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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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-12T07:19:39-07:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 4000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060669121EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The New Milford Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNEWMBusinessNameControlTxt
Phone2037398110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Elm StreetAddressLine1
CityNew MilfordCity
StateCTState
ZIP Code06776ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSteven H RosenbergPersonNm
Person TitleSVP & CFOPersonTitleTxt
Signature2015-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJennifer LynchPreparerPersonNm
PTINP01255855PTIN
Phone3176817000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerSteven H RosenbergPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1
CityDanburyCity
StateCTState
ZIP Code06810ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$64,297,750GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNewMilfordHospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionNew 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 TerminationYes (X)ContractTerminationInd
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee499TotalEmployeeCnt
Total Volunteers90TotalVolunteersCnt
Total Gross UBI$1,033,723TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$648,569NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,457,495PYContributionsGrantsAmt
CY Contributions Grants$1,807,850CYContributionsGrantsAmt
PY Program Service Revenue$69,721,620PYProgramServiceRevenueAmt
CY Program Service Revenue$61,806,759CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$534,161PYOtherRevenueAmt
CY Other Revenue$683,141CYOtherRevenueAmt
PY Total Revenue$75,713,276PYTotalRevenueAmt
CY Total Revenue$64,297,750CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,598,629PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,395,000CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$35,363,670PYOtherExpensesAmt
CY Other Expenses$33,430,911CYOtherExpensesAmt
PY Total Expenses$72,962,299PYTotalExpensesAmt
CY Total Expenses$64,825,911CYTotalExpensesAmt
PY Revenues Less Expenses$2,750,977PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$528,161CYRevenuesLessExpensesAmt
Total Assets BOY$61,269,930TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$29,542,298TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,727,632NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$28,374,174ExpenseAmt
Revenue$35,302,987RevenueAmt
DescOUTPATIENT: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

FieldValueIRS element (for citing)
Expense$20,371,201ExpenseAmt
Revenue$17,072,344RevenueAmt
DescDuring 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

