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LEGACY WATERBURY HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LEGACY WATERBURY HOSPITAL INC (EIN 06-0665979)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201742279349302609
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)
Return2017-08-15T12:54:35-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1CITY PLACE II 185 ASYLUM STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060665979EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWATEBusinessNameControlTxt
Phone2035736000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1Txt
CityWATERBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06708ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK HOLTZPersonNm
Person TitleCHIEF OPERATING OFFICERPersonTitleTxt
Phone2035736000PhoneNum
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS FARRINGTONPreparerPersonNm
PTINP00370668PTIN
Phone8607600600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK HOLTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1Txt
CityWATERBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06708ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$235,130,518GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WATERBURYHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionWATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1823TotalEmployeeCnt
Total Volunteers96TotalVolunteersCnt
Total Gross UBI$630,069TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$37,740NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,068,751PYContributionsGrantsAmt
CY Contributions Grants$6,445,374CYContributionsGrantsAmt
PY Program Service Revenue$202,809,107PYProgramServiceRevenueAmt
CY Program Service Revenue$218,688,844CYProgramServiceRevenueAmt
PY Investment Income$3,358,483PYInvestmentIncomeAmt
CY Investment Income$3,272,865CYInvestmentIncomeAmt
PY Other Revenue$4,101,763PYOtherRevenueAmt
CY Other Revenue$4,554,794CYOtherRevenueAmt
PY Total Revenue$215,338,104PYTotalRevenueAmt
CY Total Revenue$232,961,877CYTotalRevenueAmt
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$117,106,705PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$117,470,316CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$245,640CYTotalFundraisingExpenseAmt
PY Other Expenses$109,516,554PYOtherExpensesAmt
CY Other Expenses$136,573,921CYOtherExpensesAmt
PY Total Expenses$226,623,259PYTotalExpensesAmt
CY Total Expenses$254,044,237CYTotalExpensesAmt
PY Revenues Less Expenses-$11,285,155PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,082,360CYRevenuesLessExpensesAmt
Total Assets BOY$152,423,511TotalAssetsBOYAmt
Total Assets EOY$136,695,474TotalAssetsEOYAmt
Total Liabilities BOY$96,644,358TotalLiabilitiesBOYAmt
Total Liabilities EOY$112,009,298TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$55,779,153NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,686,176NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$211,175,658ExpenseAmt
Revenue$222,694,973RevenueAmt
DescSTATEMENT OF PURPOSEAS A NOT-FOR-PROFIT COMMUNITY HOSPITAL, WATERBURY HOSPITAL PROVIDES QUALITY HEALTH CARE TO ALL AREA INDIVIDUALS, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, HANDICAP OR ABILITY TO PAY. HOWEVER, REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE HOSPITAL'S STABILITY AND LONG-TERM OPERATION.SEE SCHEDULE O FOR CONTINUATIONDesc
Total Program Service Expenses$211,175,658TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document164IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1823EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT BOWMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2035737333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1Txt
CityWATERBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06708ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DARLENE STROMSTAD
PRESIDENT/TREASURER40.0026.00Yes (X)Yes (X)$615,112$0$96,379
CARL D CONTADINI
CHAIRMAN0.900.90Yes (X)Yes (X)$0$0$0
JOHN A KELLY JR
VICE CHAIRMAIN0.900.90Yes (X)Yes (X)$0$0$0
WILLIAM J PIZZUTO PHD
SECRETARY0.900.90Yes (X)Yes (X)$0$0$0
SUNDAE BLACK
DIRECTOR0.400.40Yes (X)$0$0$0
HENRY BORKOWSKI MD
DIRECTOR / CAGW - CARDIOLOGIST40.000.30Yes (X)$556,959$0$38,119
RON J DANDREA MD
DIRECTOR0.200.20Yes (X)$0$0$0
JAMES H GATLING PHD
DIRECTOR0.400.40Yes (X)$0$0$0
PATRICIA MCKINLEY
DIRECTOR0.400.40Yes (X)$0$0$0
JOHN A MICHAELS
DIRECTOR0.700.70Yes (X)$0$0$0
NEIL PETERSEN MD
CHIEF OF STAFF7.000.30Yes (X)$75,000$0$0
DAVID J PIZZUTO MD
DIRECTOR / VP MEDICAL SERVICES20.007.00Yes (X)$164,793$0$6,154
FRANK SHERER
DIRECTOR0.400.40Yes (X)$0$0$0
CARL B SHERTER MD
DIRECTOR0.300.30Yes (X)$0$0$0
SANDRA A IADAROLA
CHIEF NURSING OFFICER40.002.10Yes (X)$239,003$0$12,962
MICHAEL J CEMENO
CHIEF INFORMATION OFFICER40.007.00Yes (X)$329,400$0$20,323
RICHARD KROPP
VP HUMAN RESOURCES40.0020.00Yes (X)$84,919$0$11,156
MARK HOLTZ
CHIEF OPERATING OFFICER40.009.00Yes (X)$226,333$0$21,817
JAMES MOYLAN
CHIEF FINANCIAL OFFICER40.008.00Yes (X)$254,476$0$0
GUY DISTEFANO
CHIEF FINANCIAL OFFICER40.008.00Yes (X)$0$0$0
EHSAN ANSARI
CAGW - CARDIOLOGIST40.00$885,601$0$42,480Yes (X)
JOSEPH MORLEY
CAGW - CARDIOLOGIST40.00$865,413$0$42,480Yes (X)
KEVIN KETT
CAGW - CARDIOLOGIST40.00$819,453$0$41,972Yes (X)
STEPHEN WIDMAN
CAGW - CARDIOLOGIST40.00$790,777$0$43,649Yes (X)
MARK RUGGIERO
CAGW - CARDIOLOGIST40.00$786,684$0$41,972Yes (X)
DIANE M WOOLLEY
FORMER VP HUMAN RESOURCES40.005.00$128,228$0$20,668Yes (X)
EDWARD ROMERO
FORMER CHIEF FINANCIAL OFFICER40.008.00$115,401$0$22,125Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,937,552TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$462,256TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K113IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CROTHALL HEALTHCARE
1500 LIBERTY RIDGE DRIVEWAYNEPA19087BUILDING SVCS, TRANSPORT SVCS$6,171,325
MORRISON HEALTHCARE
5801 PEACHTREE DUNWOODY RDATLANTAGA30342DIETARY SERVICES$3,887,545
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117INFORMATION TECHNOLOGY$1,924,833
ACCESS REHAB CENTERS LLC
22 TOMPKINS STWATERBURYCT06708PHYSICAL THERAPY SERVICES$1,326,457
CT COLONY EMERGENCY PHYSICIANS
PO BOX 37889PHILADELPHIAPA191017889CLINICAL SERVICES$1,225,328
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K79CntrctRcvdGreaterThan100KCnt
Government Grants$3,619,809GovernmentGrantsAmt
All Other Contributions$2,825,565AllOtherContributionsAmt
Noncash Contributions$1,000NoncashContributionsAmt
Total Contributions$6,445,374TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE624100$211,779,037$211,779,037
CAW - NET PATIENT SERVICE REVENUE621110$6,279,738$6,279,738
LAB SERVICE REVENUE621500$373,906$373,906
IMAGE REPAIRS & MAINTENANCE541900$256,163$256,163
FieldValueIRS element (for citing)
Total Program Service Revenue$218,688,844TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,796,480TotalRevenueColumnAmt
Exclusion$2,796,480ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$437,679RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$437,679RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$437,679TotalRevenueColumnAmt
Exclusion$437,679ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,449,753SecuritiesAmt
Other$45,244OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,018,612SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$431,141SecuritiesAmt
Other$45,244OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$476,385TotalRevenueColumnAmt
Exclusion$476,385ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$244,428FundraisingGrossIncomeAmt
Fundraising Direct Expenses$150,029FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,399TotalRevenueColumnAmt
Exclusion$94,399ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAW - OTHER INCOME621110$1,624,329$1,624,329
PARTNERSHIP INCOME900099$1,442,966$1,442,966
OTHER INCOME900099$572,114$572,114

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$383,307TotalRevenueColumnAmt
Related Or Exempt Func Income$366,720RelatedOrExemptFuncIncomeAmt
Exclusion$16,587ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,022,716OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,961,877TotalRevenueColumnAmt
Related Or Exempt Func Income$222,064,904RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$630,069UnrelatedBusinessRevenueAmt
Exclusion$3,821,530ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,889,796TotalAmt
Program Services$670,337ProgramServicesAmt
Management And General$2,219,459ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$87,704,818TotalAmt
Program Services$82,334,979ProgramServicesAmt
Management And General$5,307,251ManagementAndGeneralAmt
Fundraising$62,588FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,447,630TotalAmt
Program Services$5,079,904ProgramServicesAmt
Management And General$364,622ManagementAndGeneralAmt
Fundraising$3,104FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,049,616TotalAmt
Program Services$13,821,338ProgramServicesAmt
Management And General$1,217,067ManagementAndGeneralAmt
Fundraising$11,211FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,378,456TotalAmt
Program Services$5,835,736ProgramServicesAmt
Management And General$538,139ManagementAndGeneralAmt
Fundraising$4,581FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,806,797TotalAmt
Program Services$161,396ProgramServicesAmt
Management And General$1,645,401ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$243,170TotalAmt
Management And General$243,170ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$83,501TotalAmt
Management And General$83,501ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$592,220TotalAmt
Management And General$592,220ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,723,515TotalAmt
Program Services$32,598,878ProgramServicesAmt
Management And General$13,124,637ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$755,711TotalAmt
Program Services$37,979ProgramServicesAmt
Management And General$717,732ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,756,907TotalAmt
Program Services$7,750,901ProgramServicesAmt
Management And General$2,004,091ManagementAndGeneralAmt
Fundraising$1,915FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,502,844TotalAmt
Program Services$1,230,491ProgramServicesAmt
Management And General$3,272,353ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$107,751TotalAmt
Program Services$80,017ProgramServicesAmt
Management And General$27,734ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$136,802TotalAmt
Program Services$74,295ProgramServicesAmt
Management And General$62,357ManagementAndGeneralAmt
Fundraising$150FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,805,096TotalAmt
Management And General$1,805,096ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,089,157TotalAmt
Management And General$6,089,157ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,219,532TotalAmt
Management And General$3,219,532ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PENSION WITHDRAWAL EXPE$28,300,000$28,300,000
MEDICAL/SURGICAL SUPPLI$26,996,006$26,994,678$1,328
IMPAIRMENT OF LONG-LIVE$6,485,028$6,485,028
PROVISION FOR RETROSPEC-$7,296,457-$7,296,457

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,266,341TotalAmt
Program Services$6,204,729ProgramServicesAmt
Management And General$899,521ManagementAndGeneralAmt
Fundraising$162,091FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$254,044,237TotalAmt
Program Services$211,175,658ProgramServicesAmt
Management And General$42,622,939ManagementAndGeneralAmt
Fundraising$245,640FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,879,927BOYAmt
EOY$812,242EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,571,642BOYAmt
EOY$7,847,330EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,791,077BOYAmt
EOY$4,615,260EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,568,580BOYAmt
EOY$21,527,130EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,257,310BOYAmt
EOY$2,635,674EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,531,580BOYAmt
EOY$1,377,781EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$270,801,696LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$249,461,032LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,538,168BOYAmt
EOY$21,340,664EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,024,565BOYAmt
EOY$10,202,207EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$56,644,352BOYAmt
