase awareness regarding services and programs. There is awareness to vulnerable target groups in need of enhanced services and supports, such as the homeless population and youth. The team worked to improve education and information dissemination, and supported integration of a "question-persuade-refer" model for suicide prevention. Areas of focus targeted prescription drug use, support for community boxes" , opiate use, underage drinking, and behavioral health initiates in primary care practices. 3. Improve Assessment and Service Planning to Senior Health: Senior citizens, particularly homebound elderly and immigrants, are in need of assessment and service planning to address their health, housing, and social support needs. The main goal is to increase awareness, services, and education for senior health. This team is supporting and collaborating with the Aging in Place initiatives funded by the Peter and Carmen Lucia Buck Foundation, which includes the "Safe at Home" program that delivers home safety items to seniors. Efforts continue to move the Danbury community as a "livable" community and to share learnings with adjacent communities. 4. Improve Awareness and Utilization of Existing Health and Social Programs/Services: This team focused on enhancing awareness and utilization of existing programs and services in the community, including support of Infoline 2-1-1 and 5 Health Access CT Assistor sites by target populations. It also established a partnership with FamilyWize to provide promotional materials for distribution to health providers and key community sites. To the best of the organization's knowledge, all PRIORITY HEALTH issues in the community are being addressed THROUGH THE 2013 CHNA. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT DANBURY HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A STEERING COMMITTEE COMPRISED OF HEALTH CARE PROVIDERS, COMMUNITY-BASED PROVIDERS, AND LOCAL GOVERNMENT AGENCIES MEETS NO LESS THAN TWICE A YEAR TO OVERSEE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT WAS DEVELOPED UTILIZING DATA FROM A REPORT CARD AND PREVIOUS COMMUNITY CONVERSATIONS. THE PRIORITY HEALTH ISSUES WILL BE RE-EVALUATED ONCE THE 2016 CHNA HAS BEEN REVIEWED AND THE IMPLEMENTATION STRATEGY APPROVED BY THE BOARD OF DH. Relates to Line #2, Economic Development, and Line #7, Community Health Improvement Advocacy totaling $85,783: Part II: Community Health Improvement Advocacy: VARIOUS WCHN OFFICIALS PARTICIPATED IN CHAMBER OF COMMERCE MEETINGS AND EVENTS, WORKING TO PROMOTE ECONOMIC DEVELOPMENT IN THE DANBURY HOSPITAL AREA. STATE AND LOCAL ELECTED OFFICIALS AND AGENCY HEADS WERE LOBBIED IN SUPPORT OF MAINTAINING PATIENT ACCESS TO ESSENTIAL SERVICES FOR THE UNINSURED AND UNDERINSURED. THE TOTAL ADVOCACY INVESTMENT FOR FY2016 IS $84,387, WHICH INCLUDES INDIRECT AND DIRECT STAFFING EXPENSES. AS PART OF THIS EFFORT, MISCELLANEOUS EXPENSES ARE NOTED IN SCHEDULE C, PART II-B1I.
PART VI - EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSEPART VI, LINE 5: Promotion of community health. IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, Danbury Hospital IS RESPONSIBLE FOR COORDINATING THE SERVICES OF THE HOSPITAL WITH THOSE OF OTHER HEALTH, EDUCATION, AND SOCIAL SERVICES IN THE COMMUNITY. THESE SERVICES ARE PROMOTED IN ORDER TO OPTIMIZE THE AVAILABILITY OF A FULL SCOPE OF SERVICES IN A COST-EFFECTIVE MANNER. DANBURY HOSPITAL (AND NEW MILFORD HOSPITAL) served approximately 345,000 persons through over 350 health OCCURRENCES IN FY16. One of the highest impact outreach activities includes 255,000 individuals served through Health Talk. Health Talk which airs twice a week ON COMCAST AND focuses on disease prevention AND new treatments. TOPICS INCLUDED ELECTROPHYSIOLOGY, CUSTOM KNEE REPLACEMENT, SUMMER SAFETY, AND IRRITABLE BOWEL SYNDROME, TO NAME A FEW EXAMPLES. Over 50% of the Board Members are independent and do not get paid by Danbury Hospital. Danbury Hospital also has an open medical staff. Surplus funds are used to provide innovative technology to clinical care in addition to expanding our service area. PART VI-AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION Western Connecticut Health Network (WCHN) is an integrated health care delivery system comprised of three community hospitals and their affiliated entities. In addition to Norwalk Hospital, Danbury Hospital and its New Milford Hospital Campus, the continuum of care includes a large medical group, home health care services, a nationally renowned biomedical research institute, the WCHN and Norwalk Hospital Foundations, and other related affiliates (the Network). WCHN's mission is to improve the health of every person we serve through the efficient delivery of excellent, innovative and compassionate care. For 2016, WCHN provided approximately $23,863,186 in total charity care. Danbury Hospital, its New Milford Hospital Campus and Norwalk Hospital provide medical services to the community regardless of the individual's ability to pay. Services include routine inpatient ancillary and outpatient care in support of the Network's mission statement, as noted above, For 2016, charity care was provided in the following amounts: Norwalk Hospital, $9,347,702, Danbury Hospital and its New Milford Hospital Campus, approximately $13,086,486. All hospitals noted above have open medical staffs. If an individual meets the educational, experiential and licensure requirements they can join the medical staff. Western Connecticut Medical Group: The mission of Western Connecticut Medical Group is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities they serve and strive to be aware of and respond to their patients' needs. They support a commitment to advance the health and well-being of individuals in their community by delivering quality care, participating in medical research and medical residency programs and the provision of medical services to patients. For 2016, WCMG provided approximately $1,382,000 in charity care. Western Connecticut Health Network Foundation Inc.'s mission is to raise funds, reinvest and administer these funds and make distributions to Danbury Hospital and its New Milford Hospital Campus and other Danbury not-for-profit health care affiliates. Norwalk Hospital Foundation's mission is to raise funds, reinvest and administer these funds and make distributions to Norwalk Hospital and other not-for-profit Norwalk Hospital affiliates. Western Connecticut Health Network Affiliates principal purpose is to provide outpatient health care services in various locations and also provide ambulance services to Danbury and surrounding towns, while serving those that cannot afford the care. Western Connecticut Home Care, Inc. (WCHC) provides state of the art clinical services ranging from pediatric patients to the elderly utilizing best practice in home care to meet the needs of their patients. For 2015, WCHC provided approximately $47,000 in charity care. Eastern New York Medical Services (ENYMS): The mission at ENYMS is to provide safe, innovative, convenient and coordinated primary and gastroenterology health care in the communities we serve and strive to be aware of and respond to our patients' needs.
