2012-08-10T13:10:21-05:00 2011-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-10-01 222908698 BRIDGEPORT HOSPITAL FOUNDATIONINC BRID 2033843903 267 GRANT STREET BRIDGEPORT CT 06610 PATRICK MCCABE 2033843903 2012-08-13 false 2012-08-07 2010 2016-02-24 21:20:13Z STEPHEN JAKAB 267 GRANT STREET BRIDGEPORT CT 06610 10784773 false X NONE X 1988 CT FUNDRAISING FOR BRIDGEPORT HOSPITAL 16 12 0 0 7124429 7886587 655172 730078 1148645 1518691 -100231 -43967 8828015 10091389 2783619 2527659 0 794332 886028 0 721019 824436 1105111 4402387 4518798 4425628 5572591 46976300 49577666 1334691 989404 45641609 48588262 FUNDRAISING FOR BRIDGEPORT HOSPITAL false false 2742348 2527659 730078 THE BRIDGEPORT HOSPITAL FOUNDATION HAD A SUCCESSFUL FUNDRAISING YEAR DESPITE THE DIFFICULT ECONOMY, WITH DONORS CONTRIBUTING IN EXCESS OF 7.5 MILLION FOR THE FOURTH CONSECUTIVE YEAR. THE 8TH ANNUAL BRIDGEPORT HOSPITAL HOME RUN 5K WALK & ROAD RACE ATTRACTED MORE THAN 600 PARTICIPANTS IN SUPPORT OF THE NEW CONNECTICUT CARDIAC ARRHYTHMIA CENTER IN THE JOEL E. SMILOW HEART INSTITUTE. THE NORMA F. PFRIEM BREAST CARE CENTER'S 12TH ANNUAL ROSE OF HOPE LUNCHEON, FEATURING ACTRESS-SINGER VANESSA WILLIAMS, RAISED A RECORD 250,000 AFTER EXPENSES. 2742348 true true false true false false false false false true true true false false true false false true false false false false false false true false false true true true false false false false false false false false true false false false false true true true false false true 77 0 0 false false false false false true true true 1 false false false X 16 12 true false false false true true true true true false false true true true true true true false false false X ROSE DICOCCO 2033843903 267 GRANT STREET 267 GRANT STREET BRIDGEPORT CT 06610 X GAYLE CAPOZZALO 1.00 X 0 1123679 155803 HOPE JUCKEL-REGAN 63011 1.00 X 0 421368 115155 WILLIAM M JENNINGS 1.00 X X 0 297240 38317 GEORGE CARTER 1.00 X X 0 0 0 JANET HANSEN 1.00 X 0 0 0 JEFFREY PINO 1.00 X 0 0 0 MEREDITH REUBEN 1.00 X X 0 0 0 NEWMAN MARSILIUS III 1.00 X 0 0 0 PETER HURST 1.00 X 0 0 0 RICHARD FREEDMAN 1.00 X 0 0 0 RICHARD HOYT 1.00 X X 0 0 0 ROBERT FOLMAN 1.00 X 0 0 0 RONALD NOREN 1.00 X 0 0 0 HOWARD L TAUBIN 1.00 X X 0 0 0 DAVID BINDELGLASS 1.00 X 0 0 0 EMILY E BLAIR 1.00 X 0 0 0 JOHN FALCONI 1.00 X 0 0 0 WILLIAM G HULCHER 1.00 X 0 0 0 PATRICIA L MCDERMOTT 1.00 X 0 0 0 DUNCAN M O'BRIEN JR 1.00 X 0 0 0 CHARLES WELCH 102810 1.00 X 0 0 0 SHANE FITZSIMONS 1292010 1.00 X 0 0 0 NORMAN G ROTH 1.00 X 0 736163 211072 PATRICK MCCABE 1.00 X 0 471555 193382 STEPHEN JAKAB 1.00 X 0 222009 45311 ROBERT TREFRY 93010 X 0 1698112 116782 4970126 875822 true true false DARCY LOWELL MD 26 TIMBER MILL LANE WESTON CT 06883 PRGM DIRECTOR 176056 1 605415 861806 6419366 641000 7886587 PROGRAM RELATED REVENUE 900099 730078 730078 730078 1441126 1441126 436580 96513 277753 177775 158827 -81262 77565 77565 193889 605415 237856 -43967 -43967 10091389 730078 1474724 2454959 2454959 72700 72700 690994 73418 367091 250485 195034 20722 103612 70700 274332 29148 145739 99445 5041 536 