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LEGACY WATERBURY HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LEGACY WATERBURY HOSPITAL INC (EIN 06-0665979)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201342269349303009
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-14T13:56:06-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN111986323EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1CITY PLACE II 185 ASYLUM STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060665979EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWATENameControl
Phone2035736000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06708ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID J PIZZUTO MDName
TitleVP MEDICAL SERVICESTitle
Phone2035736000Phone
Date Signed2013-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS FARRINGTONName
PTINP00370668PTIN
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDARLENE STROMSTADNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06708ZIPCode
FieldValueIRS element (for citing)
Gross Receipts259953142GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WATERBURYHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionWATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2240TotalNbrEmployees
Total Nbr Volunteers188TotalNbrVolunteers
Total Gross UBI3277398TotalGrossUBI
Net Unrelated Business Txbl Income12029NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5432131ContributionsGrantsPriorYear
Contributions Grants Current Year5262330ContributionsGrantsCurrentYear
Program Service Revenue Prior Year231768719ProgramServiceRevenuePriorYear
Program Service Revenue CY237337410ProgramServiceRevenueCY
Investment Income Prior Year3389996InvestmentIncomePriorYear
Investment Income Current Year2785392InvestmentIncomeCurrentYear
Other Revenue Prior Year5501666OtherRevenuePriorYear
Other Revenue Current Year8133085OtherRevenueCurrentYear
Total Revenue Prior Year246092512TotalRevenuePriorYear
Total Revenue Current Year253518217TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year135820931SalariesEtcPriorYear
Salaries Etc Current Year128197698SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year304464TotalFundrsngExpCurrentYear
Other Expense Prior Year110180428OtherExpensePriorYear
Other Expenses Current Year115020471OtherExpensesCurrentYear
Total Expenses Prior Year246001359TotalExpensesPriorYear
Total Expenses Current Year243218169TotalExpensesCurrentYear
Revenues Less Expenses Prior Year91153RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10300048RevenuesLessExpensesCY
Total Assets BOY165252085TotalAssetsBOY
Total Assets EOY175531371TotalAssetsEOY
Total Liabilities BOY89880352TotalLiabilitiesBOY
Total Liabilities EOY92647402TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY75371733NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY82883969NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense202930849Expense
Revenue245315199Revenue
DescriptionSTATEMENT OF PURPOSEAS A NOT-FOR-PROFIT COMMUNITY HOSPITAL, WATERBURY HOSPITAL PROVIDES QUALITY HEALTH CARE TO ALL AREA INDIVIDUALS, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, HANDICAP OR ABILITY TO PAY. HOWEVER, REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE HOSPITAL'S STABILITY AND LONG-TERM OPERATION.SEE SCHEDULE O FOR CONTINUATIONDescription
Total Program Service Expense202930849TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096322NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2240NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SCOTT BOWMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2035737333TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06721ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DARLENE STROMSTAD
PRESIDENT/TREASURER40.00XX24833608843
CARL D CONTADINI
CHAIRMAN0.30XX000
JOHN A KELLY JR
VICE CHAIRMAIN0.30XX000
ANDREW K SKIPP
SECRETARY0.20XX000
CARL B SHERTER MD
CHIEF OF STAFF0.30X7800000
OJ BIZZOZERO JR MD
DIRECTOR0.50X000
HENRY BORKOWSKI MD
DIRECTOR / CAGW - CARDIOLOGIST40.30X667026029945
RONALD J D'ANDREA MD
DIRECTOR0.20X000
STEVEN L EISEN MD
DIRECTOR0.10X03063496650
JAMES H GATLING PHD
DIRECTOR0.40X000
FREDERICK L LUEDKE
DIRECTOR0.50X000
PATRICIA MCKINLEY
DIRECTOR0.40X000
JOHN A MICHAELS
DIRECTOR0.50X000
DAVID J PIZZUTO MD
DIRECTOR / VP MEDICAL SERVICES20.00XX7212000
WILLIAM J PIZZUTO PHD
DIRECTOR0.90X000
AJ WASSERSTEIN
DIRECTOR0.40X000
SANDRA IADAROLA
VP PATIENT CARE/CHIEF NURSING OFFICER40.00X194426015506
DIANE WOOLLEY
VP HUMAN RESOURCES40.00X153280021933
MICHAEL CEMENO
CHIEF INFORMATION OFFICER40.00X8957604382
PETER PORRELLO
CHIEF MEDICAL INFORMATION OFFICER40.00239449024438X
THOMAS REINHARDT
MEDICAL DIRECTOR BEHAVIORAL HEALTH40.00212003019600X
DONALD EDWARDSON
MEDICAL DIRECTOR INPATIENT BH40.00208409013326X
KINSON LEE
PSYCHIATRIST40.00200376024217X
SREEDEVI NAMPOOTHIRI
PSYCHIATRIST40.00197322024913X
JOHN H TOBIN
FORMER PRESIDENT0.00126208005581X
COLLEEN SCOTT
FORMER CFO0.00314620033814X
MARY K MULSTON
FORMER VP HUMAN RESOURCES0.0020522108971X
MARY B PRYBYLO
FORMER VP PATIENT CARE SERVICES0.00252552021672X
STEVEN E SCHNEIDER
FORMER VP MEDICAL SERVICES0.00173314018724X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4768110TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs306349TotalReportableCompFrmRltdOrgs
Total Other Compensation282515TotalOtherCompensation
Number Individuals GT100 K132NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO INC AND AFFILIATES
PO BOX 360170PITTSBURGHPA152516170DIETARY, BUILDING SVCS, TRANSPORT2267495
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117INFORMATION TECHNOLOGY1392269
ACCESS REHAB CENTERS LLC
22 TOMPKINS STREETWATERBURYCT06708REHAB THERAPY SERVICES1276925
LEADERS FOR TODAY LLC
50 RESNIK ROADPLYMOUTHMA02360CONTRACTED EXECUTIVES1226101
GREATER WATERBURY IMAGING CENTER
64 ROBBINS STREETWATERBURYCT06708IMAGING SERVICES1117900
FieldValueIRS element (for citing)
Number Of Contractors GT100 K58NumberOfContractorsGT100K
Fundraising Events256331FundraisingEvents
Government Grants4733897GovernmentGrants
All Other Contributions272102AllOtherContributions
Noncash Contributions17000NoncashContributions
Total Contributions5262330TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE624100227526138227526138
CAW - NET PATIENT SERV62111065567106556710
LAB SERVICE REVENUE62150031092453109245
IMAGE REPAIRS & MAINTE541900145317145317
FieldValueIRS element (for citing)
Total Program Service Revenue237337410TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2638562TotalRevenueColumn
Exclusion$2,638,562ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real429366Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real429366Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column429366TotalRevenueColumn
Related Or Exempt Function Income429366RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6411877Securities
Other16883Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6281930Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities129947Securities
Other16883Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column146830TotalRevenueColumn
Exclusion$146,830ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events65310GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events256331CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses152995FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-87685TotalRevenueColumn
Exclusion-$87,685ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEANINGFUL USE INCOME90009933924983392498
PARTNERSHIPS90009918440661844066
CAW - OTHER INCOME62111015792051579205

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column975635TotalRevenueColumn
Related Or Exempt Function Income732653RelatedOrExemptFunctionIncome
Unrelated Business Revenue22836UnrelatedBusinessRevenue
Exclusion$220,146ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7791404TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column253518217TotalRevenueColumn
Related Or Exempt Function Income242060636RelatedOrExemptFunctionIncome
Unrelated Business Revenue3277398UnrelatedBusinessRevenue
Exclusion$2,917,853ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total8495433Total
Program Services6896837ProgramServices
Management And General1598596ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total89773579Total
Program Services82484934ProgramServices
Management And General7143067ManagementAndGeneral
Fundraising145578Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3949078Total
Program Services3590885ProgramServices
Management And General351849ManagementAndGeneral
Fundraising6344Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18050422Total
Program Services16407508ProgramServices
Management And General1613914ManagementAndGeneral
Fundraising29000Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7929186Total
Program Services7195688ProgramServices
Management And General721089ManagementAndGeneral
Fundraising12409Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1086636Total
Program Services27481ProgramServices
Management And General1059155ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total247543Total
Management And General247543ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total103132Total
Management And General103132ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total367820Total
Management And General367820ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total43608062Total
Program Services32308091ProgramServices
Management And General11268661ManagementAndGeneral
Fundraising31310Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total550378Total
Program Services81723ProgramServices
Management And General465625ManagementAndGeneral
Fundraising3030Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10899981Total
Program Services9119647ProgramServices
Management And General1756114ManagementAndGeneral
Fundraising24220Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4578088Total
Program Services1239627ProgramServices
Management And General3338461ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total180373Total
Program Services83301ProgramServices
Management And General93866ManagementAndGeneral
Fundraising3206Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total270581Total
Program Services244237ProgramServices
Management And General26344ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1101603Total
Management And General1101603ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total279270Total
Management And General279270ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8102127Total
Management And General8102127ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6407547Total
Program Services6407547ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL/SURGICAL SUPPLI258463712584628190
BAD DEBT1068115110681151
DUES AND SUBSCRIPTIONS3736811033292691991153
FOOD5591822742311572019

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total280209Total
Program Services189840ProgramServices
Management And General44174ManagementAndGeneral
Fundraising46195Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total243218169Total
Program Services202930849ProgramServices
Management And General39982856ManagementAndGeneral
Fundraising304464Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY445086BOY
EOY363707EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10336179BOY
EOY23422100EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3816321BOY
EOY2553347EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23027509BOY
EOY26534083EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3109790BOY
EOY3105602EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1449521BOY
EOY1109204EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis265514060LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec222405856LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42450842BOY
EOY43108204EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10050122BOY
EOY11355420EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY57334007BOY
EOY61841260EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY200500BOY
EOY200500EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13032208BOY
EOY1937944EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY165252085BOY
EOY175531371EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34927900BOY
EOY32392727EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY25630879BOY
EOY25207100EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29321573BOY
EOY35047575EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY89880352BOY
EOY92647402EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY28763004BOY
EOY30228350EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6477454BOY
EOY7645420EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40131275BOY
EOY45010199EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75371733BOY
EOY82883969EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY165252085BOY
EOY175531371EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10300048ReconcilationRevenueExpenses
Reconcilation Other Changes-2787812ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements1MediaAdvertisements
Mailings Members1MailingsMembers
Publications Or Broadcast1PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$73,544GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$29,588OtherActivitiesAmount
Total Lobbying Expenditures IIB103132TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF THE CT HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION FEES THAT ARE PAID BY THE WATERBURY HOSPITAL IS FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance48442875BeginningOfYearBalance
Investment Earnings Or Losses6884672InvestmentEarningsOrLosses
Other Expenditures536162OtherExpenditures
End Of Year Balance54791385EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance51457624BeginningOfYearBalance
Investment Earnings Or Losses-2784813InvestmentEarningsOrLosses
Other Expenditures229936OtherExpenditures
End Of Year Balance48442875EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance49308865BeginningOfYearBalance
Contributions20Contributions
Investment Earnings Or Losses2729359InvestmentEarningsOrLosses
Other Expenditures580620OtherExpenditures
End Of Year Balance51457624EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance50479712BeginningOfYearBalance
Contributions10560Contributions
Investment Earnings Or Losses-512662InvestmentEarningsOrLosses
Other Expenditures668745OtherExpenditures
End Of Year Balance49308865EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.05430BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.82150PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.12420TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis287549OtherCostOrOtherBasis
Book Value287549BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis84587473OtherCostOrOtherBasis
Depreciation67702986Depreciation
Book Value16884487BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis539905OtherCostOrOtherBasis
Depreciation432135Depreciation
Book Value107770BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis174609868OtherCostOrOtherBasis
Depreciation151561382Depreciation
Book Value23048486BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5489265OtherCostOrOtherBasis
Depreciation2709353Depreciation
Book Value2779912BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings43108204TotalOfBookValueLandBuildings

