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The New Milford Hospital Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
The New Milford Hospital Inc (EIN 06-0669121)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-07-16
IRS object ID
201411979349300426
Schema version
2012v2.0
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)
Timestamp2014-07-16T11:47:05-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 4000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060669121EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The New Milford Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWMNameControl
Phone8602105365Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSteven H RosenbergName
TitleSVP & CFOTitle
Date Signed2014-07-16DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJennifer LynchName
PTINP01255855PTIN
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteven H RosenbergNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1
CityDanburyCity
StateCTState
ZIP Code06810ZIPCode
FieldValueIRS element (for citing)
Gross Receipts75713276GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteNewMilfordHospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1921YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionNew 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees621TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI1068295TotalGrossUBI
Net Unrelated Business Txbl Income-731234NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year604222ContributionsGrantsPriorYear
Contributions Grants Current Year5457495ContributionsGrantsCurrentYear
Program Service Revenue Prior Year78110901ProgramServiceRevenuePriorYear
Program Service Revenue CY69721620ProgramServiceRevenueCY
Investment Income Prior Year23243InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year699485OtherRevenuePriorYear
Other Revenue Current Year534161OtherRevenueCurrentYear
Total Revenue Prior Year79437851TotalRevenuePriorYear
Total Revenue Current Year75713276TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year45235474SalariesEtcPriorYear
Salaries Etc Current Year37598629SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year39949499OtherExpensePriorYear
Other Expenses Current Year35363670OtherExpensesCurrentYear
Total Expenses Prior Year85184973TotalExpensesPriorYear
Total Expenses Current Year72962299TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5747122RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2750977RevenuesLessExpensesCY
Total Assets BOY66374764TotalAssetsBOY
Total Assets EOY61269930TotalAssetsEOY
Total Liabilities BOY45828861TotalLiabilitiesBOY
Total Liabilities EOY29542298TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20545903NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31727632NetAssetsOrFundBalancesEOY
Mission DescriptionTo 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense35795320Expense
Revenue39962017Revenue
DescriptionOUTPATIENT:NMH provides outpatient services to the community. Major services include Radiology diagnostic, mammography, ultrasound,behavioral health services, MRI , CT scans and oncology services.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17679015Expense
Revenue19721840Revenue
DescriptionINPATIENT:During 2013, 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 2013 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.In 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 2013, 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 2013 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 2014, we will continue to invest in our future to help our communities experience this new picture of health.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8995683Expense
Revenue10136762Revenue
DescriptionER AND OTHER:The Emergency Department had 17,850 visits in 2013. Our plan to expand the Emergency Department in 2014 will add capacity to this area.Description
FieldValueIRS element (for citing)
Total Program Service Expense62470018TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees621NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKevin T MeadeNamePerson
Telephone Number8602105365TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
James Kennedy
Chairman3.006.00XX000
Brian C White
Director1.002.00X000
John RPatrickto115
Director1.002.00X000
Spencer Houldin
Director1.003.00X000
Joseph D Skrzypczak
Secretary1.002.00XX000
Anthea Disney
Director1.002.00X000
Richard G Jabara
Director1.003.00X000
A Altorelli to 911
Director1.002.00X000
David Cyganowski
Treasurer1.002.00XX000
David Kramer MD
Director1.002.00X000
Neil Culligan MD
Director1.002.00X000
John M Murphy MD
President & CEO2.0047.00XX0118385052091
Donna Kaplanis
Asst. Secretary2.0048.00X023765258293
Deborah Weymouth
SVP & Exec Dir.40.000.00X360527017736
Steven H Rosenberg
SVP & CFO2.0046.00X068733144257
Prashant Rodrigues MD
MD40.000.00440765032593X
Lee Zarger MD
MD40.000.00195520031391X
Susan Viola
Dir. of Nursing40.000.00166014034729X
Christian Ward
Dir.of Finance40.000.00146337037323X
Kevin Meade
Controller40.000.00144189016835X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1453352TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2108833TotalReportableCompFrmRltdOrgs
Total Other Compensation325248TotalOtherCompensation
