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LEGACY WATERBURY HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LEGACY WATERBURY HOSPITAL INC (EIN 06-0665979)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201102289349300915
Schema version
2009v1.7
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)
Timestamp2011-08-12T14:42:08-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1CITY PLACE II 185 ASYLUM STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060665979EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06721ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namedarlene stromstadName
Titlepresident/ceoTitle
Phone2035736000Phone
Date Signed2011-08-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDouglas FarringtonName
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Persondarlene stromstadNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line164 ROBBINS STREETAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06721ZIPCode
FieldValueIRS element (for citing)
Gross Receipts255256388GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.waterburyhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionWATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees2332TotalNbrEmployees
Total Nbr Volunteers227TotalNbrVolunteers
Total Gross UBI3684532TotalGrossUBI
Net Unrelated Business Txbl Income-20002NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5193461ContributionsGrantsPriorYear
Contributions Grants Current Year6580621ContributionsGrantsCurrentYear
Program Service Revenue Prior Year239928524ProgramServiceRevenuePriorYear
Program Service Revenue CY229011318ProgramServiceRevenueCY
Investment Income Prior Year-1224178InvestmentIncomePriorYear
Investment Income Current Year2513080InvestmentIncomeCurrentYear
Other Revenue Prior Year7402219OtherRevenuePriorYear
Other Revenue Current Year3650743OtherRevenueCurrentYear
Total Revenue Prior Year251300026TotalRevenuePriorYear
Total Revenue Current Year241755762TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year136916631SalariesEtcPriorYear
Salaries Etc Current Year127864288SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year401024TotalFundrsngExpCurrentYear
Other Expense Prior Year116427175OtherExpensePriorYear
Other Expenses Current Year110474594OtherExpensesCurrentYear
Total Expenses Prior Year253343806TotalExpensesPriorYear
Total Expenses Current Year238338882TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2043780RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3416880RevenuesLessExpensesCY
Total Assets BOY160044637TotalAssetsBOY
Total Assets EOY163030487TotalAssetsEOY
Total Liabilities BOY62349356TotalLiabilitiesBOY
Total Liabilities EOY67145451TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY97695281NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY95885036NetAssetsOrFundBalancesEOY
Mission DescriptionWATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense182337445Expense
Revenue226405116Revenue
DescriptionStatement of PurposeAs a not-for-profit community hospital, Waterbury Hospital provides quality health care to all area individuals, regardless of race, creed, sex, national origin, age, handicap or ability to pay. However, reimbursement for services is critical to the hospital's stability and long-term operation.See Schedule O for continuationDescription
Total Program Service Expense182337445TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096258NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2332NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1scott bowmanBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2035737333TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line164 robbins streetAddressLine1
CitywaterburyCity
StateCTState
ZIP Code06721ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN H TOBIN
PRESIDENT40.00XX5165520285789
DAVID W GRIFFIN ESQ
CHAIRMAN0.60XX000
CARL CONTADINI
VICE CHAIRMAN0.30XX000
JACK KELLY
SECRETARY0.30XX000
RONALD D'ANDREA MD
TRUSTEE0.20X000
JAMES H GATLING PHD
TRUSTEE0.40X000
JOHN A MICHAELS
TRUSTEE0.50X000
WILLIAM J PIZZUTO PHD
TRUSTEE0.90X000
ANDREW K Skipp
TRUSTEE0.20X000
AJ WASSERSTEIN
TRUSTEE0.40X000
DAVID J PIZZUTO MD
TRUSTEE0.30X000
Frederick L Luedke
TRUSTEE0.50X000
OJ Bizzozero Jr MD
Trustee0.50X000
Steven L Eisen MD
TRUSTEE0.20X000
Patrick McKinley
TRUSTEE0.40X000
William E Solberg
TRUSTEE0.20X000
Michael A Wilson CPA MBA
TRUSTEE0.20X000
COLLEEN SCOTT
VP FINANCE40.00X295249028282
MARY B PRYBYLO
VP PATIENT CARE SERVICES40.00X302443020903
STEVEN SCHNEIDER
VP MEDICAL SERVICES40.00X352808028341
MARY K MULSTON
VP HUMAN RESOURCES40.00X19238407425
MARYANNE VOLKRINGER
VP AFFILIATES & BUS DEV40.00X161253014530
JOCK D LAWRASON
CHAIRMAN, DEPT OF MED40.00367303020334X
CHRISTOPHER J MICHOS
CHAIRMAN, EMERGENCY MED40.00394336019882X
DAVID N PODELL
FIRM CHIEF40.00359765027294X
MARK W GARBER
ASST DIR EMERGENCY SVCS40.0035499809005X
Jonathan E Hasson
AssOCIATE DIR SURGERY40.00312966019944X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3610057TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation481729TotalOtherCompensation
Number Individuals GT100 K149NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Price Waterhouse Coopers LLC
PO Box 7247-8001PhiladelphiaPA191708001Consulting Services11118664
ACCESS REHAB CENTERS LLC
22 TOMPKINS STREETWATERBURYCT06708REHAB THERAPY SERVICES2121556
YALE UNIVERSITY SCHOOL OF MEDICINE
333 CEDAR STREETNEW HAVENCT06510RESIDENCY PROGRAM SERVICE1810590
QUEST DIAGNOSTICS
2025 COLLECTION CENTER DRIVECHICAGOIL60693LABORATORY SERVICES1755834
GREATER WATERBURY IMAGING CENTER
64 ROBBINS STREETWATERBURYCT06708IMAGING SERVICES1249200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K67NumberOfContractorsGT100K
Fundraising Events253168FundraisingEvents
Related Organizations1327462RelatedOrganizations
Government Grants4523991GovernmentGrants
All Other Contributions476000AllOtherContributions
Total Contributions6580621TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Service Re624100225365828225365828
lab service revenue62150035081013508101
image repairs & mainte541900137389137389
FieldValueIRS element (for citing)
Total Program Service Revenue229011318TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2370087TotalRevenueColumn
Exclusion$2,370,087ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real440469Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real440469Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column440469TotalRevenueColumn
Related Or Exempt Function Income440469RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13515996Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13373003Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities142993Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column142993TotalRevenueColumn
Exclusion$142,993ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events69676GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events253168CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses127623FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-57947TotalRevenueColumn
Exclusion-$57,947ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Partnerships9000991631521$1,631,521
Cafeteria Revenue722210772487$772,487
Parking812930213172$213,172

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column651041TotalRevenueColumn
Related Or Exempt Function Income598819RelatedOrExemptFunctionIncome
Unrelated Business Revenue39042UnrelatedBusinessRevenue
Exclusion$13,180ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3268221TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column241755762TotalRevenueColumn
Related Or Exempt Function Income226405116RelatedOrExemptFunctionIncome
Unrelated Business Revenue3684532UnrelatedBusinessRevenue
Exclusion$5,085,493ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2178038Total
Management And General2178038ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total97159091Total
Program Services88435494ProgramServices
Management And General8516054ManagementAndGeneral
Fundraising207543Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3804735Total
Program Services3455621ProgramServices
Management And General341004ManagementAndGeneral
Fundraising8110Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17112424Total