Other Securities OtherSecurities (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FUNDS HELD IN TRUST BY OTHERS42218163F
GREATER WATERBURY IMAGING CENTER4634628F
ACCESS REHAB CENTERS5142729F
IMAGING PARTNERS360191F
ALLIANCE MEDICAL GROUP6586211F
CARDIOLOGY ASSOCIATES OF GREATER WATERBURY2899338F
FieldValueIRS element (for citing)
Total Of Book Value Securities61841260TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (13 entries)

DescriptionDescriptionAmountAmount
LIABILITIES OF CONSOLIDATED AFFILIATES$4,763,515
RESERVE FOR WORKER'S COMP/MALPRACTICE LIAB. LOSS$8,932,434
NONCONTROLLING INTEREST$3,147,542
DEFERRED LIAB. ON GIFT ANNUITY$210,785
ASSET RETIREMENT OBLIGATION$2,785,468
CAPITAL LEASE LIABILITY$1,566,722
ACCRUED PENSION LIABILITY$5,906,712
DEFERRED LIAB. ON PLAN INVESTMENT FUND$13,119
DEFERRED LIAB. ON SERP$156,244
SWAP RATE LIABILITY$2,938,960
DUE TO AFFILIATES$3,551,101
DUE TO THIRD-PARTY REIMBURSEMENT AGENCIES$601,272
SODEXO LIABILITY$473,701
FieldValueIRS element (for citing)
Total Of Amounts35047575TotalOfAmounts
Total Revenue253518217TotalRevenue
Total Expenses243218169TotalExpenses
Excess Or Deficit For Year10300048ExcessOrDeficitForYear
Net Unrealized GL On Investments1483696NetUnrealizedGLOnInvestments
Other-$4,271,508OtherAmount
Total Adjustments-2787812TotalAdjustments
Excess Or Deficit Per FS7512236ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt283891969TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1483696NetUnrealizedGainsInvestments
Other Revenues31128045OtherRevenues
Revenue Not Rptd F99032611741RevenueNotRptdF990
Revenue Subtotal251280228RevenueSubtotal
Investment Expenses Not Included367820InvestmentExpensesNotIncluded
Other Revenues Not Included1870169OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2237989RevenueNotRptdOnFinStmt
Total Revenue Per Form990253518217TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt280103740TotExpensesEtcAuditedFinclStmt
Other Expenses Included37253391OtherExpensesIncluded
Expenses Not Rptd F99037253391ExpensesNotRptdF990
Expenses Subtotal242850349ExpensesSubtotal
Investment Expenses Not Included2367820InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt367820ExpensesNotRptdOnFinStmt
Total Expenses Per Form990243218169TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT FUNDS ARE USED FOR FREE CARE AND GENERAL HOSPITAL OPERATIONS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. ACCESS, GWIC, CAGW, AND IMAGING PARTNERS LLC ARE PARTNERSHIPS. FOR TAX PURPOSES, THESE PARTNERSHIP ARE PASS-THROUGH ENTITIES. TAXATION DOES NOT OCCUR AT THE PARTNERSHIP LEVEL. ACCORDINGLY, NO PROVISION FOR TAXES IS INCLUDED. AMG IS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE CODE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2012, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS PRIOR TO 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:INCREASE IN FAIR VALUE OF FUNDS HELD IN TRUST BY OTHERS 4,878,924. ALLIANCE SUBSIDY -8,966,551. PENSION LIABILITY ADJUSTMENT 366,769. INTEREST RATE SWAP ADJUSTMENT -524,547. INCOME FROM WATERBURY GASTROENTEROLGY -26,103. TOTAL TO SCHEDULE D, PART XI, LINE 8: -4,271,508.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INCOME FROM CONSOLIDATED AFFILIATE 30,975,050. FUNDRAISING EXPENSE 152,995.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME FROM PARTNERSHIP 1,844,066. WATERBURY GASTROENTEROLOGY INCOME 26,103.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSE OF CONSOLIDATED AFFILIATE 37,100,396. FUNDRAISING EXPENSE 152,995.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1177355GrossReceiptsEvent1
Charitable Contributions Event1136795CharitableContributionsEvent1
Gross Revenue Event140560GrossRevenueEvent1
Rent Facility Costs Event136920RentFacilityCostsEvent1
Other Direct Expenses Event156692OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2103910GrossReceiptsEvent2
Charitable Contributions Event292390CharitableContributionsEvent2
Gross Revenue Event211520GrossRevenueEvent2
Rent Facility Costs Event222051RentFacilityCostsEvent2
Other Direct Expenses Event211261OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events40376GrossReceiptsOtherEvents
Charitable Contrib Other Events27146CharitableContribOtherEvents
Gross Revenue Other Events13230GrossRevenueOtherEvents
Rent Facility Costs Other Events12789RentFacilityCostsOtherEvents
Other Direct Expenses Other Events13282OtherDirectExpensesOtherEvents
Gross Receipts Total321641GrossReceiptsTotal
Charitable Contributions Total256331CharitableContributionsTotal
Gross Revenue Total Events65310GrossRevenueTotalEvents
Rent Facility Costs Total Events71760RentFacilityCostsTotalEvents
Other Direct Expenses Total Events81235OtherDirectExpensesTotalEvents
Direct Expense Summary Events152995DirectExpenseSummaryEvents
Net Income Summary-87685NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense364593TotalCommunityBenefitExpense
Direct Offsetting Revenue47086DirectOffsettingRevenue
Net Community Benefit Expense317507NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served37886PersonsServed
Total Community Benefit Expense39283191TotalCommunityBenefitExpense
Direct Offsetting Revenue25597194DirectOffsettingRevenue
Net Community Benefit Expense13685997NetCommunityBenefitExpense
Percent Of Total Expense0.05630PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served8021PersonsServed
Total Community Benefit Expense15534479TotalCommunityBenefitExpense
Direct Offsetting Revenue6233618DirectOffsettingRevenue
Net Community Benefit Expense9300861NetCommunityBenefitExpense
Percent Of Total Expense0.03820PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served45907PersonsServed
Total Community Benefit Expense55182263TotalCommunityBenefitExpense
Direct Offsetting Revenue31877898DirectOffsettingRevenue
Net Community Benefit Expense23304365NetCommunityBenefitExpense
Percent Of Total Expense0.09580PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs66NumberOfActivitiesOrPrograms
Persons Served23653PersonsServed
Total Community Benefit Expense14516356TotalCommunityBenefitExpense
Direct Offsetting Revenue899112DirectOffsettingRevenue
Net Community Benefit Expense13617244NetCommunityBenefitExpense
Percent Of Total Expense0.05600PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served3012PersonsServed
Total Community Benefit Expense20315335TotalCommunityBenefitExpense
Direct Offsetting Revenue7388705DirectOffsettingRevenue
Net Community Benefit Expense12926630NetCommunityBenefitExpense
Percent Of Total Expense0.05310PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served9039PersonsServed
Total Community Benefit Expense14413506TotalCommunityBenefitExpense
Direct Offsetting Revenue10870072DirectOffsettingRevenue
Net Community Benefit Expense3543434NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served134PersonsServed
Total Community Benefit Expense101490TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense101490NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served64981PersonsServed
Total Community Benefit Expense702414TotalCommunityBenefitExpense
Direct Offsetting Revenue197000DirectOffsettingRevenue
Net Community Benefit Expense505414NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs149NumberOfActivitiesOrPrograms
Persons Served100819PersonsServed
Total Community Benefit Expense50049101TotalCommunityBenefitExpense
Direct Offsetting Revenue19354889DirectOffsettingRevenue
Net Community Benefit Expense30694212NetCommunityBenefitExpense
Percent Of Total Expense0.12620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs149NumberOfActivitiesOrPrograms
Persons Served146726PersonsServed
Total Community Benefit Expense105231364TotalCommunityBenefitExpense
Direct Offsetting Revenue51232787DirectOffsettingRevenue
Net Community Benefit Expense53998577NetCommunityBenefitExpense
Percent Of Total Expense0.22200PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served210PersonsServed
Total Community Building Expense19959TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense19959NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served487PersonsServed
Total Community Building Expense604823TotalCommunityBuildingExpense
Direct Offsetting Revenue6090DirectOffsettingRevenue
Net Community Building Expense598733NetCommunityBuildingExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Persons Served286PersonsServed
Total Community Building Expense33825TotalCommunityBuildingExpense
Net Community Building Expense33825NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served26PersonsServed
Total Community Building Expense38849TotalCommunityBuildingExpense
Net Community Building Expense38849NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense43116TotalCommunityBuildingExpense
Net Community Building Expense43116NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served1009PersonsServed
Total Community Building Expense740572TotalCommunityBuildingExpense
Direct Offsetting Revenue6090DirectOffsettingRevenue
Net Community Building Expense734482NetCommunityBuildingExpense
Percent Of Total Expense0.00310PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,468,672BadDebtExpenseAmount
Amount Attributable To364593AmountAttributableTo
Amount Reimbursed By Medicare71088818AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare75312807CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4223989MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06708ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: N/A
PART II: AS A LEADER IN THE DELIVERY OF HEALTHCARE SERVICES IN THE GREATER WATERBURY AREA, WATERBURY HOSPITAL (WH) IS COMMITTED TO STRENGTHENING THE WELFARE AND AWARENESS OF THE CITIZENS WITHIN ITS COMMUNITY. FROM STRENGTHENING THE CAREER PATHS OF WATERBURY AREA YOUTH; TO SUPPORTING THE UNINSURED AND UNDERINSURED THROUGH THE WATERBURY HEALTH ACCESS PROGRAM AND; PROVIDING TRANSPORT TO AND FROM MEDICAL APPOINTMENTS; WATERBURY HOSPITAL IS REMOVING THE BARRIERS TO QUALITY HEALTH CARE FOR ALL AND REMAINS FIRM IN ITS COMMITMENT TO A HEALTHIER, STRONGER, AND MORE PRODUCTIVE COMMUNITY.KEY PROGRAMS: YOUTH PIPELINE INITIATIVES: THE WATERBURY HOSPITAL YOUTH PIPELINE INITIATIVES WERE ESTABLISHED IN 2001 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL AND WATERBURY PUBLIC SCHOOLS. THE MISSION OF THE PROGRAM IS: "TO CLOSE THE ACHIEVEMENT GAP FOR MINORITY AND ECONOMICALLY DISADVANTAGED STUDENTS IN WATERBURY SO THEY CAN MATRICULATE AND COMPETE NATIONALLY FOR PLACEMENT IN POST-SECONDARY EDUCATION PROGRAMS IN PREPARATION FOR HEALTH CAREERS". WATERBURY HOSPITAL IS COMMITTED TO ENHANCING AND ENRICHING THE ACADEMIC OPPORTUNITIES AND PERSONAL JOURNEYS OF OUR YOUTH, WHO ARE THE EMERGING WORKFORCE OF TOMORROW. TO THIS END, DURING 2012, WATERBURY HOSPITAL CONTINUED TO PROVIDE 383 STUDENTS AND PARENTS IN GREATER WATERBURY WITH UNIQUE EDUCATIONAL PROGRAMS THAT WILL ENHANCE THE OVERALL WELFARE OF OUR COMMUNITY.THE WH YOUTH PIPELINE INITIATIVES HAD FOUR FOCUS AREAS DURING FY 2012, INCLUDING: - PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) - SINCE ITS INCEPTION IN 2004, WATERBURY HOSPITAL'S PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) PROGRAM HAS ENGAGED ADMINISTRATORS, TEACHERS, AND STUDENTS AT WATERBURY'S NORTH END MIDDLE SCHOOL AND WEST SIDE MIDDLE SCHOOL TO ADDRESS PROJECTED SHORTAGES OF HEALTHCARE WORKERS AND TO CLOSE THE ACHIEVEMENT GAP FOR STUDENTS IN WATERBURY PUBLIC SCHOOLS. THROUGH THE PEACH PROGRAM, STUDENTS ENGAGE WITH HEALTHCARE WORKERS IN A NON-EMERGENCY SETTING AND ARE INFORMED OF THE VARIETY OF HEALTHCARE CAREER OPPORTUNITIES AVAILABLE IN OUR COMMUNITY. EACH SPRING, APPROXIMATELY 100 SEVENTH GRADERS FROM WATERBURY TAKE PART IN A DAY-LONG PEACH TOUR AT WATERBURY HOSPITAL, DURING WHICH THEY VISIT AT LEAST SIX HOSPITAL DEPARTMENTS AND COMPLETE HANDS-ON LEARNING ACTIVITIES WITH HOSPITAL STAFF. ANNUALLY, WATERBURY HOSPITAL ALSO OFFERS ITS PEACH SPRING BREAK EXPLORATION CAMP, THIS YEAR 38 MIDDLE SCHOOL STUDENTS FROM WATERBURY TOOK PART IN: SHADOWING AND HANDS-ON LEARNING ACTIVITIES AT THE HOSPITAL; CPR CERTIFICATION; AND EDUCATIONAL SESSIONS AT BRIDGEPORT'S DISCOVERY MUSEUM. - PARENT LEADERSHIP TRAINING INSTITUTE (PLTI) - IN 2012, TWENTY FOUR INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PLTI, A 20-WEEK CURRICULUM TEACHING LEADERSHIP AND ADVOCACY SKILLS. WATERBURY HOSPITAL HAS HOSTED THE WATERBURY PLTI SINCE 2000, AND THE PROGRAM HAS TRAINED AND GRADUATED OVER 175 AREA PARENTS. PLTI'S CORE MISSION IS TO IMPART LEADERSHIP AND ADVOCACY SKILLS TO PARENTS WHILE SIMULTANEOUSLY EDUCATING THEM ABOUT VOLUNTEERISM, CIVIC LIFE, AND THE PROCESS BY WHICH STATE AND LOCAL GOVERNMENTS ENACT AND CHANGE LAWS. EACH PARTICIPANT COMPLETES AND IMPLEMENTS A COMMUNITY PROJECT; EXAMPLES OF PROJECTS FROM 2012 INCLUDE: A "HIGH SCHOOL DRIVING EDUCATION" PROGRAM (A CITY-WIDE INITIATIVE TO INTRODUCE SAFE DRIVING TECHNIQUES IN HIGH SCHOOLS) AND "THE C.H.I.P. FORUM" (CHILDREN HAVING INVOLVED PARENTS - A SERIES OF WORKSHOPS TO UNDERLINE THE IMPORTANCE OF GIVING ENCOURAGEMENT AND SUPPORT TO OUR CHILDREN SO THEY CAN SUCCEED IN LIFE). - PARENTS SUPPORTING EDUCATIONAL EXCELLENCE (PSEE) - IN 2012, TWENTY-ONE INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PSEE, A 13-WEEK CURRICULUM CO-CREATED BY THE CONNECTICUT CENTER FOR SCHOOL CHANGE AND THE CONNECTICUT COMMISSION ON CHILDREN FOR PARENTS (DEFINED BROADLY AS PARENTS, GUARDIANS, FAMILY MEMBERS AND GRANDPARENTS) TO INSTILL LEADERSHIP SKILLS IN EDUCATION AND TO FACILITATE PARTNERSHIPS BETWEEN SCHOOL STAFF AND PARENTS TO IMPROVE STUDENT LEARNING. - WH SUMMER BRIDGE PROGRAM - DURING THE SUMMER OF 2012, TWENTY-EIGHT STUDENTS FROM WATERBURY, GRADES 6-11, PARTICIPATED IN THE WH SUMMER BRIDGE PROGRAM. 100% OF MEALS WERE SECURED FOR THE PROGRAM FROM CITY OF WATERBURY SUMMER FOOD PROGRAM AND 8 LOCAL RESTAURANTS/BUSINESSES. STUDENTS COMPLETED THE FOLLOWING MODULES: - 21.5 HOURS OF HOMEWORK AND STUDY SKILLS SESSIONS COMPLETED (LED BY STUDENT LEADERS), 15.5 HOURS OF MATH (PRE- ALGEBRA, GEOMETRY, ALGEBRA II AND CALCULUS) REVIEW SESSIONS; 26 HOURS OF SAT WRITING AND VOCABULARY; 13.5 HOURS OF READING FAHRENHEIT 45; 14 HOURS OF PHOTOGRAPHY TO COMPILE A PHOTO BOOK; 2 HOURS OF RESUME WRITING AND JOB APPLICATION; 15 HOURS OF JOB SHADOWING SESSIONS (RADIOLOGY, NUCLEAR MEDICINE, NURSING, MRI, CASE MANAGEMENT, DR. S. ARONIN (ID INPATIENT ROUNDING), ICU MEDICAL ROUNDS, HEALTH INFORMATION MANAGEMENT, ACCESS REHAB, BEHAVIORAL HEALTH, RESPIRATORY THERAPY, FINANCE, WH ID CLINIC, SECURITY, ORTHOPEDICS, PHARMACY, INFECTION CONTROL AND SURGERY. - 4 HOURS OF MS OFFICE COMPUTER SESSIONS - 2 FULL-DAY FIELD TRIPS COMPLETED: ONE TO YALE UNIVERSITY FOR AN ADMISSIONS INFO SESSION AND CAMPUS TOUR AND ONE TO HAMMONASSET STATE PARK INCLUDING THREE EDUCATIONAL SESSIONS AT MEIGS POINT NATURE CENTER - 3 HOURS OF HEALTHCARE CAREER SEARCHES - 3 HOURS OF COLLEGE ADMISSIONS PRESENTATIONS COMPLETED BY UCONN WATERBURY & YALE ROTC - 1 HOUR OF INDIVIDUAL ACADEMIC ADVISING - 2 HOURS OF TEAM BUILDING ACTIVITIES - 2 HOURS OF HEALTH TOPICS PRESENTATIONS COMPLETED, INCLUDING HIV 101 AND HEALTHCARE JEOPARDY.SUPPORT GROUPS - DURING 2012, WATERBURY HOSPITAL HOSTED SEVERAL SUPPORT GROUPS FOR ITS PATIENTS AND THEIR FAMILIES, INCLUDING: - BEHAVIORAL HEALTH'S PARENT AND SIBLING SUPPORT GROUP, WHICH OFFERS EMOTIONAL ASSISTANCE TO FAMILIES WHO HAVE CHILDREN IN TREATMENT; AND - ALCOHOLICS ANONYMOUS, SERVES OVER 4,000 PEOPLE ANNUALLY, MEETS WEEKLY THROUGHOUT THE YEAR, AND IS COORDINATED BY OUR BEHAVIORAL HEALTH DEPARTMENT.