EOY$58,647,157EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,813,567BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$802,743BOYAmt
EOY$7,690,029EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$152,423,511BOYAmt
EOY$136,695,474EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,935,144BOYAmt
EOY$23,447,237EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,789,744BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,919,470BOYAmt
EOY$88,562,061EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,644,358BOYAmt
EOY$112,009,298EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,355,351BOYAmt
EOY-$32,170,513EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,220,369BOYAmt
EOY$8,722,091EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,203,433BOYAmt
EOY$48,134,598EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,779,153BOYAmt
EOY$24,686,176EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$152,423,511BOYAmt
EOY$136,695,474EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$21,082,360ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$236,898NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$10,247,515OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
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)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media AdvertisementsYes (1)MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Publications Or BroadcastYes (1)PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$50,000GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$33,501OtherActivitiesAmt
Total Lobbying Expenditures$83,501TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF THE CT HOSPITAL ASSOCIATION FEES THAT ARE PAID BY THE WATERBURY HOSPITAL IS FOR LOBBYING ACTIVITIES. THE WATERBURY HOSPITAL ALSO PAYS ROY AND LEROY LLC FOR LOBBYING SERVICES TOTALING $50,000.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$53,252,862BeginningYearBalanceAmt
Investment Earnings Or Losses$2,783,836InvestmentEarningsOrLossesAmt
Other Expenditures$604,308OtherExpendituresAmt
End Year Balance$55,432,390EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$59,832,482BeginningYearBalanceAmt
Investment Earnings Or Losses-$2,805,083InvestmentEarningsOrLossesAmt
Other Expenditures$3,774,537OtherExpendituresAmt
End Year Balance$53,252,862EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$58,391,891BeginningYearBalanceAmt
Investment Earnings Or Losses$2,214,558InvestmentEarningsOrLossesAmt
Other Expenditures$773,967OtherExpendituresAmt
End Year Balance$59,832,482EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$54,791,385BeginningYearBalanceAmt
Investment Earnings Or Losses$4,160,381InvestmentEarningsOrLossesAmt
Other Expenditures$559,875OtherExpendituresAmt
End Year Balance$58,391,891EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$48,442,875BeginningYearBalanceAmt
Investment Earnings Or Losses$6,884,672InvestmentEarningsOrLossesAmt
Other Expenditures$536,162OtherExpendituresAmt
End Year Balance$54,791,385EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.86830PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.13170TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$287,549OtherCostOrOtherBasisAmt
Book Value$287,549BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$82,191,981OtherCostOrOtherBasisAmt
Depreciation$74,549,112DepreciationAmt
Book Value$7,642,869BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$654,276OtherCostOrOtherBasisAmt
Depreciation$554,113DepreciationAmt
Book Value$100,163BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,794,752OtherCostOrOtherBasisAmt
Depreciation$171,791,117DepreciationAmt
Book Value$13,003,635BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,873,138OtherCostOrOtherBasisAmt
Depreciation$2,566,690DepreciationAmt
Book Value$306,448BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,340,664TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FUNDS HELD IN TRUST BY OTHERS$45,342,562F
GREATER WATERBURY IMAGING CENTER$3,034,700F
ACCESS REHAB CENTERS$4,875,985F
IMAGING PARTNERS$432,285F
ALLIANCE MEDICAL GROUP$4,961,625F
FieldValueIRS element (for citing)
Total Book Value Securities$58,647,157TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$165,128
OTHER INVESTMENTS$228,444
RETROSPECTIVE PREMIUM CREDIT RECEIVABLE$7,296,457
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,690,029TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
LIABILITIES OF CONSOLIDATED AFFILIATES$1,584,834
RESERVE FOR WORKER'S COMP/MALPRACTICE LIAB. LOSS$13,776,227
NONCONTROLLING INTEREST$2,503,706
DEFERRED LIAB. ON GIFT ANNUITY$101,571
ASSET RETIREMENT OBLIGATION$2,980,756
CAPITAL LEASE LIABILITY$3,621,147
ACCRUED PENSION LIABILITY$11,010,742
DEFERRED LIAB. ON SERP$523,948
DUE TO AFFILIATES$18,517,873
DUE TO THIRD-PARTY REIMBURSEMENT AGENCIES$5,641,257
PENSION WITHDRAWAL LIABILITY$28,300,000
FieldValueIRS element (for citing)
Total Liability$88,562,061TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$265,592,559TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$236,898NetUnrealizedGainsInvstAmt
Other Revenue$34,278,941OtherRevenueAmt
Revenue Not Reported$34,515,839RevenueNotReportedAmt
Revenue Subtotal$231,076,720RevenueSubtotalAmt
Investment Expenses Not Incld$592,220InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,292,937OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,885,157RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$232,961,877TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$295,486,816TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$42,034,799OtherExpensesIncludedAmt
Expenses Not Reported$42,034,799ExpensesNotReportedAmt
Expenses Subtotal$253,452,017ExpensesSubtotalAmt
Investment Expenses Not Incld2$592,220InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$592,220ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$254,044,237TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS ARE USED FOR FREE CARE AND GENERAL HOSPITAL OPERATIONS.
PART X, LINE 2:THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. ACCESS, GWIC, CAGW, AND IMAGING PARTNERS LLC ARE PARTNERSHIPS. FOR TAX PURPOSES, THESE PARTNERSHIP ARE PASS-THROUGH ENTITIES. TAXATION DOES NOT OCCUR AT THE PARTNERSHIP LEVEL. ACCORDINGLY, NO PROVISION FOR TAXES IS INCLUDED. AMG IS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE CODE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2016, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INCOME FROM CONSOLIDATED AFFILIATES 34,278,941.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME FROM PARTNERSHIP 1,413,474. WATERBURY GASTROENTEROLOGY INCOME 29,492. FUNDRAISING EXPENSES -150,029.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSE OF CONSOLIDATED AFFILIATES 41,884,770. FUNDRAISING EXPENSE 150,029.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$126,402GrossReceiptsEvent1Amt
Gross Revenue Event1$126,402GrossRevenueEvent1Amt
Other Direct Expenses Event1$90,369OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$95,935GrossReceiptsEvent2Amt
Gross Revenue Event2$95,935GrossRevenueEvent2Amt
Other Direct Expenses Event2$36,755OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$22,091GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$22,091GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$22,905OthDirectExpnssOtherEventsAmt
Gross Receipts Total$244,428GrossReceiptsTotalAmt
Gross Revenue Total Events$244,428GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$150,029OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$150,029DirectExpenseSummaryEventsAmt
Net Income Summary$94,399NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,635,320TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$684,878DirectOffsettingRevenueAmt
Net Community Benefit Expns$950,442NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served45013PersonsServedCnt
Total Community Benefit Expns$54,262,481TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,747,530DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,514,951NetCommunityBenefitExpnsAmt
Total Expense0.03830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served45013PersonsServedCnt
Total Community Benefit Expns$55,897,801TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,432,408DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,465,393NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,884,224TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,780,450DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,103,774NetCommunityBenefitExpnsAmt
Total Expense0.02460TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served8336PersonsServedCnt
Total Community Benefit Expns$9,725,839TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,952,643DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,773,196NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served8336PersonsServedCnt
Total Community Benefit Expns$24,610,063TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,733,093DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,876,970NetCommunityBenefitExpnsAmt
Total Expense0.03980TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served53349PersonsServedCnt
Total Community Benefit Expns$80,507,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,165,501DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,342,363NetCommunityBenefitExpnsAmt
Total Expense0.08190TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served165PersonsServedCnt
Total Community Benefit Expns$48,559TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$48,559NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served52PersonsServedCnt
Total Community Benefit Expns$112,077TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,142DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,935NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Persons Served30PersonsServedCnt
Total Community Benefit Expns$16,452TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,452NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,116TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,532DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,584NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served247PersonsServedCnt
Total Community Benefit Expns$218,204TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,674DirectOffsettingRevenueAmt
Net Community Benefit Expns$142,530NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$761,283BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$87,878,183ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$91,594,210CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,716,027MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1Txt
CityWATERBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06708ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 7OwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 7StrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
THE WATERBURY HOSPITALPART V, SECTION B, LINE 5: IN MAY 2016, INDIVIDUALS FROM HEALTHCARE ORGANIZATIONS, COMMUNITY AGENCIES, SOCIAL SERVICE ORGANIZATIONS, AND AREA NON-PROFITS GATHERED TO REVIEW THE RESULTS OF THE GREATER WATERBURY HEALTH IMPROVEMENT PARTNERSHIP (GWHIP) DATA AND PLANNING FOR THE FUTURE. THE MEETING WAS INITIATED BY PARTNERS OF GWHIP. THE GOAL OF THE MEETING WAS TO DISCUSS THE COMMITMENT TO THE GREATER WATERBURY AREA AND DISCUSS FUTURE PRIORITIZATIONS OF THE ORGANIZATION AND ITS MEMBERS. THE OBJECTIVES OF THE SESSION WERE TO REVIEW COMPILED DATAHAVEN HEALTH AND WELLBEING DATA AND HIGHLIGHT KEY RESEARCH FINDINGS, GATHER FEEDBACK FROM COMMUNITY REPRESENTATIVES ABOUT COMMUNITY HEALTH NEEDS, AND PRIORITIZE THE COMMUNITY HEALTH NEEDS BASED ON SELECT CRITERIA.EXECUTIVE LEADERS OF THE CONNECTICUT COMMUNITY FOUNDATION, THE CITY OF WATERBURY HEALTH DEPARTMENT, AND GWHIP FACILITATED THE PRIORITIZATION SESSION. THE MEETING BEGAN WITH AN ABBREVIATED RESEARCH OVERVIEW, INCLUDING THE RESULTS OF THE PRIMARY AND SECONDARY RESEARCH AND KEY FINDINGS OF THE CHNA.FOLLOWING THE RESEARCH OVERVIEW OF THE DATAHAVEN HEALTH AND WELLBEING DATA, MEETING PARTICIPANTS WERE PROVIDED WITH INFORMATION REGARDING THE PRIORITIZATION PROCESS, CRITERIA TO CONSIDER MOVING FORWARD WITH KEY AREAS OF FOCUS, AND OTHER ASPECTS OF HEALTH IMPROVEMENT PLANNING. IN A LARGE-GROUP FORMAT, ATTENDEES WERE ASKED TO SHARE OPENLY WHAT THEY PERCEIVED TO BE THE NEEDS AND AREAS OF OPPORTUNITY IN THE COMMUNITY AND HOW THEY WOULD FIT INTO THE PRIORITIZATION AREAS.
