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DANBURY HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DANBURY HOSPITAL (EIN 06-0646597)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201222269349302697
Schema version
2010v3.7
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)
Timestamp2012-08-13T21:39:04-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646597EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Danbury HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDANBNameControl
Phone2037398110Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Hospital AvenueAddressLine1
CityDanburyCity
StateCTState
ZIP Code068106099ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteven H RosenbergName
TitleChief Financial OfficerTitle
Date Signed2012-08-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Personjohn m murphy mdNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line124 hospital avenueAddressLine1
CitydanburyCity
StateCTState
ZIP Code068106099ZIPCode
FieldValueIRS element (for citing)
Gross Receipts666468618GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.danburyhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1885YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE THROUGH MEDICAL CARE, EDUCATION AND RESEARCH THE HEALTH AND WELL BEING OF INDIVIDUALS IN DANBURY, CONNECTICUT AND SURROUNDING COMMUNITIES IN PARTNERSHIP WITH THOSE WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3431TotalNbrEmployees
Total Nbr Volunteers390TotalNbrVolunteers
Total Gross UBI620446TotalGrossUBI
Net Unrelated Business Txbl Income-3227712NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9050280ContributionsGrantsPriorYear
Contributions Grants Current Year14967415ContributionsGrantsCurrentYear
Program Service Revenue Prior Year475132255ProgramServiceRevenuePriorYear
Program Service Revenue CY502670162ProgramServiceRevenueCY
Investment Income Prior Year3955300InvestmentIncomePriorYear
Investment Income Current Year12095360InvestmentIncomeCurrentYear
Other Revenue Prior Year3018711OtherRevenuePriorYear
Other Revenue Current Year-2692603OtherRevenueCurrentYear
Total Revenue Prior Year491156546TotalRevenuePriorYear
Total Revenue Current Year527040334TotalRevenueCurrentYear
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 Year249811299SalariesEtcPriorYear
Salaries Etc Current Year262300141SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year210669186OtherExpensePriorYear
Other Expenses Current Year233705886OtherExpensesCurrentYear
Total Expenses Prior Year460480485TotalExpensesPriorYear
Total Expenses Current Year496006027TotalExpensesCurrentYear
Revenues Less Expenses Prior Year30676061RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31034307RevenuesLessExpensesCY
Total Assets BOY603421824TotalAssetsBOY
Total Assets EOY715105959TotalAssetsEOY
Total Liabilities BOY179416697TotalLiabilitiesBOY
Total Liabilities EOY326864381TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY424005127NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY388241578NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo improve the health and well being of those we serve.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense399064005Expense
Revenue499069773Revenue
DescriptionIN OCTOBER, 2010 DANBURY HOSPITAL, NEW MILFORD HOSPITAL AND THEIR AFFILIATED ORGANIZATIONS JOINED TO BECOME ONE NETWORK, THE WESTERN CONNECTICUT HEALTH NETWORK. THIS NETWORK OF PROVIDERS, SERVICES AND LOCATIONS BRINGS TOGETHER THE BEST PEOPLE, TECHNOLOGY AND PROCESSES TO DELIVER THE TIMELY CONVENIENT AND APPROPRIATE CARE FOR EACH AND EVERY PATIENT. WE HAVE EXPERIENCED A YEAR OF UNPRECEDENTED GROWTH AND CHANGE. SOME HIGHLIGHTS AT DANBURY HOSPITAL: -THE GRAND OPENING OF OUR BIOMEDICAL RESEARCH CENTER. -THE COMPLETION OF OUR WORLD-CLASS NEONATAL INTENSIVE CARE UNIT. -THE GROUNDBREAKING FOR THE NEW TOWER/EXPANSION PROJECT. -CRITICAL CARE UNIT TEAM EARNS BEACON AWARD FOR CRITICAL CARE EXCELLENCE. -RECEIVES 2011 CRIMSON PHYSICIAN PARTNERSHIP AWARD. -CERTIFICATION OF THREE OF OUR PRIMARY CARE PRACTICES AS PATIENT-CENTERED MEDICAL HOMES-AN IMPORTANT PART OF OUR NEW APPROACH TO MEETING THE DEMANDS OF HEALTHCARE REFORM. -CONTINUED EXPANSION OF OUR NETWORK THROUGH THE ADDITION OF SEVERAL PRIMARY CARE AND SPECIALTY PRACTICES. IN ADDITION, THE FOLLOWING ACHIEVEMENTS OCCURRED; -TREATED 1000TH OPEN HEART SURGERY PATIENT. -PERFORMED FIRST HYBRID ABLATION FOR ATRIAL FIBRILLATION. -DANBURY HOSPITAL'S CARDIOLOGY TEAM GOES TO KENYA W/HEARTS AROUND THE WORLD TO SAVE LIVES. -EARNS AMERICAN COLLEGE OF RADIOLOGY GOLD STANDARD OF ACCREDITATION. -LAUNCHES CO-GENERATION PLANT-GOES OFF THE GRID. -LAUNCHES PRIMARY CARE RESIDENCY PROGRAM WITH COMMUNITY FQHC. -HOLDS THE THE 14TH ANNUAL NATIONAL CANCER SURVIVORS DAY. -PRAXAIR CANCER CENTER AT DANBURY HOSPITAL PROMOTES SKIN CANCER PREVENTION AND EARLY DETECTION SCREENING. -DESIGNATED AN AETNA - INSTITUTE OF QUALITY/INSTITUTE OF EXCELLENCE. -RECOGNIZED FOR EXEMPLARY OUTCOMES BY AMERICAN COLLEGE OF SURGEONS. -EARNS NATIONAL HONORS FROM INSTITUTE FOR HEALTHCARE IMPROVEMENT FOR EFFORTS TO IMPROVE SURGICAL CARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense20195412Expense
Revenue4014636Revenue
DescriptionDANBURY HOSPITAL PROVIDES A DYNAMIC ENVIRONMENT FOR TEACHING AND RESEARCH FOR OUR GRADUATE MEDICAL EDUCATION PROGRAMS. THE HOSPITAL RECEIVED ACCREDITATION WITH COMMENDATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, AND IS APPROVED TO SPONSER RESIDENCY PROGRAMS BY THE ACCREDIATION COUNCIL FOR GRADUATE MEDICAL EDUCATION OF THE AMERICAN MEDICAL ASSOCIATION. AS A LEADING UNIVERSITY TEACHING INSTITUTION, DANBURY HOSPITAL ESTABLISHED A NEW SURGICAL RESIDENCY PROGRAM-THE STATE'S FIRST NATIONALLY ACCREDITED PROGRAM IN DECADES. DURING THE YEAR 1,451 PERSONS PARTICIPATED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense489064Expense
Revenue11256Revenue
DescriptionRESEARCH THE DANBURY HOSPITAL RESEARCH INSTITUTE HERALDS A NEW ERA OF PERSONALIZED MEDICINE THAT HOLDS GREAT PROMISE FOR THE DEVELOPMENT OF TARGETED THERAPIES AS WE GAIN A DEEPER UNDERSTANDING OF THE GENETIC BASIS OF DISEASE. THE INSTITUTE WILL ENABLE US TO STAY ON THE FOREFRONT OF THE EVOLVING WORLD OF MOLECULAR MEDICINE AND TO DELIVER THE BENEFITS OF THIS WORK TO PATIENTS AT THEIR BEDSIDE.Description
FieldValueIRS element (for citing)
Total Program Service Expense419748481TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactiontrueExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096563NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3431NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY JO PAWLAKNamePerson
Telephone Number2037398110TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line124 HOSPITAL AVENUEAddressLine1
CityDanburyCity
StateCTState
ZIP Code06810ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN M MURPHY MD
PRESIDENT/CEO40.0XX1021607058579
NEIL CULLIGAN MD
DIRECTOR1.0X000
DAVID KRAMER MD
DIRECTOR1.0X000
DAVID CYGANOWSKI
DIRECTOR1.0X000
ALPHONSE ALTORELLI MD
DIRECTOR1.0X000
RICHARD G JABARA
DIRECTOR1.0X000
ANTHEA DISNEY
DIRECTOR1.0X000
JOSEPH D SKRZYPCZAK
DIRECTOR1.0X000
SPENCER HOULDIN
DIRECTOR1.0X000
JOHN J MARTOCCI
CHAIRMAN3.0XX000
JOHN R PATRICK
DIRECTOR1.0X000
BRIAN C WHITE
DIRECTOR1.0X000
JAY LENT
DIRECTOR1.0X000
JAMES KENNEDY
VICE CHAIRMAN3.0XX000
JOHN C KLINE
DIRECTOR1.0X000
STEVEN H ROSENBERG
CFO40.0X196362029046
DONNA KAPLANIS
CONTROLLER/SEC.40.0X262712075363
MICHAEL DAGLIO
SR. VP OF OPERATIONS40.0297150067439X
MATTHEW A MILLER MD
CHIEF MEDICAL OFFICER40.0055580281647X
PHYLLIS F ZAPPALA
SR. VP HUMAN RESOURCES40.0929305061837X
MOREEN O DONAHUE
CHIEF NURSE EX.40.0348651085844X
PETER COURTWAY TERM 52011
CIO40.0319965070993X
JOSEPH CAMPBELL
COMPLIANCE OFFICER40.0246461071336X
RUTH GREGORY
DIRECTOR OF PURCHASING40.0158968038003X
JUDITH WARD
VP, MARKETING40.0366981066937X
MORRIS GROSS
VP, FACILITIES40.02758692004067829X
WILLIAM MALDARELLI
ADMIN. DIR. - PERFU.40.0263257066244X
DAWN MYLES
VP, QUAL & PAT SFTY40.0255058045114X
WILLIAM DELANEY MD
EXEC. MED DIRECTOR40.0254388072190X
FRANK J KELLY
CEO (FORMER)0.0652608061686X
LISA MESSINA
VP, OPERATIONS0.0277614043400X
WILLIAM ROE
CFO (FORMER)0.0332084041242X
KARIM NAZER
WCMG PHYSICIAN0.0013672528499X
JOHN BORRUSO MD
WCMG PHYSICIAN0.0036536965394X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6459040TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1077936TotalReportableCompFrmRltdOrgs
Total Other Compensation1198622TotalOtherCompensation
Number Individuals GT100 K475NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SLAM COLLABORATIVE
PO BOX 12BRATTLEBORVT053020012ARCHITECTS5212999
PRICE WATERHOUSE COOPERS LLP
PO BOX 7247-8001PHILADELPHIAPA19170CONSULTANTS1449368
DANBURY RADIOLOGICAL ASSOCIATES
PO BOX 10068LANCASTERPA17605RADIOLOGY SERVICES1191587
TOWERS WATSON PENNSLYVANIA INC
PO BOX 8500PHILADELPHIAPA19178INVEST. CONSULTANTS962670
ROBINSON COLE LLP
280 TRUMBULL STREETHARTFORDCT06103ATTORNEYS769256
FieldValueIRS element (for citing)
Number Of Contractors GT100 K42NumberOfContractorsGT100K
Related Organizations11970631RelatedOrganizations
Government Grants2381680GovernmentGrants
All Other Contributions615104AllOtherContributions
Total Contributions14967415TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
ANCILLARY SERVICE621400266385814266385814
MEDICARE/MEDICAID PAY'TS621990189571887189571887
ROUTINE PATIENT6219903591978935919789
CONTRACT LAB62150058430015843001