PART VI - STATES WHERE COMMUNITY BENEFIT REPORT FILEDCT
PART V - EXPLANATION OF NUMBER OF FACILITY TYPE14 DIAGNOSTIC CENTERS 6 OUTPATIENT PHYSICIAN CLINICS 1 OUTPATIENT SURGICAL CENTER 1 REHABILITATION CENTER 1 EDUCATION CENTER
ADDITIONAL INFORMATIONPART I, LINE 7E: WCHN PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE. BELOW IS A LIST OF ALL THE PROGRAMS OFFERED WITH A BRIEF DESCRIPTION: - CANCER: 6,796 SERVED THROUGH FREE WIGS, "LOOK GOOD, FEEL BETTER" PROGRAM, TALKS, "FOOD FOR LIFE" COOKING AND NUTRITION CLASSES, COMMUNITY OUTREACH SUBCOMMITTEE (CANCER), AND TALKS - SUPPORT GROUPS: 68 SERVED THROUGH BARIATRIC AND TBI SUPPORT GROUPS - DIABETES: 140 SERVED THROUGH TALKS AND FAIRS - ECONOMIC DEVELOPMENT: 93 SERVED THROUGH CHA MEETINGS, CAHE MEETINGS, GATEWAY CC PROGRAMS - SENIOR OUTREACH: 186 SERVED THROUGH SENIOR SUPPERS AT NMH AND OTHER TALKS - HEALTH FAIRS: 20,701 SERVED THROUGH FAIRS IN NEWTOWN, RIDGEFIELD, (THE DAY-LONG DESTINATION WELLNESS AND FOUNDERS HALL), DANBURY AND NEW MILFORD (TWO-DAY LONG VILLAGE FAIRS DAYS) - LECTURES: 300,879 SERVED THROUGH HEALTH TALK (INCLUDING REPEATS), LIBRARY, ROTARY, SENIOR RESIDENCE AND CORPORATE LECTURES. HEALTH TALK AIRS ON COMCAST; 51 SHOWS AIRED WITH A VIEWERSHIP OF 5,000 PER SHOW. - NUTRITION/WELLNESS: 6,367 SERVED THROUGH PLOW TO PLATE PROGRAM, TALKS, HIGH SCHOOL FAIRS, STRONG WOMEN, STRONG BONES PROGRAM, YOGA CLASSES, ETC. - SUPPORT GROUPS: 68 SERVED THROUGH BARIATRIC AND TBI SUPPORT GROUPS. PART V, LINE 7A & 7B: THE COMPLETE URLS ARE AS FOLLOWS: FOR BOTH DH AND NMH: HTTP://WWW.DANBURYHOSPITAL.ORG/ABOUT-US/ABOUT-DANBURY-HOSPITAL/COMMUNITY-B ENEFIT HTTP://WWW.NEWMILFORDHOSPITAL.ORG/ABOUT-US/COMMUNITY-BENEFIT HTTP://WWW.CHIME.ORG/ADVOCACY/COMMUNITY-HEALTH/ PART V, LINE 10A: THE COMPLETE URL FOR DANBURY HOSPITAL AND NEW MILFORD HOSPITAL, ARE AS FOLLOWS: HTTP://WWW.DANBURYHOSPITAL.ORG/ABOUT-US/ABOUT-DANBURY-HOSPITAL/COMMUNITY-B ENEFIT HTTP://WWW.NEWMILFORDHOSPITAL.ORG/ABOUT-US/COMMUNITY-BENEFIT PART V, LINE 11: TO THE BEST OF THE ORGANIZATION'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2013 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT DANBURY HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A STEERING COMMITTEE COMPRISED OF HEALTH CARE PROVIDERS, COMMUNITY-BASED PROVIDERS, AND LOCAL GOVERNMENT AGENCIES MEETS NO LESS THAN TWICE A YEAR TO OVERSEE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT WAS DEVELOPED UTILIZING DATA FROM A REPORT CARD AND PREVIOUS COMMUNITY CONVERSATIONS. PART V, LINES 16A, B, & C: THE COMPLETE URL FOR DANBURY HOSPITAL AND NEW MILDFORD HOSPITAL ARE AS FOLLOWS: HTTP://WWW.DANBURYHOSPITAL.ORG/PATIENT-AND-VISITORS-INFO/BILLING/BILLING/F INANCIAL-ASSISTANCE-POLICY HTTP://WWW.NEWMILFORDHOSPITAL.ORG/PATIENT-AND-VISITORS-INFO/BILLING/BILLIN G

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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
John M MurphyMD
PRES. -WCHN/DH$962,457$0$457,000$0$2,838$0$13,000$0$31,157$0$1,466,452$0$0$0
Steven H Rosenberg
SVP/CFO, WCHN$567,570$0$190,000$0$23,865$0$13,000$0$31,044$0$825,479$0$0$0
Daniel DeBarba Jr TO 61
Exec VP/Pres-DH$659,896$0$775,000$0$21,102$0$8,337$0$32,158$0$1,496,493$0$0$0
Donna Kaplanis
Ass't Secretary$201,179$0$35,000$0$22,504$0$25,613$0$21,888$0$306,184$0$0$0
Matthew A Miller MD
SVP & Chief Medical Officer$478,857$0$175,000$0$29,400$0$26,000$0$20,890$0$730,147$0$0$0
Moreen Donahue
ENDOW. CHAIR OF EDUC./RESEARCH$334,532$0$115,000$0$8,538$0$20,800$0$24,057$0$502,927$0$0$0
Michael Daglio
PRESIDENT OF NORWALK HOSP.$433,029$0$150,000$0$2,499$0$15,600$0$29,614$0$630,742$0$0$0
Morris Gross
VP of Facilities/Real Estate$261,310$0$90,000$0$8,321$0$26,000$0$21,171$0$406,802$0$0$0
Kathleen A Dematteo
Chief Infor.Officer, WCHN$355,279$0$115,000$0$25,836$0$23,400$0$11,972$0$531,487$0$0$0
Patrick C Minicus
VP of Finance$386,548$0$100,000$0$18,660$0$3,719$0$31,429$0$540,356$0$0$0
James Varrone to 923
VP Supply Chain$0$162,269$0$30,000$0$12,260$0$12,494$0$19,854$0$236,877$0$0