2678 1827 37340 5866 18405 13069 86822 9225 46124 31473 226507 24066 120331 82110 24496 2603 13013 8880 39354 5412 19979 13963 15302 1626 8129 5547 13724 1458 7291 4975 32093 3408 17051 11634 16351 1737 8687 5927 MISC. EXPENSE 263150 27964 139795 95391 ENTERTAINMENT 27900 2964 14822 10114 SERVICE CONTRACTS 17156 1823 9114 6219 MEMBERSHIP 15241 1619 8097 5525 PLAQUES 8499 903 4515 3081 1803 191 958 654 4518798 2742348 1055431 721019 260440 168791 469384 202778 117900 4860 5110 125717 74255 497995 51462 26760771 28522243 18305263 19276093 677587 1233289 46976300 49577666 213042 263314 2780 363820 757829 723310 1334691 989404 X 25305518 25194245 8426265 9711262 11909826 13682755 45641609 48588262 46976300 49577666 X 5572591 -2625938 X false true true X true true X 6866367 8144103 7299570 7124429 7886587 37321056 6866367 8144103 7299570 7124429 7886587 37321056 10772007 26549049 1365670 1311175 841796 618842 1441126 5578609 42899665 730078 0.61890 0.60840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 86822 false false 86822 false false false false false ADDITIONAL INFORMATION SCHEDULE C, PART IV LOBBYING EXPENDITURES INCURRED IN SUPPORT OF BRIDGEPORT HOSPITAL ON VARIOUS HEALTHCARE ISSUES. false false false false false false false 12034000 1805000 59000 -40000 13858000 6809000 5146000 183000 -104000 12034000 5545000 1551000 22000 -309000 6809000 1.00000 false false false 105720 61480 44240 19997 12775 7222 51462 TOTAL L-TIP 19276093 F 19276093 DUE TO BRIDGEPORT HOSPITAL 353071 P.V. OF FUTURE ANNUITY-MACDONALD 169025 P.V. OF FUTURE ANNUITY-YURKAITIS 147488 P.V. OF FUTURE ANNUITY-IRELAND 21297 P.V. OF FUTURE ANNUITY-BODINE 12846 P.V. OF MINORITY INT- SPINELLI ASSOC 10072 P.V. OF FUTURE ANNUITY-JAMSHIDI 9511 DUE TO MILL HILL 723310 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT BRIDGEPORT HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE BRIDGEPORT HOSPITAL POOLED INVESTMENT POLICY. ROSE OF HOPE LU 345634 321474 24160 91619 KAULBACH 198991 109903 89088 66335 9 254679 174038 80641 79902 799304 605415 193889 237856 237856 -43967 true BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06604 060646554 C-3 2454959 SUPPORT 1 NURSING SCHOLARSHIP 71 72700 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 THE GRANT WRITER IN THE BRIDGEPORT HOSPITAL FOUNDATION SUPPORTS CLINICAL AND PROGRAM STAFF GRANTEES IN COMPLYING WITH THE VARIOUS REQUIREMENTS ASSOCIATED WITH STATE, FEDERAL, AND PRIVATE GRANTS, INCLUDING THE FOLLOWING: -MAINTAINING FILES FOR EACH GRANT THAT CONTAIN THE GRANT APPLICATION AND PROGRAM GUIDANCE, THE NOTICE OF GRANT AWARD, ANY ASSOCIATED CONTRACTS OR MEMORANDA OF AGREEMENT/UNDERSTANDING, COPIES OF CHECKS, AND CORRESPONDENCE RELATED TO THE GRANT; -PREPARING PROGRAM AND FINANCIAL REPORTS IN COMPLIANCE WITH THE DEADLINES SPECIFIED; -MAINTAINING VARIOUS REGISTRATIONS REQUIRE BY STATE AND FEDERAL FUNDING SOURCES; -ASSISTING IN DRAWING DOWN FUNDS ACCESSED THROUGH ACH DEPOSITS. PART II, LINE 1 BRIDGEPORT HOSPITAL IS A RELATED ORGANIZATION AND ALL GRANTS ARE TO BE USED FOR PROVIDING HEALTHCARE