MEANINGFUL USE INCENTIVE62199031527123152712

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1796959TotalRevenueColumn
Related Or Exempt Function Income1632159RelatedOrExemptFunctionIncome
Exclusion$164,800ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue502670162TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9655444TotalRevenueColumn
Exclusion$9,655,444ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column2073TotalRevenueColumn
Exclusion$2,073ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real832375Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real43087Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real789288Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column789288TotalRevenueColumn
Related Or Exempt Function Income176948RelatedOrExemptFunctionIncome
Unrelated Business Revenue619562UnrelatedBusinessRevenue
Exclusion-$7,222ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities139756131Securities
Other20600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities137212069Securities
Other126819Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2544062Securities
Other-106219Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2437843TotalRevenueColumn
Exclusion$2,437,843ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory1543363GrossSalesOfInventory
Cost Of Goods Sold2046309CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-502946TotalRevenueColumn
Exclusion-$502,946ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
ROSS RESEARCH INCOME900099849996$849,996
CAFETERIA INCOME561000795552$795,552
OTHER REVENUE900099406105$406,105

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-5030598TotalRevenueColumn
Related Or Exempt Function Income248555RelatedOrExemptFunctionIncome
Unrelated Business Revenue-5842117UnrelatedBusinessRevenue
Exclusion$562,964ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-2978945TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column527040334TotalRevenueColumn
Related Or Exempt Function Income497087864RelatedOrExemptFunctionIncome
Unrelated Business Revenue620446UnrelatedBusinessRevenue
Exclusion$14,364,609ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4698327Total
Program Services1554556ProgramServices
Management And General3143771ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total69736Total
Management And General69736ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total191956825Total
Program Services163316867ProgramServices
Management And General28639958ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20780717Total
Program Services17680234ProgramServices
Management And General3100483ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total31181630Total
Program Services26529331ProgramServices
Management And General4652299ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13612906Total
Program Services11581860ProgramServices
Management And General2031046ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1861275Total
Management And General1861275ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total739055Total
Management And General739055ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total57250Total
Program Services48708ProgramServices
Management And General8542ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total938590Total
Management And General938590ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total62495900Total
Program Services53171512ProgramServices
Management And General9324388ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1089299Total
Program Services926776ProgramServices
Management And General162523ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total81131720Total
Program Services69026867ProgramServices
Management And General12104853ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9767851Total
Program Services8310488ProgramServices
Management And General1457363ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9913388Total
Program Services8434311ProgramServices
Management And General1479077ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total334737Total
Program Services284794ProgramServices
Management And General49943ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total223158Total
Program Services189863ProgramServices
Management And General33295ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4589816Total
Program Services3905015ProgramServices
Management And General684801ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27369949Total
Program Services23286353ProgramServices
Management And General4083596ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total510194Total
Management And General510194ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT1800249318002493
EQUIPMENT RENT & MAINT.66958365696817999019
MALPRACTICE63735216373521
PROFESSIONAL MEMBERSHIP12314971047758183739
EXTRAORDINARY LOSS ON REFUND380357380357

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total496006027Total
Program Services419748481ProgramServices
Management And General76257546ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7218BOY
EOY7120EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26452669BOY
EOY36720981EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51429630BOY
EOY53313528EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2254804BOY
EOY7247050EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7538558BOY
EOY8853966EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY33776862BOY
EOY3607312EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis520119042LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec299833683LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY183176283BOY
EOY220285359EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY173061358BOY
EOY276647475EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY125724442BOY
EOY108423168EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY603421824BOY
EOY715105959EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38415871BOY
EOY42887748EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1760657BOY
EOY3323647EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY114675000BOY
EOY254615000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24565169BOY
EOY26037986EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY179416697BOY
EOY326864381EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY368034236BOY
EOY332255763EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY28224289BOY
EOY27787449EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY27746611BOY
EOY28198366EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY424005127BOY
EOY388241578EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY603421824BOY
EOY715105959EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses31034307ReconcilationRevenueExpenses
Reconcilation Other Changes-66797856ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

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)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementstrueMediaAdvertisements
Media Advertisements$16,418MediaAdvertisementsAmount
Mailings MemberstrueMailingsMembers
Mailings Members$42MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$127,258DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$479OtherActivitiesAmount
Total Lobbying Expenditures IIB144197TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1I - OTHER ACTIVITIES DESCRIPTIONIdentifier
ExplanationONLY STATE AND LOCAL OFFICIALS WERE LOBBIED DURING 2011. AS PART OF THIS MISCELLANEOUS OFFICE EXPENSES SUCH AS POSTAGE, ETC. WERE INCURRED AND WERE REFLECTED ON LINE #1I ACCORDINGLY. BOARD MEMBERS AND DONORS WERE USED TO INFLUENCE LEGISLATION, NAMELY THE PROPOSED BUDGET AND HOSPITAL TAX. NEWSPAPER ADVERTISEMENTS AND MAILINGS WERE USED TO INFLUENCE THE PROPOSED BUDGET AND FIGHT A CRIPPLING HOSPITAL TAX THAT WOULD HAVE FORCED THE CLOSURE OF PROGRAMMING FOR THE UN/UNDER INSURED AND AT-RISK POPULATION.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3590056OtherCostOrOtherBasis
Book Value3590056BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis262965028OtherCostOrOtherBasis
Depreciation143126604Depreciation
Book Value119838424BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7674644OtherCostOrOtherBasis
Depreciation2241914Depreciation
Book Value5432730BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis218310466OtherCostOrOtherBasis
Depreciation154465165Depreciation
Book Value63845301BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27578848OtherCostOrOtherBasis
Book Value27578848BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings220285359TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
BOND ESCROW FUND1273008
BOND ISSUANCE COST5779765
BULK ACCOUNTS NET OF REVERVE332411
DUE FROM RELATED PARTIES4835759
INTEREST IN WCHN FOUNDATION73125721
INVESTMENT IN WCHIC, LTD.17200128
OTHER RECEIVABLES5876376
FieldValueIRS element (for citing)
Total Book Value Other Assets108423168TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ASSET RETIREMENT OBLIGATION$464,904
DUE TO 3RD PARTIES$11,107,547
MALPRACTICE TRUST FUND RESERVE$7,991,000
RESERVE FOR WORKERS COMPENSATION$6,474,535
FieldValueIRS element (for citing)
Total Of Amounts26037986TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUNDTHE INTENDED USE OF THE ENDOWMENT FUNDS ARE TO PROVIDE SUPPLEMENTAL/SOLE FINANCIAL SUPPORT FOR A VARIETY OF DANBURY HOSPITAL PROGRAMS AND SERVICES.
