The New Milford Hospital Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- The New Milford Hospital Inc (EIN 06-0669121)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-12
- IRS object ID
- 201522249349300982
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-12T07:19:39-07:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE STE 4000 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060669121 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The New Milford Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWM | BusinessNameControlTxt |
| Phone | 2037398110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Elm Street | AddressLine1 |
| City | New Milford | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steven H Rosenberg | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Signature | 2015-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer Lynch | PreparerPersonNm |
| PTIN | P01255855 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | Steven H Rosenberg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Hospital Avenue | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 06810 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $64,297,750 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | NewMilfordHospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1921 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | New Milford Hospital is an acute care facility dedicated to maintaining and improving the healthcare of members of the New Milford and surrounding communities that it serves. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 499 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $1,033,723 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$648,569 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,457,495 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,807,850 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $69,721,620 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $61,806,759 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $534,161 | PYOtherRevenueAmt |
| CY Other Revenue | $683,141 | CYOtherRevenueAmt |
| PY Total Revenue | $75,713,276 | PYTotalRevenueAmt |
| CY Total Revenue | $64,297,750 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,598,629 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,395,000 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,363,670 | PYOtherExpensesAmt |
| CY Other Expenses | $33,430,911 | CYOtherExpensesAmt |
| PY Total Expenses | $72,962,299 | PYTotalExpensesAmt |
| CY Total Expenses | $64,825,911 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,750,977 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$528,161 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,269,930 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,542,298 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,727,632 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide outstanding healthcare to the New Milford and surrounding communities we serve through an uncompromising focus on clinical quality, compassionate care, and the creation of a medical "safe haven" for our patients and their families. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $28,374,174 | ExpenseAmt |
| Revenue | $35,302,987 | RevenueAmt |
| Desc | OUTPATIENT:NMH provides outpatient services to the community. Major services include radiology diagnostic, mammography, ultrasound, behavioral health services, MRI, CT scans and oncology services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,371,201 | ExpenseAmt |
| Revenue | $17,072,344 | RevenueAmt |
| Desc | During 2014, New Milford Hospital has experienced meaningful change, delivered life-changing experiences, confronted serious issues and achieved significant progress. We are proud of the remarkable progress we have made during a challenging and ultimately rewarding year.As we continue to chart a new path to the future of healthcare we focus on the real results that people and investments can create. The best healthcare comes from combining top medical care with a personal touch provided by our team of dedicated professionals. Thats how we improve the health of our communities, one person at a time.We view 2014 as a year of progress on many fronts. We are expanding cancer care, women's health and emergency services. We have integrated laboratory and radiology services to offer more access and improve efficiency. Professional cooperation between our physicians, support staff and hospitals has never been stronger. Accountable Care is a delivery concept that ties provider reimbursements to specific quality measures, patient satisfaction, efficiencies and reductions in the total cost of care for a particular population of patients. An Accountable Care Organization (ACO) is designed to reward improvements in healthcare quality by sharing the savings that result from a more comprehensive continuum of care that yields better patient outcomes at every level of intervention. At the same time, a hospital that fails to meet minimum measures is put on notice that they will eventually be penalized with reduced reimbursements if they do not improve in a number of areas.A sampling of our recent awards, accolades and acheivements are as follows: Gold Award Plow to Plate Quality Initiative, 2012--CT Quality Improvement Assoc. Plow to Plate Recognition in Community Connections,2012--American Hospital Assoc. Commission on Cancer 3 Year Accreditation with Commendation,2009-2011--Commission on Cancer Regional Cancer Center Accreditation in Radiation Oncology,2011-2013--American College of Radiology Regional Cancer Center Accreditation as a Breast Center,2012--National Accreditation Program for Breast CentersIn late 2011, the establishment of ACOs became an important feature of the Affordable Care Act when the Centers for Medicare and Medicaid Services (CMS) issued a set of guidelines for healthcare providers like New Milford Hospital. To address the overall goal to improve healthcare quality, CMS specifies five domains by which they and provider participants can monitor performance quality: -Patient/caregiver experience-Care coordination-Patient safety-Preventive health-Care of at-risk populations including the frail elderlyIn 2014, New Milford Hospital acted to meet and, where possible, exceed these goals. New Milford Hospital strives every day to protect and promote the health and wellness of each of our patients and to provide access to the highest quality care, regardless of their ability to pay. Whether it is through creative prevention partnerships, the management of chronic illness, or connecting patients to appropriate community services, we are devoted to serving our neighbors in need. We are especially vigilant now during these difficult economic times, focusing on disparities in care, older adult health needs, substance abuse and mental health and improving awareness of existing health services and supports. Moreover, we must pursue outreach programs that address such major health issues as heart disease and cancer. Some of our most effective health and wellness initiatives are offering a stable safety net of medical care and support services for our most vulnerable and at-risk neighbors living with serious mental health and substance abuse issues. Achievements of 2014 show a new picture emerging: a coordinated and strong health care partner that preserves the caring spirit of a community hospital with a contemporary operation that reflects the best of modern healthcare. As we approach the opportunities of 2015, we will continue to invest in our future to help our communities experience this new picture of health. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,219,464 | ExpenseAmt |
