The New Milford Hospital Inc: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- The New Milford Hospital Inc (EIN 06-0669121)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-03
- IRS object ID
- 201202169349300230
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-03T12:09:20-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SASLOW LUFKIN & BUGGY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TEN TOWER LANE | AddressLine1 |
| City | AVON | City |
| State | CT | State |
| ZIP Code | 06001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060669121 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE NEW MILFORD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NEWM | NameControl |
| Phone | 8603552611 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ELM STREET | AddressLine1 |
| City | NEW MILFORD | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH WEYMOUTH | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 8603507204 | Phone |
| Date Signed | 2012-07-23 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETH THURZ | Name |
| Phone | 8606789200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVEN H ROSENBERG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ELM STREET | AddressLine1 |
| City | NEW MILFORD | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 93972501 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NEWMILFORDHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1921 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | NEW MILFORD HOSPITAL IS AN ACUTE CARE MEDICAL FACILITY DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH STATUS OF THE RESIDENTS OF NEW MILFORD AND NEIGHBORING COMMUNITIES, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 728 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 1482862 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -286002 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5650883 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1152058 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 91046180 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 92269157 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 58934 | InvestmentIncomePriorYear |
| Investment Income Current Year | 64299 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 377714 | OtherRevenuePriorYear |
| Other Revenue Current Year | 486987 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 97133711 | TotalRevenuePriorYear |
| Total Revenue Current Year | 93972501 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 49346058 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 54770792 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 42389485 | OtherExpensePriorYear |
| Other Expenses Current Year | 39041456 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 91735543 | TotalExpensesPriorYear |
| Total Expenses Current Year | 93812248 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5398168 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 160253 | RevenuesLessExpensesCY |
| Total Assets BOY | 68919291 | TotalAssetsBOY |
| Total Assets EOY | 70984854 | TotalAssetsEOY |
| Total Liabilities BOY | 34214687 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40595858 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34704604 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 30388996 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE OUTSTANDING HEALTH CARE TO THE COMMUNITIES WE SERVE THROUGH AN UNCOMPROMISING FOCUS ON CLINICAL QUALITY, COMPASSIONATE SERVICE, AND THE CREATION OF A MEDICAL "SAFE HAVEN" FOR OUR PATIENTS AND THEIR FAMILIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 67857235 | Expense |
| Revenue | 90855137 | Revenue |