Number Individuals GT100 K55NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIDINE
PO BOX 60479CHARLOTTENC28260NUTRITIONAL1251824
RINALDI LINEN SERVICE
47 COMMONS COURTWATERBURYCT06704LAUNDRY SERVICES150572
PERSANTE SLEEP CARE
130 GAITHER DRIVEMOUNT LAURELNJ08054SLEEP CTR MANAGEMENT146200
LAWNS UNLIMITED
186 CORNWALL RDWARRENCT06776LANDSCAPING SERVICES110000
APOLLO INTL
2150 BOSTON PROVIDENCE HIGHWAYWALPOLEMA02081SECURITY SERVICES446402
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations5247554RelatedOrganizations
Government Grants209941GovernmentGrants
Total Contributions5457495TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Service Revenue6219904163909941639099
Non-Patient Laboratory62150010682951068295
Medicare/Medicaid6219902701422627014226
FieldValueIRS element (for citing)
Total Program Service Revenue69721620TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real98999Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real98999Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column98999TotalRevenueColumn
Related Or Exempt Function Income98999RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Gift Shop45200072445$72,445
Cafeteria & Vending722210296998$296,998
Administrative Services56100065719$65,719
FieldValueIRS element (for citing)
Total Other Revenue435162TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column75713276TotalRevenueColumn
Related Or Exempt Function Income68752324RelatedOrExemptFunctionIncome
Unrelated Business Revenue1068295UnrelatedBusinessRevenue
Exclusion$435,162ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total378541Total
Management And General378541ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28605737Total
Program Services23742762ProgramServices
Management And General4862975ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2343601Total
Program Services1945189ProgramServices
Management And General398412ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4443662Total
Program Services3688239ProgramServices
Management And General755423ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1827088Total
Program Services1516483ProgramServices
Management And General310605ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total105602Total
Management And General105602ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total137202Total
Management And General137202ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total66145Total
Management And General66145ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8294490Total
Program Services6884427ProgramServices
Management And General1410063ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total756Total
Management And General756ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total384676Total
Program Services319281ProgramServices
Management And General65395ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total729236Total
Program Services605266ProgramServices
Management And General123970ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1198052Total
Program Services994383ProgramServices
Management And General203669ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2800Total
Program Services2324ProgramServices
Management And General476ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total52389Total
Program Services43483ProgramServices
Management And General8906ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total263572Total
Program Services263572ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5443180Total
Program Services4517839ProgramServices
Management And General925341ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2112511Total
Program Services1753384ProgramServices
Management And General359127ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Dietary Contract1035058859098175960
Maintenance COntracts1198311994598203713
WCMG system support52473955247395
Medical Supplies90922959092295

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72962299Total
Program Services62470018ProgramServices
Management And General10492281ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3717748BOY
EOY2221385EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8601320BOY
EOY7314799EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1645080BOY
EOY1521171EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY782669BOY
EOY371475EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis97737223LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec63868519LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32440675BOY
EOY33868704EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19187272BOY
EOY15972396EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY66374764BOY
EOY61269930EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6745393BOY
EOY5295097EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1508855BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY37574613BOY
EOY24247201EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45828861BOY
EOY29542298EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12487373BOY
EOY23332942EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3923984BOY
EOY4125215EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4134546BOY
EOY4269475EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20545903BOY
EOY31727632EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66374764BOY
