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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-16T11:47:05-07:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE STE 4000 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060669121 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The New Milford Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NEWM | NameControl |
| Phone | 8602105365 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Elm Street | AddressLine1 |
| City | New Milford | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Steven H Rosenberg | Name |
| Title | SVP & CFO | Title |
| Date Signed | 2014-07-16 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jennifer Lynch | Name |
| PTIN | P01255855 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Steven H Rosenberg | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Hospital Avenue | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 06810 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 75713276 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | NewMilfordHospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1921 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | New Milford Hospital is an acute care facility dedicated to maintaining and improving the healthcare of members of the New Milford and surrounding communities that it serves. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 621 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 1068295 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -731234 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 604222 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5457495 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 78110901 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 69721620 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23243 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 699485 | OtherRevenuePriorYear |
| Other Revenue Current Year | 534161 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 79437851 | TotalRevenuePriorYear |
| Total Revenue Current Year | 75713276 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 45235474 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37598629 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 39949499 | OtherExpensePriorYear |
| Other Expenses Current Year | 35363670 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 85184973 | TotalExpensesPriorYear |
| Total Expenses Current Year | 72962299 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5747122 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2750977 | RevenuesLessExpensesCY |
| Total Assets BOY | 66374764 | TotalAssetsBOY |
| Total Assets EOY | 61269930 | TotalAssetsEOY |
| Total Liabilities BOY | 45828861 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 29542298 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20545903 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31727632 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide outstanding healthcare to the New Milford and surrounding communities we serve through an uncompromising focus on clinical quality, compassionate care, and the creation of a medical "safe haven" for our patients and their families. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 35795320 | Expense |
| Revenue | 39962017 | Revenue |
| Description | OUTPATIENT: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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17679015 | Expense |
| Revenue | 19721840 | Revenue |
| Description | INPATIENT: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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8995683 | Expense |
| Revenue | 10136762 | Revenue |
| Description | ER 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 62470018 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 45 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 621 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
| Other Explain In Sch O | X | OtherExplainInSchO |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Kevin T Meade | NamePerson |
| Telephone Number | 8602105365 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Elm Street | AddressLine1 |
| City | New Milford | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| James Kennedy | ||||||||
| Chairman | 3.00 | 6.00 | X | X | 0 | 0 | 0 | |
| Brian C White | ||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| John RPatrickto115 | ||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| Spencer Houldin | ||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | ||
| Joseph D Skrzypczak | ||||||||
| Secretary | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| Anthea Disney | ||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| Richard G Jabara | ||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | ||
| A Altorelli to 911 | ||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| David Cyganowski | ||||||||
| Treasurer | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| David Kramer MD | ||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| Neil Culligan MD | ||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| John M Murphy MD | ||||||||
| President & CEO | 2.00 | 47.00 | X | X | 0 | 1183850 | 52091 | |
| Donna Kaplanis | ||||||||
| Asst. Secretary | 2.00 | 48.00 | X | 0 | 237652 | 58293 | ||
| Deborah Weymouth | ||||||||
| SVP & Exec Dir. | 40.00 | 0.00 | X | 360527 | 0 | 17736 | ||
| Steven H Rosenberg | ||||||||
| SVP & CFO | 2.00 | 46.00 | X | 0 | 687331 | 44257 | ||
| Prashant Rodrigues MD | ||||||||