| Description | THROUGH EFFORTS OF ITS MEDICAL STAFF, EMPLOYEES AND VOLUNTEERS, THE HOSPITAL ENDEAVORS TO MEET THE HEALTH CARE NEEDS THROUGH THE DIRECT PROVISION OF HIGH QUALITY, COMPREHENSIVE SERVICES AT A REASONABLE COST. ALTHOUGH REIMBURSEMENT FOR SERVICES PROVIDED IS CRITICAL TO THE OPERATION AND STABILITY OF NEW MILFORD HOSPITAL, IT IS RECOGNIZED THAT NOT ALL PERSONS ARE ABLE TO PURCHASE ESSENTIAL MEDICAL SERVICE AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVICE ALL MEMBERS OF THE COMMUNITY, FREE OR SUBSIDIZED CARE IS PROVIDED WHERE THE NEED AND INDIVIDUAL'S INABILITY TO PAY CO-EXIST. HEALTH ACTIVITIES AND PROGRAMS, INCLUDING WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, FREE HEALTH SCREENINGS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED AND MEDICALLY UNDERSERVED ARE ALSO A MAJOR PART OF OUR COMMITMENT TO SERVE ALL RESIDENTS. NEW MILFORD HOSPITAL SERVED 2,516 INPATIENTS AND PROVIDED MORE THAN 105,162 OUTPATIENT SERVICES DURING FISCAL YEAR 2011. NEW MILFORD HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED BY BOTH MEDICARE AND MEDICAID PATIENTS WITHOUT EXCEPTION. DEDUCTION FROM GROSS PATIENT SERVICE REVENUES FOR FISCAL YEAR 2011 WAS $145,904,773 IN ALLOWANCES. THE AMOUNT OF CHARITY CARE PROVIDED DURING FISCAL YEAR 2011 WAS $2,584,646. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. NEW MILFORD HOSPITAL OFFERS THESE ACTIVITIES AND SERVICES WITH THE BELIEF THAT THEY SATISFY A BONA FIDE COMMUNITY HEALTH NEED. | Description |
| Total Program Service Expense | 67857235 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 50 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 728 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVEN H ROSENBERG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8603507204 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ELM STREET | AddressLine1 |
| City | NEW MILFORD | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ANTHEA DISNEY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SPENCER HOULDIN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JAY LENT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ALPHONSE ALTORELLI MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| NEIL CULLIGAN MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID CYGANOWSKI | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD JABARA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN M MURPHY MD | ||||||||
| PRESIDENT & CEO, WESTERN CT HEALTH NETWORK | 40.00 | X | 0 | 1021607 | 58579 | X | ||
| JAMES KENNEDY | ||||||||
| BOARD VICE-CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | ||
| DAVID KRAMER MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN R PATRICK | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOSEPH D SKRZYPCZAK | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BRIAN C WHITE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN KLINE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN J MARTOCCI | ||||||||
| BOARD CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | ||
| SUSAN IOVINO | ||||||||
| V.P. NURSING / COO | 50.00 | 487502 | 0 | 24186 | X | |||
| DANA DIGGINS | ||||||||
| CFO | 50.00 | 308601 | 0 | 35342 | X | |||
| DEBORAH WEYMOUTH | ||||||||
| SR. V/P AND EXEC. DIRECTOR | 50.00 | 0 | 365820 | 24895 | X | |||
| RICHARD HENLEY | ||||||||
| INTERIM CEO | 50.00 | 0 | 0 | 0 | X | |||
| STEVEN H ROSENBERG | ||||||||
| CFO, WESTERN CT HEALTH NETWORK | 40.00 | 0 | 196362 | 29046 | X | |||
| THOMAS KOOBATIAN MD | ||||||||
| DIR. OF EMERGENCY SERVICES | 40.00 | 408822 | 0 | 63228 | X | |||
| JOSEPH BARGELLINI MD | ||||||||
| PHYSICIAN - RADIOLOGY | 40.00 | 444010 | 0 | 42873 | X | |||
| P RODRIQUES MD | ||||||||
| PHYSICIAN | 40.00 | 421081 | 0 | 30347 | X | |||
| COURTNEY CHAMBERS MD | ||||||||
| PHYSICIAN | 40.00 | 427247 | 0 | 41953 | X | |||
| TIMOTHY KAISER MD | ||||||||
| PHYSICIAN | 40.00 | 360880 | 0 | 39664 | X | |||
| WILLIAM CICIO MD | ||||||||
| PHYSICIAN | 40.00 | 343164 | 0 | 34183 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3201307 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1583789 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 424296 | TotalOtherCompensation |
| Number Individuals GT100 K | 66 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIDINE | |||||
| PO BOX 60479 | CHARLOTTE | NC | 282600479 | DIETARY SERVICES | 1073011 |
| CONNECTICUT ONCOLOGY & HEMATOLOGY | |||||
| 200 KENNEDY DRIVE | TORRINGTON | CT | 06790 | MEDICAL SERVICES | 808833 |
| SECURITAS SECURITY SERVICES | |||||
| 108 MILL PLAIN ROAD | DANBURY | CT | 06811 | SECURITY SERVICES | 393449 |
| SLEEPTECH LLC | |||||
| 135 KINNELON ROAD | KINNELON | NJ | 07405 | SLEEP CENTER MANAGEMENT SERVICES | 316950 |
| CLAIMASSIST | |||||
| 2 WELLS AVENUE | NEWTON | MA | 02459 | CLAIM SERVICES | 273859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Related Organizations | 846341 | RelatedOrganizations |
