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NUVANCE HEALTH MEDICAL PRACTICE CT INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NUVANCE HEALTH MEDICAL PRACTICE CT INC (EIN 06-1137531)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-12
IRS object ID
201522249349300987
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)
Return2015-08-12T07:29:11-07:00ReturnTs
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)
EIN061137531EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Western Connecticut Medical Group IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone2037397294PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 Research DriveAddressLine1
CityBethelCity
StateCTState
ZIP Code06801ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonColleen ScottPersonNm
Person TitleCFOPersonTitleTxt
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)
Principal OfficerPatrick BroderickPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1
CityDanburyCity
StateCTState
ZIP Code06810ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$167,327,348GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.westernconnecticuthealthnetwork.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionThe mission at WCMG is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities we serve and strive to be aware of and respond to our patients needs. See schedule O for more detail.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee948TotalEmployeeCnt
Total Gross UBI$181,467TotalGrossUBIAmt
CY Contributions Grants$116,269CYContributionsGrantsAmt
PY Program Service Revenue$163,994,669PYProgramServiceRevenueAmt
CY Program Service Revenue$166,682,156CYProgramServiceRevenueAmt
PY Investment Income-$52,825PYInvestmentIncomeAmt
CY Investment Income$616CYInvestmentIncomeAmt
PY Other Revenue$156,660PYOtherRevenueAmt
CY Other Revenue$150,654CYOtherRevenueAmt
PY Total Revenue$164,098,504PYTotalRevenueAmt
CY Total Revenue$166,949,695CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$138,136,508PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$139,104,940CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,581,455PYOtherExpensesAmt
CY Other Expenses$27,035,191CYOtherExpensesAmt
PY Total Expenses$163,717,963PYTotalExpensesAmt
CY Total Expenses$166,140,131CYTotalExpensesAmt
PY Revenues Less Expenses$380,541PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$809,564CYRevenuesLessExpensesAmt
Total Assets BOY$29,632,127TotalAssetsBOYAmt
Total Assets EOY$36,123,819TotalAssetsEOYAmt
Total Liabilities BOY$21,343,241TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,576,549TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,288,886NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,547,270NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission at WCMG is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities we serve and strive to be aware of and respond to our patients needs. See schedule O for more detail.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$45,896,496ExpenseAmt
Revenue$43,809,476RevenueAmt
DescMedicine SubSpecialty-WCMG Medicine SubSpecialty provides various services in Danbury, CT and surrounding towns. Major services include Cardiology, Pulmonology, Surgery, Gastroenterology and Rheumatology.11 Locations serving areas in Western Connecticut66,775 Patients during fiscal year 2014270,128 Visits during fiscal year 2014$611,773 - Adjusted for financial assistance during FY 2014Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$23,620,279ExpenseAmt
Revenue$24,084,065RevenueAmt
DescPrimary CareWCMG has Primary Care specialists in family medicine, internal medicine and pediatrics. The primary care offices are located in Danbury, CT and the surrounding towns.13 Locations serving areas in Western Connecticut and Eastern New York57,557 Patients during fiscal year 2014161,794 Visits during fiscal year 2014$26,406 - Adjusted for financial assistance during FY 2014Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$17,358,555ExpenseAmt
Revenue$21,263,357RevenueAmt
DescAnesthesiologyWCMG Anesthesia provides management of procedures for rendering a patient insensible to pain and emotional stress during surgical, obstetrical, and other diagnostic or therapeutic procedures. We also provide acute pain service.3 Locations serving areas in Western Connecticut and Eastern New York26,768 Patients during fiscal year 201433,512 Visits during fiscal year 2014$251,878 - Adjusted for financial assistance during FY 2014Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$46,541,343TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$77,675,912TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$133,416,673TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
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 OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document105IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee948EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonColleen M ScottPersonNm