| MD | 40.00 | 0.00 | 440765 | 0 | 32593 | X | ||
| Lee Zarger MD | ||||||||
| MD | 40.00 | 0.00 | 195520 | 0 | 31391 | X | ||
| Susan Viola | ||||||||
| Dir. of Nursing | 40.00 | 0.00 | 166014 | 0 | 34729 | X | ||
| Christian Ward | ||||||||
| Dir.of Finance | 40.00 | 0.00 | 146337 | 0 | 37323 | X | ||
| Kevin Meade | ||||||||
| Controller | 40.00 | 0.00 | 144189 | 0 | 16835 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1453352 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2108833 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 325248 | TotalOtherCompensation |
| Number Individuals GT100 K | 55 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIDINE | |||||
| PO BOX 60479 | CHARLOTTE | NC | 28260 | NUTRITIONAL | 1251824 |
| RINALDI LINEN SERVICE | |||||
| 47 COMMONS COURT | WATERBURY | CT | 06704 | LAUNDRY SERVICES | 150572 |
| PERSANTE SLEEP CARE | |||||
| 130 GAITHER DRIVE | MOUNT LAUREL | NJ | 08054 | SLEEP CTR MANAGEMENT | 146200 |
| LAWNS UNLIMITED | |||||
| 186 CORNWALL RD | WARREN | CT | 06776 | LANDSCAPING SERVICES | 110000 |
| APOLLO INTL | |||||
| 2150 BOSTON PROVIDENCE HIGHWAY | WALPOLE | MA | 02081 | SECURITY SERVICES | 446402 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Related Organizations | 5247554 | RelatedOrganizations |
| Government Grants | 209941 | GovernmentGrants |
| Total Contributions | 5457495 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Service Revenue | 621990 | 41639099 | 41639099 | |
| Non-Patient Laboratory | 621500 | 1068295 | 1068295 | |
| Medicare/Medicaid | 621990 | 27014226 | 27014226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 69721620 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98999 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98999 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 98999 | TotalRevenueColumn |
| Related Or Exempt Function Income | 98999 | RelatedOrExemptFunctionIncome |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Gift Shop | 452000 | 72445 | $72,445 |
| Cafeteria & Vending | 722210 | 296998 | $296,998 |
| Administrative Services | 561000 | 65719 | $65,719 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 435162 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75713276 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68752324 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1068295 | UnrelatedBusinessRevenue |
| Exclusion | $435,162 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378541 | Total |
| Management And General | 378541 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28605737 | Total |
| Program Services | 23742762 | ProgramServices |
| Management And General | 4862975 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2343601 | Total |
| Program Services | 1945189 | ProgramServices |
| Management And General | 398412 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4443662 | Total |
| Program Services | 3688239 | ProgramServices |
| Management And General | 755423 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1827088 | Total |
| Program Services | 1516483 | ProgramServices |
| Management And General | 310605 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105602 | Total |
| Management And General | 105602 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137202 | Total |
| Management And General | 137202 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66145 | Total |
| Management And General | 66145 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8294490 | Total |
| Program Services | 6884427 | ProgramServices |
| Management And General | 1410063 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 756 | Total |
| Management And General | 756 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384676 | Total |
| Program Services | 319281 | ProgramServices |
| Management And General | 65395 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729236 | Total |
| Program Services | 605266 | ProgramServices |
| Management And General | 123970 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1198052 | Total |
| Program Services | 994383 | ProgramServices |
| Management And General | 203669 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2800 | Total |
| Program Services | 2324 | ProgramServices |
| Management And General | 476 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52389 | Total |
| Program Services | 43483 | ProgramServices |
| Management And General | 8906 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263572 | Total |
| Program Services | 263572 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5443180 | Total |
| Program Services | 4517839 | ProgramServices |
| Management And General | 925341 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2112511 | Total |
| Program Services | 1753384 | ProgramServices |
| Management And General | 359127 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Dietary Contract | 1035058 | 859098 | 175960 |
| Maintenance COntracts | 1198311 | 994598 | 203713 |
| WCMG system support | 5247395 | 5247395 | |
| Medical Supplies | 9092295 | 9092295 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72962299 | Total |
| Program Services | 62470018 | ProgramServices |
| Management And General | 10492281 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3717748 | BOY |
| EOY | 2221385 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8601320 | BOY |
| EOY | 7314799 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1645080 | BOY |
| EOY | 1521171 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 782669 | BOY |