FieldValueIRS element (for citing)
Expense$7,219,464ExpenseAmt
Revenue$9,431,428RevenueAmt
DescER AND OTHER:The Emergency Department had 16,638 visits in 2014. Construction of a new Emergency Department was completed in 2014.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$55,964,839TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsYes (true)TerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee499EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMary Jo PawlakPersonNm
Phone2037398110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Elm StreetAddressLine1
CityNew MilfordCity
StateCTState
ZIP Code06776ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
John M Murphy MD
WCHN Pres & CEO2.0048.00Yes (X)Yes (X)$0$1,243,861$54,487
Neil Culligan MD
Director1.002.00Yes (X)$0$0$0
David Kramer MD
Director1.002.00Yes (X)$0$0$0
David Cyganowski
Director1.002.00Yes (X)Yes (X)$0$0$0
Richard G Jabara
Director1.003.00Yes (X)$0$0$0
Anthea Disney
Director1.002.00Yes (X)$0$0$0
Joseph D Skrzypczak
Secretary1.002.00Yes (X)Yes (X)$0$0$0
Spencer Houldin
Director1.003.00Yes (X)$0$0$0
Brian C White
Director1.004.00Yes (X)$0$0$0
James Kennedy
Chairman3.007.00Yes (X)Yes (X)$0$0$0
DDeBarba from 1114
Exec VP & Pres.1.0049.00Yes (X)$0$1,110,329$26,151
Steven H Rosenberg
SVP/CFO & Treas2.0049.00Yes (X)$0$717,641$45,409
D Weymouth to 6114
SVP & Exec Dir.40.000.00Yes (X)$372,111$0$18,013
Donna Kaplanis
Asst. Secretary2.0048.00Yes (X)$0$236,977$57,460
Thomas Koobatian
SVP40.0010.00Yes (X)$0$417,446$49,827
Damon DeChamplain
Director Pt Exper40.000.00$150,658$0$24,947Yes (X)
Lee Zarger
Chief Med Physicst40.000.00$203,036$0$28,335Yes (X)
Judith Pilch
Nurse Manager40.000.00$142,522$0$21,156Yes (X)
Christian Ward
Dir.of Finance40.000.00$145,831$0$40,304Yes (X)
Kevin Meade
Controller40.000.00$145,208$0$18,474Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,159,366TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,726,254TotReportableCompRltdOrgAmt
Total Other Compensation$384,563TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K51IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
UNIDINE
PO BOX 60479CHARLOTTENC28260NUTRITIONAL$1,251,824
LAWNS UNLIMITED
186 CORNWALL RDWARRENCT06776LANDSCAPING SERVICES$110,000
APOLLO INTL
2150 BOSTON PROVIDENCE HIGHWAYWALPOLEMA02081SECURITY SERVICES$446,402
PERSANTE SLEEP CARE
130 GAITHER DRIVEMOUNT LAURELNJ08054SLEEP CTR MANAGEMENT$146,200
RINALDI LINEN SERVICE
47 COMMONS COURTWATERBURYCT06704LAUNDRY SERVICES$150,572
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$1,503,047RelatedOrganizationsAmt
Government Grants$304,803GovernmentGrantsAmt
Total Contributions$1,807,850TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Medicare/Medicaid621990$26,001,421$26,001,421
Non-Patient Laboratory621500$1,033,723$1,033,723
Patient Service Revenue621990$34,771,615$34,771,615
FieldValueIRS element (for citing)
Total Program Service Revenue$61,806,759TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$86,305RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$86,305RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,305TotalRevenueColumnAmt
Exclusion$86,305ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Administrative Services561000$283,012$283,012
Cafeteria & Vending561000$250,004$250,004
Gift Shop452000$63,820$63,820
FieldValueIRS element (for citing)
Other Revenue Total$596,836OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,297,750TotalRevenueColumnAmt
Related Or Exempt Func Income$60,773,036RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,033,723UnrelatedBusinessRevenueAmt
Exclusion$683,141ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$294,415TotalAmt
Management And General$294,415ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,523,114TotalAmt
Program Services$20,354,185ProgramServicesAmt
Management And General$4,168,929ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,221,036TotalAmt
Program Services$1,013,460ProgramServicesAmt
Management And General$207,576ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,846,425TotalAmt
Program Services$3,192,533ProgramServicesAmt
Management And General$653,892ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,510,010TotalAmt
Program Services$1,253,308ProgramServicesAmt
Management And General$256,702ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,086TotalAmt
Management And General$28,086ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$190,930TotalAmt
Management And General$190,930ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$38,439TotalAmt
Management And General$38,439ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,950,914TotalAmt
Program Services$4,109,259ProgramServicesAmt
Management And General$841,655ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$252TotalAmt
Management And General$252ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$999,408TotalAmt
Program Services$829,509ProgramServicesAmt
Management And General$169,899ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$73,475TotalAmt
Program Services$60,984ProgramServicesAmt
Management And General$12,491ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,195,822TotalAmt
Program Services$992,532ProgramServicesAmt
Management And General$203,290ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,997TotalAmt
Program Services$9,958ProgramServicesAmt
Management And General$2,039ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$47,405TotalAmt
Program Services$39,346ProgramServicesAmt
Management And General$8,059ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$128,030TotalAmt
Program Services$128,030ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,477,484TotalAmt
Program Services$4,546,312ProgramServicesAmt
Management And General$931,172ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,035,151TotalAmt
Program Services$1,689,175ProgramServicesAmt
Management And General$345,976ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$890,029TotalAmt
Program Services$738,724ProgramServicesAmt
Management And General$151,305ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$64,825,911TotalAmt
Program Services$55,964,839ProgramServicesAmt
Management And General$8,861,072ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,221,385BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,314,799BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,521,171BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$371,475BOYAmt
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,868,704BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,972,396BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,269,930BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,295,097BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,247,201BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,542,298BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,332,942BOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,125,215BOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,269,475BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,727,632BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,269,930BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$528,161ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$31,199,471OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$20MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$25,695GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$12,708DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$16OtherActivitiesAmt
Total Lobbying Expenditures$38,439TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationOnly 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

