STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BRIDGEPORT HOSPITAL AUXILIARY INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BRIDGEPORT HOSPITAL AUXILIARY INC (EIN 06-6042500)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-13
IRS object ID
201601349349306305
Schema version
2014v6.0
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)
Return2016-05-13T15:13:13-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE FINANCIAL PLAZA 755 MAIN STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN066042500EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIDGEPORT HOSPITAL AUXILIARY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBRIDBusinessNameControlTxt
Phone2037273412PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOYCE LAPONTEPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2037273412PhoneNum
Signature2016-05-13SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY-EVELYN ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone8602976085PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOYCE LAPONTEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$528,206GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNONEWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO PROVIDE SUPPORT SERVICES TO BRIDGEPORT HOSPITAL AND ITS PATIENTSActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$64,943PYContributionsGrantsAmt
CY Contributions Grants$132,070CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$535PYInvestmentIncomeAmt
CY Investment Income$376CYInvestmentIncomeAmt
PY Other Revenue$170,238PYOtherRevenueAmt
CY Other Revenue$183,761CYOtherRevenueAmt
PY Total Revenue$235,716PYTotalRevenueAmt
CY Total Revenue$316,207CYTotalRevenueAmt
PY Grants And Similar Paid$13,060PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$295,874CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$85,428PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,702CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$42,394PYOtherExpensesAmt
CY Other Expenses$42,552CYOtherExpensesAmt
PY Total Expenses$140,882PYTotalExpensesAmt
CY Total Expenses$431,128CYTotalExpensesAmt
PY Revenues Less Expenses$94,834PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$114,921CYRevenuesLessExpensesAmt
Total Assets BOY$501,369TotalAssetsBOYAmt
Total Assets EOY$482,361TotalAssetsEOYAmt
Total Liabilities BOY$23,367TotalLiabilitiesBOYAmt
Total Liabilities EOY$119,280TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$478,002NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$363,081NetAssetsOrFundBalancesEOYAmt
MissionTO PLAN, SUPPORT, AND IMPLEMENT FUNDRAISING PROJECTS THAT ASSIST BRIDGEPORT HOSPITAL IN ITS HEALTH AND WELFARE MISSION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$295,874ExpenseAmt
Grant$295,874GrantAmt
Revenue$0RevenueAmt
DescTHE BRIDGEPORT HOSPITAL AUXILIARY, INC. IS INCORPORATED AS A NOT-FOR-PROFIT NON-STOCK CORPORATION UNDER THE NON-STOCK CORPORATION ACT OF THE STATE OF CONNECTICUT. THE AUXILIARY'S PURPOSE IS TO SUPPLEMENT BRIDGEPORT HOSPITAL'S INTERNAL SERVICES AND ACTIVITIES TO PATIENTS AND PERSONNEL UNDER THE SUPERVISION OF THE HOSPITAL ADMINISTRATION, PROMOTE GOOD PUBLIC RELATIONS BETWEEN THE HOSPITAL AND THE COMMUNITY, AND INITIATE FUND-RAISING PROJECTS FOR THE BENEFIT OF THE HOSPITAL, SUBJECT TO APPROVAL OF THE BOARD OF DIRECTORS OF THE HOSPITAL. THE AUXILIARY'S PRIMARY SOURCES OF SUPPORT ARE A GIFT SHOP OPERATED IN THE BRIDGEPORT HOSPITAL AND TWO FUND RAISING EVENTS. OTHER SOURCES OF SUPPORT INCLUDE MEMBERSHIP FEES AND DONATIONS.Desc
Total Program Service Expenses$295,874TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other 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 Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROL ROBISONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2033843331PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BONNIE MOLLOY
PRESIDENT/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
JOYCE LAPONTE
TREASURE/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
BERNADETTE JACKEL EFF115
SECRETARY/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
AMPARO CASTILLO