| EOY | 371475 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 97737223 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 63868519 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32440675 | BOY |
| EOY | 33868704 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19187272 | BOY |
| EOY | 15972396 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66374764 | BOY |
| EOY | 61269930 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6745393 | BOY |
| EOY | 5295097 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1508855 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37574613 | BOY |
| EOY | 24247201 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45828861 | BOY |
| EOY | 29542298 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12487373 | BOY |
| EOY | 23332942 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3923984 | BOY |
| EOY | 4125215 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4134546 | BOY |
| EOY | 4269475 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20545903 | BOY |
| EOY | 31727632 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66374764 | BOY |
| EOY | 61269930 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2750977 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 8430752 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Mailings Members | $9 | MailingsMembersAmount |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $18,265 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $46,322 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $450 | RalliesDemonstrationsAmount |
| Other Activities | true | OtherActivities |
| Other Activities | $1,099 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 66145 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Only 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1145712 | OtherCostOrOtherBasis |
| Book Value | 1145712 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47784373 | OtherCostOrOtherBasis |
| Depreciation | 32637829 | Depreciation |
| Book Value | 15146544 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 315855 | OtherCostOrOtherBasis |
| Depreciation | 312529 | Depreciation |
| Book Value | 3326 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43953291 | OtherCostOrOtherBasis |
| Depreciation | 30918161 | Depreciation |
| Book Value | 13035130 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4537992 | OtherCostOrOtherBasis |
| Book Value | 4537992 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33868704 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Malpractice Trust | 3014415 |
| Investment in WCHN Foundation | 11319493 |
| Deferred Comp | 72459 |
| CSV of Life Insurance | 1566029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 15972396 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 24247201 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400.000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 938932 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 663222 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 275710 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8209134 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5633663 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2575471 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03530 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9148066 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6296885 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2851181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03910 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 333509 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 333509 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22263 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 22263 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 898531 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 551496 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 347035 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6795 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6795 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1261098 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 551496 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 709602 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10409164 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6848381 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3560783 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04890 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17906 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 100 | DirectOffsettingRevenue |
| Net Community Building Expense | 17806 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17906 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 100 | DirectOffsettingRevenue |
| Net Community Building Expense | 17806 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,560,334 | BadDebtExpenseAmount |
| Amount Attributable To | 153620 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 22240407 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33883087 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -11642680 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Milford MRI JV LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | INACTIVE | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 1.00000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Milford Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 Elm Street | AddressLine1 |