EOY61269930EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2750977ReconcilationRevenueExpenses
Reconcilation Other Changes8430752ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$9MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$18,265GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$46,322DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$450RalliesDemonstrationsAmount
Other ActivitiestrueOtherActivities
Other Activities$1,099OtherActivitiesAmount
Total Lobbying Expenditures IIB66145TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationOnly state and local officials were lobbied during 2013. 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 to redesign care delivery, improve access to care and create an environment where reform could thrive.New Milford Hospital CHA dues of $129,711 had 9.54% or $12,374 expended on lobbying activities.New Milford Hospital AHA dues of $24,909 had 23.65% or $5,891 expended on lobbying activities.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1145712OtherCostOrOtherBasis
Book Value1145712BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47784373OtherCostOrOtherBasis
Depreciation32637829Depreciation
Book Value15146544BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis315855OtherCostOrOtherBasis
Depreciation312529Depreciation
Book Value3326BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis43953291OtherCostOrOtherBasis
Depreciation30918161Depreciation
Book Value13035130BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4537992OtherCostOrOtherBasis
Book Value4537992BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33868704TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Malpractice Trust3014415
Investment in WCHN Foundation11319493
Deferred Comp72459
CSV of Life Insurance1566029
FieldValueIRS element (for citing)
Total Book Value Other Assets15972396TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
SERP Liability$72,459
FIN 47 Accrued Liability$400,000
Due to Third Parties$1,973,652
Due to Related Parties$8,990,875
Accrued Workers Comp$463,981
Accrued Pension$8,266,151
Accrued Malpractice$4,080,083
FieldValueIRS element (for citing)
Total Of Amounts24247201TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense938932TotalCommunityBenefitExpense
Direct Offsetting Revenue663222DirectOffsettingRevenue
Net Community Benefit Expense275710NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8209134TotalCommunityBenefitExpense
Direct Offsetting Revenue5633663DirectOffsettingRevenue
Net Community Benefit Expense2575471NetCommunityBenefitExpense
Percent Of Total Expense0.03530PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense9148066TotalCommunityBenefitExpense
Direct Offsetting Revenue6296885DirectOffsettingRevenue
Net Community Benefit Expense2851181NetCommunityBenefitExpense
Percent Of Total Expense0.03910PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense333509TotalCommunityBenefitExpense
Net Community Benefit Expense333509NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense22263TotalCommunityBenefitExpense
Net Community Benefit Expense22263NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense898531TotalCommunityBenefitExpense
Direct Offsetting Revenue551496DirectOffsettingRevenue
Net Community Benefit Expense347035NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense6795TotalCommunityBenefitExpense
Net Community Benefit Expense6795NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1261098TotalCommunityBenefitExpense
Direct Offsetting Revenue551496DirectOffsettingRevenue
Net Community Benefit Expense709602NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10409164TotalCommunityBenefitExpense
Direct Offsetting Revenue6848381DirectOffsettingRevenue
Net Community Benefit Expense3560783NetCommunityBenefitExpense
Percent Of Total Expense0.04890PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense17906TotalCommunityBuildingExpense
Direct Offsetting Revenue100DirectOffsettingRevenue
Net Community Building Expense17806NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense17906TotalCommunityBuildingExpense
Direct Offsetting Revenue100DirectOffsettingRevenue
Net Community Building Expense17806NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,560,334BadDebtExpenseAmount
Amount Attributable To153620AmountAttributableTo
Amount Reimbursed By Medicare22240407AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare33883087CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11642680MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1New Milford MRI JV LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityINACTIVEDescriptionEntPrimaryActivity
Organization Profit Or Ownership1.00000OrganizationProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line121 Elm StreetAddressLine1
CityNew MilfordCity
StateCTState
ZIP Code06776ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Er OtherXErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1New Milford Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
File Form4720 Report Excise TaxfalseFileForm4720ReportExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent400.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Laboratory Patient Services Center of New MilfordBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1120 Park LaneAddressLine1
CityNew MilfordCity