L SCHMITTGALL
SRVP Strategy-WCHN (FORMER)$17,149$0$124,412$0$597,242$0$11,086$0$2,248$0$752,137$0$0$0
Debra Carragher
VP of Operations$260,331$0$75,000$0$2,447$0$13,000$0$2,694$0$353,472$0$0$0
Carolyn McKenna
Sr VP/Gen'l Coun$361,384$0$110,000$0$2,903$0$13,000$0$33,230$0$520,517$0$0$0
Ramin Ahmadi MD TO 229
Dir. of Educ./Res.$266,145$0$70,000$0$991$0$13,000$0$30,710$0$380,846$0$0$0
Dawn Myles
VP OF PERF INNOVA.$265,850$0$75,000$0$4,399$0$18,200$0$2,184$0$365,633$0$0$0
Ruth Gregory FROM 923
VP OF SUPPLY CHAIN$146,018$0$14,566$0$1,331$0$16,301$0$10,504$0$188,720$0$0$0
Joseph Campbell
Chief Audit Compl. Officer$221,510$0$50,000$0$20,519$0$23,400$0$23,111$0$338,540$0$0$0
P ZAPPALA FORMER
Sr. VP of Human Resource$552,100$0$109,500$0$365,000$0$23,400$0$2,248$0$1,052,248$0$0$0
ROWENA BERGMANS
VP-POPULATION HLTH$244,207$0$100,000$0$0$0$0$0$32,940$0$377,147$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4 - RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT, EQUITY-BASED COMPENSATION SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: Western Connecticut Health Network (WCHN) established three separate Supplemental Executive Retirement Plans (SERP). These plans provide supplemental retirement benefits to key members of the executive group. Under the agreements for SERP Plans #1 and #2, amounts promised to eligible executives are based on targeted retirement benefits and the payment of benefits is subject to vesting. The benefits at the vested age are provided in the form of an actuarial equivalent lump sum plus a tax gross-up amount to the participants. WCHN has on its books an accrual for the participants of the SERP, which is maintained solely for accounting purposes and is unfunded. SERP Plan #1 - During the fiscal year ending September 30, 2016, Dr. Matthew Miller, Chief Medical Officer was the only participant. No payments were made to him. SERP Plan #2 - During the fiscal year ending September 30, 2016, no payments were made to either, Dr. John Murphy, President/CEO of WCHN and Steven H. Rosenberg, CFO of WCHN, participants of SERP Plan #2. SERP Plan #3 - Earnings and losses on the investments selected by participants of SERP Plan #3 are added to the balance of the account. During the fiscal year ending September 30, 2016, no payments were made to either Daniel DeBarba, Jr., Executive VP/President of Danbury Hospital and Michael Daglio, Chief Operating Officer, participants of SERP #3.
PART I, LINE 6 - COMPENSATION CONTINGENT ON NET EARNINGS OR RELATEDORGANIZATION Summary of Executive Incentive Plan The Plan is administered by the Executive Compensation Committee (the Committee) of Western Connecticut Health Network, Inc (WCHN). Eligibility to participate in the Plan is limited to those exempt executives employed by WCHN and its subsidiaries (the Network) during the Plan year who are in positions in which their decisions, actions and counsel significantly affect the operations of the Network. The Committee, with input provided by senior management of the Network will determine which eligible executive employees of the Network will participate in the Plan. Prior to the beginning of each Plan year, or as soon thereafter as practicable, the Committee will establish target and maximum award opportunity for the participant, in the appropriate tier in the Plan, along with a team scorecard of Plan measures. Soon after the close of the Plan Year, actual organization and individual performance and results will be measured and assessed in comparison to published goals and expectations established for such Plan Year. Recommendations for individual incentive awards will be prepared and submitted to the Committee for evaluation and approval. Notwithstanding any other provision of the Plan, at the discretion of the Committee, awards may not be paid under the Plan for any Plan Year if the level of performance specified in one or more Network level "Circuit Breaker Goals" is not achieved during the Plan Year.