| Government Grants | 267333 | GovernmentGrants |
| All Other Contributions | 38384 | AllOtherContributions |
| Total Contributions | 1152058 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| ROUTINE SERVICES | 900099 | 89105245 | 89105245 | |
| OTHER PROGRAM SERVICES | 900099 | 1681050 | 1681050 | |
| NON-PATENT LAB SERVICE | 621500 | 1482862 | 1482862 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 92269157 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64299 | TotalRevenueColumn |
| Exclusion | $64,299 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 68842 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 68842 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68842 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68842 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA & VENDING | 722210 | 341067 | $341,067 |
| GIFT SHOP | 452000 | 77078 | $77,078 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 418145 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 93972501 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90855137 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1482862 | UnrelatedBusinessRevenue |
| Exclusion | $482,444 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4252233 | Total |
| Management And General | 4252233 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34609099 | Total |
| Program Services | 27202932 | ProgramServices |
| Management And General | 7406167 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3554607 | Total |
| Program Services | 2488225 | ProgramServices |
| Management And General | 1066382 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9837141 | Total |
| Program Services | 6885999 | ProgramServices |
| Management And General | 2951142 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2517712 | Total |
| Program Services | 1762398 | ProgramServices |
| Management And General | 755314 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377049 | Total |
| Management And General | 377049 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154860 | Total |
| Management And General | 154860 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10785811 | Total |
| Program Services | 7550068 | ProgramServices |
| Management And General | 3235743 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136430 | Total |
| Management And General | 136430 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8615539 | Total |
| Program Services | 6030877 | ProgramServices |
| Management And General | 2584662 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 927466 | Total |
| Program Services | 649226 | ProgramServices |
| Management And General | 278240 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1563365 | Total |
| Program Services | 1094355 | ProgramServices |
| Management And General | 469010 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10817 | Total |
| Program Services | 7572 | ProgramServices |
| Management And General | 3245 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148490 | Total |
| Program Services | 103943 | ProgramServices |
| Management And General | 44547 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511926 | Total |
| Program Services | 511926 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5855136 | Total |
| Program Services | 4098595 | ProgramServices |
| Management And General | 1756541 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1611492 | Total |
| Program Services | 1128044 | ProgramServices |
| Management And General | 483448 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| DRUGS | 5797086 | 5797086 |
| BAD DEBT EXPENSE | 2545989 | 2545989 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93812248 | Total |
| Program Services | 67857235 | ProgramServices |
| Management And General | 25955013 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4716504 | BOY |
| EOY | 8207651 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3264767 | BOY |
| EOY | 2809717 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10247728 | BOY |
| EOY | 10457444 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1074544 | BOY |
| EOY | 450818 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2043790 | BOY |
| EOY | 1944478 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1486255 | BOY |