Phone2037397294PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 Research Drive Suite 201AAddressLine1
CityBethelCity
StateCTState
ZIP Code06801ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Patrick Broderick
Chairman50.002.00Yes (X)Yes (X)$474,630$15,882$60,214
Matthew Miller
Vice Chairman2.0042.00Yes (X)Yes (X)$646,881$0$48,643
John Borruso
Dir til1/1/201450.000.00Yes (X)$465,927$0$25,525
Patricia Tietjen
Trustee/Phys50.000.00Yes (X)$604,478$0$37,048
Charles Herrick
Treasurer/Phys50.000.00Yes (X)$436,436$0$59,724
Paul Fiedler
Trustee/Phys50.000.00Yes (X)$588,986$0$47,464
Steven Gorelick
Dir til1/1/201450.002.00Yes (X)$554,513$9,076$43,128
Raul Arguello
Dir til1/1/201450.000.00Yes (X)$393,145$0$44,949
Shohreh Shahabi
Dir til1/1/201450.000.00Yes (X)$594,163$0$44,286
Martin Serrins
VP/Treasur/Phys50.000.00Yes (X)Yes (X)$654,934$0$50,189
Keith Zuccala
Dir(eff 1/1/1450.000.00Yes (X)$594,905$0$48,740
Simon O'Regan
Treas(ef 1/1/1450.000.00Yes (X)$338,302$0$47,974
Lewis Berman MD
Dir(eff 9/11/142.0040.00Yes (X)$0$503,194$41,241
Dan DeBarba
Dir(eff 1/23/142.0048.00Yes (X)$0$1,110,328$26,151
Thomas Koobatian MD
Dir(eff 9/11/1410.0040.00Yes (X)$417,447$0$49,827
Victor Liss CPA
Dir(eff 1/23/142.007.00Yes (X)$0$0$0
John Murphy MD
Dir (eff 1/1/142.0048.00Yes (X)$0$1,243,861$54,487
Brian C White CPA
Dir (eff 1/1/142.003.00Yes (X)$0$0$0
Thomas Linhares
Executive Dir.40.000.00Yes (X)$0$0$0
Colleen Scott
CFO40.000.00Yes (X)$0$0$0
Donna Kaplanis
Sec (eff 1/1/142.0048.00Yes (X)$0$236,976$57,460
Shawyn Corbett
COO40.000.00Yes (X)$0$0$0
Michael Grey MD
CMO40.000.00Yes (X)$0$0$0
Alan Dietzek
Surgeon50.000.00$955,594$0$57,477Yes (X)
Cary Passik
Cardiologist50.000.00$708,446$0$46,777Yes (X)
Winston Shih
Physician50.000.00$799,321$0$59,014Yes (X)
Ira Galin
Physician50.000.00$664,187$0$54,612Yes (X)
Mark Warshofsky
Physician50.000.00$662,823$0$44,901Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,555,118TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,119,317TotReportableCompRltdOrgAmt
Total Other Compensation$1,049,831TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K287IndivRcvdGreaterThan100KCnt
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
ALLSCRIPT
8529 SIX FORKS ROADRALEIGHNC27615ELECTRONC HEALTH REC$1,554,103
JHD GROUP
5055 KELLER SPRINGS ROAD ST 240ADDISONTX75001MANAGEMENT SERVICES$598,141
WOMENS HEALTH SERVICES
90 LOCUST AVENUEDANBURYCT06810PHYSICIAN FEES$485,333
ROBINSON & COLE LLP
1055 WASHINGTON BLVD FL 9STAMFORDCT06901LEGAL$279,253
B&B COMMERCIAL CLEANING SERVICES
36 TAMARACK AVENUEDANBURYCT06811CLEANING SERVICES$187,744
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$116,269RelatedOrganizationsAmt
Total Contributions$116,269TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Davita Oversight Dialysis621400$138,575$138,575
DHCC Oversight623000$42,892$42,892
Medical Revenue621110$166,500,689$166,500,689
FieldValueIRS element (for citing)
Total Program Service Revenue$166,682,156TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,746TotalRevenueColumnAmt
Exclusion$2,746ExclusionAmt

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$375,523RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$375,523RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,130OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,130OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,130TotalRevenueColumnAmt
Exclusion-$2,130ExclusionAmt

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 ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Behavioral Health621400$22,720$22,720
Medical Records900099$38,989$38,989
Physicans Services621110$86,351$86,351

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,594TotalRevenueColumnAmt
Related Or Exempt Func Income$2,594RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$150,654OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,949,695TotalRevenueColumnAmt
Related Or Exempt Func Income$166,651,343RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$181,467UnrelatedBusinessRevenueAmt
Exclusion$616ExclusionAmt

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$7,331,702TotalAmt
Program Services$7,331,702ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$123,936,376TotalAmt
Program Services$105,287,287ProgramServicesAmt
Management And General$18,649,089ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,412,147TotalAmt
Program Services$2,049,184ProgramServicesAmt
Management And General$362,963ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,424,715TotalAmt
Program Services$4,999,557ProgramServicesAmt
Management And General$425,158ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$730,578TotalAmt
Management And General$730,578ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$230,250TotalAmt
Management And General$230,250ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,116TotalAmt