Program Services15616361ProgramServices
Management And General1459414ManagementAndGeneral
Fundraising36649Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7610000Total
Program Services6803349ProgramServices
Management And General790685ManagementAndGeneral
Fundraising15966Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1143369Total
Program Services24963ProgramServices
Management And General1118406ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total197916Total
Management And General197916ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total51000Total
Management And General51000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32892491Total
Program Services23982349ProgramServices
Management And General8889082ManagementAndGeneral
Fundraising21060Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total714992Total
Program Services6651ProgramServices
Management And General705130ManagementAndGeneral
Fundraising3211Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11225267Total
Program Services9082126ProgramServices
Management And General2109517ManagementAndGeneral
Fundraising33624Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4253130Total
Program Services819183ProgramServices
Management And General3433947ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total158904Total
Program Services95178ProgramServices
Management And General61243ManagementAndGeneral
Fundraising2483Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total212035Total
Program Services173501ProgramServices
Management And General38267ManagementAndGeneral
Fundraising267Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1677833Total
Management And General1677833ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8736627Total
Management And General8736627ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4714744Total
Program Services4714744ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical/Surgical Suppli2783111927831119
Bad Debt1498581514985815
Food1099102109346840101624
Dues and Subscriptions372140825042883381298
Miscellaneous2081101208341808769189

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total238338882Total
Program Services182337445ProgramServices
Management And General55600413ManagementAndGeneral
Fundraising401024Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15599719BOY
EOY17099522EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1101738BOY
EOY1518034EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30390471BOY
EOY27165931EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY658783BOY
EOY133333EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY584338BOY
EOY634324EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1248474BOY
EOY1161757EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis244832586LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec206294646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY43336543BOY
EOY38537940EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11074126BOY
EOY11675881EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY46719608BOY
EOY55192802EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9330837BOY
EOY9910963EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY160044637BOY
EOY163030487EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22896886BOY
EOY25350669EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY19804928BOY
EOY19007716EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19647542BOY
EOY22787066EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY62349356BOY
EOY67145451EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY49273360BOY
EOY45216062EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7764952BOY
EOY8315873EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40656969BOY
EOY42353101EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97695281BOY
EOY95885036EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY160044637BOY
EOY163030487EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements1MediaAdvertisements
Mailings Members1MailingsMembers
Publications Or Broadcast1PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$76,923GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB76923TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationWATERBURY HOSPITAL CONDUCTED A CAMPAIGN THAT WAS AIMED AT INVOLVING THE COMMUNITY TO HELP INFLUENCE A STATE COMMISSION TO GRANT PERMANENT STATUS TO THE HEART CENTER OF GREATER WATERBURY. THE CAMPAIGN INCLUDED RALLIES, LETTER WRITING AND TRIPS TO HEARINGS IN HARTFORD, CT.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance50479712BeginningOfYearBalance
Contributions10560Contributions
Investment Earnings Or Losses-512662InvestmentEarningsOrLosses
Other Expenditures668745OtherExpenditures
End Of Year Balance49308865EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.05420BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.82300PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.12280TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis80685320OtherCostOrOtherBasis
Depreciation62193397Depreciation
Book Value18491923BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis539905OtherCostOrOtherBasis
Depreciation416166Depreciation
Book Value123739BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis159330630OtherCostOrOtherBasis
Depreciation141256490Depreciation
Book Value18074140BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3989182OtherCostOrOtherBasis
Depreciation2428593Depreciation
Book Value1560589BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38537940TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Funds Held in Trust by Others39561090F
Greater Waterbury Imaging Center5431019F
Access Rehab Centers3641392F
Imaging Partners440033F
Alliance Medical Group6119268F
FieldValueIRS element (for citing)
Total Of Book Value Securities55192802TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Chefa Obligations Discount and Issue Expense, Net of Amortization575582
Due from Affiliates6447817
Debt Service Reseve Fund and Debt Service Fund2602775
Other Receivables3240
prepaid pension & other investments281549
FieldValueIRS element (for citing)
Total Book Value Other Assets9910963TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
Liabilities of Cosolidated Affiliates$5,361,355
Reserve For Worker's Comp/Malpractice Liab. Loss$5,604,931
Minority Interest in Net Assets of Consolidated Affiliates$2,930,053
Deferred Liab. on Gift Annuity$207,562
Asset Retirement Obligation$2,639,365
Capital Lease Liability$64,625
Due to Third-Party Reimbursement Agencies$230,310
Accrued Pension Liability$5,736,056
deferred Liab. on plan investment fund$12,809
FieldValueIRS element (for citing)
Total Of Amounts22787066TotalOfAmounts
Total Revenue241755762TotalRevenue
Total Expenses238338882TotalExpenses
Excess Or Deficit For Year3416880ExcessOrDeficitForYear
Net Unrealized GL On Investments553326NetUnrealizedGLOnInvestments
Other-$5,780,451OtherAmount
Total Adjustments-5227125TotalAdjustments
Excess Or Deficit Per FS-1810245ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt270794454TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments553326NetUnrealizedGainsInvestments
Other Revenues30116887OtherRevenues
Revenue Not Rptd F99030670213RevenueNotRptdF990
Revenue Subtotal240124241RevenueSubtotal
Other Revenues Not Included1631521OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1631521RevenueNotRptdOnFinStmt
Total Revenue Per Form990241755762TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt271550848TotExpensesEtcAuditedFinclStmt
Other Expenses Included33211966OtherExpensesIncluded
Expenses Not Rptd F99033211966ExpensesNotRptdF990
Expenses Subtotal238338882ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990238338882TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:The endowment funds are used for free care and general hospital operations.
Part XI, Line 8 - Other Adjustments:increase in fair value of funds held in trust by others: 1696113. Alliance Subsidy : -5756613. pension liability adjustment: -1719951.
Part XII, Line 2d - Other Adjustments:income from consolidated affiliate: 29989264. Fundraising Expense: 127623.
Part XII, Line 4b - Other Adjustments:investment income from partnership: 1631521.