SECRETARY/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
MARIA WATSON EFF1014
ASST TREASURE/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
ANNE WRIGHT
VICE PRESIDENT/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
VIVIAN ROCKMACHERTHRU 1114
SECRETARY/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
TONI ZELENY THRU 1114
TREASURE/BOARD MEMBER2.000.00Yes (X)Yes (X)$0$0$0
ANITA JANSON-BOWER
BOARD MEMBER2.000.00Yes (X)$0$0$0
SHIRLEY ALEXAY
BOARD MEMBER2.000.00Yes (X)$0$0$0
SHAUN AMBERG EFF1014
BOARD MEMBER2.000.00Yes (X)$0$0$0
ULLA ATWEH
BOARD MEMBER2.000.00Yes (X)$0$0$0
ARLENE BATTISTELLI
BOARD MEMBER2.000.00Yes (X)$0$0$0
RITA CRISPANO EFF315
BOARD MEMBER2.000.00Yes (X)$0$0$0
JOAN CROSSMAN
BOARD MEMBER2.000.00Yes (X)$0$0$0
ROSA DIBENEDETTO THRU915
BOARD MEMBER2.000.00Yes (X)$0$0$0
THERESA DONNELLY EFF1114
BOARD MEMBER2.000.00Yes (X)$0$0$0
MARLENE FISCHER
BOARD MEMBER2.000.00Yes (X)$0$0$0
PATRICIA HANSEN EFF1114
BOARD MEMBER2.000.00Yes (X)$0$0$0
VIRGINIA LOCH
BOARD MEMBER2.000.00Yes (X)$0$0$0
NANCY LYONS EFF1114
BOARD MEMBER2.000.00Yes (X)$0$0$0
REGINA MADWED THRU915
BOARD MEMBER2.000.00Yes (X)$0$0$0
WENDY MARTINENASTHRU915
BOARD MEMBER2.000.00Yes (X)$0$0$0
KIM MIRANTI EFF1214
BOARD MEMBER2.000.00Yes (X)$0$0$0
ANNE PAPPAS PHILLIPSEFF1014
BOARD MEMBER2.000.00Yes (X)$0$0$0
PEG PERILLIE
BOARD MEMBER2.000.00Yes (X)$0$0$0
MARY ANN PETERSON
BOARD MEMBER2.000.00Yes (X)$0$0$0
KATHLEEN SAUER THRU 915
BOARD MEMBER2.000.00Yes (X)$0$0$0
MORAG VANCE
BOARD MEMBER2.000.00Yes (X)$0$0$0
MARY JO VASQUEZ THRU915
BOARD MEMBER2.000.00Yes (X)$0$0$0
SUSAN ZAVERUHA EFF1214
BOARD MEMBER2.000.00Yes (X)$0$0$0
BARBARA BUXTON THRU 1014
BOARD MEMBER2.000.00Yes (X)$0$0$0
PINAL KOTHARI THRU 1014
BOARD MEMBER2.000.00Yes (X)$0$0$0
ELLEN HYDE PHILLIPS THRU 1014
BOARD MEMBER2.000.00Yes (X)$0$0$0
NINA KING THRU 1014
BOARD MEMBER2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$3,310MembershipDuesAmt
Fundraising$105,620FundraisingAmt
Related Organizations$10,000RelatedOrganizationsAmt
All Other Contributions$13,140AllOtherContributionsAmt
Noncash Contributions$1,018NoncashContributionsAmt
Total Contributions$132,070TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$376TotalRevenueColumnAmt
Exclusion$376ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$16,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$105,620ContriRptFundraisingEventAmt
Fundraising Direct Expenses$29,248FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,248TotalRevenueColumnAmt
Exclusion-$13,248ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$379,760GrossSalesOfInventoryAmt
Cost Of Goods Sold$182,751CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,009TotalRevenueColumnAmt
Exclusion$197,009ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$316,207TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$184,137ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$295,874TotalAmt
Program Services$295,874ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$79,524TotalAmt
Management And General$79,524ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,132TotalAmt
Management And General$1,132ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,046TotalAmt
Management And General$12,046ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Management And General$750ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,628TotalAmt
Management And General$8,628ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$638TotalAmt
Management And General$638ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,644TotalAmt
Management And General$17,644ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
BANK FEE$11,273$11,273
PROMOTION EVENT$3,619$3,619

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$431,128TotalAmt
Program Services$295,874ProgramServicesAmt
Management And General$135,254ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$314,637BOYAmt
EOY$306,655EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,573BOYAmt
EOY$27,283EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$73,459BOYAmt
EOY$79,206EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$186,714LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$117,497LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$85,700BOYAmt