Management And General$11,116ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$7,842,864TotalAmt
Program Services$2,526,844ProgramServicesAmt
Management And General$5,316,020ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$233,983TotalAmt
Program Services$21,139ProgramServicesAmt
Management And General$212,844ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,668,394TotalAmt
Program Services$1,157,003ProgramServicesAmt
Management And General$1,511,391ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$142,082TotalAmt
Program Services$142,082ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,686,047TotalAmt
Program Services$6,062,670ProgramServicesAmt
Management And General$623,377ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$423,994TotalAmt
Program Services$382,027ProgramServicesAmt
Management And General$41,967ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$135,419TotalAmt
Program Services$132,133ProgramServicesAmt
Management And General$3,286ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,998TotalAmt
Program Services$17,998ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$813,851TotalAmt
Program Services$625,208ProgramServicesAmt
Management And General$188,643ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,037,158TotalAmt
Program Services$15,124ProgramServicesAmt
Management And General$4,022,034ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical and Surgical Supplies$1,837,339$1,837,339
Membership Dues$723,671$503,580$220,091
Repairs/Maintenance$168,617$151,705$16,912
Education Expense$66,322$16,442$49,880

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$265,508TotalAmt
Program Services$157,649ProgramServicesAmt
Management And General$107,859ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$166,140,131TotalAmt
Program Services$133,416,673ProgramServicesAmt
Management And General$32,723,458ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,349BOYAmt
EOY$6,449EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,321,125BOYAmt
EOY$6,287,242EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,371,757BOYAmt
EOY$10,839,912EOYAmt

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$185,112BOYAmt
EOY$120,170EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$240,035BOYAmt
EOY$304,581EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,082,902LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,815,825LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,431,548BOYAmt
EOY$9,267,077EOYAmt

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)
BOY$71,896BOYAmt
EOY$4,948EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,004,305BOYAmt
EOY$9,293,440EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,632,127BOYAmt
EOY$36,123,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,462,075BOYAmt
EOY$12,302,179EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,513,149BOYAmt
EOY$1,388,331EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$68,542BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,299,475BOYAmt
EOY$4,886,039EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,343,241BOYAmt
EOY$18,576,549EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,288,886BOYAmt
EOY$17,547,270EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,288,886BOYAmt
EOY$17,547,270EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,632,127BOYAmt
EOY$36,123,819EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$809,564ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$8,448,820OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$116,269CurrentTaxYearAmt
Total$116,269TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,374,921CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138,666,422CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$161,667,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$163,973,312CurrentTaxYearMinus1YearAmt
Current Tax Year$166,651,343CurrentTaxYearAmt
Total$762,333,752TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,374,921CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138,666,422CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$161,667,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$163,973,312CurrentTaxYearMinus1YearAmt
Current Tax Year$166,767,612CurrentTaxYearAmt
Total$762,450,021TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$762,450,021PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$358,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$308,388CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$349,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$329,788CurrentTaxYearMinus1YearAmt
Current Tax Year$378,269CurrentTaxYearAmt
Total$1,723,946TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$178,017CurrentTaxYearMinus1YearAmt
Current Tax Year$181,467CurrentTaxYearAmt