THE WATERBURY HOSPITALPART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH SAINT MARY'S HOSPITAL AS A PARTNER OF THE GREATER WATERBURY HEALTH IMPROVEMENT PARTNERSHIP.
THE WATERBURY HOSPITALPART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE CONNECTICUT COMMUNITY FOUNDATION, CITY OF WATERBURY HEALTH DEPARTMENT, UNITED WAY, AND STAYWELL HEALTH CENTER AS PARTNERS OF THE GREATER WATERBURY HEALTH IMPROVEMENT PARTNERSHIP.
THE WATERBURY HOSPITALPART V, SECTION B, LINE 11: THE GREATER WATERBURY HEALTH IMPROVEMENT PARTNERSHIP (GWHIP) REVIEWED THE FINDINGS AND DISCUSSED CROSS-CUTTING APPROACHES TO FURTHER HONE THE PRIORITY AREAS. THE FOLLOWING FOUR PRIORITY AREAS FOR WATERBURY WERE ADOPTED FOR THE 2017-2019 IMPLEMENTATION PLAN IN ORDER TO TOUCH ON SEVERAL HEALTH INITIATIVES: ACCESS TO CARE - INCLUDING MENTAL HEALTH/SUBSTANCE ABUSE, HEALTHY LIFESTYLE - INCLUDING OBESITY AND TOBACCO USE, ASTHMA, AND HEALTH COMMUNICATIONS.WATERBURY HOSPITAL CONTINUES TO BE A PARTNER IN GWHIP AND ACTIVELY PARTICIPATES IN THE WORK GROUPS FOR EACH OF THE HEALTH INITIATIVES IDENTIFIED. IN ADDITION, WATERBURY HOSPITAL HAS ITS OWN IMPLEMENTATION PLAN THAT ILLUSTRATES THE HOSPITAL'S SPECIFIC STRATEGIES AND RESOURCES.ACCESS TO CAREWATERBURY HOSPITAL IS CURRENTLY CHAIRING THE GWHIP ACCESS TO CARE WORKGROUP. THE WORKGROUP IS WORKING ON DEVELOPING INFOGRAPHICS AS A WAY TO HELP PEOPLE NAVIGATE LOCAL HEALTH SYSTEM FOR DIFFERENT AREAS INCLUDING WHEN TO USE ED VS. URGENT CARE VS. PRIMARY CARE, ASTHMA, MENTAL HEALTH, AND DIABETES. THE WORKGROUP ALSO CONTINUES TO WORK ON CREATING THE COMMUNITY CARE TEAM IN ORDER TO PROVIDE CROSS-ORGANIZATION CASE MANAGEMENT FOR HIGH UTILIZATION EMERGENCY DEPARTMENT VISITORS BETWEEN BOTH HOSPITAL EDS AND A COMPREHENSIVE ARRAY OF COMMUNITY ORGANIZATIONS.HEALTHY LIFESTYLETHE HEALTHY LIFESTYLE WORKGROUP IS WORKING ON MAPPING EXISTING COMMUNITY RESOURCES IN ORDER TO HAVE A DATABASE ON WHAT EXISTS AND WHO IN THE COMMUNITY IS DOING WHAT. THE WORKGROUP IS ALSO WORKING ON ESTABLISHING THE STATE OF CT LIVEWELL DIABETES SERIES IN WATERBURY OR HAVING SOME TYPE OF DIABETES EDUCATION AVAILABLE TO THE COMMUNITY.ASTHMAWATERBURY HOSPITAL IS PARTICIPATING IN THE CT HOSPITAL ASSOCIATION ASTHMA INITIATIVE WHICH IS WORKING TOWARDS HAVING AN ASTHMA ACTION PLAN GIVEN TO EVERY PATIENT WHO COMES INTO THE EMERGENCY DEPARTMENT (ED) WITH AN ASTHMA DIAGNOSIS AND PROVIDING EDUCATION ON PROPER USE OF INHALER. THROUGH GWHIP, WE ARE PARTNERING WITH THE WATERBURY HEALTH DEPARTMENT WITH THE PUTTING ON AIRS PROGRAM. THE ED IS REFERRING QUALIFIED PATIENTS TO THE WATERBURY HEALTH DEPARTMENT WITH AN ASTHMA ACTION PLAN. THE PROGRAM IS AN EVIDENCED BASED FREE HOME VISITATION PROGRAM FOCUSING ON INDOOR ASTHMA TRIGGERS AND EDUCATION ABOUT ASTHMA AS A CHRONIC ILLNESS.HEALTH COMMUNICATIONSTHE HEALTH COMMUNICATIONS WORKGROUP WAS A NEW WORK GROUP THAT WAS ADDED AFTER THE 2016 CHNA PROCESS. THE WORKGROUP'S GOAL IS TO INCREASE MESSAGING AND COMMUNICATIONS TO THE PARTNERS, COMMUNITY ORGANIZATIONS, AND THE GREATER WATERBURY COMMUNITY. THEY HAVE IDENTIFIED A VENDOR THAT WILL BE IN CHARGE OF THE WEB DESIGN, SOCIAL MEDIA, LOGO, AND COLOR SCHEME AND THE WORK SHOULD BE COMPLETED BY FALL 2017.WATERBURY HOSPITAL'S PR DEPARTMENT IS CURRENTLY INCLUDING INFORMATION ON COMMUNITY EVENTS AND PROGRAMS ON THE WATERBURY HOSPITAL'S WEBSITE - COMMUNITY CALENDAR, FACEBOOK PAGE, AND EVERGREEN NEWSLETTER.
THE WATERBURY HOSPITALPART V, SECTION B, LINE 22D: CCR - COST TO CHARGE RATIO
THE WATERBURY HOSPITAL:PART V, SECTION B, LINE 7A:HTTP://WWW.WATERBURYHOSPITAL.ORG/COMMUNITY/CHNA/2016-CHNA-FINAL-REPORT/
THE WATERBURY HOSPITAL:PART V, SECTION B, LINE 10A:HTTP://WWW.WATERBURYHOSPITAL.ORG/COMMUNITY/CHNA/2016-CHNA-IMPLEMENTATION-PLAN/
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CARDIOLOGY ASSOCIATES OF GTR WATERBURY
455 CHASE PARKWAYWATERBURYCT06708MEDICAL OFFICES, DIAGNOSTIC TESTING
2 - BLOOD DRAW STATION
134 GRANDVIEW AVENUEWATERBURYCT06708BLOOD DRAWING FACILITY
3 - BLOOD DRAW STATION
1625 STRAITS TURNPIKE SUITE 304MIDDLEBURYCT06762BLOOD DRAWING FACILITY/X-RAYS
4 - BLOOD DRAW STATION
22 OLD WATERBURY ROAD SUITE 201SOUTHBURYCT06488BLOOD DRAWING FACILITY
5 - BLOOD DRAW STATION
130 SOUTH MAIN STREETTHOMASTONCT06787BLOOD DRAWING FACILITY
6 - BLOOD DRAW STATION
51 DEPOT STREET SUITE 212WATERTOWNCT06795BLOOD DRAWING FACILITY
7 - BLOOD DRAW STATION
305 CHURCH STREET SUITE 16NAUGATUCKCT06770BLOOD DRAWING FACILITY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:N/A
PART I, LINE 6A:N/A
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,693,497.