| Revenue | $9,431,428 | RevenueAmt |
| Desc | ER AND OTHER:The Emergency Department had 16,638 visits in 2014. Construction of a new Emergency Department was completed in 2014. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $55,964,839 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 499 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary Jo Pawlak | PersonNm |
| Phone | 2037398110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Elm Street | AddressLine1 |
| City | New Milford | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| John M Murphy MD | ||||||||
| WCHN Pres & CEO | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $1,243,861 | $54,487 | |
| Neil Culligan MD | ||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| David Kramer MD | ||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| David Cyganowski | ||||||||
| Director | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Richard G Jabara | ||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Anthea Disney | ||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Joseph D Skrzypczak | ||||||||
| Secretary | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Spencer Houldin | ||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Brian C White | ||||||||
| Director | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| James Kennedy | ||||||||
| Chairman | 3.00 | 7.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DDeBarba from 1114 | ||||||||
| Exec VP & Pres. | 1.00 | 49.00 | Yes (X) | $0 | $1,110,329 | $26,151 | ||
| Steven H Rosenberg | ||||||||
| SVP/CFO & Treas | 2.00 | 49.00 | Yes (X) | $0 | $717,641 | $45,409 | ||
| D Weymouth to 6114 | ||||||||
| SVP & Exec Dir. | 40.00 | 0.00 | Yes (X) | $372,111 | $0 | $18,013 | ||
| Donna Kaplanis | ||||||||
| Asst. Secretary | 2.00 | 48.00 | Yes (X) | $0 | $236,977 | $57,460 | ||
| Thomas Koobatian | ||||||||
| SVP | 40.00 | 10.00 | Yes (X) | $0 | $417,446 | $49,827 | ||
| Damon DeChamplain | ||||||||
| Director Pt Exper | 40.00 | 0.00 | $150,658 | $0 | $24,947 | Yes (X) | ||
| Lee Zarger | ||||||||
| Chief Med Physicst | 40.00 | 0.00 | $203,036 | $0 | $28,335 | Yes (X) | ||
| Judith Pilch | ||||||||
| Nurse Manager | 40.00 | 0.00 | $142,522 | $0 | $21,156 | Yes (X) | ||
| Christian Ward | ||||||||
| Dir.of Finance | 40.00 | 0.00 | $145,831 | $0 | $40,304 | Yes (X) | ||
| Kevin Meade | ||||||||
| Controller | 40.00 | 0.00 | $145,208 | $0 | $18,474 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,159,366 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,726,254 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $384,563 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIDINE | |||||
| PO BOX 60479 | CHARLOTTE | NC | 28260 | NUTRITIONAL | $1,251,824 |
| LAWNS UNLIMITED | |||||
| 186 CORNWALL RD | WARREN | CT | 06776 | LANDSCAPING SERVICES | $110,000 |
| APOLLO INTL | |||||
| 2150 BOSTON PROVIDENCE HIGHWAY | WALPOLE | MA | 02081 | SECURITY SERVICES | $446,402 |
| PERSANTE SLEEP CARE | |||||
| 130 GAITHER DRIVE | MOUNT LAUREL | NJ | 08054 | SLEEP CTR MANAGEMENT | $146,200 |
| RINALDI LINEN SERVICE | |||||
| 47 COMMONS COURT | WATERBURY | CT | 06704 | LAUNDRY SERVICES | $150,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,503,047 | RelatedOrganizationsAmt |
| Government Grants | $304,803 | GovernmentGrantsAmt |
| Total Contributions | $1,807,850 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Medicare/Medicaid | 621990 | $26,001,421 | $26,001,421 | |
| Non-Patient Laboratory | 621500 | $1,033,723 | $1,033,723 | |
| Patient Service Revenue | 621990 | $34,771,615 | $34,771,615 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $61,806,759 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,305 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,305 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,305 | TotalRevenueColumnAmt |
| Exclusion | $86,305 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Administrative Services | 561000 | $283,012 | $283,012 |
| Cafeteria & Vending | 561000 | $250,004 | $250,004 |
| Gift Shop | 452000 | $63,820 | $63,820 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $596,836 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,297,750 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,773,036 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,033,723 | UnrelatedBusinessRevenueAmt |
| Exclusion | $683,141 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,415 | TotalAmt |
| Management And General | $294,415 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,523,114 | TotalAmt |
| Program Services | $20,354,185 | ProgramServicesAmt |
| Management And General | $4,168,929 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,036 | TotalAmt |
| Program Services | $1,013,460 | ProgramServicesAmt |
| Management And General | $207,576 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,846,425 | TotalAmt |
| Program Services | $3,192,533 | ProgramServicesAmt |
| Management And General | $653,892 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510,010 | TotalAmt |
| Program Services | $1,253,308 | ProgramServicesAmt |
| Management And General | $256,702 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,086 | TotalAmt |
| Management And General | $28,086 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,930 | TotalAmt |
| Management And General | $190,930 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,439 | TotalAmt |
| Management And General | $38,439 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,950,914 | TotalAmt |
| Program Services | $4,109,259 | ProgramServicesAmt |
| Management And General | $841,655 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252 | TotalAmt |
| Management And General | $252 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $999,408 | TotalAmt |
| Program Services | $829,509 | ProgramServicesAmt |
| Management And General | $169,899 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,475 | TotalAmt |
| Program Services | $60,984 | ProgramServicesAmt |
| Management And General | $12,491 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,195,822 | TotalAmt |
| Program Services | $992,532 | ProgramServicesAmt |
| Management And General | $203,290 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,997 | TotalAmt |
| Program Services | $9,958 | ProgramServicesAmt |
| Management And General | $2,039 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,405 | TotalAmt |
| Program Services | $39,346 | ProgramServicesAmt |
| Management And General | $8,059 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,030 | TotalAmt |