| EOY | 964220 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 106383423 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 71638392 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32752705 | BOY |
| EOY | 34745031 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12279618 | BOY |
| EOY | 10309928 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1053380 | BOY |
| EOY | 1095567 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68919291 | BOY |
| EOY | 70984854 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8533353 | BOY |
| EOY | 9737514 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9200232 | BOY |
| EOY | 1924491 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16481102 | BOY |
| EOY | 28933853 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34214687 | BOY |
| EOY | 40595858 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28931108 | BOY |
| EOY | 26176392 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1822932 | BOY |
| EOY | 525763 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3950564 | BOY |
| EOY | 3686841 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34704604 | BOY |
| EOY | 30388996 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68919291 | BOY |
| EOY | 70984854 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 160253 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4475861 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1145712 | OtherCostOrOtherBasis |
| Book Value | 1145712 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50072773 | OtherCostOrOtherBasis |
| Depreciation | 31775266 | Depreciation |
| Book Value | 18297507 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52661809 | OtherCostOrOtherBasis |
| Depreciation | 39466710 | Depreciation |
| Book Value | 13195099 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2503129 | OtherCostOrOtherBasis |
| Depreciation | 396416 | Depreciation |
| Book Value | 2106713 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 34745031 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN FOUNDATION | 10110186 | C |
| INVESTMENT IN NM MRI JV, LLC | 199742 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 10309928 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY | $4,184,788 |
| SERP LIABILITY | $307,163 |
| ACCRUED PENSION LIABILITY | $15,281,329 |
| DUE TO RELATED PARTIES | $9,160,573 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28933853 | TotalOfAmounts |
| Total Revenue | 93972501 | TotalRevenue |
| Total Expenses | 93812248 | TotalExpenses |
| Excess Or Deficit For Year | 160253 | ExcessOrDeficitForYear |
| Other | -$4,475,861 | OtherAmount |
| Total Adjustments | -4475861 | TotalAdjustments |
| Excess Or Deficit Per FS | -4315608 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 93622553 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 346393 | OtherRevenues |
| Revenue Not Rptd F990 | 346393 | RevenueNotRptdF990 |
| Revenue Subtotal | 93276160 | RevenueSubtotal |
| Other Revenues Not Included | 696341 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 696341 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 93972501 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 93812248 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 93812248 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 93812248 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN PENSION FUNDING OBLIGATION -2,579,273. NET UNREALIZED LOSSES ON INVESTMENTS HELD IN TRUST BY OTHERS -263,723. CHANGE IN EQUITY IN NET ASSETS OF THE FOUNDATION 1,099,738. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 156,640. MEMBERS' DISTRIBUTION ON JOINT VENTURE -129,557. OTHER ADJUSTMENTS 25,983. TERMINATION OF AFFILIATE - NM VNA -3,005,447. NET ASSETS RELEASED FROM RESTRICTIONS 346,393. PROGRAM EXPENSES PAID BY THE FOUNDATION -126,615. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS 346,393. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS FROM NEW MILFORD HOSPITAL DEVELOPMENT FOUNDATION 696,341. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 987335 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 987335 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01050 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2583469 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2583469 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02750 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3570804 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3570804 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03800 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 448175 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16099 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 432076 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 96685 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 96685 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37586 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 37586 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3364 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3364 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 585810 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16099 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 569711 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4156614 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16099 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4140515 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04400 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1066 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1066 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 833 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 833 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 54306 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 2225 | DirectOffsettingRevenue |
| Net Community Building Expense | 52081 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12077 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12077 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10331 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10331 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 78613 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 2225 | DirectOffsettingRevenue |
| Net Community Building Expense | 76388 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $972,568 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 25375815 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 38763176 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13387361 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NEW MILFORD MRI JV LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MRI READING | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.51000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE NEW MILFORD HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ELM STREET | AddressLine1 |
| City | NEW MILFORD | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE NEW MILFORD HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 400.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART III, LINE 4: IT IS THE POLICY OF THE HOSPITAL TO PROVIDE NECESSARY CARE TO ALL PERSONS SEEKING TREATMENT WITHOUT DISCRIMINATION ON THE GROUNDS OF AGE, RACE, CREED, NATIONAL ORIGIN OR ANY OTHER GROUNDS UNRELATED TO AN INDIVIDUAL'S NEED FOR THE SERVICE OR THE AVAILABILITY OF THE NEEDED SERVICE AT THE HOSPITAL. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT BY REFERENCE TO ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO A RESPONSIBLE PARTY'S INCOME AND THEIR COUNTABLE ASSETS. THOSE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE.NO AMOUNT WAS SHOWN FOR PART III, LINE #3, SINCE THE AMOUNT CANNOT BE QUANTIFIED WITH ENOUGH CERTAINTY. | ||
| PART III, LINE 8: THE HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION STRIVES TO PROVIDE AROUND THE CLOCK COVERAGE, IMPROVED PATIENT ACCESS, HIGHEST CLINICAL QUALITY AS WELL AS ADDRESSING THE NEEDS OF THE COMMUNITY BY OFFERING CRITICAL SERVICES TO OUR GEOGRAPHIC AREA. AS A RESULT, THE ORGANIZATION MUST BALANCE THE COST OF THESE PROGRAMS AGAINST THE CONTINUED DECREASING GOVERNMENT REIMBURSEMENT LEVELS, UNINSURED POPULATION AND COMMUNITY NEEDS. | ||