PART X - FIN 48 FOOTNOTETHERE IS NO FIN 48 (ASC 740) FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees1NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedMALPRACTICE INS.SpecificServicesProvided
Total Expenditures8974890TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent8974890SubtotalAmountSpent
Total Amount Spent8974890TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE F SUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART I, LINE 3(F)ReturnReference
ExplanationTHE AMOUNT IS BASED ON COST.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4613507TotalCommunityBenefitExpense
Direct Offsetting Revenue677558DirectOffsettingRevenue
Net Community Benefit Expense3935949NetCommunityBenefitExpense
Percent Of Total Expense0.00820PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense55095778TotalCommunityBenefitExpense
Direct Offsetting Revenue35139075DirectOffsettingRevenue
Net Community Benefit Expense19956703NetCommunityBenefitExpense
Percent Of Total Expense0.04180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense59709285TotalCommunityBenefitExpense
Direct Offsetting Revenue35816633DirectOffsettingRevenue
Net Community Benefit Expense23892652NetCommunityBenefitExpense
Percent Of Total Expense0.05000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense256998TotalCommunityBenefitExpense
Net Community Benefit Expense256998NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense20195412TotalCommunityBenefitExpense
Direct Offsetting Revenue4014636DirectOffsettingRevenue
Net Community Benefit Expense16180776NetCommunityBenefitExpense
Percent Of Total Expense0.03390PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1599399TotalCommunityBenefitExpense
Direct Offsetting Revenue1109780DirectOffsettingRevenue
Net Community Benefit Expense489619NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense489064TotalCommunityBenefitExpense
Direct Offsetting Revenue11256DirectOffsettingRevenue
Net Community Benefit Expense477808NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense22540873TotalCommunityBenefitExpense
Direct Offsetting Revenue5135672DirectOffsettingRevenue
Net Community Benefit Expense17405201NetCommunityBenefitExpense
Percent Of Total Expense0.03640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense82250158TotalCommunityBenefitExpense
Direct Offsetting Revenue40952305DirectOffsettingRevenue
Net Community Benefit Expense41297853NetCommunityBenefitExpense
Percent Of Total Expense0.08640PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,361,149BadDebtExpenseAmount
Amount Reimbursed By Medicare161870416AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare201806246CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-39935830MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
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 Line1DANBURY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line124 HOSPITAL AVENUEAddressLine1
CityDANBURYCity
StateCTState
ZIP Code06810ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherDIAGNOSTIC & DIALYSISOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DANBURY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities16NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
DANBURY HOSPITAL RIDGEFIELD SURG CTR
901 ETHAN ALLEN HIGHWAYRIDGEFIELDCT06877OUTPATIENT SURGICAL CENTER
MAIN STREET REHABILITATION CENTER
235 MAIN STREETDANBURYCT06810REHABILITATION
COMM CTR FOR BEHAVIORIAL HEALTH
152 WEST STREETDANBURYCT06810OUTPATIENT - PHYSICIAN CLINIC
THE PEDIATRIC HEALTH CENTER
70 MAIN STREETDANBURYCT06810OUTPATIENT - PHYSICIAN CLINIC
DENTAL SERVICES
70 MAIN STREETDANBURYCT06810OUTPATIENT - PHYSICIAN CLINIC
CENTER FOR CHILD & ADOL TREAT
152 WEST STREETDANBURYCT06810OUTPATIENT - PHYSICIAN CLINIC
DANBURY HOSPITAL LABORATORY
79 SANDPIT ROADDANBURYCT06810DIAGNOSTIC
DANBURY HOSPITAL RESEARCH INSTITUTE
131 WEST STREETDANBURYCT06813DIAGNOSTIC
THE ANTICOAGULATION CENTER
41 GERMANTOWN ROADDANBURYCT06810DIAGNOSTIC
SLEEP LAB
SOURTHBURY HERITAGE HOTELSOUTHBURYCT06488DIAGNOSTIC
SOUTHBURY CARDIOVASCULAR DIAGNOSTICS
22 OLD WATERBURY ROADSOUTHBURYCT06488DIAGNOSTIC
DANBURY HOSPITAL SOUTHBURY LABORTATORY
22 OLD WATERBURY ROAD SUITE 101SOUTHBURYCT06488DIAGNOSTIC
DANBURY HOSPITAL IN RIDGEFIELD
21 SOUTH STREETRIDGEFIELDCT06877OUTPATIENT - PHYSICIAN CLINIC
CARDIOLOGY TESTING IN BROOKFIELD
2 OLD NEW MILFORD ROADBROOKFIELDCT06804DIAGNOSTIC
RIDGEFIELD SPECIMEN COLLECTION FACILITY
10 SOUTH STREETRIDGEFIELDCT06877DIAGNOSTIC
SIEFERT & FORD COMMUNITY HEALTH CENTER
70 MAIN STREETDANBURYCT06810OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE H SUPPLEMENTAL INFORMATIONIdentifier
ExplanationSCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. CHARITY CARE AT COST PERCENTAGE: TOTAL GROSS PATIENT CHARGES WRITTEN OFF TO CHARITY (INCOME STATEMENT) * PATIENT COST TO CHARGE % (SEE BELOW) = TOTAL COMMUNITY BENEFIT EXPENSES. TOTAL COMMUNITY BENEFIT EXPENSES - REVENUE FROM UNCOMPENSATED CARE POOLS AND PROGRAMS (DHS * % OF COST OF UNCOMPENSATED CARE SHOWN ON THE OCHA SCHEDULE 500) = NET COMMUNITY BENEFITS EXPENSES: NET COMMUNITY BENEFITS EXPENSES * TOTAL EXPENSES = % OF TOTAL EXPENSES RATIO COST TO CHARGE CALCULATION: TOTAL OPERATING EXPENSES DIVIDED BY ADJUSTED PATIENT CARE COST (BAD DEBT, OTHER OPERATING INCOME AND INTERCOMPANY INCOME ARE REMOVED FROM THE TOTAL OPERATING EXPENSES): ADJUSTED PATIENT CARE COST DIVIDED BY GROSS PATIENT CHARGES SCHEDULE H, PART I, LINE 7F: BAD DEBT EXPENSE OF $18,002,493 WAS EXCLUDED FROM TOTAL FUNCTIONAL EXPENSES IN DETERMINING THE PERCENTAGES PRESENTED IN PART I, LINE #7, COLUMN F. SCHEDULE H, PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICS INCLUDED IN THIS AMOUNT. PART III, LINE 4 - BAD DEBT EXPENSE 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. PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT DANBURY HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION STRIVES TO PROVIDE 24/7 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. COSTING METHOD USED IS BASED ON TSI SOURCE SYSTEM MEDICARE PATIENT NET REVENUE LESS COST. PART III, LINE 9B - PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS IT IS THE POLICY OF DANBURY 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) DANBURY 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. DANBURY 