| Program Services | $128,030 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,477,484 | TotalAmt |
| Program Services | $4,546,312 | ProgramServicesAmt |
| Management And General | $931,172 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,035,151 | TotalAmt |
| Program Services | $1,689,175 | ProgramServicesAmt |
| Management And General | $345,976 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $9,299,984 | $9,299,984 | |
| WCMG system support | $5,969,598 | $5,969,598 | |
| Dietary Contract | $1,158,115 | $961,235 | $196,880 |
| Maintenance COntracts | $935,792 | $776,707 | $159,085 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $890,029 | TotalAmt |
| Program Services | $738,724 | ProgramServicesAmt |
| Management And General | $151,305 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,825,911 | TotalAmt |
| Program Services | $55,964,839 | ProgramServicesAmt |
| Management And General | $8,861,072 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,221,385 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,314,799 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,521,171 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,475 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,868,704 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,972,396 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,269,930 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,295,097 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,247,201 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,542,298 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,332,942 | BOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,125,215 | BOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,269,475 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,727,632 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,269,930 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$528,161 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$31,199,471 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $20 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $25,695 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $12,708 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $16 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $38,439 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Only state and local officials were lobbied during 2014. As part of this miscellaneous office expense such as phone, computer supplies, refreshment etc. were incurred and were reflected on line #1i accordingly.Direct contact with legislators and state leaders in support of maintaining patient access to essential services for both the uninsured and the underinsured.New Milford Hospital CHA dues of $124,673 had 15.79% or $19,686 expended on lobbying activities. New Milford Hospital AHA dues of $24,507 had 23.65% or $6,009 expended on lobbying activities. Both amounts were reflected on 1f. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $64,297,750 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $64,297,750 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $64,297,750 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $64,825,911 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $64,825,911 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $64,825,911 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400.000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $737,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $205,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $532,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8307 | PersonsServedCnt |
| Total Community Benefit Expns | $8,198,705 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,779,094 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,419,611 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8307 | PersonsServedCnt |
| Total Community Benefit Expns | $8,936,686 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,984,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,952,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04550 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 152 | ActivitiesOrProgramsCnt |
| Persons Served | 6871 | PersonsServedCnt |
| Total Community Benefit Expns | $273,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,555 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $235,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $396 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $396 | NetCommunityBenefitExpnsAmt |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 633 | PersonsServedCnt |
| Total Community Benefit Expns | $906,705 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $623,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $283,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 153 | ActivitiesOrProgramsCnt |
| Persons Served | 7505 | PersonsServedCnt |
| Total Community Benefit Expns | $1,180,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $660,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $519,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 153 | ActivitiesOrProgramsCnt |
| Persons Served | 15812 | PersonsServedCnt |
| Total Community Benefit Expns | $10,117,007 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,645,177 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,471,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $347 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $347 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 6176 | PersonsServedCnt |
| Total Community Benefit Expns | $74,770 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $74,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 263 | PersonsServedCnt |
| Total Community Benefit Expns | $2,051 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,051 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 6440 | PersonsServedCnt |
| Total Community Benefit Expns | $77,168 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,168 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $754,130 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $20,760,082 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,624,628 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,864,546 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Milford Hospital Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Elm Street | AddressLine1 |
| City | New Milford | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.newmilfordhospital.org | WebsiteAddressTxt |
| State License | 0032 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Milford Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.newmilfordhospital.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.chime.org | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 400.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 600.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 3 - Account Input from Person Who Represent the Community | Provide effective strategies to improve community health involve active collaboration and commitment among health providers, public and community health agencies, educators, worksites, community and faith-based organizations and groups, and the public they serve. The organization collaborates with community partners for assessment of community health needs and action planning. New Milford Hospital, and its affiliate partner, Danbury Hospital, participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. The other eight towns are Bridgewater, Brookfield, New Fairfield, Newtown, Redding, Ridgefield and Sherman, CT, all towns within the primary service area of both hospitals. Developing a plan for health improvement in our region involves collective action by and sharing of expertise and resources across agencies and organizations in both the public and private sectors. |
| Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment | New Milford Hospital, and its affilate partner, Danbury Hospital, participated in the development of a Community Report Card for the Housatonic Valley Region, a 10-district municipality that includes Danbury and New Milford, CT. |
| Part V, Line 14g - Other Means Hospital Facility Publicized the Policy | New Milford Hospital has messages on all statements providing how the patient can get assistance with their Hospital bill. Counselors are also available to provide further assistance. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | Part I, Line 6a & 6b: The Community Benefit report is reported on a Network basis. It contains the organizations community benefit programs and services descriptions and financial data. The form is made available to the public on the Office of Health Care Access website: http://www.ct.gov/dph/lib/dph/ohca/hospitalfillings/2012/irs990/nmilf990_hospital_2012.pdf |
| Part I, Line 7 - Explanation of Costing Methodology | Part I, Line 7 - Explanation of Costing MethodologyCharity Care At Cost Percentage:Total Gross Patient charges written off to charity (Income Statement) * Patient Costto Charge % (see below) = Total Community Benefit ExpenseTotal Community Benefit Expenses - Revenue from Uncompensated Care Pools andprograms (DHS * % of cost of uncompensated care shown on the OCHA Schedule 500) = Net community benefits expensesNet community benefits expenses * total expenses = % of total expenses Ratio Cost To Charge CalculationTotal Operating Expenses divided by Adjusted Patient Care Cost (Bad Debt, Other Operating Income and Intercompany Income are removed from the total operating expenses) Adjusted Patient Care Cost divided by Gross Patient ChargesRatio Cost To Charge Calculation:Total Operating Expenses divided by Adjusted Patient Care Cost (Bad Debt, Other Operating Income and Intercompany Income are removed from the total operating expenses)Adjusted Patient Care Cost divided by Gross Patient Charges= Ratio of patient care costs to charges |
| Part I, Line 7g - Costs Associated With Physicans Clinics | Part I, Line 7g - Costs Associated With Physicans ClinicsThere are no physician clinics included in this amount. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The ratio of cost to charges is applied to the bad debt expense on the audited financial statements. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | It is the policy of the Hospital to provide necessary care to all persons seeking treatment without discrimination on the grounds of age, race, creed, national origin or any other grounds unrelated to an individual's need for the service or the availability of the needed service at the Hospital. A patient is classified as a charity care patient by reference to established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized federal poverty income guidelines, but also includes certain cases where incurred charges are significant when compared to a responsible party's income and their countable assets. Those charges are not included in net patient service. Because New Milford Hospital is not reimbursed for any bad debt write offs, those amounts are considered to be a community benefit.When private pay patients are sent to the collection agency their account is considered to be a bad debt. Subsequently, Medicaid may be granted for some of those patients. At that time those accounts would become charity care or a community benefit. |
| Part III, Line 4 - Bad Debt Expense | The Hospitals estimation of the allowance for uncollectible accounts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the Hospitals collection efforts. The Hospitals policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are recorded. On a monthly basis, the Hospital reviews its accounts receivable balances and various analytics to support the basis for its estimates. These efforts primarily consist of reviewing the following: Historical write-off and collection experience using a hindsight or look-back approach; Revenue and volume trends by payor, particularly the self-pay components; Changes in the aging and payor mix of accounts receivable, including increased focus on accounts due from the uninsured and accounts that represent co-payments and deductibles due from patients; Cash collections as a percentage of net patient revenue less the provision for bad debt; and Trending of days revenue in accounts receivable The Hospital regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for uncollectible accounts.The amount of the allowance for uncollectible accounts is based upon managment's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage, and other collection indicators.The Hospitals primary concentration of credit risk is patient accounts receivable, which consists of amounts owed by various governmental agencies, insurance companies and private patients. The Hospital manages the receivables by regularly reviewing its patient accounts and contracts, and by providing appropriate allowances for uncollectible amounts. Significant concentrations of gross patient accounts receivable include 41% and 6%, and 37% and 5%, for Medicare and Medicaid, respectively, at September 30, 2014 and 2013, respectively. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | New Milford Hospital's Medicare shortfall should be treated as a community benefit as the organization strives to provide 24/7 coverage, improved patient access, highest clinical quality as well as addressing the needs of the community by offering critical services to our geographic area. As a result, the organization must balance the cost of these programs against the continued decreasing government reimbursement levels, uninsured population and community needs.A cost accounting system is used to calculate the shortfall, which is Medicare Net Patient Revenue less applicable costs. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | It is the policy of the hospital to provide "financial assistance" (either free care of reduced patient obligations) to persons or families where: (I) There is limited or no health insurance available; (II) The patient fails to qualify for governmental assistance (for example Medicare or Medicaid); (III) The patient cooperates with the hospital in providing the requested information; (IV) The patient demonstrates financial need and (V) The hospital makes an administrative determination that financial assistance is appropriate. After the hospital determines that a patient is eligible for financial assistance, the hospital will determine the amount of financial assistance available to the patient by utilizing the charitable assistance guidelines which are based upon the most recent federal poverty guidelines. The hospital shall regularly review this financial assistance policy to ensure that at all times it: (I) Reflects the philosophy and mission of the hospital; (II) Explains the decision process of who may be eligible for financial assistance and in what amounts and (III) Complies with all applicable state and federal laws, rules and regulations concerning the provision of financial assistance to indigent patients. Consistent with its mission, the hospital recognizes its obligation to the community it serves to provide financial assistance to indigent persons within the community. In furtherance of its charitable mission, the hospital will provide both (I) emergency treatment to any person requiring such care; and (II) essential, non-emergent care to patients who are permanent residents of its primary service area who meet the conditions and criteria set forth in this policy, without regard to the patients' ability to pay for such care. Elective procedures generally will not be considered essential, non-emergent care and usually will not be eligible for financial assistance. The hospital will collect from individuals on financial assistance if they received a partial charitable discount. All patients can apply for charitable care on balances they feel that they cannot afford. |
| Part VI - Needs Assessment | Part VI, Line 2: Needs Assessment: The Community Forum was attended by 37 community stakeholders from the Housatonic Valley Region (HVR). This included representatives from 5 Health Departments/Districts (Danbury, New Milford, Bethel, Newtown, and Pomperaug), Western CT Health Network, Danbury EMS, the Bethel Visiting Nurse Association, the United Way of Western CT, the Regional YMCA, the Housatonic Valley Coalition Against Substance Abuse, the Mid-Western CT Council on Alcoholism, the AmerCares Free Clinic, the CIFC Community Health Center, Doctors Express Urgent Care Center, the Regional Educational Service Center, the Danbury Fire Department, the New Milford Senior Center, and the Peter and Camen Lucia Buck Foundation. Two community health conversations with key community stakeholders in October 2012 - held in two locations (Danbury and New Milford, CT) to ensure accessibility by key stakeholders throughout the region. Attendees included a total of 52 representatives from hospitals; community health centers; school-based health centers; Visiting Nurse Associations/Services; municipal health, education, social service, senior centers and fire departments; non-profit organizations; and a legislators office. Geographically, all 10 HVR municipalities were represented either directly or through regional agencies and organizations.The Western CT Health Network (of which New Milford Hospital is a part) conducted a Physician Resource Assessment to evaluate the supply of healthcare providers within its combined service area towns. This is done to document community need for healthcare providers, and to develop a plan to the healthcare needs of the community served. |
| Part VI - Patient Education of Eligibility for Assistance | PART VI,LINE 3:The Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Also signs are posted throughout the hospital and counselors are available to provide further assistance. All uninsured inpatients are interviewed by financial counselors and assessed for eligibility for assistance programs. The hospital provides informational handouts to all uninsured patients at the time of registration which refers them to financial counseling if they would like assistance with their bills. Further, the hospital mails notices to all self-pay accounts referring them to financial counseling if they need assistance. The collection department will also refer patients to financial counseling when a patient indicates that they cannot afford their balances; and finally, schedulers refer uninsured patients to financial counseling prior to their test or procedure. The policy and applications for assistance are also available online. |
| Part VI - Community Information | Part VI, Line 4: Community Information: New Milford Hospital serves an area with a population of about 48,000 people. The Primary Service Area includes New Milford, Washington, Kent and Bridgewater (in CT), and the Secondary Service Area includes Sherman, Roxbury and Cornwall (in CT) and Wingdale (in NY). This service area is comprised of the suburban Town of New Milford surrounded by moderately affluent residential and rural towns. No other general medical/surgical hospitals are located in this service area. New Milford has a median household income of $84,110, and a poverty rate of 4.6%. The uninsured population rate is estimated to be 9.3%. Although the population of the primary and secondary service areas is expected to remain virtually level from 2010 to 2015, the cohort aged 65 and over is expected to increase by 4.64%, while the age 20-44 age cohort is forecast to decline 1.57% over the same time period. |
| Part VI - Community Building Activities | Relates to Line #6, Coalition Building totalling $74,770:Part II: Community Building Activities: Western Connecticut Health Network (WCHN) participates as a member of a regional collaborative representing the Housatonic Valley Region and ten municipalities. A Steering Committee comprised of health care providers, community-based providers, and local government agencies met quarterly to oversee a community health improvement plan (CHIP) that was developed utilizing data from a report card and previous community conversations that focused on four priority health indicators (PHI). Each indicator has objectives, strategies and work groups that carry out these objectives: The four PHI workgroups have designated a leader and met at least quarterly to further develop and refine their action plans. During April 2014 the Center for Health Schools & Communities @ Education Connection facilitated a Community Forum to provide a feedback loop to community stakeholders. Overall, data obtained from the Conversations provided high quality information to frame the beginning of a community health improvement change process in the region.1. Prevention and Education of Most Prevalent Chronic Diseases/Health Conditions: Obesity, Type 2 diabetes, and hypertension were identified as the most prevalent health conditions in the community. The PHI team goals are to increase healthy eating options, enhance access to physical activities, and promote a universal healthy lifestyle. In July 2014, the PHI team received the YMCA Diabetes Prevention Program Grant which was used to fund their diabetes prevention program. The team also participated in National Walk Day, which garnered over 150 people from the Housatonic Valley Region and formation of 3 community walking groups. A wellness campaign building on the 5, 2, 1, 0 Lets Go messaging and collaboration with health providers, schools and businesses is being developed.2. Improving Access/Utilization to Substance Abuse and Mental