| PART III, LINE 9B: IT IS THE POLICY OF THE HOSPITAL TO PROVIDE "FINANCIAL ASSISTANCE" (EITHER FREE CARE OR REDUCED PATIENT OBLIGATIONS) TO PERSONS OR FAMILIES WHERE: (I) THERE IS LIMITED OR NO HEALTH INSURANCE AVAILABLE; (II) THE PATIENT FAILS TO QUALIFY FOR GOVERNMENTAL ASSISTANCE (FOR EXAMPLE MEDICARE OR MEDICAID); (III) THE PATIENT COOPERATES WITH THE HOSPITAL IN PROVIDING THE REQUESTED INFORMATION; (IV) THE PATIENT DEMONSTRATES FINANCIAL NEED AND (V) THE HOSPITAL MAKES AN ADMINISTRATIVE DETERMINATION THAT FINANCIAL ASSISTANCE IS APPROPRIATE.AFTER THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT BY UTILIZING THE CHARITABLE ASSISTANCE GUIDELINES WHICH ARE BASED UPON THE MOST RECENT FEDERAL POVERTY GUIDELINES.THE HOSPITAL SHALL REGULARLY REVIEW THIS FINANCIAL ASSISTANCE POLICY TO ENSURE THAT AT ALL TIMES IT: (I) REFLECTS THE PHILOSOPHY AND MISSION OF THE HOSPITAL; (II) EXPLAINS THE DECISION PROCESSES OF WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND IN WHAT AMOUNTS AND (III) COMPLIES WITH ALL APPLICABLE STATE AND FEDERAL LAWS, RULES AND REGULATIONS CONCERNING THE PROVISION OF FINANCIAL ASSISTANCE TO INDIGENT PATIENTS.CONSISTENT WITH ITS MISSION, THE HOSPITAL RECOGNIZES ITS OBLIGATION TO THE COMMUNITY IT SERVES TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PERSONS WITHIN THE COMMUNITY.IN FURTHERANCE OF ITS CHARITABLE MISSION, THE HOSPITAL WILL PROVIDE BOTH (I) EMERGENCY TREATMENT TO ANY PERSON REQUIRING SUCH CARE; AND (II) ESSENTIAL, NON-EMERGENT CARE TO PATIENTS WHO ARE PERMANENT RESIDENTS OF ITS PRIMARY SERVICE AREA WHO MEET THE CONDITIONS AND CRITERIA SET FORTH IN THIS POLICY, WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SUCH CARE. ELECTIVE PROCEDURES GENERALLY WILL NOT BE CONSIDERED ESSENTIAL, NON-EMERGENT CARE AND USUALLY WILL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE.THE HOSPITAL WILL COLLECT FROM INDIVIDUALS ON FINANCIAL ASSISTANCE IF THEY RECEIVED A PARTIAL CHARITABLE DISCOUNT. ALL PATIENTS CAN APPLY FOR CHARITABLE CARE ON BALANCES THEY FEEL THAT THEY CANNOT AFFORD. | ||
| PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USED FEDERAL POVERTY GUIDELINES TO DETERMINE THE AMOUNTS BILLED TO INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. | THE NEW MILFORD HOSPITAL | |
| PART V, SECTION B, LINE 21: THE HOSPITAL FACILITY CHARGES PATIENTS AN AMOUNT EQUAL TO THE GROSS CHARGE WHEN THEY SELF-PAY. | THE NEW MILFORD HOSPITAL | |
| PART VI, LINE 2: THE ORGANIZATION MONITORS AND REPORTS HEALTH AND HUMAN SERVICES INFORMATION. DATA INCLUDES BASIC DEMOGRAPHICS, ALONG WITH HEALTH ISSUE-SPECIFIC INFORMATION. ADDITIONALLY, WE SURVEY OUR CONSUMERS ON A REGULAR AND ONGOING BASIS FOR THEIR OPINIONS AND CONCERNS. | ||
| PART VI, LINE 3: THE HOSPITAL HAS MESSAGES ON ALL STATEMENTS PROVIDING INFORMATION REGARDING HOW THE PATIENT CAN GET ASSISTANCE WITH THEIR HOSPITAL BILL. ALSO SIGNS ARE POSTED THROUGHOUT THE HOSPITAL AND COUNSELORS ARE AVAILABLE TO PROVIDE FURTHER ASSISTANCE.ALL UNINSURED INPATIENTS ARE INTERVIEWED BY FINANCIAL COUNSELORS AND ASSESSED FOR ELIGIBILITY FOR ASSISTANCE PROGRAMS. THE HOSPITAL PROVIDES INFORMATIONAL HANDOUTS TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION WHICH REFERS THEM TO FINANCIAL COUNSELING IF THEY WOULD LIKE ASSISTANCE WITH THEIR BILLS. FURTHER, THE HOSPITAL MAILS NOTICES TO ALL SELF-PAY ACCOUNTS REFERRING THEM TO FINANCIAL COUNSELING IF THEY NEED ASSISTANCE. THE COLLECTION DEPARTMENT WILL ALSO REFER PATIENTS TO FINANCIAL COUNSELING WHEN A PATIENT INDICATES THAT THEY CANNOT AFFORD THEIR BALANCES; AND FINALLY, SCHEDULERS REFER UNINSURED PATIENTS TO FINANCIAL COUNSELING PRIOR TO THEIR TEST OR PROCEDURE. | ||
| PART VI, LINE 4: THE HOSPITAL'S PRIMARY SERVICE AREA IS THE CITY OF NEW MILFORD AND SURROUNDING SUBURBAN TOWNS THAT MAKE UP CENTRAL LITCHFIELD COUNTY. THE REGION IS GENERALLY EMPLOYED AND WITH AVERAGE INCOMES. CONSTITUENTS ARE PREDOMINANTLY CAUCASIAN, SKEW SOMEWHAT OLDER THAN OTHER AREAS OF CT AND THE U.S. POVERTY LEVELS ARE BELOW OTHER AREAS. | ||