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 THIS MISSION, DANBURY 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, DANBURY 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. DANBURY 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 - EXPLANATION OF NUMBER OF FACILITY TYPE 8 DIAGNOSTIC CENTERS 6 OUTPATIENT PHYSICIAN CLINICS 1 OUTPATIENT SURGICAL CENTER 1 REHABILITATION CENTER PART VI - NEEDS ASSESSMENT THE ORGANIZATION COLLABORATES AND PARTNERS WITH THE LOCAL UNIVERSITY, UNITED WAY AND VARIOUS COMMUNITY ORGANIZATIONS AND AGENCIES TO PRODUCE A COMMUNITY HEALTH REPORT CARD. DATA SETS INCLUDED BASIC DEMOGRAPHICS, ALONG WITH HEALTH ISSUE-SPECIFIC INFORMATION. ADDITIONALLY, WE CAPTURE OPINIONS AND CONCERNS FROM OUR CONSUMERS ON AN ONGOING BASIS. PART VI - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DANBURY 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 - COMMUNITY INFORMATION THE HOSPITAL'S PRIMARY SERVICE AREA IS THE CITY OF DANBURY AND SURROUNDING SUBURBAN TOWNS THAT MAKE UP NORTHERN FAIRFIELD COUNTY. THE REGION IS VERY DIVERSE, REQUIRING DIVERSE PROGRAMMING AND EDUCATION. CONSTITUENTS ARE PREDOMINANTLY EMPLOYED AND ARE FAIRLY WELL-EDUCATED. POVERTY LEVELS ARE BELOW OTHER AREAS IN CT. THE EXCEPTION TO THIS GENERALIZATION IS THE CITY OF DANBURY AS THE URBAN CORE THAT IS THE MOST DIVERSE COMMUNITY WITH A LARGE UNDOCUMENTED POPULATION NOT CAPTURED ON CENSUS. PART VI - COMMUNITY BUILDING ACTIVITIES THE HOSPITAL OFFERS MANY FREE WELLNESS PROMOTIONS HELD THROUGHOUT THE YEAR ALONG WITH SCREENING AND HEALTH EDUCATION OPPORTUNITIES. THE HOSPITAL ALSO BELIEVES IN SUPPORTING COMMUNITY ORGANIZATIONS WITH ALIGNED MISSIONS LEADING TO IMPROVED HEALTH OUTCOMES. SOME EXAMPLES ARE OUR SENIOR INITIATIVES, PEDIATRIC OBESITY COLLABORATIVE, NURSING EDUCATION PROGRAMS AND OUR COLLABORATION WITH AREA CLINICS AND FQHC. PART VI - EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSE IN OCTOBER, 2010 DANBURY HOSPITAL, NEW MILFORD HOSPITAL AND THEIR AFFILIATED ORGANIZATIONS JOINED TO BECOME ONE NETWORK, THE WESTERN CONNECTICUT HEALTH NETWORK. THIS NETWORK OF PROVIDERS, SERVICES AND LOCATIONS BRINGS TOGETHER THE BEST PEOPLE, TECHNOLOGY AND PROCESSES TO DELIVER THE TIMELY CONVENIENT AND APPROPRIATE CARE FOR EACH AND EVERY PATIENT. WE HAVE EXPERIENCED A YEAR OF UNPRECEDENTED GROWTH AND CHANGE. SOME HIGHLIGHTS AT DANBURY HOSPITAL: -THE GRAND OPENING OF OUR BIOMEDICAL RESEARCH CENTER. -THE COMPLETION OF OUR WORLD-CLASS NEONATAL INTENSIVE CARE UNIT. -THE GROUNDBREAKING FOR THE NEW TOWER/EXPANSION PROJECT. -CRITICAL CARE UNIT TEAM EARNS BEACON AWARD FOR CRITICAL CARE EXCELLENCE. -RECEIVES 2011 CRIMSON PHYSICIAN PARTNERSHIP AWARD. -CERTIFICATION OF THREE OF OUR PRIMARY CARE PRACTICES AS PATIENT-CENTERED MEDICAL HOMES-AN IMPORTANT PART OF OUR NEW APPROACH TO MEETING THE DEMANDS OF HEALTHCARE REFORM. -CONTINUED EXPANSION OF OUR NETWORK THROUGH THE ADDITION OF SEVERAL PRIMARY CARE AND SPECIALTY PRACTICES. IN ADDITION, THE FOLLOWING ACHIEVEMENTS OCCURRED; -TREATED 1,000TH OPEN HEART SURGERY PATIENT. -PERFORMED FIRST HYBRID ABLATION FOR ATRIAL FIBRILLATION. -DANBURY HOSPITAL'S CARDIOLOGY TEAM GOES TO KENYA W/HEARTS AROUND THE WORLD TO SAVE LIVES. -EARNS AMERICAN COLLEGE OF RADIOLOGY GOLD STANDARD OF ACCREDITATION. -LAUNCHES CO-GENERATION PLANT-GOES OFF THE GRID. -LAUNCHES PRIMARY CARE RESIDENCY PROGRAM WITH COMMUNITY FQHC. -HOLDS THE 14TH ANNUAL NATIONAL CANCER SURVIVORS DAY. -PRAXAIR CANCER CENTER AT DANBURY HOSPITAL PROMOTES SKIN CANCER PREVENTION AND EARLY DETECTION SCREENING. -DESIGNATED AN AETNA - INSTITUTE OF QUALITY/INSTITUTE OF EXCEExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 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
JOHN M MURPHY MD
59062804264150456402204003653901080186000
STEVEN H ROSENBERG
70340012500001022023740053060225408000
DONNA KAPLANIS
176420085000012920425400328230338075000
MICHAEL DAGLIO
24149905500006510385400288990364589000
MATTHEW A MILLER MD
0422561012500008241060540021107063744900
PHYLLIS F ZAPPALA
2970520626397058560440400177970991142000
MOREEN O DONAHUE
278246065000054050440400418040434495000
JUDITH WARD
2458500120000011310385400283970433918000
MORRIS GROSS
22182520040500000404404271002511903436982004000
FRANK J KELLY
3004250346216059670440400176460714294000
LISA MESSINA
1921230850000491038540048600321014000
WILLIAM ROE
2403330200000717510220400192020373326000
PETER COURTWAY TERM 52011
242052075000029130585600124330390958000
JOSEPH CAMPBELL
191664052500022970345400367960317797000
RUTH GREGORY
125706032000012620271800108230196971000
WILLIAM MALDARELLI
233694027030025330478400184040329501000
DAWN MYLES
2045250500000533038540065740300172000
WILLIAM DELANEY MD
230708021992016880440400281500326578000
KARIM NAZER
0136155000570015860012639016522400
JOHN BORRUSO MD
0358621026060414206054004854043076300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
ExplanationPART 1, LINE 1A - RELEVANT INFORMATION REGARDING COMPENSATION BENEFITS DURING 2010, HOUSING WAS PAID ON BEHALF OF WILLIAM ROE, IN THE AMOUNT OF $69,736 AND WAS REFLECTED AS TAXABLE COMPENSATION. PART I, LINE 1B - NO WRITTEN POLICY REGARDING HOUSING PAYMENTS THERE IS CURRENTLY NOT A WRITTEN POLICY FOR HOUSING REIMBURSEMENT. THE HOUSING REIMBURSEMENT TO WILLIAM ROE, WAS REFLECTED IN HIS EMPLOYMENT AGREEMENT, WHICH WAS APPROVED BY LEADERSHIP AND GOVERNANCE. PART I, LINE 4 - RECEIVED SEVERANCE, SUPPLEMENTAL NO RETIREMENT, EQUITY-BASED COMPENSATION DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2011, DR. JOHN MURPHY, PRESIDENT AND CEO, WAS THE ONLY PARTICIPANT OF A NEW SERP PLAN. NO PAYMENTS WERE MADE TO HIM. DUE TO A CAP IN THE DEFINED PENSION PLAN OF $190,000 THE SERP IS INTENDED TO GIVE SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP, WHOSE SALARY EXCEEDS THIS AMOUNT. THE SERP IS DESIGNED TO VEST KEY EXECUTIVES WITH AN INCENTIVE TO REMAIN WITH THE SYSTEM UNTIL THEY REACH RETIREMENT AGE. THE SERP IS NOT A QUALIFIED RETIREMENT PLAN AND THEREFORE IS SUBJECT TO CERTAIN TAX IMPLICATIONS UPON VESTING VS. THE TIME RETIREMENT PAYMENTS ARE MADE. THE EXPENSES FOR THE SERP COSTS ARE RECOGNIZED EACH ACCOUNTING PERIOD IN THREE SEGMENTS. THESE ARE: -PRIOR SERVICE COSTS THE ACTUAL PRESENT VALUE OF SERP BENEFITS FOR MEMBERS OF THE SERP GROUP AS COMPUTED ON THE DATE THE SERP IS IMPLEMENTED. THE INTANGIBLE ASSET IS