Health Services: Mental health issues and substance abuse continue to be prevalent issues in the community. This PHI team is collaborating with 12 Local Prevention Councils, the CT Prevention Framework, and other entities to increase outreach efforts. Their goals are to identify gaps in services and access, provide education, and increase awareness regarding services and programs. There is awareness to vulnerable target groups in need of enhanced services and supports, such as the homeless population and youth. The team worked to improve education and information dissemination, and supported integration of a question-persuade-refer model for suicide prevention.3. Improve Assessment and Service Planning to Senior Health: Senior citizens, particularly homebound elderly and immigrants, are in need of assessment and service planning to address their health, housing, and social support needs. The main goal is to increase awareness, services, and education for senior health. This team is supporting and collaborating with the Aging in Place initiatives funded by the Peter and Carmen Lucia Buck Foundation, which includes the Safe at Home program that delivers home safety items to seniors.4. Improve Awareness and Utilization of Existing Health and Social Programs/Services: This team focused on enhancing awareness and utilization of existing programs and services in the community, including support of Infoline 2-1-1 and 5 Health Access CT Assistor sites by target populations. It also established a partnership with FamilyWize to provide promotional materials for distribution to health providers and key community sites. The individual CHIP Steering Committee members, including WCHN, support the importance of shared commitment and responsibility in development and execution of its recommended action plans for health improvement.Relates to line #2, Economic Development and line #7, Community Health Improvement Advocacy totalling $2,398:Part II: Community Health Improvement Advocacy: Largely state and local elected officials and agency heads were lobbied in support of maintaining patient access to essential services for the uninsured and underinsured. As part of this effort, miscellaneous expenses are noted in Part II-B 1i. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | Part VI, Line 5: Promotion of community health. New Milford Hospital served 994,504 persons through over 253 health events. One of the highest impact outreach activities includes 11,650 individuals served through several health fairs. Attendees were offered cancer and blood pressure screenings, and received information on topics ranging from integrative medicine, nutrition, orthopedic advancements and Lyme Disease.Over 50% of the Board Members are independent and do not get paid by New Milford Hospital. New Milford Hospital also has an open medical staff.Surplus funds are used to provide innovative technology to clinical care in addition to expanding our service area. |
| Part VI - Affilated Health Care System Roles and Promotion | Part VI, Line 6: Western Connecticut Health Network (WCHN) is an integrated health care delivery system comprised of three community hospitals and their affiliated entities. In addition to New Milford, Danbury and Norwalk Hospitals, the continuum of care includes a large medical group, home health care services, a nationally renowned biomedical research institute, the WCHN and Norwalk Hospital Foundations, and other related affiliates. WCHNs mission is to improvethe health of every person we serve through the efficient delivery of excellent, innovative and compassionate care. For 2014, WCHN provided $10,362,060 in total charity care.New Milford, Danbury and Norwalk Hospitals provide medical services to the community regardless of the individual's ability to pay. Services include routine inpatient ancillary and outpatient care in support of the hospital's mission statement, to improve the health and well-being of those we serve. For 2014, WCHN provided charity care in the following amounts: Norwalk Hospital $4,331,000, Danbury Hospital $4,731,000, and New Milford Hospital $346,000.Western Connecticut Medical Group/Norwalk Hospital Physicians & Surgeons: The mission of Western Connecticut Medical Group is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities they serve and strive to be aware of and respond to their patientsneeds. They support a commitment to advance the health and well-being of individuals in their community by delivering quality care, participating in medical research and medical residency programs and the provision of medical services to patients. For 2014, WCMG/NHP&S provided $880,627 in charity care.Western Connecticut Health Network Foundation Inc.'s missionis to raise funds, reinvest and administer these funds and make distributions to New Milford Hospital and other not-for-profit health care affiliates.Western Connecticut Health Network Affiliates principal purpose is to provide outpatient health care services in various locations and also provide ambulance services to Danbury and surrounding towns, while serving those that cannot afford the care. For 2014, WCHN Affiliates provided $1,454 in charity care.Western Connecticut Home Care, Inc. (WCHC) provides state of the art clinical services ranging from pediatric patients to the elderly utilizing best practice in home care to meet the needs of their patients. For 2014, WCHC provided $70,695 in charity care.Eastern New York Medical Services (ENYMS) was formed in April, 2013. The mission at ENYMS is to provide safe, innovative, convenient and coordinated primary and gastro health care in the communities we serve and strive to be aware of and respond to our patients needs. For 2014, ENYMS provided $1,284 |
| Part VI - States Where Community Benefit Report Filed | CT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Christian Ward | ||||||||||||
| Dir.of Finance | $145,711 | $120 | $9,178 | $31,126 | $186,135 | |||||||
| D Weymouth to 6114 | ||||||||||||
| SVP & Exec Dir. | $312,077 | $12,750 | $5,263 | $390,124 | $60,034 | |||||||
| DDeBarba from 1114 | ||||||||||||
| Exec VP & Pres. | $632,299 | $445,600 | $32,430 | $11,475 | $14,676 | $1,136,480 | ||||||
| Damon DeChamplain | ||||||||||||
| Director Pt Exper | $149,863 | $795 | $7,493 | $17,454 | $175,605 | |||||||
| Donna Kaplanis | ||||||||||||
| Asst. Secretary | $177,102 | $40,034 | $19,841 | $24,188 | $33,272 | $294,437 | ||||||
| John M Murphy MD | ||||||||||||
| WCHN Pres & CEO | $821,391 | $412,534 | $9,936 | $12,750 | $41,737 | $1,298,348 | ||||||
| Judith Pilch | ||||||||||||
| Nurse Manager | $142,115 | $407 | $12,043 | $9,113 | $163,678 | |||||||
| Kevin Meade | ||||||||||||
| Controller | $144,419 | $789 | $7,554 | $10,920 | $163,682 | |||||||
| Lee Zarger | ||||||||||||
| Chief Med Physicst | $200,863 | $1,152 | $8,264 | $20,071 | $231,371 | $1,021 | ||||||
| Steven H Rosenberg | ||||||||||||
| SVP/CFO & Treas | $505,212 | $185,034 | $27,395 | $12,750 | $32,659 | $763,050 | ||||||
| Thomas Koobatian | ||||||||||||
| SVP | $344,670 | $70,921 | $1,855 | $15,300 | $34,527 | $467,273 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or | FormAndLineReferenceDesc |