Part XIII, Line 2d - Other Adjustments:expense of consolidated affiliate: 33084343. Fundraising Expense: 127623.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1171630GrossReceiptsEvent1
Charitable Contributions Event1135440CharitableContributionsEvent1
Gross Revenue Event136190GrossRevenueEvent1
Rent Facility Costs Event136510RentFacilityCostsEvent1
Other Direct Expenses Event138538OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2107750GrossReceiptsEvent2
Charitable Contributions Event288010CharitableContributionsEvent2
Gross Revenue Event219740GrossRevenueEvent2
Rent Facility Costs Event222355RentFacilityCostsEvent2
Other Direct Expenses Event210088OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events43464GrossReceiptsOtherEvents
Charitable Contrib Other Events29718CharitableContribOtherEvents
Gross Revenue Other Events13746GrossRevenueOtherEvents
Non Cash Prizes Other Events850NonCashPrizesOtherEvents
Rent Facility Costs Other Events13859RentFacilityCostsOtherEvents
Other Direct Expenses Other Events5423OtherDirectExpensesOtherEvents
Gross Receipts Total322844GrossReceiptsTotal
Charitable Contributions Total253168CharitableContributionsTotal
Gross Revenue Total Events69676GrossRevenueTotalEvents
Non Cash Prizes Total Events850NonCashPrizesTotalEvents
Rent Facility Costs Total Events72724RentFacilityCostsTotalEvents
Other Direct Expenses Total Events54049OtherDirectExpensesTotalEvents
Direct Expense Summary Events127623DirectExpenseSummaryEvents
Net Income Summary-57947NetIncomeSummary

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense1044617TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1044617NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served43694PersonsServed
Total Community Benefit Expense45610122TotalCommunityBenefitExpense
Direct Offsetting Revenue31886815DirectOffsettingRevenue
Net Community Benefit Expense13723307NetCommunityBenefitExpense
Percent Of Total Expense0.05760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served43694PersonsServed
Total Community Benefit Expense46654739TotalCommunityBenefitExpense
Direct Offsetting Revenue31886815DirectOffsettingRevenue
Net Community Benefit Expense14767924NetCommunityBenefitExpense
Percent Of Total Expense0.06200PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs76NumberOfActivitiesOrPrograms
Persons Served28048PersonsServed
Total Community Benefit Expense12314560TotalCommunityBenefitExpense
Direct Offsetting Revenue998869DirectOffsettingRevenue
Net Community Benefit Expense11315691NetCommunityBenefitExpense
Percent Of Total Expense0.04750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs46NumberOfActivitiesOrPrograms
Persons Served7384PersonsServed
Total Community Benefit Expense17885298TotalCommunityBenefitExpense
Direct Offsetting Revenue2807580DirectOffsettingRevenue
Net Community Benefit Expense15077718NetCommunityBenefitExpense
Percent Of Total Expense0.06330PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served55911PersonsServed
Total Community Benefit Expense1172250TotalCommunityBenefitExpense
Direct Offsetting Revenue272147DirectOffsettingRevenue
Net Community Benefit Expense900103NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs138NumberOfActivitiesOrPrograms
Persons Served91343PersonsServed
Total Community Benefit Expense31372108TotalCommunityBenefitExpense
Direct Offsetting Revenue4078596DirectOffsettingRevenue
Net Community Benefit Expense27293512NetCommunityBenefitExpense
Percent Of Total Expense0.11460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs138NumberOfActivitiesOrPrograms
Persons Served135037PersonsServed
Total Community Benefit Expense78026847TotalCommunityBenefitExpense
Direct Offsetting Revenue35965411DirectOffsettingRevenue
Net Community Benefit Expense42061436NetCommunityBenefitExpense
Percent Of Total Expense0.17660PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served2447PersonsServed
Total Community Building Expense42355TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense42355NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense100264TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense100264NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served1285PersonsServed
Total Community Building Expense254477TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense254477NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served82PersonsServed
Total Community Building Expense96710TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense96710NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served11PersonsServed
Total Community Building Expense607TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense607NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs30NumberOfActivitiesOrPrograms
Persons Served3825PersonsServed
Total Community Building Expense494413TotalCommunityBuildingExpense
Net Community Building Expense494413NetCommunityBuildingExpense
Percent Of Total Expense0.00210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,221,504BadDebtExpenseAmount
Amount Reimbursed By Medicare79482033AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare75643264CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3838769MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE WATERBURY HOSPITALBusinessNameLine1

Address Address

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

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c: n/aIncomeBasedCriteria
Bad Debt FootnotePart III, Line 4: Bad Debt is reported on the based on actual charge writeoffs.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: In order to see the shortfall for the Medicare program you must look at the number reported on line 7 as well as the shortfall from the health profession education line. The two combined shows a shortfall of $8,779,153. All of this shorfall should be reported as community benefit. The source for this is the 2010 Medicare Cost Report. The hospital cost accounting system shows a shortfall from all Medicare programs including Managed Medicare $15,482,247 (net of bad debt and free care).ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: We have several credit and collection programs governing patients who qualify for charity care or financial assistance; prompt pay discount; sliding scale; payment arrangements; charity care and free bed funds. Any patient expressing difficulty paying a balance is entitled to apply for financial counseling assistance. Customer Service representatives work with the patients to determine program qualification based on the completion of a financial application. Cases are prepared and presented to the Patient Assistance Committee. Approved cases will be either fully or partially written off to free bed funds or charity care.DebtCollectionPolicy
Patient Education AssistancePart VI, Line 3: We have signage, pt handbook, statement backers & handouts that inform patients of free bed funds etc. The Hospital accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to the established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is possible. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized poverty income levels for the State, but also includes certain cases where incurred charges are significant when compared to incomes. These charges are not included in net patient service revenues for financial reporting purposes.PatientEducationAssistance