AMORTIZED OVER THE ESTIMATED WORKING LIFE OF THE EXECUTIVES IN THE SERP PLAN. -CURRENT SERVICE COSTS THE CURRENT SERVICE COST (CSO) IS THE AMOUNT OF BENEFITS EARNED BY THE EMPLOYEE DURING THE CURRENT PERIOD. THE CSO IS CALCULATED AS THE DIFFERENCE IN THE ACTUARIAL PRESENT VALUE OF A LIFE ANNUITY, STARTING ON THE PROJECTED DATE OF RETIREMENT, DISCOUNTED TO THE BEGINNING OF THE PRESENT ACCOUNTING PERIOD; AND THE SAME ANNUITY DISCOUNTED TO THE END OF THE PRESENT ACCOUNTING PERIOD. -INTEREST COMPONENT EACH YEAR THE BEGINNING BALANCE IN THE UNFUNDED BENEFIT OBLIGATION IS CHARGED A DISCOUNTED INTEREST RATE. THE INTEREST COST (IMPLIED) IS THE INCREASE IN THE BENEFIT OBLIGATION DUE TO THE PASSAGE OF TIME. PART I, LINE 6 - COMPENSATION CONTINGENT ON NET EARNINGS OR RELATED ORGANIZATION SUMMARY OF EXECUTIVE INCENTIVE PLAN (EXCERPTS FROM) THE PLAN WILL BE ADMINISTERED SUBJECT TO THE BOARD POLICY ON EXECUTIVE COMPENSATION BY THE COMMITTEE ON GOVERNANCE SERVING AS THE EXECUTIVE COMPENSATION COMMITTEE (THE COMMITTEE) OF THE BOARD OF DIRECTORS OF WESTERN CONNECTICUT HEALTH NETWORK, INC. THE COMMITTEE MAY IN ITS SOLE DISCRETION INTERPRET THE PLAN, PRESCRIBE ANY RULES AND REGULATIONS NECESSARY OR APPROPRIATE FOR ADMINISTRATION OF THE PLAN, AND MAKE SUCH OTHER DETERMINATIONS AND TAKE SUCH ACTION AS IT DEEMS NECESSARY OR ADVISABLE. THE PLAN YEAR WILL BEGIN OCTOBER 1, 2010, AND END SEPTEMBER 30, 2011. THE MEASUREMENT PERIOD FOR AWARD PURPOSES WILL BE THE SAME. ELIGIBILITY TO PARTICIPATE IN THE PLAN WILL BE LIMITED TO THOSE WHO ARE IN POSITIONS IN WHICH THEIR DECISIONS, ACTIONS AND COUNSEL SIGNIFICANTLY AFFECT THE OPERATIONS OF WESTERN CONNECTICUT HEALTH NETWORK, INC. AND ITS SUBSIDIARIES, AS DETERMINED BY THE COMMITTEE AND WITH INPUT PROVIDED BY SENIOR MANAGEMENT. PRIOR TO THE START OF EACH PLAN YEAR, OR AS SOON AS PRACTICABLE THEREAFTER, THE COMMITTEE, WITH INPUT PROVIDED BY SENIOR MANAGEMENT, WILL DETERMINE WHICH ELIGIBLE INDIVIDUALS WILL PARTICIPATE IN THE PLAN WITH RESPECT TO SUCH PLAN YEAR AND THEY WILL BE LISTED ACCORDINGLY. IN DETERMINING WHICH ELIGIBLE INDIVIDUALS WILL PARTICIPATE, THE COMMITTEE WILL TAKE INTO ACCOUNT THE EXTENT TO WHICH ELIGIBLE INDIVIDUALS ARE IN POSITIONS IN WHICH THEIR DECISIONS, ACTIONS AND COUNSEL SIGNIFICANTLY AFFECT THE OVERALL PERFORMANCE OF WESTERN CONNECTICUT HEALTH NETWORK, INC. AND ITS AFFILIATES. TO BE CONSIDERED FOR PARTICIPATION, AN INDIVIDUAL MUST BE IN AN INCENTIVE ELIGIBLE POSITION FOR NO LESS THAN 6 MONTHS OF THE RESPECTIVE PLAN YEAR. INCENTIVE AWARDS WILL BE PRORATED AS APPROPRIATE TO REFLECT PARTIAL PLAN YEAR PARTICIPATION. ELIGIBLE INDIVIDUALS MUST BE EMPLOYED BY WESTERN CONNECTICUT HEALTH NETWORK, INC. AT THE TIME OF EXECUTIVE INCENTIVE AWARD DISTRIBUTION. THE COMMITTEE WILL ESTABLISH THE TARGET AWARD OPPORTUNITY (EXPRESSED AS A PERCENTAGE OF BASE SALARY) FOR EACH PARTICIPANT IN THE PLAN. THE TARGET AWARD IS THE AMOUNT PAID TO PARTICIPANTS FOR ACTUAL PERFORMANCE THAT MEETS EXPECTATIONS. TO RECOGNIZE A RANGE OF PERFORMANCE ABOVE THE "TARGET" LEVEL, PARTICIPANTS MAY EARN ONE-HALF TO ONE AND ONE-HALF TIMES THE TARGET AWARD OPPORTUNITIES BASED ON ACTUAL PERFORMANCE. A THRESHOLD OF PERFORMANCE MUST BE ACHIEVED IN ORDER FOR PARTICIPANTS TO EARN AWARDS. PRIOR TO THE BEGINNING OF EACH PLAN YEAR, OR AS SOON THEREAFTER AS PRACTICABLE, WEIGHTINGS FOR THE PERFORMANCE MEASURES INCLUDED IN THE PLAN WILL BE DETERMINED FOR EACH PARTICIPANT IN ACCORDANCE WITH THE NATURE OF EACH PARTICIPANT'S STATED GOALS AND RESPONSIBILITIES (I.E., ORGANIZATIONAL, FUNCTIONAL/INDIVIDUAL, ETC.). PRIOR TO THE BEGINNING OF EACH PLAN YEAR, OR AS SOON THEREAFTER AS PRACTICABLE, PERFORMANCE MEASURES AND PERFORMANCE LEVELS WILL BE ESTABLISHED FOR EACH PARTICIPANT IN THE PLAN. INCENTIVE AWARDS WILL BE MODIFIED OR ELIMINATED IF AT THE LEVEL OF PERFORMANCE SPECIFIED IN THE CIRCUIT BREAKER IS NOT ACHIEVED. THE CIRCUIT BREAKER WILL BE ESTABLISHED BY THE COMMITTEE PRIOR TO THE BEGINNING OF EACH FISCAL YEAR OR AS SOON THEREAFTER AS PRACTICABLE. IF EBITDA IS LESS THAN BASIC, FULL ELIMINATION OF INCENTIVE AWARD WILL OCCUR. NOTWITHSTANDING ANY OTHER PROVISION OF THE PLAN, INCENTIVE AWARDS CAN BE AFFECTED BY AN INDIVIDUAL MODIFIER (BASED ON INDIVIDUAL EXECUTIVE PERFORMANCE) AT THE LEVEL SPECIFIED IN THE PLAN. PART III - ADDITIONAL INFORMATION THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, WESTERN CONNECTICUT HEALTH NETWORK, INC. WHICH USED THE FOLLOWING METHODS DESCRIBED BELOW TO ESTABLISH TOP MANAGEMENT'S COMPENSATION: -COMPENSATION COMMITTEE. -INDEPENDENT COMPENSATION. -WRITTEN EMPLOYMENT CONTRACT. -COMPENSATION SURVEY OR STUDY. -APPROVAL BY BOARD OR COMPENSATION COMMITTEE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CHEFA REV BONDS SERIES HBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN060806186IssuerEIN
CUSIP Number20774UCL7CUSIPNumber
Date Issued2006-03-16DateIssued
Issue Price40924665IssuePrice
Description Of PurposeSEE PART V FOR PURPOSEDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds42742900TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest2237472CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1431798IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures39070172CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00210PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00210TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSERIES HIdentifier
ExplanationPROCEEDS FROM THE SALES OF SERIES H BONDS WERE USED, TOGETHER WITH OTHER MONIES AVAILABLE TO 1) FINANCE A PORTION OF THE COSTS OF THE SERIES H PROJECT, 2) TO FUND CAPITALIZED INTEREST, IF ANY ON THE SERIES H BONDS, AND 3) TO PAY CERTAIN COSTS OF ISSUANCE AND BOND INSURANCE PREMIUMS INCURRED IN CONNECTION WITH THE ISSUANCE OF SERIES H BONDS. PART II 3A INCLUDES INVESTMENT EARNINGS OF $1,818,235.Explanation

Schedule L IRS990ScheduleL

DQP Table DQPTable

FieldValueIRS element (for citing)
Name PersonWILLIAM ROENamePerson
Description Of TransactionADDITIONAL EMBEZZLED FUNDS.DescriptionOfTransaction
Transaction CorrectedfalseTransactionCorrected
FieldValueIRS element (for citing)
Amount Of Tax Imposed0AmountOfTaxImposed
Amount Of Tax Reimbursed0AmountOfTaxReimbursed

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Precyse Solutions
SEE PART V128358CONDUCT CODING REVIEWSfalse
Marcus Dairy