Total$359,484TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$358,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$308,388CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$349,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$507,805CurrentTaxYearMinus1YearAmt
Current Tax Year$559,736CurrentTaxYearAmt
Total$2,083,430TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,733,097CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138,974,810CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$162,017,079CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164,481,117CurrentTaxYearMinus1YearAmt
Current Tax Year$167,327,348CurrentTaxYearAmt
Total$764,533,451TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99730PublicSupportCY509Pct
Public Support PY5090.99510PublicSupportPY509Pct
Investment Income CY0.00270InvestmentIncomeCYPct
Investment Income PY0.00280InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$9,174OtherActivitiesAmt
Total Lobbying Expenditures$9,174TotalLobbyingExpendituresAmt
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
ExplanationThe lobbying is for various Federal and State Healthcare matters that includes mailings to members, legislators, or the public. The dollars related to lobbying activities represents approximately 1.3% of the total membership dues expenditures. All lobbying dollars are a portion of membership dues paid.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$158,379OtherCostOrOtherBasisAmt
Depreciation$62,003DepreciationAmt
Book Value$96,376BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,539,639OtherCostOrOtherBasisAmt
Depreciation$6,753,822DepreciationAmt
Book Value$7,785,817BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,384,884OtherCostOrOtherBasisAmt
Book Value$1,384,884BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,267,077TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (12 entries)

DescDescBook ValueBookValueAmt
457B ASSET$4,886,040
CASH VALUE LIFE INSURANCE$1,034,580
DANBURY HOSPITAL RECEIVABLE
DHCC RECEIVABLE$21,055
DHMAC RECEIVABLE
DUE FROM RELATED PARTIES - NMH$1,101,366
DUE FROM RELATED PARTIES - WCHN$1,154,754
ENYMS RECEIVABLE$130,728
MISC REC - MEANINGFUL USE$449,960
MISCELLANEOUS RECEIVABLE$106,297
NH / NHP&S RECEIVABLE$351,470
SOUTHBURY RENT RECEIVABLE$57,190
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,293,440TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
Desc457B LiabilityDesc
Amt$4,886,039Amt
FieldValueIRS element (for citing)
Total Liability$4,886,039TotalLiabilityAmt

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 OrgfalseCompBsdNetEarnsFlngOrgInd
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 (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Alan Dietzek
Surgeon$151,336$775,030$29,228$22,950$34,527$1,013,071
Cary Passik
Cardiologist$592,201$90,257$25,988$12,750$34,027$755,223
Charles Herrick
Treasurer/Phys$301,179$115,034$20,223$15,300$44,424$496,160
Dan DeBarba
Dir(eff 1/23/14$632,298$445,600$32,430$11,475$14,676$1,136,479
Donna Kaplanis
Sec (eff 1/1/14$177,101$40,034$19,841$24,188$33,272$294,436
Ira Galin
Physician$640,961$22,302$924$12,750$41,862$718,799
John Borruso
Dir til1/1/2014$375,947$67,509$22,471$20,400$5,125$491,452
John Murphy MD
Dir (eff 1/1/14$821,391$412,534$9,936$12,750$41,737$1,298,348
Keith Zuccala
Dir(eff 1/1/14$492,480$100,034$2,391$15,300$33,440$643,645
Lewis Berman MD
Dir(eff 9/11/14$395,424$70,164$37,606$25,365$15,876$544,435
Mark Warshofsky
Physician$586,614$70,834$5,375$12,750$32,151$707,724
Martin Serrins
VP/Treasur/Phys$499,292$145,034$10,608$25,500$24,689$705,123
Matthew Miller
Vice Chairman$441,938$170,034$34,909$25,500$23,143$695,524
Patricia Tietjen
Trustee/Phys$473,358$125,761$5,359$12,750$24,298$641,526
Patrick Broderick
Chairman$341,784$110,517$22,329$25,500$34,714$534,844$15,882$15,882
Paul Fiedler
Trustee/Phys$469,836$115,034$4,116$12,750$34,714$636,450
Raul Arguello
Dir til1/1/2014$301,665$90,034$1,446$12,750$32,199$438,094
Shohreh Shahabi
Dir til1/1/2014$457,513$115,034$21,616$12,750$31,536$638,449
Simon O'Regan
Treas(ef 1/1/14$264,841$71,392$2,069$15,300$32,674$386,276
Steven Gorelick
Dir til1/1/2014$484,176$68,741$1,596$12,750$30,378$597,641$9,076$9,076
Thomas Koobatian MD
Dir(eff 9/11/14$344,671$70,921$1,855$15,300$34,527$467,274
Winston Shih
Physician$627,298$163,164$8,859$25,500$33,514$858,335

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related orSummary of Executive Incentive Plan (Excerpts From)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.Note: The Executive Director and CFO,COO and CMO operations at WCMG are administered by a management company, as directed by the board of trustees. Thomas Linhares (Executive Director), Colleen Scott (CFO), Shawyn Corbett (COO) and Michael Grey, M.D. (CMO) are employees of JHD Group. In fiscal year 2014, JHD was paid $730,578 by WCMG related to Thomas Linhares and Colleen Scott. In fiscal year 2014, JHD was paid $920,211 by a related party (WCHN) for Shawyn Corbett and Michael Grey M.D.