Community InformationPart VI, Line 4: Located in a city of 107,000 residents, Waterbury Hospital is centrally located in western Connecticut. It serves the City of Waterbury and its surrounding towns, including Beacon Falls, Bethlehem, Cheshire, Middlebury, Naugatuck, Prospect, Southbury, Thomaston, Watertown, Wolcott, and Woodbury. Overall, the City of Waterbury lags behind the State of Connecticut and the U.S. in key measurable statistics, as seen below:(a) Median Household Income: Waterbury = $39,832; CT = $67,721; U.S. = $51,425(b) Per Capita Money Income: Waterbury = $21,222; CT = $36,468; U.S. = $27,041(c) % of Persons Below Poverty: Waterbury = 20.3%; CT = 8.7%; U.S. = 13.5%(d) % of Owner occupied Homes: Waterbury = 49.7%; CT = 69.5%; U.S. = 66.9%(e) % of High School Graduates or higher: Waterbury = 79.4%; CT = 88.2%; U.S. = 84.6%(f) % with Bachelor's Degree or higher: Waterbury = 16.2%; CT = 35.1%; U.S. = 27.5%(g) % of Children Ages 5-17 in Families in Poverty: Waterbury = 30.6%; CT = 10.4% 16.9%(h) Unemployment Rate, March 2011 12.2% 9.1% 8.8%[Sources: Items (a) through (g): U.S. Census Bureau, 2005 2009 American Community Survey 5 Year Estimates; Item (h): U.S. Bureau of Labor Statistics]Waterbury was once a robust manufacturing center. However, over the past 25 years, the industrial base that was the center of Waterbury's economy for most of the 20th century dwindled, leaving many unemployed. Although there are jobs available in healthcare and service sectors, high unemployment remains a threat for many individuals in the Greater Waterbury area.CommunityInformation
Community Building ActivitiesPart VI, Line 5: As the largest private employer in the City of Waterbury, Waterbury Hospital understands its role as a leader in the community. Many of our programs are specifically targeted at strengthening the welfare and awareness of the citizens within our community. From educating Waterbury's youth about healthcare careers to offering support groups to families who have lost a loved one, Waterbury Hospital remains committed to making the Greater Waterbury area a stronger, more prosperous community.Key Programs: Youth Pipeline Program: "This program was remarkable. What I liked about it the most - and just to let you know I can't believe I'm saying this - was learning..." - From a Youth Pipeline StudentSince its inception in 2001 as a partnership between Waterbury Hospital and Waterbury Public Schools, the mission of our Youth Pipeline Program has remained the same: to close the achievement gap for minority and economically disadvantaged students in Waterbury so they can matriculate and compete nationally for placement in post secondary education programs in preparation for health careers. As the aforementioned quote captures, Waterbury Hospital has remained dedicated to enhancing and enriching the lives of Waterbury's youth. We take pride in helping students realize their potential as they embark on their academic and personal journeys. To this end, during 2010, Waterbury Hospital continued to provide over 700 students and parents in Greater Waterbury with unique educational programs that will enhance the overall welfare of our community.The Youth Pipeline Program is a multifaceted series with five focus areas during 2010, including: - Providing Early Acquaintance with Careers in Health (PEACH) - Since its inception in 2004, Waterbury Hospital's Providing Early Acquaintance with Careers in Health (PEACH) Program has worked with administrators, teachers, and students at Waterbury's North End Middle School to address projected shortages of healthcare workers and to close the achievement gap for students in Waterbury Public Schools. Through the PEACH Program, students are encouraged to set goals and to enroll in the appropriate math and science courses so they will be on track to matriculate and compete nationally for postsecondary healthcare education at the college level. Annually, Waterbury Hospital offers its PEACH Spring Break Camp, where up to 20 middle school students from Waterbury take part in various shadowing and hands on learning activities at the hospital. During 2010, one hundred students from Education Connection also took part in this unique learning experience. - 9th Grade Mentoring - For the past five years, dozens of Waterbury Hospital employees have served as mentors at Waterbury's Wilby High School. Waterbury Hospital's mentors volunteer for one hour per week for 25 to 30 weeks per school year to help students set goals that will help define their academic and personal goals throughout high school and beyond. In 2010, twenty two Waterbury Hospital staff members worked with over 300 students for a total of 614 hours. - Parent Leadership Training Institute (PLTI) - This past year, sixteen parents in the Greater Waterbury successfully completed Waterbury's PLTI. Waterbury Hospital has hosted our local PLTI since 2000, and the program has trained and graduated over 150 area parents. PLTI's core mission is to impart leadership and advocacy skills to parents while simultaneously educating them about volunteerism, civic life, and the process by which state and local governments enact and change laws. - Wilby High School Afterschool Medical Response Technician (MRT) and Summer Emergency Medical Technician (EMT) Training - In order to address the shortage of emergency medical responders in our area, Waterbury Hospital offered two concurrent programs for students at Wilby High School: an MRT program and an EMT program. Both programs we offered free of charge thanks to grant funding from the Elisha Leavenworth Foundation, the Connecticut Community Foundation, and the Naugatuck Savings Bank Foundation. Students who successfully completed the programs were eligible for either MRT or EMT certification in the State of Connecticut. - Summer Bridge Program - During the summer of 2010, twelve local students participated in our Summer Bridge Program, which provided the students with academic preparation, such as SAT math and SAT English review, job readiness activities, and shadowing. In order to increase the program's diversity, a handful of program slots were allocated for students of Waterbury Hospital employees.Gathering of Remembrance - This past year marked Waterbury Hospital's first annual Gathering of Remembrance. The day is dedicated to remembering those who died in the ICU throughout the year. ICU doctors and nurses coordinate the program to provide support to the family and friends of the deceased. Support Groups - During 2010, Waterbury Hospital hosted several support groups for its patients and their families, including: - SHARE, a support group run by the Family Birthing Center for parents who have lost a baby; - Behavioral Health's parent and sibling support group, which offers emotional assistance to families who have children in treatment; and - Alcoholics Anonymous, which meets weekly throughout the year and is coordinated by our Behavioral Health Department.CommunityBuildingActivities
Other InformationPart VI, Line 6: Realizing the diverse needs of those in our community, Waterbury Hospital remains dedicated to providing comprehensive health services to ensure every individual has access to appropriate, quality healthcare. During 2010, Waterbury Hospital's spectrum of services continued to have a positive impact on the welfare of Waterbury's citizens. To remain consistent with Waterbury Hospital's mission, many of our services are targeted for vulnerable members of our community, including those who are uninsured or underinsured.Key Programs: Waterbury Health Access Program"I once again am in need, and I'm relying on the Waterbury Health Access Program and their services for assistance with my medication... I find myself suffering economic hardships, and it is comforting to know that this program is there to help. WHAP has given me important information that will and has benefited my health and overall wellbeing." - From a WHAP PatientWaterbury Hospital is aware of the economic needs many patients in our community, and, as a result, we remain committed to the Waterbury Health Access Program. Founded in 2003 as a partnership between Waterbury Hospital, St. Mary's Hospital, StayWell Health Center (FQHC), and the Waterbury Health Department, the Waterbury Health Access Program improves access to high-quality medical care by providing comprehensive case management, pharmacy assistance, and access to primary and sub-specialty medical care for the uninsured and underinsured residents of the Greater Waterbury region. During 2010, the Waterbury Health Access Program saw over 1,600 new clients. Additionally, during Waterbury Hospital's FY 2010, Waterbury Hospital provided $301,277 worth of donated services to WHAP patients.Behavioral Health - Waterbury Hospital's Center for