PART II, COMMUNITY BUILDING ACTIVITIES:AS A LEADER IN THE DELIVERY OF HEALTHCARE SERVICES IN THE GREATER WATERBURY AREA, WATERBURY HOSPITAL (WH) IS COMMITTED TO STRENGTHENING THE WELFARE AND AWARENESS OF THE CITIZENS WITHIN ITS COMMUNITY. FROM STRENGTHENING THE CAREER PATHS OF WATERBURY AREA YOUTH; TO SUPPORTING THE UNINSURED AND UNDERINSURED THROUGH THE WATERBURY HEALTH ACCESS PROGRAM AND; PROVIDING TRANSPORT TO AND FROM MEDICAL APPOINTMENTS; WATERBURY HOSPITAL IS REMOVING THE BARRIERS TO QUALITY HEALTH CARE FOR ALL AND REMAINS FIRM IN ITS COMMITMENT TO A HEALTHIER, STRONGER, AND MORE PRODUCTIVE COMMUNITY.YOUTH PIPELINE INITIATIVES - THE WH YOUTH PIPELINE INITIATIVES WERE ESTABLISHED IN 2001 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL AND WATERBURY PUBLIC SCHOOLS. THE MISSION OF THE PROGRAM IS: "TO CLOSE THE ACHIEVEMENT GAP FOR MINORITY AND ECONOMICALLY DISADVANTAGED STUDENTS IN WATERBURY SO THEY CAN MATRICULATE AND COMPETE NATIONALLY FOR PLACEMENT IN POST-SECONDARY EDUCATION PROGRAMS IN PREPARATION FOR HEALTH CAREERS". WH IS COMMITTED TO ENHANCING AND ENRICHING THE ACADEMIC OPPORTUNITIES AND PERSONAL JOURNEYS OF OUR YOUTH, WHO ARE THE EMERGING WORKFORCE OF TOMORROW. DURING 2016, WH PROVIDED 52 STUDENTS AND PARENTS IN GREATER WATERBURY WITH UNIQUE EDUCATIONAL PROGRAMS THAT WILL ENHANCE THE OVERALL WELFARE OF OUR COMMUNITY.THE WH YOUTH PIPELINE INITIATIVES HAD FOUR FOCUS AREAS DURING FY 2016, INCLUDING: - PARENT LEADERSHIP TRAINING INSTITUTE (PLTI) - IN 2016, 11 INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PLTI, A 20-WEEK CURRICULUM TEACHING LEADERSHIP AND ADVOCACY SKILLS, AS WELL AS INDIVIDUAL COMMUNITY PROJECT PLANNING. PLTI'S CORE MISSION IS TO IMPART LEADERSHIP AND ADVOCACY SKILLS TO PARENTS WHILE SIMULTANEOUSLY EDUCATING THEM ABOUT VOLUNTEERISM, CIVIC LIFE, AND THE PROCESS BY WHICH STATE AND LOCAL GOVERNMENTS ENACT AND CHANGE LAWS. EACH PARTICIPANT COMPLETES AND IMPLEMENTS A COMMUNITY PROJECT. - CHILDREN LEADERSHIP TRAINING INSTITUTE (CLTI) - CLTI IS RUN IN CONNECTION WITH THE PLTI PROGRAM. 10 CHILDREN PARTICIPATED IN THE PROGRAM IN 2016. - UCONN PEOPLE EMPOWERING PEOPLE (PEP) - THE PROGRAM INCLUDED A 10-WEEK PARENT LEADERSHIP AND ADVOCACY REGIMEN THROUGH WHICH 9 PARTICIPANTS SUCCESSFULLY COMPLETED THE PEP COURSE. UCONN PEP IS A PERSONAL, FAMILY, AND LEADERSHIP DEVELOPMENT PROGRAM WITH A STRONG COMMUNITY FOCUS. PEP IS DESIGNED TO BUILD ON THE UNIQUE STRENGTHS AND LIFE EXPERIENCES OF PARTICIPANTS AND EMPHASIZES THE CONNECTION BETWEEN AN INDIVIDUAL AND COMMUNITY ACTION. PARTICIPANTS WORK INDIVIDUALLY OR COLLABORATIVELY TO CREATE A COMMUNITY PROJECT WHICH IS COMPLETED AS PORTION OF THE PROGRAM. - WH SUMMER BRIDGE PROGRAM - DURING THE SUMMER OF 2016, 22 STUDENTS FROM WATERBURY, GRADES 6-11, PARTICIPATED IN THE WH SUMMER BRIDGE PROGRAM. 100% OF MEALS WERE SECURED FOR THE PROGRAM FROM CITY OF WATERBURY SUMMER FOOD PROGRAM.STUDENTS COMPLETED THE FOLLOWING MODULES: - 13.5 HOURS OF MATH (PRE- ALGEBRA, ALGEBRA II, ADVANCED MATH) REVIEW SESSIONS - 14 HOURS OF ENGLISH LANGUAGE ARTS AND SECOND ANNUAL WH GREAT DEBATE - 18 HOURS OF SAT VOCABULARY - 13.5 HOURS OF PROJECT CITIZEN (CIVICS COURSE) - 6.5 HOURS OF SAT VOCAB - 9 HOURS OF PRACTICAL MONEY SKILLS - 9 HOURS OF TEAM BUILDING - 13 HOURS OF POETRY INSTRUCTION AND PARTICIPATION IN THE ANNUAL WH POETRY SLAM - 6 HOURS SCIENCE MODULE AT STONE ACADEMY - 6 HOURS OF SOCIAL DETERMINANTS OF HEALTH DOCUMENTARIES AND ACTIVE DISCUSSIONS WITH THE WATERBURY HEALTH DEPT. - HEALTH & NUTRITION FAIR HOSTED BY THE STUDENTS INCLUDING PRESENTATIONS ON OBESITY - FIELDTRIPS INCLUDED: HAMMONASSET STATE PARK (EDUCATIONAL SESSION AT MEIGS POINT NATURE CENTER), THE HAROLD LEEVER CANCER CENTER, LYMAN ORCHARD, AND MYSTIC AQUARIUM.SUPPORT GROUPS - DURING 2016, WATERBURY HOSPITAL HOSTED SEVERAL SUPPORT GROUPS FOR ITS PATIENTS AND THEIR FAMILIES, INCLUDING: - BEHAVIORAL HEALTH'S PARENT AND SIBLING SUPPORT GROUP, WHICH OFFERS EMOTIONAL ASSISTANCE TO FAMILIES WHO HAVE CHILDREN IN TREATMENT; AND - ALCOHOLICS ANONYMOUS, SERVES OVER 4,000 PEOPLE ANNUALLY, MEETS WEEKLY THROUGHOUT THE YEAR, AND IS COORDINATED BY OUR BEHAVIORAL HEALTH DEPARTMENT.
PART III, LINE 2:OVERALL COST TO CHARGE RATIO USED IN CALCULATION.
PART III, LINE 3:FINANCIAL ASSISTANCE (CHARITY CARE) IS A SEPARATE NUMBER, AND NOT INCLUDED IN THE AMOUNT REPORTED ON LINE 2.
PART III, LINE 4:THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS POSSIBLE. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES AND ASSETS. THESE SERVICES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES FOR FINANCIAL REPORTING PURPOSES. EFFECTIVE OCTOBER 1, 2013, THE HOSPITAL CHANGED ITS CHARITY CARE POLICY TO DISCOUNT ALL SELF PAY RECEIVABLES BY 50% UPON FINAL BILLING.
PART III, LINE 8:COSTING METHODOLOGY USED TO COMPUTE THE MEDICARE SHORTFALL AND ANY ASSOCIATED COMMUNITY BENEFIT IS A COMBINATION OF THE AMOUNT REPORTED ON LINE 7 AS WELL AS THE HEALTH PROFESSION EDUCATION LINE. A TOTAL SHORTFALL OF $5,068,780 WAS DERIVED FROM THE 2016 MEDICARE COST REPORT USING AN AHA APPROVED FORM FOR SCHEDULE H WORKSHEET B PPS AND IPF HOSPITALS. ALL OF THIS SHORTFALL SHOULD BE REPORTED AS A COMMUNITY BENEFIT. THE HOSPITAL COST ACCOUNTING SYSTEM SHOWS A SHORTFALL FROM ALL MEDICARE PROGRAMS (INCLUDING MANAGED MEDICARE) OF $9,819,801 (NET OF BAD DEBT AND FREE CARE).
PART III, LINE 9B:WE HAVE SEVERAL CREDIT AND COLLECTION PROGRAMS GOVERNING PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE; PROMPT PAY DISCOUNT; SLIDING SCALE; PAYMENT ARRANGEMENTS; CHARITY CARE AND FREE BED FUNDS. ANY PATIENT EXPRESSING DIFFICULTY PAYING A BALANCE IS ENTITLED TO APPLY FOR FINANCIAL COUNSELING ASSISTANCE. CUSTOMER SERVICE REPRESENTATIVES WORK WITH THE PATIENTS TO DETERMINE PROGRAM QUALIFICATION BASED ON THE COMPLETION OF A FINANCIAL APPLICATION. CASES ARE PREPARED AND PRESENTED TO THE PATIENT ASSISTANCE COMMITTEE. APPROVED CASES WILL BE EITHER FULLY OR PARTIALLY WRITTEN OFF TO FREE BED FUNDS OR CHARITY CARE.