PART III, LINE 4: THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS POSSIBLE. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES AND ASSETS. THESE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES FOR FINANCIAL REPORTING PURPOSES.
PART III, LINE 8: COSTING METHODOLOGY USED TO COMPUTE THE MEDICARE SHORTFALL AND ANY ASSOCIATED COMMUNITY BENEFIT IS A COMBINATION OF THE AMOUNT REPORTED ON LINE 7 AS WELL AS THE HEALTH PROFESSION EDUCATION LINE. A TOTAL SHORTFALL OF $4,223,989 WAS DERIVED FROM THE 2012 MEDICARE COST REPORT USING AN AHA APPROVED FORM FOR SCHEDULE H WORKSHEET B PPS AND IPF HOSPITALS AND $12,484,057 FROM THE HEALTH PROFESSIONS EDUCATION CALCULATION FOR A TOTAL OF $16,708,046. ALL OF THIS SHORTFALL SHOULD BE REPORTED AS A COMMUNITY BENEFIT. THE HOSPITAL COST ACCOUNTING SYSTEM SHOWS A SHORTFALL FROM ALL MEDICARE PROGRAMS (INCLUDING MANAGED MEDICARE) OF $24,784,117 (NET OF BAD DEBT AND FREE CARE).
PART III, LINE 9B: WE HAVE SEVERAL CREDIT AND COLLECTION PROGRAMS GOVERNING PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE; PROMPT PAY DISCOUNT; SLIDING SCALE; PAYMENT ARRANGEMENTS; CHARITY CARE AND FREE BED FUNDS. ANY PATIENT EXPRESSING DIFFICULTY PAYING A BALANCE IS ENTITLED TO APPLY FOR FINANCIAL COUNSELING ASSISTANCE. CUSTOMER SERVICE REPRESENTATIVES WORK WITH THE PATIENTS TO DETERMINE PROGRAM QUALIFICATION BASED ON THE COMPLETION OF A FINANCIAL APPLICATION. CASES ARE PREPARED AND PRESENTED TO THE PATIENT ASSISTANCE COMMITTEE. APPROVED CASES WILL BE EITHER FULLY OR PARTIALLY WRITTEN OFF TO FREE BED FUNDS OR CHARITY CARE.
PART V, SECTION B, LINE 19D: ALL PATIENTS ARE CHARGED THE SAME.THE WATERBURY HOSPITAL
PART VI, LINE 2: WATERBURY HOSPITAL WORKS CLOSELY WITH LOCAL HEALTHCARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY HEALTHCARE NEEDS FOR UNDERSERVED PATIENTS THROUGHOUT THE WATERBURY COMMUNITY. THROUGH THESE COLLABORATIONS, WATERBURY HOSPITAL WORKS TO DEVELOP KEY PROGRAMMING FOR THE CITY'S VULNERABLE POPULATIONS, INCLUDING: THE WATERBURY HOSPITAL INFECTIOUS DISEASE CLINIC, WHICH PROVIDES COMPREHENSIVE HIV CARE TO 500 PEOPLE LIVING WITH HIV/AIDS; THE WATERBURY HEALTH ACCESS PROGRAM, WHICH PROVIDES COMPREHENSIVE CASE MANAGEMENT SERVICES TO OVER 3,000 UNINSURED AND UNDERINSURED PATIENTS ANNUALLY; AND THE WATERBURY HOSPITAL CHASE DIABETES DISEASE MANAGEMENT CLINIC, WHICH PROVIDES >150 DIABETICS WITH SELF-MANAGEMENT SKILLS AND CLINICAL CARE. IN THE FALL OF 2012, WATERBURY HOSPITAL BEGAN WORKING ON ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH ST. MARY'S HOSPITAL, THE WATERBURY HEALTH DEPARTMENT, CONNECTICUT COMMUNITY FOUNDATION, STAYWELL HEALTH CENTER (FQHC), AND THE UNITED WAY OF GREATER WATERBURY. A STEERING COMMITTEE WAS FORMED, FUNDING WAS SECURED, AND AN RFP WAS ISSUED, RESULTING IN THE SUBMISSION OF THREE PROPOSALS. THE PROPOSALS WERE REVIEWED BY THE COMMITTEE AND HOLLERAN CONSULTING GROUP WAS SELECTED. UNDER THEIR GUIDANCE A WORK PLAN WAS ESTABLISHED, FORMAL MEETINGS WERE SCHEDULED, AND BASELINE SECONDARY DATA WAS COLLECTED. THE THREE-YEAR PLAN WILL BE ROLLED OUT TO THE PUBLIC IN SEPTEMBER 2013.
PART VI, LINE 3: WE HAVE SIGNAGE, PT HANDBOOK, STATEMENT BACKERS & HANDOUTS THAT INFORM PATIENTS OF FREE BED FUNDS ETC. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS POSSIBLE. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. THESE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES FOR FINANCIAL REPORTING PURPOSES.
PART VI, LINE 4: LOCATED IN A CITY OF 109,000 RESIDENTS, WATERBURY HOSPITAL IS CENTRALLY LOCATED IN WESTERN CONNECTICUT. IT IS ONE OF TWO HOSPITALS THAT SERVES THE CITY OF WATERBURY AND ITS SURROUNDING TOWNS, INCLUDING BEACON FALLS, BETHLEHEM, CHESHIRE, MIDDLEBURY, NAUGATUCK, PROSPECT, SOUTHBURY, THOMASTON, WATERTOWN, WOLCOTT, AND WOODBURY. OVERALL, THE CITY OF WATERBURY LAGS BEHIND THE STATE OF CONNECTICUT AND THE U.S. IN KEY MEASURABLE STATISTICS, AS SEEN IN TABLE 1, BELOW:TABLE 1: SELECTED CENSUS DATA, JULY 2012, QUICKFACTS.CENSUS.GOV: WATERBURY, CT, & U.S. WATERBURY CT U.S.MEDIAN HOUSEHOLD INCOME: $41,499 $69,243 $52,762PER CAPITA MONEY INCOME: $22,004 $37,627 $27,915% PERSONS BELOW POVERTY: 20.6% 9.5% 14.3%% HOUSEHOLDS MARRIED COUPLE FAMILY: 35.4% 51.0% 49.7%% OF OWNER-OCCUPIED HOMES: 49.7% 69.5% 66.9%% FOREIGN-BORN PERSONS: 14.4% 13.3% 12.8%% LANGUAGE NOT ENGLISH SPOKEN AT HOME, AGE 5+: 31.6% 20.8% 20.3%% HOUSEHOLDS WITH NO VEHICLE: 16.8% 8.3% 8.8%% MALE: 47.6% 48.7% 49.2%% FEMALE 52.4% 51.3% 50.8%% CAUCASIAN: 58.8% 77.6% 63.0%% AFRICAN-AMERICAN: 20.1% 10.1% 13.1%% HISPANIC: 31.2% 13.4% 16.9%% HIGH SCHOOL GRADUATES OR HIGHER: 79.4% 88.2% 84.6%% BACHELOR'S DEGREE OR HIGHER: 16.2% 35.1% 27.5%% OF PERSONS AGE 65 & OVER: 12.6% 14.2% 13.7%UNEMPLOYMENT RATE, MAY 2013: 10.8% 8.0% 7.6%INFANT MORTALITY PER 1,000 RESIDENTS: 9.83 6.2 6.8CRIME RATE (VIOLENT & PROPERTY) PER 100,000 RESIDENTS (2009): 6,379 2,981 3,466WATERBURY WAS ONCE A ROBUST MANUFACTURING CENTER. HOWEVER, OVER THE PAST 25 YEARS, THE INDUSTRIAL BASE THAT WAS THE CENTER OF WATERBURY'S ECONOMY FOR MOST OF THE 20TH CENTURY DWINDLED, LEAVING MANY UNEMPLOYED. ALTHOUGH THERE ARE JOBS AVAILABLE IN HEALTHCARE AND SERVICE SECTORS, HIGH UNEMPLOYMENT REMAINS A THREAT FOR MANY INDIVIDUALS IN THE GREATER WATERBURY AREA. THE CITY OF WATERBURY IS ALSO DESIGNATED A FEDERAL MUA (MEDICALLY UNDERSERVED AREA) AND HPSA (HEALTH PROFESSIONAL SHORTAGE AREA) FOR PRIMARY CARE, MENTAL HEALTH, AND DENTAL CARE.