SEE PART V87162PROVIDES DAIRY PRODUCTfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationDURING THE YEAR THE FOLLOWING TRANSACTIONS ARE AT ARM'S LENGTH, ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY: MICHAEL HAMMOND, A FORMER DIRECTOR AT DANBURY HOSPITAL IS A BOARD MEMBER OF PRECYSE SOLUTIONS, WHICH MEDICAL RECORDS CONTRACTS WITH TO CONDUCT CODING REVIEWS. NEIL MARCUS, ESQ., A FORMER DIRECTOR OF DANBURY HOSPITAL AND ATTORNEY, IS AN OFFICER, DIRECTOR AND SHAREHOLDER OF MARCUS DAIRY, INC., A VENDOR OF DANBURY HOSPITAL.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC.FORM 990, PART VI, LINE 2RICHARD JABARA AND JAMES KENNEDY, BOTH DIRECTORS OF DANBURY HOSPITAL HAVE A BUSINESS RELATIONSHIP. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF DANBURY HOSPITAL. DESCRIPTION OF CLASSES OF PERSONS, NATURE OF RIGHTS, & VOTING RIGHTS FORM 990, PART VI, LINE 7A THE SOLE MEMBER SHALL BE RESPONSIBLE FOR ELECTING, AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED. DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL FORM 990, PART VI, LINE 7B THE DUTIES AND RESPONSIBILITIES OF THE SOLE MEMBER SHALL INCLUDE, AMONG OTHERS, THE FOLLOWING: ELECTING AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED: FILLING VACANCIES ON THE BOARD OF DIRECTORS, WHICH OCCUR BETWEEN ELECTIONS; REVIEWING, MAKING, AND APPROVING CHANGES IN THE BYLAWS; INSURING THAT THE OBJECTIVE, PURPOSES AND GOALS OF DANBURY HOSPITAL AS STATED IN THE CHARTER OF THE DANBURY HOSPITAL, INC. ARE PROPERLY AND EFFECTIVELY CARRIED OUT BY THE BOARD OF DIRECTORS; DELEGATING AS APPROPRIATE, TO THE BOARD OF DIRECTORS, POLICY-MAKING FUNCTIONS, THE SUPERVISION OF THE HOSPITAL'S OPERATIONS AND THE CONTROL OVER THE HOSPITAL'S ASSETS. FORM 990 REVIEW PROCESS FORM 990, PART VI, LINE 11B STEVEN ROSENBERG, CFO, WILL REVIEW THE 990 PRIOR TO IT BEING SENT TO THE IRS. A PRELIMINARY 990, IS PRESENTED TO THE AUDIT COMMITTEE IN JUNE, WHO REVIEWS IT ON BEHALF OF THE BOARD. E&Y IS ON HAND TO REVIEW THE 990 WITH THE AUDIT COMMITTEE AND ANSWER ANY QUESTIONS. PRIOR TO THE 990 BEING FILED WITH THE IRS, THE BOARD WILL GET A FULL AND ACCURATE COPY ON A SECURED WEBSITE FOR THEIR REVIEW. EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS FORM 990, PART VI, LINE 12C BOARD MEMBERS AND SENIOR MANAGEMENT ARE COGNIZANT OF THE IMPORTANCE OF DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND WILL QUESTION POSSIBLE CONFLICTS IN VARIOUS BOARD MEETINGS. THE CHIEF COMPLIANCE OFFICER IS PART OF THE ROUTINE CONTRACTS REVIEW PROCESS AND WATCHES FOR POTENTIAL CONFLICTS WITH BOARD, MANAGEMENT AND STAFF. THE COMPLIANCE OFFICER WILL CONTINUALLY REQUEST THE INFORMATION UNTIL ALL RESPONSES ARE RECEIVED. THE AUDIT COMMITTEE REVIEWS AND EVALUATES EACH DISCLOSURE TO DETERMINE IF THERE IS A CONFLICT. A SUMMARY REPORT IS SHARED WITH THE FULL BOARD. THE COI POLICY BELOW NOTES WHAT IS TO OCCUR, WHEN THERE IS A CLEAR CONFLICT. CONFLICT OF INTEREST POLICY FOR DIRECTORS AND OFFICERS THE PURPOSE OF THIS POLICY IS TO ENSURE THAT THE DIRECTORS AND OFFICERS OF WESTERN CONNECTICUT HEALTH NETWORK, INC.(WCHN) (TOGETHER THE "REPRESENTATIVES" AND INDIVIDUALLY A "REPRESENTATIVE") ARE NOT PREVENTED FROM PERFORMING SERVICES ON BEHALF OF WCHN SOLELY BECAUSE OF POSSIBLE CONFLICTS OF INTEREST ON THEIR PART, AND THAT THE REPRESENTATIVES WILL BE ABLE TO GOVERN AND SERVE THE BEST INTERESTS OF WCHN BY EXERCISING THEIR BEST CARE, SKILL AND HONEST JUDGMENT ON ITS BEHALF. THIS POLICY RECOGNIZES THAT (1) MEMBERS OF THE BOARD OF DIRECTORS ARE OFTEN CHOSEN BECAUSE OF THEIR EXPERIENCE IN MATTERS RELEVANT TO THE OPERATION OF WCHN AND (2) THAT DIRECTORS AND OFFICERS MAY BE ASKED BY WCHN TO PARTICIPATE ON BEHALF OF WCHN AS A DIRECTOR OR OFFICER OF ANOTHER ORGANIZATION, TRADE ASSOCIATION, JOINT VENTURE AND NETWORK. ACCORDINGLY, ANOTHER OBJECTIVE OF THIS POLICY IS TO ENSURE THAT MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS ARE NOT DISQUALIFIED FROM PARTICIPATION IN WCHN GOVERNANCE BY VIRTUE OF THEIR AFFILIATIONS WITH OTHER INSTITUTIONS OR ENTITIES. NOTWITHSTANDING THE ABOVE, IT IS POSSIBLE THAT A REPRESENTATIVE MAY HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST (1) BASED ON PERSONAL INTERESTS OR TRANSACTIONS OR (2) BY VIRTUE OF HIS OR HER RELATIONSHIP AS AN OWNER, CREDITOR, AGENT, OFFICER, DIRECTOR OR EMPLOYEE OF ANOTHER ENTITY. THE OBJECTIVES IDENTIFIED ABOVE WILL BE PROMOTED BY: (1) FULL DISCLOSURE BY DIRECTORS AND OFFICERS OF ALL PERSONAL AND OUTSIDE INTERESTS THAT MAY AFFECT OR BE AFFECTED BY WCHN'S OPERATIONS OR BY DECISIONS THAT THE REPRESENTATIVE MAKES ON WCHN'S BEHALF AND (2) ESTABLISHMENT OF GUIDELINES FOR DETERMINING WHEN ACTUAL AND POTENTIAL CONFLICTS OF INTEREST OCCUR AND OF PRINCIPLES AND PROCEDURES FOR ADDRESSING ACTUAL AND POTENTIAL CONFLICTS. EACH ACTUAL OR POTENTIAL CONFLICT OF INTEREST THAT IS DISCLOSED SHOULD BE CAREFULLY EXAMINED AND APPROPRIATE MEASURES PUT INTO PLACE TO MAINTAIN THE BALANCE BETWEEN ENSURING FAIR AND HONEST DELIBERATIONS AND ENCOURAGING PARTICIPATION OF QUALIFIED REPRESENTATIVES IN WCHN. THE BOARD OF DIRECTORS OF WCHN RECOGNIZES THE IMPORTANCE TO WCHN OF HAVING A CONSISTENT POLICY APPLICABLE TO THE DIRECTORS AND OFFICERS OF ALL CORPORATIONS WITHIN ITS SYSTEM. THIS POLICY THEREFORE APPLIES TO THE DIRECTORS AND OFFICERS OF WCHN AS WELL AS THE DIRECTORS AND OFFICERS OF DANBURY HOSPITAL, WESTERN CT HEALTH NETWORK FOUNDATION, INC., THE WESTERN CT HOME CARE, INC., REGIONAL HOSPICE OF WESTERN CONNECTICUT, WESTERN CT HEALTH NETWORK AFFILIATES, AND BUSINESS SYSTEMS, INC. AND THE BOARD OF EACH SUCH CORPORATION SHALL TAKE WHATEVER ACTION AS MAY BE NECESSARY TO INSURE THE EFFECTIVENESS OF THIS POLICY. VOTING. NO DIRECTOR HAVING A CONFLICT OF INTEREST ON ANY MATTER SHALL VOTE ON THAT MATTER OR BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING AT WHICH THE VOTE IS TAKEN, EVEN WHEN PERMITTED BY LAW. NO REPRESENTATIVE HAVING A CONFLICT OF INTEREST ON ANY MATTER SHALL USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. NEED FOR RESIGNATION OR DECISION NOT TO APPOINT. IF THE BOARD OF DIRECTORS, IN ITS SOLE DISCRETION, DETERMINES THAT ANY REPRESENTATIVE HAS CONFLICTS OF INTEREST SUFFICIENT IN NUMBER AND/OR IMPORTANCE THAT THE EFFECTIVENESS OF SUCH REPRESENTATIVE ON BEHALF OF WCHN MAY BE SIGNIFICANTLY IMPAIRED, THE BOARD MAY ASK THE REPRESENTATIVE TO RESIGN.
COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC. DIR., OR TOP MGMNTFORM 990, PART VI, LINE 15ACOMPENSATION OF CEO: IN ORDER TO ACHIEVE ITS MISSION AND ITS OVERALL PERFORMANCE OBJECTIVES, WESTERN CONNECTICUT HEALTH NETWORK, INC. EMPLOYS A PERFORMANCE-BASED TOTAL COMPENSATION PROGRAM FOR ITS SENIOR EXECUTIVES THAT IS MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES, AND REPRESENTATIVE OF BEST PRACTICES. ELIGIBLE EXECUTIVES ARE GENERALLY DIRECT REPORTS OF THE CEO ALONG WITH OTHER EXECUTIVES DESIGNATED BY THE CEO. INCENTIVE COMPENSATION IS A CRITICAL ELEMENT OF TOTAL COMPENSATION. INCENTIVE COMPENSATION IS INTENDED TO ENCOURAGE AND REWARD EXECUTIVES FOR ACHIEVING OR SURPASSING SPECIFIC SHORT-TERM ORGANIZATIONAL PERFORMANCE OBJECTIVES. THE INCENTIVE PLAN SUPPORTS THE ACCOUNTABILITY AND RESULTS-ORIENTED AT WESTERN CONNECTICUT HEALTH NETWORK INC. RESULTING CASH COMPENSATION LEVELS WILL BE COMPETITIVE AND WITHIN THE LIMITS CONSIDERED REASONABLE WITH RESPECT TO THE TAXPAYER BILL OF RIGHTS. EXECUTIVES PARTICIPATE IN THE STANDARD BENEFIT PACKAGE APPLICABLE TO ALL WESTERN CONNECTICUT HEALTH NETWORK, INC. EMPLOYEES. THIS BENEFIT PACKAGE IS TARGETED AT THE 50TH PERCENTILE LEVEL FOR ALL EMPLOYERS. TO MEET WESTERN CONNECTICUT HEALTH NETWORK INC.'S TOTAL COMPENSATION OBJECTIVES FOR EXECUTIVES, THE FOLLOWING SURVEY SOURCES ARE USED FOR COMPARISON PURPOSES: -METROPOLITAN NEW YORK AREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. -IF RELEVANT AND RELIABLE METRO NEW YORK SURVEYS ARE NOT AVAILABLE, NATIONAL NOT-FOR-PROFIT HEALTHCARE DATA ARE USED AND A 10% PREMIUM IS APPLIED TO REFLECT THE METROPOLITAN NEW YORK AREA. -FOR CROSS-INDUSTRY EXECUTIVE POSITIONS,(EG. CFO, CIO, VP ENGINEERING, AND VPHR) NOT-FOR-PROFIT HEALTHCARE AND FOR-PROFIT GENERAL INDUSTRY SURVEYS ARE BLENDED (50-50%). -FOR PHYSICIAN EXECUTIVES, SURVEYS COVERING PHYSICIAN COMPENSATION IN ACCREDITED MEDICAL SCHOOLS ARE USED IN COMBINATION WITH PROPRIETARY SURVEYS COMPILED BY NATIONALLY KNOWN CONSULTING FIRMS AND THE MGMA (ALSO APPLICABLE TO ALL OTHER PHYSICIANS). THE COMPENSATION CONSULTANT BENCHMARKS WESTERN CONNECTICUT HEALTH NETWORK, INC.'S EXECUTIVE POSITIONS BASED ON JOB DUTIES, SCOPE AND REPORTING RELATIONSHIPS. PREMIUMS MAY BE APPLIED TO MARKET DATA FOR CERTAIN POSITIONS TO REFLECT RESPONSIBILITIES THAT ARE IN ADDITION TO THOSE INCLUDED IN THE SURVEY POSITION MARKET MATCHES. WESTERN CONNECTICUT HEALTH NETWORK, INC. TARGETS CASH COMPENSATION AT THE 75TH PERCENTILE, AND EXPECTS EXECUTIVES TO PERFORM AT THE 75TH PERCENTILE. BASE SALARY PLUS SHORT-TERM (ANNUAL) INCENTIVE AWARDS (TOTAL CASH) APPROXIMATE THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR TOTAL CASH COMPENSATION. EXECUTIVE PERFORMANCE IS EXPECTED TO MEET THE 75TH PERCENTILE ON PREDETERMINED OPERATIONAL AND FINANCIAL METRICS. OTHER FACTORS, SUCH AS COMPETITIVE MARKET FORCES, JOB PERFORMANCE, UNIQUE QUALIFICATIONS, AND/OR INDIVIDUAL JOB RESPONSIBILITIES ARE ALSO CONSIDERED IN WESTERN CONNECTICUT HEALTH NETWORK, INC'S EXECUTIVE COMPENSATION DECISIONS. ROLES OF THE COMMITTEE ON GOVERNANCE AND KEY EXECUTIVES IN THE EXECUTIVE COMPENSATION PROCESS: - THE COMMITTEE ON GOVERNANCE IN CONSULTATION WITH THE CEO AND THE VPHR SELECTS THE OUTSIDE COMPENSATION CONSULTANTS. THE CURRENT CONSULTANT IS THE HAY GROUP, WHOSE PURPOSE IS TO PROVIDE A VALID INDEPENDENT ASSESSMENT OF THE RELEVANT MARKET RATES AND PAY PRACTICES. - THE COMPENSATION CONSULTING FIRM COMPILES APPROPRIATE MARKET DATA, JOB EVALUATION AND RANKING INFORMATION. ONCE THE REPORT IS FINAL IT WILL BE SUPPLIED TO THE COMMITTEE ON GOVERNANCE FOR THEIR CONSIDERATION AND ACCEPTANCE. BASED ON THIS REVIEW, THE CEO SUBMITS SALARY RECOMMENDATIONS TO THE COMMITTEE FOR REVIEW AND FINAL APPROVAL. -THE COMMITTEE ON GOVERNANCE DETERMINES THE CEO'S SALARY BASED ON OVERAL PERFORMANCE AND MARKET DATA SUPPLIED BY THE OUTSIDE MARKET CONSULTANT. THE LAST EXECUTIVE COMPENSATION EVALUATION BY AN OUTSIDE CONSULTANT WAS DONE IN 2011.
COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEESFORM 990, PART VI, LINE 15BCOMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES: IN ORDER TO ACHIEVE ITS MISSION AND ITS OVERALL PERFORMANCE OBJECTIVES, WESTERN CONNECTICUT HEALTH NETWORK, INC. EMPLOYS A PERFORMANCE-BASED TOTAL COMPENSATION PROGRAM FOR ITS SENIOR EXECUTIVES THAT IS MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES, AND REPRESENTATIVE OF BEST PRACTICES. ELIGIBLE EXECUTIVES ARE GENERALLY DIRECT REPORTS OF THE CEO ALONG WITH OTHER EXECUTIVES DESIGNATED BY THE CEO. INCENTIVE COMPENSATION IS A CRITICAL ELEMENT OF TOTAL COMPENSATION. INCENTIVE COMPENSATION IS INTENDED TO ENCOURAGE AND REWARD EXECUTIVES FOR ACHIEVING OR SURPASSING SPECIFIC SHORT-TERM ORGANIZATIONAL PERFORMANCE OBJECTIVES. THE INCENTIVE PLAN SUPPORTS THE ACCOUNTABILITY AND RESULTS-ORIENTED AT WESTERN CONNECTICUT HEALTH NETWORK INC. RESULTING CASH COMPENSATION LEVELS WILL BE COMPETITIVE AND WITHIN THE LIMITS CONSIDERED REASONABLE WITH RESPECT TO THE TAXPAYER BILL OF RIGHTS. EXECUTIVES PARTICIPATE IN THE STANDARD BENEFIT PACKAGE APPLICABLE TO ALL WESTERN CONNECTICUT HEALTH NETWORK, INC. EMPLOYEES. THIS BENEFIT PACKAGE IS TARGETED AT THE 50TH PERCENTILE LEVEL FOR ALL EMPLOYERS. TO MEET WESTERN CONNECTICUT HEALTH NETWORK INC.'S TOTAL COMPENSATION OBJECTIVES FOR EXECUTIVES, THE FOLLOWING SURVEY SOURCES ARE USED FOR COMPARISON PURPOSES: -METROPOLITAN NEW YORK AREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. -IF RELEVANT AND RELIABLE METRO NEW YORK SURVEYS ARE NOT AVAILABLE, NATIONAL NOT-FOR-PROFIT HEALTHCARE DATA ARE USED AND A 10% PREMIUM IS APPLIED TO REFLECT THE METROPOLITAN NEW YORK AREA. -FOR CROSS-INDUSTRY EXECUTIVE POSITIONS,(EG.CFO,CIO,VP ENGINEERING,AND VPHR) NOT-FOR-PROFIT HEALTHCARE AND FOR-PROFIT GENERAL INDUSTRY SURVEYS ARE BLENDED (50-50%). -FOR PHYSICIAN EXECUTIVES, SURVEYS COVERING PHYSICIAN COMPENSATION IN ACCREDITED MEDICAL SCHOOLS ARE USED IN COMBINATION WITH PROPRIETARY SURVEYS COMPILED BY NATIONALLY KNOWN CONSULTING FIRMS AND THE MGMA (ALSO APPLICABLE TO ALL OTHER PHYSICIANS). THE COMPENSATION CONSULTANT BENCHMARKS WESTERN CONNECTICUT HEALTH NETWORK, INC.'S EXECUTIVE POSITIONS BASED ON JOB DUTIES, SCOPE AND REPORTING RELATIONSHIPS. PREMIUMS MAY BE APPLIED TO MARKET DATA FOR CERTAIN POSITIONS TO REFLECT RESPONSIBILITIES THAT ARE IN ADDITION TO THOSE INCLUDED IN THE SURVEY POSITION MARKET MATCHES. WESTERN CONNECTICUT HEALTH NETWORK, INC. TARGETS CASH COMPENSATION AT THE 75TH PERCENTILE, AND EXPECTS EXECUTIVES TO PERFORM AT THE 75TH PERCENTILE. BASE SALARY PLUS SHORT-TERM (ANNUAL) INCENTIVE AWARDS (TOTAL CASH) APPROXIMATE THE 75TH PERCENTILE OF THE COMPETITIVE MARKET FOR TOTAL CASH COMPENSATION. EXECUTIVE PERFORMANCE IS EXPECTED TO MEET THE 75TH PERCENTILE