2015-08-12T07:29:11-07:00 2014-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE STE 4000 INDIANAPOLIS IN 46204 990 2013-10-01 061137531 Western Connecticut Medical Group Inc WEST 2037397294 14 Research Drive Bethel CT 06801 Colleen Scott CFO 2015-08-12 true Jennifer Lynch P01255855 3176817000 2013 2016-02-25 16:41:14Z Patrick Broderick 24 Hospital Avenue Danbury CT 06810 167327348 false false X www.westernconnecticuthealthnetwork.org X 1985 CT The 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. 14 2 948 181467 116269 163994669 166682156 -52825 616 156660 150654 164098504 166949695 0 0 138136508 139104940 0 0 25581455 27035191 163717963 166140131 380541 809564 29632127 36123819 21343241 18576549 8288886 17547270 X The 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. false false 45896496 43809476 Medicine 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 2014 23620279 24084065 Primary 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 2014 17358555 21263357 AnesthesiologyWCMG 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 2014 46541343 77675912 133416673 true true false true false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false true true true false false true 105 0 true 948 true true false false false false false false 0 false false false false false false false false false false X 14 2 false true true false true true true true true false false true false false false false false false true false X X Colleen M Scott 2037397294 14 Research Drive Suite 201A Bethel CT 06801 Patrick Broderick Chairman 50.00 2.00 X X 474630 15882 60214 Matthew Miller Vice Chairman 2.00 42.00 X X 646881 0 48643 John Borruso Dir til1/1/2014 50.00 0.00 X 465927 0 25525 Patricia Tietjen Trustee/Phys 50.00 0.00 X 604478 0 37048 Charles Herrick Treasurer/Phys 50.00 0.00 X 436436 0 59724 Paul Fiedler Trustee/Phys 50.00 0.00 X 588986 0 47464 Steven Gorelick Dir til1/1/2014 50.00 2.00 X 554513 9076 43128 Raul Arguello Dir til1/1/2014 50.00 0.00 X 393145 0 44949 Shohreh Shahabi Dir til1/1/2014 50.00 0.00 X 594163 0 44286 Martin Serrins VP/Treasur/Phys 50.00 0.00 X X 654934 0 50189 Keith Zuccala Dir(eff 1/1/14 50.00 0.00 X 594905 0 48740 Simon O'Regan Treas(ef 1/1/14 50.00 0.00 X 338302 0 47974 Lewis Berman MD Dir(eff 9/11/14 2.00 40.00 X 0 503194 41241 Dan DeBarba Dir(eff 1/23/14 2.00 48.00 X 0 1110328 26151 Thomas Koobatian MD Dir(eff 9/11/14 10.00 40.00 X 417447 0 49827 Victor Liss CPA Dir(eff 1/23/14 2.00 7.00 X 0 0 0 John Murphy MD Dir (eff 1/1/14 2.00 48.00 X 0 1243861 54487 Brian C White CPA Dir (eff 1/1/14 2.00 3.00 X 0 0 0 Thomas Linhares Executive Dir. 40.00 0.00 X 0 0 0 Colleen Scott CFO 40.00 0.00 X 0 0 0 Donna Kaplanis Sec (eff 1/1/14 2.00 48.00 X 0 236976 57460 Shawyn Corbett COO 40.00 0.00 X 0 0 0 Michael Grey MD CMO 40.00 0.00 X 0 0 0 Alan Dietzek Surgeon 50.00 0.00 X 955594 0 57477 Cary Passik Cardiologist 50.00 0.00 X 708446 0 46777 Winston Shih Physician 50.00 0.00 X 799321 0 59014 Ira Galin Physician 50.00 0.00 X 664187 0 54612 Mark Warshofsky Physician 50.00 0.00 X 662823 0 44901 10555118 3119317 1049831 287 false true false ALLSCRIPT 8529 SIX FORKS ROAD RALEIGH NC 27615 ELECTRONC HEALTH REC 1554103 JHD GROUP 5055 KELLER SPRINGS ROAD ST 240 ADDISON TX 75001 MANAGEMENT SERVICES 598141 WOMENS HEALTH SERVICES 90 LOCUST AVENUE DANBURY CT 06810 PHYSICIAN FEES 485333 ROBINSON & COLE LLP 1055 