PART III - ADDITIONAL INFORMATIONThe organization relied on a related organization, Western Connecticut Health Network, Inc. which used the following methods described below to establish top management's compensation: -Compensation committee. -Independent compensation. -Written employment contract. -Compensation survey or study. -Approval by board or compensation committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CHEFA RevBondsSeries H
A06080618620774ucl72006-03-16$40,924,665See Part VI for purposefalsefalsefalse
CHEFA (WCHN) Series M
B06080618620774U8A62011-07-13$45,523,137See Part VI for purposefalsefalsefalse
CHEFA (WCHN) Series N
C06080618620774YEJ22011-11-22$40,735,995See Part VI for purposefalsefalsefalse
CHEFA (WCHN) Series O
D0608061860000000002015-05-08$122,120,000See Part VI for purposefalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,945,000$0$42,742,900$0$2,237,472$0$606,787$828,469$0$39,070,172$0$02007falsefalseYes (true)Yes (true)
B$0$0$45,576,281$0$7,328,241$0$908,228$0$0$37,339,812$0$02014falsefalseYes (true)Yes (true)
C$4,375,000$0$40,735,995$0$0$0$749,768$0$0$0$39,986,227$02011Yes (true)falseYes (true)Yes (true)
D$0$0$122,120,000$0$0$0$797,294$0$0$0$121,322,706$02015Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.000100.00010falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
C0
Dfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SERIES H BONDS ($41,560,000):PROCEEDS FROM THE SALES OF SERIES H BONDS WERE USED, TOGETHER WITH OTHER MONIES AVAILABLE TO 1) FINANCE A PORTION OF THE COSTS OF THE SERIES H
SERIES M BONDS ($46,030,000):
SERIES N BONDS ($39,880,000):
SERIES O BONDS ($122,120,000):

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Kaufman Hall Associates
See Part V$599,800Consulting Firmfalse
MAIN ELMOOD LLC
SEE PART V$637,810RENTAL OF SPACEfalse
FRONTIER COMMUNICATIONS
SEE PART V$1,002,965TELECOMMUN. SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, Col (c)FormAndLineReferenceDesc
ExplanationDuring the year the following transactions are at arm's length, entered into the ordinary course of business and in compliance with the Organization's Conflict of Interest Policy: David M. Cyganowski, a director at Danbury Hospital is a shareholder of Kaufman Hall & Associates, Inc., which provides financial and forecasting services. ANTHONY RIZZO, JR., A DIRECTOR AT DANBURY HOSPITAL OWNS A BUILDING AT 70 MAIN STREET THAT DANBUY RENTS SPACE FROM. DANIEL MCCARTHY, A DIRECTOR AT DANBURY HOSPITAL SERVES AS THE PRESIDENT AND CEO OF FRONTIER COMMUNICATIONS, WHICH PROVIDES TELECOMMUNICATION SERVICES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VII (ADDT'L INFORMATION)For those officers and top 5 employees, for which only 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount. Note: All amounts in column F, of Part VII, "Estimated Amount of Other Compensation", represent benefits, and do not reflect any compensation for which the average amount of time worked can be reflected.
FORM 990, PART IX, COLUMN DALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990, ALL FUNDRAISING EXPENSES WERE INCURRED BY THE WESTERN CONNECTICUT HEALTH NETWORK FOUNDATION, INC.
Form 990, Part VI, Line 7AThe sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified.