Behavioral Health is one of the region's largest, providing comprehensive inpatient and outpatient services and a variety of support groups. Our Behavioral Health Department boasts a Crisis Center, which provided services to over 2,300 individuals during 2010. Be Well Bus - In order to ensure that patients have access to medical appointments, at the hospital and at local physicians' offices, Waterbury Hospital's Be Well Bus provides transportation services to patients from Waterbury and eleven of its surrounding towns. During 2010, the Be Well Bus completed over 4,000 transports to and from medical appointments.Heart Center of Greater Waterbury - Formed in collaboration with Saint Mary's Hospital, the Heart Center of Greater Waterbury provides diverse medical support initiatives to help educate residents in the Greater Waterbury community about pertinent health and wellness issues. This past year, the Heart Center conducted a series of health fairs and various health and wellness education sessions, including "Ask the Nurse," which provides patients with complimentary blood pressure screenings and health awareness education. Additionally, with support from the American Heart Association, the Heart Center also hosted a "Freedom from Smoking" series to help our residents kick the habit.Family Birthing Center - Providing a child-centered focus, Waterbury Hospital's Family Birthing Center offers expectant parents a variety of classes to prepare them for their baby's arrival. Between breast feeding, childbirth, and infant care classes, our Family Birthing Center provided vital instruction to over 300 parents last year. Thank God I'm Female - For the past 19 years, Waterbury Hospital's "Thank God I'm Female" has served as an annual women's wellness forum that features 40 educational booths and health-related giveaways. The ultimate goal of the forum is to educate its nearly 500 participants about stress, mental well being, heart health, diet, osteoporosis and bone health, change of life, and more. Evergreen 50 Club - Waterbury Hospital's Evergreen 50 Club is an organization comprised of over 15,000 members over the age of 50. The Club offers wellness programming, Medicare counseling, and health education presentations on a variety of topics are presented by health care professionals. Presentation topics include: holistic health, varicose vein treatment, heart disease, summer skin care, weight loss, blood pressure, bladder screenings, joint care and replacement, and resolving adverse outcomes with patients and families. Annually, the Evergreen 50 Club hosts a health fair for its members, which provides free flu shots and healthcare screenings. Yale Primary Care Research Day - Through collaboration with St. Mary's Hospital in Waterbury, CT, Waterbury Hospital hosted its annual Yale Primary Care Research Day. During the day, physicians and medical students present research projects to the community.Waterbury Hospital ID Clinic - Maintained with federal funding from Ryan White Part C for Early Intervention Services from the U.S. Department of Health and Human Services HIV AIDS Bureau, Ryan White Part A from the City of New Haven, the Connecticut Department of Public Health, Yale University, MAC AIDS Fund, and Waterbury Hospital, the Waterbury Hospital Infectious Disease Clinic (WHIC) is the largest HIV/AIDS outpatient clinic in the area. WHIC provides (1) on site primary and specialty services, (2) medical case management, (3) individualized medication adherence services, (4) mental health and substance abuse services, (5) nutrition counseling, (6) individualized HIV education, (7) laboratory testing, and (8) radiology services. In 2010, Waterbury Hospital donated $218,734 worth of lab testing to ensure that uninsured PLWHA's received the care they needed at the Clinic. Furthermore, last year, WHIC coordinated World AIDS Day at Waterbury Hospital, which served as a day of recognition for people living with HIV/AIDS in the Waterbury area.Project Photography at Waterbury Hospital - Established in 2007 to encourage non compliant HIV/AIDS patients in the Greater Waterbury Area to become more proactive in the self management of their disease, Project Photography has positively transformed its participant's self-esteem and confidence. Patient projects include: (1) enrolling in photography classes at Naugatuck Valley Community College, (2) taking field trips to Boston, (3) donating framed photographs to the hospital's annual fundraising gala, (4) producing holiday greeting cards for the hospital, (5) creating team portraits at the hospital's fundraising golf tournament, and (6) constructing photography exhibits at the hospital, Barnes & Noble Bookstore, and Silas Bronson Library in Waterbury. Emergency Department HIV Testing - Since 2008, patients visiting Waterbury Hospital's Emergency Department are offered free HIV testing while waiting to be evaluated or treated for other symptoms. The program has successfully served as a model for other health care institutions across the state. Tested patients obtain their test results within 20 minutes; HIV positive test results are sent to an outside lab for verification and are typically available within one week. Pre- and post-test counseling is also provided for patients who are tested. Waterbury Hospital launched the HIV testing initiative as a way of identifying the undiagnosed portion of Connecticut's population, getting those newly diagnosed individuals into care, and preventing the transmission of the virus to others.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: n/aAffiliatedHealthCareSystem
Reports Filed With StatesCTReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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 H TOBIN
516552000002500000357890802341000
COLLEEN SCOTT
2952490000000282820323531000
MARY B PRYBYLO
3024430000000209030323346000
STEVEN SCHNEIDER
3528080000000283410381149000
MARY K MULSTON
192384000000074250199809000
MARYANNE VOLKRINGER
1612530000000145300175783000
JOCK D LAWRASON
3673030000000203340387637000
CHRISTOPHER J MICHOS
3943360000000198820414218000
DAVID N PODELL
3597650000000272940387059000
MARK W GARBER
354998000000090050364003000
Jonathan E Hasson
3129660000000199440332910000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4b:ReturnReference
ExplanationJOHN TOBIN SERP CONTRIBUTION: $250,000Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
david pizzuto
trustee75000Waterbury Hospital paid Mr. Pizzuto a total of $75,000 for a Chief of Staff stipend.0
Steven Eisen
Trustee95004Waterbury Hospital paid Dr. Eisen a total of $95,004 for EEG readings.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6GREATER WATERBURY HEALTH NETWORK, INC. IS SOLE MEMBER.
Form 990, Part VI, Section A, line 7aGREATER WATERBURY HEALTH NETWORK, INC. ELECTS HOSPITAL BOARD.
Form 990, Part VI, Section A, line 7bGREATER WATERBURY HEALTH NETWORK, INC. HAS RESERVED POWERS FOR HOSPITAL TRANSACTIONS.
Form 990, Part VI, Section B, line 11REVIEWED AND APPROVED BY ORGANIZATION'S AUDIT COMMITTEE. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE AUDIT COMMITTEE BEFORE IT IS FILED.
Form 990, Part VI, Section B, line 12cTHE HOSPITAL COMPLIANCE OFFICER REVIEWS ANNUALLY THE SUBMISSION OF POTENTIAL/ACTUAL CONFLICT DECLARATIONS. THEY ARE ALSO REVIEWED ANNUALLY AT THE BOARD'S COMPLIANCE AND ETHICS COMMITTEE MEETING AND RECOMMENDATIONS FOR ACTION ARE MADE TO THE FULL BOARD AS NECESSARY. ADDITIONALLY, RESPONSES ARE PROFILED, BY MEMBER, FOR EACH COMMITTEE OF THE BOARD/NETWORK, AND DISTRIBUTED AT EACH COMMITTEE MEETING AS A WAY TO PROMOTE TRANSPARENCY. THE COMMITTEE CHAIR AND MEMBERS SHARE RESPONSIBILITY IN IDENTIFYING AND MANAGING THESE DECLARED CONFLICTS OF INTEREST WHEN MAKING BUSINESS DECISIONS ON BEHALF OF THE HOSPITAL.
Form 990, Part VI, Section B, line 15EXECUTIVE COMPENSATION IS UNDER THE PURVIEW OF THE BOARD OF TRUSTEES. THERE IS A COMPENSATION COMMITTEE AND THEY ALWAYS USE THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO USES NATIONAL, STATE AND REGIONAL COMPENSATION SURVEY DATA FOR SIMILAR TAX EXEMPT COMMUNITY HOSPITALS.