PART VI, LINE 5: REALIZING THE DIVERSE NEEDS OF RESIDENTS IN OUR COMMUNITY, WATERBURY HOSPITAL REMAINS DEDICATED TO PROVIDING COMPREHENSIVE HEALTH SERVICES TO ENSURE EVERY INDIVIDUAL HAS ACCESS TO APPROPRIATE, QUALITY HEALTHCARE. DURING 2012, WATERBURY HOSPITAL'S SPECTRUM OF SERVICES CONTINUED TO HAVE A POSITIVE IMPACT ON THE WELFARE OF WATERBURY'S CITIZENS. TO REMAIN CONSISTENT WITH WATERBURY HOSPITAL'S MISSION, MANY OF OUR SERVICES ARE TARGETED FOR VULNERABLE MEMBERS OF OUR COMMUNITY, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED.KEY PROGRAMS: WATERBURY HEALTH ACCESS PROGRAM: WATERBURY HOSPITAL IS AWARE OF THE ECONOMIC NEEDS MANY PATIENTS IN OUR COMMUNITY, AND, AS A RESULT, WE REMAIN COMMITTED TO THE WATERBURY HEALTH ACCESS PROGRAM. FOUNDED IN 2003 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL, ST. MARY'S HOSPITAL, STAYWELL HEALTH CENTER (FQHC), AND THE WATERBURY HEALTH DEPARTMENT, THE WATERBURY HEALTH ACCESS PROGRAM IMPROVES ACCESS TO HIGH-QUALITY MEDICAL CARE BY PROVIDING COMPREHENSIVE CASE MANAGEMENT, PHARMACY ASSISTANCE, AND ACCESS TO PRIMARY AND SUB-SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF THE GREATER WATERBURY REGION. DURING FY 2012, THE WATERBURY HEALTH ACCESS PROGRAM HAD OVER 3,700 ACTIVE CLIENTS. ADDITIONALLY, WATERBURY HOSPITAL PROVIDED $418,806 WORTH OF DONATED SERVICES TO WHAP PATIENTS.BEHAVIORAL HEALTH - WATERBURY HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH IS ONE OF THE REGION'S LARGEST SERVICE PROVIDERS OFFERING A FULL CONTINUUM OF CARE FOR CHILDREN, ADOLESCENTS AND ADULTS. OUR SERVICES ALSO OUTREACH TO THE COMMUNITY THROUGH REGULAR PARTICIPATION IN HEALTH FAIRS, ELECTED MEMBERSHIP IN THE NORTHWEST REGIONAL MENTAL HEALTH BOARD, AS A HOST SITE TO NUMEROUS TWELVE-STEP MEETINGS AND THE PROVISION OF CASE MANAGEMENT AS WELL AS ACUTE SERVICES TO THE HOMELESS WITHIN THE CITY OF WATERBURY. BEHAVIORAL HEALTH CLINICIANS CAN ENGAGE CLIENTS TO HELP FACILITATE THEIR ENTRANCE INTO TREATMENT. WE PROVIDE PHONE SUPPORT, REFERRALS AND TRIAGING TEN HOURS A DAY SEVEN DAYS A WEEK. WITHIN OUR CRISIS CENTER WE OFFER SHORT TERM SERVICES TO HELP INDIVIDUALS OBTAIN MORE PERMANENT TREATMENT THAT BEST MEETS THEIR NEEDS. AMBULATORY SERVICES INCLUDE PARTIAL HOSPITAL PROGRAMS, INTENSIVE OUTPATIENT SERVICES, GROUP, INDIVIDUAL THERAPY AND MEDICATION MANAGEMENT TO PATIENTS EXPERIENCING MENTAL ILLNESS AND/ OR A SUBSTANCE USE DISORDER. FOR INDIVIDUALS EXPERIENCING ACUTE SYMPTOMS WE OFFER INPATIENT TREATMENT TO ADOLESCENTS AGED 12 AND UP AS WELL AS ADULT SERVICES. OUR EFFORTS ARE AIMED AT PROMOTING THE BENEFITS OF CLINICAL TREATMENT AS WELL AS POSITIVE LIFESTYLE CHOICES. EVERY EFFORT IS MADE TO EDUCATE CLIENTS, THEIR FAMILIES AND THE COMMUNITY ABOUT MENTAL ILLNESS AND THE IMPACT TREATMENT CAN HAVE ON ONE'S ILLNESS. THE ULTIMATE GOAL IS TO HELP PEOPLE FEEL BETTER, REDUCE OR RESOLVE SYMPTOMS AND TO MINIMIZE THE STIGMA OF MENTAL ILLNESS.BE WELL BUS - IN ORDER TO ENSURE THAT PATIENTS HAVE ACCESS TO MEDICAL APPOINTMENTS, AT THE HOSPITAL AND AT LOCAL PHYSICIANS' OFFICES, WATERBURY HOSPITAL'S BE WELL BUS PROVIDES TRANSPORTATION SERVICES TO PATIENTS FROM WATERBURY AND ELEVEN OF ITS SURROUNDING TOWNS. DURING FY 2012, THE BE WELL BUS COMPLETED OVER 4,170 TRANSPORTS TO AND FROM MEDICAL APPOINTMENTS. WATERBURY HOSPITAL HAS CONTRACTED WITH A TRANSPORTATION PROVIDER TO OFFER THE BUS SERVICE, AND AREA PROVIDERS PAY A SMALL FEE TO PARTICIPATE.HEART CENTER OF GREATER WATERBURY - FORMED IN COLLABORATION WITH SAINT MARY'S HOSPITAL, THE HEART CENTER OF GREATER WATERBURY PROVIDES DIVERSE MEDICAL SUPPORT INITIATIVES TO HELP EDUCATE RESIDENTS IN THE GREATER WATERBURY COMMUNITY ABOUT PERTINENT HEALTH AND WELLNESS ISSUES. THIS PAST YEAR, THE HEART CENTER CONDUCTED A SERIES OF HEALTH FAIRS AND VARIOUS HEALTH AND WELLNESS EDUCATION SESSIONS, INCLUDING "ASK THE NURSE," WHICH PROVIDES PATIENTS WITH COMPLIMENTARY BLOOD PRESSURE SCREENINGS AND HEALTH AWARENESS EDUCATION AND A "FREEDOM FROM SMOKING" SERIES TO HELP OUR RESIDENTS KICK THE HABIT. DURING FY 2012, THE HEART CENTER'S PROGRAMS SERVED OVER 3,280 RESIDENTS FROM THE GREATER WATERBURY AREA.FAMILY BIRTHING CENTER - PROVIDING A CHILD-CENTERED FOCUS, WATERBURY HOSPITAL'S FAMILY BIRTHING CENTER OFFERS EXPECTANT PARENTS A VARIETY OF CLASSES TO PREPARE THEM FOR THEIR BABY'S ARRIVAL. BETWEEN BREAST FEEDING, CHILDBIRTH, AND INFANT CARE CLASSES, OUR FAMILY BIRTHING CENTER PROVIDED VITAL INSTRUCTION TO OVER 120 PARENTS LAST YEAR. THANK GOD I'M FEMALE - FOR THE PAST 20 YEARS, WATERBURY HOSPITAL'S "THANK GOD I'M FEMALE" HAS SERVED AS AN ANNUAL WOMEN'S WELLNESS FORUM THAT FEATURES 40 EDUCATIONAL BOOTHS AND HEALTH-RELATED GIVEAWAYS. THE ULTIMATE GOAL OF THE FORUM IS TO EDUCATE ATTENDEES ABOUT STRESS, MENTAL WELL-BEING, HEART HEALTH, DIET, OSTEOPOROSIS AND BONE HEALTH, CHANGE OF LIFE, AND MORE. IN 2012, OVER 400 AREA RESIDENTS ATTENDED THE EVENT.EVERGREEN 50 CLUB - WATERBURY HOSPITAL'S EVERGREEN 50 CLUB IS AN ORGANIZATION COMPRISED OF OVER 15,000 MEMBERS OVER THE AGE OF 50. THE CLUB OFFERS WELLNESS PROGRAMMING, MEDICARE COUNSELING, AND HEALTH EDUCATION PRESENTATIONS ON A VARIETY OF TOPICS ARE PRESENTED BY HEALTH CARE PROFESSIONALS. PRESENTATION TOPICS INCLUDE: HOLISTIC HEALTH, VARICOSE VEIN TREATMENT, HEART DISEASE, SUMMER SKIN CARE, WEIGHT LOSS, BLOOD PRESSURE, BLADDER SCREENINGS, JOINT CARE AND REPLACEMENT, AND RESOLVING ADVERSE OUTCOMES WITH PATIENTS AND FAMILIES. ANNUALLY, THE EVERGREEN 50 CLUB HOSTS A HEALTH FAIR FOR ITS MEMBERS, WHICH PROVIDES FREE FLU SHOTS AND HEALTHCARE SCREENINGS.YALE PRIMARY CARE RESEARCH DAY - THROUGH COLLABORATION WITH ST. MARY'S HOSPITAL IN WATERBURY, CT, WATERBURY HOSPITAL HOSTED ITS ANNUAL YALE PRIMARY CARE RESEARCH DAY. DURING THE DAY, PHYSICIANS AND MEDICAL STUDENTS PRESENT RESEARCH PROJECTS TO THE PHYSICIAN COMMUNITY. HIGH SCHOOL STUDENTS ARE ALSO ENCOURAGED TO PARTICIPATE IN THE ACTIVITIES.WATERBURY HOSPITAL INFECTIOUS DISEASE CLINIC (WHIC) - CURRENT SERVICES: THE WHIC OFFERS A COMPREHENSIVE "ONE-STOP SHOPPING" MODEL THAT PROVIDES PATIENTS WITH ON-SITE PRIMARY AND SPECIALTY SERVICES, MEDICAL CASE MANAGEMENT, INDIVIDUALIZED MEDICATION ADHERENCE SERVICES, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, NUTRITION COUNSELING, INDIVIDUALIZED HIV EDUCATION, LABORATORY TESTING, AND RADIOLOGY SERVICES. WHIC'S PROVIDERS INCLUDE THREE BOARD-CERTIFIED/BOARD-ELIGIBLE INFECTIOUS DISEASE SPECIALISTS AS WELL AS AN ADVANCED PRACTITIONER NURSE, ALL WITH EXPERTISE IN THE MANAGEMENT OF PATIENTS WITH HIV/AIDS. IN FY 2012, WHIC SERVED AROUND 500 PEOPLE LIVING WITH HIV/AIDS (PLWHA). WHIC'S STAFF MEMBERS ACTIVELY PARTICIPATE IN STATEWIDE AND AREA COLLABORATIVES, SUCH AS THE CONNECTICUT HIV PLANNING CONSORTIUM (CHPC) AND THE RYAN WHITE PART A PLANNING COUNCIL, AND WHIC FACILITATES THE GREATER WATERBURY HIV CONSORTIUM. WHIC HAS A VERY ACTIVE CONSUMER ADVISORY GROUP (CAG), WHICH ORGANIZES SOCIAL AND TESTING EVENTS FOR THE COMMUNITY AND FACILITATES THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP. THE WHIC ALSO HAS A HEPATITIS C CLINIC, RUN BY AN ADVANCED PRACTITIONER NURSE. FROM OCTOBER 2004 TO PRESENT, NEARLY 200 HEPATITIS C MONO AND CO-INFECTED (HEPATITIS C AND HIV) HAVE BEEN EVALUATED AT THE ID CLINIC. THE HEPATITIS C CLINIC PROVIDES A CONSULTATION WITH A NUTRITIONIST TO ADVISE ON HEALTHY EATING; COORDINATION WITH MENTAL HEALTH SERVICES; AND EDUCATIONAL SESSIONS ON SIDE EFFECT MANAGEMENT, THE IMPORTANCE OF HYDRATION AND ADHERENCE, AND POSITIVE COPING STRATEGIES.FORGING COMMUNITY PARTNERSHIPS: SINCE 2009, THE WHIC HAS SERVED AS THE LEAD AGENCY FOR RYAN WHITE PART A FEDERAL FUNDING REGION 2 OF THE NEW HAVEN/FAIRFIELD ELIGIBLE METROPOLITAN AREA. THE WHIC WAS CHOSEN AS LEAD AGENCY BY THE CONSENSUS OF OTHER LOCAL RYAN WHITE PART A AGENCIES DUE TO ITS EXPERTISE IN PATIENT CARE AND FISCAL MANAGEMENT. AS THE LEAD AGENCY, THE WHIC HAS FORMED LONGSTANDING PARTNERSHIPS WITH STAYWELL HEALTH CENTER, INC., HISPANOS UNIDOS, INC., NEW OPPORTUNITIES, INC., RECOVERY NETWORK OF PROGRAMS, INC., CONNECTICUT COUNSELING CENTERS, INC., AND THE WATERBURY HEALTH DEPARTMENT, ALL OF WHOM WORK ALONGSIDE THE WHIC TO PROVIDE PATIENTS IN THE REGION WITH: - PRIMARY HIV CARE; - MEDICAL CASE MANAGEMENT; - ORAL HEALTH CARE; - INPATIENT AND OUTPATIENT SUBSTANCE ABUSE TREATMENT; - HEALTH INSURANCE ASSISTANCE; - MENTAL HEALTH; - EARLY INTERVENTION SERVICES; - HOUSING ASSISTANCE; - EMERGENCY FINANCIAL ASSISTANCE; - MEDICAL TRANSPORTATION; AND - FOOD PANTRY.