PART VI, LINE 2:IN ORDER TO ACCESS THE HEALTH CARE NEEDS OF THE COMMUNITY, WATERBURY HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS INCLUDING SAINT MARY'S HOSPITAL, STAYWELL HEALTH CENTER, WATERBURY HEALTH DEPARTMENT, UNITED WAY, AND THE CONNECTICUT COMMUNITY FOUNDATION. THE PARTNERSHIP, ALSO KNOWN AS THE GREATER WATERBURY HEALTH IMPROVEMENT PARTNERSHIP (GWHIP), REVIEWED THE FINDINGS AND DISCUSSED CROSS-CUTTING APPROACHES TO FURTHER HONE THE PRIORITY AREAS. THE FOLLOWING FOUR PRIORITY AREAS FOR WATERBURY WERE ADOPTED FOR THE 2017-2019 IMPLEMENTATION PLAN IN ORDER TO TOUCH ON SEVERAL HEALTH INITIATIVES: ACCESS TO CARE - INCLUDING MENTAL HEALTH/SUBSTANCE ABUSE, HEALTHY LIFESTYLE - INCLUDING OBESITY AND TOBACCO USE, ASTHMA, AND HEALTH COMMUNICATIONS.WATERBURY HOSPITAL CONTINUES TO BE A PARTNER IN GWHIP AND ACTIVELY PARTICIPATES IN THE WORK GROUPS FOR EACH OF THE HEALTH INITIATIVES IDENTIFIED. IN ADDITION, WATERBURY HOSPITAL HAS ITS OWN IMPLEMENTATION PLAN THAT ILLUSTRATES THE HOSPITAL'S SPECIFIC STRATEGIES AND RESOURCES.
PART VI, LINE 3:WE HAVE SIGNAGE, PT HANDBOOK, STATEMENT BACKERS & HANDOUTS THAT INFORM PATIENTS OF FREE BED FUNDS ETC. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS POSSIBLE. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. THESE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES FOR FINANCIAL REPORTING PURPOSES.
PART VI, LINE 4:THE HOSPITAL'S TOTAL SERVICE AREA COMPRISES 35 ZIP CODES, WHICH INCLUDE THE CITY OF WATERBURY AND 17 SURROUNDING TOWNS. THE PRIMARY SERVICE AREA WHICH COVERS NINE US CENSUS ZIP CODE TABULATION AREAS (ZCTAS) INCLUDES WATERBURY, NAUGATUCK, PROSPECT AND WOLCOTT HAS A POPULATION OF APPROXIMATELY 168,000. THE SECONDARY SERVICE AREA INCLUDES BEACON FALLS, BETHLEHEM, CHESHIRE, MIDDLEBURY, MORRIS, OXFORD, PLYMOUTH, SOUTHBURY, THOMASTON, WATERTOWN AND WOODBURY HAS A POPULATION OF APPROXIMATELY 133,000.THE COMBINED POPULATION FOR THESE COMMUNITIES IS ROUGHLY 301,000 RESIDENTS, WITH THE MAJORITY OF PATIENTS LIVING IN THE CITY OF WATERBURY WHICH IS PARTICULARLY ECONOMICALLY DISTRESSED. THE MEDIAN HOUSEHOLD INCOME IS $41,136, WHICH IS SIGNIFICANTLY LESS THAN THE OVERALL SERVICE AREA, WHICH IS APPROXIMATELY $70,000. THE UNEMPLOYMENT RATE IN THE CITY OF WATERBURY IN SEPTEMBER 2015 WAS 10.7%. THIS IS HIGHER THAN THE STATE OF CONNECTICUT UNEMPLOYM MENT RATE OF 6.6%. APPROXIMATELY 31.6% OF THE POPULATION IN WATERBURY SPEAKS A LANGUAGE OTHER THAN ENGLISH IN THE HOME. THIS IS HIGHER THAN THE STATE OF CONNECTICUT WHERE 20.8% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH IN THE HOME. IN ADDITION, 24.2% OF FAMILIES IN WATERBURY HAVE POVERTY STATUS COMPARED TO 10.5% IN CONNECTICUT.CENTRAL WATERBURY HAS BEEN DESIGNATED A MEDICALLY UNDERSERVED AREA (MUA) AND MEDICALLY UNDERSERVED POPULATION (MUP) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). HRSA HAS ALSO DESIGNATED CENTRAL WATERBURY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY MEDICAL CARE, DENTAL CARE AND MENTAL HEALTH.
PART VI, LINE 5:WATERBURY HOSPITAL HAS SPECIFIC PROGRAMS AND RESOURCES THAT SUPPORT ONGOING EFFORTS TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES AND WE PARTICIPATE IN A VARIETY OF COMMUNITY EVENTS THROUGHOUT THE YEAR. WE ALSO CONTINUE TO PARTICIPATE IN THE GREATER WATERBURY HEALTH IMPROVEMENT PARTNERSHIP (GWHIP) WHICH CREATES OPPORTUNITIES FOR COLLECTIVE IMPACT, FOSTERS GREATER COLLABORATION COMMUNITY-WIDE, AND HELPS MAKE BETTER USE OF RESOURCES BY ELIMINATING DUPLICATION OF EFFORT WHEREVER POSSIBLE.
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESCT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
DARLENE STROMSTAD
PRESIDENT/TREASURER$533,998$0$81,114$0$0$0$82,950$0$13,429$0$711,491$0$0$0
HENRY BORKOWSKI MD
DIRECTOR / CAGW - CARDIOLOGIST$556,959$0$0$0$0$0$25,950$0$12,169$0$595,078$0$0$0
DAVID J PIZZUTO MD
DIRECTOR / VP MEDICAL SERVICES$143,124$0$21,669$0$0$0$2,602$0$3,552$0$170,947$0$0$0
SANDRA A IADAROLA
CHIEF NURSING OFFICER$204,254$0$34,749$0$0$0$3,816$0$9,146$0$251,965$0$0$0
MICHAEL J CEMENO
CHIEF INFORMATION OFFICER$285,522$0$43,878$0$0$0$5,325$0$14,998$0$349,723$0$0$0
MARK HOLTZ
CHIEF OPERATING OFFICER$226,333$0$0$0$0$0$0$0$21,817$0$248,150$0$0$0
JAMES MOYLAN
CHIEF FINANCIAL OFFICER$254,476$0$0$0$0$0$0$0$0$0$254,476$0$0$0
EHSAN ANSARI
CAGW - CARDIOLOGIST$885,601$0$0$0$0$0$25,950$0$16,530$0$928,081$0$0$0
JOSEPH MORLEY
CAGW - CARDIOLOGIST$865,413$0$0$0$0$0$25,950$0$16,530$0$907,893$0$0$0
KEVIN KETT
CAGW - CARDIOLOGIST$819,453$0$0$0$0$0$25,950$0$16,022$0$861,425$0$0$0
STEPHEN WIDMAN
CAGW - CARDIOLOGIST$790,777$0$0$0$0$0$25,950$0$17,699$0$834,426$0$0$0
MARK RUGGIERO
CAGW - CARDIOLOGIST$786,684$0$0$0$0$0$25,950$0$16,022$0$828,656$0$0$0
DIANE M WOOLLEY
FORMER VP HUMAN RESOURCES$105,728$0$22,500$0$0$0$3,562$0$17,106$0$148,896$0$0$0
EDWARD ROMERO
FORMER CHIEF FINANCIAL OFFICER$98,061$0$17,340$0$0$0$3,521$0$18,604$0$137,526$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationDARLENE STROMSTAD'S SERP CONTRIBUTION: $75,000ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
NEIL PETERSEN MD
TRUSTEE$75,000STIPEND FOR SERVING AS CHIEF OF STAFF0
NEIL PETERSEN MD
TRUSTEE$707,750DR. NEIL PETERSEN IS AN EMPLOYEE OF WATERBURY ANESTHESIOLOGY ASSOCIATES, WHICH PROVIDED ANESTHESIA SERVICES FOR THE WATERBURY HOSPITAL.0
CARL B SHERTER MD
TRUSTEE$568,078DR. CARL B. SHERTER IS AN EMPLOYEE OF WATERBURY PULMONARY ASSOCIATES, WHICH PROVIDED PULMONARY SERVICES FOR THE WATERBURY HOSPITAL.0
HENRY BORKOWSKI MD