Form 990, Part VI, Section C, line 19FINANCIAL RESULTS ARE MADE AVAILABLE IN THE ANNUAL REPORT TO THE COMMUNITY. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
Form 990, Part VII, Section A:Average hours per week devoted to related organizations: John H. Tobin - 5.00 hrs David W. Griffin, Esq. - 0.60 hrs Carl Contadini - 0.30 hrs Jack Kelly - 0.30 hrs Ronald D'Andrea, MD - 0.20 hrs James H. Gatling, Ph.D - 0.40 hrs John A. Michaels - 0.50 hrs William J. Pizzuto, Ph.D - 0.90 hrs Andrew K. Skipp - 0.20 hrs AJ Wasserstein - 0.40 hrs David J. Pizzuto, MD - 0.30 hrs Frederick L. Luedke - 0.50 hrs O.J. Bizzozero, Jr., MD - 0.50 hrs Steven L. Eisen, MD - 0.20 hrs Patricia McKinley - 0.40 hrs William E. Solberg - 0.20 hrs Michael A. Wilson, CPA, MBA - 0.20 hrs Colleen Scott - 5.00 hrs Mary B. Prybylo - 5.00 hrs Mary K. Mulston - 5.00 hrs Steven E. Schneider - 5.00 hrs Maryanne Volkringer - 5.00 hrs
Form 990, Part XI, Line 2c:The audit committee and the board of directors has the responsibility for oversight of the audit. The audit committee makes recommendations to the board of directors in regard to the selection of an independent auditor.
Form 990, Part III, Line 4a, Program Service Accomplishments (Continued):Total Community Benefits for FY 2010 by Category: Category / Benefit Community Health Improvement Services and Community Benefit Operations = $11,315,691 - Community Health Education - Community-Based Clinical Services - Health Care Support Services - Other Health Professions Education = $15,077,718 - Physicians/Medical Students - Nurses/Nursing Students - Other Health Professions Education - Scholarships/Funding for Professional Education Financial and In-Kind Contributions = $900,103 - Cash Donations - In-Kind Donations Community Building Activities = $494,413 - Community Support - Environmental Improvements - Leadership Development/Training Community Members/ Youth Pipeline - Coalition Building - Workforce Development Subtotal for Community Benefits = $27,787,925 Traditional Charity Care Costs - Free Care = $1,044,617 - Bad Debt = $5,080,191 - Unpaid Medicaid Costs = $13,723,307 - Unpaid Medicare Costs = $(11,409,417) Subtotal for Charity Care Costs Benefit = $8,438,698 TOTAL BENEFIT - FY 2010 = $36,226,623 Category A:Community Health Improvement Services and Community Benefit Operations TOTAL BENEFIT: $11,315,691 TOTAL PERSONS SERVED: 28,048 Realizing the diverse needs of those in our community, Waterbury Hospital remains dedicated to providing comprehensive health services to ensure every individual has access to appropriate, quality healthcare. During 2010, Waterbury Hospital's spectrum of services continued to have a positive impact on the welfare of Waterbury's citizens. To remain consistent with Waterbury Hospital's mission, many of our services are targeted for vulnerable members of our community, including those who are uninsured or underinsured. Key Programs: Waterbury Health Access Program "I once again am in need, and I'm relying on the Waterbury Health Access Program and their services for assistance with my medication...I find myself suffering economic hardships, and it is comforting to know that this program is there to help. WHAP has given me important information that will and has benefited my health and overall wellbeing." - From a WHAP Patient Waterbury Hospital is aware of the economic needs many patients in our community, and, as a result, we remain committed to the Waterbury Health Access Program. Founded in 2003 as a partnership between Waterbury Hospital, St. Mary's Hospital, StayWell Health Center (FQHC), and the Waterbury Health Department, the Waterbury Health Access Program improves access to high-quality medical care by providing comprehensive case management, pharmacy assistance, and access to primary and sub-specialty medical care for the uninsured and underinsured residents of the Greater Waterbury region. During 2010, the Waterbury Health Access Program saw over 1,600 new clients. Additionally, during Waterbury Hospital's FY 2010, Waterbury Hospital provided $301,277 worth of donated services to WHAP patients. Behavioral Health - Waterbury Hospital's Center for Behavioral Health is one of the region's largest, providing comprehensive inpatient and outpatient services and a variety of support groups. Our Behavioral Health Department boasts a Crisis Center, which provided services to over 2,300 individuals during 2010. Be Well Bus - In order to ensure that patients have access to medical appointments, at the hospital and at local physicians' offices, Waterbury Hospital's Be Well Bus provides transportation services to patients from Waterbury and eleven of its surrounding towns. During 2010, the Be Well Bus completed over 4,000 transports to and from medical appointments. Heart Center of Greater Waterbury - Formed in collaboration with Saint Mary's Hospital, the Heart Center of Greater Waterbury provides diverse medical support initiatives to help educate residents in the Greater Waterbury community about pertinent health and wellness issues. This past year, the Heart Center conducted a series of health fairs and various health and wellness education sessions, including "Ask the Nurse," which provides patients with complimentary blood pressure screenings and health awareness education. Additionally, with support from the American Heart Association, the Heart Center also hosted a "Freedom from Smoking" series to help our residents kick the habit. Family Birthing Center - Providing a child-centered focus, Waterbury Hospital's Family Birthing Center offers expectant parents a variety of classes to prepare them for their baby's arrival. Between breast feeding, childbirth, and infant care classes, our Family Birthing Center provided vital instruction to over 300 parents last year. Thank God I'm Female - For the past 19 years, Waterbury Hospital's "Thank God I'm Female" has served as an annual women's wellness forum that features 40 educational booths and health-related giveaways. The ultimate goal of the forum is to educate its nearly 500 participants about stress, mental well-being, heart health, diet, osteoporosis and bone health, change of life, and more. Evergreen 50 Club - Waterbury Hospital's Evergreen 50 Club is an organization comprised of over 15,000 members over the age of 50. The Club offers wellness programming, Medicare counseling, and health education presentations on a variety of topics are presented by health care professionals. Presentation topics include: holistic health, varicose vein treatment, heart disease, summer skin care, weight loss, blood pressure, bladder screenings, joint care and replacement, and resolving adverse outcomes with patients and families. Annually, the Evergreen 50 Club hosts a health fair for its members, which provides free flu shots and healthcare screenings. Yale Primary Care Research Day - Through collaboration with St. Mary's Hospital in Waterbury, CT, Waterbury Hospital hosted its annual Yale Primary Care Research Day. During the day, physicians and medical students present research projects to the community. Waterbury Hospital ID Clinic - Maintained with federal funding from Ryan White Part C for Early Intervention Services from the U.S. Department of Health and Human Services HIV AIDS Bureau, Ryan White Part A from the City of New Haven, the Connecticut Department of Public Health, Yale University, MAC AIDS Fund, and Waterbury Hospital, the Waterbury Hospital Infectious Disease Clinic (WHIC) is the largest HIV/AIDS outpatient clinic in the area. WHIC provides (1) on-site primary and specialty services, (2) medical case management, (3) individualized medication adherence services, (4) mental health and substance abuse services, (5) nutrition