EOY$69,217EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$501,369BOYAmt
EOY$482,361EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,367BOYAmt
EOY$20,265EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$50,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$49,015EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,367BOYAmt
EOY$119,280EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$478,002BOYAmt
EOY$363,081EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$478,002BOYAmt
EOY$363,081EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$501,369BOYAmt
EOY$482,361EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$114,921ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BRIDGEPORT HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN060646554EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$295,874SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$295,874SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,714OtherCostOrOtherBasisAmt
Depreciation$117,497DepreciationAmt
Book Value$69,217BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$69,217TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPLEDGE PAYABLE TO BRIDGEPORT HOSP.Desc
Amt$49,015Amt
FieldValueIRS element (for citing)
Total Liability$49,015TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CONSOLIDATED FINANCIAL STATEMENTS OF BRIDGEPORT HOSPITAL AND SUBSIDIARIES INCLUDE THE FOOTNOTE AS FOLLOWS: THE HOSPITAL AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. PROPERTIES IS A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(2) OF THE CODE AND ALSO IS NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPRING EVENTEvent1Nm
Gross Receipts Event1$111,580GrossReceiptsEvent1Amt
Charitable Contri Event1$95,580CharitableContriEvent1Amt
Gross Revenue Event1$16,000GrossRevenueEvent1Amt
Other Direct Expenses Event1$23,288OtherDirectExpensesEvent1Amt
Event2FASHION SHOWEvent2Nm
Gross Receipts Event2$10,040GrossReceiptsEvent2Amt
Charitable Contri Event2$10,040CharitableContriEvent2Amt
Other Direct Expenses Event2$5,960OtherDirectExpensesEvent2Amt
Gross Receipts Total$121,620GrossReceiptsTotalAmt
Charitable Contributions Tot$105,620CharitableContributionsTotAmt
Gross Revenue Total Events$16,000GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$29,248OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$29,248DirectExpenseSummaryEventsAmt
Net Income Summary-$13,248NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BIRDGEPORT HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1267 GRANT STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06610ZIPCd
FieldValueIRS element (for citing)
Recipient EIN060646554RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$295,874CashGrantAmt
Purpose Of GrantTO SUPPORT THE HOSPITAL IN ACCORDANCE WITH THE ORGANIZATION MISSION.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FINANCIAL COORDINATOR FOR THE BRIDGEPORT HOSPITAL AUXILIARY MAINTAINS RECORDS FOR ALL AUXILIARY GRANT EXPENDITURES, AND IS ASSISTED IN MONITORING THE USE OF GRANT FUNDS BY THE BRIDGEPORT HOSPITAL FOUNDATION. THE FOUNDATION ACTS AS AN INTERMEDIARY IN DISTRIBUTING AUXILIARY GRANT FUNDS TO NURSING SCHOLARSHIP RECIPIENTS AND PROGRAMS TO SERVE BRIDGEPORT HOSPITAL PATIENTS, SUCH AS THE BREAST FEEDING CLASSES FOR SPANISH SPEAKING PATIENTS. THE FOUNDATION MANAGES GRANT FUNDS THROUGH A RESTRICTED PROCESS ENSURING ALL PAYMENTS ARE MADE IN ACCORDANCE WITH AUXILIARY GRANT AWARDS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VIPART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. BASED ON RESPONSES TO THE QUESTIONNAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT TWENTY-TWO (22) VOTING MEMBERS ARE INDEPENDENT. BASED ON OTHER INFORMATION KNOWN TO THE ORGANIZATION, THE ORGANIZATION HAS NO REASON TO BELIEVE THAT THE OUTSTANDING VOTING MEMBERS ARE NOT INDEPENDENT.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING. ANY QUESTIONS OR COMMENTS FROM THE BOARD ARE ADDRESSED BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BRIDGEPORT HOSPITAL AUXILIARY INC IS COVERED UNDER THE YALE-NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT SHE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF FORM 990 ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS INCLUDING THE CONFLICT OF INTEREST POLICY ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT AND AVAILABLE TO ALL EMPLOYEES. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