Form 990, Part VI, Section B, 12A, 13 and 14The policies exist at the parent level, which are followed by each entity and are approved by the parent board, but not each individual board. This excludes the record retention policy, which is approved only by the parent audit committee. Form 990, Part III - PROGRAM SERVICE, Line 4A MEDICAL SERVICE LINE Danbury Hospital's Medical Service Line consists of the following services: Inpatient Cases: Gastrointestinal 1,833 Infectious Disease 1,079 Internal Medicine 698 Neurology Medicine 510 Renal/Urology Medicine 840 Pulmonary Medicine 1,423 All Other Inpatient 1,826 Outpatient Service Line Cases: O/P Medicine 9,465 O/P Medicine Comm. Clinic 21,385 O/P Medical Oncology 10,653 O/P Pulmonary Medicine 5,257 DIGESTIVE DISEASES: Our Digestive Disease Center is staffed by renowned fellowship-trained gastroenterologists. We use advanced diagnostic and treatment technology in a compassionate and supportive manner. The following services are provided: Ablation therapy for Barrett's esophagus, Colon cancer screening, Colonoscopy, Cryotherapy, Endoscopy, Endoscopic ultrasound and fine-needle aspiration,, Lactose tolerance testing, LINX Reflux Management System for treatment of GERD, Wireless capsule endoscopy and Laparoscopic fundoplication for GERD. INFECTIOUS DISEASE: Danbury Hospital's infectious disease specialists treat the full range of infectious diseases, including conditions caused by living organisms (bacteria, viruses, fungi and parasites), HIV, and related conditions, Lyme disease, chronic and wound-related infection, and travel-related infection. Our doctors have expertise in the proper use of antibiotics and other anti-infective medicines to treat disease and also collaborate with primary care doctors, specialists and surgeons to provide individualized treatment for each patient. INTERNAL MEDICINE: whatever your medical needs, Danbury Hospital provides expert care in the warm, focused and personal manner you deserve. Specialists in primary care, our family medicine physicians treat infants, children and adults of all ages. Services include preventive medicine (including vaccines and immunizations), diagnosis and treatment of chronic and acute illnesses and injuries, and coordination of specialty care. Our family physicians are trained to provide medical care for patients ranging in age from pediatrics through adult and geriatrics. NEUROLOGY AND STROKE: We offer expertise in treatment of neurological disorders, including stroke, epilepsy, headache, Parkinson's disease, Alzheimer's disease and Vertigo. One of the nation's first hospitals to earn primary stroke center accreditation from the Joint Commission and receive the silver performance award from the AHA's Stroke Association for the quality of care we provide. We have been regularly recognized by the Connecticut Department of Public Health for consistently demonstrating the ability to rapidly diagnose and treat stroke. Committed to remaining on the forefront of rapid and effective stroke care, we continue to incorporate the latest effective treatments. UROLOGY: Our expert urologists treat conditions such -Female urologic disorders, including urinary incontinence and voiding dysfunction -Infertility -Kidney, bladder, prostate and testicular cancer -Kidney stones -Male sexual difficulties -Prostate cancer -Urinary tract INFECTIONS -Vasectomy and vasectomy reversal Procedures we perform include: -Extracorporeal shock wave lithotripsy for kidney stones -Laparoscopic nephrectomy -Minimally invasive photo-vaporization of the prostate -Minimally invasive surgical treatment for female incontinence -Pyeloplasty PULMONOLOGY: We offer outstanding diagnosis, treatment and care for patients with all types of pulmonary conditions. We perform specialized services, such as cardiopulmonary exercise testing to measure degree of fitness and aid in the assessment of shortness of breath; specific diagnostic asthma testing; and testing to determine the need for supplemental oxygen for everyday living and air travel. All programs are administered consistent with Danbury Hospital's financial assistance policy. Form 990, Part III - PROGRAM SERVICE ACCOMPLISHMENTS SURGERY SERVICE LINE INPATIENT CASES: MAJOR JOINT REPLACEMENT 900 TRAUMA SURGERY 602 MINOR GI SURGERY 249 GENERAL SURGERY 344 UROLOGY SURGERY 163 COLON/BOWEL SURGERY 240 OBESITY SURGERY 136 SPINAL SURGERY 389 ALL OTHER INPATIENT SURGERY 624 OUTPATIENT SERVICE LINE CASES: ABDOMEN GI SURGERY 1,200 BREAST SURGERY-NON PLASTIC 269 ENDOSCOPY 11,900 MISC. GENERAL SURGERY 3,765 ORAL SURGERY 91 OPTHALMOLOGY 641 UROLOGY 978 PAIN INJECTION PROCEDURES 646 HEAD/NECK SURGERY 1,207 PLASTIC SURGERY 1,012 ALL OTHER OUTPATIENT SURGERY 1,342 GENERAL SURGERY: Danbury Hospital's surgeons are continually recognized for their experience, excellent outcomes, and expertise in minimally invasive surgical techniques. Here are just some of the awards we've been privileged to receive: -Intersocietal Accreditation Commission's Vein Center Accreditation for the Vascular Surgical Service (2015) -Participant, Institute for Healthcare Improvements International Joint Replacement Learning Community (2014) -Member, Institute for Healthcare Improvement's International Joint Replacement Learning Community (2015) Joint Commission Top Performer, America's Improving Quality and Safety (2014/13) -Top 100 Community Value Leadership Award for providing high-quality, high-value service at an appropriate cost, from Cleverly and Associates (2014) -Top 100 Great Community Hospitals from Becker's Hospital Review (2012) -Recertification, Joint Commission Disease Specific Certification in Hip Arthroplasty, Knee Arthroplasty and Spine Surgery (2015) -The Center for Weight Loss Surgery has been named the Comprehensive Center with the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) (2015 - 2018) -A Bariatric Center for Excellence under The Optum Clinical Science Institute (CSI) (2015) -Recipient of The Aetna Institute of Quality Bariatric Designation (2015) At Danbury Hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence in laparoscopic techniques performed in many surgical specialties including weight loss, colorectal, and general surgical procedures. For robotic surgery, we use the latest, most advanced robotic technology available, the da Vinci surgical system. We are committed to staying at the forefront of innovation, equipping our surgeons with sophisticated technology so they can offer innovative surgical procedures here in our community. Our da Vinci surgical system gives surgeons better visualization and tools that improve dexterity. With more control they can operate with greater precision. Our doctors use this advanced technology to perform a wide range of procedures, including single-incision robotic surgery. As a Level II Trauma Center, Danbury Hospital's team of board certified surgeons provide immediate, 24/7 care for acute and life-threatening injuries to children and adults. ORTHOPEDIC SURGERY: Our Center for Advanced Orthopedic and Spine Care has earned the "Center of Excellence" designation from the Joint Commission for providing comprehensive, multidisciplinary care, including hip, knee, shoulder, and ankle replacement. Our Danbury Hospital orthopedic surgeons offer a wide array of joint replacement procedures. Our continuum of care includes: A care coordinator who provides education and guidance every step of the way, pre-op through your rehabilitation. Pre-admission testing in our dedicated unit, designed to meet the unique needs of joint replacement patients and families. Services include individualized patient education, nursing and anesthesia assessments, and collaboration with you on planning a pain management program for your surgical recovery. Dedicated orthopedic operating rooms and clinical support staff. A comfortable orthopedic recovery unit with physician assistants, nursing and rehabilitation staff specially trained to care for total joint replacement patients. -Advanced, digital diagnostic imaging technology. -Acute in-hospital therapy -Outpatient physical and occupational -Access to home care services with Western Connecticut Home Care (formerly DVNA). DIGESTIVE DISEASE: Our expert general and digestive disease surgeons specialize in major and minor surgical procedures of the abdomen, digestive tract, endocrine system, breasts, skin and blood vessels. UROLOGIC SURGERY: Danbury Hospital urologists are known nationally for innovation. Procedures performed include: Extracorporeal shock wave lithotripsy for kidney stones; Laparoscopic nephrectomy, Minimally invasive photo-vaporization
FORM 990, PART VI, LINE 2 - BUSINESS OR FAMILY RELATIONSHIP OFOFFICERS, DIRECTORS, ETC. Richard Jabara and Ervin Shames, both directors of Danbury Hospital have a business relationship.