ON PREDETERMINED OPERATIONAL AND FINANCIAL METRICS. OTHER FACTORS, SUCH AS COMPETITIVE MARKET FORCES, JOB PERFORMANCE, UNIQUE QUALIFICATIONS, AND/OR INDIVIDUAL JOB RESPONSIBILITIES ARE ALSO CONSIDERED IN WESTERN CONNECTICUT HEALTH NETWORK, INC'S EXECUTIVE COMPENSATION DECISIONS. ROLES OF THE COMMITTEE ON GOVERNANCE AND KEY EXECUTIVES IN THE EXECUTIVE COMPENSATION PROCESS: - THE COMMITTEE ON GOVERNANCE IN CONSULTATION WITH THE CEO AND THE VPHR SELECTS THE OUTSIDE COMPENSATION CONSULTANTS. THE CURRENT CONSULTANT IS THE HAY GROUP, WHOSE PURPOSE IS TO PROVIDE A VALID INDEPENDENT ASSESSMENT OF THE RELEVENT MARKET RATES AND PAY PRACTICES. - THE COMPENSATION CONSULTING FIRM COMPILES APPROPRIATE MARKET DATA, JOB EVALUATION AND RANKING INFORMATION. ONCE THE REPORT IS FINAL IT WILL BE SUPPLIED TO THE COMMITTEE ON GOVERNANCE FOR THEIR CONSIDERATION AND ACCEPTANCE. BASED ON THIS REVIEW, THE CEO SUBMITS SALARY RECOMMENDATIONS TO THE COMMITTEE FOR REVIEW AND FINAL APPROVAL. -THE COMMITTEE ON GOVERNANCE DETERMINES THE CEO'S SALARY BASED ON OVERALL PERFORMANCE AND MARKET DATA SUPPLIED BY THE OUTSIDE MARKET CONSULTANT. THE LAST EXECUTIVE COMPENSATION EVALUATION BY AN OUTSIDE CONSULTANT WAS DONE IN 2011. OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE FORM 990, PART VI, LINE 19 THE INFORMATION THAT HAS BEEN POSTED ON THE WESTERN CONNECTICUT HEALTH NETWORK, INC. WEBSITE FOR 2011 INCLUDES: 1) THE 2011 AUDITED FINANCIAL STATEMENT FOR DANBURY HOSPITAL AND SUBSIDIARY. 2) THE 2011 AUDITED FINANCIAL STATEMENT FOR WESTERN CONNECTICUT HEALTH NETWORK, INC. AND SUBSIDIARIES. 3) THE 2011 AUDITED FINANCIAL STATEMENT FOR WESTERN CONNECTICUT HOME CARE. 4) THE 2011 AUDITED FINANCIAL STATEMENT FOR NEW MILFORD HOSPITAL. 5) THE 2010, 2009, 2008, AND 2007 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. ALSO INCLUDED IS THE CODE OF BUSINESS ETHICS, INFORMATION ABOUT OUR COMPLIANCE PROGRAM, AND A COPY OF OUR POLICY REGARDING PREVENTING OF FRAUD, WASTE AND ABUSE. ALL GOVERNING DOCUMENTS REQUIRED BY LAW ARE MADE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII (ADDT'L COMPENSATION INFORMATION) FOR ALL OFFICERS AND THE TOP 5 EMPLOYEES, ALTHOUGH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUALLY WORKED HOURS EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII,"ESTIMATED AMOUNT OF OTHER COMPENSATION", REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED. HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS, FOR WHICH COMPENSATION WAS REPORTED IN COLUMN (E) OR (F): MATTHEW A. MILLER, MD 0 AVERAGE HOURS A RELATED ORGANIZATION PAYS COMPENSATION TO DR. MILLER FOR THE SERVICES HE PROVIDES TO DANBURY HOSPITAL. AS CHIEF MEDICAL OFFICER OF DANBURY HOSPITAL, DR. MILLER'S ACTUAL HOURS WORKED EXCEEDS THE 40 HOURS REFLECTED ON THE 990 AND THE AMOUNT NOTED ABOVE. FORM 990, PART IX, COLUMN D ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990, ALL FUNDRAISING EXPENSES WERE INCURRED BY THE WESTERN CONNECTICUT HEALTH NETWORK FOUNDATION, INC. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 CAPTIVE UBI $5,842,117 CHANGE IN EQUITY INT. OF WESTERN CT HEALTH NETWORK FNDN -4,051,221 CHANGE IN INVESTMENT IN WCHIC -5,068,236 EQUITY TRANSFER TO WCHN - OTHER -6,105,161 EQUITY TRANSFER TO WCHN - PENSION -26,813,388 EQUITY TRANSFER TO WCHN - W/O OF INTERCOMPANY -5,909,235 INVESTMENT K-1S 2,933,034 NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS -1,979,439 TRANSFERS TO WESTERN CT MEDICAL GROUP -25,646,327 ---------- TOTAL -66,797,856

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WESTERN CT HEALTH NETWORK AFFILIATES
95 LOCUST AVENUEDANBURYCT06810222594968OP hlthcr SVCCT501(C)(3)9WCHN
WESTERN CT HEALTH NETWORK INC
24 HOSPITAL AVENUEDANBURYCT06810222594977program devLPCT501(C)(3)11, type 2NA
WESTERN CT HEALTH NETWORK FOUNDATION
24 hospital avenuedanburyCT06810237425557admin contribCT501(C)(3)7WCHN
WESTERN CT HOME CARE INC
4 LIBERTY STREETDANBURYCT06810060655138home hlthcareCT501(C)(3)9WCHN
REGIONAL HOSPICE OF WESTERN CONNECTICUT
405 main streetDANBURYCT06810061178847patient careCT501(C)(3)7WCHN
WESTERN CT MEDICAL GROUP PC
14 Research Drive Suite 201ABethelCT06801061137531physician svcCT501(C)(3)9WCHN
THE NEW MILFORD HOSPITAL INC
21 ELM STREETNEW MILFORDCT06776060669121ACUTE CARECT501(C)(3)3WCHN
NEW MILFORD HOSPITAL FOUNDATION
21 ELM STREETNEW MILFORDCT06810222515011ADMIN CONTRIBCT501(C)(3)7NMH
NEW MILFORD VISITING NURSE ASSN INC
68 PARK LANE ROADNEW MILFORDCT06776060653153HOME HEALTHCT501(C)(3)9NMH

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
NEW MILFORD MRI
21 ELM STNEW MILFORDCT06810271877801IMAGING SERVICESCTNAN/A00false$0false
RIDGEFIELD SURGICAL
901 ETHAN ALLENRIDGEFIELDCT06810222594977HEALTHCARECTNAN/A00false$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryPercentage OwnershipPercentageOwnership
Business Systems Inc
95 locust avenuedanburyCT06810061119262pharmacyCTNAc corp00
WESTERN CT HEALTHCARE INSUR CO LTD
980438151malpracticeNAc corp122890025657246610 main street po box 1051 GTgrand caymanCJCJ1.00000
FOUNDATION FOR COMM HEALTHCARE
95 LOCUST AVENUEDANBURYCT06810061437131INACTIVECTNAC CORP.00
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (37 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
WESTERN CT HEALTH NETWORK AFFILIATES INC
A92885
WESTERN CT HEALTH NETWORK AFFILIATES INC
K273015
WESTERN CT HEALTH NETWORK AFFILIATES INC
L515939
WESTERN CT HEALTH NETWORK AFFILIATES INC
N66027
WESTERN CT HEALTH NETWORK AFFILIATES INC
P5403115
WESTERN CT HEALTH NETWORK AFFILIATES INC
Q5523038
WESTERN CT HEALTH NETWORK FOUNDATION INC
A71915
WESTERN CT HEALTH NETWORK FOUNDATION INC
C11970631
WESTERN CT HEALTH NETWORK FOUNDATION INC
J101640
WESTERN CT HEALTH NETWORK FOUNDATION INC
K94267
WESTERN CT HEALTH NETWORK FOUNDATION INC
P3138339
WESTERN CT HEALTH NETWORK FOUNDATION INC
Q2040402
WESTERN CT HOME CARE INC
P967572
WESTERN CT HOME CARE INC
Q827256
REGIONAL HOSPICE OF WESTERN CONNECTICUT
P100614
WESTERN CT MEDICAL GROUP PC
A1621484
WESTERN CT MEDICAL GROUP PC
B25646327
WESTERN CT MEDICAL GROUP PC
I129996
WESTERN CT MEDICAL GROUP PC
K668473
WESTERN CT MEDICAL GROUP PC
L40419665
WESTERN CT MEDICAL GROUP PC
N2193042
WESTERN CT MEDICAL GROUP PC
P376132
WESTERN CT MEDICAL GROUP PC
Q46735661
THE NEW MILFORD HOSPITAL INC
D6439583
THE NEW MILFORD HOSPITAL INC
H1783822
THE NEW MILFORD HOSPITAL INC
K539611
THE NEW MILFORD HOSPITAL INC
N1432010
THE NEW MILFORD HOSPITAL INC
P4489945
THE NEW MILFORD HOSPITAL INC
Q3103999
BUSINESS SYSTEMS INC
A265365
BUSINESS SYSTEMS INC
N55249
BUSINESS SYSTEMS INC
P12039895
BUSINESS SYSTEMS INC
Q12308730
WESTERN CT HEALTHCARE INSUR CO LTD
O11954765
WESTERN CT HEALTHCARE INSUR CO LTD
P3938386
WESTERN CT HEALTHCARE INSUR CO LTD
Q3958740
WESTERN CT HEALTHCARE INSUR CO LTD
R10000000