GREENWICH HOSPITAL
5 PERRYRIDGE ROADGREENWICHCT06830060646659HEALTHCARECT501C3LINE 3GREENWICH HEALTH CARE SERVICES INCYes (1)
GREENWICH HEALTH CARE SERVICES INC
5 PERRYRIDGE ROADGREENWICHCT06830222593399SYSTEM SUPPORTCT501C3LINE 11B, IIYALE NEW HAVEN HEALTH SERVICES CORP0
THE GREENWICH HOSPITAL ENDOWMENT FUND INC
5 PERRYRIDGE ROADGREENWICHCT06830061526642SYSTEM SUPPORTCT501C3LINE 11B, IIGREENWICH HEALTH CARE SERVICES INCYes (1)
SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC
267 GRANT STREETBRIDGEPORTCT06610061297708TITLE HOLDINGCT501C2BRIDGEPORT HOSPITALYes (1)
BRIDGEPORT HOSPITAL FOUNDATION INC
267 GRANT STREETBRIDGEPORTCT06610222908698SYSTEM SUPPORTCT501C3LINE 7BRIDGEPORT HOSPITALYes (1)
NORTHEAST MEDICAL GROUP INC
226 MILL HILL AVENUEBRIDGEPORTCT06610061330992HEALTHCARECT501C3LINE 9YALE NEW HAVEN HEALTH SERVICES CORPYes (1)
NORTHEAST MEDICAL GROUP PLLC
226 MILL HILL AVENUEBRIDGEPORTCT06610352380180HEALTHCARECT501C3LINE 11A, INORTHEAST MEDICAL GROUP INCYes (1)
YALE-NEW HAVEN HOSPITAL
20 YORK STREETNEW HAVENCT06504060646652HEALTHCARECT501C3LINE 3YALE NEW HAVEN HEALTH SERVICES CORPYes (1)
YALE-NEW HAVEN CARE CONTINUUM CORP
789 HOWARD AVENEW HAVENCT06519455235566NURSING HOMECT501C3LINE 3YALE-NEW HAVEN HOSPITALYes (1)
CARITAS INSURANCE - TERMINATED 121514
40 MAIN STREETBURLINGTONVT05401030322238INSURANCEVT501C3LINE 11A, IYALE-NEW HAVEN HOSPITALYes (1)
YALE NEW HAVEN HEALTH SERVICES CORP
789 HOWARD AVENEW HAVENCT06519222529464SYSTEM SUPPORTCT501C3LINE 11A, I0N/A
PERRYRIDGE CORPORATION
5 PERRYRIDGE ROADGREENWICHCT06830061207316SYSTEM SUPPORTCT501C3LINE 11B, IIGREENWICH HEALTH CARE SERVICES INCYes (1)
BRIDGEPORT HOSPITAL
267 GRANT STREETBRIDGEPORTCT06610060646554HEALTHCARECT501C3LINE 3YALE NEW HAVEN HEALTH SERVICES CORPYes (1)
BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC
120 COLUMBINE DRIVETRUMBULLCT06611066048427SYSTEM SUPPORTCT501C3LINE 11A, IYALE-NEW HAVEN HOSPITALYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
SHORELINE SURGERY CENTER LLC
60 TEMPLE STREETNEW HAVENCT06510900110459HEALTHCARECTN/A
SSC II LLC
111 GOOSE LANEGUILFORDCT06437261709382HEALTHCARECTN/A
ORTHOPAEDIC & NEUROSURGERY CENTER
55 HOLLY HILL LANEGREENWICHCT06830273477197HEALTHCARECTN/A
TOTAL HEALTH CONNETICUT LLC
789 HOWARD AVENUENEW HAVENCT06519474070024HEALTHCARECTN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
YNHHS-MSO INC
789 HOWARD AVENEW HAVENCT06519061467717MANAGEMENT SERVICESCTN/ACYes (1)
YALE NEW HAVEN AMBULATORY SERVICES
40 TEMPLE STREETNEW HAVENCT06510061398526HEALTHCARECTN/ACYes (1)
MEDICAL CENTER REALTY
50 YORK STREETNEW HAVENCT06511061110858RENTALCTN/ACYes (1)
GREENWICH HEALTH SERVICES INC - TERMINATED 6302015
5 PERRYRIDGE ROADGREENWICHCT06830061233643HEALTHCARECTN/ACYes (1)
GREENWICH FERTILITY & IVF PC
5 PERRYRIDGE ROADGREENWICHCT06830300145464HEALTHCARECTN/ACYes (1)
YORK ENTERPRISES INC
50 YORK STREETNEW HAVENCT06511061110937TITLE HOLDINGCTN/ACYes (1)
YNHH-PHYSICIANS CORP
789 HOWARD AVENEW HAVENCT06519061202305ADMINISTRATIVE SERVICESCTN/ACYes (1)
MEDICAL CENTER PHARMACY
50 YORK STREETNEW HAVENCT06511061087673PHARMACYCTN/ACYes (1)
GREENWICH OCCUPATIONAL HEALTH SERVICES INC OF NEW YORK
5 PERRYRIDGE ROADGREENWICHCT06830061540101HEALTHCARENYN/ACYes (1)
LUKAN INDEMNITY COMPANY - TERMINATED 3312015
981072793INSURANCEN/ACYes (1)58 PAR-LA-VALLIS RDHAMILTONBERMUDABDBD
GREENWICH OCCUPATIONAL HEALTH SERVICES OF NEW JERSEY
5 PERRYRIDGE ROADGREENWICHCT06830453833883HEALTHCARENJN/ACYes (1)
PRIMARYNET OF CONNECTICUT INC
789 HOWARD AVENEW HAVENCT06519061463534HEALTHCARECTN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees 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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BRIDGEPORT HOSPITAL
R$633,100TRANSACTION REVIEW
BRIDGEPORT HOSPITAL
B$295,874TRANSACTION REVIEW