TRUSTEE$138,880RENT FOR CARDIOLOGY ASSOCIATES OF GREATER WATERBURY, LLC OFFICE SPACE0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):TOTAL COMMUNITY BENEFITS FOR FY 2016 BY CATEGORY: A. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS BENEFIT: $5,830,171 PERSONS SERVED: 28,032 - COMMUNITY HEALTH EDUCATION - COMMUNITY-BASED CLINICAL SERVICES - HEALTH CARE SUPPORT SERVICES B. HEALTH PROFESSIONS EDUCATION BENEFIT: $7,323,386 PERSONS SERVED: 83 - PHYSICIANS/MEDICAL STUDENTS - NURSES/NURSING STUDENTS - OTHER HEALTH PROFESSIONS EDUCATION - SCHOLARSHIPS/FUNDING FOR PROFESSIONAL EDUCATION - OTHER D. RESEARCH BENEFIT: $726 PERSONS SERVED: 2 - CLINICAL RESEARCH - COMMUNITY HEALTH RESEARCH E. FINANCIAL AND IN-KIND CONTRIBUTIONS BENEFIT: $0 PERSONS SERVED: N/A - CASH DONATIONS - IN-KIND DONATIONS F. COMMUNITY BUILDING ACTIVITIES BENEFIT: $142,530 PERSONS SERVED: 247 - COMMUNITY SUPPORT - ENVIRONMENTAL IMPROVEMENTS - LEADERSHIP DEVELOPMENT/TRAINING COMMUNITY MEMBERS/ YOUTH PIPELINE - COALITION BUILDING - OTHER G. COMMUNITY BENEFIT OPERATIONS BENEFIT: $141,879 PERSONS SERVED: N/A - DEDICATED STAFF SUBTOTAL FOR COMMUNITY BENEFITS: $13,438,692 SUBTOTAL FOR PERSONS SERVED: 28,364 TRADITIONAL CHARITY CARE COSTS - FREE CARE: $950,442 - BAD DEBT: $761,283 - UNPAID MEDICAID COSTS: $9,514,951 (PERSONS SERVED: 45,013) - UNPAID MEDICARE COSTS: $3,716,027 (PERSONS SERVED: 62,701) SUBTOTAL FOR CHARITY CARE COSTS BENEFIT: $14,942,703 (PERSONS SERVED: 107,714) TOTAL BENEFIT - FY 2016: $28,381,395 (PERSONS SERVED: 136,078) CATEGORY A: COMMUNITY HEALTH IMPROVEMENT SERVICES TOTAL BENEFIT: $5,830,171 TOTAL PERSONS SERVED: 28,032 REALIZING THE DIVERSE NEEDS OF RESIDENTS IN OUR COMMUNITY, WATERBURY HOSPITAL (WH) REMAINS DEDICATED TO PROVIDING COMPREHENSIVE HEALTH SERVICES TO ENSURE EVERY INDIVIDUAL HAS ACCESS TO APPROPRIATE, QUALITY HEALTHCARE. DURING 2016, WATERBURY HOSPITAL'S SPECTRUM OF SERVICES CONTINUED TO HAVE A POSITIVE IMPACT ON THE WELFARE OF WATERBURY'S CITIZENS. TO REMAIN CONSISTENT WITH WATERBURY HOSPITAL'S MISSION, MANY OF OUR SERVICES ARE TARGETED FOR VULNERABLE MEMBERS OF OUR COMMUNITY, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED. WATERBURY HEALTH ACCESS PROGRAM (WHAP) - WATERBURY HOSPITAL IS AWARE OF THE ECONOMIC NEEDS MANY PATIENTS IN OUR COMMUNITY, AND, AS A RESULT, WE REMAIN COMMITTED TO THE WATERBURY HEALTH ACCESS PROGRAM. FOUNDED IN 2003 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL, ST. MARY'S HOSPITAL, AND STAYWELL HEALTH CENTER (FQHC), WHAP IMPROVES ACCESS TO HIGH-QUALITY MEDICAL CARE BY PROVIDING COMPREHENSIVE CASE MANAGEMENT, PHARMACY ASSISTANCE, AND ACCESS TO PRIMARY AND SUB-SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF THE GREATER WATERBURY REGION. WITH THE INSTITUTION OF THE ACA, WHAP WORKERS HAVE BECOME ACCESS HEALTH CT ASSISTERS, HAVE INCREASED THEIR NAVIGATION SERVICES TO INCLUDE THE MEDICAID POPULATION, AND CONTINUE TO ADD TO ITS REPERTOIRE ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH FOR THOSE WHO ARE IDENTIFIED AS HIGH UTILIZERS WITH CHRONIC HEALTH CONDITIONS. DURING FY 2016, WHAP HAD OVER 5,256 ACTIVE CLIENTS. ADDITIONALLY, WATERBURY HOSPITAL PROVIDED $176,384 WORTH OF DONATED SERVICES TO WHAP'S PATIENTS. BEHAVIORAL HEALTH - WATERBURY HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH IS ONE OF THE REGION'S LARGEST SERVICE PROVIDERS OFFERING A FULL CONTINUUM OF CARE FOR CHILDREN, ADOLESCENTS AND ADULTS. OUR SERVICES ALSO OUTREACH TO THE COMMUNITY THROUGH REGULAR PARTICIPATION IN HEALTH FAIRS, ELECTED MEMBERSHIP IN THE NORTHWEST REGIONAL MENTAL HEALTH BOARD, AS A HOST SITE TO NUMEROUS TWELVE-STEP MEETINGS AND THE PROVISION OF CASE MANAGEMENT AS WELL AS ACUTE SERVICES TO THE HOMELESS WITHIN THE CITY OF WATERBURY. BEHAVIORAL HEALTH CLINICIANS CAN ENGAGE CLIENTS TO HELP FACILITATE THEIR ENTRANCE INTO TREATMENT. WE PROVIDE PHONE SUPPORT, REFERRALS AND TRIAGING TEN HOURS A DAY SEVEN DAYS A WEEK. WITHIN OUR CRISIS CENTER WE OFFER SHORT TERM SERVICES TO HELP INDIVIDUALS OBTAIN MORE PERMANENT TREATMENT THAT BEST MEETS THEIR NEEDS. AMBULATORY SERVICES INCLUDE PARTIAL HOSPITAL PROGRAMS, INTENSIVE OUTPATIENT SERVICES, GROUP, INDIVIDUAL THERAPY AND MEDICATION MANAGEMENT TO PATIENTS EXPERIENCING MENTAL ILLNESS AND/ OR A SUBSTANCE USE DISORDER. FOR INDIVIDUALS EXPERIENCING ACUTE SYMPTOMS WE OFFER INPATIENT TREATMENT TO ADOLESCENTS AGED 12 AND UP AS WELL AS ADULT SERVICES. OUR EFFORTS ARE AIMED AT PROMOTING THE BENEFITS OF CLINICAL TREATMENT AS WELL AS POSITIVE LIFESTYLE CHOICES. EVERY EFFORT IS MADE TO EDUCATE CLIENTS, THEIR FAMILIES AND THE COMMUNITY ABOUT MENTAL ILLNESS AND THE IMPACT TREATMENT CAN HAVE ON ONE'S ILLNESS. THE ULTIMATE GOAL IS TO HELP PEOPLE FEEL BETTER, REDUCE OR RESOLVE SYMPTOMS AND TO MINIMIZE THE STIGMA OF MENTAL ILLNESS. BE WELL BUS - IN ORDER TO ENSURE THAT PATIENTS HAVE ACCESS TO MEDICAL APPOINTMENTS, AT THE HOSPITAL AND AT LOCAL PHYSICIANS' OFFICES, WATERBURY HOSPITAL'S BE WELL BUS PROVIDES TRANSPORTATION SERVICES TO PATIENTS FROM WATERBURY AND ELEVEN OF ITS SURROUNDING TOWNS. WH HAS CONTRACTED WITH VPNE, A TRANSPORTATION COMPANY TO OFFER THE BUS SERVICE. COMMUNITIES SERVED INCLUDE: WATERBURY, WATERTOWN, THOMASTON, SOUTHBURY, MIDDLEBURY, NAUGATUCK, WOLCOTT, AND BEACON FALLS. HEART CENTER OF GREATER WATERBURY - FORMED IN COLLABORATION WITH SAINT MARY'S HOSPITAL, THE HEART CENTER OF GREATER WATERBURY PROVIDES DIVERSE MEDICAL SUPPORT INITIATIVES TO HELP EDUCATE RESIDENTS IN THE GREATER WATERBURY COMMUNITY ABOUT PERTINENT HEALTH AND WELLNESS ISSUES. THIS PAST YEAR, THE HEART CENTER CONDUCTED A SERIES OF HEALTH FAIRS AND VARIOUS HEALTH AND WELLNESS EDUCATION SESSIONS, INCLUDING "HEALTH SCREENINGS," WHICH PROVIDES PATIENTS WITH COMPLIMENTARY BLOOD PRESSURE SCREENINGS AND HEALTH AWARENESS EDUCATION. EVERGREEN 50 CLUB - THE EVERGREEN 50 CLUB HAS 9,200 MEMBERS OVER THE AGE OF 50. THE CLUB OFFERS FITNESS CLASSES INCLUDING WEIGHT TRAINING AND PILATES, WELLNESS CLASSES, AND HEALTH EDUCATION PRESENTATIONS ON A VARIETY OF TOPICS ARE PRESENTED BY HEALTHCARE PROFESSIONALS.
FORM 990, PART III, LINE 4AWATERBURY HOSPITAL INFECTIOUS DISEASE CLINIC (WHIC) - THE WHIC PROVIDES PATIENTS WITH ON-SITE PRIMARY AND SPECIALTY SERVICES, INDIVIDUALIZED MEDICATION ADHERENCE SERVICES, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, NUTRITION COUNSELING, INDIVIDUALIZED HIV EDUCATION, LABORATORY TESTING, AND RADIOLOGY SERVICES. WHIC'S PROVIDERS INCLUDE THREE BOARD-CERTIFIED/BOARD-ELIGIBLE INFECTIOUS DISEASE SPECIALISTS AS WELL AS AN ADVANCED PRACTITIONER NURSE AND A REGISTERED DIETICIAN, ALL WITH EXPERTISE IN THE MANAGEMENT OF PATIENTS WITH HIV/AIDS. IN FY 2016, WHIC SERVED AROUND 452 PEOPLE LIVING WITH HIV/AIDS (PLWHA).