| Explanation | Part I, Line 6 - Compensation Contingent On Net Earnings Or Related OrganizationSummary of Executive Incentive Plan The Plan is administered by the Executive Compensation Committee of Western Connecticut Health Network, Inc. Eligibility to participate in the Plan is limited to those who are in positions in which their decisions, actions and counsel significantly affect the operations of Western Connecticut Health Network, Inc. and its subsidiaries.The Committee will establish the target award opportunity (expressed as a percentage of base salary) for each participant in the Plan.Prior to the beginning of each Plan year, or as soon thereafter as practicable, performance measures are established for each participant in the Plan.Incentive awards are modified or eliminated if the level of performance specified is not achieved. Notwithstanding any other provision of the Plan, incentive awards can be affected based on individual executive performance. | ExplanationTxt |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | Single License With Danbury Hospital | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2014-10-01 | DistributionDt |
| Fair Market Value Of Asset | $34,128,301 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | Cost | MethodOfFMVDeterminationTxt |
| EIN | 060646597 | EIN |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Hospital Avenue | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 068106099 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501 (C) (3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | false | DirectorOfSuccessorInd |
| Employee Of Successor | false | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | false | BondsOutstandingInd |
| Bond Liabilities Discharged | false | BondLiabilitiesDischargedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services | The New Milford Hospital, Inc. is operating under a single license with Danbury Hospital as of October 1, 2014. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Richard Jabara and James Kennedy, both directors of New Milford Hospital have a business relationship. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Steven Rosenberg, CFO, will review the 990 prior to it being sent to the IRS. A preliminary 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the 990 with the Audit Committee and answer any questions. Prior to the 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The Organization's Process for Monitoring and Enforcing Conflicts of InterestThe Western Connecticut Health Network and its affiliates' (The Network)Conflict of Interest Policy provides that annually, its Representatives shall sign a statement affirming that they disclosed all potential conflicts, as documented in the Conflict of Interest Policy. In addition, General Counsel is part of the routine contracts review process and watches for potential conflicts with any of The Network's Representatives.Who Is Covered By the PolicyThe Network's Conflict of Interest Policy covers each director, officer and manager of The Network, also referred to as "Representatives". Level At Which Determinations of Whether There Is a Conflict In connection with any actual or possible conflict of interest, an interested person must disclose the facts of the conflict. The Compliance Officer and the Audit Committe review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential tranaction or arrangement is made by an interested person, the remaining disinterested Board or Committee members shall decide if a conflict of interest exist. Level That Reviews and Determines What To Do If There Is a ConflictAfter exercising due diligence the full Board would determine what actions should be taken for all conflicts by Officers and Directors. Any conflicts occurring by a manager are reviewed by the Compliance Committee to determine what further action should be taken.Restrictions on The Conflicted PersonNo director having a conflict of interest on any matter shall vote on that matter or be counted in determining the quorum for the meeting at which the vote is taken, even when permitted by law. No Representative having a conflict of interest on any matter shall use his or her personal influence on the matter.If the Board of Directors, in its sole discretion, determines that any Representative has conflicts of interest sufficient in number and/or importance that the effectiveness of such individual on behalf of The Network may be significantly impaired, the Board may ask the individual to resign. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | Compensation of CEO:In order to achieve its mission and its overall performance objectives, Western Connecticut Health Network, Inc. employs a performance-based total compensation program for its senior executives that is market competitive, compliant with regulatory guidelines, and representative of best practices. Eligible executives are generally direct reports of the CEO along with other executives designated by the CEO. To meet Western Connecticut Health Network Inc.'s total compensation objectives for executives, the following survey sources are used for comparison purposes: -Blend of national Confidential Source, IHS, and Hay Group points healthcare data (where data available), plus 15% geographic differential. Title match data cuts selected based on revenue size.-For Physician executives, surveys covering physician compensation in accredited medical schools (AAMC) are used in combination with proprietary surveys compiled by nationally known consulting firm, Sullivan Cotter and the Medical Group Management Association (MGMA).Western Connecticut Health Network, Inc. targets cash compensation at market competitive levels. Base salary plus short-term (annual) incentive awards (total cash) approximate market competitive levels for total cash compensation. Executive performance is expected to meet or exceed predetermined operational and financial metrics.Other factors, such as competitive market forces, job performance, unique qualifications, and/or individual job responsibilities are also considered in Western Connecticut Health Network, Inc's executive compensation decisions.Roles of the Committee on Governance and Key Executives in the Executive Compensation Process- The Committee on Governance in consultation with the CEO and the SVP HR selects the outside compensation consultants. The current consultant is the Hay Group, whose purpose is to provide a valid independent assessment of the relevent market rates and pay practices for healthcare executives, physician executives and for physicians in general.- The compensation consulting firm compiles appropriate market data, job evaluation and ranking information for all executives and physicians of the organization, excluding the CEO, and will supply this material to the CEO and SVP HR for review and agreement. Once the report is final, it will be supplied to the Committee on Governance for their consideration and acceptance.-The Committee on Governance determines the CEO's salary based on overall performance and market data supplied by the outside market consultant.The last executive compensation evaluation by an outside consultant was done in September, 2014. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Compensation for Other Officers and Key Employees:Compensation review and approval process is identical to the process for the CEO and executives noted in 15A above. |
| Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection | Tax return information is available on Danbury Hospital's(a related organization) website: www.danburyhospital.org. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The information that has been posted on the Danbury Hospital website for 2014includes:The most current audited financial statements.Also included is the Code of Business Ethics, Information about our Compliance Program, and a copy of our policy regarding Preventing of Fraud, Waste and Abuse.All governing documents required by law are made available upon request.The conflict of interest policy is made available upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in equity interest of WCHNF = -$478506 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in pension funding = -$7005610 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Net Assets Transferred to Danbury Hosp. = -$34128301 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Transfer from Danbury Hospital = $10412946 |
| FORM 990, PART IX, COLUMN D | ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990,ALL FUNDRAISING EXPENSES WERE INCURRED BY THE Western Connecticut Health Network Foundation. |
| FORM 990, PART VI, LINE #6 | Western Connecticut Health Network, Inc. is the sole member of New Milford Hospital. |
| FORM 990, PART VI, LINE 7A | The sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified. |
| FORM 990, PART VI, LINE 7B | The duties and responsibilities of the sole member shall include, among others, the following:Electing at the annual meeting of the membership, the members of the Board of Directors of the hospital to serve for three year terms and until their successors are elected and have qualified:Filling vacancies on the Board of Directors, which occur between elections; reviewing, making, and approving changes in the bylaws; insuring that the objective, purposes and goals of New Milford Hospital as stated in the charter of the New Milford Hospital, Inc. are properly and effectively carried out by the Board of Directors; delegating as appropriate, to the Board of Directors, policy-making functions, the supervision of the Hospital's operations and the control over the Hospital's assets. |
| FORM 990, PART VII (ADDT'L INFORMATION) | For those officers and top 5 employees, for which only 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount.Note: All amounts in column F, of Part VII,"Estimated Amount of Other Compensation", represent benefits, and do not reflect any compensation for which the average amount of time worked can be reflected. |
| FORM 990,PART VI, SECTION A ,LINE 1b | Neil Culligan,MD is not considered to be independent, since he received stipends during the year exceeding $10,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Western CT Health Network Inc | |||||||||||
| 24 Hospital Avenue | Danbury | CT | 06810 | 222594977 | Program Devlp | CT | 501(c)(3) | 11, TYPE 2 | N/A | Yes (true) | |
| Western CT Medical Group Inc | |||||||||||
| 14 Research Drive Suite 201A | Bethel | CT | 06801 | 061137531 | Physician Svc | CT | 501(c)(3) | 9 | Yes (true) | WCHN | |
| West CT Health Network Foundation | |||||||||||
| 24 Hospital Avenue | Danbury | CT | 06810 | 237425557 | Admin Contrib | CT | 501(c)(3) | 7 | Yes (true) | WCHN | |
| Danbury Hospital Inc | |||||||||||
| 24 Hospital Avenue | Danbury | CT | 06810 | 060646597 | Acute Care | CT | 501(c)(3) | 3 | Yes (true) | WCHN | |
| Western CT Health Network Affiliates | |||||||||||
| 95 Locust Avenue | Danbury | CT | 06810 | 222594968 | OP Hlthcr Svc | CT | 501(c)(3) | 9 | Yes (true) | WCHN | |
| Western CT Home Care Inc | |||||||||||
| 4 Liberty Street | Danbury | CT | 06810 | 060655138 | Home Hlthcare | CT | 501(c)(3) | 9 | Yes (true) | WCHN | |
| Eastern NY Medical Services PC | |||||||||||
| 14 Research Drive Suite 201A | Bethel | CT | 06810 | 485431389 | PHYSICIAN SVC. | NY | 501(C) (3) | 9 | Yes (true) | WCHN | |
| The Norwalk Hospital Association | |||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 066068853 | Health Services | CT | 501 (C) (3) | 3 | Yes (true) | NHSC | |
| Norwalk Hospital Phys and Surgeons | |||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061522078 | Physician Services | CT | 501 (C) (3) | 11, TYPE 2 | Yes (true) | NHSC | |
| Norwalk Health Care Inc | |||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577722 | INACTIVE | CT | 501 (C) (3) | 9 | Yes (true) | NHSC | |
| Norwalk Health Services Corporation | |||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577711 | Support Services | CT | 501 (C) (3) | 11, TYPE 2 | Yes (true) | WCHN | |
| Norwalk Hospital Foundation | |||||||||||
| 34 Maple Street | Norwalk | CT | 06850 | 222577708 | Admin. Contrib. | CT | 501 (C) (3) | 7 | Yes (true) | NHSC | |
| Advanced Center for Rehab Medicine | |||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061304799 | Inactive | CT | 501 (C) (3) | 11,Type 2 | Yes (true) | NHSC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| New Milford MRI JV LLC | ||||||||||
| 21 Elm Street | New Milford | CT | 06776 | 271877801 | INACTIVE | CT | New Milford Hospital | false | false | |
| Ridgefield Surgical Center LLC | ||||||||||
| 901 Ethan Allen Hwy Suite 105 | Ridgefield | CT | 06877 | 222594977 | INACTIVE | CT | WCHN | false | false | |
| Norwalk Surgery | ||||||||||
| 40 Cross Street | Norwalk | CT | 06851 | 272394942 | Surgery Center | CT | NH | false | false | Related |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Business Systems Inc | ||||||||||||||
| 24 Hospital Avenue | Danbury | CT | 06810 | 061119262 | Inactive | CT | WCHN | C Corp. | Yes (true) | |||||
| Medical Services of Danbury | ||||||||||||||
| 24 Hospital Avenue | Danbury | CT | 06811 | 061635945 | Healthcare | CT | WCMG | C Corp. | Yes (true) | |||||
| SWC Corporation | ||||||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577718 | Pharmacy | CT | NHSC | C Corp | Yes (true) | |||||
| West CT Health Network Insur Co LTD | ||||||||||||||
| 980438151 | Malpractce | DH | C.Corp. | Yes (true) | 23 Lime Tree Bay PO Box 1051 | Grand Cayman | CJ | |||||||
| Maple Street Indemnity Company | ||||||||||||||
| 980549862 | Malpractce | NHSC | C Corp | Yes (true) | 40 Church Street PO Box 2062 | Hamilton | BD | HM HX BD | BD | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Western CT Medical Group Inc | ||
| k | $60,352 | Cost |
| Western CT Medical Group Inc | ||
| m | $5,795,662 | Cost |
| Western CT Medical Group Inc | ||
| p | $5,602,297 | Cost |
| West CT Health Network Foundation | ||
| c | $1,503,047 | Cost |
| Danbury Hospital Inc | ||
| b | $34,128,301 | Cost |
| Danbury Hospital Inc | ||
| c | $10,412,946 | Cost |
| Danbury Hospital Inc | ||
| m | $484,884 | Cost |
| Danbury Hospital Inc | ||
| o | $5,073,718 | Cost |
| Danbury Hospital Inc | ||
| p | $13,054,268 | Cost |
| Danbury Hospital Inc | ||
| r | $11,982,842 | Cost |