StateCTState
ZIP Code06776ZIPCode
FieldValueIRS element (for citing)
Facility TypeDiagnosticFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Additional InformationSchedule H, Part I, Line 6a.The Community Benefit report is reported on a Network basis.Schedule H, Part I, Line #7. Costing Methodology Used To Calculate The Amounts Reported In The Table:Charity Care At Cost Percentage:Line 7a.,(col.c) Total Gross Patient charges written off to charity (Income Statement) * Ratio of Patient Care Cost to Charge % (see below) plus Medicaid provider taxes= Total community benefit expense. Line 7a.,(col.d) Revenue from Uncompensated Care Pools and programs (DSH * % of cost of uncompensated care shown on the OCHA Schedule 500)= Direct offsetting revenueLine 7a.,(col.e) Total Community Benefit Expenses - Revenue from Uncompensated Care Pools and programs (DSH * % of cost of uncompensated care shown on the OCHA Schedule 500) = Net community benefit expense.Line 7a.,(col.f) Net community benefits expenses / total expenses = Percent of total expense. Total expenses from Part IX, line 25 column (a) was used for purposes of calculating Line 7a., column (f).Line 7 b. Ratio of Cost To Charge for the Medicaid patients based on the Hospital's KREG cost accounting system.Line 7 e. Actual expenses less any direct offsetting revenue.Line 7 f. Actual expenses less any direct offsetting revenue.Line 7 g. Ratio of Cost To Charge based on the Hospital's KREG cost accounting system. There are no physician clinics included in this amount.Line 7 i. Actual expenses of the contributions.Ratio 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 VI - States Where Community Benefit Report FiledCT
Part VI - Affilated Health Care System Roles and PromotionPART VI,LINE 6:Western Connecticut Health Network, Inc. (parent)Western Connecticut Health Network's mission is to improve the health and well being of those we serve, which helps to further the hospital's exempt purpose.Danbury Hospital:Danbury Hospital provides 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 2013, Danbury Hospital provided $4,954,000 in charity care.New Milford Hospital:New Milford Hospital's mission is to provide outstanding health care to the communities they serve through an uncompromising focus on clinical quality, compassionate service, and the creation of a medical"safe haven" for their patients and their families. For 2013, New Milford Hospital provided $1,048,932 in charity care.Western Connecticut Medical Group:The mission at 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 patients needs. 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 2013, Western Connecticut Medical Group provided $1,794,739 in charity care.Western Connecticut Health Network Foundation, Inc.:Western Connecticut Health Network Foundation Inc.'s mission is to raise funds, reinvest and administer these funds and make distributions to Danbury Hospital and other not-for-profit health care affiliates.Western Connecticut Health Network 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. Approximately $11,000 in charity care was provided during 2013.Business Systems, Inc.Business Systems, Inc, is a taxable corporation whose main business is the operation of Danbury Pharmacy, a retail pharmacy. The Pharmacy's revenue is comprised of prescription sales, over the counter sales, and wholesale sales (medical and surgical supplies) sold to office practices and clinicians that are not covered by insurance programs. At the end of 2013 the Danbury Pharmacy was sold to Walgreen's Pharmacy.Western Connecticut Home Care, Inc.: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 2013, WCHC provided $587,777 for charity care.Eastern New York Medical ServicesEastern 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 2013, ENYMS provided approximately $1,000 for charity care.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposePART VI,LINE 5:During fiscal year 2013, New Milford Hospital served 1,824 inpatients and cared for 56,020 outpatients. In addition, 17,850 patients came through our emergency department and 2,075 one-day surgery procedures were performed. Led by a team of skilled and dedicated healthcare professionals, New Milford Hospital's committment to clinical excellence and patient satisfaction were recognized by numerous prestigious organizations in 2013. The formation of Western Connecticut Health Network, a healthcare delivery system that combines the resources and expertise of Danbury Hospital, New Milford Hospital and their affiliates, represents a historical achievement. This affiliation gives us an opportunity to provide a higher level of care throughout the region in the most cost-effective manner while meeting the challenges posed by healthcare reform head on. Providing our physicians and medical team with the technological advances they need to succeed remains a priority. The Linear Accelerator cancer treatment system, 64 slice CT scanner, and the open bore MRI imaging system, for example, offer patients a sophisticated level of care rarely available in a community hospital. Knowledge is power when it comes to improving the health and wellness of people of all ages in Connecticut and New York. That's the message behind a number of hospital initiatives designed to build healthy communities.