FORM 990, PART VI, LINE 4 - SIGNIFICANT CHANGES TO ORGANIZATIONALDOCUMENTS CHANGES IN GOVERNING DOCUMENTS FORM 990, PART VI, QUESTION 4 THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF DANBURY HOSPITAL FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2016: SECTION 3.2. THIS SECTION OF THE BYLAWS OUTLINES THE NUMBER AND COMPOSITION OF THE BANBURY HOSPITAL BOARD OF DIRECTORS. THIS SECTIONS WAS AMENDED TO REMOVE THE REQUIREMENT THAT DANBURY HOPSITAL'S BOARD OF DIRECTORS MUST, AT ALL TIMES, INCLUDE AT LEAST TWO INDIVIDUALS WHO ALSO SERVES AS DIRECTORS OF THE MEMBER (WESTERN CONNECTICUT HEALTH NETWORK) AND THE NORWALK ASSOCIATION (A RELATED ORGANIZATION). SECTION 5.5. THIS SECTION OF THE BYLAWS OUTLINE THE POWERS AND RESPONSIBILITIES OF THE PRESIDENT. THIS SECTION WAS AMENDED TO REMOVE THE REQUIREMENT THAT THE PRESIDENT SHALL BE THE SAME INDIVIDUAL SERVING AS THE PRESIDENT OF THE NORWALK HOSPITAL ASSOCIATION. FORM 990, PART VI, LINE 5 - EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDER WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF DANBURY HOSPITAL.
FORM 990, PART VI, LINE 7B - DECISIONS OF GOVERNING BODY APPROVALBY MEMBERS OR SHAREHOLDERS Certain fundamental decisions to be undertaken by the Hospital require the approval of the Member. a) The actions listed below, taken for the Hospital or in its capacity voting as a shareholder or member of a subsidiary ("Danbury Subsidiary") shall not require approval by the Board and are reserved solely to the Member: -The amendment of the Hospital's bylaws; -The election or removal of a director; -Approval of investment policies; -Approval of the adoption of or amendment to any qualified or any non-qualified benefit plan; -Approval of the adoption of or any amendment to the policies and procedures governing a) indemnification of directors and officers of the Hospital or any Danbury Subsidiary; b) conflicts or dualities of interest; c) accounting and investment standards and practices and d) such other policies the Member may determine; -Approval of system-wide quality, performance and credentialing standards and procedures to which the Hospital or any Danbury Subsidiary is expected to adhere; and -Approval of regulatory compliance and methodology for physician compensation arrangements. The actions listed below, taken for the Hospital or in its capacity voting as a shareholder or member of a Danbury Subsidiary, which require approval of the Board, must also be approved by the Member: -The election and removal of a director of a Danbury Subsidiary; -The election of the officers of the Hospital; -Approval of all operating and capital budgets of the Hospital and Danbury Subsidiary; -Approval of any amendment or restatement of the Hospital's certificate of incorporation, bylaws, or operating agreement of any Danbury Subsidiary; -Approval of any sale, lease, exchange, or other disposition of all or substantially all the property or assets of the Hospital or any Danbury Subsidiary; -Approval of the creation of any corporation of which the Hospital or a Danbury Subsidiary is the sole or controlling member or sole or controlling shareholder; THe merger or consolidation of the Hospital or any Danbury Subsidiary with another corporation;and the reorganization, liquidation or dissolution of the Hospital or any Danbury Subsidiary; -Approval of any loans by the Hospital or any Danbury Subsidiary,or the incurring of any indebtedness, secured or unsecured, which exceeds two million dollars ($2.0 million) or which has a term longer than one year; -Approval of unbudgeted expenditures in excess of two million dollars ($2.0 million) or any increase in any approved annual operating or capital budget. -Approval of any agreement or transaction of the Hospital or any Danbury Subsidary involving an amount greater than two million dollars ($2.0 million)with another individual or entity; -Approval of the affiliation of the Hospital or any Danbury Subsidiary with any other entity for the purposes of the joint conduct of business; -Creation of any committee which shall have the authority to act on behalf of the Board or on behalf of any Danbury Subsidiary; -Approval of any conveyance of, or the granting of mortgages or trusts on any real property assets of the Hospital or of any Danbury Subsidiary; -Approval of the strategic plan of the Hospital and of any Danbury Subsidiary; and -Approval of any commencement, cessation, location, relocation or consolidation of significant clinical services provided by the Hospital or any Danbury Subsidiary.