| City | New Milford | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Milford Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| File Form4720 Report Excise Tax | false | FileForm4720ReportExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 400.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600.0000 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Laboratory Patient Services Center of New Milford | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 Park Lane | AddressLine1 |
| City | New Milford | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | Diagnostic | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VI - Additional Information | Schedule 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 Filed | CT | |
| Part VI - Affilated Health Care System Roles and Promotion | PART 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 Purpose | PART 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 Activities | PART 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 Information | PART 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 Assistance | PART VI,LINE 3:The Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Also signs are posted throughout the hospital and counselors are available to provide further assistance. All uninsured inpatients are interviewed by financial counselors and assessed for eligibility for assistance programs. The hospital provides informational handouts to all uninsured patients at the time of registration which refers them to financial counseling if they would like assistance with their bills. Further, the hospital mails notices to all self-pay accounts referring them to financial counseling if they need assistance. The collection department will also refer patients to financial counseling when a patient indicates that they cannot afford their balances; and finally, schedulers refer uninsured patients to financial counseling prior to their test or procedure.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 Assessment | PART 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 Policy | New Milford Hospital has messages on all statements providing how the patient can get assistance with their Hospital bill. Counselors are also available to provide further assistance. | Number of Hospital Faciltiy - 1 |
| Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment | 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. | Number of Hospital Faciltiy - 1 |
| Part V, Line 3 - Account Input from Person Who Represent the Community | New 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 Patients | PART 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 Benefit | ART 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 Expense | The Hospitals estimation of the allowance for uncollectible accounts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the Hospitals collection efforts. The Hospitals policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are recorded. On a monthly basis, the Hospital reviews its accounts receivable balances and various analytics to support the basis for its estimates. These efforts primarily consist of reviewing the following: Historical write-off and collection experience using a hindsight or look-back approach; Revenue and volume trends by payor, particularly the self-pay components; Changes in the aging and payor mix of accounts receivable, including increased focus on accounts due from the uninsured and accounts that represent co-payments and deductibles due from patients; Cash collections as a percentage of net patient revenue less the provision for bad debt; and Trending of days revenue in accounts receivable. The Hospital regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for uncollectible accounts.The amount of the allowance for uncollectible accounts is based upon 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 Benefit | It is the policy of the Hospital to provide necessary care to all persons seeking treatment without discrimination on the grounds of age, race, creed, national origin or any other grounds unrelated to an individual's need for the service or the availability of the needed service at the Hospital. A patient is classified as a charity care patient by reference to established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized federal poverty income guidelines, but also includes certain cases where incurred charges are significant when compared to a responsible party's income and their countable assets. Those charges are not included in net patient service. 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 Expense | Part VI:Part III, Line 2:Methodology Used To Estimate Bad Debt ExpenseBad debt expense is per the audited financial statements. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Susan Viola | ||||||||||||
| Dir. of Nursing | 164979 | 1035 | 5180 | 29549 | 200743 | |||||||
| Steven H Rosenberg | ||||||||||||
| SVP & CFO | 503434 | 160000 | 23897 | 12500 | 31757 | 731588 | ||||||
| Prashant Rodrigues MD | ||||||||||||
| MD | 432531 | 8234 | 7500 | 25093 | 473358 | |||||||
| Lee Zarger MD | ||||||||||||
| MD | 193359 | 1270 | 9826 | 21565 | 226911 | 891 | ||||||
| Kevin Meade | ||||||||||||
| Controller | 143304 | 885 | 7467 | 9368 | 161024 | |||||||
| John M Murphy MD | ||||||||||||
| President & CEO | 796683 | 380000 | 7167 | 12500 | 39591 | 1235941 | ||||||
| Donna Kaplanis | ||||||||||||
| Asst. Secretary | 195315 | 40000 | 2337 | 22040 | 36253 | 295945 | ||||||
| Deborah Weymouth | ||||||||||||
| SVP & Exec Dir. | 310527 | 12500 | 5236 | 378263 | 50000 | |||||||
| Christian Ward | ||||||||||||
| Dir.of Finance | 143325 | 128 | 9114 | 28209 | 183660 | 2884 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 6b | Identifier |