Part VI - Community Building ActivitiesPART VI, New Milford Hospital is actively engaged with the community that it serves. We provided $17,806 of net community benefit expenses related to community health improvement advocacy , workforce development and coalition building activities to learn about the community's health and other needs.
Part VI - Community InformationPART VI,LINE 4:The Hospital's primary service area is the city of New Milford and surrounding suburban towns that make up central Litchfield County. The region is generally employed and with average incomes. Constituents are predominantly Caucasian, skew somewhat older than other areas of CT and the U.S. Poverty levels are below other areas.
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.One barrier to health care outlined in the Community Needs Assessment was that so many people were uninsured or underinsured. To help eliminate this barrier to needed care, in 2013 WCHN actively advocated for Access Health CT, the states new health insurance marketplace, using grass roots communication to encourage enrollment in Access Health CT. WCHN held in-service trainings for our staff, participated in community educational forums and enrollment fairs, and distributed promotional materials throughout the Network and region. Our hospitals are now considered by the state a model hospital for promoting the significant benefits of insurance enrollment.
Part VI - Needs AssessmentPART VI,LINE 2:The Organization monitors and reports CMS information. Data includes basic demographics, along with health issue-specific information. Additionally, we survey our consumers on a regular and ongoing basis for their opinions and concerns.
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.Number of Hospital Faciltiy - 1
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs AssessmentThe organization collaborates with community partners for assessment of community health needs and action planning. Danbury Hospital, and its affiliate partner, New Milford 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.Number of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the CommunityNew Milford HospitalDanbury HospitalCommunity Needs: 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. Danbury Hospital, and its affiliate partner, New Milford 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. Activities:1.Community Report Card (CRC) for Western Connecticut produced with indicators, including: community population and demographic data, economic stability, education, health status, health and lifestyle behaviors and risk factors, chronic and communicable diseases, and older adult health survey and focus group findings. Additional data from the CT Association of Directors of Healths Health Equity Index related to social determinants of health and health outcomes and United Way of CTs Infoline 2-1-1 database of health-related programs and services was included.2.CRC Steering Committee developed - including leads from the City of Danbury Department of Health and Human Services, Western CT Health Network/Danbury Hospital-New Milford Hospital, United Way of Western Connecticut, New Milford Health Department, and the Regional YMCA of Western CT.3.EDUCATION CONNECTIONs Center for Healthy Schools & Communities met with the CRC Steering Committee to review the objectives and desired outcomes for these facilitated discussions. 4.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. During the Conversations, the need for collective commitment and responsibility in the prioritization of health issues and development of an action plan for health improvement were emphasized.5.Priority Health areas identified - Participants in Conversations universally agreed that the Priority Health Issues (PHI) most representative of needs in the region were 1) prevention/reduction of most prevalent chronic diseases/health conditions (specifically obesity, hypertension, and type II diabetes), by addressing underlying risk factors; 2) substance use/abuse and co-related mental health issues; 3) older adult health, housing and social support needs; and 4) improved awareness and utilization of existing health and social programs and services. Each of these areas also recognizes that disparities in health care access and outcomes need to be addressed. Upon reaching consensus on the priority health issues, participants self-selected a workgroup to join based on their interests and expertise. Overall, data obtained from the Conversations provided high quality information needed to begin the community health improvement action planning process in the region. A broad diversity of community stakeholders attended both sessions, conversations were dynamic, and stakeholders were actively engaged in the process and expressed commitment to working together in the future to address the identified priority health issues.6.Health Improvement Action Planning - Throughout 2013, the CRC Steering Committee and PHI workgroups continued to meet to further develop and refine their action plans. Consistent with each teams vision and mission, and informed by the CRC and Community Conversation findings, a Community