TO THE COMMUNITY IN A CHARITABLE MANNER. false true false false false false false false false GAYLE CAPOZZALO 655732 188910 279037 140600 15203 1279482 65864 HOPE JUCKEL-REGAN 63011 290525 94015 36828 90952 24203 536523 WILLIAM M JENNINGS 117079 170000 10161 35167 3150 335557 NORMAN G ROTH 486760 183188 66215 195866 15206 947235 23359 PATRICK MCCABE 329826 89032 52697 160334 33048 664937 STEPHEN JAKAB 179859 32402 9748 17208 28103 267320 ROBERT TREFRY 93010 879883 535259 282970 105379 11403 1814894 376312 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 HOPE JUCKEL-REGAN (6/30/11) 0 61,582 0 WILLIAM M JENNINGS 0 34,300 0 NORMAN G ROTH 0 116,916 0 PATRICK MCCABE 0 89,275 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III THE INDIVIDUALS LISTED ABOVE ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENT THE RELATED ENTITY'S AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. INDIVIDUALS LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNTS RESPECTIVELY REPORTED DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) ARE AMOUNTS VESTED DURING THE 2010 CALENDAR YEAR THAT WERE RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUALS' 2010 CALENDAR YEAR FORM W-2S. GAYLE CAPAZZALO 189,156 ROBERT TREFRY 447,587 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) SRIP IS DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). X 1 641000 COMPARABLE MARKET VALUE false true true THIRD PARTY USED TO PROCESS NONCASH CONTRIBUTIONS SCHEDULE M, PAGE 1, PART I, LINE 32B REAL ESTATE BROKER WAS USED. NO APPRAISAL WAS DONE. ADDITIONAL INFORMATION FORM 990 PART I, LINE 4 & PART VI, LINE IB NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. BASED ON RESPONSES TO THE QUESTIONAIRES RECEIVED BY THE ORGANIZATION AND ANNUAL CONFLICTS OF INTEREST DISCLOSURES, THE ORGANIZATION WAS ABLE TO CONFIRM THAT 12 VOTING MEMBERS ARE INDEPENDENT. ADDITIONAL INFORMATION FORM 990, PART VI PART VI, LINE 2 BUSINESS RELATIONS BETWEEN OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TRUSTEES GEORGE CARTER, JENET HANSEN, AND RICHARD HOYT ARE BOARD MEMBERS OF THE SAME BUSINESS ENTITY. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 SEE ABOVE CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF BRIDGEPORT HOSPITAL FOUNDATION, INC. IS BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES, INC. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS AND RIGHTS: BHHS HAS THE RIGHT TO ELECT (I) THE BOARD OF DIRECTORS OF THE FOUNDATION IN ACCORDANCE WITH THE BYLAWS, AND (II) ANY OFFICER OF THE FOUNDATION IN ACCORDANCE WITH THE PRIVISION OF THE BYLAWS. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B BHHS SHALL HAVE THE FOLLOWING RIGHTS, POWERS AND PRIVILEGES: A) TO APPROVE LONG RANGE DEVELOPMENT PLANS, ANNUAL OPERATING AND CAPITAL BUDGETS, AND PLANS THAT MATERIALLY AFFECT THE GROWTH, OPERATIONS AND DEVELOPMENT OF THE FOUNDATION. B) TO APPROVE THE FOUNDATION'S BUSINESS PLAN, ITS ANNUAL BUDGET FOR FUND RAISING PROGRAMS AND THE CONDUCT OF ALL SPECIAL GIVING PROGRAMS. C) TO VOTE ON ALL MATTERS ON WHICH MEMBERS ARE ENTITLED TO VOTE UNDER THE CONNECTICUT REVISED NONSTOCK CORPORATIONS ACT, AS AMENDED. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE SYSTEM TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE ADMINISTRATIVE DIRECTOR OF FINANCE. SUBSEQUENTLY IT IS SENT TO ERNST & YOUNG US LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUP ARE CLEARED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ENTITY AND A FINAL VERSION OF THE RETURN IS SENT BACK TO ERNST & YOUNG US LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO THE BOARD OF DIRECTORS VIA A WEB PORTAL. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE BRIDGEPORT HOSPITAL FOUNDATION, INC IS COVERED UNDER THE YALE-NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY (CC:R-7) AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT SHE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF FORM 990, FORM 1023 AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED IN THE SYSTEM TAX DEPARTMENT. OTHER CORPORATE GOVERNING DOCUMENTS ARE MAINTAINED BY THE LEGAL AND RISK SERVICES DEPARTMENT. THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION POLICY ARE AVAILABLE TO ALL EMPLOYEES ON THE CORPORATE INTERNAL WEBSITE. COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII SCHEDULE J - FOR INDIVIDUALS WHO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS. OFFICERS WORK AN AVERAGE OF 40 HOURS SPREAD OVER THE FILING ENTITY AND THE ENTITIES LISTED IN SCHEDULE R. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: UNREALIZED LOSS (495,278) OTHER TRANSFERS (2,130,660) -------------- OTHER CHANGES (2,625,938) ============== BRIDGEPORT HOSPITAL & HEALTHCARE 267 GRANT STREET BRIDGEPORT CT 06610 061066729 SUPPORT CT 501C3 11A YNHHSC false YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVENUE NEW HAVEN CT 06519 222529464 SUPPORT CT 501C3 11A NA false SOUTHERN CT HEALTH SYSTEM PROP INC 267 GRANT STREET BRIDGPORT CT 06610 061297708 TITLE HOLD CT 501C2 BHHS true BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 060646554 HEALTHCARE CT 501C3 3 BHHS true BRIDGEPORT HOSPITAL AUXILIARY INC 267 GRANT STREET BRIDGEPORT CT 06610 066042500 SUPPORT CT 501C3 11A BHHS true NORMA F PFREIM BREAST CANCER INC 111 BEACH ROAD FAIRFIELD CT 06430 060567752 HEALTHCARE CT 501C3 11A BH true THE GREENWICH HOSP ENDOW FUND INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061526642 SUPPORT CT 501C3 11B GHHCS true 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RIVER ROAD COS COB CT 06807 260236411 HEALTHCARE CT N/A GREENWICH OCCUP HEALTH SERVICES PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061540101 HEALTHCARE CT N/A GREENWICH PEDIATRIC SERVICES PC 5 PERRYRIDGE ROAD GREENWICH CT 06830 743054409 HEALTHCARE CT N/A false false false false false false false false false true false true false false true false true false BRIDGEPORT HOSPITAL BRIDGEPORT FOUNDATION L 349168 TRANSACTION REVIEW BRIDGEPORT HOSPITAL BRIDGEPORT FOUNDATION O 1080692 TRANSACTION REVIEW BRIDGEPORT HOSPITAL J 4200 COMPARABLE MARKET VALUE BRIDGEPORT HOSPITAL Q 2454959 TRANSACTION REVIEW