| Return Reference | Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or | ReturnReference |
| Explanation | Part I, Line 6 - Compensation Contingent On Net Earnings Or Related OrganizationSummary of Executive Incentive Plan The Plan is administered by the Executive Compensation Committee of Western Connecticut Health Network, Inc. Eligibility to participate in the Plan is limited to those who are in positions in which their decisions, actions and counsel significantly affect the operations of Western Connecticut Health Network, Inc. and its subsidiaries.The Committee will establish the target award opportunity (expressed as a percentage of base salary) for each participant in the Plan.Prior to the beginning of each Plan year, or as soon thereafter as practicable, performance measures are established for each participant in the Plan.Incentive awards are modified or eliminated if the level of performance specified is not achieved. Notwithstanding any other provision of the Plan, incentive awards can be affected based on individual executive performance. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990,PART VI, SECTION A ,LINE 1b | David 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 7B | The duties and responsibilities of the sole member shall include, among others, the following:Electing at the annual meeting of the membership, the members of the Board of Directors of the hospital to serve for three year terms and until their successors are elected and have qualified:Filling vacancies on the Board of Directors, which occur between elections; reviewing, making, and approving changes in the bylaws; insuring that the objective, purposes and goals of 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 7A | The sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified. | |
| FORM 990, PART VI, LINE #6 | Western Connecticut Health Network, Inc. is the sole member of New Milford Hospital. | |
| FORM 990, PART IX, COLUMN D | ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990,ALL FUNDRAISING EXPENSES WERE INCURRED BY THE NEW MILFORD HOSPITAL FOUNDATION. | |
| Form 990, Part XII, Line 2: Change of Oversight or Selection Process | Audit Committee assumes oversight. | Form 990, Part XII, Line 2c |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer interest in WCHNF to WCHN = -$14710574 | Form 990, Part XI, Line 9 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Change in pension funding obligations = $11821833 | Form 990, Part XI, Line 9 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Change in Equity Interest of WCHNFoundation = $11319493 | Form 990, Part XI, Line 9 |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The 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 Inspection | Tax 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 Employees | Compensation for Other Officers and Key Employees:Compensation review and approval process is identical to the process for the CEO and executives noted in 15A above. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | Compensation of CEO:In order to achieve its mission and its overall performance objectives, Western Connecticut Health Network, Inc. employs a performance-based total compensation program for its senior executives that is market competitive, compliant with regulatory guidelines, and representative of best practices. Eligible executives are generally direct reports of the CEO along with other executives designated by the CEO. To meet Western Connecticut Health Network Inc.'s total compensation objectives for executives, the following survey sources are used for comparison purposes: -Blend of national Confidential Source, IHS, and Hay Group points healthcare data (where data available), plus 15% geographic differential. Title match data cuts selected based on revenue size.-For Physician executives, surveys covering physician compensation in accredited medical schools (AAMC) are used in combination with proprietary surveys compiled by nationally known consulting firm, Sullivan Cotter and the Medical Group Management Association (MGMA).Western Connecticut Health Network, Inc. targets cash compensation at market competitive levels. Base salary plus short-term (annual) incentive awards (total cash) approximate market competitive levels for total cash compensation. Executive performance is expected to meet or exceed predetermined operational and financial metrics.Other factors, such as competitive market forces, job performance, unique qualifications, and/or individual job responsibilities are also considered in Western Connecticut Health Network, Inc's executive compensation decisions.Roles of the Committee on Governance and Key Executives in the Executive Compensation Process- The Committee on Governance in consultation with the CEO and the SVP HR selects the outside compensation consultants. The current consultant is the Hay Group, whose purpose is to provide a valid independent assessment of the relevent market rates and pay practices for healthcare executives, physician executives and for physicians in general.- The compensation consulting firm compiles appropriate market data, job evaluation and ranking information for all executives and physicians of the organization, excluding the CEO, and will supply this material to the CEO and SVP HR for review and agreement. Once the report is final, it will be supplied to the Committee on Governance for their consideration and acceptance.