FORM 990, PART III, LINE 4ACATEGORY B: HEALTH PROFESSIONS EDUCATION TOTAL BENEFIT: $7,323,386 TOTAL PERSONS SERVED: 83 SINCE IT FIRST AFFILIATED WITH THE YALE UNIVERSITY SCHOOL OF MEDICINE IN 1973, WATERBURY HOSPITAL HAS SERVED AS THE CLINICAL TRAINING SITE FOR THOUSANDS OF MEDICAL PROFESSIONALS IN TRAINING. DURING FY 2016, STUDENTS COMPLETED CLINICAL ROTATIONS, INTERNSHIPS, AND SHADOWING EXPERIENCES AT WATERBURY HOSPITAL. WATERBURY HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM THE YALE-WATERBURY INTERNAL MEDICINE RESIDENCY PROGRAM, INITIATED THREE YEARS AGO, IS SPONSORED BY YALE-NEW HAVEN HOSPITAL AND AFFILIATED WITH YALE UNIVERSITY. ACTIVITIES INCLUDE PARTICIPATION IN RESEARCH DAYS AT YALE AND WATERBURY HOSPITAL/SAINT MARY'S HOSPITAL, HOME AND OFFICE VISITS FOR CLINIC PATIENTS AND EDUCATION SEMINARS HELD AT WATERBURY HOSPITAL AND YALE UNIVERSITY. WE CURRENTLY HAVE 41 RESIDENTS IN OUR PROGRAM. THE CHASE OUTPATIENT CENTER IS THE HUB OF OUTPATIENT SERVICES FOR OUR RESIDENTS. OTHER RESIDENCY PROGRAMS WATERBURY HOSPITAL ALSO HAS A SURGERY RESIDENCY PROGRAM. THE PROGRAM IS AFFILIATED WITH YALE UNIVERSITY, UNIVERSITY OF CONNECTICUT MEDICAL CENTER, AND QUINNIPIAC UNIVERSITY SCHOOL OF MEDICINE. THIS PROGRAM PROVIDES A FULL SPECTRUM OF SURGICAL EXPERIENCES FOR THE HOSPITAL'S RESIDENTS. GENERAL SURGERY AND MEDICINE TRAINING PROGRAMS INCLUDES ACCESS TO GENERAL SURGERY, ENT, UROLOGY, PLASTICS, GYN, NEUROSURGERY AND ORTHOPEDIC CASES. WATERBURY HOSPITAL HAS A PHARMACY RESIDENCY PROGRAM. TWO STUDENTS ARE ENROLLED IN THE PHARMACY RESIDENCY PROGRAM. WATERBURY HOSPITAL'S PGY-1 PROGRAM IS ACCREDITED BY THE AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS (ASHP). TWO RESIDENT POSITIONS WILL BE AVAILABLE EACH YEAR. THE MISSION OF THE PHARMACY RESIDENCY PROGRAM IS TO BE CLINICALLY FOCUSED AND TO SHARE RESPONSIBILITY FOR THE OPTIMAL OUTCOME OF PATIENT DRUG THERAPIES. 1-YEAR OF CONCENTRATED TRAINING IN ALL ASPECTS OF PHARMACY PRACTICE IS PROVIDED IN ADDITION TO LEARNING ACTIVITY ROTATIONS THAT ACCOMMODATE THE RESIDENT'S PREVIOUS EXPERIENCES AND CURRENT GOALS. THIS PROGRAM SATISFIES THE ASHP PGY-1 REQUIRED OUTCOMES. ROTATIONS INCLUDED ARE: - PHARMACY OPERATIONS (FOUR WEEKS) - INTERNAL MEDICINE (EIGHT WEEKS) - CRITICAL CARE (EIGHT WEEKS) - EMERGENCY MEDICINE (SIX WEEKS) - PSYCHIATRY (FOUR WEEKS) - PHARMACY ADMINISTRATION (SIX WEEKS) - PAIN MANAGEMENT (FOUR WEEKS) - PHARMACY INFORMATICS (FOUR WEEKS) - AMBULATORY CARE (LONGITUDINAL) PHYSICIAN'S ASSISTANT (PA) STUDENTS - P.A. STUDENTS FROM QUINNIPIAC UNIVERSITY COMPLETED CLINICAL ROUNDS IN SEVERAL DEPARTMENTS AROUND THE HOSPITAL, INCLUDING THE OPERATING ROOM, EMERGENCY DEPARTMENT, BEHAVIORAL HEALTH, AND RADIOLOGY. THE EXPERIENCE IS DESIGNED FOR THE STUDENT TO LEARN TO APPLY THE KNOWLEDGE GAINED FROM DIDACTIC COURSE WORK IN MEDICINE, SURGERY, AND THE BASIC AND BEHAVIORAL SCIENCES INTO THE CLINICAL ARENA RESULTING IN THE ABILITY TO SUCCESSFULLY MANAGE PATIENTS IN A THOROUGH AND COMPREHENSIVE MANNER. THE PRIMARY GOAL OF CLINICAL ROTATIONS IS TO EXPOSE THE STUDENT TO PATIENTS OF ALL AGES, PATIENTS IN A VARIETY OF DIFFERENT SETTINGS, AND PATIENTS WITH A BROAD RANGE OF MEDICAL, SURGICAL, AND PSYCHOSOCIAL PROBLEMS. THE P.A. STUDENTS PARTICIPATE IN: - HISTORY TAKING - EXAMINING THE PATIENT - ASSISTING IN AND/OR PERFORMING DIAGNOSTIC TESTING - ASSISTING IN AND/OR PERFORMING THERAPEUTIC TASKS - ORAL PRESENTATIONS - MEDICAL DOCUMENTATION OF THE PATIENT ENCOUNTER - FORMULATING A DIFFERENTIAL DIAGNOSIS AND PROBLEM LIST - FORMULATING A TREATMENT PLAN - COUNSELING OF PATIENTS REGARDING MEDICATION, DIET, AND LIFESTYLE CHANGES SUCH AS SMOKING CESSATION, EXERCISE, AND WELL-BEING. RADIOLOGY STUDENTS FROM NVCC - THE NAUGATUCK VALLEY COMMUNITY COLLEGE (NVCC) RADIOLOGY STUDENTS ARE INVOLVED WITH MANY ACTIVITIES WHILE ASSIGNED TO WATERBURY HOSPITAL. UNDER THE SUPERVISION OF A NVCC CLINICAL INSTRUCTOR AND HOSPITAL RADIOLOGIC TECHNOLOGISTS, THE STUDENTS ARE ASSIGNED TO THE VARIOUS RADIOGRAPHIC SUITES AND MODALITIES. DURING THEIR ASSIGNMENT, STUDENTS ARE PERFORMING OR ASSISTING WITH RADIOGRAPHIC PROCEDURES, INCLUDING CHEST X-RAYS, SKELETAL EXAMS, FLUOROSCOPIC PROCEDURES, MOBILE X-RAYS IN THE VARIOUS PATIENT UNITS, AND SURGICAL CASES. THE STUDENTS ALSO INCREASE THE NUMBER OF INDIVIDUALS AVAILABLE IN THE DEPARTMENT TO ASSIST IN MOVING AND TRANSPORTING PATIENTS AS WELL AS CHAPERONING SENSITIVE EXAMS. IN ADDITION TO THE DIAGNOSTIC RADIOLOGY THE STUDENTS ARE ASSIGNED TO EXPERIENCES IN INTERVENTIONAL RADIOLOGY, CT, MRI, NUCLEAR MEDICINE, AND ULTRASOUND. WATERBURY HOSPITAL'S AFFILIATION WITH NVCC AS A CLINICAL SITE FOR STUDENTS HAS MANY BENEFITS. PERHAPS THE SINGLE MOST IMPORTANT BENEFIT IS THE HOSPITAL HAS A CONTINUOUS STREAM OF POTENTIAL RADIOLOGY EMPLOYEES. STUDENTS ARE IN THE PROGRAM FOR 22 MONTHS AND IN THAT TIME BECOME VERY FAMILIAR WITH THE HOSPITAL EQUIPMENT, ROUTINES, PERSONAL, AND MISSION. THIS PROVIDES WATERBURY HOSPITAL WITH NEW EMPLOYEES WHO HAVE A STRONG SKILL SET AND PROVEN DEDICATION TO THE HOSPITAL COMMUNITY.
FORM 990, PART III, LINE 4ACATEGORY D: RESEARCH TOTAL BENEFIT: $726 TOTAL PERSON SERVED: 2 DURING 2016, WATERBURY HOSPITAL PARTICIPATED IN SEVERAL CLINICAL TRIALS THAT BENEFITED RESIDENTS IN GREATER WATERBURY INCLUDING: THE FECAL TRANSPLANT STUDY, WHICH ENROLLS PATIENTS WITH RESISTANT CLOSTRIDIUM DIFFICILE COLITIS WHO HAVE HAD 2 OR MORE RELAPSES OF COLITIS IN SPITE OF ANTIBIOTIC THERAPY. CATEGORY F: COMMUNITY BUILDING ACTIVITIES TOTAL BENEFIT: $142,530 TOTAL PERSONS SERVED: 247 AS A LEADER IN THE DELIVERY OF HEALTHCARE SERVICES IN THE GREATER WATERBURY AREA, WATERBURY HOSPITAL (WH) IS COMMITTED TO STRENGTHENING THE WELFARE AND AWARENESS OF THE CITIZENS WITHIN ITS COMMUNITY. FROM STRENGTHENING THE CAREER PATHS OF WATERBURY AREA YOUTH; TO SUPPORTING THE UNINSURED AND UNDERINSURED THROUGH THE WATERBURY HEALTH ACCESS PROGRAM AND; PROVIDING TRANSPORT TO AND FROM MEDICAL APPOINTMENTS; WATERBURY HOSPITAL IS REMOVING THE BARRIERS TO QUALITY HEALTH CARE FOR ALL AND REMAINS FIRM IN ITS COMMITMENT TO A HEALTHIER, STRONGER, AND MORE PRODUCTIVE COMMUNITY. YOUTH PIPELINE INITIATIVES - THE WATERBURY HOSPITAL YOUTH PIPELINE INITIATIVES WERE ESTABLISHED IN 2001 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL AND WATERBURY PUBLIC SCHOOLS. THE MISSION OF THE PROGRAM IS: "TO CLOSE THE ACHIEVEMENT GAP FOR MINORITY AND ECONOMICALLY DISADVANTAGED STUDENTS IN WATERBURY SO THEY CAN MATRICULATE AND COMPETE NATIONALLY FOR PLACEMENT IN POST-SECONDARY EDUCATION PROGRAMS IN PREPARATION FOR HEALTH CAREERS". WATERBURY HOSPITAL IS COMMITTED TO ENHANCING AND ENRICHING THE ACADEMIC OPPORTUNITIES AND PERSONAL JOURNEYS OF OUR YOUTH, WHO ARE THE EMERGING WORKFORCE OF TOMORROW. DURING 2016, WATERBURY HOSPITAL PROVIDED 52 STUDENTS AND PARENTS IN GREATER WATERBURY WITH UNIQUE EDUCATIONAL PROGRAMS THAT WILL ENHANCE THE OVERALL WELFARE OF OUR COMMUNITY. THE WH YOUTH PIPELINE INITIATIVES HAD FOUR FOCUS AREAS DURING FY 2016, INCLUDING: - PARENT LEADERSHIP TRAINING INSTITUTE (PLTI) - IN 2016, 11 INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PLTI, A 20-WEEK CURRICULUM TEACHING LEADERSHIP AND ADVOCACY SKILLS, AS WELL AS INDIVIDUAL COMMUNITY PROJECT PLANNING. PLTI'S CORE MISSION IS TO IMPART LEADERSHIP AND ADVOCACY SKILLS TO PARENTS WHILE SIMULTANEOUSLY EDUCATING THEM ABOUT VOLUNTEERISM, CIVIC LIFE, AND THE PROCESS BY WHICH STATE AND LOCAL GOVERNMENTS ENACT AND CHANGE LAWS. EACH PARTICIPANT COMPLETES AND IMPLEMENTS A COMMUNITY PROJECT. - CHILDREN LEADERSHIP TRAINING INSTITUTE (CLTI) - CLTI IS RUN IN CONNECTION WITH THE PLTI PROGRAM. 