Health Improvement Action Plan for Western CT by PHI has been developed. The plan addresses four priority community needs: substance abuse and related mental health issues; seniors health and housing; chronic disease prevention; and health care access. It is important to note that Action Plans are dynamic documents and are influenced by emerging needs. With this in mind, the workgroups will continue to meet at least quarterly to expand upon, modify, and refine their PHI objectives, strategies, and action steps and to collectively evaluate progress towards achieving health improvement in the region.7.Board Endorsement The Community Report Card and Health Improvement Action Plan have been endorsed by the BOD and documents are available on the organizations website and available upon request.8.New Milford Hospital, located in Litchfield County, also participated in the 2012 Litchfield County Community Health Needs assessment and has representation on the Litchfield County Community Transformation Grant Coalition Steering Committee. In collaboration with the Pomperaug Health District and New Milford Health Department with a Blood Pressure self-monitoring pilot to address an identified need related to chronic disease.To create a new picture of health, our community members must be more engaged in order to best navigate an evolving health care system. Weve used the strength of our network, through education, interaction and outreach, to keep our residents informed about the changing health care environment, and how available local resources can help them manage their own health while directing them to the right care in the right place and at the right time. We survey our consumers on a regular and ongoing basis for their opinions and concerns.New Milford Hospital expanded its nationally recognized Plow to Plate initiative. Created in 2006 with local farms and community-based programs, Plow to Plate is now recognized as a model for healthy eating and community partnership. Plow to Plate has expanded to include a Signature Dish program, whereby New Milford Hospital engages local restaurants in community health. As of 2013, more than 20 area restaurants participate by offering at least one unique, healthy dish on their menu that meets the Plow to Plate nutrition guidelines. Every week the hospital invites older residents to its Senior Suppers to enjoy an inexpensive, healthy dinner in the cafeteriaone of the most popular hospital events while enjoying a social and healthful discussion.Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsPART III, LINE 9B:It is the policy of the hospital to provide "financial assistance" (either free care of reduced patient obligations) to persons or families where: (I) There is limited or no health insurance available; (II) The patient fails to qualify for governmental assistance (for example Medicare or Medicaid); (III) The patient cooperates with the hospital in providing the requested information; (IV) The patient demonstrates financial need and (V) The hospital makes an administrative determination that financial assistance is appropriate. After the hospital determines that a patient is eligible for financial assistance, the hospital will determine the amount of financial assistance available to the patient by utilizing the charitable assistance guidelines which are based upon the most recent federal poverty guidelines. The hospital shall regularly review this financial assistance policy to ensure that at all times it: (I) Reflects the philosophy and mission of the hospital; (II) Explains the decision process of who may be eligible for financial assistance and in what amounts and (III) Complies with all applicable state and federal laws, rules and regulations concerning the provision of financial assistance to indigent patients. Consistent with its mission, the hospital recognizes its obligation to the community it serves to provide financial assistance to indigent persons within the community. In furtherance of its charitable mission, the hospital will provide both (I) emergency treatment to any person requiring such care; and (II) essential, non-emergent care to patients who are permanent residents of its primary service area who meet the conditions and criteria set forth in this policy, without regard to the patients' ability to pay for such care. Elective procedures generally will not be considered essential, non-emergent care and usually will not be eligible for financial assistance. The hospital will collect from individuals on financial assistance if they received a partial charitable discount. All patients can apply for charitable care on balances they feel that they cannot afford.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitART III, LINE 8:The Hospital's Medicare Shortfall should be treated as a community benefit as the organization strives to provide around the clock 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.
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 management'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 37% and 5%, and 37% and 6%, for Medicare and Medicaid, respectively, at September 30, 2013 and 2012, respectively.