-The Committee on Governance determines the CEO's salary based on overall performance and market data supplied by the outside market consultant.The last executive compensation evaluation by an outside consultant was done in December, 2013. | Form 990, Part VI, Line 15a |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The Organization's Process for Monitoring and Enforcing Conflicts of InterestThe Western Connecticut Health Network and its affiliates' (The Network)Conflict of Interest Policy provides that annually, its Representatives shall sign a statement affirming that they disclosed all potential conflicts, as documented in the Conflict of Interest Policy. In addition, General Counsel is part of the routine contracts review process and watches for potential conflicts with any of The Network's Representatives.Who Is Covered By the PolicyThe Network's Conflict of Interest Policy covers each director, officer and manager of The Network, also referred to as "Representatives". Level At Which Determinations of Whether There Is a Conflict In connection with any actual or possible conflict of interest, an interested person must disclose the facts of the conflict. The Compliance Officer and the Audit Committe review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential tranaction or arrangement is made by an interested person, the remaining disinterested Board or Committee members shall decide if a conflict of interest exist. Level That Reviews and Determines What To Do If There Is a ConflictAfter exercising due diligence the full Board would determine what actions should be taken for all conflicts by Officers and Directors. Any conflicts occurring by a manager are reviewed by the Compliance Committee to determine what further action should be taken.Restrictions on The Conflicted PersonNo director having a conflict of interest on any matter shall vote on that matter or be counted in determining the quorum for the meeting at which the vote is taken, even when permitted by law. No Representative having a conflict of interest on any matter shall use his or her personal influence on the matter.If the Board of Directors, in its sole discretion, determines that any Representative has conflicts of interest sufficient in number and/or importance that the effectiveness of such individual on behalf of The Network may be significantly impaired, the Board may ask the individual to resign. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Steven Rosenberg, CFO, will review the 990 prior to it being sent to the IRS. A preliminary 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the 990 with the Audit Committee and answer any questions. Prior to the 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review. | Form 990, Part VI, Line 11b |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Richard Jabara and James Kennedy, both directors of New Milford Hospital have a business relationship reported on Form 1099. | Form 990, Part VI, Line 2 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Eastern NY Medical Services PC | |||||||||||
| 14 Research Drive Suite 201A | Bethel | CT | 06810 | 485431389 | PHYSICIAN SVC. | NY | 501(C) (3) | 9 | WCHN | true | |
| Western CT Home Care Inc | |||||||||||
| 4 Liberty Street | Danbury | CT | 06810 | 060655138 | Home Hlthcare | CT | 501(c)(3) | 9 | WCHN | true | |
| Western CT Health Network Affiliates | |||||||||||
| 95 Locust Avenue | Danbury | CT | 06810 | 222594968 | OP Hlthcr Svc | CT | 501(c)(3) | 9 | WCHN | true | |
| Danbury Hospital Inc | |||||||||||
| 24 Hospital Avenue | Danbury | CT | 06810 | 060646597 | Acute Care | CT | 501(c)(3) | 3 | WCHN | true | |
| West CT Health Network Foundation | |||||||||||
| 24 Hospital Avenue | Danbury | CT | 06810 | 237425557 | Admin Contrib | CT | 501(c)(3) | 7 | WCHN | true | |
| Western CT Medical Group PC | |||||||||||
| 14 Research Drive Suite 201A | Bethel | CT | 06801 | 061137531 | Physician Svc | CT | 501(c)(3) | 9 | WCHN | true | |
| Western CT Health Network Inc | |||||||||||
| 24 Hospital Avenue | Danbury | CT | 06810 | 222594977 | Program Devlp | CT | 501(c)(3) | 11, TYPE 2 | true | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| Ridgefield Surgical Center LLC | ||||||||||
| 901 Ethan Allen Hwy Suite 105 | Ridgefield | CT | 06877 | 222594977 | INACTIVE | CT | WCHN | N/A | false | false |
| New Milford MRI JV LLC | ||||||||||
| 21 Elm Street | New Milford | CT | 06776 | 271877801 | INACTIVE | CT | New Milford Hospital | N/A | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| West CT Health Network Insur Co LTD | ||||||||||||
| 23 Lime Tree Bay PO Box 1051 | Grand Cayman | CJ | 980438151 | Malpractice | DH | C.Corp. | true | |||||
| Medical Services of Danbury | ||||||||||||
| 061635945 | Healthcare | WCMG | C | true | 24 Hospital Avenue | Danbury | CT | 06811 | CT | |||
| Foundation for Comm Healthcare | ||||||||||||
| 061437131 | INACTIVE | WCHN | C. Corp. | true | 95 Locust Avenue | Danbury | CT | 06810 | CT | |||
| Business Systems Inc | ||||||||||||
| 061119262 | Pharmacy | WCHN | C Corp. | true | 95 Locust Avenue | Danbury | CT | 06810 | CT | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Danbury Hospital Inc | ||
| s | 14691438 | Cost |
| Danbury Hospital Inc | ||
| r | 1286806 | Cost |
| Danbury Hospital Inc | ||
| p | 17388307 | Cost |
| Danbury Hospital Inc | ||
| o | 3668357 | Cost |
| Danbury Hospital Inc | ||
| m | 467243 | Cost |
| West CT Health Network Foundation | ||
| c | 5247554 | Cost |
| Western CT Medical Group PC | ||
| r | 61814 | Cost |
| Western CT Medical Group PC | ||
| p | 5413775 | Cost |
| Western CT Medical Group PC | ||
| m | 5805239 | Cost |