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$64,297,750TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$64,297,750RevenueSubtotalAmt
Total Revenue Per Form990$64,297,750TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$64,825,911TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$64,825,911ExpensesSubtotalAmt
Total Expenses Per Form990$64,825,911TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$737,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$205,443DirectOffsettingRevenueAmt
Net Community Benefit Expns$532,538NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served8307PersonsServedCnt
Total Community Benefit Expns$8,198,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,779,094DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,419,611NetCommunityBenefitExpnsAmt
Total Expense0.03730TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served8307PersonsServedCnt
Total Community Benefit Expns$8,936,686TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,984,537DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,952,149NetCommunityBenefitExpnsAmt
Total Expense0.04550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs152ActivitiesOrProgramsCnt
Persons Served6871PersonsServedCnt
Total Community Benefit Expns$273,220TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,555DirectOffsettingRevenueAmt
Net Community Benefit Expns$235,665NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$396TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$396NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served633PersonsServedCnt
Total Community Benefit Expns$906,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$623,085DirectOffsettingRevenueAmt
Net Community Benefit Expns$283,620NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs153ActivitiesOrProgramsCnt
Persons Served7505PersonsServedCnt
Total Community Benefit Expns$1,180,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$660,640DirectOffsettingRevenueAmt
Net Community Benefit Expns$519,681NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs153ActivitiesOrProgramsCnt
Persons Served15812PersonsServedCnt
Total Community Benefit Expns$10,117,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,645,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,471,830NetCommunityBenefitExpnsAmt
Total Expense0.05350TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$347TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$347NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served6176PersonsServedCnt
Total Community Benefit Expns$74,770TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$74,770NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served263PersonsServedCnt
Total Community Benefit Expns$2,051TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,051NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served6440PersonsServedCnt
Total Community Benefit Expns$77,168TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$77,168NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$754,130BadDebtExpenseAmt
Reimbursed By Medicare$20,760,082ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$30,624,628CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,864,546MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1New Milford Hospital IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 Elm StreetAddressLine1
CityNew MilfordCity
StateCTState
ZIP Code06776ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.newmilfordhospital.orgWebsiteAddressTxt
State License0032StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1New Milford Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.newmilfordhospital.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://www.chime.orgOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Form4720 FiledfalseForm4720FiledInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care400.0000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care600.0000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the CommunityProvide 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 AssessmentNew 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 PolicyNew 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportPart I, Line 6a & 6b: The Community Benefit report is reported on a Network basis. It contains the 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 MethodologyPart 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 ClinicsPart 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 ExpenseThe ratio of cost to charges is applied to the bad debt expense on the audited financial statements.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitIt 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 ExpenseThe 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 BenefitNew 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 PatientsIt 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 AssessmentPart 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 AssistancePART VI,LINE 3:The Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Also signs are posted throughout the hospital and counselors are available to provide further assistance. All uninsured inpatients are interviewed by financial counselors and assessed for eligibility for assistance programs. The hospital provides informational handouts to all uninsured patients at the time of registration which refers them to financial counseling if they would like assistance with their bills. Further, the hospital mails notices to all self-pay accounts referring them to financial counseling if they need assistance. The collection department will also refer patients to financial counseling when a patient indicates that they cannot afford their balances; and finally, schedulers refer uninsured patients to financial counseling prior to their test or procedure. The policy and applications for assistance are also available online.
Part VI - Community InformationPart 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 ActivitiesRelates 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 PurposePart 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 PromotionPart 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 FiledCT

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal 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

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 6b: Explanation of organization compensation contingent on net earnings from related orFormAndLineReferenceDesc
ExplanationPart 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

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidSingle License With Danbury HospitalAssetsDistriOrExpnssPaidDesc
Distribution2014-10-01DistributionDt
Fair Market Value Of Asset$34,128,301FairMarketValueOfAssetAmt
Method Of FMV DeterminationCostMethodOfFMVDeterminationTxt
EIN060646597EIN