10 CHILDREN PARTICIPATED IN THE PROGRAM IN 2016. - UCONN PEOPLE EMPOWERING PEOPLE (PEP) - THE PROGRAM INCLUDED A 10-WEEK PARENT LEADERSHIP AND ADVOCACY REGIMEN THROUGH WHICH 9 PARTICIPANTS SUCCESSFULLY COMPLETED THE PEP COURSE. UCONN PEP IS A PERSONAL, FAMILY AND LEADERSHIP DEVELOPMENT PROGRAM WITH A STRONG COMMUNITY FOCUS. PEP IS DESIGNED TO BUILD ON THE UNIQUE STRENGTHS AND LIFE EXPERIENCES OF PARTICIPANTS AND EMPHASIZES THE CONNECTION BETWEEN INDIVIDUAL AND COMMUNITY ACTION. PARTICIPANTS WORK INDIVIDUALLY OR COLLABORATIVELY TO CREATE A COMMUNITY PROJECT WHICH IS COMPLETED AS PORTION OF THE PROGRAM. - WH SUMMER BRIDGE PROGRAM - DURING THE SUMMER OF 2016, TWENTY-TWO STUDENTS FROM WATERBURY, GRADES 6-11, PARTICIPATED IN THE WH SUMMER BRIDGE PROGRAM. 100% OF MEALS WERE SECURED FOR THE PROGRAM FROM CITY OF WATERBURY SUMMER FOOD PROGRAM. STUDENTS COMPLETED THE FOLLOWING MODULES: - 13.5 HOURS OF MATH (PRE- ALGEBRA, ALGEBRA II, ADVANCED MATH) REVIEW SESSIONS - 14 HOURS OF ENGLISH LANGUAGE ARTS AND SECOND ANNUAL WH GREAT DEBATE - 18 HOURS OF SAT VOCABULARY - 13.5 HOURS OF PROJECT CITIZEN (CIVICS COURSE) - 6.5 HOURS OF SAT VOCAB - 9 HOURS OF PRACTICAL MONEY SKILLS - 9 HOURS OF TEAM BUILDING - 13 HOURS OF POETRY INSTRUCTION AND PARTICIPATION IN THE ANNUAL WH POETRY SLAM - 6 HOURS SCIENCE MODULE AT STONE ACADEMY - 6 HOURS OF SOCIAL DETERMINANTS OF HEALTH DOCUMENTARIES AND ACTIVE DISCUSSIONS WITH THE WATERBURY HEALTH DEPT. - HEALTH & NUTRITION FAIR HOSTED BY THE STUDENTS INCLUDING PRESENTATIONS ON OBESITY - FIELDTRIPS INCLUDED: HAMMONASSET STATE PARK (EDUCATIONAL SESSION AT MEIGS POINT NATURE CENTER), THE HAROLD LEEVER CANCER CENTER, LYMAN ORCHARD, AND MYSTIC AQUARIUM.
FORM 990, PART III, LINE 4ASUPPORT GROUPS - DURING 2016, WATERBURY HOSPITAL HOSTED SEVERAL SUPPORT GROUPS FOR ITS PATIENTS AND THEIR FAMILIES, INCLUDING: - BEHAVIORAL HEALTH'S PARENT AND SIBLING SUPPORT GROUP, WHICH OFFERS EMOTIONAL ASSISTANCE TO FAMILIES WHO HAVE CHILDREN IN TREATMENT; AND - ALCOHOLICS ANONYMOUS, SERVES OVER 4,000 PEOPLE ANNUALLY, MEETS WEEKLY THROUGHOUT THE YEAR, AND IS COORDINATED BY OUR BEHAVIORAL HEALTH DEPARTMENT. CATEGORY G: COMMUNITY BENEFIT OPERATIONS TOTAL BENEFIT: $141,879 TOTAL PERSON SERVED: N/A THE GREATER WATERBURY HEALTH IMPROVEMENT PARTNERSHIP (GWHIP) - WATERBURY HOSPITAL IS ONE OF THE FOUNDERS OF GWHIP. THE PARTNERSHIP FOCUSES ON ADDRESSING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE IDENTIFIED FOUR PRIORITY AREAS FOR GREATER WATERBURY. WATERBURY HOSPITAL EMPLOYEES PARTICIPATE AND CONTRIBUTE IN THE STEERING COMMITTEE AND IN THE PRIORITY WORKGROUPS.
FORM 990, PART VI, SECTION A, LINE 3WATERBURY HOSPITAL EMPLOYED JAMES MOYLAN (DBA JAMES MOYLAN CONSULTING) TO PERFORM THE DUTIES OF CHIEF FINANCIAL OFFICER FROM APRIL 1, 2015 UNTIL APRIL 30, 2016. IN CY 2015 HE WAS PAID $254,476 BY THE HOSPITAL; $245,431 WAS FOR HIS DUTIES AS CFO AND $9,045 WAS FOR CONSULTING WORK. IN FY 2016, MR. MOYLAN WAS PAID A TOTAL OF $318,628 BY THE HOSPITAL; $223,865 WAS FOR HIS DUTIES AS INTERIM CFO. $94,763 WAS FOR CONSULTING WORK RELATED TO THE TRANSACTION WITH PROSPECT MEDICAL HOLDINGS.
FORM 990, PART VI, SECTION A, LINE 6GREATER WATERBURY HEALTH NETWORK, INC. IS SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AGREATER WATERBURY HEALTH NETWORK, INC. ELECTS HOSPITAL BOARD.
FORM 990, PART VI, SECTION A, LINE 7BGREATER WATERBURY HEALTH NETWORK, INC. HAS RESERVED POWERS FOR HOSPITAL TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AND APPROVED BY THE ORGANIZATION'S AUDIT COMMITTEE. A COPY OF THE FORM 990 IS THEN MADE AVAILABLE TO EACH BOARD MEMBER BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL COMPLIANCE OFFICER REVIEWS ANNUALLY THE SUBMISSION OF POTENTIAL/ACTUAL CONFLICT DECLARATIONS. THEY ARE ALSO REVIEWED ANNUALLY AT THE BOARD'S COMPLIANCE AND ETHICS COMMITTEE MEETING AND RECOMMENDATIONS FOR ACTION ARE MADE TO THE FULL BOARD AS NECESSARY. ADDITIONALLY, RESPONSES ARE PROFILED, BY MEMBER, FOR EACH COMMITTEE OF THE BOARD/NETWORK, AND DISTRIBUTED AT EACH COMMITTEE MEETING AS A WAY TO PROMOTE TRANSPARENCY. THE COMMITTEE CHAIR AND MEMBERS SHARE RESPONSIBILITY IN IDENTIFYING AND MANAGING THESE DECLARED CONFLICTS OF INTEREST WHEN MAKING BUSINESS DECISIONS ON BEHALF OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION IS UNDER THE PURVIEW OF THE BOARD OF TRUSTEES. THERE IS A COMPENSATION COMMITTEE AND THEY ALWAYS USE THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO USES NATIONAL, STATE AND REGIONAL COMPENSATION SURVEY DATA FOR SIMILAR TAX EXEMPT COMMUNITY HOSPITALS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL RESULTS ARE MADE AVAILABLE IN THE ANNUAL REPORT TO THE COMMUNITY. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTING FEES: PROGRAM SERVICE EXPENSES 84,059. MANAGEMENT AND GENERAL EXPENSES 2,489,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,573,613. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 23,380,978. MANAGEMENT AND GENERAL EXPENSES 10,635,083. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,016,061. PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 9,133,841. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,133,841.
FORM 990, PART XI, LINE 9:INCREASE IN FAIR VALUE OF FUNDS HELD IN TRUST BY OTHERS 1,931,165. ALLIANCE SUBSIDY -9,766,889. PENSION LIABILITY ADJUSTMENTS -2,511,843. INTEREST RATE SWAP ADJUSTMENT 129,544. INCOME FROM WATERBURY GASTROENTEROLGY -29,492.
FORM 990, PART XII, LINE 2C:THE AUDIT COMMITTEE AND THE BOARD OF DIRECTORS HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE AUDIT COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS IN REGARD TO THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

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GREATER WATERBURY HEALTH NETWORK INC
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ALLIANCE MEDICAL GROUP INC
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ACCESS REHAB CENTERS LLC
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IMAGING PARTNERS LLC
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WATERBURY GASTROENTEROLOGY CO-MANAGEMENT COMPANY LLC
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WATERBURY MEDICAL ASSOCIATES LLP
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Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
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Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
ACCESS REHAB CENTERS LLC
J$70,355
ACCESS REHAB CENTERS LLC
M$1,266,581
ALLIANCE MEDICAL GROUP
K$17,048
GREATER WATERBURY IMAGING CENTER LLP
A$105,628
GREATER WATERBURY IMAGING CENTER LLP
M$1,086,450
ALLIANCE MEDICAL GROUP
R$9,766,889