IN JUNE 2012, WHIC COLLABORATED WITH THE WATERBURY HEALTH DEPARTMENT, GRACE BAPTIST CHURCH, AND OTHER AREA AIDS SERVICE ORGANIZATIONS, TO ORGANIZE THE WATERBURY AIDS WALK AND RAISE AWARENESS ABOUT HIV/AIDS TREATMENT AND TESTING IN WATERBURY. 215 RESIDENTS PARTICIPATED IN THE EVENT.FOR THE PAST 12 YEARS, THE WHIC HAS PARTNERED WITH YALE UNIVERSITY'S PROJECT TRANSITIONS, A PROGRAM THAT INTEGRATES SUBSTANCE ABUSE TREATMENT AND CONTINGENCY MANAGEMENT INTO A COMPREHENSIVE JAIL RELEASE PROGRAM FOR PLWHA. THROUGH THIS PARTNERSHIP, YALE FUNDED A SUBSTANCE ABUSE COUNSELOR AND MEDICAL CASE MANAGER, BOTH OF WHOM ARE SPANISH SPEAKING AND LOCATED ON-SITE AT THE WHIC. THIS PROGRAM CONCLUDED IN AUGUST 2012.IN SEPTEMBER 2012, IN PARTNERSHIP WITH YALE UNIVERSITY, WATERBURY HOSPITAL BEGAN A CLINICAL TRIAL ENTITLED, "PROJECT NEW HOPE," TO TEST WHETHER EXTENDED-RELEASE NALTRERXONE IS A VIABLE OPTION FOR IMPROVING OPIOID, ALCOHOL AND HIV TREATMENT OUTCOMES FOR RELEASED HIV-POSITIVE CRIMINAL JUSTICE SYSTEM POPULATIONS. THIS PROGRAM IS SUPPORTED BY THE NATIONAL INSTITUTE ON DRUG ABUSE OF THE NATIONAL INSTITUTES OF HEALTH UNDER AWARD NUMBER R01DA030762.RESHAPING HIV TESTING STATEWIDE: SINCE 2008, PATIENTS VISITING WATERBURY HOSPITAL'S EMERGENCY DEPARTMENT ARE OFFERED FREE HIV TESTING WHILE WAITING TO BE EVALUATED OR TREATED FOR OTHER SYMPTOMS. IN ORDER TO OPTIMIZE THE NUMBER OF PEOPLE SCREENED FOR HIV, THE EMERGENCY DEPARTMENT'S PROGRAM USES AN OPT-OUT APPROACH. THE PROGRAM HAS SUCCESSFULLY SERVED AS A MODEL FOR OTHER HEALTHCARE INSTITUTIONS ACROSS THE STATE. THANKS, IN PART, TO WHIC'S LEADERSHIP, THE STATE OF CONNECTICUT NO LONGER LEGALLY REQUIRES PROVIDERS TO HAVE A SEPARATE CONSENT FORM FOR HIV TESTING.ENGAGING PATIENTS: IN 2009, THE WHIC ESTABLISHED ITS PEER ADVOCATE PROGRAM. THREE PATIENTS FROM THE CLINIC SERVE AS THE PEER ADVOCATES, WHO WORK WITH CLIENTS AT THE CLINIC AND USE A SOCIAL NETWORKS STRATEGY TO BRING DIFFICULT-TO-REACH CLIENTS IN FOR TESTING AND/OR CARE; THEY HAVE TRAVELED TO HIGH-RISK NEIGHBORHOODS ON THE WATERBURY HEALTH DEPARTMENT'S COMMUNITY HEALTH VAN TO OFFER COUNSELING AND TESTING AND HAVE PARTICIPATED IN AIDS AWARENESS DAYS TO FACILITATE THE LINKAGE OF NEWLY DIAGNOSED PATIENTS TO PRIMARY CARE. PEER ADVOCATES PARTICIPATE IN THE WHIC'S CARE TEAM AND CONTINUUM MEETINGS TO KEEP PROVIDERS AND LOCAL PARTNERS AWARE OF THE PATIENTS' ACTIVITIES AND NEEDS.THIS YEAR TWO PEER ADVOCATES PARTICIPATED IN THE WATERBURY PARENT LEADERSHIP TRAINING INSTITUTE, COMPLETING COMMUNITY PROJECTS ON "BAN THE BOX" - TO RAISE AWARENESS TO THE NEEDS OF EX-FELONS WHO HAVE BEEN REHABILITATED AND GIVEN APPROPRIATE RESTITUTION TO SOCIETY, TO BE ABLE TO REGAIN MEANINGFUL EMPLOYMENT IN ORDER TO SUSTAIN THEMSELVES AND LIVE PRODUCTIVE LIVES; AND "MARKETING THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP," - A CAMPAIGN TO RAISE AWARENESS AND INCREASE MEMBERSHIP OF THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP, RESPECTIVELY. THE LATTER CAMPAIGN WAS SUCCESSFUL IN MORE THAN DOUBLING THE MEMBERSHIP OF THE PHOTOGRAPHY GROUP, ENLISTING PARTICIPANTS FROM THE CHASE DIABETES CLINIC AND THE EVERGREEN 50 CLUB. A THIRD PEER ADVOCATE COMPLETED THE WATERBURY PARENTS SUPPORTING EDUCATIONAL EXCELLENCE PROGRAM AND SUBSEQUENTLY APPLIED HIS LEARNING TO ESTABLISH A MUSIC APPRECIATION CLASS FOR ELEMENTARY AND MIDDLE SCHOOL-AGE STUDENTS AT GRACE BAPTIST CHURCH IN WATERBURY.THE WHIC OFFERS ITS PATIENTS NATIONALLY-RECOGNIZED PEER AND SUPPORT PROGRAMS, INCLUDING ITS PROJECT PHOTOGRAPHY, WHICH WAS ESTABLISHED IN 2007 TO ENCOURAGE NON-COMPLIANT HIV/AIDS PATIENTS IN THE GREATER WATERBURY AREA TO BECOME MORE PROACTIVE IN THE SELF-MANAGEMENT OF THEIR DISEASE. PROJECT PHOTOGRAPHY HAS POSITIVELY TRANSFORMED ITS PARTICIPANT'S SELF-ESTEEM AND CONFIDENCE. PATIENT PROJECTS HAVE INCLUDED: (1) ENROLLING IN PHOTOGRAPHY CLASSES AT NAUGATUCK VALLEY COMMUNITY COLLEGE, (2) TAKING FIELD TRIPS TO BOSTON, (3) DONATING FRAMED PHOTOGRAPHS TO THE HOSPITAL'S ANNUAL FUNDRAISING GALA, (4) PRODUCING HOLIDAY GREETING CARDS FOR THE ID CLINIC, (5) CREATING TEAM PORTRAITS AT THE HOSPITAL'S FUNDRAISING GOLF TOURNAMENT, AND (6) CONSTRUCTING PHOTOGRAPHY EXHIBITS AT THE HOSPITAL, BARNES & NOBLE BOOKSTORE, AND SILAS BRONSON LIBRARY IN WATERBURY.
PART VI, LINE 6: N/A
CTREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DARLENE STROMSTAD
248336000000088430257179000
HENRY BORKOWSKI MD
66702600000198750100700696971000
STEVEN L EISEN MD
030634900000450002150031299900
SANDRA IADAROLA
194426000005845096610209932000
DIANE WOOLLEY
1532800000047690171640175213000
PETER PORRELLO
2394490000072760171620263887000
THOMAS REINHARDT
2120030000064910131090231603000
DONALD EDWARDSON
208409000006305070210221735000
KINSON LEE
20037600000123420118750224593000
SREEDEVI NAMPOOTHIRI
19732200000119950129180222235000
JOHN H TOBIN
571790001204901034330214801267661000
COLLEEN SCOTT
1520110001626090147000191140348434000
MARY K MULSTON
1368210006840006116028550214192000
MARY B PRYBYLO
118962000133590073500143220274224000
STEVEN E SCHNEIDER
1733140000010449082750192038000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINES 4A-BReturnReference
ExplanationDARLENE STROMSTAD SERP CONTRIBUTION: $75,000 COLLEEN SCOTT SEVERANCE PAY: $173,003 MARY K. MULSTON SEVERANCE PAY: $165,600Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CONNECTICUT HEALTH & EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN060806186IssuerEIN
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2010-12-22DateIssued
Issue Price25918000IssuePrice
Description Of PurposeREFINANCE/RETIRE EXISTING BONDS & FINANCE NEW MONEY FOR CAPITAL IMPROVEMENTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer1OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired19435000AmountRetired
Amount Bond Defeased19435000AmountBondDefeased
Total Proceeds25918000TotalProceeds
Issuance Costs From Proceeds403696IssuanceCostsFromProceeds
Capital Expenditures7234492CapitalExpenditures
Other Spent Proceeds17638304OtherSpentProceeds
Amount Unspent641508AmountUnspent
Year Of Subst Completion2013YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1RBS CITIZEN'S NABusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCARL SHERTERNamePerson
FieldValueIRS element (for citing)
RelationshipTRUSTEERelationship
Amount Of Transaction75000AmountOfTransaction
Description Of TransactionWATERBURY HOSPITAL PAID DR. SHERTER A TOTAL OF $75,000 FOR A CHIEF OF STAFF STIPEND.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE STATEMENTFORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):TOTAL COMMUNITY BENEFITS FOR FY 2012 BY CATEGORY: A. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS BENEFIT: $12,882,762 PERSONS SERVED: 22,644 - COMMUNITY HEALTH EDUCATION - COMMUNITY-BASED CLINICAL SERVICES - HEALTH CARE SUPPORT SERVICES B. HEALTH PROFESSIONS EDUCATION BENEFIT: $20,197,202 PERSONS SERVED: 3,012 - PHYSICIANS/MEDICAL STUDENTS - NURSES/NURSING STUDENTS - OTHER HEALTH PROFESSIONS EDUCATION - SCHOLARSHIPS/FUNDING FOR PROFESSIONAL EDUCATION - OTHER D. RESEARCH BENEFIT: $101,490 PERSONS SERVED: 134 - CLINICAL RESEARCH - COMMUNITY HEALTH RESEARCH E. FINANCIAL AND IN-KIND CONTRIBUTIONS BENEFIT: $505,414 PERSONS SERVED: 64,981 - CASH DONATIONS - IN-KIND DONATIONS F. COMMUNITY BUILDING ACTIVITIES BENEFIT: $734,482 PERSONS SERVED: 1,009 - COMMUNITY SUPPORT - ENVIRONMENTAL IMPROVEMENTS - LEADERSHIP DEVELOPMENT/TRAINING COMMUNITY MEMBERS/ YOUTH PIPELINE - COALITION BUILDING - OTHER G. COMMUNITY BENEFIT OPERATIONS BENEFIT: $296,955 PERSONS SERVED: N/A - DEDICATED STAFF SUBTOTAL FOR COMMUNITY BENEFITS: $34,718,305 SUBTOTAL FOR PERSONS SERVED: 91,780 TRADITIONAL CHARITY CARE COSTS - FREE CARE: $364,593 - BAD DEBT: $2,468,672 - UNPAID MEDICAID COSTS: $13,685,997 - UNPAID MEDICARE COSTS: $4,223,989 SUBTOTAL FOR CHARITY CARE COSTS BENEFIT: $20,743,251 TOTAL BENEFIT - FY 2012: $55,461,556 CATEGORY A: COMMUNITY HEALTH IMPROVEMENT SERVICES TOTAL BENEFIT: $12,882,762 TOTAL PERSONS SERVED: 22,644 REALIZING THE DIVERSE NEEDS OF RESIDENTS IN OUR COMMUNITY, WATERBURY HOSPITAL REMAINS DEDICATED TO PROVIDING COMPREHENSIVE HEALTH SERVICES TO ENSURE EVERY INDIVIDUAL HAS ACCESS TO APPROPRIATE, QUALITY HEALTHCARE. DURING 2012, WATERBURY HOSPITAL'S SPECTRUM OF SERVICES CONTINUED TO HAVE A POSITIVE IMPACT ON THE WELFARE OF WATERBURY'S CITIZENS. TO REMAIN CONSISTENT WITH WATERBURY HOSPITAL'S MISSION, MANY OF OUR SERVICES ARE TARGETED FOR VULNERABLE MEMBERS OF OUR COMMUNITY, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED. KEY PROGRAMS: WATERBURY HEALTH ACCESS PROGRAM WATERBURY HOSPITAL IS AWARE OF THE ECONOMIC NEEDS MANY PATIENTS IN OUR COMMUNITY, AND, AS A RESULT, WE REMAIN COMMITTED TO THE WATERBURY HEALTH ACCESS PROGRAM. FOUNDED IN 2003 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL, ST. MARY'S HOSPITAL, STAYWELL HEALTH CENTER (FQHC), AND THE WATERBURY HEALTH DEPARTMENT, THE WATERBURY HEALTH ACCESS PROGRAM IMPROVES ACCESS TO HIGH-QUALITY MEDICAL CARE BY PROVIDING COMPREHENSIVE CASE MANAGEMENT, PHARMACY ASSISTANCE, AND ACCESS TO PRIMARY AND SUB-SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF THE GREATER WATERBURY REGION. DURING FY 2012, THE WATERBURY HEALTH ACCESS PROGRAM HAD OVER 3,700 ACTIVE CLIENTS. ADDITIONALLY, WATERBURY HOSPITAL PROVIDED $418,806 WORTH OF DONATED SERVICES TO WHAP PATIENTS. BEHAVIORAL HEALTH - WATERBURY HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH IS ONE OF THE REGION'S LARGEST SERVICE PROVIDERS OFFERING A FULL CONTINUUM OF CARE FOR CHILDREN, ADOLESCENTS AND ADULTS. OUR SERVICES ALSO OUTREACH TO THE COMMUNITY THROUGH REGULAR PARTICIPATION IN HEALTH FAIRS, ELECTED MEMBERSHIP IN THE NORTHWEST REGIONAL MENTAL HEALTH BOARD, AS A HOST SITE TO NUMEROUS TWELVE-STEP MEETINGS AND THE PROVISION OF CASE MANAGEMENT AS WELL AS ACUTE SERVICES TO THE HOMELESS WITHIN THE CITY OF WATERBURY. BEHAVIORAL HEALTH CLINICIANS CAN ENGAGE CLIENTS TO HELP FACILITATE THEIR ENTRANCE INTO TREATMENT. WE PROVIDE PHONE SUPPORT, REFERRALS AND TRIAGING TEN HOURS A DAY SEVEN DAYS A WEEK. WITHIN OUR CRISIS CENTER WE OFFER SHORT TERM SERVICES TO HELP INDIVIDUALS OBTAIN MORE PERMANENT TREATMENT THAT BEST MEETS THEIR NEEDS. AMBULATORY SERVICES INCLUDE PARTIAL HOSPITAL PROGRAMS, INTENSIVE OUTPATIENT SERVICES, GROUP, INDIVIDUAL THERAPY AND MEDICATION MANAGEMENT TO PATIENTS EXPERIENCING MENTAL