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. 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 2 - Methodology Used To Estimate Bad Debt ExpensePart VI:Part III, Line 2:Methodology Used To Estimate Bad Debt ExpenseBad debt expense is per the audited financial statements.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Filing OrgBonusFilingOrg
Susan Viola
Dir. of Nursing1649791035518029549200743
Steven H Rosenberg
SVP & CFO503434160000238971250031757731588
Prashant Rodrigues MD
MD4325318234750025093473358
Lee Zarger MD
MD1933591270982621565226911891
Kevin Meade
Controller14330488574679368161024
John M Murphy MD
President & CEO796683380000716712500395911235941
Donna Kaplanis
Asst. Secretary1953154000023372204036253295945
Deborah Weymouth
SVP & Exec Dir.31052712500523637826350000
Christian Ward
Dir.of Finance1433251289114282091836602884

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 6bIdentifier
Return ReferencePart I, Line 6b: Explanation of organization compensation contingent on net earnings from related orReturnReference
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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990,PART VI, SECTION A ,LINE 1bDavid Kramer,MD and Neil Culligan,MD were not considered to be independent, since they both received stipends during the year exceeding $10,000.
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, 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 Danbury Hospital as stated in the charter of the Danbury 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 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 #6Western Connecticut Health Network, Inc. is the sole member of New Milford Hospital.
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 NEW MILFORD HOSPITAL FOUNDATION.
Form 990, Part XII, Line 2: Change of Oversight or Selection ProcessAudit Committee assumes oversight.Form 990, Part XII, Line 2c
Other Changes In Net Assets Or Fund Balances - Other DecreasesTransfer interest in WCHNF to WCHN = -$14710574Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in pension funding obligations = $11821833Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Equity Interest of WCHNFoundation = $11319493Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe information that has been posted on the Danbury Hospital website for 2013 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 made available upon request.Form 990, Part VI, Line 19
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 18
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 15b
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 December, 2013.Form 990, Part VI, Line 15a
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 12c
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 11b
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 reported on Form 1099.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Eastern NY Medical Services PC
14 Research Drive Suite 201ABethelCT06810485431389PHYSICIAN SVC.NY501(C) (3)9WCHNtrue
Western CT Home Care Inc
4 Liberty StreetDanburyCT06810060655138Home HlthcareCT501(c)(3)9WCHNtrue
Western CT Health Network Affiliates
95 Locust AvenueDanburyCT06810222594968OP Hlthcr SvcCT501(c)(3)9WCHNtrue
Danbury Hospital Inc
24 Hospital AvenueDanburyCT06810060646597Acute CareCT501(c)(3)3WCHNtrue
West CT Health Network Foundation
24 Hospital AvenueDanburyCT06810237425557Admin ContribCT501(c)(3)7WCHNtrue
Western CT Medical Group PC
14 Research Drive Suite 201ABethelCT06801061137531Physician SvcCT501(c)(3)9WCHNtrue
Western CT Health Network Inc
24 Hospital AvenueDanburyCT06810222594977Program DevlpCT501(c)(3)11, TYPE 2trueN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Ridgefield Surgical Center LLC
901 Ethan Allen Hwy Suite 105RidgefieldCT06877222594977INACTIVECTWCHNN/Afalsefalse
New Milford MRI JV LLC
21 Elm StreetNew MilfordCT06776271877801INACTIVECTNew Milford HospitalN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
West CT Health Network Insur Co LTD
23 Lime Tree Bay PO Box 1051Grand CaymanCJ980438151MalpracticeDHC.Corp.true
Medical Services of Danbury
061635945HealthcareWCMGCtrue24 Hospital AvenueDanburyCT06811CT
Foundation for Comm Healthcare
061437131INACTIVEWCHNC. Corp.true95 Locust AvenueDanburyCT06810CT
Business Systems Inc
061119262PharmacyWCHNC Corp.true95 Locust AvenueDanburyCT06810CT
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Danbury Hospital Inc
s14691438Cost
Danbury Hospital Inc
r1286806Cost
Danbury Hospital Inc
p17388307Cost
Danbury Hospital Inc
o3668357Cost
Danbury Hospital Inc
m467243Cost
West CT Health Network Foundation
c5247554Cost
Western CT Medical Group PC
r61814Cost
Western CT Medical Group PC
p5413775Cost
Western CT Medical Group PC
m5805239Cost