Part III, Additional InformationPart II, Column B (II) Bonus/incentive compensation: Western CT Medical Group physicians are eligible to participate in a production based incentive plan. WCMG set wRVU production targets annually for each physician in the incentive plan. Physicians whose annual production exceeds wRVU targets established are eligible to accrue incentive compensation at a fixed rate per wRVU for each wRVU in excess of their target. Incentive compensation is paid semi-annually once approvals are obtained from the physicians Medical Director and Chairman.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: All other program services include surgery, oncology, pathology, psycology, OBGYN, pediatrics and administration. OTHER PROGRAM SERVICES 5: OTHER PROGRAM SERVICES 6:
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe Executive Director and CFO operations at WCMG are administered by a management company, as directed by the board of trustees. Thomas Linhares (Executive Director) and Colleen Scott (CFO) are employees of JHD Group. JHD Group is reported in Part VII, Section B.
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsOn 1/1/2014 Western Connecticut Health Network (WCHN) became the sole corporate member of Norwalk Health Services Corporation, and a corporate affiliation was completed.Western Connecticut Medical Group changed its corporate structure, moving from a professional services corporation (P.C.) to a Medical Foundation structure (Inc.) January 1,2014.The following significant changes were made to the by laws of Western Connecticut Medical Group, during the fiscal year ending September 30, 2014:1)Revised the powers of WCHN as member to allow WCHN to take additional actions without requiring approval of the Board of the Corporation. WCMG in section 1.3 to add: -Approval of changes to qualified and non-qualified benefit plans -Approval of policies -Approval of quality, performance and credentialing standards -Approval of physician compensation methodologySection 1.3 was further amended to delete the requirement that WCHN approve managed care contracts and filing of a certificate of need. Approval of a certificate of need is not legally required and WCHN is required to approve any changes in clinical services. Thus, approval of the actual filing for a certificate of need was deemed duplicative.2) Section 2.1 - inserted requirement that the Board of the Corporation may not overlap with the board of directors of a for-profit health system, hospital or medical school, or with a medical foundation formed by such a for-profit entity. Connecticuts' medical foundation act was recently amended to include this requirement.3) Article V - revised to allow the Chief Financial Officer of WCHN to serve as the Corporation's Treasurer, ex-officio. The Treasurer will have authority to exercise investment management decisions for the Corporation, provided that the Treasurer reports regularly to the directors and exercises such authority in accordance with the investment policies of the Corporation and in consulation with WCHN's Finance Committee.In connection with the change in the Treasurer, the composition of the Governance Committee has been changed to provide that the Treasurer no longer automatically serves on that committee.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Corporation's sole member is Western Connecticut Health Network, Inc.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyWestern Connecticut Health Network, Inc (the "Member") shall have the exclusive right (i)to elect the Corporation's board of directors and to appoint individuals to fill vacancies on the board of directors; (ii)amend the bylaws of the Corporation; and (iii)to remove any director with or without cause.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersFundamental changes are subject to the approval of the Member (Western Connecticut Health Network, Inc), the directors, by the affirmative vote of of no less than two-thirds of all directors present required to (a) amend certificate of incorporation (b) transfer substantially all the Corporations assets to, or merge the Corporation (c) sell or mortgage substantially all the Corporations assets (d) dissolve the Corporation.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe organization provides a copy of the completed 990 forms to the Network audit committee for review. The forms are reviewed by the chief financial officer, president and executive director. Ernst & Young conducts a review of the return for completeness and accuracy. 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 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation review and approval process for officers and key employees are reviewed and based on outside market data from a third party vendor. The review was last performed in September 2014. Compensation is further reviewed by the human resources department, the WCMG Board of Directors and WCHN Committee on Governance. The CEO, CFO, CMO and COO of the Medical Group are outsourced to a management company, the JHD Group. The CEO and CFO are paid by WCMG and the COO and CMO are paid by a related party (WCHN). The Board negotiated the management agreement, inclusive of the related compensation.
Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public InspectionForms 1023, 990 and 990-T are available on the Danbury Hospital's website at 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 2014 includes: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 available upon request.
Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfer to Equity for Danbury Hospital Intercompany = $8448820
Form 990, Part I Line 1 & Part III, Line 1The mission of WCMG is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities we serve and strive to be aware of and respond to our patients needs. We support a commitment to advance the health and well-being of people in our community by delivering quality care participating in medical research and medical residency programs and the provision of medical services to patients.