counseling, (6) individualized HIV education, (7) laboratory testing, and (8) radiology services. In 2010, Waterbury Hospital donated $218,734 worth of lab testing to ensure that uninsured PLWHA's received the care they needed at the Clinic. Furthermore, last year, WHIC coordinated World AIDS Day at Waterbury Hospital, which served as a day of recognition for people living with HIV/AIDS in the Waterbury area. Project Photography at Waterbury Hospital - Established in 2007 to encourage non-compliant HIV/AIDS patients in the Greater Waterbury Area to become more proactive in the self-management of their disease, Project Photography has positively transformed its participant's self-esteem and confidence. Patient projects include: (1) enrolling in photography classes at Naugatuck Valley Community College, (2) taking field trips to Boston, (3) donating framed photographs to the hospital's annual fundraising gala, (4) producing holiday greeting cards for the hospital, (5) creating team portraits at the hospital's fundraising golf tournament, and (6) constructing photography exhibits at the hospital, Barnes & Noble Bookstore, and Silas Bronson Library in Waterbury. Emergency Department HIV Testing - Since 2008, patients visiting Waterbury Hospital's Emergency Department are offered free HIV testing while waiting to be evaluated or treated for other symptoms. The program has successfully served as a model for other health care institutions across the state. Tested patients obtain their test results within 20 minutes; HIV-positive test results are sent to an outside lab for verification and are typically available within one week. Pre- and post-test counseling is also provided for patients who are tested. Waterbury Hospital launched the HIV testing initiative as a way of identifying the undiagnosed portion of Connecticut's population, getting those newly diagnosed individuals into care, and preventing the transmission of the virus to others.
Category B: Health Professions Education TOTAL BENEFIT: $15,077,718.00 TOTAL PERSONS SERVED: 7,384 Since it first affiliated with the Yale University School of Medicine in 1973, Waterbury Hospital has served as the clinical training site for thousands of medical professionals in training. During 2010, students completed clinical rotations, internships, and shadowing experiences at Waterbury Hospital. Key Programs: Nursing and Certified Nurse's Aid Students - During 2010, nursing and Certified Nurse's Aid (CNA) students from Naugatuck Valley Community College, Western Connecticut State University, UCONN, Quinnipiac University, Bridgeport Hospital School of Nursing, Kaynor High School, Wilby High School, Porter & Chester Institute, Watertown High School, and Yale University completed clinical rotations at Waterbury Hospital. During their time at the hospital, these students worked in over eighteen departments, ranging from the Emergency Department to the Child Care Center. Student Nurse Intern Program (SNI) - The SNI program is available for nursing students entering their senior year. The program provides these student nurses with shadowing opportunities so they can apply their content knowledge to authentic patient care situations. Staff RNs serve as the students' mentors as the students accompany them on their medical rounds. The goals of the program are: (1) to provide the student nurses with the knowledge and skills necessary to pass the NCLEX exam and (2) to socialize the student nurse in an attempt to decrease the stress of assimilating into the hospital's work environment, should they be hired as Graduate Nurses at Waterbury Hospital. Physician's Assistant (PA) Students - Over 20 P.A. students from Quinnipiac University and UCONN completed clinical rounds in several departments around the hospital, including the Operating Room, Emergency Department, Behavioral Health, and Radiology. The experience is designed for the student to learn to apply the knowledge gained from didactic course work in medicine, surgery, and the basic and behavioral sciences into the clinical arena resulting in the ability to successfully manage patients in a thorough and comprehensive manner. The primary goal of clinical rotations is to expose the student to patients of all ages, patients in a variety of different settings, and patients with a broad range of medical, surgical, and psychosocial problems. The P.A. students participate in: - history taking - examining the patient - assisting in and/or performing diagnostic testing - assisting in and/or performing therapeutic tasks - oral presentations - medical documentation of the patient encounter - formulating a differential diagnosis and problem list - formulating a treatment plan - counseling of patients regarding medication, diet, and lifestyle changes such as smoking cessation, exercise, and well-being PharmD Students from UCONN - Waterbury Hospital Pharmacy Department provides rotations in Critical Care, Infectious Disease, and Institutional Pharmacy for PharmD students completing their final year. The Critical Care and Infectious Disease rotations require the students to perform Case Presentations, Journal Club Presentations, SOAP presentations and participate in rounds with the medical team. A pharmacist oversees the students as they actively participate in rounds and also provides instruction for format and content of their presentations. The Institutional Pharmacy Experience consists of, but is not limited to, learning how to calculate, mix and determine stabilities and sterilities of IV medications. Pharmacists and Pharmacy Technicians facilitate the education and training for the Institutional Rotation. Throughout all three rotations the students learn to provide drug information. The students are an asset to the pharmacist as drug information questions arise. This is the perfect opportunity for the student to utilize what they have learned while providing support for the clinicians at Waterbury Hospital. Waterbury Hospital Pharmacy is enriched while providing these rotations to Doctor of Pharmacy candidates. Training new pharmacists allows for constant review of our policies and procedures to remain current with new technology and drug information. During 2010, fourteen pharmacy students completed rotations at Waterbury Hospital. Radiology Students from NVCC - The Naugatuck Valley Community College (NVCC) Radiology students are involved with many activities while assigned to Waterbury Hospital. Under the supervision of a NVCC clinical instructor and hospital radiologic technologists, the students are assigned to the various radiographic suites and modalities. During their assignment, students are performing or assisting with radiographic procedures, including chest x-rays, skeletal exams, fluoroscopic procedures, mobile x-rays in the various patient units, and surgical cases. The students also increase the number of individuals available in the department to assist in moving and transporting patients as well as chaperoning sensitive exams. In addition to the diagnostic radiology the students are assigned to experiences in Interventional Radiology, CT, MRI, Nuclear Medicine, and Ultrasound. Students work in these modalities under the direct supervision of the hospital staff. Waterbury Hospital's affiliation with NVCC as a clinical site for students has many benefits. Perhaps the single most important benefit is the hospital has a continuous stream of potential radiology employees. Students are in the program for 22 months and in that time become very familiar with the hospital equipment, routines, personal, and mission. This provides Waterbury Hospital with new employees who have a strong skill set and proven dedication to the hospital community. Other Clinical Students - Waterbury