FORM 990, PART VI, LINE 11B - FORM 990 REVIEW PROCESSSteven Rosenberg, SVP/CFO of Western Connecticut Health Network, Inc., will review the 990 prior to it being sent to the IRS. A preliminary 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the 990 with the Audit Committee and answer any questions. Prior to the 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review.
FORM 990, PART VI, LINE 12C - EXPLANATION OF MONITORING ANDENFORCEMENT OF CONFLICTS The Organization's Process for Monitoring and Enforcing Conflicts of Interest The Western Connecticut Health Network and its affiliates' (The Network) Conflict of Interest Policy provides that annually, its Representatives shall sign a statement affirming that they disclosed all potential conflicts, as documented in the Conflict of Interest Policy. In addition, General Counsel is part of the routine contracts review process and watches for potential conflicts with any of The Network's Representatives. Who Is Covered By the Policy The Network's Conflict of Interest Policy covers each director, officer 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 15B - COMPENSATION REVIEW & APPROVALPROCESS - OFFICERS & KEY EMPLOYEES Compensation for Other Officers and Key Employees: In order to achieve its mission and its overall performance objectives, Western Connecticut Health Network, Inc. employs a performance-based total compensation program for its senior executives that is market competitive, compliant with regulatory guidelines, and representative of best practices. Eligible executives are generally direct reports of the CEO along with other executives designated by the CEO. To meet Western Connecticut Health Network Inc.'s total compensation objectives for executives, the following survey sources are used for comparison purposes: -Blend of national Confidential Source, IHS, and Hay Group points, health care data (where data available), plus 15% geographic differential. Title match data cuts selected based on revenue size. -For Physician executives, surveys covering physician compensation in accredited medical schools (AAMC) are used in combination with proprietary surveys compiled by nationally known consulting firm, Sullivan Cotter and the Medical Group Management Association (MGMA). Western Connecticut Health Network, Inc. targets cash compensation at market competitive levels. Base salary plus short-term (annual) incentive awards (total cash) approximates a range between the 50th and 75th percentiles for total cash competition. Executive performance is expected to meet or exceed predetermined operational and financial metrics. Other factors, such as competitive market forces, job performance, unique qualifications, and/or individual job responsibilities are also considered in Western Connecticut Health Network, Inc's executive compensation decisions. Roles of the Compensation Committee and Key Executives in the Executive Compensation Process - The Compensation Committee in consultation with the CEO and the SVP Human Resources (HR) selects the outside compensation consultants. The current consultant is the Korn Ferry Hay Group, whose purpose is to provide a valid independent assessment of the relevant market rates and pay practices for health care executives, physician executives and for physicians in general. - The compensation consulting firm compiles appropriate market data, job evaluation and ranking information for all executives and physicians of the organization, excluding the CEO, and will supply this material to the CEO and SVP HR for review and agreement. Once the report is final, it will be supplied to the Compensation Committee for their consideration and acceptance. -The Compensation Committee determines the CEO's salary based on overall performance and market data supplied by the outside compensation consultant. The last executive compensation evaluation by an outside consultant was done in December, 2016.
FORM 990, PART VI, LINE 19 - OTHER ORGANIZATION DOCUMENTSPUBLICLY AVAILABLE THE governing documents, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII - COMPENSATION EXPLANATIONDANIEL DEBARBA, JR. (TO 6/1) EFFECTIVE JUNE 1, 2016, DANIEL DEBARBA RESIGNED AS PRESIDENT OF DANBURY HOSPITAL. JOHN MURPHY, IN ADDITIONA TO BEING THE PRESIDENT AND CEO OF WESTERN CONNECTICUT HEALTH NETWORK, INC., ALSO BECAME PRESIDENT OF DANBURY HOSPITAL. ANTHEA DISNEY (FROM 1/1) ANTHEA DISNEY BECAME CHAIRMAN OF THE BOARD ON JANUARY 1, 2016, REPLACING JAMES KENNEDY. SPENCER HOULDIN (FROM 1/1) SPENCER HOULDIN BECAME SECRETARY OF THE BOARD ON JANUARY 1, 2016, REPLACING JOSEPH D. SKRYZYPCZAK. BRIAN C. WHITE (FROM 1/1) BRIAN C. WHITE BECAME VICE CHAIRMAN OF THE BOARD ON JANUARY 1, 2016. JAMES VARRONE (TO 9/23) JAMES VARRONE, VICE PRESIDENT OF THE SUPPLY CHAIN WAS TERMINATED ON 9/23/2016. RUTH GREGORY IS FILLING THIS POSITION IN THE INTERIM.
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances CAPTIVE UBI . . . . . . . . . . . . . . . . . . . . . . . $ -518,460. CHANGE IN EQUITY INTEREST OF WCHNIC. . . . . . . . . . . . 9,585,505. CHANGE IN INVESTMENT OF DH & NMH FOUNDATION. . . . . . . . -4,523,594. EQUITY TRANSFER TO BSI-W/O OF INTERCOMPANY. . . . . . . . -5,422. EQUITY TRANSFER TO WCHN-W/O OF INTERCOMPANY. . . . . . . . -30,613,147. EQUITY TRANSFER TO WCMG-W/O OF INTERCOMPANY. . . . . . . . -9,466,198. EQUITY TRF. FOR PROJECT CREDIT. . . . . . . . . . . . . . 423,080. _____________________ Total $-35,118,336. Total $-35,118,336.