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1
CityDanburyCity
StateCTState
ZIP Code068106099ZIPCode
FieldValueIRS element (for citing)
IRC Section501 (C) (3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessorInd
Employee Of SuccessorfalseEmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd
Bond Liabilities DischargedfalseBondLiabilitiesDischargedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To ServicesThe 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, EtRichard Jabara and James Kennedy, both directors of New Milford Hospital have a business relationship.
Form 990, Part VI, Line 11b: Form 990 Review ProcessSteven 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 ConflictsThe 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 ManagementCompensation 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 EmployeesCompensation 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 InspectionTax 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 AvailableThe 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 DecreasesChange in equity interest of WCHNF = -$478506
Other Changes In Net Assets Or Fund Balances - Other DecreasesChange in pension funding = -$7005610
Other Changes In Net Assets Or Fund Balances - Other DecreasesNet Assets Transferred to Danbury Hosp. = -$34128301
Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfer from Danbury Hospital = $10412946
FORM 990, PART IX, COLUMN DALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990,ALL FUNDRAISING EXPENSES WERE INCURRED BY THE Western Connecticut Health Network Foundation.
FORM 990, PART VI, LINE #6Western Connecticut Health Network, Inc. is the sole member of New Milford Hospital.
FORM 990, PART VI, LINE 7AThe sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified.
FORM 990, PART VI, LINE 7BThe 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 1bNeil 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Western CT Health Network Inc
24 Hospital AvenueDanburyCT06810222594977Program DevlpCT501(c)(3)11, TYPE 2N/AYes (true)
Western CT Medical Group Inc
14 Research Drive Suite 201ABethelCT06801061137531Physician SvcCT501(c)(3)9Yes (true)WCHN
West CT Health Network Foundation
24 Hospital AvenueDanburyCT06810237425557Admin ContribCT501(c)(3)7Yes (true)WCHN
Danbury Hospital Inc
24 Hospital AvenueDanburyCT06810060646597Acute CareCT501(c)(3)3Yes (true)WCHN
Western CT Health Network Affiliates
95 Locust AvenueDanburyCT06810222594968OP Hlthcr SvcCT501(c)(3)9Yes (true)WCHN
Western CT Home Care Inc
4 Liberty StreetDanburyCT06810060655138Home HlthcareCT501(c)(3)9Yes (true)WCHN
Eastern NY Medical Services PC
14 Research Drive Suite 201ABethelCT06810485431389PHYSICIAN SVC.NY501(C) (3)9Yes (true)WCHN
The Norwalk Hospital Association
24 Stevens StreetNorwalkCT06850066068853Health ServicesCT501 (C) (3)3Yes (true)NHSC
Norwalk Hospital Phys and Surgeons
24 Stevens StreetNorwalkCT06850061522078Physician ServicesCT501 (C) (3)11, TYPE 2Yes (true)NHSC
Norwalk Health Care Inc
24 Stevens StreetNorwalkCT06850222577722INACTIVECT501 (C) (3)9Yes (true)NHSC
Norwalk Health Services Corporation
24 Stevens StreetNorwalkCT06850222577711Support ServicesCT501 (C) (3)11, TYPE 2Yes (true)WCHN
Norwalk Hospital Foundation
34 Maple StreetNorwalkCT06850222577708Admin. Contrib.CT501 (C) (3)7Yes (true)NHSC
Advanced Center for Rehab Medicine
24 Stevens StreetNorwalkCT06850061304799InactiveCT501 (C) (3)11,Type 2Yes (true)NHSC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndPredominant Income TypePredominantIncomeTypeTxt
New Milford MRI JV LLC
21 Elm StreetNew MilfordCT06776271877801INACTIVECTNew Milford Hospitalfalsefalse
Ridgefield Surgical Center LLC
901 Ethan Allen Hwy Suite 105RidgefieldCT06877222594977INACTIVECTWCHNfalsefalse
Norwalk Surgery
40 Cross StreetNorwalkCT06851272394942Surgery CenterCTNHfalsefalseRelated

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryPostal CodeForeignAddress/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Business Systems Inc
24 Hospital AvenueDanburyCT06810061119262InactiveCTWCHNC Corp.Yes (true)
Medical Services of Danbury
24 Hospital AvenueDanburyCT06811061635945HealthcareCTWCMGC Corp.Yes (true)
SWC Corporation
24 Stevens StreetNorwalkCT06850222577718PharmacyCTNHSCC CorpYes (true)
West CT Health Network Insur Co LTD
980438151MalpractceDHC.Corp.Yes (true)23 Lime Tree Bay PO Box 1051Grand CaymanCJ
Maple Street Indemnity Company
980549862MalpractceNHSCC CorpYes (true)40 Church Street PO Box 2062HamiltonBDHM HX BDBD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Western CT Medical Group Inc
k$60,352Cost
Western CT Medical Group Inc
m$5,795,662Cost
Western CT Medical Group Inc
p$5,602,297Cost
West CT Health Network Foundation
c$1,503,047Cost
Danbury Hospital Inc
b$34,128,301Cost
Danbury Hospital Inc
c$10,412,946Cost
Danbury Hospital Inc
m$484,884Cost
Danbury Hospital Inc
o$5,073,718Cost
Danbury Hospital Inc
p$13,054,268Cost
Danbury Hospital Inc
r$11,982,842Cost