ILLNESS AND/ OR A SUBSTANCE USE DISORDER. FOR INDIVIDUALS EXPERIENCING ACUTE SYMPTOMS WE OFFER INPATIENT TREATMENT TO ADOLESCENTS AGED 12 AND UP AS WELL AS ADULT SERVICES. OUR EFFORTS ARE AIMED AT PROMOTING THE BENEFITS OF CLINICAL TREATMENT AS WELL AS POSITIVE LIFESTYLE CHOICES. EVERY EFFORT IS MADE TO EDUCATE CLIENTS, THEIR FAMILIES AND THE COMMUNITY ABOUT MENTAL ILLNESS AND THE IMPACT TREATMENT CAN HAVE ON ONE'S ILLNESS. THE ULTIMATE GOAL IS TO HELP PEOPLE FEEL BETTER, REDUCE OR RESOLVE SYMPTOMS AND TO MINIMIZE THE STIGMA OF MENTAL ILLNESS. BE WELL BUS - IN ORDER TO ENSURE THAT PATIENTS HAVE ACCESS TO MEDICAL APPOINTMENTS, AT THE HOSPITAL AND AT LOCAL PHYSICIANS' OFFICES, WATERBURY HOSPITAL'S BE WELL BUS PROVIDES TRANSPORTATION SERVICES TO PATIENTS FROM WATERBURY AND ELEVEN OF ITS SURROUNDING TOWNS. DURING FY 2012, THE BE WELL BUS COMPLETED OVER 4,170 TRANSPORTS TO AND FROM MEDICAL APPOINTMENTS. WATERBURY HOSPITAL HAS CONTRACTED WITH A TRANSPORTATION PROVIDE TO OFFER THE BUS SERVICE, AND AREA PROVIDERS PAY A SMALL FEE TO PARTICIPATE. HEART CENTER OF GREATER WATERBURY - FORMED IN COLLABORATION WITH SAINT MARY'S HOSPITAL, THE HEART CENTER OF GREATER WATERBURY PROVIDES DIVERSE MEDICAL SUPPORT INITIATIVES TO HELP EDUCATE RESIDENTS IN THE GREATER WATERBURY COMMUNITY ABOUT PERTINENT HEALTH AND WELLNESS ISSUES. THIS PAST YEAR, THE HEART CENTER CONDUCTED A SERIES OF HEALTH FAIRS AND VARIOUS HEALTH AND WELLNESS EDUCATION SESSIONS, INCLUDING "ASK THE NURSE," WHICH PROVIDES PATIENTS WITH COMPLIMENTARY BLOOD PRESSURE SCREENINGS AND HEALTH AWARENESS EDUCATION AND A "FREEDOM FROM SMOKING" SERIES TO HELP OUR RESIDENTS KICK THE HABIT. DURING FY 2012, THE HEART CENTER'S PROGRAMS SERVED OVER 3,280 RESIDENTS FROM THE GREATER WATERBURY AREA. FAMILY BIRTHING CENTER - PROVIDING A CHILD-CENTERED FOCUS, WATERBURY HOSPITAL'S FAMILY BIRTHING CENTER OFFERS EXPECTANT PARENTS A VARIETY OF CLASSES TO PREPARE THEM FOR THEIR BABY'S ARRIVAL. BETWEEN BREAST FEEDING, CHILDBIRTH, AND INFANT CARE CLASSES, OUR FAMILY BIRTHING CENTER PROVIDED VITAL INSTRUCTION TO OVER 120 PERSONS LAST YEAR. THANK GOD I'M FEMALE - FOR THE PAST 20 YEARS, WATERBURY HOSPITAL'S "THANK GOD I'M FEMALE" HAS SERVED AS AN ANNUAL WOMEN'S WELLNESS FORUM THAT FEATURES 40 EDUCATIONAL BOOTHS AND HEALTH-RELATED GIVEAWAYS. THE ULTIMATE GOAL OF THE FORUM IS TO EDUCATE ATTENDEES ABOUT STRESS, MENTAL WELL-BEING, HEART HEALTH, DIET, OSTEOPOROSIS AND BONE HEALTH, CHANGE OF LIFE, AND MORE. IN 2012, OVER 400 AREA RESIDENTS ATTENDED THE EVENT. EVERGREEN 50 CLUB - WATERBURY HOSPITAL'S EVERGREEN 50 CLUB IS AN ORGANIZATION COMPRISED OF OVER 15,000 MEMBERS OVER THE AGE OF 50. THE CLUB OFFERS WELLNESS PROGRAMMING, MEDICARE COUNSELING, AND HEALTH EDUCATION PRESENTATIONS ON A VARIETY OF TOPICS ARE PRESENTED BY HEALTH CARE PROFESSIONALS. PRESENTATION TOPICS INCLUDE: HOLISTIC HEALTH, VARICOSE VEIN TREATMENT, HEART DISEASE, SUMMER SKIN CARE, WEIGHT LOSS, BLOOD PRESSURE, BLADDER SCREENINGS, JOINT CARE AND REPLACEMENT, AND RESOLVING ADVERSE OUTCOMES WITH PATIENTS AND FAMILIES. ANNUALLY, THE EVERGREEN 50 CLUB HOSTS A HEALTH FAIR FOR ITS MEMBERS, WHICH PROVIDES FREE FLU SHOTS AND HEALTHCARE SCREENINGS. YALE PRIMARY CARE RESEARCH DAY - THROUGH COLLABORATION WITH ST. MARY'S HOSPITAL IN WATERBURY, CT, WATERBURY HOSPITAL HOSTED ITS ANNUAL YALE PRIMARY CARE RESEARCH DAY. DURING THE DAY, PHYSICIANS AND MEDICAL STUDENTS PRESENT RESEARCH PROJECTS TO THE PHYSICIAN COMMUNITY. HIGH SCHOOL STUDENTS ARE ALSO ENCOURAGED TO PARTICIPATE IN THE ACTIVITIES.
WATERBURY HOSPITAL INFECTIOUS DISEASE CLINIC (WHIC) - CURRENT SERVICES: THE WHIC OFFERS A COMPREHENSIVE "ONE-STOP SHOPPING" MODEL THAT PROVIDES PATIENTS WITH ON-SITE PRIMARY AND SPECIALTY SERVICES, MEDICAL CASE MANAGEMENT, INDIVIDUALIZED MEDICATION ADHERENCE SERVICES, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, NUTRITION COUNSELING, INDIVIDUALIZED HIV EDUCATION, LABORATORY TESTING, AND RADIOLOGY SERVICES. WHIC'S PROVIDERS INCLUDE THREE BOARD-CERTIFIED/BOARD-ELIGIBLE INFECTIOUS DISEASE SPECIALISTS AS WELL AS AN ADVANCED PRACTITIONER NURSE, ALL WITH EXPERTISE IN THE MANAGEMENT OF PATIENTS WITH HIV/AIDS. IN FY 2012, WHIC SERVED AROUND 500 PEOPLE LIVING WITH HIV/AIDS (PLWHA). WHIC'S STAFF MEMBERS ACTIVELY PARTICIPATE IN STATEWIDE AND AREA COLLABORATIVES, SUCH AS THE CONNECTICUT HIV PLANNING CONSORTIUM (CHPC) AND THE RYAN WHITE PART A PLANNING COUNCIL, AND WHIC FACILITATES THE GREATER WATERBURY HIV CONSORTIUM. WHIC HAS A VERY ACTIVE CONSUMER ADVISORY GROUP (CAG), WHICH ORGANIZES SOCIAL AND TESTING EVENTS FOR THE COMMUNITY AND FACILITATES THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP. THE WHIC ALSO HAS A HEPATITIS C CLINIC, RUN BY AN ADVANCED PRACTITIONER NURSE. FROM OCTOBER 2004 TO PRESENT, NEARLY 200 HEPATITIS C MONO- AND CO-INFECTED (HEPATITIS C AND HIV) PATIENTS HAVE BEEN EVALUATED AT THE ID CLINIC. THE HEPATITIS C CLINIC PROVIDES A CONSULTATION WITH A NUTRITIONIST TO ADVISE ON HEALTHY EATING; COORDINATION WITH MENTAL HEALTH SERVICES; AND EDUCATIONAL SESSIONS ON SIDE EFFECT MANAGEMENT, THE IMPORTANCE OF HYDRATION AND ADHERENCE, AND POSITIVE COPING STRATEGIES. FORGING COMMUNITY PARTNERSHIPS: SINCE 2009, THE WHIC HAS SERVED AS THE LEAD AGENCY FOR RYAN WHITE PART A FEDERAL FUNDING REGION 2 OF THE NEW HAVEN/FAIRFIELD ELIGIBLE METROPOLITAN AREA. THE WHIC WAS CHOSEN AS LEAD AGENCY BY THE CONSENSUS OF OTHER LOCAL RYAN WHITE PART A AGENCIES DUE TO ITS EXPERTISE IN PATIENT CARE AND FISCAL MANAGEMENT. AS THE LEAD AGENCY, THE WHIC HAS FORMED LONGSTANDING PARTNERSHIPS WITH STAYWELL HEALTH CENTER, INC., HISPANOS UNIDOS, INC., NEW OPPORTUNITIES, INC., RECOVERY NETWORK OF PROGRAMS, INC., CONNECTICUT COUNSELING CENTERS, INC., AND THE WATERBURY HEALTH DEPARTMENT, ALL OF WHOM WORK ALONGSIDE THE WHIC TO PROVIDE PATIENTS IN THE REGION WITH: - PRIMARY CARE; - MEDICAL CASE MANAGEMENT; - ORAL HEALTH CARE; - INPATIENT AND OUTPATIENT SUBSTANCE ABUSE TREATMENT; - HEALTH INSURANCE ASSISTANCE; - MENTAL HEALTH; - EARLY INTERVENTION SERVICES; - HOUSING ASSISTANCE; - EMERGENCY FINANCIAL ASSISTANCE; - MEDICAL TRANSPORTATION; AND - FOOD PANTRY. IN JUNE 2012, WHIC COLLABORATED WITH THE WATERBURY HEALTH DEPARTMENT, GRACE BAPTIST CHURCH, AND OTHER AREA AIDS SERVICE ORGANIZATIONS, TO ORGANIZE THE WATERBURY AIDS WALK AND RAISE AWARENESS ABOUT HIV/AIDS TREATMENT AND TESTING IN WATERBURY. 215 RESIDENTS PARTICIPATED IN THE EVENT. FOR THE PAST 12 YEARS, THE WHIC HAS PARTNERED WITH YALE UNIVERSITY'S PROJECT TRANSITIONS, A PROGRAM THAT INTEGRATES SUBSTANCE ABUSE TREATMENT AND CONTINGENCY MANAGEMENT INTO A COMPREHENSIVE JAIL RELEASE PROGRAM FOR PLWHA. THROUGH THIS PARTNERSHIP, YALE FUNDED A SUBSTANCE ABUSE COUNSELOR AND MEDICAL CASE MANAGER, BOTH OF WHOM ARE SPANISH SPEAKING AND LOCATED ON-SITE AT THE WHIC. THIS PROGRAM CONCLUDED IN AUGUST 2012. IN SEPTEMBER 2012, IN PARTNERSHIP WITH YALE UNIVERSITY, WATERBURY HOSPITAL BEGAN A CLINICAL TRIAL ENTITLED, "PROJECT NEW HOPE," TO TEST WHETHER EXTENDED-RELEASE NALTRERXONE IS A VIABLE OPTION FOR IMPROVING OPIOID, ALCOHOL AND HIV TREATMENT OUTCOMES FOR RELEASED HIV-POSITIVE CRIMINAL JUSTICE SYSTEM POPULATIONS. THIS PROGRAM IS SUPPORTED BY THE NATIONAL INSTITUTE ON DRUG ABUSE OF THE NATIONAL INSTITUTES OF HEALTH UNDER AWARD NUMBER R01DA030762. RESHAPING HIV TESTING STATEWIDE: SINCE 2008, PATIENTS VISITING WATERBURY HOSPITAL'S EMERGENCY DEPARTMENT ARE OFFERED FREE HIV TESTING WHILE WAITING TO BE EVALUATED OR TREATED FOR OTHER SYMPTOMS. PATIENTS IN THE EMERGENCY DEPARTMENT NOW HAVE TO OPT OUT OF TESTING. THE PROGRAM HAS SUCCESSFULLY SERVED AS A MODEL FOR OTHER HEALTHCARE INSTITUTIONS ACROSS THE STATE. THANKS, IN PART, TO WHIC'S LEADERSHIP, THE STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH NO LONGER REQUIRES PROVIDERS TO HAVE A SEPARATE CONSENT FORM FOR HIV TESTING. ENGAGING PATIENTS: IN 2009, THE WHIC ESTABLISHED ITS PEER ADVOCATE PROGRAM. THREE PATIENTS FROM THE CLINIC SERVE AS THE PEER ADVOCATES, WHO WORK WITH CLIENTS AT THE CLINIC AND USE A SOCIAL NETWORKS STRATEGY TO BRING DIFFICULT-TO-REACH CLIENTS IN FOR TESTING AND/OR CARE; THEY HAVE TRAVELED TO HIGH-RISK NEIGHBORHOODS ON THE WATERBURY HEALTH DEPARTMENT'S COMMUNITY HEALTH VAN TO OFFER COUNSELING AND TESTING AND HAVE PARTICIPATED IN AIDS AWARENESS DAYS TO FACILITATE THE LINKAGE OF NEWLY DIAGNOSED PATIENTS TO PRIMARY CARE. PEER ADVOCATES PARTICIPATE IN THE WHIC'S CARE TEAM AND CONTINUUM MEETINGS TO KEEP PROVIDERS AND LOCAL PARTNERS AWARE OF THE PATIENTS' ACTIVITIES AND NEEDS. THIS YEAR TWO PEER ADVOCATES PARTICIPATED IN THE WATERBURY PARENT LEADERSHIP TRAINING INSTITUTE, COMPLETING COMMUNITY PROJECTS ON "BAN THE BOX" - TO RAISE AWARENESS TO THE NEEDS OF EX-FELONS WHO HAVE BEEN REHABILITATED AND GIVEN APPROPRIATE RESTITUTION TO SOCIETY, TO BE ABLE TO REGAIN MEANINGFUL EMPLOYMENT IN ORDER TO SUSTAIN THEMSELVES AND LIVE PRODUCTIVE LIVES; AND "MARKETING THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP," - A CAMPAIGN TO RAISE AWARENESS AND INCREASE MEMBERSHIP OF THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP, RESPECTIVELY. THE LATTER CAMPAIGN WAS SUCCESSFUL IN MORE THAN DOUBLING THE MEMBERSHIP OF THE PHOTOGRAPHY GROUP, ENLISTING PARTICIPANTS FROM THE CHASE DIABETES CLINIC AND THE EVERGREEN 50 CLUB. A THIRD PEER ADVOCATE COMPLETED THE WATERBURY PARENTS SUPPORTING EDUCATIONAL EXCELLENCE PROGRAM AND SUBSEQUENTLY APPLIED HIS LEARNING TO ESTABLISH A MUSIC APPRECIATION CLASS FOR ELEMENTARY AND MIDDLE SCHOOL-AGE STUDENTS AT GRACE BAPTIST CHURCH IN WATERBURY. THE WHIC OFFERS ITS PATIENTS NATIONALLY-RECOGNIZED PEER AND SUPPORT PROGRAMS, INCLUDING ITS PROJECT PHOTOGRAPHY, WHICH WAS ESTABLISHED IN 2007 TO ENCOURAGE NON-COMPLIANT HIV/AIDS PATIENTS IN THE GREATER WATERBURY AREA TO BECOME MORE PROACTIVE IN THE SELF-MANAGEMENT OF THEIR DISEASE. PROJECT PHOTOGRAPHY HAS POSITIVELY TRANSFORMED ITS PARTICIPANT'S SELF-ESTEEM AND CONFIDENCE. PATIENT PROJECTS HAVE INCLUDED: (1) ENROLLING IN PHOTOGRAPHY CLASSES AT NAUGATUCK VALLEY COMMUNITY COLLEGE, (2) TAKING FIELD TRIPS TO BOSTON, (3) DONATING FRAMED PHOTOGRAPHS TO THE HOSPITAL'S ANNUAL FUNDRAISING GALA, (4) PRODUCING HOLIDAY GREETING CARDS FOR THE ID CLINIC, (5) CREATING TEAM PORTRAITS AT THE HOSPITAL'S FUNDRAISING GOLF TOURNAMENT, AND (6) CONSTRUCTING PHOTOGRAPHY EXHIBITS AT THE HOSPITAL, BARNES & NOBLE BOOKSTORE, AND SILAS BRONSON LIBRARY IN WATERBURY.