WASHINGTON BLVD FL 9 STAMFORD CT 06901 LEGAL 279253 B&B COMMERCIAL CLEANING SERVICES 36 TAMARACK AVENUE DANBURY CT 06811 CLEANING SERVICES 187744 10 116269 116269 Davita Oversight Dialysis 621400 138575 138575 DHCC Oversight 623000 42892 42892 Medical Revenue 621110 166500689 166500689 166682156 2746 2746 0 0 375523 375523 0 2130 -2130 -2130 -2130 0 0 0 Behavioral Health 621400 22720 22720 Medical Records 900099 38989 38989 Physicans Services 621110 86351 86351 2594 2594 150654 166949695 166651343 181467 616 0 0 0 0 7331702 7331702 0 123936376 105287287 18649089 2412147 2049184 362963 0 5424715 4999557 425158 730578 730578 230250 230250 11116 11116 0 0 0 7842864 2526844 5316020 233983 21139 212844 2668394 1157003 1511391 142082 142082 0 6686047 6062670 623377 423994 382027 41967 0 135419 132133 3286 17998 17998 0 813851 625208 188643 4037158 15124 4022034 Medical and Surgical Supplies 1837339 1837339 Membership Dues 723671 503580 220091 Repairs/Maintenance 168617 151705 16912 Education Expense 66322 16442 49880 265508 157649 107859 166140131 133416673 32723458 0 6349 6449 6321125 6287242 0 7371757 10839912 0 0 0 185112 120170 240035 304581 16082902 6815825 8431548 9267077 0 0 0 71896 4948 7004305 9293440 29632127 36123819 16462075 12302179 1513149 1388331 68542 3299475 4886039 21343241 18576549 X 8288886 17547270 8288886 17547270 29632127 36123819 X 809564 8448820 X false true X true false X 116269 116269 131374921 138666422 161667754 163973312 166651343 762333752 0 0 0 131374921 138666422 161667754 163973312 166767612 762450021 0 0 762450021 358176 308388 349325 329788 378269 1723946 178017 181467 359484 358176 308388 349325 507805 559736 2083430 0 0 131733097 138974810 162017079 164481117 167327348 764533451 0.99730 0.99510 0.00270 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 9174 9174 false false Part II-B, Line 1i - Other Activities Description The 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. 158379 62003 96376 14539639 6753822 7785817 1384884 1384884 9267077 457B ASSET 4886040 CASH VALUE LIFE INSURANCE 1034580 DANBURY HOSPITAL RECEIVABLE DHCC RECEIVABLE 21055 DHMAC RECEIVABLE DUE FROM RELATED PARTIES - NMH 1101366 DUE FROM RELATED PARTIES - WCHN 1154754 ENYMS RECEIVABLE 130728 MISC REC - MEANINGFUL USE 449960 MISCELLANEOUS RECEIVABLE 106297 NH / NHP&S RECEIVABLE 351470 SOUTHBURY RENT RECEIVABLE 57190 9293440 457B Liability 4886039 4886039 false true false false false false true false false false Alan Dietzek Surgeon 151336 775030 29228 22950 34527 1013071 Cary Passik Cardiologist 592201 90257 25988 12750 34027 755223 Charles Herrick Treasurer/Phys 301179 115034 20223 15300 44424 496160 Dan DeBarba Dir(eff 1/23/14 632298 445600 32430 11475 14676 1136479 Donna Kaplanis Sec (eff 1/1/14 177101 40034 19841 24188 33272 294436 Ira Galin Physician 640961 22302 924 12750 41862 718799 John Borruso Dir til1/1/2014 375947 67509 22471 20400 5125 491452 John Murphy MD Dir (eff 1/1/14 821391 412534 9936 12750 41737 1298348 Keith Zuccala Dir(eff 1/1/14 492480 100034 2391 15300 33440 643645 Lewis Berman MD Dir(eff 9/11/14 395424 70164 37606 25365 15876 544435 Mark Warshofsky Physician 586614 70834 5375 12750 32151 707724 Martin Serrins VP/Treasur/Phys 499292 145034 10608 25500 24689 705123 Matthew Miller Vice Chairman 441938 170034 34909 25500 23143 695524 Patricia Tietjen Trustee/Phys 473358 125761 5359 12750 24298 