| PART VI, LINE 6: DURING FISCAL YEAR 2011, NEW MILFORD HOSPITAL SERVED 2,516 INPATIENTS AND CARED FOR 105,162 OUTPATIENTS. IN ADDITION, 18,781 PATIENTS CAME THROUGH OUR EMERGENCY DEPARTMENT AND 2,473 ONE-DAY SURGERY PROCEDURES WERE PERFORMED. LED BY A TEAM OF SKILLED AND DEDICATED HEALTHCARE PROFESSIONALS, NEW MILFORD HOSPITAL'S COMMITMENT TO CLINICAL EXCELLENCE AND PATIENT SATISFACTION WERE RECOGNIZED BY NUMEROUS PRESTIGIOUS ORGANIZATIONS IN 2011.THE CREATION OF WESTERN CONNECTICUT HEALTH NETWORK, A HEALTHCARE DELIVERY SYSTEM THAT COMBINES THE RESOURCES AND EXPERTISE OF DANBURY HOSPITAL, NEW MILFORD HOSPITAL AND THEIR AFFILIATES, REPRESENTS AN HISTORIC ACHIEVEMENT. THIS AFFILIATION GIVES US AN OPPORTUNITY TO PROVIDE A HIGHER LEVEL OF CARE THROUGHOUT THE REGION IN THE MOST COST-EFFECTIVE MANNER WHILE MEETING THE CHALLENGES POSED BY HEALTHCARE REFORM HEAD ON.PROVIDING OUR PHYSICIANS AND MEDICAL TEAM WITH THE TECHNOLOGICAL ADVANCES THEY NEED TO SUCCEED REMAINS A PRIORITY. THE LINACC CANCER TREATMENT SYSTEM, 64 SLICE CT SCANNER, AND THE OPEN BORE MRI IMAGING SYSTEM, FOR EXAMPLE, OFFER PATIENTS A SOPHISTICATED LEVEL OF CARE RARELY AVAILABLE IN A COMMUNITY HOSPITAL. EVER MINDFUL OF IMPROVING THE PATIENT EXPERIENCE, THE HOSPITAL BUILDS UPON ITS ESTABLISHED HIGH LEVELS OF PATIENT SATISFACTION AND SERVICE EXCELLENCE THROUGH ITS AFFILIATION WITH PLANETREE, A RECOGNIZED PHILOSOPHY IN PATIENT-CENTERED CARE. THE PARTNERSHIP FOCUSES ON IMPLEMENTING INNOVATIVE MODELS OF CARE THAT NURTURE THE MIND, BODY AND SPIRIT BY SUPPORTING PATIENTS, FAMILY MEMBERS AND STAFF ALIKE. KNOWLEDGE IS POWER WHEN IT COMES TO IMPROVING THE HEALTH AND WELLNESS OF PEOPLE OF ALL AGES IN CONNECTICUT AND NEW YORK. THAT'S THE MESSAGE BEHIND A NUMBER OF HOSPITAL INITIATIVES DESIGNED TO BUILD HEALTHY COMMUNITIES. | ||
| PART VI, LINE 7: WESTERN CONNECTICUT HEALTH NETWORK, INC. (PARENT):WESTERN CONNECTICUT HEALTH NETOWRK'S MISSION IS TO BENEFIT, UPHOLD, PROMOTE AND FURTHER THE WELFARE, PROGRAMS AND ACTIVITIES OF NEW MILFORD HOSPITAL WHICH HELPS TO FURTHER THE HOSPITAL'S EXEMPT PURPOSE.NEW MILFORD HOSPITAL:NEW MILFORD HOSPITAL PROVIDES MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE OUTPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE HOSPITAL'S MISSION STATEMENT, TO ENHANCE THROUGH MEDICAL CARE AND EDUCATION THE HEALTH AND WELL BEING OF OUR COMMUNITIES IN PARTNERSHIP WITH THOSE WE SERVE.NEW MILFORD FOUNDATION:THE NEW MILFORD FOUNDATION WAS ORGANIZED FOR THE PURPOSE OF SOLICITING, RECEIVING, HOLDING, INVESTING AND ADMINISTERING CONTRIBUTIONS ON BEHALF OF THE NEW MILFORD HOSPITAL, WHICH ASSISTS THE HOSPITAL IN FURTHERING ITS COMMITMENT TO THE COMMUNITY. | ||
| CT | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN M MURPHY MD | |||||||||||||
| 0 | 590628 | 0 | 426415 | 0 | 4564 | 0 | 22040 | 0 | 36539 | 0 | 1080186 | 0 | 0 |
| SUSAN IOVINO | |||||||||||||
| 242875 | 0 | 0 | 0 | 244627 | 0 | 0 | 0 | 24186 | 0 | 511688 | 0 | 0 | 0 |
| DANA DIGGINS | |||||||||||||
| 308601 | 0 | 0 | 0 | 0 | 0 | 8227 | 0 | 27115 | 0 | 343943 | 0 | 0 | 0 |
| DEBORAH WEYMOUTH | |||||||||||||
| 0 | 310820 | 0 | 55000 | 0 | 0 | 0 | 0 | 0 | 24895 | 0 | 390715 | 0 | 0 |
| STEVEN H ROSENBERG | |||||||||||||
| 0 | 70340 | 0 | 125000 | 0 | 1022 | 0 | 23740 | 0 | 5306 | 0 | 225408 | 0 | 0 |
| THOMAS KOOBATIAN MD | |||||||||||||
| 408822 | 0 | 0 | 0 | 0 | 0 | 36113 | 0 | 27115 | 0 | 472050 | 0 | 0 | 0 |
| JOSEPH BARGELLINI MD | |||||||||||||
| 444010 | 0 | 0 | 0 | 0 | 0 | 24601 | 0 | 18272 | 0 | 486883 | 0 | 0 | 0 |
| P RODRIQUES MD | |||||||||||||
| 421081 | 0 | 0 | 0 | 0 | 0 | 12801 | 0 | 17546 | 0 | 451428 | 0 | 0 | 0 |
| COURTNEY CHAMBERS MD | |||||||||||||
| 378148 | 0 | 49099 | 0 | 0 | 0 | 17767 | 0 | 24186 | 0 | 469200 | 0 | 0 | 0 |
| TIMOTHY KAISER MD | |||||||||||||
| 360880 | 0 | 0 | 0 | 0 | 0 | 21392 | 0 | 18272 | 0 | 400544 | 0 | 0 | 0 |
| WILLIAM CICIO MD | |||||||||||||
| 343164 | 0 | 0 | 0 | 0 | 0 | 9997 | 0 | 24186 | 0 | 377347 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | THE HOSPITAL HAS ESTABLISHED A SERP UNDER IRC 457(F) TO SUPPLEMENT THE RETIREMENT BENEFITS OF ELIGIBLE EMPLOYEES AS DESIGNATED BY THE HOSPITAL'S BOARD OF DIRECTORS. EFFECTIVE OCTOBER 1, 2009 THE SERP WAS FROZEN AND CERTAIN PARTICIPANTS OF AT LEAST AGE 60 WITH 10 YEARS OF SERVICE WERE GRANDFATHERED INTO THE PLAN. CURRENT PARTICIPANTS IN THIS PLAN INCLUDE SUSAN IOVINO (PAYMENT OF $244,679), SALLY HERLIHY (PAYMENT OF $52,526) AND ROBERT SOMMER (PAYMENT OF $462,797). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE INTERIM PRESIDENT RICHARD HENLEY IS AN EMPLOYEE OF NAVIGANT CONSULTING, INC. THIS COMPANY WAS PAID FEES IN THE AMOUNT OF $707,595 FOR SUCH SERVICES FROM SEPT 2009 THROUGH JANUARY 2011. | |
| FORM 990, PART VI, SECTION A, LINE 7A | CORPORATORS OF THE HOSPITAL ELECT BOARD APPOINTMENTS ANNUALLY BASED ON THE NOMINATING COMMITTEE'S RECOMMENDATIONS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS APPROVED BY THE AUDIT COMMITTEE AND REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. | |