CATEGORY B: HEALTH PROFESSIONS EDUCATION TOTAL BENEFIT: $20,197,202 TOTAL PERSONS SERVED: 3,012 SINCE IT FIRST AFFILIATED WITH THE YALE UNIVERSITY SCHOOL OF MEDICINE IN 1973, WATERBURY HOSPITAL HAS SERVED AS THE CLINICAL TRAINING SITE FOR THOUSANDS OF MEDICAL PROFESSIONALS IN TRAINING. DURING FY 2012, STUDENTS COMPLETED CLINICAL ROTATIONS, INTERNSHIPS, AND SHADOWING EXPERIENCES AT WATERBURY HOSPITAL. KEY PROGRAMS: YALE PRIMARY CARE INTERNAL MEDICINE RESIDENCY PROGRAM - DURING 2012, OUR YALE PRIMARY CARE INTERNAL MEDICINE RESIDENT ACTIVITIES INCLUDED: - PARTICIPATION IN RESEARCH DAYS AT YALE AND WATERBURY/ST. MARY'S HOSPITALS; - ACP REGIONAL AND NATIONAL MEETINGS; - THE ANNUAL HEALTH FAIR HELD AT THE WATERBURY YMCA; - HOME/OFFICE VISITS FOR CLINIC PATIENTS; AND - EDUCATIONAL SEMINARS HELD AT WATERBURY HOSPITAL AND YALE UNIVERSITY. AT WATERBURY HOSPITAL, WE SEEK TO TRAIN PHYSICIANS WHO DESIRE A GENERALIST BACKGROUND TO THEIR CAREERS IN MEDICINE. THIS PROGRAM IS UNIQUE IN THAT IT PROVIDES THE MEDICAL RESIDENTS THE OPPORTUNITY TO WORK EACH YEAR IN A TERTIARY MEDICAL CENTER AT YALE-NEW HAVEN HOSPITAL, A COMMUNITY HOSPITAL AT WATERBURY HOSPITAL, AND OUTPATIENT PRACTICE SITES THAT INCLUDE PRIVATE PRACTICE OFFICES AND COMMUNITY HEALTH CENTERS IS UNIQUE IN RESIDENCY TRAINING. OUR GRADUATES ARE HIGHLY SOUGHT AFTER BY PRIVATE PRACTICE OFFICES, HOSPITALIST PROGRAMS, AND FELLOWSHIP PROGRAMS THROUGHOUT THE COUNTRY. STUDENT NURSE INTERN PROGRAM (SNI) - THE SNI PROGRAM IS AVAILABLE FOR NURSING STUDENTS ENTERING THEIR SENIOR YEAR. THE PROGRAM PROVIDES THESE STUDENT NURSES WITH SHADOWING OPPORTUNITIES SO THEY CAN APPLY THEIR CONTENT KNOWLEDGE TO AUTHENTIC PATIENT CARE SITUATIONS. STAFF RNS SERVE AS THE STUDENTS' MENTORS AS THE STUDENTS ACCOMPANY THEM ON THEIR MEDICAL ROUNDS. THE GOALS OF THE PROGRAM ARE: (1) TO PROVIDE THE STUDENT NURSES WITH THE KNOWLEDGE AND SKILLS NECESSARY TO PASS THE NCLEX EXAM AND (2) TO SOCIALIZE THE STUDENT NURSE IN AN ATTEMPT TO DECREASE THE STRESS OF ASSIMILATING INTO THE HOSPITAL'S WORK ENVIRONMENT, SHOULD THEY BE HIRED AS GRADUATE NURSES AT WATERBURY HOSPITAL. PHYSICIAN'S ASSISTANT (PA) STUDENTS - P.A. STUDENTS FROM QUINNIPIAC UNIVERSITY COMPLETED CLINICAL ROUNDS IN SEVERAL DEPARTMENTS AROUND THE HOSPITAL, INCLUDING THE OPERATING ROOM, EMERGENCY DEPARTMENT, BEHAVIORAL HEALTH, AND RADIOLOGY. THE EXPERIENCE IS DESIGNED FOR THE STUDENT TO LEARN TO APPLY THE KNOWLEDGE GAINED FROM DIDACTIC COURSE WORK IN MEDICINE, SURGERY, AND THE BASIC AND BEHAVIORAL SCIENCES INTO THE CLINICAL ARENA RESULTING IN THE ABILITY TO SUCCESSFULLY MANAGE PATIENTS IN A THOROUGH AND COMPREHENSIVE MANNER. THE PRIMARY GOAL OF CLINICAL ROTATIONS IS TO EXPOSE THE STUDENT TO PATIENTS OF ALL AGES, PATIENTS IN A VARIETY OF DIFFERENT SETTINGS, AND PATIENTS WITH A BROAD RANGE OF MEDICAL, SURGICAL, AND PSYCHOSOCIAL PROBLEMS. THE P.A. STUDENTS PARTICIPATE IN: - HISTORY TAKING; - EXAMINING THE PATIENT; - ASSISTING IN AND/OR PERFORMING DIAGNOSTIC TESTING; - ASSISTING IN AND/OR PERFORMING THERAPEUTIC TASKS; - ORAL PRESENTATIONS; - MEDICAL DOCUMENTATION OF THE PATIENT ENCOUNTER; - FORMULATING A DIFFERENTIAL DIAGNOSIS AND PROBLEM LIST; - FORMULATING A TREATMENT PLAN; AND - COUNSELING OF PATIENTS REGARDING MEDICATION, DIET, AND LIFESTYLE CHANGES SUCH AS SMOKING CESSATION, EXERCISE, AND WELL-BEING. RADIOLOGY STUDENTS FROM NVCC - THE NAUGATUCK VALLEY COMMUNITY COLLEGE (NVCC) RADIOLOGY STUDENTS ARE INVOLVED WITH MANY ACTIVITIES WHILE ASSIGNED TO WATERBURY HOSPITAL. UNDER THE SUPERVISION OF A NVCC CLINICAL INSTRUCTOR AND HOSPITAL RADIOLOGIC TECHNOLOGISTS, THE STUDENTS ARE ASSIGNED TO THE VARIOUS RADIOGRAPHIC SUITES AND MODALITIES. DURING THEIR ASSIGNMENT, STUDENTS ARE PERFORMING OR ASSISTING WITH RADIOGRAPHIC PROCEDURES, INCLUDING CHEST X-RAYS, SKELETAL EXAMS, FLUOROSCOPIC PROCEDURES, MOBILE X-RAYS IN THE VARIOUS PATIENT UNITS, AND SURGICAL CASES. THE STUDENTS ALSO INCREASE THE NUMBER OF INDIVIDUALS AVAILABLE IN THE DEPARTMENT TO ASSIST IN MOVING AND TRANSPORTING PATIENTS AS WELL AS CHAPERONING SENSITIVE EXAMS. IN ADDITION TO THE DIAGNOSTIC RADIOLOGY THE STUDENTS ARE ASSIGNED TO EXPERIENCES IN INTERVENTIONAL RADIOLOGY, CT, MRI, NUCLEAR MEDICINE, AND ULTRASOUND. STUDENTS WORK IN THESE MODALITIES UNDER THE DIRECT SUPERVISION OF THE HOSPITAL STAFF.
WATERBURY HOSPITAL'S AFFILIATION WITH NVCC AS A CLINICAL SITE FOR STUDENTS HAS MANY BENEFITS. PERHAPS THE SINGLE MOST IMPORTANT BENEFIT IS THE HOSPITAL HAS A CONTINUOUS STREAM OF POTENTIAL RADIOLOGY EMPLOYEES. STUDENTS ARE IN THE PROGRAM FOR 22 MONTHS AND IN THAT TIME BECOME VERY FAMILIAR WITH THE HOSPITAL EQUIPMENT, ROUTINES, PERSONAL, AND MISSION. THIS PROVIDES WATERBURY HOSPITAL WITH NEW EMPLOYEES WHO HAVE A STRONG SKILL SET AND PROVEN DEDICATION TO THE HOSPITAL COMMUNITY. CATEGORY D: RESEARCH TOTAL BENEFIT: $101,490 TOTAL PERSON SERVED: 134 DURING 2012, WATERBURY HOSPITAL PARTICIPATED IN SEVERAL CLINICAL TRIALS THAT BENEFITED RESIDENTS IN GREATER WATERBURY. THESE TRIALS INCLUDED: THE COMPUTED TOMOGRAPHY LASER MAMMOGRAPHY STUDY, WHICH EXAMINED PATIENTS WITH HETEROGENEOUSLY DENSE BREAST TISSUE; THE BIOMARKERS STUDY, WHICH EXPLORED THE IDENTIFICATION OF BIOMARKERS FOR PREDICTION OF RESPONSE TO PREOPERATIVE CHEMORADIOTHERAPY IN PATIENTS WITH RECTAL CANCER; THE ROCKING CHAIR STUDY, WHICH INVESTIGATED ROCKING CHAIR SINGLE WAVE MOTION INTERVENTION FOR POST-SURGICAL PATIENT CARE; THE YUKOV ULTRASOUND METHOD FOR NON-INVASIVE MALIGNANT TUMOR DETERMINATION STUDY; AND THE NEW HOPE STUDY, THAT ENROLLED OPIOID DEPENDENT, RELEASED, HIV POSITIVE PERSONS WHO WERE TRANSITIONING FROM JAIL BACK TO THE COMMUNITY. CATEGORY E: FINANCIAL & IN-KIND CONTRIBUTIONS TOTAL BENEFIT: $505,414 TOTAL PERSONS SERVED: 64,981 WATERBURY HOSPITAL CONTINUES TO PROVIDE FINANCIAL AND IN-KIND CONTRIBUTIONS TO MEMBERS OF OUR COMMUNITY. FROM UNITED WAY DONATIONS FROM HOSPITAL EMPLOYEES TO PARKING VOUCHERS FOR PATIENTS, WATERBURY HOSPITAL PROVIDED $505,414.00 WORTH OF FINANCIAL AND IN-KIND SUPPORT DURING 2012. LOCAL AGENCIES RECEIVING DONATIONS INCLUDED: - EASTER SEALS - HOMELESS CONNECT - MATTATUCK MUSEUM - PALACE THEATER - UNITED WAY OF GREATER WATERBURY - VNA HEALTH AT HOME - WATERBURY SYMPHONY ORCHESTRA - WATERBURY REGIONAL CHAMBER CATEGORY F: COMMUNITY BUILDING ACTIVITIES TOTAL BENEFIT: $734,482 TOTAL PERSONS SERVED: 1,009 AS A LEADER IN THE DELIVERY OF HEALTHCARE SERVICES IN THE GREATER WATERBURY AREA, WATERBURY HOSPITAL (WH) IS COMMITTED TO STRENGTHENING THE WELFARE AND AWARENESS OF THE CITIZENS WITHIN ITS COMMUNITY. FROM STRENGTHENING THE CAREER PATHS OF WATERBURY AREA YOUTH; TO SUPPORTING THE UNINSURED AND UNDERINSURED THROUGH THE WATERBURY HEALTH ACCESS PROGRAM AND; PROVIDING TRANSPORT TO AND FROM MEDICAL APPOINTMENTS; WATERBURY HOSPITAL IS REMOVING THE BARRIERS TO QUALITY HEALTH CARE FOR ALL AND REMAINS FIRM IN ITS COMMITMENT TO A HEALTHIER, STRONGER, AND MORE PRODUCTIVE COMMUNITY. KEY PROGRAMS: YOUTH PIPELINE INITIATIVES: THE WATERBURY HOSPITAL YOUTH PIPELINE INITIATIVES WERE ESTABLISHED IN 2001 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL AND WATERBURY PUBLIC SCHOOLS. THE MISSION OF THE PROGRAM IS: "TO CLOSE THE ACHIEVEMENT GAP FOR MINORITY AND ECONOMICALLY DISADVANTAGED STUDENTS IN WATERBURY SO THEY CAN MATRICULATE AND COMPETE NATIONALLY FOR PLACEMENT IN POST-SECONDARY EDUCATION PROGRAMS IN PREPARATION FOR HEALTH CAREERS". WATERBURY HOSPITAL IS COMMITTED TO ENHANCING AND ENRICHING THE ACADEMIC OPPORTUNITIES AND PERSONAL JOURNEYS OF OUR YOUTH, WHO ARE THE EMERGING WORKFORCE OF TOMORROW. TO THIS END, DURING 2012, WATERBURY HOSPITAL CONTINUED TO PROVIDE 383 STUDENTS AND PARENTS IN GREATER WATERBURY WITH UNIQUE EDUCATIONAL PROGRAMS THAT WILL ENHANCE THE OVERALL WELFARE OF OUR COMMUNITY. THE WH YOUTH PIPELINE INITIATIVES HAD FOUR FOCUS AREAS DURING FY 2012, INCLUDING: - PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) - SINCE ITS INCEPTION IN 2004, WATERBURY HOSPITAL'S PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) PROGRAM HAS ENGAGED ADMINISTRATORS, TEACHERS, AND STUDENTS AT WATERBURY'S NORTH END MIDDLE SCHOOL AND WEST SIDE MIDDLE SCHOOL TO ADDRESS PROJECTED SHORTAGES OF HEALTHCARE WORKERS AND TO CLOSE THE ACHIEVEMENT GAP FOR STUDENTS IN WATERBURY PUBLIC SCHOOLS. THROUGH THE PEACH PROGRAM, STUDENTS ENGAGE WITH HEALTHCARE WORKERS IN A NON-EMERGENCY SETTING AND ARE INFORMED OF THE VARIETY OF HEALTHCARE CAREER OPPORTUNITIES AVAILABLE IN OUR COMMUNITY. EACH SPRING, APPROXIMATELY 100 SEVENTH GRADERS FROM WATERBURY