FORM 990 PART IX LINE 11GDESCRIPTION:HEALTHCARE PROFESSIONALS TOTAL FEES:83995782
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:25377090

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
West CT Health Network Affiliates
95 Locust AvenueDanburyCT06810222594968OP HLTHCR SVCCT501(C)(3)9WCHNYes (true)
Western CT Health Network Inc
24 Hospital AvenuedanburyCT06810222594977PROGRAM DEVLPCT501(C)(3)11, TYPE 2NAfalse
DANBURY HOSP & NEW MILFORD HOSP FOUND
24 Hospital AvenueDanburyCT06810237425557ADMIN CONTRIBCT501(C)(3)7WCHNYes (true)
Western CT Home Care Inc
4 Liberty StreetDanburyCT06810060655138HOME HLTHCARECT501(C)(3)9WCHNYes (true)
Western CT Medical Group Inc
14 Research Drive Suite 201ABethelCT06801061137531PHYSICIAN SVCCT501(C)(3)9WCHNYes (true)
Eastern NY Medical Services PC
14 Research Drive Suite 201ABethelCT06801455431389PHYSICIAN SVCNY501(C)(3)9WCHNYes (true)
The Norwalk Hospital Association
24 Stevens StreetNorwalkCT06850066068853HEALTH SVCSCT501 (C) (3)3WCHNYes (true)
Norwalk Hospital Foundation
34 Maple StreetNorwalkCT06850222577708ADMIN CONTRIBCT501 (C) (3)7NHHYes (true)
Advanced Ctr for Rehab Medicine
24 Stevens StreetNorwalkCT06850061304799INACTIVECT501 (C) (3)11, TYPE 2WCHNYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndUBI Code VUBICodeVAmtOwnershipOwnershipPct
New Milford MRI
21 Elm StreetNew MilfordCT06776271877801INACTIVECTNMHN/A$0$0falsefalse
Norwalk Surgery
40 Cross StreetNorwalkCT06851272394942SURGERY CENTECTNHRELATED$0$0falsefalse$0
WCHN INVESTMENTS LLC
24 HOSPITAL AVEDANBURYCT06810475523212INESTMENTSCTWCHNRELATED$7,381,884$121,804,228falsefalse$00.27860

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
West CT Health Network Insur
23 Lime Tree Bay PO Box 105Grand CaymanCJ980438151MALPRCTICECJDHC CORP$13,057,444$141,439,6351.00000Yes (true)
Medical Services of Danbury
061635945INACTIVEWCMGC CORP$0$0Yes (true)24 Hospital AvenueDanburyCT06811CT
SWC Corporation
222577718PHARMACYWCHNC CORP$0$0Yes (true)24 Stevens StreetNorwalkCT06850CT
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (39 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
West CT Health Network Affiliates
j$177,949COST
West CT Health Network Affiliates
l$226,090COST
West CT Health Network Affiliates
m$483,742COST
West CT Health Network Affiliates
o$236,730COST
West CT Health Network Affiliates
q$5,713,421COST
West CT Health Network Affiliates
s$5,926,073COST
DANBURY HOSP & NEW MILFORD HOSP FOUNDATION
c$8,067,000cost
DANBURY HOSP & NEW MILFORD HOSP FOUNDATION
j$89,593cost
DANBURY HOSP & NEW MILFORD HOSP FOUNDATION
k$56,258cost
DANBURY HOSP & NEW MILFORD HOSP FOUNDATION
o$2,740,493cost
DANBURY HOSP & NEW MILFORD HOSP FOUNDATION
q$1,331,391cost
DANBURY HOSP & NEW MILFORD HOSP FOUNDATION
s$9,398,906cost
Western CT Home Care Inc
l$81,308cost
Western CT Home Care Inc
o$63,950cost
Western CT Home Care Inc
q$1,152,397cost
Western CT Home Care Inc
s$1,300,488cost
Western CT Medical Group Inc
b$9,466,198cost
Western CT Medical Group Inc
j$2,402,496cost
Western CT Medical Group Inc
l$4,117,147cost
Western CT Medical Group Inc
m$75,379,563cost
Western CT Medical Group Inc
o$898,030cost
Western CT Medical Group Inc
q$77,505,739cost
Western CT Medical Group Inc
s$77,651cost
Eastern NY Medical Services PC
q$153,877cost
The Norwalk Hospital Association
i$763,789cost
The Norwalk Hospital Association
j$301,000cost
The Norwalk Hospital Association
l$15,854,127cost
The Norwalk Hospital Association
o$13,528,574cost
The Norwalk Hospital Association
q$18,581,095cost
The Norwalk Hospital Association
s$46,010,857cost
Norwalk Hospital Foundation
q$137,942cost
Norwalk Hospital Foundation
s$75,217cost
West CT Health Network Insur Co LTD
q$7,268,429cost
West CT Health Network Insur Co LTD
r$9,628,895cost
West CT Health Network Insur Co LTD
s$7,261,131cost
SWC Corporation
q$56,320cost
SWC Corporation
r$80,000cost
WCHN INVESTMENTS LLC
R$141,919,131COST
WCHN INVESTMENTS LLC
S$27,500,000COST