| THE HOSPITAL REQUIRES AN ANNUAL DISCLOSURE STATEMENT TO BE SIGNED AND FILED FOR ALL DIRECTORS NOTING ANY POTENTIAL CONFLICTS OF INTEREST AND COMPLIANCE WITH THE POLICY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| COMPENSATION FOR OFFICERS IS DETERMINED BY HUMAN RESOURCE SURVEYS AND IS APPROVED BY THE PRESIDENT AND/OR THE BOARD. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE NEW MILFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | CHANGE IN PENSION FUNDING OBLIGATION -2,579,273. NET UNREALIZED LOSSES ON INVESTMENTS HELD IN TRUST BY OTHERS -263,723. CHANGE IN EQUITY IN NET ASSETS OF THE FOUNDATION 1,099,738. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 156,640. MEMBERS' DISTRIBUTION ON JOINT VENTURE -129,557. OTHER ADJUSTMENTS 25,983. TERMINATION OF AFFILIATE - NM VNA -3,005,447. NET ASSETS RELEASED FROM RESTRICTIONS 346,393. PROGRAM EXPENSES PAID BY THE FOUNDATION -126,615. TOTAL TO FORM 990, PART XI, LINE 5: -4,475,861. | FORM 990, PART XI, LINE 5: |
| THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THESE PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR. | FORM 990: PART XI, LINE 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| NEW MILFORD HOSPITAL FOUNDATION INC | ||||||||||
| 21 ELM STREET | NEW MILFORD | CT | 06776 | 222515011 | SOLICITING CHARITABLE SUPPORT FOR THE NEW MILFORD HOSPITAL. INC. | CT | 501(C)(3) | LINE 7 | NEW MILFORD HOSPITAL INC | 0 |
| NEW MILFORD VISITING NURSE ASSOCIATION INC | ||||||||||
| 68 PARK LANE ROAD | NEW MILFORD | CT | 06776 | 060653153 | HOME HEALTH CARE AND HOSPICE SERVICE | CT | 501(C)(3) | LINE 9 | NEW MILFORD HOSPITAL INC | 0 |
| WESTERN CONNECTICUT HEALTH NETWORK INC | ||||||||||
| 24 HOSPITAL AVE | DANBURY | CT | 06810 | 222594977 | PARENT OF DANBURY HOSPITAL, NEW MILFORD HOSPITAL, AND AFFILIATED COMPANIES | CT | 501(C)(3) | LINE 11B, II | 0 | |
| WESTERN CONNECTICUT MEDICAL GROUP PC | ||||||||||
| 24 HOSPITAL AVE | DANBURY | CT | 06810 | 061137531 | PHYSICIAN SERVICES | CT | 501(C)(3) | LINE 9 | WESTERN CONNECTICUT HEALTH NETWORK INC | 0 |
| WESTERN CONNECTICUT HEALTH NETWORK FOUNDATION INC | ||||||||||
| 24 HOSPITAL AVE | DANBURY | CT | 06810 | 237425557 | SOLICITING CHARITABLE SUPPORT FOR DANBURY AND NEW MILFORD HOSPITALS | CT | 501(C)(3) | LINE 7 | WESTERN CONNECTICUT HEALTH NETWORK INC | 0 |
| DANBURY HOSPITAL | ||||||||||
| 24 HOSPITAL AVE | DANBURY | CT | 06810 | 060646597 | HOSPITAL | CT | 501(C)(3) | LINE 3 | WESTERN CONNECTICUT HEALTH NETWORK INC | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW MILFORD MRI JV LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ELM STREET | AddressLine1 |
| City | NEW MILFORD | City |
| State | CT | State |
| ZIP Code | 06776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271877801 | EIN |
| Primary Activity | MRI FACILITY | PrimaryActivity |
| Legal Domicile State | CT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW MILFORD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 264596 | ShareOfTotalIncome |
| Share Of EOY Assets | 338907 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANBURY HEALTH SYSTEMS INSURANCE CO LTD | BusinessNameLine1 |
Address Foreign AddressForeign
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 MAIN STREET | AddressLine1 |
| City | GRAND CAYMAN | City |
| Country | CJ | Country |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980438151 | EIN |
| Primary Activity | MALPRACTICE INSURANCE | PrimaryActivity |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountry |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANBURY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NEW MILFORD HOSPITAL FOUNDATION INC | ||
| C | 719726 | COST |
| NEW MILFORD HOSPITAL FOUNDATION INC | ||
| N | 379108 | COST |
| NEW MILFORD MRI JV LLC | ||
| D | 140375 | COST |
| THE NEW MILFORD HOSPITAL FOUNDATION | ||
| P | 126615 | COST |
| DANBURY HOSPITAL | ||
| E | 6439583 | COST |
| WESTERN CT MEDICAL GROUP PC | ||
| E | 915495 | COST |
| DANBURY HOSPITAL | ||
| H | 1783822 | COST |
| DANBURY HOSPITAL | ||
| L | 539611 | COST |
| DANBURY HOSPITAL | ||
| N | 1432010 | COST |
| DANBURY HOSPITAL | ||
| O | 4489945 | COST |
| DANBURY HOSPITAL | ||
| R | 3103999 | COST |