Hospital also hosted the following students from diverse clinical backgrounds: - Drug & Alcohol students from Gateway Community College and Naugatuck Valley Community College - Marriage & Family Therapy students from UCONN, St. Joseph's College, and Southern Connecticut State University - Occupational Therapy students from Quinnipiac University - Art Therapy students from Albertus Magnus College - Dietetic students from St. Joseph's College, UCONN, Lincoln Tech, and Bowling Green State University - Med Tech students from UCONN Category E: Financial & In-Kind Contributions TOTAL BENEFIT: $900,103.00 TOTAL PERSONS SERVED: 55,911 Waterbury Hospital continues to provide financial and in-kind contributions to members of our community. From United Way donations from hospital employees to parking vouchers for patients, Waterbury Hospital provided $900,103.00 worth of financial and in-kind support during 2010. Local agencies receiving donations included: - Chabad Lubavitch - Easter Seals - Palace Theater - Project Homeless Connect - United Way of Greater Waterbury - VNA Health at Home - Waterbury Symphony Orchestra - Waterbury Regional Chamber Category F: Community Building Activities TOTAL BENEFIT: $494,413.00 TOTAL PERSONS SERVED: 3,979 As the largest private employer in the City of Waterbury, Waterbury Hospital understands its role as a leader in the community. Many of our programs are specifically targeted at strengthening the welfare and awareness of the citizens within our community. From educating Waterbury's youth about healthcare careers to offering support groups to families who have lost a loved one, Waterbury Hospital remains committed to making the Greater Waterbury area a stronger, more prosperous community. Key Programs: Youth Pipeline Program: "This program was remarkable. What I liked about it the most - and just to let you know I can't believe I'm saying this - was learning..." - From a Youth Pipeline Student Since its inception in 2001 as a partnership between Waterbury Hospital and Waterbury Public Schools, the mission of our Youth Pipeline Program has remained the same: to close the achievement gap for minority and economically disadvantaged students in Waterbury so they can matriculate and compete nationally for placement in post-secondary education programs in preparation for health careers. As the aforementioned quote captures, Waterbury Hospital has remained dedicated to enhancing and enriching the lives of Waterbury's youth. We take pride in helping students realize their potential as they embark on their academic and personal journeys. To this end, during 2010, Waterbury Hospital continued to provide over 700 students and parents in Greater Waterbury with unique educational programs that will enhance the overall welfare of our community.
The Youth Pipeline Program is a multifaceted series with five focus areas during 2010, including: - Providing Early Acquaintance with Careers in Health (PEACH) - Since its inception in 2004, Waterbury Hospital's Providing Early Acquaintance with Careers in Health (PEACH) Program has worked with administrators, teachers, and students at Waterbury's North End Middle School to address projected shortages of healthcare workers and to close the achievement gap for students in Waterbury Public Schools. Through the PEACH Program, students are encouraged to set goals and to enroll in the appropriate math and science courses so they will be on track to matriculate and compete nationally for postsecondary healthcare education at the college level. Annually, Waterbury Hospital offers its PEACH Spring Break Camp, where up to 20 middle school students from Waterbury take part in various shadowing and hands-on learning activities at the hospital. During 2010, one-hundred students from Education Connection also took part in this unique learning experience. - 9th Grade Mentoring - For the past five years, dozens of Waterbury Hospital employees have served as mentors at Waterbury's Wilby High School. Waterbury Hospital's mentors volunteer for one hour per week for 25 to 30 weeks per school year to help students set goals that will help define their academic and personal goals throughout high school and beyond. In 2010, twenty-two Waterbury Hospital staff members worked with over 300 students for a total of 614 hours. - Parent Leadership Training Institute (PLTI) - This past year, sixteen parents in the Greater Waterbury successfully completed Waterbury's PLTI. Waterbury Hospital has hosted our local PLTI since 2000, and the program has trained and graduated over 150 area parents. PLTI's core mission is to impart leadership and advocacy skills to parents while simultaneously educating them about volunteerism, civic life, and the process by which state and local governments enact and change laws. - Wilby High School Afterschool Medical Response Technician (MRT) and Summer Emergency Medical Technician (EMT) Training - In order to address the shortage of emergency medical responders in our area, Waterbury Hospital offered two concurrent programs for students at Wilby High School: an MRT program and an EMT program. Both programs we offered free of charge thanks to grant funding from the Elisha Leavenworth Foundation, the Connecticut Community Foundation, and the Naugatuck Savings Bank Foundation. Students who successfully completed the programs were eligible for either MRT or EMT certification in the State of Connecticut. - Summer Bridge Program - During the summer of 2010, twelve local students participated in our Summer Bridge Program, which provided the students with academic preparation, such as SAT math and SAT English review, job readiness activities, and shadowing. In order to increase the program's diversity, a handful of program slots were allocated for students of Waterbury Hospital employees. Gathering of Remembrance - This past year marked Waterbury Hospital's first annual Gathering of Remembrance. The day is dedicated to remembering those who died in the ICU throughout the year. ICU doctors and nurses coordinate the program to provide support to the family and friends of the deceased. Support Groups - During 2010, Waterbury Hospital hosted several support groups for its patients and their families, including: - SHARE, a support group run by the Family Birthing Center for parents who have lost a baby; - Behavioral Health's parent and sibling support group, which offers emotional assistance to families who have children in treatment; and - Alcoholics Anonymous, which meets weekly throughout the year and is coordinated by our Behavioral Health Department.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
GREATER WATERBURY HEALTH NETWORK INC
64 ROBBINS STREETWATERBURYCT06721222572044HEALTH CARE MANAGEMENTCT501(C)(3)11 TYPE 1N/A
GREATER WATERBURY HEALTH SERVICES INC
64 ROBBINS STREETWATERBURYCT06708222572042HEALTH SERVICESCT501(C)(3)9N/A
Alliance Medical Group Inc
1625 Straits Turnpike Suite 211MiddleburyCT06762263520540HEALTH SERVICESCT501(C)(3)9N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
ACCESS REHAB CENTERS LLC
22 TOMPKINS STREETWATERBURYCT06708061527429THERAPY SERVICESCTN/ARELATED460720203522300
GREATER WATERBURY IMAGING CENTER LLP
64 ROBBINS STREETWATERBURYCT06721061242903IMAGING SERVICESCTN/ARELATED28425932705700
IMAGING PARTNERS LLC
134 GRANDVIEW AVENUEWATERBURYCT06708061617047IMAGING SERVICESCTN/ARELATED9173010492600
WATERBURY GASTROENTEROLOGY CO-MANAGEMENT COMPANY LLC
64 ROBBINS STREETWATERBURYCT06721272417014MEDICAL SERVICESCTN/ARELATED00
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ACCESS REHAB CENTERS LLC
A66438
GREATER WATERBURY IMAGING CENTER LLP
A109408
ACCESS REHAB CENTERS LLC
L1164005
GREATER WATERBURY IMAGING CENTER LLP
L1126950
ALLIANCE MEDICAL GROUP
A6666