641526 Patrick Broderick Chairman 341784 15882 110517 22329 25500 34714 534844 15882 Paul Fiedler Trustee/Phys 469836 115034 4116 12750 34714 636450 Raul Arguello Dir til1/1/2014 301665 90034 1446 12750 32199 438094 Shohreh Shahabi Dir til1/1/2014 457513 115034 21616 12750 31536 638449 Simon O'Regan Treas(ef 1/1/14 264841 71392 2069 15300 32674 386276 Steven Gorelick Dir til1/1/2014 484176 9076 68741 1596 12750 30378 597641 9076 Thomas Koobatian MD Dir(eff 9/11/14 344671 70921 1855 15300 34527 467274 Winston Shih Physician 627298 163164 8859 25500 33514 858335 Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or Summary 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 Information Part 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. Form 990, Part III, Line 4d: Other Program Services Description OTHER 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 Company The 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 Documents On 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 Shareholder The Corporation's sole member is Western Connecticut Health Network, Inc. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Western 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 Shareholders Fundamental 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 Process The 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 Employees Compensation 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 Inspection Forms 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 Available The 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 Increases Transfer to Equity for Danbury Hospital Intercompany = $8448820 Form 990, Part I Line 1 & Part III, Line 1 The 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. 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CT 501 (c) 3 7 NHSC true Advanced Ctr for Rehab Medicine 24 Stevens Street Norwalk CT 06850 061304799 INACTIVE CT 501 (c) 3 11B NHSC true New Milford MRI JV LLC 21 Elm Street New Milford CT 06776 271877801 INACTIVE CT NMH N/A false false Ridgefield Surgical Center LLC 901 Ethan Allen Hwy Suite 105 Ridgefield CT 06877 222594977 INACTIVE CT WCHN N/A false false Norwalk Surgery Center LLC 490 Cross Street 120 Norwalk CT 06851 272394942 SURGERY CENTER CT NH N/A false false Medical Services of Danbury 24 Hospital Avenue Danbury CT 06811 061635945 INACTIVE CT WCMG C CORP 1.00000 true BUSINESS SYSTEMS INC 95 Locust Avenue DANBURY CT 06810 061119262 INACTIVE CT WCHN C CORP true SWC Corporation 24 Stevens Street Norwalk CT 06850 222577718 PHARMACY CT NHSC C Corp. true WEST CT HEALTH NETWORK INSUR 23 Lime Tree Bay PO Box 1051 Grand Cayman CJ 980438151 MALPRCTICE DH C CORP true Maple Street Indemnity Company 40 Church St PO Box 2062 Hamilton HM HX BD BD 980549862 MALPRCTICE NHSC C Corp. true false false true false false false false false false true true true true true false true true true false Danbury Hospital c 8448820 Cost Danbury Hospital k 2189615 Cost Danbury Hospital l 54686398 Cost Danbury Hospital m 2680656 Cost Danbury Hospital n 288770 Cost Danbury Hospital p 56280530 Cost Danbury Hospital r 1587501 Cost New Milford Hospital j 60352 Cost New Milford Hospital l 5795662 Cost New Milford Hospital q 5602297 Cost Eastern NY Medical Services PC r 134990 Cost The Norwalk Hospital Associtaion l 100222 Cost Norwalk Hospital Phys and Surgeons l 251248 Cost