TAKE PART IN A DAY-LONG PEACH TOUR AT WATERBURY HOSPITAL, DURING WHICH THEY VISIT AT LEAST SIX HOSPITAL DEPARTMENTS AND COMPLETE HANDS-ON LEARNING ACTIVITIES WITH HOSPITAL STAFF. ANNUALLY, WATERBURY HOSPITAL ALSO OFFERS ITS PEACH SPRING BREAK EXPLORATION CAMP, THIS YEAR 38 MIDDLE SCHOOL STUDENTS FROM WATERBURY TOOK PART IN: SHADOWING AND HANDS-ON LEARNING ACTIVITIES AT THE HOSPITAL; CPR CERTIFICATION; AND EDUCATIONAL SESSIONS AT BRIDGEPORT'S DISCOVERY MUSEUM. - PARENT LEADERSHIP TRAINING INSTITUTE (PLTI) - IN 2012, TWENTY FOUR INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PLTI, A 20-WEEK CURRICULUM TEACHING LEADERSHIP AND ADVOCACY SKILLS. WATERBURY HOSPITAL HAS HOSTED THE WATERBURY PLTI SINCE 2000, AND THE PROGRAM HAS TRAINED AND GRADUATED OVER 175 AREA PARENTS. PLTI'S CORE MISSION IS TO IMPART LEADERSHIP AND ADVOCACY SKILLS TO PARENTS WHILE SIMULTANEOUSLY EDUCATING THEM ABOUT VOLUNTEERISM, CIVIC LIFE, AND THE PROCESS BY WHICH STATE AND LOCAL GOVERNMENTS ENACT AND CHANGE LAWS. EACH PARTICIPANT COMPLETES AND IMPLEMENTS A COMMUNITY PROJECT; EXAMPLES OF PROJECTS FROM 2012 INCLUDE: A "HIGH SCHOOL DRIVING EDUCATION" PROGRAM (A CITY-WIDE INITIATIVE TO INTRODUCE SAFE DRIVING TECHNIQUES IN HIGH SCHOOLS) AND "THE C.H.I.P. FORUM" (CHILDREN HAVING INVOLVED PARENTS - A SERIES OF WORKSHOPS TO UNDERLINE THE IMPORTANCE OF GIVING ENCOURAGEMENT AND SUPPORT TO OUR CHILDREN SO THEY CAN SUCCEED IN LIFE). - PARENTS SUPPORTING EDUCATIONAL EXCELLENCE (PSEE) - IN 2012, TWENTY-ONE INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PSEE, A 13-WEEK CURRICULUM CO-CREATED BY THE CONNECTICUT CENTER FOR SCHOOL CHANGE AND THE CONNECTICUT COMMISSION ON CHILDREN FOR PARENTS (DEFINED BROADLY AS PARENTS, GUARDIANS, FAMILY MEMBERS AND GRANDPARENTS) TO INSTILL LEADERSHIP SKILLS IN EDUCATION AND TO FACILITATE PARTNERSHIPS BETWEEN SCHOOL STAFF AND PARENTS TO IMPROVE STUDENT LEARNING. - WH SUMMER BRIDGE PROGRAM - DURING THE SUMMER OF 2012, TWENTY-EIGHT STUDENTS FROM WATERBURY, GRADES 6-11, PARTICIPATED IN THE WH SUMMER BRIDGE PROGRAM. 100% OF MEALS WERE SECURED FOR THE PROGRAM FROM CITY OF WATERBURY SUMMER FOOD PROGRAM AND 8 LOCAL RESTAURANTS/BUSINESSES. STUDENTS COMPLETED THE FOLLOWING MODULES: - 21.5 HOURS OF HOMEWORK AND STUDY SKILLS SESSIONS COMPLETED (LED BY STUDENT LEADERS), 15.5 HOURS OF MATH (PRE- ALGEBRA, GEOMETRY, ALGEBRA II AND CALCULUS) REVIEW SESSIONS; 26 HOURS OF SAT WRITING AND VOCABULARY; 13.5 HOURS OF READING FAHRENHEIT 45; 14 HOURS OF PHOTOGRAPHY TO COMPILE A PHOTO BOOK; 2 HOURS OF RESUME WRITING AND JOB APPLICATION; 15 HOURS OF JOB SHADOWING SESSIONS (RADIOLOGY, NUCLEAR MEDICINE, NURSING, MRI, CASE MANAGEMENT, DR. S. ARONIN (ID INPATIENT ROUNDING), ICU MEDICAL ROUNDS, HEALTH INFORMATION MANAGEMENT, ACCESS REHAB, BEHAVIORAL HEALTH, RESPIRATORY THERAPY, FINANCE, WH ID CLINIC, SECURITY, ORTHOPEDICS, PHARMACY, INFECTION CONTROL AND SURGERY. - 4 HOURS OF MS OFFICE COMPUTER SESSIONS - 2 FULL-DAY FIELD TRIPS COMPLETED: ONE TO YALE UNIVERSITY FOR AN ADMISSIONS INFO SESSION AND CAMPUS TOUR AND ONE TO HAMMONASSET STATE PARK INCLUDING THREE EDUCATIONAL SESSIONS AT MEIGS POINT NATURE CENTER - 3 HOURS OF HEALTHCARE CAREER SEARCHES - 3 HOURS OF COLLEGE ADMISSIONS PRESENTATIONS COMPLETED BY UCONN WATERBURY & YALE ROTC - 1 HOUR OF INDIVIDUAL ACADEMIC ADVISING - 2 HOURS OF TEAM BUILDING ACTIVITIES - 2 HOURS OF HEALTH TOPICS PRESENTATIONS COMPLETED, INCLUDING HIV 101 AND HEALTHCARE JEOPARDY. SUPPORT GROUPS - DURING 2012, WATERBURY HOSPITAL HOSTED SEVERAL SUPPORT GROUPS FOR ITS PATIENTS AND THEIR FAMILIES, INCLUDING: - BEHAVIORAL HEALTH'S PARENT AND SIBLING SUPPORT GROUP, WHICH OFFERS EMOTIONAL ASSISTANCE TO FAMILIES WHO HAVE CHILDREN IN TREATMENT; AND - ALCOHOLICS ANONYMOUS, SERVES OVER 4,000 PEOPLE ANNUALLY, MEETS WEEKLY THROUGHOUT THE YEAR, AND IS COORDINATED BY OUR BEHAVIORAL HEALTH DEPARTMENT.
FORM 990, PART VI, SECTION A, LINE 6GREATER WATERBURY HEALTH NETWORK, INC. IS SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AGREATER WATERBURY HEALTH NETWORK, INC. ELECTS HOSPITAL BOARD.
FORM 990, PART VI, SECTION A, LINE 7BGREATER WATERBURY HEALTH NETWORK, INC. HAS RESERVED POWERS FOR HOSPITAL TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 11REVIEWED AND APPROVED BY ORGANIZATION'S AUDIT COMMITTEE. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE BOARD BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL COMPLIANCE OFFICER REVIEWS ANNUALLY THE SUBMISSION OF POTENTIAL/ACTUAL CONFLICT DECLARATIONS. THEY ARE ALSO REVIEWED ANNUALLY AT THE BOARD'S COMPLIANCE AND ETHICS COMMITTEE MEETING AND RECOMMENDATIONS FOR ACTION ARE MADE TO THE FULL BOARD AS NECESSARY. ADDITIONALLY, RESPONSES ARE PROFILED, BY MEMBER, FOR EACH COMMITTEE OF THE BOARD/NETWORK, AND DISTRIBUTED AT EACH COMMITTEE MEETING AS A WAY TO PROMOTE TRANSPARENCY. THE COMMITTEE CHAIR AND MEMBERS SHARE RESPONSIBILITY IN IDENTIFYING AND MANAGING THESE DECLARED CONFLICTS OF INTEREST WHEN MAKING BUSINESS DECISIONS ON BEHALF OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION IS UNDER THE PURVIEW OF THE BOARD OF TRUSTEES. THERE IS A COMPENSATION COMMITTEE AND THEY ALWAYS USE THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO USES NATIONAL, STATE AND REGIONAL COMPENSATION SURVEY DATA FOR SIMILAR TAX EXEMPT COMMUNITY HOSPITALS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL RESULTS ARE MADE AVAILABLE IN THE ANNUAL REPORT TO THE COMMUNITY. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A:AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: DARLENE STROMSTAD - 17.00 HRS. CARL D. CONTADINI - 0.30 HRS. JOHN A. KELLY, JR. - 0.30 HRS. ANDREW K. SKIPP - 0.20 HRS. CARL B. SHERTER, MD - 0.30 HRS. O.J. BIZZOZERO, JR., MD - 0.50 HRS. HENRY BORKOWSKI, MD - 0.30 HRS. RONALD D'ANDREA, MD - 0.20 HRS. STEVEN L. EISEN, MD - 40.10 HRS. JAMES H. GATLING, PH.D - 0.40 HRS. FREDERICK L. LUEDKE - 0.50 HRS. PATRICIA MCKINLEY - 0.40 HRS. JOHN A. MICHAELS - 0.50 HRS. DAVID J. PIZZUTO, MD - 6.00 HRS. WILLIAM J. PIZZUTO, PH.D - 0.90 HRS. AJ WASSERSTEIN - 0.40 HRS. SANDRA IADAROLA - 5.30 HRS. DIANE WOOLLEY - 5.00 HRS. MICHAEL CEMENO - 5.00 HRS.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,483,696. INCREASE IN FAIR VALUE OF FUNDS HELD IN TRUST BY OTHERS 4,878,924. ALLIANCE SUBSIDY -8,966,551. PENSION LIABILITY ADJUSTMENT 366,769. INTEREST RATE SWAP ADJUSTMENT -524,547. INCOME FROM WATERBURY GASTROENTEROLGY -26,103. TOTAL TO FORM 990, PART XI, LINE 5: -2,787,812.
FORM 990, PART XII, LINE 2C:THE AUDIT COMMITTEE AND THE BOARD OF DIRECTORS HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE AUDIT COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS IN REGARD TO THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CARDIOLOGY ASSOCIATES OF GREATER WATERBURY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1455 CHASE PARKWAYAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06708ZIPCode
FieldValueIRS element (for citing)
EIN273828899EIN
Primary ActivitiesCARDIOLOGY PRACTICEPrimaryActivities
Legal Domicile StateCTLegalDomicileState
Total Income-3210597TotalIncome
EOY Assets2899338EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
GREATER WATERBURY HEALTH NETWORK INC
64 ROBBINS STREETWATERBURYCT06721222572044HEALTH CARE MANAGEMENTCT501(C)(3)11 TYPE 1N/A0
GREATER WATERBURY HEALTH SERVICES INC
64 ROBBINS STREETWATERBURYCT06708222572042HEALTH SERVICESCT501(C)(3)90GREATER WATERBURY HEALTH NETWORK INC
ALLIANCE MEDICAL GROUP INC
1625 STRAITS TURNPIKE SUITE 211MIDDLEBURYCT06762263520540HEALTH SERVICESCT501(C)(3)91THE WATERBURY HOSPITAL

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
ACCESS REHAB CENTERS LLC
22 TOMPKINS STREETWATERBURYCT06708061527429THERAPY SERVICESCTTHE WATERBURY HOSPITALRELATED6715842895531000.65000
GREATER WATERBURY IMAGING CENTER LLP
64 ROBBINS STREETWATERBURYCT06721061242903IMAGING SERVICESCTTHE WATERBURY HOSPITALRELATED10747992638403000.63640
IMAGING PARTNERS LLC
134 GRANDVIEW AVENUEWATERBURYCT06708061617047IMAGING SERVICESCTTHE WATERBURY HOSPITALRELATED124099264740000.85000
WATERBURY GASTROENTEROLOGY CO-MANAGEMENT COMPANY LLC
64 ROBBINS STREETWATERBURYCT06721272417014MEDICAL SERVICESCTTHE WATERBURY HOSPITALRELATED2610342017000.45450
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ACCESS REHAB CENTERS LLC
A69673
ACCESS REHAB CENTERS LLC
L1233374
ALLIANCE MEDICAL GROUP
A24288
GREATER WATERBURY IMAGING CENTER LLP
A109408
GREATER WATERBURY IMAGING CENTER LLP
L1046900
ALLIANCE MEDICAL GROUP
B316766
ALLIANCE MEDICAL GROUP
Q8974582