Form 990, Part VI (Addt'l Information)The policies exist at the parent level, which are followed by each entity and are approved by the parent board, but not each individual board.
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", represents benefits, and do not reflect any compensation for which the average amount of time worked can be reflected.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Danbury Hospital
24 Hospital AveDanburyCT06801060646597ACUTE CARECT501 (c) 33WCHNYes (true)
WESTERN CT HEALTH NETWORK INC
24 Hospital AveDanburyCT06801222594977PROGRAM DEVLPCT501 (c) 311 type 2NAfalse
WEST CT HEALTH NETWORK AFFILIATES
95 Locust AveDanburyCT06801222594968OP HLTHCR SVCCT501 (c) 39WCHNYes (true)
WEST CT HEALTH NETWORK FOUNDATION
24 Hospital AveDanburyCT06801237425557ADMIN CONTRIBCT501 (c) 37WCHNYes (true)
WESTERN CONNECTICUT HOMECARE INC
4 Liberty StreetDanburyCT06810060655138HOME HLTHCRECT501 (c) 39WCHNYes (true)
New Milford Hospital
21 Elm StreetNew MilfordCT06776060669121ACUTE CARECT501 (c) 33WCHNYes (true)
Eastern NY Medical Services PC
14 Research Drive Suite 201ABethelCT06810455431389PHYSICIAN SVC.CT501 (c) 39WCHNYes (true)
The Norwalk Hospital Associtaion
24 Stevens StreetNorwalkCT06850066068853HEALTH SVCSCT501 (c) 33NHSCYes (true)
Norwalk Hospital Phys and Surgeons
24 Stevens StrretNorwalkCT06850061522078PHYSICIAN SVC.CT501 (c) 311, TYPE 2NHSCYes (true)
Norwalk Health Care Inc
24 Stevens StreetNorwalkCT06850222577722INACTIVECT501 (c) 39NHSCYes (true)
Norwalk Health Services Corporation
24 Stevens StreetNorwalkCT06850222577711SUPPORT SVCSCT501 (c) 311,TYPE 2WCHNYes (true)
Norwalk Hospital Foundation
34 Maple StreetNorwalkCT06850222577708ADMIN. CONTRIB.CT501 (c) 37NHSCYes (true)
Advanced Ctr for Rehab Medicine
24 Stevens StreetNorwalkCT06850061304799INACTIVECT501 (c) 311BNHSCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
New Milford MRI JV LLC
21 Elm StreetNew MilfordCT06776271877801INACTIVECTNMHN/Afalsefalse
Ridgefield Surgical Center LLC
901 Ethan Allen Hwy Suite 105RidgefieldCT06877222594977INACTIVECTWCHNN/Afalsefalse
Norwalk Surgery Center LLC
490 Cross Street 120NorwalkCT06851272394942SURGERY CENTERCTNHN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryProvince Or StateForeignAddress/ProvinceOrStatePostal CodeForeignAddress/PostalCode
Medical Services of Danbury
24 Hospital AvenueDanburyCT06811061635945INACTIVECTWCMGC CORP1.00000Yes (true)
BUSINESS SYSTEMS INC
95 Locust AvenueDANBURYCT06810061119262INACTIVECTWCHNC CORPYes (true)
SWC Corporation
24 Stevens StreetNorwalkCT06850222577718PHARMACYCTNHSCC Corp.Yes (true)
WEST CT HEALTH NETWORK INSUR
980438151MALPRCTICEDHC CORPYes (true)23 Lime Tree Bay PO Box 1051Grand CaymanCJ
Maple Street Indemnity Company
980549862MALPRCTICENHSCC Corp.Yes (true)40 Church St PO Box 2062HamiltonBDHM HXBD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Danbury Hospital
c$8,448,820Cost
Danbury Hospital
k$2,189,615Cost
Danbury Hospital
l$54,686,398Cost
Danbury Hospital
m$2,680,656Cost
Danbury Hospital
n$288,770Cost
Danbury Hospital
p$56,280,530Cost
Danbury Hospital
r$1,587,501Cost
New Milford Hospital
j$60,352Cost
New Milford Hospital
l$5,795,662Cost
New Milford Hospital
q$5,602,297Cost
Eastern NY Medical Services PC
r$134,990Cost
The Norwalk Hospital Associtaion
l$100,222Cost
Norwalk Hospital Phys and Surgeons
l$251,248Cost